On point estimation of the abnormality of a Mahalanobis index

Open Access funded by Medical Research Council Acknowledgment The work reported here was funded by a grant from the Medical Research Council, UK, grant number: MR/J013838/1.

Age determination on monazite from Forefinger Point granulites, East Antarctica (Table 2.6-1)

Electron microprobe (EMP) dating on monazite in granulite- facies rocks from Forefinger Point, East Antarctica, yielded dominant ages of 500 Ma on matrix monazites.They are associated with secondary cordierite, biotite and sapphirine, formed during nearly isothermal decompression after the high P-T assemblages involving garnet, orthopyroxene and sillimanite. Older ages around 750-1000 Ma are detected in monazite cores and in monazite inclusions in garnet porphyroblast. Combining the available age data and the reaction textures, it becomes evident that the Forefinger Point granulites have been overprinted by a granulite-facies decompressional event of Pan-African age. Moreover, EMP monazite dating imply that the Forefinger Point granulites have experienced at least two stages of metamorphic evolution.

Heart failure in sub-Saharan Africa: review of the aetiology of heart failure and the role of point-of-care biomarker diagnostics

Within Africa, the burden of heart failure is significant. This arises from the increase in cardiovascular disease and associated risk factors such as hypertension and diabetes, as well as causes of heart failure which are particular to sub-Saharan Africa, such as endomyocardial fibrosis. The lack of access to echocardiography and other imaging modalities, from a cost and technical perspective, combined with the predominantly rural nature of many countries with poor transport links, means that the vast majority of people never obtain an appropriate diagnosis. Similarly, research has been limited on the causes and treatment of heart failure in Africa and in particular endemic causes such as EMF and rheumatic heart disease. This review outlines the burden of heart failure in Africa and highlights the opportunity to expand diagnosis through the use of biomarkers, in particular natriuretic peptides. This builds on the success of point-of-care testing in human immunodeficiency virus and tuberculosis which have been extensively deployed in community settings in Africa.

Vaness: DNS for nomadic users in vehicular networks

Vehicular networks, also known as VANETs, are an ad-hoc network formed by vehicles and road-side units. Nowadays they have been attracting big interest both from researchers as from the automotive industry. With the upcoming of automotive specific operating systems and self-driving cars, the use of applications on vehicles and the integration with common mobile devices is becoming a big part of VANETs. Although many advances have been made on this field, there is still a big discrepancy between the communication layer services provided by VANETs and the user level services, namely those accessible through mobile applications on other networks and technologies. Users and developers are accustomed to user-to-user or user-tobusiness communication without explicit concerns related with the available communication transport layer. Such is not possible in VANETs since people may use more than one vehicle. However, to send a message to a specific user in these networks, there is a need to know the ID of the vehicle where the user is, meaning that there is a lack of services that map each individual user to VANETs endpoint (vehicle identification). This dissertation work proposes VANESS, a naming service as a resource to support user-to-user communication within a heterogeneous scenario comprising typical ISP scenario and VANETs focused on mobile devices. The proposed system is able to map the user to an end point either locally (i.e. there is not internet connection at all), online (i.e. system is not in a vehicular network but has direct internet connection) and using a gateway (i.e. the system is in a vehicular network where some of the nodes have internet access and will act as a gateway). VANESS was fully implemented on android OS with results proving his viability, and partially on iOS showing its multiplatform capabilities.

A Comparison of Geo-tagging in Mobile Internet Browsing Applications on iOS and Android.

Nowadays there is almost no crime committed without a trace of digital evidence, and since the advanced functionality of mobile devices today can be exploited to assist in crime, the need for mobile forensics is imperative. Many of the mobile applications available today, including internet browsers, will request the user’s permission to access their current location when in use. This geolocation data is subsequently stored and managed by that application's underlying database files. If recovered from a device during a forensic investigation, such GPS evidence and track points could hold major evidentiary value for a case. The aim of this paper is to examine and compare to what extent geolocation data is available from the iOS and Android operating systems. We focus particularly on geolocation data recovered from internet browsing applications, comparing the native Safari and Browser apps with Google Chrome, downloaded on to both platforms. All browsers were used over a period of several days at various locations to generate comparable test data for analysis. Results show considerable differences not only in the storage locations and formats, but also in the amount of geolocation data stored by different browsers and on different operating systems.

Cedar Point Chaussee

This pictures shows a stream of automobiles making their was down the Cedar Point Chaussee (Chaussee is French for a paved road.) Realizing that access to Cedar Point by the automobile was an essential to the park's success, owner George Boeckling built a road that ran the length of the Cedar Point peninsula. This was a distance of seven miles, beginning at U.S. Route 6 to the entrance of Cedar Point.

MAIS(F) : Moodle : Android : interface simplificado para utilização de fóruns

É crescente a utilização dos dispositivos móveis com ecrãs maiores e melhores, mais memória, maiores capacidades multimédia e métodos mais refinados para introduzir dados. Dispositivos que integram comunicações, acesso à internet e diversos tipos de sensores possibilitarão, seguramente, abordagens inovadoras e criativas em atividades pedagógicas, em contraste com as utilizações atuais nos computadores pessoais. A análise das aplicações que atualmente integram os módulos do Moodle nos dispositivos móveis mostra que existe ainda um longo caminho a percorrer. As aplicações existentes têm, quase na sua totalidade, como objetivo adaptar o interface aos dispositivos móveis, o que é apenas o primeiro passo no sentido de aproveitar todas as potencialidades destes dispositivos. É, pois, possível imaginar um futuro próximo, onde as potencialidades dos dispositivos móveis darão origem a aplicações com um enorme potencial de aprendizagem, que advém do facto de os estudantes encontrarem conexões entre as suas vidas e a sua educação, através da realização de atividades em contexto no dispositivo móvel, sempre omnipresente. Com este trabalho de investigação e desenvolvimento pretende-se: a) avaliar o estado da arte do mobile learning, na área dos Learning Management System (LMS); b) refletir sobre as funcionalidades que deve oferecer uma aplicação para dispositivos móveis, com enfoque no sistema operativo Android, que permita a gestão e atualização dos fóruns e ficheiros do Moodle; c) conceber e produzir a referida aplicação, de acordo com as especificações consideradas relevantes; d) avaliar o seu impacto educativo e funcional. É demonstrado neste estudo que o recurso a dispositivos móveis potencia a aprendizagem baseada em LMS (Learning Management System), identificando-se as vantagens da sua utilização. São também apresentadas as funcionalidades da aplicação Mais(f), desenvolvida no âmbito da investigação, a avaliação da mesma pelos participantes no estudo, bem como as perspectivas futuras de utilização da aplicação Mais(f).

Point of View: The importance of Leadership towards universal health coverage in Low Income Countries

Universal health coverage—defined as access to the full range of the most appropriate health care and technology for all people at the lowest possible price or with social health protection—was the goal of the 1978 Alma-Ata Conference on Primary Health Care in Kazakhstan. Many low-income (developing) countries are currently unable to reach this goal despite having articulated the same in their health-related documents. In this paper we argue that, over 30 years on, inadequate political and technical leadership has prevented the realization of universal health coverage in low-income countries.

A non-contrast self-navigated 3-dimensional MR technique for aortic root and vascular access route assessment in the context of transcatheter aortic valve replacement: proof of concept.

OBJECTIVES: Due to the high prevalence of renal failure in transcatheter aortic valve replacement (TAVR) candidates, a non-contrast MR technique is desirable for pre-procedural planning. We sought to evaluate the feasibility of a novel, non-contrast, free-breathing, self-navigated three-dimensional (SN3D) MR sequence for imaging the aorta from its root to the iliofemoral run-off in comparison to non-contrast two-dimensional-balanced steady-state free-precession (2D-bSSFP) imaging. METHODS: SN3D [field of view (FOV), 220-370 mm(3); slice thickness, 1.15 mm; repetition/echo time (TR/TE), 3.1/1.5 ms; and flip angle, 115°] and 2D-bSSFP acquisitions (FOV, 340 mm; slice thickness, 6 mm; TR/TE, 2.3/1.1 ms; flip angle, 77°) were performed in 10 healthy subjects (all male; mean age, 30.3 ± 4.3 yrs) using a 1.5-T MRI system. Aortic root measurements and qualitative image ratings (four-point Likert-scale) were compared. RESULTS: The mean effective aortic annulus diameter was similar for 2D-bSSFP and SN3D (26.7 ± 0.7 vs. 26.1 ± 0.9 mm, p = 0.23). The mean image quality of 2D-bSSFP (4; IQR 3-4) was rated slightly higher (p = 0.03) than SN3D (3; IQR 2-4). The mean total acquisition time for SN3D imaging was 12.8 ± 2.4 min. CONCLUSIONS: Our results suggest that a novel SN3D sequence allows rapid, free-breathing assessment of the aortic root and the aortoiliofemoral system without administration of contrast medium. KEY POINTS: • The prevalence of renal failure is high among TAVR candidates. • Non-contrast 3D MR angiography allows for TAVR procedure planning. • The self-navigated sequence provides a significantly reduced scanning time.

Point-of-care lactate and creatinine analysis for sick obstetric patients at Queen Elizabeth Central Hospital in Blantyre, Malawi: A feasibility study

Background: To achieve good outcomes in critically ill obstetric patients, it is necessary to identify organ dysfunction rapidly so that life-saving interventions can be appropriately commenced. However, timely access to clinical chemistry results is problematic, even in referral institutions, in the sub-Saharan African region. Reliable point-of-care tests licensed for clinical use are now available for lactate and creatinine. Aim: We aimed to assess whether implementation of point-of-care testing for lactate and creatinine is feasible in the obstetric unit at the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, by obtaining the opinions of clinical staff on the use of these tests in practice. Methods: During a two-month evaluation period nurse-midwives, medical interns, clinical officers, registrars, and consultants were given the opportunity to use StatStrip® and StatSensor® (Nova Biomedical, Waltham, USA) devices, for lactate and creatinine estimation, as part of their routine clinical practice in the obstetric unit. They were subsequently asked to complete a short questionnaire. Results: Thirty-seven questionnaires were returned by participants: 22 from nurse-midwives and the remainder from clinicians. The mean satisfaction score for the devices was 7.6/10 amongst clinicians and 8.0/10 amongst nurse-midwives. The majority of participants stated that the obstetric high dependency unit (HDU) was the most suitable location for the devices. For lactate, 31 participants strongly agreed that testing should be continued and 24 strongly agreed that it would influence patient management. For creatinine, 29 strongly agreed that testing should be continued and 28 strongly agreed that it would influence their patient management. Twenty participants strongly agreed that they trust point-of-care devices. Conclusions: Point-of-care clinical chemistry testing was feasible, practical, and well received by staff, and was considered to have a useful role to play in the clinical care of sick obstetric patients at this referral centre.