Enabling superior m-health project success: a tricountry validation

The healthcare industry is facing increasing pressures to embrace new technologies that support greater patient access to, and higher quality of (but at the same time offer cost-effective), healthcare delivery. This pressure has spawned a plethora of initiatives to embrace the possibilities and potentials of technologies to develop and then diffuse new devices, new pharmaceutical products and support minimal invasive surgical techniques that will facilitate superior healthcare delivery

CCmH: The cloud computing paradigm for mobile health (mHealth)

Cloud computing is a complex infrastructure revolved around (mobile and non-mobile) computing, database and storage capacity, and service delivery. This evolving concept aims to serve as the next generation heterogeneous service-based model, with centralized and decentralized clients, servers, services, and data storage entities across multiple platforms. Mobile cloud computing (mcc), which is a subset of the cloud computing space, is where a number of the cloud entities are mobile-based. This paper is focused around the idea of mcc deployment in the healthcare areas, defining the cloud computing mobile health (mhealth), (ccmh), which includes the relevant issues and challenges. The main contribution of this paper is a set of recommendations for the future expansions of both cloud computing and emerging mhealth technologies when they are merged together

Why Independent Inventors Never Quit? In Search of Contribution of Inventive Outcomes on Subjective Success of Independent Inventors

Modern technological development of the modern society has been evaluated by the number of patents, commercialization and economic gains of technological innovations. Hence, the success of inventors has been purely measured by the objective measures of the invention process outcomes. Even though, this approach agreed with elite organizational inventors, independent inventors of a society are more humanitarian than the organizational inventors. Hence, the pure objective outcome measures were unable to address the question of why independent inventors continue in inventive activities even they are not objectively successful. Previous studies on the independent inventors has not focused on the social and psychological factors. Hence, the understanding of the subjective outcomes of inventive activities have remained unexplained. Along with the traditional objective outcome measures, the present study explains the inventive career satisfaction and sense of inventive community as two subjective outcomes of the inventive activities of independent inventors in Sri Lanka. It explores how the objective outcomes and subjective outcomes of the inventive life relates to the ultimate global happiness and satisfaction of the life of the independent inventors.DOI: http://dx.doi.org/10.4038/kjm.v1i1.6444 Kelaniya Journal of Management Vol.1(1) 2012:1-25</p

Possible interpretations of the magnitude-redshift relation for supernovae of type Ia

It has been shown by Riess et al. and Perlmutter et al. that the observed redshift-magnitude relation for supernovae of type Ia, which suggests that the deceleration parameter q0 is negative, can be explained in a Friedmann model with a positive cosmological constant. We show that a quasi-steady state cosmology (QSSC) model can also fit the supernova data. Since most of the emphasis and publicity have been concentrated on explanations involving the Friedmann model, we show how a good fit can be obtained to the observations in the framework of the QSSC. Using this model, we show that absorption due to intergalactic dust may play an important role. This may explain why a few of the supernovae observed show large deviations from the curve determined by the majority of the data

V405 Aurigae: A High Magnetic Field Intermediate Polar

Our simultaneous multicolor (UBVRI) circular polarimetry has revealed nearly sinusoidal variation over the WD spin cycle, and almost symmetric positive and negative polarization excursions. Maximum amplitudes are observed in the B and V bands (+-3 %). This is the first time that polarization peaking in the blue has been discovered in an IP, and suggests that V405 Aur is the highest magnetic field IP found so far. The polarized flux spectrum is similar to those found in polars with magnetic fields in the range B ~ 25-50 MG. Our low resolution circular spectropolarimetry has given evidence of transient features which can be fitted by cyclotron harmonics n = 6, 7, and 8, at a field of B = 31.5 +- 0.8 MG, consistent with the broad-band polarized flux spectrum. Timings of the circular polarization zero crossovers put strict upper limits on WD spin period changes and indicate that the WD in V405 Aur is currently accreting closely at the spin equilibrium rate, with very long synchronization timescales, T_s > 10^9 yr. For the observed spin to orbital period ratio, P_{spin}/P_{orb} = 0.0365, and P_{orb} ~ 4.15 hr, existing numerical accretion models predict spin equilibrium condition with B ~ 30 MG if the mass ratio of the binary components is q_1 ~ 0.4. The high magnetic field makes V405 Aur a likely candidate as a progenitor of a polar.Comment: To appear in The Astrophysical Journal, September 1 Issue (2008), 9 pages, 10 figure

The Cyclotron Fundamental Exposed in the High-Field Magnetic Variable V884 Her

High-quality phase-resolved optical spectropolarimetry is presented for the magnetic cataclysmic variable V884 Her. The overall circular polarization during active accretion states is low and only slightly variable in the range 5000-8000A. However, the polarization is highly structured with wavelength, showing very broad polarization humps, narrow features that are associated with weak absorption lines in the total spectral flux, and sharp reversals across each major emission line. The polarization reversals arise from Zeeman splitting in the funnel gas in a longitudinal magnetic field B~30kG. The set of narrow, polarized absorption features matches the Zeeman pattern of hydrogen for a nearly uniform magnetic field of B=150MG, indicating that the features are "halo" absorption lines formed in a relatively cool reversing layer above the shock. With this identification, the broad polarization humps centered near 7150A and below 4000A are assigned to cyclotron emission from the fundamental and first harmonic (n=2), respectively. V884 Her is only the second AM Her system known with a field exceeding 100MG, and the first case in which the cyclotron fundamental has been directly observed from a magnetic white dwarf.Comment: 14 pages, 6 figures, LaTeX, to appear in The Astrophysical Journal, Part

The Three Dimensional Structure of EUV Accretion Regions in AM Herculis Stars: Modeling of EUV Photometric and Spectroscopic Observations

We have developed a model of the high-energy accretion region for magnetic cataclysmic variables and applied it to {\it Extreme Ultraviolet Explorer} observations of 10 AM Herculis type systems. The major features of the EUV light curves are well described by the model. The light curves exhibit a large variety of features such as eclipses of the accretion region by the secondary star and the accretion stream, and dips caused by material very close to the accretion region. While all the observed features of the light curves are highly dependent on viewing geometry, none of the light curves are consistent with a flat, circular accretion spot whose lightcurve would vary solely from projection effects. The accretion region immediately above the WD surface is a source of EUV radiation caused by either a vertical extent to the accretion spot, or Compton scattering off electrons in the accretion column, or, very likely, both. Our model yields spot sizes averaging 0.06 R$_{WD}$, or $f \sim 1 \times 10^{-3}$ the WD surface area, and average spot heights of 0.023 R$_{WD}$. Spectra extracted during broad dip phases are softer than spectra during the out-of-dip phases. This spectral ratio measurement leads to the conclusion that Compton scattering, some absorption by a warm absorber, geometric effects, an asymmetric temperature structure in the accretion region and an asymmetric density structure of the accretion columnare all important components needed to fully explain the data. Spectra extracted at phases where the accretion spot is hidden behind the limb of the WD, but with the accretion column immediately above the spot still visible, show no evidence of emission features characteristic of a hot plasma.Comment: 30 Pages, 11 Figure

Do we achieve LDL-cholesterol targets in routine clinical practice? Evidence from a tertiary care hospital in Sri Lanka

Background: Statins are widely used for primary and secondary prevention of cardiovascular disease (CVD). European Society of Cardiology / European Atherosclerosis Society (ESC/EAS) guidelines recommend LDL-cholesterol targets based on CVD risk.Objectives: This study aimed to determine whether LDL-cholesterol targets recommended by2016 ESC/EASare achieved in routine clinical practice.Methods: This paper is based on baseline data of patients recruited to a controlled clinical trial conducted at a tertiary care hospital. Participants have been on atorvastatin for >2 months. Demographic and clinical data were obtained using clinic records and interviewer administered questionnaires. LDL-cholesterol was assessed using Friedewald equation (when triglyceride was <400mg/dL) or by direct measurement (when triglyceride was ≥400mg/dL). Each participant’s CVD risk level and appropriate LDL-cholesterol target (very-high CVD risk:<70mg/dL; high CVD risk:<100mg/dL; low to moderate CVD risk:<115mg/dL) was determined according to 2016 ESC/EAS Guideline.Results: 101 patients were studied. (Women: 76.2%; mean-age: 61.2:±9.3years). Prevalence of coronary heart disease, ischaemic stroke, diabetes, hypertension and smoking was 30.7%, 4%, 77.2%, 80.2% and 4%, respectively. According to CVD risk level 80.2%, 15.8% and 4% were in very-high, high and moderate risk categories, respectively. Most were on atorvastatin 10mg (45.5%) followed by 20mg (43.6%), 40mg (8.9%), 30mg (1%) and 5mg (1%). Median duration of treatment was 41-months. Overall, only 12.9% had achieved target LDL-cholesterol (very-high risk: 7.4%; high risk: 37.5%, moderate risk: 25%; p=0.003). Men did better than women in achieving target LDL-cholesterol (men: 29.2%, women: 7.8%; p=006). There was no difference based on age, comorbidities or atorvastatin dose.Conclusions: In the study population majority has failed to achieve LDL-cholesterol targets recommended by 2016 ESC/EAS. Failure to achieve targets was more common among women and those having very-high CVD risk. Reason for suboptimal target achievement has to be studied further.Acknowledgement: Funded by University of Sri Jayewardenepura Research Grant (ASP/01/RE/MED/2015/54) and Ceylon College of Physicians Research Grant (2014)

Phase-resolved HST/STIS spectroscopy of the exposed white dwarf in the high-field polar AR UMa

Phase-resolved HST/STIS ultraviolet spectroscopy of the high-field polar AR UMa confirms that the WD photospheric Ly alpha Zeeman features are formed in a magnetic field of ~200 MG. In addition to the Ly alpha pi and sigma+ components, we detect the forbidden hydrogen 1s0->2s0 transition, which becomes ``enabled'' in the presence of both strong magnetic and electric fields. Our attempt in fitting the overall optical+UV low state spectrum with single temperature magnetic WD models remains rather unsatisfactory, indicating either a shortcoming in the present models or a new physical process acting in AR UMa. As a result, our estimate of the WD temperature remains somewhat uncertain, Twd=20000+-5000K. We detect a broad emission bump centered at ~1445A and present throughout the entire binary orbit, and a second bump near ~1650A, which appears only near the inferior conjunction of the secondary star. These are suggestive of low harmonic cyclotron emission produced by low-level (M-dot~1e-13 Msun/yr) accretion onto both magnetic poles. However, there is no evidence in the power spectrum of light variations for accretion in gas blobs. The observed Ly alpha emission line shows a strong phase dependence with maximum flux and redshift near orbital phase phi~0.3, strongly indicating an origin on the trailing hemisphere of the secondary star. An additional Ly alpha absorption feature with similar phasing as the Ly alpha emission, but a \~700km/s blueshift could tentatively be ascribed to absorption of WD emission in a moderately fast wind. We derive a column density of neutral hydrogen of NH=(1.1+-1.0)1e18 cm**-2, the lowest of any known polar.Comment: 26 pages, 10 figures, AAS TeX 5.0, accepted for publication in the Astrophysical Journa