Mixed methods feasibility study for a trial of blood pressure telemonitoring for people who have had stroke/transient ischaemic attack (TIA).

Background Good blood pressure (BP) control reduces the risk of recurrence of stroke/transient ischaemic attack (TIA). Although there is strong evidence that BP telemonitoring helps achieve good control, none of the major trials have considered the effectiveness in stroke/TIA survivors. We therefore conducted a feasibility study for a trial of BP telemonitoring for stroke/ TIA survivors with uncontrolled BP in primary care. Method Phase 1 was a pilot trial involving 55 patients stratified by stroke/TIA randomised 3:1 to BP telemonitoring for 6 months or usual care. Phase 2 was a qualitative evaluation and comprised semi-structured interviews with 16 trial participants who received telemonitoring and 3 focus groups with 23 members of stroke support groups and 7 carers. Results Overall, 125 patients (60 stroke patients, 65 TIA patients) were approached and 55 (44%) patients were randomised including 27 stroke patients and 28 TIA patients. Fifty-two participants (95%) attended the 6-month follow-up appointment, but one declined the second daytime ambulatory blood pressure monitoring (ABPM) measurement resulting in a 93% completion rate for ABPM − the proposed primary outcome measure for a full trial. Adherence to telemonitoring was good; of the 40 participants who were telemonitoring, 38 continued to provide readings throughout the 6 months. There was a mean reduction of 10.1 mmHg in systolic ABPM in the telemonitoring group compared with 3.8 mmHg in the control group, which suggested the potential for a substantial effect from telemonitoring. Our qualitative analysis found that many stroke patients were concerned about their BP and telemonitoring increased their engagement, was easy, convenient and reassuring Conclusions A full-scale trial is feasible, likely to recruit well and have good rates of compliance and follow-up.

Evaluation of TFTP DDoS Amplification Attack.

Web threats are becoming a major issue for both governments and companies. Generally, web threats increased as much as 600% during last year (WebSense, 2013). This appears to be a significant issue, since many major businesses seem to provide these services. Denial of Service (DoS) attacks are one of the most significant web threats and generally their aim is to waste the resources of the target machine (Mirkovic & Reiher, 2004). Dis-tributed Denial of Service (DDoS) attacks are typically executed from many sources and can result in large traf-fic flows. During last year 11% of DDoS attacks were over 60 Gbps (Prolexic, 2013a). The DDoS attacks are usually performed from the large botnets, which are networks of remotely controlled computers. There is an increasing effort by governments and companies to shut down the botnets (Dittrich, 2012), which has lead the attackers to look for alternative DDoS attack methods. One of the techniques to which attackers are returning to is DDoS amplification attacks. Amplification attacks use intermediate devices called amplifiers in order to amplify the attacker's traffic. This work outlines an evaluation tool and evaluates an amplification attack based on the Trivial File Transfer Proto-col (TFTP). This attack could have amplification factor of approximately 60, which rates highly alongside other researched amplification attacks. This could be a substantial issue globally, due to the fact this protocol is used in approximately 599,600 publicly open TFTP servers. Mitigation methods to this threat have also been consid-ered and a variety of countermeasures are proposed. Effects of this attack on both amplifier and target were analysed based on the proposed metrics. While it has been reported that the breaching of TFTP would be possible (Schultz, 2013), this paper provides a complete methodology for the setup of the attack, and its verification.

Worlds in Collision: Terror and the Future of Global Order

Booth, Ken, Dunne, T., Worlds in Collision: Terror and the Future of Global Order (New York: Palgrave Macmillan, 2002), pp.x+376 RAE2008

Improving the Timeliness and Response to an Aerosolizedanthrax Attack in the Metropolitan Washington, D.C. Region

Our research was conducted to improve the timeliness, coordination, and communication during the detection, investigation and decision-making phases of the response to an aerosolized anthrax attack in the metropolitan Washington, DC, area with the goal of reducing casualties. Our research gathered information of the current response protocols through an extensive literature review and interviews with relevant officials and experts in order to identify potential problems that may exist in various steps of the detection, investigation, and response. Interviewing officials from private and government sector agencies allowed the development of a set of models of interactions and a communication network to identify discrepancies and redundancies that would elongate the delay time in initiating a public health response. In addition, we created a computer simulation designed to model an aerosol spread using weather patterns and population density to identify an estimated population of infected individuals within a target region depending on the virulence and dimensions of the weaponized spores. We developed conceptual models in order to design recommendations that would be presented to our collaborating contacts and agencies that would use such policy and analysis interventions to improve upon the overall response to an aerosolized anthrax attack, primarily through changes to emergency protocol functions and suggestions of technological detection and monitoring response to an aerosolized anthrax attack.

The collision branching process

We consider a branching model, which we call the collision branching process (CBP), that accounts for the effect of collisions, or interactions, between particles or individuals. We establish that there is a unique CBP, and derive necessary and sufficient conditions for it to be nonexplosive. We review results on extinction probabilities, and obtain explicit expressions for the probability of explosion and the expected hitting times. The upwardly skip-free case is studied in some detail.

A study of modelling approaches for rail vehicle collision behaviour

A rigid wall model has been used widely in the numerical simulation of rail vehicle impacts. Finite element impact modelling of rail vehicles is generally based on a half-width and full-length or half-length structure, depending on the symmetry. The structure and components of rail vehicles are normally designed to cope with proof loading to ensure adequate ride performance. In this paper, the authors present a study of a rail vehicle with driving cab focused on improving the modelling approach and exploring the intrinsic structural weaknesses to enhance its crashworthiness. The underpinning research used finite element analysis and compared the behaviour of the rail vehicle in different impact scenarios. It was found that the simulation of a rigid wall impact can mask structural weaknesses; that even a completely symmetrical impact may lead to an asymmetrical result; that downward bending is an intrinsic weakness of conventional rail vehicles and that a rigid part of the vehicle structure, such as the body bolster, may cause uncoordinated deformation and shear fracture between the vehicle sections. These findings have significance for impact simulation, the full-scale testing of rail vehicles and rail vehicle design in general.

Effective collision strengths for transitions in Fe XIII

Effective collision strengths for transitions among the lowest 97 fine-structure levels belonging to the (1s(2)2s(2)2p(6)) 3s(2)3p(2), 3s3p(3), 3s(2)3p3d, 3p(4), 3s3p(2)3d and 3s(2)3d(2) configurations of Fe XIII have been calculated using the fully relativistic Dirac Atomic R-matrix Code (DARC) of Norrington & Grant (2004). Resonances have been resolved in the threshold region, and results are reported over a wide electron temperature range up to log T-e = 6.8 K. Comparisons are made with the earlier available R-matrix results of Gupta & Tayal (1998), and the accuracy of the data is assessed.

Effective collision strengths for transitions in Fe X

Collision strengths for 4005 transitions among the lowest 90 levels of the (1s(2)2s(2)2p(6)) 3s(2)3p(5), 3s3p(6), 3s(2)3p(4)3d, 3s3p(5)3d and 3s(2)3p(3)3d(2) configurations of Fe X have been calculated using the Dirac Atomic R-matrix Code (DARC) of Norrington & Grant, over a wide energy range up to 210 Ryd. Resonances have been resolved in the threshold region, and effective collision strengths have been obtained over a wide temperature range up to 107 K. The present calculations should represent a significant improvement ( in both range and accuracy) over the earlier available results of Bhatia & Doschek and Pelan & Berrington. Based on several comparisons, the accuracy of our data is assessed to be better than 20%, for a majority of transitions.

Radiative rates, collision strengths and effective collision strengths for transitions in Mo XXXIV

Radiative rates for electric dipole (E I), electric quadrupole (E2), magnetic dipole (M1), and magnetic quadrupole (M2) transitions among the lowest 60 fine-structure levels of the (1s(2)) 2S(2)2p(5), 2s2p(6), and 2S(2)2p(4)3l configurations of F-like Mo XXXIV have been calculated using the fully relativistic GRASP code. Additionally, collision strengths for transitions among these levels have been computed over a wide energy range below 3200Ry, using the Dirac Atomic R-matrix Code. Resonances have been resolved in a fine energy mesh in order to calculate the effective collision strengths. Results for radiative rates and excitation rates are presented for all transitions, and for collision strengths for transitions from the lowest three levels to the higher lying levels. The accuracy of the present data is assessed to be similar to 20%.

Effective collision strengths for transitions in Fe XI

Collision strengths for transitions among the lowest 48 fine- structure levels belonging to the (1s(2)2s(2)2p(6)) 3s(2)3p(4), 3s3p(5), 3s(2)3p(3)3d and 3p(6) configurations of Fe XI have been calculated using the Dirac Atomic R-matrix Code (DARC) of Norrington & Grant (2003). Results are tabulated at energies above thresholds in the range 10 less than or equal to E less than or equal to 100 Ry, although resonances have been resolved in a fine energy mesh in the thresholds region. Effective collision strengths, obtained after integrating the collision strengths over a Maxwellian distribution of electron velocities, are also tabulated over a wide electron temperature range below 5 x 10(6) K. Comparisons with other available results are made, and the accuracy of the present data is assessed.

Effective collision strengths for transitions within the ground configuration of Fe XXI

Effective collision strengths for transitions among the energetically lowest 46 fine-structure levels belonging to the (1s(2)) 2S(2) 2p(2), 2s2p(3), 2p(4), 2S(2)2p3s, 2s(2)2p3p and 2S(2)2p3d configurations of Fe XXI are computed, over an electron temperature range of 5.6 less than or equal to log T-e less than or equal to 7.4 K, using the recent Dirac Atomic R- matrix Code (DARC) of Norrington and Grant. Results are presented for transitions within the ground configuration only, and are compared with earlier R matrix calculations. Large discrepancies are observed for many transitions, especially at lower temperatures.

Radiative rates, collision strengths and effective collision strengths for transitions in Gd XXXVII

Energy levels and radiative rates for transitions among 107 fine-structure levels belonging to the (1s(2)2S(2)p(6)) 3S(2)3p(6)3d(10), 3S(2)3p(6)3d(9)4e. 3S(2)3p(5)3d(10)4e. and 3s3p(6)3d(10)4e configurations of Ni-like Gd XXXVII have been calculated using the fully relativistic GRASP code. Radiative rates and oscillator strengths are tabulated for all allowed transitions among these levels. Additionally. collision strengths for transitions among the lowest 59 levels have been computed using the Dirac Atomic R-matrix Code. Resonances in the threshold region have been delineated, but results for collision strengths are tabulated only at energies above thresholds in the range 120

Effective collision strengths for transitions in Fe XV

Collision strengths for transitions among the energetically lowest 53 fine-structure levels belonging to the (1s(2)2s(2)2p(6)) 3l(2), 3l3l', 3s4l and 3p4s configurations of Fe XV are computed, over an electron energy range below 160 Ryd, using the Dirac Atomic R-matrix Code (DARC) of Norrington & Grant (2003). Effective collision strengths, obtained after integrating the collision strengths over a Maxwellian distribution of electron energies, have also been calculated. These results of effective collision strengths are tabulated for all 1378 inelastic transitions over a wide temperature range of 10(5) to 10(7) K. Comparisons are also made with other R-matrix calculations and the accuracy of the results is assessed.