360 research outputs found
Towards a GPU SDN controller
AbstractâThe SDN concept of separating and centralizing the control plane from the data plane has provided more flexibility and programmability to the deployment of the networks. On the other hand, the separation of the planes has raised some scala-bility and performance questions, being that the SDN controller is the bottleneck. In this paper we present an implementation of a GPU SDN controller. The goal of this paper is to mitigate the scalability problem of the SDN controller by offloading all the packet inspection and creation to the GPU. Experimental evaluation shows that the controller is able to process 17 Million flows/s in the worst case scenario using just off-the-shelf GPUâs. I
PELATIHAN DAN IMPLEMENTASI CATATAN KEUANGAN SEDERHANA PADA USAHA KEMPLANG BADAK OCA PALEMBANG
The pupose of this research is to know whether or not project based learning is effective to strengthen studentsâ writing on project report to the students at English Department, Sriwijaya state Polytechnics. This research applied a quantitative approach. In principle, experimental research was conducted to examine the effect of the treatment that has been given to something. It involves three independent variables, namely the Project based  learning  (X1), guided writing procedure (X2) and the dependent variable is writing a project report (Y). The students were assigned  to write report writing paragraphs as in the summative evaluation for pre-test and post-test to collect the data. It was obtained that the average scores of the studentsâ writing skills with the approaches project based learning  and guided writing procedure were 78 dan 74 respectively. It was no doubt that the studentsâ writing skills with Project based learning was better compared with the approach of guided writing procedure
Methodological challenges in a study on falls in an older population of Cape Town, South Africa
Background: Falls are a major cause of disability, morbidity and mortality in older persons, but have been under researched in developing countries. .Objective: To describe challenges encountered in a community-based study on falls in a multi-ethnic population aged âĽ65 years in a low-income setting.Methods: The study was conducted in four stages: A pilot study (n=105) to establish a sample size for the survey. An equipment validation study (n=118) to use for fall risk determination. A cross-sectional baseline (n=837) and a 12-month follow-up survey (n=632) to establish prevalence and risk factors for falls.Results: Prevalence rate of 26.4% (95% CI 23.5-29.5%) and risk factors for recurrent falls: previous falls, self-reported poor mobility and dizziness were established. Adaptations to the gold standard prospective fall research study design were employed: 1) to gain access to the study population in three selected suburbs, 2) to perform assessments in a non-standardised setting, 3) to address subjectsâ poverty and low literacy levels, and high attrition of subjects and field workers.Conclusion: Studies on falls in the older population of low- to middle-income countries have methodological challenges. Adaptive strategies used in the Cape Town study and the research experience reported may be instructive for investigators planning similar studies in such settings.Keywords: Falls, older people, community-based research, low and middle income countries, methodology, study desig
Improvement in mechanical properties of ijuk fiber composite by using silane treatment
The rising concern towards environmental issues besides the need for more versatile polymer-based materials has led to increased interest in studying polymer composites filled with natural-fibers, usually referred to as âgreenâ composites. However, the bonds between polymeric materials are not strong enough by referring to mechanical properties and other additional properties due to incompatibility between the polymer matrix and natural fiber filler. Thhis study tries to improveme the mechanical properties of Ijuk (Arenga pinnata) fiber filled polypropylene composite by using silane treatment. Vinyltrimethoxy silane was used for this purpose. The ijuk fiber was immersed in the silane solution before mixing with polypropylene at 10wt%, 20wt%, and 30wt%. The samples were tensile tested and their water absorption behavior was test as well. As the result, the treatment helps increasing the mechanical properties of the green composite material and decreases the percentage of water absorptio
Clinical characteristics and causes of heart failure, adherence to treatment guidelines, and mortality of patients with acute heart failure: Experience at Groote Schuur Hospital, Cape Town, South Africa
Background. There is limited information on acute heart failure (AHF) and its treatment in sub-Saharan Africa.Objective. To describe the clinical characteristics and causes of heart failure (HF), adherence to HF treatment guidelines, and mortality of patients with AHF presenting to Groote Schuur Hospital (GSH), Cape Town, South Africa.Methods. This sub-study of The Sub-Saharan Africa Survey of Heart Failure (THESUS-HF) was a prospective and observational survey that focused on the enrolment and follow-up of additional patients with AHF presenting to GSH and entered into the existing registry after publication of the primary THESUS-HF article in 2012. The patients were classified into prevalent (existing) or incident (new) cases of HF.Results. Of the 119 patients included, 69 (58.0%) were female and the mean (standard deviation) age was 49.9 (16.3) years. The majority of prevalent cases were patients of mixed ancestry (63.3%), and prevalent cases had more hypertension (70.0%), diabetes mellitus (36.7%), hyperlipidaemia (33.3%) and ischaemic heart disease (IHD) (36.7%) than incident cases. The top five causes of HF were cardiomyopathy (20.2%), IHD (19.3%), rheumatic valvular heart disease (RHD) (18.5%), cor pulmonale (11.8%) and hypertension (10.1%), with the remaining 20.1% consisting of miscellaneous causes including pericarditis, toxins and congenital heart disease. Most patients received renin-angiotensin system blockers and loop diuretics on discharge. There was a low rate of beta-blocker, aldosterone antagonist and digoxin use. Rehospitalisation within 180 days occurred in 25.2% of cases. In-hospital mortality was 8.4% and the case fatality rate at 6 months was 26.1%.Conclusion. In Cape Town, the main causes of AHF are cardiomyopathy, IHD and RHD. AHF affects a young population and is associated with a high rate of rehospitalisation and mortality. There is serious under-use of beta-blockers, aldosterone antagonists and digoxin. Emphasis on the rigorous application of treatment guidelines is needed to reduce readmission and mortality.
The Effect of Time and pH on Hemolysis During Cardiopulmonary Bypass
Articlehttp://deepblue.lib.umich.edu/bitstream/2027.42/96979/1/UMURF-Issue05_2008-ABansal.pd
Lack of association between stavudine exposure and lipoatrophy, dysglycaemia, hyperlactataemia and hypertriglyceridaemia: a prospective cross sectional study
<p>Abstract</p> <p>Background</p> <p>Stavudine continues to be widely used in resource poor settings despite its toxicity. Our objective was to determine association between plasma stavudine concentrations and lipoatrophy, concentrations of glucose, lactate and triglycerides.</p> <p>Methods</p> <p>Participants were enrolled in a cross-sectional study with lipoatrophy assessment, oral glucose tolerance test, fasting triglycerides, finger prick lactate, and stavudine concentrations. Individual predictions of the area under the concentration curve (AUC) were obtained using a population pharmacokinetic approach. Logistic regression models were fitted to assess the association between stavudine geometric mean ratio > 1 and impaired fasting glucose, impaired glucose tolerance, hyperlactataemia, hypertriglyceridaemia, and lipoatrophy.</p> <p>Results</p> <p>There were 47 study participants with a median age of 34 years and 83% were women. The median body mass index and waist:hip ratio was 24.5 kg/m<sup>2 </sup>and 0.85 respectively. The median duration on stavudine treatment was 14.5 months. The prevalence of lipoatrophy, impaired fasting glucose, impaired glucose tolerance, hyperlactataemia, and hypertriglyceridaemia were 34%, 19%, 4%, 32%, and 23% respectively. Estimated median (interquartile range) stavudine AUC was 2191 (1957 to 2712) ng*h/mL. Twenty two participants had stavudine geometric mean ratio >1. Univariate logistic regression analysis showed no association between stavudine geometric mean ratio >1 and impaired fasting glucose (odds ratio (OR) 2.00, 95% CI 0.44 to 9.19), impaired glucose tolerance (OR 1.14, 95% CI 0.07 to 19.42), hyperlactataemia (OR 2.19, 95%CI 0.63 to 7.66), hypertriglyceridaemia (OR 1.75, 95%CI 0.44 to 7.04), and lipoatrophy (OR 0.83, 95% CI 0.25 to 2.79).</p> <p>Conclusions</p> <p>There was a high prevalence of metabolic complications of stavudine, but these were not associated with plasma stavudine concentrations. Until there is universal access to safer antiretroviral drugs, there is a need for further studies examining the pathogenesis of stavudine-associated toxicities.</p
Methodological challenges in a study on falls in an older population of Cape Town, South Africa.
Background: Falls are a major cause of disability, morbidity and
mortality in older persons, but have been under researched in
developing countries. . Objective: To describe challenges encountered
in a community-based study on falls in a multi-ethnic population aged
6565 years in a low-income setting. Methods: The study was
conducted in four stages: A pilot study (n=105) to establish a sample
size for the survey. An equipment validation study (n=118) to use for
fall risk determination. A cross-sectional baseline (n=837) and a
12-month follow-up survey (n=632) to establish prevalence and risk
factors for falls. Results: Prevalence rate of 26.4% (95% CI
23.5-29.5%) and risk factors for recurrent falls: previous falls,
self-reported poor mobility and dizziness were established. Adaptations
to the gold standard prospective fall research study design were
employed: 1) to gain access to the study population in three selected
suburbs, 2) to perform assessments in a non-standardised setting, 3) to
address subjects\u2019 poverty and low literacy levels, and high
attrition of subjects and field workers. Conclusion: Studies on falls
in the older population of low- to middle-income countries have
methodological challenges. Adaptive strategies used in the Cape Town
study and the research experience reported may be instructive for
investigators planning similar studies in such settings
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Genetic Modifiers of Age at Onset in Carriers of the G206A Mutation in PSEN1 With Familial Alzheimer Disease Among Caribbean Hispanics
IMPORTANCE The present study identified potential genetic modifiers that may delay or accelerate age at onset of familial Alzheimer disease (AD) by examining age at onset in PSEN1 mutation carrier families, and further investigation of these modifiers may provide insight into the pathobiology of AD and potential therapeutic measures.
DESIGN, SETTING, AND PARTICIPANTS Using a subset of Caribbean Hispanic families that carry the PSEN1 p.G206A mutation, we performed a 2-stage genome study. The mutation carrier families from an ongoing genetic study served as a discovery set, and the cohort of those with LOAD served as a confirmation set. To identify candidate loci, we performed linkage analysis using 5 p.G206A carrier families (n = 56), and we also performed whole-exome association analysis using 31 p.G206A carriers from 26 families. To confirm the genetic modifiers identified from the p.G206A carrier families, we analyzed the GWAS data for 2888 elderly individuals with LOAD. All study participants were Caribbean Hispanics.
RESULTS Linkage analysis of AD identified the strongest linkage support at 4q35 (LOD [logarithm of odds] score, 3.69), and the GWAS of age at onset identified variants on 1p13.1, 2q13, 4q25, and 17p11. In the confirmation stage, genewise analysis identified SNX25, PDLIM3, and 3 SH3 domain genes (SORBS2, SH3RF3, and NPHP1) to be significantly associated with LOAD. Subsequent allelic association analysis confirmed SNX25, PDLIM3, and SORBS2 as genetic modifiers of age at onset of EOAD and LOAD and provided modest support for SH3RF3 and NPHP1.
CONCLUSIONS AND RELEVANCE Our 2-stage analysis revealed that SNX25, PDLIM3, and SORBS2 may serve as genetic modifiers of age at onset in both EOAD and LOAD
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