Abstract: Diffuse viral encephalitis may lack fever and other cardinal signs of infection and hence its distinction from other acute encephalopathic illnesses is challenging. Often, the EEG changes seen routinely are nonspecific and reflect diffuse encephalopathic changes only. The aim of this study was to use nonlinear dynamic mathematical techniques for analyzing the EEG data in order to look for any characteristic diagnostic patterns in diffuse forms of encephalitis.It was diagnosed on clinical, imaging and cerebrospinal fluid criteria in three young male patients. Metabolic and toxic encephalopathies were ruled out through appropriate investigations. Digital EEGs were done on the 3rd to 5th day of onset. The digital EEGs of 5 male and 5 female age and sex matched healthy volunteers served as controls.Two sample t-test indicated that there was no statistically significant difference between the average values in amplitude between the two groups. However, the standard deviation (or variance) of the EEG signals at FP1-F7 and FP2-F8 are significantly higher for the patients than the normal subjects. The regularisation dimension is significantly less for the patients (average between 1.24-1.43) when compared to the normal persons (average between 1.41-1.63) for the EEG signals from all locations except for the Fz-Cz signal. Similarly the wavelet dimension is significantly less (P = 0.05*) for the patients (1.122) when compared to the normal person (1.458). EEGs are subdued in the case of the patients with presence of uniform patterns, manifested in the values of regularisation and wavelet dimensions, when compared to the normal person, indicating a decrease in chaotic nature.
Abstract: In this work, the surgical theater of a local hospital in
KSA was analyzed using simulation. The focus was on attempting to
answer questions related to how many Operating Rooms (ORs) to
open and to analyze the performance of the surgical theater in
general and mainly the Post Anesthesia Care Unit (PACU) to assist
making decisions regarding PACU staffing. The surgical theater
consists of ten operating rooms and the PACU unit which has a
maximum capacity of fifteen beds. Different sequencing rules to
sequence the surgical cases were tested and the Longest Case First
(LCF) were superior to others. The results of the different
alternatives developed and tested can be used by the manager as a
tool to plan and manage the OR and PACU
Abstract: This paper presents an application of 5S lean technology to a production facility. Due to increased demand, high product variety, and a push production system, the plant has suffered from excessive wastes, unorganized workstations, and unhealthy work environment. This has translated into increased production cost, frequent delays, and low workers morale. Under such conditions, it has become difficult, if not impossible, to implement effective continuous improvement studies. Hence, the lean project is aimed at diagnosing the production process, streamlining the workflow, removing/reducing process waste, cleaning the production environment, improving plant layout, and organizing workstations. 5S lean technology is utilized for achieving project objectives. The work was a combination of both culture changes and tangible/physical changes on the shop floor. The project has drastically changed the plant and developed the infrastructure for a successful implementation of continuous improvement as well as other best practices and quality initiatives.
Abstract: This paper illustrates the use of a combined neural
network model for classification of electrocardiogram (ECG) beats.
We present a trainable neural network ensemble approach to develop
customized electrocardiogram beat classifier in an effort to further
improve the performance of ECG processing and to offer
individualized health care.
We process a three stage technique for detection of premature
ventricular contraction (PVC) from normal beats and other heart
diseases. This method includes a denoising, a feature extraction and a
classification. At first we investigate the application of stationary
wavelet transform (SWT) for noise reduction of the
electrocardiogram (ECG) signals. Then feature extraction module
extracts 10 ECG morphological features and one timing interval
feature. Then a number of multilayer perceptrons (MLPs) neural
networks with different topologies are designed.
The performance of the different combination methods as well as
the efficiency of the whole system is presented. Among them,
Stacked Generalization as a proposed trainable combined neural
network model possesses the highest recognition rate of around 95%.
Therefore, this network proves to be a suitable candidate in ECG
signal diagnosis systems. ECG samples attributing to the different
ECG beat types were extracted from the MIT-BIH arrhythmia
database for the study.
Abstract: The contents of nitrates and nitrites were monitored in
15 ground water resources of a selected region earmarked for the
emergency supply of population. The resources have been selected on
the basis of previous assessment of natural conditions and the
exploitation of territory in the infiltration area as well as the
surroundings of water resources. The health risk analysis carried out
in relation to nitrates and nitrites, which were found to be the most
serious water contaminants, proved, that 14 resources met the health
standards in relation to the assessed criterion and could be included in
crisis plans. Water quality of ground resources may be assessed in the
same way with regard to other contaminants.
Abstract: Contamination of aromatic compounds in water can
cause severe long-lasting effects not only for biotic organism but also
on human health. Several alternative technologies for remediation of
polluted water have been attempted. One of these is adsorption
process of aromatic compounds by using organic modified clay
mineral. Porous structure of clay is potential properties for molecular
adsorptivity and it can be increased by immobilizing hydrophobic
structure to attract organic compounds. In this work natural
montmorillonite were modified with cetyltrimethylammonium
(CTMA+) and was evaluated for use as adsorbents of aromatic
compounds: benzene, toluene, and 2-chloro phenol in its single and
multicomponent solution by ethanol:water solvent. Preparation of
CTMA-montmorillonite was conducted by simple ion exchange
procedure and characterization was conducted by using x-day
diffraction (XRD), Fourier-transform infra red (FTIR) and gas
sorption analysis. The influence of structural modification of
montmorillonite on its adsorption capacity and adsorption affinity of
organic compound were studied. It was shown that adsorptivity of
montmorillonite was increased by modification associated with
arrangements of CTMA+ in the structure even the specific surface
area of modified montmorillonite was lower than raw
montmorillonite. Adsorption rate indicated that material has affinity
to adsorb compound by following order: benzene> toluene > 2-chloro
phenol. The adsorption isotherms of benzene and toluene showed 1st
order adsorption kinetic indicating a partition phenomenon of
compounds between the aqueous and organophilic CTMAmontmorillonite.
Abstract: Larval survey was carried out in 6 localities in the
urban areas (Putrajaya) and suburban areas (Kuala Selangor) from
January until December 2010. A total of 520 representative
households in 6 localities were selected. Breeding habitats were
sampled outdoors in the surroundings of housing areas. The study
indicated that the most predominant species found in both areas was
Aedes albopictus with the gardening utensil as a preferred breeding
microhabitat for Putrajaya, in contrast to the artificial containers for
Kuala Selangor. From a total of 1083 mosquito larvae species, 984
were Aedes albopictus larvae, 67 positive larvae of Aedes aegypti
and 32 of Culex larvae. Aedes Index and Container Index were
elevated in Putrajaya with 13% and 11% respectively which is higher
than the standard given by the Ministry of Health, Malaysia. This
results implicating dengue-sensitive skewed to the urban areas.
Breteau Index result also above the standard in both study locations.
Abstract: Air pollution is a major environmental health
problem, affecting developed and developing countries around the
world. Increasing amounts of potentially harmful gases and
particulate matter are being emitted into the atmosphere on a global
scale, resulting in damage to human health and the environment.
Petroleum-related air pollutants can have a wide variety of adverse
environmental impacts. In the crude oil production sectors, there is a
strong need for a thorough knowledge of gaseous emissions resulting
from the flaring of associated gas of known composition on daily
basis through combustion activities under several operating
conditions. This can help in the control of gaseous emission from
flares and thus in the protection of their immediate and distant
surrounding against environmental degradation.
The impacts of methane and non-methane hydrocarbons emissions
from flaring activities at oil production facilities at Kuwait Oilfields
have been assessed through a screening study using records of flaring
operations taken at the gas and oil production sites, and by analyzing
available meteorological and air quality data measured at stations
located near anthropogenic sources. In the present study the
Industrial Source Complex (ISCST3) Dispersion Model is used to
calculate the ground level concentrations of methane and nonmethane
hydrocarbons emitted due to flaring in all over Kuwait
Oilfields.
The simulation of real hourly air quality in and around oil
production facilities in the State of Kuwait for the year 2006,
inserting the respective source emission data into the ISCST3
software indicates that the levels of non-methane hydrocarbons from
the flaring activities exceed the allowable ambient air standard set by
Kuwait EPA. So, there is a strong need to address this acute problem
to minimize the impact of methane and non-methane hydrocarbons
released from flaring activities over the urban area of Kuwait.
Abstract: Heart failure is the most common reason of death
nowadays, but if the medical help is given directly, the patient-s life
may be saved in many cases. Numerous heart diseases can be
detected by means of analyzing electrocardiograms (ECG). Artificial
Neural Networks (ANN) are computer-based expert systems that
have proved to be useful in pattern recognition tasks. ANN can be
used in different phases of the decision-making process, from
classification to diagnostic procedures. This work concentrates on a
review followed by a novel method.
The purpose of the review is to assess the evidence of healthcare
benefits involving the application of artificial neural networks to the
clinical functions of diagnosis, prognosis and survival analysis, in
ECG signals. The developed method is based on a compound neural
network (CNN), to classify ECGs as normal or carrying an
AtrioVentricular heart Block (AVB). This method uses three
different feed forward multilayer neural networks. A single output
unit encodes the probability of AVB occurrences. A value between 0
and 0.1 is the desired output for a normal ECG; a value between 0.1
and 1 would infer an occurrence of an AVB. The results show that
this compound network has a good performance in detecting AVBs,
with a sensitivity of 90.7% and a specificity of 86.05%. The accuracy
value is 87.9%.
Abstract: The study was conducted to investigate the profile of
hepatitis in Kingdom of Saudi Arabia, and to determine which age
group hepatitis viruses most commonly infect. The epidemiology of
viral hepatitis in Saudi Arabia has undergone major changes,
concurrent with major socioeconomic developments over the last two
to three decades. This disease represents a major public health
problem in Saudi Arabia resulting in the need for considerable
healthcare resources. A retrospective cross sectional analysis of the
reported cases of viral hepatitis was conducted based on the reports
of The Ministry of Health in Saudi Arabia about Hepatitis A, B and C
infections in all regions from the period of January 2006 to December
2010. The study demonstrated that incidence of viral Hepatitis is
decreasing, except for Hepatitis B that showed minimal increase. Of
hepatitis A, B, and C, Hepatitis B virus (HBV) was the most
predominant type, accounting for (53%) of the cases, followed by
Hepatitis C virus (HCV) (30%) and HAV (17%). HAV infection
predominates in children (5–14 years) with 60% of viral hepatitis
cases, HBV in young adults (15–44 years) with 69% of viral hepatitis
cases, and HCV in older adults (>45 years) with 59% of viral
hepatitis cases. Despite significant changes in the prevalence of viral
hepatitis A, B and C, it remains a major public health problem in
Saudi Arabia; however, it showed a significant decline in the last two
decades that could be attributed to the vaccination programs and the
improved health facilities. Further researches are needed to identify
the risk factors making a specific age group or a specific region in
Saudi Arabia targeted for a specific type of hepatitis viruses.
Abstract: A data cutting and sorting method (DCSM) is proposed
to optimize the performance of data mining. DCSM reduces the
calculation time by getting rid of redundant data during the data
mining process. In addition, DCSM minimizes the computational units
by splitting the database and by sorting data with support counts. In the
process of searching for the relationship between metabolic syndrome
and lifestyles with the health examination database of an electronics
manufacturing company, DCSM demonstrates higher search
efficiency than the traditional Apriori algorithm in tests with different
support counts.
Abstract: A cross sectional survey design was used to collect
data from 370 diabetic patients. Two instruments were used in
obtaining data; in-depth interview guide and researchers- developed
questionnaire. Fisher's exact test was used to investigate association
between the identified factors and nonadherence. Factors identified
were: socio-demographic factors such as: gender, age, marital status,
educational level and occupation; psychosocial obstacles such as:
non-affordability of prescribed diet, frustration due to the restriction,
limited spousal support, feelings of deprivation, feeling that
temptation is inevitable, difficulty in adhering in social gatherings
and difficulty in revealing to host that one is diabetic; health care
providers obstacles were: poor attitude of health workers, irregular
diabetes education in clinics , limited number of nutrition education
sessions/ inability of the patients to estimate the desired quantity of
food, no reminder post cards or phone calls about upcoming patient
appointments and delayed start of appointment / time wasting in
clinics.
Abstract: Economically transformers constitute one of the largest investments in a Power system. For this reason, transformer condition assessment and management is a high priority task. If a transformer fails, it would have a significant negative impact on revenue and service reliability. Monitoring the state of health of power transformers has traditionally been carried out using laboratory Dissolved Gas Analysis (DGA) tests performed at periodic intervals on the oil sample, collected from the transformers. DGA of transformer oil is the single best indicator of a transformer-s overall condition and is a universal practice today, which started somewhere in the 1960s. Failure can occur in a transformer due to different reasons. Some failures can be limited or prevented by maintenance. Oil filtration is one of the methods to remove the dissolve gases and prevent the deterioration of the oil. In this paper we analysis the DGA data by regression method and predict the gas concentration in the oil in the future. We bring about a comparative study of different traditional methods of regression and the errors generated out of their predictions. With the help of these data we can deduce the health of the transformer by finding the type of fault if it has occurred or will occur in future. Additional in this paper effect of filtration on the transformer health is highlight by calculating the probability of failure of a transformer with and without oil filtrating.
Abstract: Auckland has a temperate climate with comfortable warm, dry summers and mild, wet winters. Auckland house design not only focus on winter thermal performance and indoor thermal condition, but also indoor moisture control, which is closely related to indirect health effects such as dust mites, fungi, etc. Most Auckland houses are designed to use temporary heating for winter indoor thermal comfort. Based on field study data of indoor microclimate conditions of two Auckland townhouses with a whole home mechanical ventilation system or a passive wind directional skylight vent, this study is to evaluate and compare indoor moisture conditions of two insulated townhouses only using temporary heating with different ventilation systems.
Abstract: The Niger Delta Region of Nigeria is home to about
20 million people and 40 different ethnic groups. The region has an
area of seventy thousand square kilometers (70,000 KM2) of
wetlands, formed primarily by sediments deposition and makes up
7.5 percent of Nigeria's total landmass. The notable ecological zones
in this region includes: coastal barrier islands; mangrove swamp
forests; fresh water swamps; and lowland rainforests. This incredibly
naturally-endowed ecosystem region, which contains one of the
highest concentrations of biodiversity on the planet, in addition to
supporting abundant flora and fauna, is threatened by the inhuman act
known as gas flaring. Gas flaring is the combustion of natural gas
that is associated with crude oil when it is pumped up from the
ground. In petroleum-producing areas such as the Niger Delta region
of Nigeria where insufficient investment was made in infrastructure
to utilize natural gas, flaring is employed to dispose of this associated
gas. This practice has impoverished the communities where it is
practiced, with attendant environmental, economic and health
challenges. This paper discusses the adverse environmental and
health implication associated with the practice, the role of
Government, Policy makers, Oil companies and the Local
communities aimed at bring this inhuman practice to a prompt end.
Abstract: Pakistani doctors (MBBS) are emigrating towards developed countries for professional adjustments. This study aims to highlight causes and consequences of doctors- brain drain from Pakistan. Primary data was collected from Mayo Hospital, Lahore by interviewing doctors (n=100) through systematic random sampling technique. It found that various socio-economic and political conditions are working as push and pull factors for brain drain of doctors in Pakistan. Majority of doctors (83%) declared poor remunerations and professional infrastructure of health department as push factor of doctors- brain drain. 81% claimed that continuous instability in political situation and threats of terrorism are responsible for emigration of doctors. 84% respondents considered fewer opportunities of further studies responsible for their emigration. Brain drain of doctors is affecting health sector-s policies / programs, standard doctor-patient ratios and quality of health services badly.
Abstract: Concerning the inpatient care the present situation is
characterized by intense charges of medical technology into the
clinical daily routine and an ever stronger integration of special
techniques into the clinical workflow. Medical technology is by now
an integral part of health care according to consisting general
accepted standards. Purchase and operation thereby represent an
important economic position and both are subject of everyday
optimisation attempts. For this purpose by now exists a huge number
of tools which conduce more likely to a complexness of the problem
by a comprehensive implementation. In this paper the advantages of
an integrative information-workflow on the life-cycle-management in
the region of medical technology are shown.
Abstract: In this research, the diabetes conditions of people (healthy, prediabete and diabete) were tried to be identified with noninvasive palm perspiration measurements. Data clusters gathered from 200 subjects were used (1.Individual Attributes Cluster and 2. Palm Perspiration Attributes Cluster). To decrase the dimensions of these data clusters, Principal Component Analysis Method was used. Data clusters, prepared in that way, were classified with Support Vector Machines. Classifications with highest success were 82% for Glucose parameters and 84% for HbA1c parametres.
Abstract: In this article, we propose an Intelligent Medical
Diagnostic System (IMDS) accessible through common
web-based interface, to on-line perform initial screening for
osteoporosis. The fundamental approaches which construct the
proposed system are mainly based on the fuzzy-neural theory,
which can exhibit superiority over other conventional technologies
in many fields. In diagnosis process, users simply answer
a series of directed questions to the system, and then they
will immediately receive a list of results which represents the
risk degrees of osteoporosis. According to clinical testing results,
it is shown that the proposed system can provide the general
public or even health care providers with a convenient, reliable,
inexpensive approach to osteoporosis risk assessment.
Abstract: Whilst there is growing evidence that activity
across the lifespan is beneficial for improved health, there are
also many changes involved with the aging process and
subsequently the potential for reduced indices of health. The
nexus between health, physical activity and aging is complex
and has raised much interest in recent times due to the
realization that a multifaceted approached is necessary in
order to counteract a growing obesity epidemic. By
investigating age based trends within a population adhering to
competitive sport at older ages, further insight might be
gleaned to assist in understanding one of many factors
influencing this relationship.
BMI was derived using data gathered on a total of 6,071
masters athletes (51.9% male, 48.1% female) aged 25 to 91
years ( =51.5, s =±9.7), competing at the Sydney World
Masters Games (2009). Using linear and loess regression it
was demonstrated that the usual tendency for prevalence of
higher BMI increasing with age was reversed in the sample.
This trend in reversal was repeated for both male and female
only sub-sets of the sample participants, indicating the
possibility of improved prevalence of BMI with increasing
age for both the sample as a whole and these individual subgroups.
This evidence of improved classification in one index of
health (reduced BMI) for masters athletes (when compared to
the general population) implies there are either improved
levels of this index of health with aging due to adherence to
sport or possibly the reduced BMI is advantageous and
contributes to this cohort adhering (or being attracted) to
masters sport at older ages. Demonstration of this
proportionately under-investigated World Masters Games
population having an improved relationship between BMI and
increasing age over the general population is of particular
interest in the context of the measures being taken globally to
curb an obesity epidemic.