Ensuring compliance with data privacy and usage policies in online services

Online services collect and process a variety of sensitive personal data that is subject to complex privacy and usage policies. Complying with the policies is critical, often legally binding for service providers, but it is challenging as applications are prone to many disclosure threats. We present two compliance systems, Qapla and Pacer, that ensure efficient policy compliance in the face of direct and side-channel disclosures, respectively. Qapla prevents direct disclosures in database-backed applications (e.g., personnel management systems), which are subject to complex access control, data linking, and aggregation policies. Conventional methods inline policy checks with application code. Qapla instead specifies policies directly on the database and enforces them in a database adapter, thus separating compliance from the application code. Pacer prevents network side-channel leaks in cloud applications. A tenant’s secrets may leak via its network traffic shape, which can be observed at shared network links (e.g., network cards, switches). Pacer implements a cloaked tunnel abstraction, which hides secret-dependent variation in tenant’s traffic shape, but allows variations based on non-secret information, enabling secure and efficient use of network resources in the cloud. Both systems require modest development efforts, and incur moderate performance overheads, thus demonstrating their usability.Onlinedienste sammeln und verarbeiten eine Vielzahl sensibler persönlicher Daten, die komplexen Datenschutzrichtlinien unterliegen. Die Einhaltung dieser Richtlinien ist häufig rechtlich bindend für Dienstanbieter und gleichzeitig eine Herausforderung, da Fehler in Anwendungsprogrammen zu einer unabsichtlichen Offenlegung führen können. Wir präsentieren zwei Compliance-Systeme, Qapla und Pacer, die Richtlinien effizient einhalten und gegen direkte und indirekte Offenlegungen durch Seitenkanäle schützen. Qapla verhindert direkte Offenlegungen in datenbankgestützten Anwendungen. Herkömmliche Methoden binden Richtlinienprüfungen in Anwendungscode ein. Stattdessen gibt Qapla Richtlinien direkt in der Datenbank an und setzt sie in einem Datenbankadapter durch. Die Konformität ist somit vom Anwendungscode getrennt. Pacer verhindert Netzwerkseitenkanaloffenlegungen in Cloud-Anwendungen. Geheimnisse eines Nutzers können über die Form des Netzwerkverkehr offengelegt werden, die bei gemeinsam genutzten Netzwerkelementen (z. B. Netzwerkkarten, Switches) beobachtet werden kann. Pacer implementiert eine Tunnelabstraktion, die Geheimnisse im Netzwerkverkehr des Nutzers verbirgt, jedoch Variationen basier- end auf nicht geheimen Informationen zulässt und eine sichere und effiziente Nutzung der Netzwerkressourcen in der Cloud ermöglicht. Beide Systeme erfordern geringen Entwicklungsaufwand und verursachen einen moderaten Leistungsaufwand, wodurch ihre Nützlichkeit demonstriert wird

NetShaper: A Differentially Private Network Side-Channel Mitigation System

The widespread adoption of encryption in network protocols has significantly improved the overall security of many Internet applications. However, these protocols cannot prevent network side-channel leaks -- leaks of sensitive information through the sizes and timing of network packets. We present NetShaper, a system that mitigates such leaks based on the principle of traffic shaping. NetShaper's traffic shaping provides differential privacy guarantees while adapting to the prevailing workload and congestion condition, and allows configuring a tradeoff between privacy guarantees, bandwidth and latency overheads. Furthermore, NetShaper provides a modular and portable tunnel endpoint design that can support diverse applications. We present a middlebox-based implementation of NetShaper and demonstrate its applicability in a video streaming and a web service application

A comparative study of single versus repeat instillation of intravaginal prostaglandin E2 gel for induction of labour

Background: The aim of induction was to achieve successful vaginal delivery where continuation of pregnancy is not desirable. Unfavourable cervix is one of the main causes of failed induction. Introduction of intravaginal prostaglandins E2 has revolutionised the method of cervical ripening. More than one dose of prostaglandin E2 (PGE2) gel may be necessary to facilitate cervical ripening and increase the chances of vaginal delivery.Methods: This retrospective study was done to find the efficacy of repeat instillation of intravaginal PGE2 gel and to compare the maternal and fetal outcome between the single instillation group and repeat instillation group. The women who went into labour or achieved cervical ripening with a single instillation of PGE2 gel forms Group A. Those who required repeat instillation of PGE2 gel forms Group B. Both groups were compared for specific parameters.Results: Primigravidas required repeat instillation. Postdated pregnancy was the most common indication for induction of labour. 45.2% of primis required only single dose and 54.8% required repeat dose. About two third (77.8%) of multipara required only one dose and a third of multipara needed repeat dose. In Group A 90.7% had vaginal delivery, 9.3% had Caesarean section. Group B 95.7% had vaginal delivery and 4.3% had Caesarean section.Conclusions: Prostaglandins PGE2 (0.5 mg) gel is recommended to be used intravaginally. We applied 2 doses of intravaginal PGE2, 24 hours apart and no complications like uterine hyperstimulation was seen. There is no increased fetal risk with repeat instillation of intravaginal PGE2 gel

Utility of first trimester ultrasound before 12 weeks of gestation at tertiary care centre in western India

Background: The first trimester begins on the first day of the last menstrual period (LMP) and lasts until the end of 12 weeks of gestation. Transvaginal ultrasound is modality of choice for establishing the presence of an intrauterine pregnancy in the first trimester. The focus of our study is routine early pregnancy ultrasound. The purpose of this study was to diagnose various conditions of pregnancy at an early stage by using ultrasound.Methods: We conducted retrospective data analysis of random 250 pregnant patients who had undergone first-trimester ultrasonography USG) (transvaginal/abdominal) in their first antenatal visit at S.V.P. Hospital, Ahmedabad, Gujarat, India from March 2021 to February 2022. The patient was selected by a simple randomized method. Maternal age, parity, gestational age, and special features regarding maternal gestational history were compared with USG findings. Patients were divided into 13 groups on the basis of ultrasonographic diagnosis.Results: We noted 76.8% of patients had single, viable, intrauterine pregnancies, while 23.2% had complicated pregnancies with uterine anomalies, ovarian cysts, leiomyoma, caesarean scar pregnancy or subchorionic hematomas.Conclusions: Ultrasound measurement of fetus in first trimester is most accurate method to confirm gestational age. It is less expensive and easily available modality. First-trimester ultrasound is useful to define embryonic landmarks in developmental stages with reference to gestational age, early diagnosis of miscarriage, ectopic pregnancy, molar pregnancy, multifetal pregnancy, major fetal malformation. And also, to diagnose pregnancy with leiomyoma, caesarean scar pregnancy, uterine anomaly and pre-eclampsia with the help of uterine artery PI

PanCast: Listening to Bluetooth Beacons for Epidemic Risk Mitigation

During the ongoing COVID-19 pandemic, there have been burgeoning efforts to develop and deploy smartphone apps to expedite contact tracing and risk notification. Most of these apps track pairwise encounters between individuals via Bluetooth and then use these tracked encounters to identify and notify those who might have been in proximity of a contagious individual. Unfortunately, these apps have not yet proven sufficiently effective, partly owing to low adoption rates, but also due to the difficult tradeoff between utility and privacy and the fact that, in COVID-19, most individuals do not infect anyone but a few superspreaders infect many in superspreading events. In this paper, we proposePanCast, a privacy-preserving and inclusive system for epidemic risk assessment and notification that scales gracefully with adoption rates, utilizes location and environmental information to increase utility without tracking its users, and can be used to identify superspreading events. To this end, rather than capturing pairwise encounters between smartphones, our system utilizes Bluetooth encounters between beacons placed in strategic locations where superspreading events are most likely to occur and inexpensive, zero-maintenance, small devices that users can attach to their keyring. PanCast allows healthy individuals to use the system in a purely passive "radio" mode, and can assist and benefit from other digital and manual contact tracing systems. Finally, PanCast can be gracefully dismantled at the end of the pandemic, minimizing abuse from any malevolent government or entity

A study of gestational diabetes mellitus and fetal outcome in a tertiary care center

Background: Modern desk-bound lifestyle and unhealthy dietary changes have brought a rise in the prevalence of obesity and gestational diabetes mellitus (GDM). It is associated with severe hazards to the mother and the baby. It is mandatory that early diagnosis ensues and timely and congruous management is undertaken.Methods: In this observational study, 1250 women were included. A standardized questionnaire was formed and their details were noted. Tests for glucose levels, complete blood picture, urine examination were performed. An oral glucose tolerance test was performed on all the patients. Neonatal outcomes in terms of birth weight and the presence of complications were noted.Results: A total 201 (16.1%) of all women were having gestational diabetes mellitus (GDM). Most mothers were in the 25-30 age group. The majority of the women had a BMI between 26-30. 21.9% of babies were having weight >3.5 kgs. 11.4% of babies were <2.5 kgs. Out of 201 neonates, 90 babies were having complications. Major complications in neonates were macrosomia and respiratory distress. Therefore, early diagnosis, glycemic control, and timely and congruous management are advantageous to both mother and baby.Conclusions: GDM complicating the pregnancy results in a higher prevalence of complications in the mother and the neonate. Therefore, appropriate control of the sugar level in mothers is necessary and it decreases the morbidity and mortality rates in the babies as well as the mothers.

A study of feto-maternal outcome in case of premature rupture of membrane at a tertiary care center

Background: Premature rupture of membranes is the rupture of the fetal membranes in the absence of uterine contraction or before the onset of labor. When this occurs before 37 weeks of gestation, it is termed as preterm premature rupture of membranes. Management depends upon gestational age and the presence of complicating factors. An accurate assessment of gestational age and knowledge of the maternal, fetal and neonatal risks are essential to appropriate evaluation, counselling, and care of patients with PROM. The purpose of the study is timely diagnosis and appropriate management of the cases of PROM and PPROM to improve maternal and neonatal outcomes. Methods: A Prospective study was performed at the department of obstetrics and gynecology, at a tertiary care center from August 2020 to December 2021. A clinical data sheet was made for recording all information about the pregnant women after taking their consent. And their maternal and neonatal outcomes were recorded. Results: a total of 150 cases of PROM and PPROM were taken during our study out of which 53.33% belong to the younger age group, 43.33% were primi gravida, 66.66% belonged to the lower socioeconomic class, 25.33% had a previous history of abortion followed by dilatation and evacuation, rate of cesarean delivery was 34.66% and rate of NICU admission of neonates was 15.78% and 57.87% babies had low birth weight and rate of stillbirth was 1.97%. whereas 34.66% of cases had various complications related to PROM. Conclusions: Individualized management of PROM cases depending on the gestational age and risk of complications and antibiotic coverage is the best way to achieve a good fetomaternal outcome

Prospective, multicentre study of screening, investigation and management of hyponatraemia after subarachnoid haemorrhage in the UK and Ireland

Background: Hyponatraemia often occurs after subarachnoid haemorrhage (SAH). However, its clinical significance and optimal management are uncertain. We audited the screening, investigation and management of hyponatraemia after SAH. Methods: We prospectively identified consecutive patients with spontaneous SAH admitted to neurosurgical units in the United Kingdom or Ireland. We reviewed medical records daily from admission to discharge, 21 days or death and extracted all measurements of serum sodium to identify hyponatraemia (&lt;135 mmol/L). Main outcomes were death/dependency at discharge or 21 days and admission duration &gt;10 days. Associations of hyponatraemia with outcome were assessed using logistic regression with adjustment for predictors of outcome after SAH and admission duration. We assessed hyponatraemia-free survival using multivariable Cox regression. Results: 175/407 (43%) patients admitted to 24 neurosurgical units developed hyponatraemia. 5976 serum sodium measurements were made. Serum osmolality, urine osmolality and urine sodium were measured in 30/166 (18%) hyponatraemic patients with complete data. The most frequently target daily fluid intake was &gt;3 L and this did not differ during hyponatraemic or non-hyponatraemic episodes. 26% (n/N=42/164) patients with hyponatraemia received sodium supplementation. 133 (35%) patients were dead or dependent within the study period and 240 (68%) patients had hospital admission for over 10 days. In the multivariable analyses, hyponatraemia was associated with less dependency (adjusted OR (aOR)=0.35 (95% CI 0.17 to 0.69)) but longer admissions (aOR=3.2 (1.8 to 5.7)). World Federation of Neurosurgical Societies grade I–III, modified Fisher 2–4 and posterior circulation aneurysms were associated with greater hazards of hyponatraemia. Conclusions: In this comprehensive multicentre prospective-adjusted analysis of patients with SAH, hyponatraemia was investigated inconsistently and, for most patients, was not associated with changes in management or clinical outcome. This work establishes a basis for the development of evidence-based SAH-specific guidance for targeted screening, investigation and management of high-risk patients to minimise the impact of hyponatraemia on admission duration and to improve consistency of patient care