bluuebunny/crossref_metadata_2025 huggingface dataset:
Nurses' Perceptions of Patient Safety Culture in Intensive Care Units: A Cross-Sectional Study
Authors: Salem Marwa , Labib John , Mahmoud Ahmed , Shalaby Silvia
Published: December 2019

BACKGROUND: Patient safety culture is a relatively new focus where little is known about its current status in Egyptâ€™s teaching hospitals, mainly intensive care units (ICUs). Therefore, the authors of this study attempted to assess the patient safety culture dimensions from the nursesâ€™ perspective.
METHODS: An exploratory cross-sectional study was conducted in two ICUs (pediatric ICU and adult ICU) at the University Hospital over 3 months from October till December 2018. Sixty nurses were interviewed using the Hospital Survey on Patient Safety Culture.
RESULTS: The current study findings revealed an average positive response to individual items ranging from 6% to 51%. The â€œOrganizational learningâ€ dimension had the highest average percent positive patient safety dimension score (51%) among all respondents, while the â€œFrequency of events reportedâ€ dimension had the lowest one (6%). No statistically significant difference was reported between the pediatric and adult ICUs for all mean scores except for the â€œNon-punitive response to errorâ€ dimension which was reported to be greater in the pediatric intensive care unit (PICU) compared to adult ICU (P < 0.005). The overall patient safety grade was rated acceptable by 47.5% of the interviewed nurses.
CONCLUSION: The current study shows that patient safety is fragile in ICUs, and more effort is recommended to increase the awareness of health care providers. Also, hospital managers need to enhance the performance and practices of patient safety within a non-punitive reporting environment.
Preparation and Histological Study of Multi-Walled Carbon Nanotubes Bone Graft in Management of Class II Furcation Defects in Dogs
Authors: Haroun Ahmed A. , Zaki Basma Mostafa , Shalash Mahmoud , Morsy Reham A. A.
Published: December 2019

BACKGROUND: The main target of periodontal disease and alveolar bone defeat treatment is the regeneration of the lost structures.
AIM: This work deals with the evaluation of the effect of functionalised multi-walled carbon nanotubes (MWCNTs), as grafting material in the management of furcation defects created in dogs.
MATERIAL AND METHODS: Potential cytotoxicity of the grafting material was assessed. Scanning electron microscope (SEM) and energy dispersive x-ray (EDX) analysis after incubation of the grafting material in simulated body fluid (SBF) at pH 7.4 and 37Â°C for one week was done. In six healthy mongrel dogs' full-thickness mucoperiosteal flaps were raised on the buccal aspects to create two walls intrabony defects at the furcation areas. The mandibular premolar area received the grafting material. Histological evaluation was carried out at 1, 2- and 3-monthsâ€™ period.
RESULTS: Cytotoxicity results proved the safety of grafting material application. The prepared material exhibited good Ca-apatite crystal patterns at the surface revealed by SEM and high calcium content showed by EDX results. Good bone formation ability was also apparent histologically.
CONCLUSION: The prepared grafting material (MWCNTs) can serve as a delivery vehicle for osteogenic cells and osteogenic growth factor proteins in the bone development process.
DNA barcoding of rhopalosomatid larvae reveals a new host record and genetic evidence of a second species of Rhopalosoma Cresson (Hymenoptera, Rhopalosomatidae) in America north of Mexico
Authors: Miller Lance A. , Benefield Torie D. , Lounsbury Sarah A. , Lohrmann Volker , Blaschke Jeremy D.
Published: December 2019

Rhopalosomatidae are unusual wasps whose larvae develop as ectoparasitoids on crickets. In America north of Mexico, three genera and six species are recognized. Host species are known only forRhopalosoma nearcticumBrues and includeHapithus agitatorUhler,H. brevipennis(Saussure), andH. saltator(Uhler) (Gryllidae: Hapithinae). Here we report a new host species: theAnaxipha exigua(Say) species-group (Trigonidiidae: Trigonidiinae) discovered by barcoding nine rhopalosomatid larvae collected from Cypress Grove Nature Park, Jackson, Tennessee.Rhopalosoma nearcticumis currently the only documented species ofRhopalosomaCresson in America north of Mexico, but our phylogenetic analyses recovered two genetically distinct clades ofRhopalosomaand thus reveal the presence of at least two species ofRhopalosomain America north of Mexico.
Total Wrist Arthroplasty
Authors: Adams Brian D
Published: December 2019

With the advent of newer prosthetic designs, total wrist arthroplasty provides a functional range of motion, better wrist balance, reduced risk of loosening, and better implant stability.
Male Sexual Function After Pelvic Fracture
Authors: Ozumba Donald , Starr Adam J , Benedetti Gary E , Whitlock Shelly N , Frawley William H
Published: December 2019

abstract

Fifty-one male patients with prior pelvic fracture completed a Brief Sexual Function Inventory questionnaire (BSFI) 2 years postinjury. Responses were compared to those of 53 men with ankle fractures. Patients with pelvic fracture scored significantly worse than patients with ankle fracture. Patients with pelvic fracture scored poorly on sex drive, erection, ejaculation, and satisfaction with sex life. Older patients had significantly worse sex function scores than younger patients. Sexual dysfunction is common after pelvic fracture, and many facets of sex life are affected. The BSFI was well accepted, and is a useful screening tool for identifying patients with sexual dysfunction.
The Use of the Absorbable Interference Screw for a Split Anterior Tibial Tendon (SPLATT) Transfer Procedure
Authors: Fuller David A , McCarthy James J , Keenan Mary Ann
Published: December 2019

A split anterior tibial tendon transfer combined with an interference screw ensures superior tendon transfer fixation in the treatment of equinovarus deformity of the foot in children and adults with static encephalopathy.
Small Incision Total Hip Replacement by the Lateral Approach Using Standard Instruments
Authors: Ilizaliturri Victor M , Chaidez Pedro A , Valero Fernando S , Aguilera Jose M
Published: December 2019

Small incisions in total hip replacement should be easily extensile to provide further exposure when needed without compromising the safety of the surgical approach or the skin.
Mercury Toxicity: Clinical Presentations in Musculoskeletal Medicine
Authors: Saint-Phard Deborah , Van Dorsten Brent
Published: December 2019

educational objectives

As a result of reading this article, physicians should be able to:

1. Recognize mercury toxicity as a possible cause of paresthesia and neuropathy in a musculoskeletal practice.

2. Describe the prevalence of mercury in the natural environment.

3. Define the pharmacology of inorganic and organic mercury.

4. Describe the clinical presentation and treatment of mercury toxicity from fish consumption.

5. Provide recommendations for safe consumption of fish.
The Role of Concomitant Biceps Tenodesis in Shoulder Arthroplasty for Primary Osteoarthritis: Results of a Multicentric Study
Authors: Fama Giuseppe , Edwards T Bradley , Boulahia Aziz , Kempf Jean-François , Boileau Pascal , Némoz Chantal , Walch Gilles
Published: December 2019

abstract

This study evaluated the effects of concomitant biceps tenodesis in patients undergoing shoulder arthroplasty for primary osteoarthritis. Six hundred eighty-eight shoulders that had undergone replacement for primary glenohumeral arthritis were reviewed at a mean 43 months postoperatively. One hundred twenty-one patients had undergone a biceps tenodesis at arthroplasty, while the remaining patients did not. Tenodesis was significantly better than no tenodesis in most outcome parameters. No difference was found between the groups in complication rate. Biceps tenodesis is a useful adjunct to shoulder arthroplasty in the treatment of primary osteoarthritis.
Closed Reduction With Intramedullary Fixation for Midclavicular Fractures
Authors: Chen Pei-Yu , Lin Chi-Chang , Wang Chen-Chie , Tsai Ching-Lin
Published: December 2019

Adult midclavicular fracture treatment using a minimally invasive technique with cannulated screws inserted from the distal fragment to the proximal fragment avoids unaesthetic scars and compromise of the local blood supply.
Viscosupplementation for Osteoarthritis of the Knee
Authors: Coutts Richard D , Waddell David D
Published: December 2019

Osteoarthritis of the knee is a chronic disability that affects millions of patients worldwide. Nonoperative treatment options include: acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), rest and activity modification, and viscosupplementation.
Magnetic Resonance Imaging in the Evaluation of Infantile Torticollis
Authors: Parikh Shital N , Crawford Alvin H , Choudhury Sam
Published: December 2019

abstract

This retrospective study assessed the use of magnetic resonance imaging (MRI) in 58 infants with infantile torticollis. Eighteen patients had nonmuscular causes of torticollis (group 1); MRI identified lesions in 16 patients. Of 40 patients with a diagnosis of congenital muscular torticollis (group 2), 28 had a normal MRI. Five patients had asymmetry of the sternocleidomastoid without noticeable signal changes. Seven patients showed evidence of fibromatosis colli. Asymmetry of the posterolateral skull consistent with plagiocephaly was common. Magnetic resonance imaging did not alter treatment of group 2. Findings of compartment syndrome of sternocleidomastoid were inconsistent. Magnetic resonance imaging is not recommended for asymptomatic patients with infantile torticollis.
Total Joint Replacement in Patients With Dementia Syndromes: A Report of Thirteen Cases
Authors: Ritter Merrill A , Harty Leesa D
Published: December 2019

abstract

The hospital course and clinical outcomes of 14 joint replacement surgeries in 13 patients with dementia syndromes were evaluated. Eight patients were disoriented postoperatively. Complications included slow progress in physical therapy, getting out of bed unattended, aggressive behavior, pulling out an intravenous or Foley catheter, and falling out of bed. Three patients were unable to comprehend their movement restrictions, resulting in one dislocated hip from bending and twisting. Eleven of twelve joints available for follow-up were believed to be painless and functional. One patient was inactive due to fractures secondary to osteoporosis. Although complications arise from patients' disoriented status, total joint replacement relieves pain, and the patients' relatives indicated satisfaction with the results of the surgery. The family of a patient with dementia syndrome must be actively involved in all aspects of care after total joint replacement.
Women's Creativity since the Modern Movement (1918–2018)
Authors: Seražin Helena , Maria Garda Emilia , Franchini Caterina
Published: December 2019

Obsežno delo je plod štiriletnih raziskav v okviru mednarodnega projekta MoMoWo - Ženska ustvarjalnost od modernizma dalje in prinaša nova spoznanja na področju žensk v arhitekturi, gradbeništvu, oblikovanju, urbanizmu in krajinski arhitekturi v Evropi in širše. Razdeljena je v osem poglavij, ki združujejo 116  prispevkov na temo o njihovi izobraženosti, kulturni zapuščini, vključevanju v stanovska združenja ali njihovih prispevkih h kulturnemu turizmu in stroki ter raziskovanju njihovega dela. Zaključi jo poglavje z grafičnimi prilogami.

A.  Izobraževanje in usposabljanje žensk. Nacionalne in mednarodne preslikave, ki se posveča dostopnosti arhitekturne izobrazbe ženskam od pionirk s konca 19. stoletja do sodobnic 21. stoletja, vključenosti žensk v akademske poklice in feminizaciji poklica;B. Ženska zapuščina in dediščina. Zaščita, obnova in izboljšave se ukvarja z ohranjanjem doslej povsem zanemarjene kulturne dediščine, ki so jo ustvarile ženske, in z vprašanjem vpliva teoretikov in ustvarjalk na spremembo dojemanja ženske zapuščine v družbi;C. Ženske v mrežah in poklicnih združenjih je namenjeno predstavitvi ženskih poklicnih združenj in vključevanju žensk v tradicionalna stanovska združenja;D. Ženske in kulturni turizem se ukvarja z vlogo in vplivom žensk kot uporabnic kulturnega turizma ter z možnostjo razvoja novih »ženskih« destinacij;E. Ženski uspehi in strokovni dosežki. Premikanje meja predstavlja nagrajene dosežke ustvarjalk in s problemom njihove zapostavljenosti pri podeljevanju najprestižnejših stanovskih nagrad v svetovnem merilu;F. Ženske in trajnost. Mesto in pokrajina raziskuje žensko angažiranost v trajnostnem ekološkem razvoju na področju arhitekture in oblikovanja;G. Ženske "kot subjekti". Dokumentacija, metodologija, interpretacija in izboljšave je posvečeno metodologiji in virom za raziskovanje ženskih študij ter njihovim odmevom v sodobni historiografiji;SG. Risbe načrtov se ukvarja z vlogo risbe v procesu načrtovanja ustvarjalk na področju arhitekture.
 
Extensive work is a result of four year research within the international project Women's Creativity since the Modern Movement, and brings new insights into women in architecture, construction, design, urban planning and landscape architecture in Europe and in the rest of the world. It is divided into eight chapters that combine 116 articles on topics:  A. Women’s education and training: National and international mappings; B. Women’s legacy and heritage: Protection, restoration and enhancement; C. Women in communication and professional networks; D. Women and cultural tourism; E. Women’s achievements and professional attainments: Moving boundaries; F. Women and sustainability: City and Landscape; G. Women ‘as subjects’: Documentation, methodology, interpretation and enhancement; SG. Design drawings.
Novi etimološki slovar slovenskega jezika kot rastoči spletni slovar 2017−: dodatek 2019
Authors: Furlan Metka
Published: December 2019

V prispevku se objavljajo nova gesla, ki so bila ob koncu leta 2019 dodana Novemu etimološkemu slovarju slovenskega jezika kot rastočemu spletnemu slovarju (2017–), dostopnemu na portalu Fran Inštituta za slovenski jezik Frana Ramovša ZRC SAZU.
The Placeless Chapel: Memory, Meaning and Destruction in Sacred Space
Authors: Eisch-Angus Katharina
Published: December 2019

An ethnographic narrative from Israel, with its sacred sites marked by war and destruction, explores the dynamics of absence and presence, of imagination and reality of religious dwelling places. This idea of a chapel of placelessness underlies an ethnographic field diary written in the summer 2015 in Israel. Sacred spaces offer their presence built on absence, on layers of cultural memory. The focal point of my diary is the town and the sacred sites of Nazareth, built on the incarnation of the word, and, more concretely, on Mary’s house. It is an everyday dwelling place in local narratives, and a centre point of worldwide pilgrimage. Yet, at the same time, the House of Mary is itself imagined as a travelling chapel, absent, but ubiquitously present in innumerable Loreto churches.
***
Etnografska pripoved iz Izraela in njegovih svetih krajev, ki sta jih zaznamovali uničenje in vojna, razgrinja dinamiko o odsotnosti in navzočnosti, o imaginaciji in resničnosti svetih bivanjskih krajev. Zamisli o kapeli brez kraja je podlaga etnografski terenski dnevnik, pisan poleti 2015 v Izraelu. Sveti kraji so ponavzočeni z odsotnostjo, na plasteh kulturnega spomina. Žarišče dnevnika je sveti kraj Nazaret, zgrajen na utelešenju sveta ali, določneje, na Marijini hiši. V lokalnih pripovedih je to vsakdanje bivališče in središčni kraj svetovnega romanja, vendar je Marijina hišica hkrati zamišljena kot potujoča kapela, odsotna, vendar vsepovsodno navzoča v brezštevilnih loretskih cerkvah.
Usages of the past in Contemporary Events in Kozara and Sutjeska National Parks
Authors: Habinc Mateja
Published: December 2019

V članku je obravnavano, kako (so)organizatorji prireditev, ki potekajo v Narodnem parku Kozara in Narodnem parku Sutjeska v Bosni in Hercegovini, v sodobnosti pojmujejo njihovo tradicionalnost. Avtorico zanima, s katerim časom povezujejo tradicijo, kakšno mesto tu pripada jugoslovanski socialistični preteklosti in takrat poudarjenim vrednotam, ki so bile pomembne v razvoju obeh parkov. Pred desetletji sta bila oba pomembna kraja ideološkega turizma, kar opravičuje raziskavo sodobnih rab preteklosti s pozornostjo na obdobje socializma. Na primeru prireditev se sprašuje, ali so sodobne rabe različnih preteklosti v BiH res vedno nacionalistično prilagojene in, če niso, kakšne so in komu oziroma čemu so namenjene.
***
The article analyses how (co-)organizers perceive the traditionality of contemporary events that take place in Kozara National Park and Sutjeska National Park, both located in Bosnia and Herzegovina. In particular, the author examines the historical periods that are linked to tradition and the place accorded to the Yugoslav socialist past and its values, which played an important role in these parks’ development. Decades ago, both parks were important sites of ideological tourism, which warrants the study of contemporary usages of various pasts, with a focus on the socialist period. Are these contemporary appropriations of the past in the case of these events really always nationalistic, and if not, how else is the past also defined, to whose benefit and for what purpose?
Appreciative Inquiry as a Potential Tool to Nurture Creativity
Authors: Ghosh Sanjukta
Published: December 2019

Appreciative inquiry is an act of nurturing a group of people in a system to move into positive futures through relationship development and generative learning. The culture of a healthy institution is formed through shared values and beliefs. Appreciative inquiry gives people the experience of personal and collective power, a sense of liberation, and freedom. It enhances self-esteem and self-expression which leads to self-organization. Freedom comes with responsibilities and self-organization. Self-organizing systems take care of power inequality, balance resources, and optimize when required. Appreciative learning is the art of valuing and inquiring those possibilities that can create something profoundly new. Any innovative organization goes beyond the perceived constraints and focuses on opportunities around and evaluates internal strengths and strategises their moves. Appreciative inquiry nurtures creative and innovative thinking by fostering a positive focus.
Engaging Employees With Positivity
Authors: Bardhan Shravana
Published: December 2019

This chapter attempts to find the role of appreciative inquiry in employee engagement and organizational transformation. An attempt has been made to explain the impact of appreciative inquiry on employee engagement, which eventually helps in organizational transformation with minimal hindrances. Employee engagement has turned into an undeniably conspicuous issue in the region of organizational development (OD) likely because of the developing collection of research encompassing the positive connection between employee engagement and organizational development, which also comprises profit margin. Appreciative inquiry is a vision-based approach of open dialogue that is designed to help organizations and their partners create a shared vision for the future and a mission to operate in the present. The main thrust area of appreciative inquiry is to find out what works best for the organization. Instead of focusing on negativity, appreciative inquiry focuses on the positive aspect of the organization.
Optimizing the Size of Drug-Loaded Nanoparticles Using Design of Experiments
Authors: Cervantes-Covarrubias Paola , Vea-Barragan Ayla , Serrano-Medina Aracely , Carrillo-Cedillo Eugenia Gabriela , Cornejo-Bravo José Manuel
Published: December 2019

Nanoparticles formed from lipids are currently applied successfully to deliver drugs. The particle size of the nanoparticle system is an essential characteristic to enhance the entrance of the drugs inside tissues and cells. Using design of experiment is appealing to find the specific conditions to optimize particle size of drug-loaded nanoparticles. Authors of this chapter applied a fractional factorial design of half fraction 24-1 with levels between continue factors, finding statistically significant differences for two factors such as concentrations of drugs and type of solvent where the organic phase is dissolved. This design shows the optimization of a formulation of capsaicin in solid lipid nanoparticles. The chapter also includes information on methods to prepare solid lipid nanoparticles (SLN), the variables involved, and a selection of studies about optimization of SLN formulations.
A Rational Society?
Authors: Doughty Howard A.
Published: December 2019

Within the past century in North America, Europe, and elsewhere, brief episodes of student political activism and protest have alternated with much longer periods of apparent apathy and social conformity (fringe elements of artistic bohemianism notwithstanding). This article looks to the ideological origins of student protest in the Marxist tradition and to the relationship among generational protest, critical theory and the influence of Jürgen Habermas on the evolving issues of democracy, social justice, and environmental sustainability. While Marx remains central to the critique of capitalist economics and the exploitation of workers under capitalism, Habermas opens the path to a more expansive, communication-based understanding of domination with implications for transformative education that will contribute to a social change based on a wider platform than social class, including issues of ecology and social justice in a comprehensive approach to human emancipation.
Influence of Non-Formal Education on Entrepreneurship Skill Development Among Rural Farmers in Ikwerre Local Government Area, Rivers State
Authors: Nnodim A.U. , Aleru P. D.
Published: December 2019

The purpose of the article was to determine the influence of non-formal education on entrepreneurship skill development among rural farmers in Ikwerre Local Government Area of Rivers State. The study design was descriptive survey. The target population was six hundred and fifty (650) members of the farmers' co-operative societies in the Ikwerre Local Government Area. The sample size was two hundred (200) farmers purposively selected based on the size of farm holdings. Instrument for data collection was a structured questionnaire in a 4-point rating scale of agreement. The instrument was tested using Cronbach Alpha reliability test and was found to be reliable at 0.79. Data collected were analyzed descriptively using mean and standard deviation. The findings showed that community outreach, on-the-job training and co-operative training programmes were veritable tools for rural farmers' entrepreneurship skill development. Hence, the need to situate agricultural entrepreneurship centres in the rural area was recommended.
A Survey on Intrusion Detection System for Software Defined Networks (SDN)
Authors: Hande Yogita , Muddana Akkalashmi
Published: December 2019

Presently, the advances of the internet towards a wide-spread growth and the static nature of traditional networks has limited capacity to cope with organizational business needs. The new network architecture software defined networking (SDN) appeared to address these challenges and provides distinctive features. However, these programmable and centralized approaches of SDN face new security challenges which demand innovative security mechanisms like intrusion detection systems (IDS's). The IDS of SDN are designed currently with a machine learning approach; however, a deep learning approach is also being explored to achieve better efficiency and accuracy. In this article, an overview of the SDN with its security concern and IDS as a security solution is explained. A survey of existing security solutions designed to secure the SDN, and a comparative study of various IDS approaches based on a deep learning model and machine learning methods are discussed in the article. Finally, we describe future directions for SDN security.
Optimization Driven Deep Learning Approach for Health Monitoring and Risk Assessment in Wireless Body Sensor Networks
Authors: Alameen Abdalla , Gupta Ashu
Published: December 2019

Wireless body sensor networks (WBSNs) plays a vital role in monitoring health conditions of patients and is a low-cost solution for dealing with several healthcare applications. Processing large amounts of data and making feasible decisions in emergency cases are the major challenges for WBSNs. Thus, this article addresses these challenges by designing a deep learning approach for health risk assessment by proposing a Fractional Cat-based Salp Swarm Algorithm (FCSSA). At first, the WBSN nodes are utilized for sensing data from patient health records to acquire certain parameters for making the assessment. Based on the obtained parameters, WBSN nodes transmit the data to the target node. Here, the hybrid Harmony Search Algorithm and Particle Swarm Optimization (hybrid HSA-PSO) is used for determining the optimal cluster head. Then, the results produced by the hybrid HSA-PSO are given to the target node, in which the Deep Belief Network (DBN) is used for classifying the health records for the health risk assessment. Here, the DBN is trained using the proposed FCSSA, which is developed by integrating a Fractional Cat Swarm Optimization (FCSO) and Salp Swarm Algorithm (SSA) for initiating the classification. The proposed FCSSA shows better performance using metrics, namely accuracy, energy and throughput with values 94.604, 0.145, and 0.058, respectively.
A Novel Approach to Improve Face Recognition Process Using Automatic Learning
Authors: Gafour Yacine , Berrabah Djamel , Gafour Abdelkader
Published: December 2019

In real-life applications, the appearance of a face changes significantly due to variations in expression, lighting, aging, exposure, and occlusion, which makes face recognition difficult. We present in this article a new approach for facial recognition. This approach is based on a set of variants of the Ho-LBP descriptor that we have proposed. In fact, the presentation of the images using a set of variants of the Ho-LBP descriptor helps the classifier to learn better. In addition, these variants are combined to improve the performance of facial recognition. We evaluated the effectiveness of our approach on ORL, Extended Yale B, and Feret databases. The obtained results are very promising, especially when compared with those of existing approaches. They show that our approach improves the accuracy of facial recognition in a very efficient way and in particular to the variations of the poses and the changes of the luminance.
An Ontology for Detailed Measurement of Building Works Using Semantic Web Technology
Authors: Abdullahi Abdulrasheed Madugu , Ibrahim Yahaya Makarfi , Kolo Baba Adama , Abanda Fonbeyin Henry
Published: December 2019

Researchers have explored the integration of BIM and Semantic Web to solve the problem of interoperability, and key to the Semantic Web is an ontology of a domain. To address interoperability challenges associated to cost estimating previous studies are yet to consider ontologies based on detailed measurement standards for building works. This study develops ontology for detailed measurement of building construction works. A design science research approach was employed for the study, appropriate tools and BIM software systems were identified and based on that, a methontology was used to develop the ontology based on the Building and Engineering Standard Method of Measurement 4 (BESMM4). BESMM4 is the Nigerian Standard Method of Measurement that provides fundamental guidance on the detailed measurement and description of building works. To make sure the ontology is fit for purpose, a descriptive logic-based reasoner was used to syntactically check the ontology while a 4D BIM modelling software (Navisworks) was used on a case study building to verify the proposed ontology.
Accessibility Monitoring for People with Disabilities
Authors: Saraswat Ishita , Brahim Aymen , Halifax Nancy Viva Davis , El Morr Christo
Published: December 2019

The Accessibility for Ontarians with Disabilities Act (AODA) is a law mandating that organizations in Ontario must comply to accessibility standards for people with disabilities. However, there is no tool to report accessibility complaints and track them. To that effect, mobile applications can be effective to make report and monitor accessibility issues as they arise in private as well as public spaces (e.g. building, sidewalks). An App would provide users with an opportunity beyond the mapping of compliance, it can provide data that addresses the gaps across legislation and embodied experiences. The objective of this paper is to share a novel method associated with the development accessibility monitoring Android App prototype called “ACCESS-ABILITY.” ACCESS-ABILITY is a first-of-its-kind app in the domain of disability informatics, it facilitates the formation of a collaborative virtual community that can be used by people with disabilities, advocacy groups, organizations and official bodies.
Effects of Electronic Medical Record Downtime on Patient Safety, Downtime Mitigation, and Downtime Plans
Authors: Walsh Joseph M. , Borycki Elizabeth M. , Kushniruk Andre W.
Published: December 2019

The purpose of this article is to examine the extent and nature of the published electronic medical record (EMR) downtime, downtime mitigation and downtime planning research in healthcare. The article will also summarize some of the major themes and recommendations found in published research focused on downtime and healthcare. In this study, data was extracted from the research publications. Three major themes emerged: patient safety, contingency planning, and mitigation. These overarching themes were further expanded into 13 subthemes. Healthcare organizations, now with mature EMR deployments, are well aware of the importance of contingency plans for both planned and unintended downtime situations. The literature is encouraging. Organizations are updating and evolving their contingency plans. Research suggests clinical staff (e.g. physicians, nurses) benefit from more training. Clinical staff also benefited from first-hand knowledge and experience in downtime scenarios, either in live situations or in the form of downtime drills.
Feedback-Based Resource Utilization for Smart Home Automation in Fog Assistance IoT-Based Cloud
Authors: Mallikarjuna Basetty
Published: December 2019

In this article, the proposed feedback-based resource management approach provides data processing, huge computation, large storage, and networking services between Internet of Things (IoT)-based Cloud data centers and the end-users. The real-time applications of IoT, such as smart city, smart home, health care management systems, traffic management systems, and transportation management systems, require less response time and latency to process the huge amount of data. The proposed feedback-based resource management plan provides a novel resource management technique, consisting of an integrated architecture and maintains the service-level agreement (SLA). It can optimize energy consumption, response time, network bandwidth, security, and reduce latency. The experimental results are tested with the IFogSim tool kit and have proved that the proposed approach is effective and suitable for smart communication in IoT-based cloud.
Edge Computing
Authors: Patel Minal Parimalbhai , Chaudhary Sanjay
Published: December 2019

In this article, the researchers have provided a discussion on computation offloading and the importance of docker-based containers, known as light weight virtualization, to improve the performance of edge computing systems. At the end, they have also proposed techniques and a case study for computation offloading and light weight virtualization.
Examining the Adoption of ICTs for Weather Monitoring and Climate Change Adaptation in Uganda
Authors: Semwanga Agnes Rwashana , Atwine Alice Mary
Published: December 2019

Information communication technologies can only be beneficial to developing countries struggling to build adaptation capacity if technology adoption frameworks are tailored to suit their specific characteristics. The lack of timely, accurate, and reliable weather data and the increasing rate at which climate-related disasters are destroying lives and property in Uganda is evident of lack of good weather forecasts. The study set out to investigate the factors affecting ICT adoption and determine the technologies being used to respond to climate change effects. Specifically, the study set out the extent of use and the factors hindering or guiding ICT adoption. Factors hindering ICT adoption ranging from poor infrastructure to limited government support were established. The strategies that can be used to resolve challenges of ICT adoption, the major stakeholders, their responsibilities and how ICT adoption and utilisation can be enhanced to benefit other sectors of the economy is presented.
Designing Sound Security Metrics
Authors: Yee George O.M.
Published: December 2019

This article begins with an introduction to security metrics, describing the need for security metrics, followed by a discussion of the nature of security metrics, including the challenges found with some security metrics used in the past. The article then discusses what makes a sound security metric and proposes a rigorous step-by-step method that can be applied to design sound security metrics, and to test existing security metrics to see if they are sound metrics. This is followed by a discussion of the feasibility of having scientifically-based security metrics and whether or not such metrics are sound. Application examples are included to illustrate the design and testing of sound security metrics.
Food Semiology in Selected Poems in ‘Lere Oladitan's ‘Poem of the Week'
Authors: Olaosun Ibrahim Esan
Published: December 2019

Inspired by the popular view in the field of semiotics that everything is a sign of something or a sign for something, this article dwells on food significations in ‘Lere Oladitan's poem titled “Mounds for Sharing” in his poetry collection titled ‘Poem of the Week.' Using this poem as the paradigm to deconstruct some other poems in the collection, the article deconstructs this semiological practice (food symbolism) in four ways: first, as a sign deployed by the poet to contribute to the aesthetic and affective qualities of the poem; second, as an appropriation and exhibition of the values of giving and sharing which typify many (if not all) African cultures; third, as a semiotic strategy of self- depiction and fourth, as the strategy for developing the motif of sacrifice practically demonstrated by the poet in the manner in which the poems were first freely disseminated before they were compiled and published into a book form in 2016. Mounds for Sharing is used in this article as the paradigm of the other poems in the collection because there is ample evidence to show that the poem is the container of the general motifs developed in the other poems. First, the poet himself refers to it as “the signature tune” of the collection. Second, “Iyán tí mo gún, Baba má jẹ ǹ nìkan jẹ́” (the first two lines of the poem) is now Oladitan's sobriquet or designation in Obafemi Awolowo University community. The poet is now being referred to as Professor Iyán tí mo gún (Professor the Pounded Yam I Prepare) in the academic community. Third, in the inaugural lecture presented by the poet on August 23, 2011, the poem was given a theatrical performance by Awo Vasity Theatre, a theatre that is based in Obafemi Awolowo Universty Ile, Ife, Nigeria. The article indicates that food-related representations in the poem convey more than the general sense of food as the substance eaten for survival. The analysis, cast within the framework of food semiotics, shows that each poem of ‘Lere Oladitan is a kind of food which carries one or a combination of such connotations of food as: food for the thought, food for the social psyche and memory and food for personal spiritual and psychosocial growth.
Involvement of the Applied Translation Procedures in Compatibility of Persian Medical Terms With International Naming Criteria
Authors: Zeinali Ali Akbar
Published: December 2019

Medical language, as many technical languages, is rich with morphologically complex words. The increasing number of foreign words and specific terms incorporated into the native language are due to the ongoing development of technology and science. Many problems appear in medical translation when the Persian translators try to employ non-Persian or imported words in medical texts, in which multiple equivalents may be created for one particular word based on the individual preferences of authors and translators in the target language. According to this study, following the analysis of the data based on the applied translation procedures and word formation processes, the compatibility of the resulted characteristics has been investigated based on Sager's naming criteria and it is concluded that the main problem is due to the translation procedures of borrowing and substitution.
Ransomware Traffic Classification Using Deep Learning Models
Authors: Arivudainambi D.  , Varun Kumar K.A.  , Vinoth Kumar R.  , Visu P.
Published: December 2019

Ransomware is a malware which affects the systems data with modern encryption techniques, and the data is recovered once a ransom amount is paid. In this research, the authors show how ransomware propagates and infects devices. Live traffic classifications of ransomware have been meticulously analyzed. Further, a novel method for the classification of ransomware traffic by using deep learning methods is presented. Based on classification, the detection of ransomware is approached with the characteristics of the network traffic and its communications. In more detail, the behavior of popular ransomware, Crypto Wall, is analyzed and based on this knowledge, a real-time ransomware live traffic classification model is proposed.
Effective Feature Selection Using Hybrid GA-EHO for Classifying Big Data SIoT
Authors: Iyapparaja M  , Deva Arul S
Published: December 2019

Several novel applications and services of networking for the IoT are supported by the Social Internet of Things (SIoT) in a more productive and powerful way. SIoTs are the recent hot topics rather than other extensions of IoTs. In this research, the authors have extracted the Big Data SIoT using the well-known model named MapReduce framework. Moreover, the unwanted data and noise from the database are reduced using the Gabor filter, and the big databases are mapped and reduced using the Hadoop MapReduce (HMR) technique for improving the efficiency of the proposed GA-EHO. Furthermore, the feature selection using GA-EHO is processed on the filtered dataset. The implementation of the proposed system is done by using some machine learning classifiers for classifying the data and the efficiency is predicted for the proposed work. From the simulation results, the specificity, maximum accuracy, and sensitivity of the proposed GA-EHO are produced about 87.88%, 99.1%, and 81%. Also, the results are compared with other existing techniques.
Learnability of Interestingness with Semantic Similarity and Reasoning in the Knowledge Base of Decision Support Systems
Authors: Rajendran Sukumar , Prabhu J.
Published: December 2019

The evolution of deep learning blended with GPU/TPU has elicited faster computation and assimilation of Big Data at a rapid pace with the exponential learning rate of models. Mobile technologies and cloud-based services are yielding massive data irrespective of geographic location at a rapid pace. Integrating the available plethora of data to find a semantic similarity while providing a rapid response without compromising on the quantity and quality of data is a prime concern. Learning from semantic similarity, utility algorithms turn this data into machine perceivable information, through learnability and utilization of Senticnet. The retainability of knowledge still has its own set of specific needs in terms of different machine learning and artificial intelligence algorithms. Utilization of the semantic similarity for ontology-based learning with interoperability helps preserve privacy for decoding the control attributes. The aspect of learning may further extend for rapidly generated sensor data through things and mobile devices.
Naringenin Enhances the Antitumor Effect of Therapeutic Vaccines by Promoting Antigen Cross-Presentation
Authors: Wang Luoyang , Zeng Wenfeng , Wang Luyao , Wang Zihao , Yin Xiaozhe , Qin Yan , Zhang Fayun , Zhang Chunling , Liang Wei
Published: December 2019

Dendritic cells (DCs) can internalize and cross-present exogenous Ags to CD8+ T cells for pathogen or tumor cell elimination. Recently, growing evidences suggest the possible immunoregulatory role of flavonoids through modulating the Ag presentation of DCs. In this study, we report that naringenin, a grapefruit-derived flavonoid, possesses the ability to increase the Ag cross-presentation in both murine DC line DC2.4 as well as bone marrow–derived DCs, and naringenin-induced moderate intracellular oxidative stress that contributed to the disruption of lysosomal membrane enhanced Ag leakage to cytosol and cross-presentation. Moreover, in a murine colon adenocarcinoma model, naringenin induced more CD103+ DCs infiltration into tumor and facilitated the activation of CD8+ T cells and strengthened the performance of therapeutic E7 vaccine against TC-1 murine lung cancer. Our investigations may inspire novel thoughts for vaccine design and open a new field of potential applications of flavonoids as immunomodulators to improve host protection against infection and tumor.
Regulation of Eosinophil Recruitment and Allergic Airway Inflammation by Tropomyosin Receptor Kinase A
Authors: Dileepan Mythili , Ge Xiao Na , Bastan Idil , Greenberg Yana G. , Liang Yuying , Sriramarao P. , Rao Savita P.
Published: December 2019

Eosinophilia is a hallmark of allergic airway inflammation (AAI). Identifying key molecules and specific signaling pathways that regulate eosinophilic inflammation is critical for development of novel therapeutics. Tropomycin receptor kinase A (TrkA) is the high-affinity receptor for nerve growth factor. AAI is associated with increased expression of TrkA by eosinophils; however, the functional role of TrkA in regulating eosinophil recruitment and contributing to AAI is poorly understood. This study identifies, to our knowledge, a novel mechanism of eotaxin-mediated activation of TrkA and its role in regulating eosinophil recruitment by using a chemical-genetic approach to specifically inhibit TrkA kinase activity with 1-NM-PP1 in TrkAF592A–knock-in (TrkA-KI) eosinophils. Blockade of TrkA by 1-NM-PP1 enhanced eosinophil spreading on VCAM-1 but inhibited eotaxin-1 (CCL11)–mediated eosinophil migration, calcium flux, cell polarization, and ERK1/2 activation, suggesting that TrkA is an important player in the signaling pathway activated by eotaxin-1 during eosinophil migration. Further, blockade of matrix metalloprotease with BB-94 inhibited eotaxin-1–induced TrkA activation and eosinophil migration, additively with 1-NM-PP1, indicating a role for matrix metalloproteases in TrkA activation. TrkA inhibition in Alternaria alternata–challenged TrkA-KI mice markedly inhibited eosinophilia and attenuated various features of AAI. These findings are indicative of a distinctive eotaxin-mediated TrkA-dependent signaling pathway, which, in addition to other TrkA-activating mediators, contributes to eosinophil recruitment during AAI and suggests that targeting the TrkA signaling pathway to inhibit eosinophil recruitment may serve as a therapeutic strategy for management of eosinophilic inflammation in allergic airway disease, including asthma.
Five-year follow-up to assess long-term sustainability of changing clinical practice regarding anesthesia and regional analgesia for lower extremity arthroplasty
Authors: Tamboli Mallika , Leng Jody C. , Hunter Oluwatobi O. , Kou Alex , Mudumbai Seshadri C. , Memtsoudis Stavros G. , Walters Tessa L. , Lochbaum Gregory Milo , Mariano Edward R.
Published: December 2019

BackgroundLong-term and sustainable clinical practice changes in anesthesia procedures have not previously been reported. Therefore, we performed a 5-year audit following implementation of a clinical pathway change favoring spinal anesthesia for total knee arthroplasty (TKA). We similarly evaluated a parallel cohort of patients undergoing total hip arthroplasty (THA), who did not undergo a clinical pathway change, and studied utilization rates of continuous peripheral nerve block (CPNB).MethodsWe identified all primary unilateral TKA and THA cases completed from January 2013 through December 2018, thereby including clinical pathway change data from one-year pre-implementation to 5-years post-implementation. Our primary outcome was the overall application rate of spinal anesthesia. Secondary outcomes included CPNB utilization rate, 30-day postoperative complications, and resource utilization variables such as hospital readmission, emergency department visits, and blood transfusions.ResultsThe sample included 1,859 cases, consisting of 1,250 TKAs and 609 THAs. During the initial year post-implementation, 174/221 (78.7%) TKAs received spinal anesthesia compared to 23/186 (12.4%) cases the year before implementation (P < 0.001). During the following 4-year period, 647/843 (77.2%) TKAs received spinal anesthesia (P = 0.532 vs. year 1). The number of THA cases receiving spinal anesthesia the year after implementation was 78/124 (62.9%), compared to 48/116 (41.4%) pre-implementation (P = 0.001); however, the rate decreased over the following 4-year period to 193/369 (52.3%) (P = 0.040 vs. year 1). CPNB use was high in both groups, and there were no differences in 30-day postoperative complications, hospital readmission, emergency department visits, or blood transfusions.ConclusionsA clinical pathway change promoting spinal anesthesia for TKA can be effectively implemented and sustained over a 5-year period.
Prevalence of Psychological Distress in Type ii Diabetes in China
Authors: Li Jin-Qiao , Wang Yun-He , Lu Qing-Dong , Xu Ying-Ying , Shi Jie , Lu Lin , Bao Yan-Ping
Published: December 2019

Type 2 diabetes mellitus (T2DM) patients are commonly comorbid with psychological distress, such as depressive symptoms, anxiety symptoms, and diabetes distress, which cause great health and economic burden. However, the estimated prevalence of this psychological comorbidity is quite different between studies. Our aim is to estimate the pooled prevalence of depressive symptoms, anxiety symptoms, and diabetes distress in T2DM patients in China. Two Chinese academic databases (China National Knowledge Infrastructure and Wanfang) and two English academic databases (PubMed and Embase) were systematically searched for studies with information on the prevalence of depressive symptoms, anxiety symptoms, and diabetes distress among Chinese T2DM patients published from inception to April 20, 2018. Random-effects meta-analysis was performed to estimate the pooled prevalence. Data were extracted from 80 cross-sectional studies involving 31874 Chinese T2DM patients. The pooled prevalence of depressive symptoms, anxiety symptoms, and diabetes distress were 37.8% (95% confidence interval [CI] 34.6–41.0), 28.9% (95% CI 21.0–36.9), and 50.5% (95% CI 42.4–58.7), respectively. Patients aged 60 years or older have higher prevalence than patients aged <60 years for depressive symptoms, anxiety symptoms, or diabetes distress. Much attention should be paid to the psychological conditions of Chinese T2DM patients, especially for those patients aged 60 years or older in T2DM management.