Temporary Redundant Transmission Mechanism for SCTP Multihomed Hosts

In SCTP’s Concurrent Multipath Transfer, if data is sent to the destined IP(s) without knowledge of the paths condition, packets may be lost or delayed. This is because of the bursty nature of IP traffic and physical damage to the network. To offset these problems, network path status is examined using our new mechanism Multipath State Aware Concurrent Multipath Transfer using redundant transmission (MSACMT-RTv2). Here the status of multiple paths is analyzed, initially and periodically thereafter transmitted. After examination, paths priority is assigned before transmission. One path is temporarily employed as redundant path for the failure-expected path (FEP); this redundant path is used for transmitting redundant data. At the end of predefined period, reliability of the FEP is confirmed. If FEP is ensured to be reliable, temporary path is transformed into normal CMT path. MSACMT-RTv2 algorithm is simulated using the Delaware University ns-2 SCTP/CMT module (ns-2; V2.29). We present and discuss MSACMT-RTv2 performance in asymmetric path delay and with finite receiver buffer (rbuf) size. We extended our experiment to test robustness of this algorithm and inferred exhaustive result. It is inferred that our algorithm outperforms better in terms of increasing the throughput and reducing the latency than existing system

EP-1207: Can DIBH technique be used for SABR of large and mobile tumors of lung and liver? A clinical study

During earthquakes, melt produced by frictional heating can accumulate on slip surfaces and dramatically weaken faults by melt lubrication. Once seismic slip slows and arrests, the melt cools and solidifies to form pseudotachylytes, the presence of which is commonly used by geologists to infer earthquake slip on exhumed ancient faults. Field evidence suggests that solidified melts may weld seismic faults, resulting in subsequent seismic ruptures propagating on neighboring pseudotachylyte-free faults or joints and thus leading to long-term fault slip delocalization for successive ruptures. We performed triaxial deformation experiments on natural pseudotachylyte-bearing rocks, and show that cooled frictional melt effectively welds fault surfaces together and gives faults cohesive strength comparable to that of an intact rock. Consistent with the field-based speculations, further shear is not favored on the same slip surface, but subsequent failure is accommodated on a new subparallel fault forming on an off-fault preexisting heterogeneity. A simple model of the temperature distribution in and around a pseudotachylyte following slip cessation indicates that frictional melts cool to below their solidus in tens of seconds, implying strength recovery over a similar time scale

Perioperative health is a component of public health with scope for improvement?

National health expenditure accounts (NHEA) estimated that U.S health care grew 3.7 % in 2012 reaching $ 2.8 trillion and about one third of health care spending pays for hospital services. Among the hospital services, perioperative care is extremely expensive which consumes 60% of total hospital expenses. According to Center for Disease Control and Prevention database (2010), around 51.4 million surgical procedures were performed in United States hospitals. Patients presenting for surgery are completely cured of the disease, may develop a complication and left with a permanent sequelae or may be diagnosed with a new condition during the screening phase. Complications due to surgery are associated with increased morbidity, which accounts for majority of these expenses. Several critical things could happen for the public during perioperative period to make it important for the public health officials to take a serious note of this period. Many perioperative practices either do not have solid evidence or conflicts with evidence. These practices can be safely discontinued with a decrease in cost. Perioperative care is more often ignored aspect of public health. Public health experts are now starting to feel that it is important to focus on perioperative health care since there is a lot of scope for improvement. In this essay, we reviewed the problems we have in perioperative care practice and possible solutions for the issues. Anesthesiologists and perioperative physicians are trying their best to work with public health experts to institute evidence based, cost-effective perioperative surgical/medical care without compromising quality of care delivered to patients

Prosthesis-patient mismatch - what cardiac anesthesiologists need to know?

Prosthesis-patient Mismatch (PPM) is not uncommon with an incidence reported up to 70% after aortic valve (AV) replacement. Severe forms of PPM are less common (up to 20%); PPM can lead to increased short- and long-term morbidity and mortality. It is important to discriminate PPM from other forms of prosthetic valve dysfunction. Sometimes, prosthetic valve degenerative disease may coexist with PPM. Echocardiography plays an important role in the prevention and diagnosis of PPM. Preemptive strategies to prevent PPM include insertion of newer generation prosthetic valves with better hemodynamic characteristics, stentless prosthesis, aortic root enlargement to insert a larger prosthesis, aortic homograft, and transcutaneous AV implantation. We present an illustrative case and review the literature on PPM pertinent to anesthesiologists