Real time collision warning system in the context of vehicle-to-vehicle data exchange based on drivings behaviours analysis

Worldwide injuries in vehicle accidents have been on the rise in recent years, mainly due to driver error regardless of technological innovations and advancements for vehicle safety. Consequently, there is a need for a reliable-real time warning system that can alert drivers of a potential collision. Vehicle-to-Vehicle (V2V) is an extensive area of ongoing research and development which has started to revolutionize the driving experience. Driving behaviour is a subject of extensive research which gains special attention due to the relationship between speeding behaviour and crashes as drivers who engage in frequent and extreme speeding behaviour are overinvolved in crashes. National Highway Traffic Safety Administration (NHTSA) set guidelines on how different vehicle automation levels may reduce vehicle crashes and how the use of on-board short-range sensors coupled with V2V technologies can help facilitate communication among vehicles. Based on the previous works, it can be seen that the assessment of drivers’ behaviours using their trajectory data is a fresh and open research field. Most studies related to driving behaviours in terms of acceleration�deceleration are evaluated at the laboratory scale using experimental results from actual vehicles. Towards this end, a five-stage methodology for a new collision warning system in the context of V2V based on driving behaviours has been designed. Real-time V2V hardware for data collection purposes was developed. Driving behaviour was analyzed in different timeframes prior obtained from actual driving behaviour in an urban environment collected from OBD-II adapter and GPS data logger of an instrumented vehicle. By measuring the in-vehicle accelerations, it is possible to categorize the driving behaviour into four main classes based on real-time experiments: safe drivers, normal, aggressive, and dangerous drivers. When the vehicle is in a risk situation, the system based on NRF24L01+PA/LNA, GPS, and OBD-II will pass a signal to the driver using a dedicated LCD and LED light signal. The driver can instantly decide to make the vehicle in a safe mood, effectively avoid the happening of vehicle accidents. The proposed solution provides two main functions: (1) the detection of the dangerous vehicles involved in the road, and (2) the display of a message informing the driver if it is safe or unsafe to pass. System performance was evaluated to ensure that it achieved the primary objective of improving road safety in the extreme behaviour of the driver in question either the safest (or the least aggressive) and the most unsafe (or the most aggressive). The proposed methodology has retained some advantages for other literature studies because of the simultaneous use of speed, acceleration, and vehicle location. The V2V based on driving behaviour experiments shows the effectiveness of the selected approach predicts behaviour with an accuracy of over 87% in sixty-four real-time scenarios presented its capability to detect behaviour and provide a warning to nearby drivers. The system failed detection only in few times when the receiving vehicle missed data due to high speed during the test as well as the distances between the moving vehicles, the data was not received correctly since the power transmitted, the frequency range of the signals, the antenna relative positions, and the number of in-range vehicles are of interest for the V2V test scenarios. The latter result supports the conclusion that warnings that efficiently and quickly transmit their information may be better when driver are under stress or time pressure

Assessment of Antenatal Care Services among Pregnant Women's in Al-Hilla City

Abstract:Background:The study examine the knowledge and utilization of antenatal care among the women of reproductive age group in Al-Hilla city. Perspectives of antenatal care services is particularly critical for enhancing effectiveness of services delivery and addressing pregnant women’s needs and antenatal care services.Objectives:To assess of antenatal care services in pregnant women's andidentify the relationship between level of antenatal care serviceswithdemographicdata and maternal health history characteristics.Methodology:Descriptive Study is carried out in Al-Hilla City/ primary health care centers, from December, 2nd 2014 to May, 10th, 2015. A non-probability (Purposive Sample) of (220) pregnant women's, those who visited primary health care centers. The data were collected through the utilization of the developed questionnaire after the validity and reliability are estimated, and by means of interview technique. Reliability of the questionnaire is determined through a pilot study and the validity through (13) experts. The data analyzed through the use of the descriptive and inferential statistical analysis procedures.Results: The findings of the present study indicate that the overall assessment for pregnant women's compliance antenatal care is middle at 73.3%.Conclusions:Thestudyconcludeif that the factors (demographic data and maternal health history ) to effect antenatal care compliance

Study the Impact of Quality Management System ISO 9001on Machinery Breakdowns

This research focuses on studying the importance of quality management system ISO 9001: 2015 and its impact on machinery breakdowns in the general company for the manufacture of wool and carpets in Hama for reducing the machines stops and thus increasing production quantities in the company. We did a field study in the company which a random sample of workers was interviewed in, taking into consideration the characteristics of the categories of workers. We analyzedthe dataobtainedfromthe workersby usingstatistical analysis program (SPSS19). The statistical results have shown that there is a strong correlation between the quality management system ISO 9001: 2015 and machinery breakdowns, which necessitates giving greater attention to the ISO 9001standard by the company's management and seeking ISO 9001 certification to achieve high performance for the company under study

Drowsiness detection system using eye aspect ratio technique

Transportation is widely used to allow user travel conveniently from place to place, for a personal of official purpose. Travel during peak hour or holiday, expose the driver to traffic jam for several hour, thus cause the drive to feel drowsy easily due to high concentration and lack of rest. This situation contributes the increasing of the percentage of car incident due to car driver fatigue is the primary origin of the car accident. In this paper, image detection drowsiness system is proposed to detect the state of the car driver using Eye Aspect Ratio (EAR) technique. A developed system that occupied with the Pi camera, Raspberry Pi 4 and GPS module are used to detect and analyse continuously the state of eye closure in real time. This system able to recognize whether the driver is drowsy or not, with the initial, wearing spectacles, dim light and microsleep condition experimental conducted successfully give 90% of accuracy. This situation can increase the vigilant of drivers significantly

Clinical Prediction of Blood Parameters Associated with Breast, Colon, Thyroid, Ovarian, and Prostate Cancer

Cancer is a cellular change caused by uncontrolled cell growth and division. This disease develops from the growth of abnormal cells that have the potential to invade or spread to other parts of the body. The aim of this study was to investigate the relationship between blood parameters (e.g., Mean corpuscular volume (MCV), Mean corpuscular hemoglobin (MCH), Mean Corpuscular Hemoglobin Concentration (MCHC), Haemoglobin (HGB), White Blood Cell (WBC), and Red Blood Cell (RBC)) and different types of cancer. Breast cancer, thyroid gland cancer, ovarian cancer, testicular cancer, brain tumors as well as other types of cancer are based on the cell of the tissue found on or in the body. Any of these types of cancer are associated with a variety of health issues that put the patient's life in danger. Performing the complete blood count (CBC) test prior to or after a cancer diagnosis is necessary as abnormalities in the body can cause blood component rates to either increase or decrease, depending on the type of cancer, the patient's physiological mechanism, and the structural component. Since the CBC test belongs to hematology, drawing a blood sample and putting it into the anticoagulant tube for testing were preferred. In this study, the blood components of almost all patients were normal except for a few of them which may be due to other medical and biological factors. There is a significant relationship between blood parameters and cancer types.&nbsp

Zein Coated Zinc Oxide Nanoparticles: Fabrication and Antimicrobial Evaluation as Dental Aid

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Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021

Background: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050. Methods: Using forecasts of major drivers of health such as the Socio-demographic Index (SDI; a composite measure of lag-distributed income per capita, mean years of education, and total fertility under 25 years of age) and the full set of risk factor exposures captured by GBD, we provide cause-specific forecasts of mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) by age and sex from 2022 to 2050 for 204 countries and territories, 21 GBD regions, seven super-regions, and the world. All analyses were done at the cause-specific level so that only risk factors deemed causal by the GBD comparative risk assessment influenced future trajectories of mortality for each disease. Cause-specific mortality was modelled using mixed-effects models with SDI and time as the main covariates, and the combined impact of causal risk factors as an offset in the model. At the all-cause mortality level, we captured unexplained variation by modelling residuals with an autoregressive integrated moving average model with drift attenuation. These all-cause forecasts constrained the cause-specific forecasts at successively deeper levels of the GBD cause hierarchy using cascading mortality models, thus ensuring a robust estimate of cause-specific mortality. For non-fatal measures (eg, low back pain), incidence and prevalence were forecasted from mixed-effects models with SDI as the main covariate, and YLDs were computed from the resulting prevalence forecasts and average disability weights from GBD. Alternative future scenarios were constructed by replacing appropriate reference trajectories for risk factors with hypothetical trajectories of gradual elimination of risk factor exposure from current levels to 2050. The scenarios were constructed from various sets of risk factors: environmental risks (Safer Environment scenario), risks associated with communicable, maternal, neonatal, and nutritional diseases (CMNNs; Improved Childhood Nutrition and Vaccination scenario), risks associated with major non-communicable diseases (NCDs; Improved Behavioural and Metabolic Risks scenario), and the combined effects of these three scenarios. Using the Shared Socioeconomic Pathways climate scenarios SSP2-4.5 as reference and SSP1-1.9 as an optimistic alternative in the Safer Environment scenario, we accounted for climate change impact on health by using the most recent Intergovernmental Panel on Climate Change temperature forecasts and published trajectories of ambient air pollution for the same two scenarios. Life expectancy and healthy life expectancy were computed using standard methods. The forecasting framework includes computing the age-sex-specific future population for each location and separately for each scenario. 95% uncertainty intervals (UIs) for each individual future estimate were derived from the 2·5th and 97·5th percentiles of distributions generated from propagating 500 draws through the multistage computational pipeline. Findings: In the reference scenario forecast, global and super-regional life expectancy increased from 2022 to 2050, but improvement was at a slower pace than in the three decades preceding the COVID-19 pandemic (beginning in 2020). Gains in future life expectancy were forecasted to be greatest in super-regions with comparatively low life expectancies (such as sub-Saharan Africa) compared with super-regions with higher life expectancies (such as the high-income super-region), leading to a trend towards convergence in life expectancy across locations between now and 2050. At the super-region level, forecasted healthy life expectancy patterns were similar to those of life expectancies. Forecasts for the reference scenario found that health will improve in the coming decades, with all-cause age-standardised DALY rates decreasing in every GBD super-region. The total DALY burden measured in counts, however, will increase in every super-region, largely a function of population ageing and growth. We also forecasted that both DALY counts and age-standardised DALY rates will continue to shift from CMNNs to NCDs, with the most pronounced shifts occurring in sub-Saharan Africa (60·1% [95% UI 56·8–63·1] of DALYs were from CMNNs in 2022 compared with 35·8% [31·0–45·0] in 2050) and south Asia (31·7% [29·2–34·1] to 15·5% [13·7–17·5]). This shift is reflected in the leading global causes of DALYs, with the top four causes in 2050 being ischaemic heart disease, stroke, diabetes, and chronic obstructive pulmonary disease, compared with 2022, with ischaemic heart disease, neonatal disorders, stroke, and lower respiratory infections at the top. The global proportion of DALYs due to YLDs likewise increased from 33·8% (27·4–40·3) to 41·1% (33·9–48·1) from 2022 to 2050, demonstrating an important shift in overall disease burden towards morbidity and away from premature death. The largest shift of this kind was forecasted for sub-Saharan Africa, from 20·1% (15·6–25·3) of DALYs due to YLDs in 2022 to 35·6% (26·5–43·0) in 2050. In the assessment of alternative future scenarios, the combined effects of the scenarios (Safer Environment, Improved Childhood Nutrition and Vaccination, and Improved Behavioural and Metabolic Risks scenarios) demonstrated an important decrease in the global burden of DALYs in 2050 of 15·4% (13·5–17·5) compared with the reference scenario, with decreases across super-regions ranging from 10·4% (9·7–11·3) in the high-income super-region to 23·9% (20·7–27·3) in north Africa and the Middle East. The Safer Environment scenario had its largest decrease in sub-Saharan Africa (5·2% [3·5–6·8]), the Improved Behavioural and Metabolic Risks scenario in north Africa and the Middle East (23·2% [20·2–26·5]), and the Improved Nutrition and Vaccination scenario in sub-Saharan Africa (2·0% [–0·6 to 3·6]). Interpretation: Globally, life expectancy and age-standardised disease burden were forecasted to improve between 2022 and 2050, with the majority of the burden continuing to shift from CMNNs to NCDs. That said, continued progress on reducing the CMNN disease burden will be dependent on maintaining investment in and policy emphasis on CMNN disease prevention and treatment. Mostly due to growth and ageing of populations, the number of deaths and DALYs due to all causes combined will generally increase. By constructing alternative future scenarios wherein certain risk exposures are eliminated by 2050, we have shown that opportunities exist to substantially improve health outcomes in the future through concerted efforts to prevent exposure to well established risk factors and to expand access to key health interventions

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe