Ipv6 Migration Framework For Government Agencies In Malaysia

Malaysia adalah sebahagian daripada negara-negara dunia yang berusaha untuk berhijrah ke protokol Internet Versi 6 (lPv6) Malaysia is involved in the worldwide effort to migrate to IPv6 due to the giobal IPv4 address depletion and other IPv4 limitations as well as to derive IPv6 benefits

Anesthesia for GI endoscopy in the era of COVID-19

As a result of COVID-19, the last few weeks have necessitated a reevaluation of the sedation paradigm for gastrointestinal (GI) endoscopic procedures. Routine screening and some surveillance procedures have taken a backseat and likely to remain so until a vaccine or effective treatment becomes available. Anesthesia providers and endoscopists are required to adapt to this new reality rapidly. The general aim of sedation remains the same-patient comfort, reduced hypoxia, prevention of aspiration along with rapid recovery, and discharge. The present review focuses on necessary modification to reduce the risk of virus contagion for both patients (from health-care providers) and vice versa. A preprocedure evaluation and consenting should be modified and provided remotely. Unsedated GI endoscopy, sedation with minimal respiratory depression, and modification of general anesthesia are explored. Challenges with supplemental oxygen administration and monitoring are addressed. Guidelines for appropriate use of personal protective equipment are discussed. Measures for limiting aerosolization are deliberated

Oliceridine and its potential to revolutionize GI endoscopy sedation

Providing sedation to patients undergoing gastrointestinal (GI) endoscopy is a controversial and emotive issue. The mainstay of sedation is propofol, whose administration is within the sole jurisdiction of anesthesia providers, at least in the USA. Attempts have been made to seize the authority by the GI community. One of the first attempts was the use of the prodrug of propofol -fospropofol. However, as the drug has a similar adverse effect profile as propofol in terms of respiratory depression, the FDA did not approve its use by providers other than those trained in airway management. Sedasy

Why Isn’t Digital Infrastructure Being Updated?: The Case of IPv6

While the transition from Internet Protocol version 4 (IPv4) to version 6 (IPv6) promises significant advantages and is critical given the exhaustion of IP addresses, surprisingly few studies have examined the reasons for its poor organizational adoption. Moreover, most existing studies have focused on the technical issues surrounding IPv6 adoption. This study seeks to address this gap by examining the determinants of and barriers to IPv6 adoption by organizations. More broadly, the study will identify the processes by which components of digital infrastructure, such as IPv6, are assimilated. Drawing upon institutional and process theories, an IPv6 technology adoption model is developed. A positivist case study research approach was used to provide a richer understanding of digital infrastructure adoption and assimilation. We are currently in the midst of our data collection and have collected data from four organizations on their IPv6 adoption experiences. These organizations are in the tertiary education industry in New Zealand, and are at different stages of their IPv6 adoption process. We present the preliminary findings and discuss their fit with our initial model

Food and feeding habits of silver carp, Hypophthalmichthys molitrix (Val., 1844) in Gobindsagar Reservoir, India.

Investigation on the food and feeding habits of silver carp in Gobindsgar reservoir indicated that the diet of silver carp was dominated by Cyclotella spp. (diatom) followed by Chlorophyceae, Cyanophyceae, Crustacea, Dianophyceae and Rotifera. The size range of Cyclotella spp. varied between 5-25 µm indicating that silver carp is capable to collect the food particles smaller than distance between its gill rakers. Probably, excretion of mucus plays an important role in collecting such small particles. By applying Costello method, it was concluded that Cyclotella spp. is very important food item while the others are general food items in the diet of silver carp in this water body. Study of diet overlap index of different size groups revealed that the value of “D” varied between 0.461 (moderate) to 0.972 (high), indicating that the diet of small size groups was significantly different from those of large size groups. The present observations indicated that the diet overlap index between female and male silver carp was very high (0.915), clearly indicating that the diet of male and females specimens did not differ significantly. Analysis of gut contents of silver carp indicated that zooplankton comprised only 7.7% by number and 19.3% by volume in the fore–gut contents of this fish, hence, silver carp can be considered as microphytoplankton feeder

Effective Atomic Number Dependence of Radiological Parameters of Some Organic Compounds at 122 KeV Gamma Rays

Mass attenuation coefficient is a fundamental parameter of radiation interaction, from which the other radiological parameters like half Value Layer [HVL], tenth Value Layer [TVL], total atomic and electronic cross-sections, mass energy absorption coefficient, KERMA, CT number and effective atomic number are deduced. These parameters are extensively required in a number of fields such as diagnostic radiology, gamma ray spectroscopy, fluorescence analysis and reactor shielding. In the present work, mass attenuation coefficients are determined experimentally for some organic compounds at 122 keV incident photons using narrow-beam transmission geometry to establish a relation between effective atomic number (Zeff) and other deduced parameters. The experimental data for all these parameters are compared with the values deduced from WinXcom software package and are found to agree within experimental estimated errors. This study gives some insight about the photon interaction in some organic compounds whose effective atomic numbers match with some human body fluids

Recent developments in devices used for gastrointestinal endoscopy sedation

Hypoxemia is a frequent and potentially fatal complication occurring in patients during gastrointestinal endoscopy. The administration of propofol sedation increases the risk of most complications, especially hypoxemia. Nevertheless, propofol has been increasingly used in the United States, and the trend is likely to increase in the years to come. Patient satisfaction and endoscopist satisfaction along with rapid turnover are some of the touted reasons for this trend. However, propofol sedation generally implies deep sedation or general anesthesia. As a result, hypopnea and apnea frequently occur. Inadequate sedation and presence of irritable airway often cause coughing and laryngospasm, both leading to hypoxemia and potential cardiac arrest. Hence, prevention of hypoxemia is of paramount importance. Traditionally, standard nasal cannula is used to administer supplement oxygen. However, it cannot sufficiently provide continuous positive airway pressure (CPAP) or positive pressure ventilation. Device manufacturers have stepped in to fill this void and created many types of cannulas that provide apneic insufflation of oxygen and CPAP and eliminate dead space. Such measures decrease the incidence of hypoxemia. This review aimed to provide essential information of some of these devices

BACTERIOLOGY OF HEALTHY CONJUNCTIVAE IN MALAYSIANS

The eye harbours bacteria from the time of birth throughout life. Owing to its antibacterial properties, the normal conjunctival flora plays a significant role in the defence against superficia

A note on a club-shaped variety of Botrydium granulatum (L.) Grev. var.Clavaeformis var. nov.

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