8 research outputs found
Supplemental Material - A systematic review and case presentation: Giant abdominal aortic aneurysm
No full textSupplemental Material for A systematic review and case presentation: Giant abdominal aortic aneurysm by Md Mahfooz Buksh, Samira Nuzhath, Joshua Heslop and Magdy Moawad in Vascular</p
A study secure multi authentication based data classification model in cloud based system
No full textAbstract: Cloud computing is the most popular term among enterprises and news. The concepts come true because of fast internet bandwidth and advanced cooperation technology. Resources on the cloud can be accessed through internet without self built infrastructure. Cloud computing is effectively managing the security in the cloud applications. Data classification is a machine learning technique used to predict the class of the unclassified data. Data mining uses different tools to know the unknown, valid patterns and relationshipsin the dataset. These tools are mathematical algorithms, statistical models and Machine Learning (ML) algorithms. In this paper author uses improved Bayesian technique to classify the data and encrypt the sensitive data using hybrid stagnography. The encrypted and non encrypted sensitive data is sent to cloud environment and evaluate the parameters with different encryption algorithms
Challenges to Pharmacists and Pharmacy Practice in Pakistan
No full textThe Islamic Republic of Pakistan is the sixth most populous country in the world. While exploring the history of the development of the pharmacy profession, the author discovered that the late Sheikh Nabi Buksh was the first to start a general store with a pharmacy in 1863. After the independence of Pakistan (14 August 1947), the University of Punjab became the first institution to develop a three-year bachelor programme in 1948 which was extended to four years in 1978–1979. In 2003, a step towards further change was seen when the Higher Education Commission (HEC) upgraded its BPharm programme to a five-year Doctor of Pharmacy (PharmD) programme. At the moment the Pakistani PharmD programme is facing a number of problems which are acting as a hurdle to Pakistani pharmacists and the establishment of pharmacy practice as a profession in Pakistan. This perspective will highlight these challenges so that the HEC and the Pakistan Pharmacy Council (PPC) can intervene to modify the Pakistani healthcare system in order to establish a good foundation for practicing pharmacists and to develop strategies to cope with the challenges accordingly
Perspectives on the status of the teaching profession in Pakistan: an investigation of trainee teachers’ reasons for choosing the teaching profession, the role of the teacher and problems faced by trainee teachers
No full textThis thesis mainly analyses the trainee teachers’ reasons for choosing the teaching profession, the problems faced by them, perceptions about the role of a teacher and views about the status of the teaching profession in Pakistan. This study considered both trainee teachers and teacher trainers from a Teacher Training Institute, to examine the reasons for choosing the teaching profession in Pakistan. To seek the answer to the research questions of this study, grounded theory procedures are used to explore the views of participants and to provide an in-depth understanding in a particular context. In this research study, the research data are collected from three groups of participants by conducting one-to-one interviews and focus group discussions.
On the basis of the views of research participants, four major research categories are established and under each research category different sub categories are formed. It is reflected in the findings of this study that trainee teachers face many problems and difficulties in the Teacher Training Institute. Data analysis indicates the teaching profession is often associated with low achievers and poor people. It is also considered a respected profession and trainee teachers have a desire to bring positive changes to Pakistani society by adopting the teaching profession. Furthermore, teachers have a significant role in Pakistani society as there are very high expectations of a teacher; and many good qualities, roles and responsibilities are associated with a teacher. The results of this study indicate there is a great influence from the social, cultural and religious norms of Pakistani society on the participants' perceptions and understanding about the different aspects of this study
Prediction of outcomes of extremely low gestational age newborns in Australia and New Zealand
No full text© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. Objective To determine the accuracy of the National Institute of Child Health and Human Development (NICHD) calculator in predicting death and neurodevelopmental impairment in Australian and New Zealand infants. Design Population-based cohort study. setting Australia and New Zealand. Patients Preterm infants 22–25 completed weeks gestation. Interventions Comparison of NICHD calculator predicted rates of death and death or neurodevelopmental impairment, with actual rates recorded in the Australian and New Zealand Neonatal Network cohort. Main outcome measures Infant death and death or neurodevelopmental impairment rates. results A total of 714 infants were included in the study. Of these infants, 100 (14.0%) were <24 weeks, 389 (54.5%) male, 529 (74.1%) were singletons, 42 (5.9%) had intrauterine growth restriction, 563 (78.9%) received antenatal steroids and 625 (87.5 %) were born in a tertiary hospital. There were 288 deaths (40.3%), 75 infants (10.5%) with neurodevelopment impairment and 363 (50.8%) with death or neurodevelopmental impairment. The area under the curve (AUC) for prediction of death and the composite death or neurodevelopmental impairment by the NICHD calculator in our population was 0.65(95% CI 0.61 to 0.69) and 0.65 (95% CI 0.61 to 0.69), respectively. When stratified and compared with gestational age outcomes, the AUC did not change substantially for the outcomes investigated. The calculator was less accurate with outcome predictions at the extreme categories of predicted outcomes—underestimation of outcomes for those predicted to have the lowest risk (<20%) and overestimation for those in the highest risk category (≫80%). conclusion In our recent cohort of extremely preterm infants, the NICHD model does not accurately predict outcomes and is marginally better than gestational age based outcomes
PANC Study (Pancreatitis: A National Cohort Study): national cohort study examining the first 30 days from presentation of acute pancreatitis in the UK
No full textAbstract
Background
Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in management of acute pancreatitis to guide resource planning and optimize treatment.
Methods
All patients aged greater than or equal to 18 years presenting with acute pancreatitis, as per the Atlanta criteria, from March to April 2021 were eligible for inclusion and followed up for 30 days. Anonymized data were uploaded to a secure electronic database in line with local governance approvals.
Results
A total of 113 hospitals contributed data on 2580 patients, with an equal sex distribution and a mean age of 57 years. The aetiology was gallstones in 50.6 per cent, with idiopathic the next most common (22.4 per cent). In addition to the 7.6 per cent with a diagnosis of chronic pancreatitis, 20.1 per cent of patients had a previous episode of acute pancreatitis. One in 20 patients were classed as having severe pancreatitis, as per the Atlanta criteria. The overall mortality rate was 2.3 per cent at 30 days, but rose to one in three in the severe group. Predictors of death included male sex, increased age, and frailty; previous acute pancreatitis and gallstones as aetiologies were protective. Smoking status and body mass index did not affect death.
Conclusion
Most patients presenting with acute pancreatitis have a mild, self-limiting disease. Rates of patients with idiopathic pancreatitis are high. Recurrent attacks of pancreatitis are common, but are likely to have reduced risk of death on subsequent admissions.
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