A structural investigation of the cartilages associated with human long bones, vol.1

Imperial Users onl

Implementing patient accessible health information site for diabetes management

The focus of health care has changed from health care provider paternalistic approach to consumer focused approach. The aim of this study is to implement an online health information site for patient education of Diabetes. To achieve this, design criteria for effective patient education were considered and diabetes patients information site was implemented which includes patient information access, diabetes challenge, administrator module and the scheduler module. Implementing patients access for their health information with providing patients tailored health information according to their needs to enhance patient education is important. This project contributes vastly in consumer health informatics as it develops the system that will enhance consumer involvement in their own health care

Graph-based Household Matching for Linking Census Data

Historical censuses consist of individual facts about a community. It provides knowledge concerned with the nation’s population. These data apply the reconstruction features of a specific period to trace their ancestors and families changes over time. Linking census data is a difficult task as common names, data quality and household changes over time. During the decades, a household may split multiple households due to marriage or move to another household. This paper proposes a graph-based approach to link households, which takes the relationship between household members. Using individual record linking results, the proposed method builds household graphs, so that the matches are determined by attribute similarity and records relationship similarity. According to the experimental results, the proposed method reaches an F-score of 0.974on Ireland Census data, outperforming all alternative methods being compared

Targeted Control of Pulse Pressure Variation Versus Central Venous Pressure on Reduction of Intraoperative Blood Loss During Hepatic Resection

In liver resection, central venous pressure (CVP) was used conventionally as a method of volume status evaluation, and low CVP technique (≤ 5 mmHg) was used to reduce blood loss since the 1990s. In recent years, CVP was regarded as a static indicator to assess intravascular volume status. Pulse pressure variation (PPV) is a preload index that can be used to predict an individual’s fluid responsiveness through an existing arterial line. The purpose of this study was to determine if PPV is as safe and effective as CVP as a guide for fluid management during hepatic resection. Between February 2018 and June 2019 total 50 patients who met inclusion and exclusion criteria were randomized to PPV targeted group (group A) or CVP targeted group (group B). In both groups, central venous catheter and arterial line were inserted. Fluid was restricted at 2ml/kg/hr starting before induction of anaesthesia. Nitroglycerine was started with 0.5 ug/kg/min and titrated to achieve targeted values of PPV (13-18%) in group A and CVP (2-5 mmHg) in group B

Natural Dye from Curcuma Longa L. and Its Cytotoxicity and Antibacterial Activities

In the present study, Curcuma longa L. was selected to extract natural dye. The selected plant material was analyzed for its phytochemical constituents, physiochemical properties, antibacterial properties and its cytotoxicity.  For phytochemical test and dye extractions, three solvent systems, ethanol only, 50% ethanol and water were used. Phytochemical test performed on ethanol extract showed that they contained all tested secondary metabolites. The EDXRF results of dye powder expresses it does not contain toxic heavy metal and contains lower mineral contents. The physicochemical property of dye powder expresses it was suitable for dye processes. Cytotoxicity determination was   carried   out   by using the brine shrimp lethality bioassay method. The LC50 values of the extracts were determined by linear regression analysis method. It was observed that the ethanol soluble dye powder LC50 value was 323.752 ppm, which was more potent compared to water soluble potion with LC50 value of 207.182 ppm. The lower concentration of dye powder is suitable for food dye as well as textile dye

Enhanced DNA Encoding Scheme in Honey Encryption

Nowadays, Security plays a vital role in protecting sensitive data from attackers in many organizations. Many researchers have developed security research to prevent attacks. Password-based encryption (PBE) is used to prevent an attacker from attempting to break into the password file. However, the current PBE is vulnerable because attackers can easily access keys by attempting again and again. The use of weak passwords in PBE is an ongoing problem. At present, Honey Encryption (HE) is an encryption method that overcomes (PBE) vulnerabilities. It is resistant to brute force attacks and allows encryption of data using minimal keys. HE generates a plausible message that looks real when the attacker decrypts with an incorrect key. Deoxyribo Nucleic Acid (DNA) is a new way of computing used in medical research. In this paper, DNA sequences are generated as the key distribution of Honey Encryption. The main idea of the paper is five random data lookup tables in the DNA encoding scheme in order to be more secure. It will be shown as the experimental results the same message encryption with the different passwords and the encryption of the different messages with the same password. In this system, diagnosis symptoms such as Influenza, Toothpaste, etc., will be used as the input messages of the DNA scheme. Compared to the results of only one data lookup table, it can be seen that the result of five data lookup tables in the key generation of DNA encoding sequence is more secure and less execution time. According to the experimental results, the proposed method is more secure than the existing method

A survey of PDA use in PBL-medical curricula

Objective: This study was undertaken to determine the personal digital assistant (PDA) functionalities for a problem-based learning (PBL) medical curriculum in general, the influence factors of incorporating PDAs, and the attitudes of medical educators, medical professions and educational technology specialists regarding the use of PDAs in such PBL-based medical curricula. Methods: Web-based survey was designed and conducted with medical faculty, medical professions and medical education technology specialists. Results: Four major PDA functionalities were identified, these being: clinical-log, reference, communication, and personal information management (PIM). Two major aspects to incorporating PDAs into PBL-medical curricula were determined from survey. Conclusion: There is a potential for PDAs to be incorporated into PBL-medical curricula. However, a clear strategy needs to be defined as how best to incorporate PDAs into PBL-medical curricula with minimal impact on students, as well as financial and resource implications for the university and medical school

The Interplay of Facilitating Conditions and Organizational Settings in the Acceptance of Teleconsultation Technology in Public Hospitals in Malaysia

This research explores users’ intention to use teleconsultation technology. The study also explores the influence of facilitating conditions on the acceptance of the technology in the health care environment in Malaysia. Further, the study compares the level of user acceptance in two organizational settings: (1) between emergency and non-emergency environment, and (2) between referring and referral hospital. This research presumes on the basis of exploratory and descriptive study engaging a survey of healthcare providers who practice in public hospitals in Malaysia. The study reports a high level of acceptance and acceptable extent of facilitating conditions of teleconsultation technology. Thus, some facilitating conditions demonstrate significant correlations with the acceptance of teleconsultation. Interestingly, the study exhibits valuable insights concerning the acceptance of teleconsultation technology in the respective settings being compared. Overall, the findings provide useful insights for both practitioners and future researchers of health information technology adoption studies in the relevant context

Prevalence of High-Risk Human Papillomavirus (HR-HPV) Infection among Women with Normal and Abnormal Cervical Cytology in Myanmar

This study aimed to determine the prevalence of normal and abnormal cervical cytology in women who attended the cervical cancer screening clinic of the Department of Medical Research in Lower Myanmar, and to determine the proportion of high-risk (HR) human papillomavirus (HPV) infection and HPV genotypes in women with normal and abnormal cervical cytology. A total of 1,771 women were screened from 2010 to 2011. Among them, 762 women (43.0%) had a normal smear, and 866 (48.9%) and 87 (4.9%) were diagnosed with inflammatory smears and atypical squamous cells of undetermined significance (ASCUS), respectively. Diagnoses of low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL) numbered 42 (2.3%) and 11 (0.6%) respectively. Three cases of squamous cell carcinoma (SCC) (0.2%) were detected. Cervical swabs were collected from 96 women with abnormal cervical cytology and 20 with normal cytology. HR-HPV DNA testing was performed by polymerase chain reaction (PCR) with pU1M/pU2R primers. HR-HPV were identified in 35.5% (22/62) of inflammatory smears, 60% (6/10) of ASCUS, 86.7% (13/15) of LSIL, 50% (3/6) of HSIL, 100% (3/3) of SCC and 5% (1/20) of normal cytology. In PCR-positive cases, HPV genotyping was analyzed by the cleaved amplification polymorphism method. The most prevalent HPV genotypes were HPV-16 (60.4%) followed by HPV-31 (14.6%), HPV-18 (12.5%) and HPV-58 (12.5%). Women with abnormal cervical cytology were 10 times more likely to be HR-HPV positive than those with normal cytology (p＝0.0001). This study suggests that the implementation of a cervical cytology screening program and routine vaccination against HPV in preadolescent and adolescent groups are needed to reduce the burden of HPV-associated cervical cancer

Patient Engagement through Mobile Health Interventions of Diabetes: A Systematic Literature Review

This paper aims to review the HIMSS patient engagement framework\u27s applicability and to recognise the patient engagement features presented in current mHealth interventions for improving engagement in diabetes self-management. Scopus, Web of Science and Medline databases were searched for relevant studies. The selected studies were then analysed using the Healthcare Information and Management Systems Society (HIMSS) patient engagement framework. Twenty engagement features were identified from twenty-nine studies reviewed. Half of the HIMSS patient engagement framework categories were seen in the studies. This review shows that mHealth interventions have achieved the third and fourth phases of the HIMSS patient engagement framework. In addition, this review suggests improvements in patient engagement facilitation, including integrating patient-generated data into electronic health records, collaboration access to the health records, and peer support through online community forums. Finally, the future patient engagement framework is discussed for mHealth technology