Active router approach to defeating denial-of-service attacks in networks

Denial-of-service attacks represent a major threat to modern organisations who are increasingly dependent on the integrity of their computer networks. A new approach to combating such threats introduces active routers into the network architecture. These active routers offer the combined benefits of intrusion detection, firewall functionality and data encryption and work collaboratively to provide a distributed defence mechanism. The paper provides a detailed description of the design and operation of the algorithms used by the active routers and demonstrates how this approach is able to defeat a SYN and SMURF attack. Other approaches to network design, such as the introduction of a firewall and intrusion detection systems, can be used to protect networks, however, weaknesses remain. It is proposed that the adoption of an active router approach to protecting networks overcomes many of these weaknesses and therefore offers enhanced protection

The silence of mitotic figures

A career in medicine is guided by the patients you treat and those who have taught you to treat these individuals. Communication is of utmost importance in all aspects of healthcare. However, there are times when communication can be difficult. This story takes you through a physician’s experience that led to a career in women’s healthcare, reflecting on the silence that prevailed as her journey began. Experience Framework This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework (https://theberylinstitute.org/experience-framework/). Access other PXJ articles related to this lens. Access other resources related to this len

Transmission of medical messages of patient using control signal of cellular network

The healthcare system needs to track and monitor patients’ status and information. One of the most important requirements is that the patient is able to access the service anywhere at any time. Systems are being developed using the Internet to monitor patients’ status, and in some areas, especially rural areas and motorways, the Internet may not be available, even though the mobile network is available. In some cases, the network might be overloaded, so the patient information cannot be delivered to the hospital or medical centre. We propose a new method that uses the spare extension of the random access channel (RACH), which is carried by physical random access channel (PRACH) to send the patient information to the medical centre. We present the mathematical model of the channel and compare the results with another system from 3GPP to evaluate the results. The results show that the proposed method needs less time to transmit the patient’s information

Effectiveness of a Cognitive Behavioral Weight Management Intervention in Obese Patients with Psychotic Disorders Compared to Patients with Non-Psychotic Disorders or No Psychiatric Disorders: Results from a 12-month, Real-World Study

Objective—Studies of behavioral weight loss intervention in psychotic patients are sparse and its efficacy compared to other obese patients is unknown. Therefore, we compared the effect of a cognitive-behavioral weight loss intervention in obese subjects with psychotic disorders, other psychiatric diagnoses and without psychiatric disorders. Methods—12-month, naturalistic study of weekly group or individual cognitive-behavioral weight management in 222 consecutively enrolled obese patients (body mass index (BMI): 43.7±9.6) with psychotic-spectrum disorders (PSD, n=47), other psychiatric disorders (OPD, n=49) and no psychiatric disorder (NPD, n=126). Results—PSD patients had greater treatment persistence (48.9%) and longer treatment duration (8.7±4.4 months) than OPD (22.4%, 5.4±4.3 months) and NPD (22.2%, 4.9±4.7 months) patients (p’s\u3c.01, number-needed-to-treat (NNT)=3). In last-observation-carried-forward analyses, PSD patients had greater percent baseline weight loss at 12 months (5.1±9.3%) than OPD and NPD patients (2.7±5.5% and 2.4±6.3%); greater percent BMI loss at 9 and 12 months than both groups (p’s\u3c.05), and greater BMI loss at 9 months (2.1±3.5) and 12 months (2.3±4.1) than NPD patients (1.1±2.3 and 1.2±2.4). Furthermore, weight loss ≥5%, occurred in 42.6% of PSD patients vs. 18.4% and 23.0% in OPD and NPD patients (p’s\u3c.01, NNT=5 and 6). The strongest weight loss predictor was treatment duration (β=.51–.54, p\u3c.001). Attrition was predicted by NPD (p=.001) and OPD group status (p=.036), lower proportion of group sessions (p=.002), higher depression (p=.028), and lower baseline BMI (p=0.030). Conclusions—Psychosis-spectrum disorder patients had greater weight loss than other obese patients. Non-adherence and depression should be targeted to enhance weight loss success