Brain Drain of Doctors; Causes and Consequences in Pakistan

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.

Surface Flattening Assisted with 3D Mannequin Based On Minimum Energy

The topic of surface flattening plays a vital role in the field of computer aided design and manufacture. Surface flattening enables the production of 2D patterns and it can be used in design and manufacturing for developing a 3D surface to a 2D platform, especially in fashion design. This study describes surface flattening based on minimum energy methods according to the property of different fabrics. Firstly, through the geometric feature of a 3D surface, the less transformed area can be flattened on a 2D platform by geodesic. Then, strain energy that has accumulated in mesh can be stably released by an approximate implicit method and revised error function. In some cases, cutting mesh to further release the energy is a common way to fix the situation and enhance the accuracy of the surface flattening, and this makes the obtained 2D pattern naturally generate significant cracks. When this methodology is applied to a 3D mannequin constructed with feature lines, it enhances the level of computer-aided fashion design. Besides, when different fabrics are applied to fashion design, it is necessary to revise the shape of a 2D pattern according to the properties of the fabric. With this model, the outline of 2D patterns can be revised by distributing the strain energy with different results according to different fabric properties. Finally, this research uses some common design cases to illustrate and verify the feasibility of this methodology.

Canonical PSO based Nanorobot Control for Blood Vessel Repair

As nanotechnology advances, the use of nanotechnology for medical purposes in the field of nanomedicine seems more promising; the rise of nanorobots for medical diagnostics and treatments could be arriving in the near future. This study proposes a swarm intelligence based control mechanism for swarm nanorobots that operate as artificial platelets to search for wounds. The canonical particle swarm optimization algorithm is employed in this study. A simulation in the circulatory system is constructed and used for demonstrating the movement of nanorobots with essential characteristics to examine the performance of proposed control mechanism. The effects of three nanorobot capabilities including their perception range, maximum velocity and respond time are investigated. The results show that canonical particle swarm optimization can be used to control the early version nanorobots with simple behaviors and actions.

Linear-Operator Formalism in the Analysis of Omega Planar Layered Waveguides

A complete spectral representation for the electromagnetic field of planar multilayered waveguides inhomogeneously filled with omega media is presented. The problem of guided electromagnetic propagation is reduced to an eigenvalue equation related to a 2 ´ 2 matrix differential operator. Using the concept of adjoint waveguide, general bi-orthogonality relations for the hybrid modes (either from the discrete or from the continuous spectrum) are derived. For the special case of homogeneous layers the linear operator formalism is reduced to a simple 2 ´ 2 coupling matrix eigenvalue problem. Finally, as an example of application, the surface and the radiation modes of a grounded omega slab waveguide are analyzed.

Footbridge Response on Single Pedestrian Induced Vibration Analysis

Many footbridges have natural frequencies that coincide with the dominant frequencies of the pedestrian-induced load and therefore they have a potential to suffer excessive vibrations under dynamic loads induced by pedestrians. Some of the design standards introduce load models for pedestrian loads applicable for simple structures. Load modeling for more complex structures, on the other hand, is most often left to the designer. The main focus of this paper is on the human induced forces transmitted to a footbridge and on the ways these loads can be modeled to be used in the dynamic design of footbridges. Also design criteria and load models proposed by widely used standards were introduced and a comparison was made. The dynamic analysis of the suspension bridge in Kolin in the Czech Republic was performed on detailed FEM model using the ANSYS program system. An attempt to model the load imposed by a single person and a crowd of pedestrians resulted in displacements and accelerations that are compared with serviceability criteria.

Cell Growth and Metabolites Produced by Fluorescent Pseudomonad R62 in Modified Chemically Defined Medium

Chemically defined Schlegel-s medium was modified to improve production of cell growth and other metabolites that are produced by fluorescent pseudomonad R62 strain. The modified medium does not require pH control as pH changes are kept within ± 0.2 units of the initial pH 7.1 during fermentation. The siderophore production was optimized for the fluorescent pseudomonad strain in the modified medium containing 1% glycerol as a major carbon source supplemented with 0.05% succinic acid and 0.5% Ltryptophan. Indole-3 acetic acid (IAA) production was higher when L-tryptophan was used at 0.5%. The 2,4- diacetylphloroglucinol (DAPG) was higher with amended three trace elements in medium. The optimized medium produced 2.28 g/l of dry cell mass and 900 mg/l of siderophore at the end of 36 h cultivation, while the production levels of IAA and DAPG were 65 mg/l and 81 mg/l respectively at the end of 48 h cultivation.

Automated Knowledge Engineering

This article outlines conceptualization and implementation of an intelligent system capable of extracting knowledge from databases. Use of hybridized features of both the Rough and Fuzzy Set theory render the developed system flexibility in dealing with discreet as well as continuous datasets. A raw data set provided to the system, is initially transformed in a computer legible format followed by pruning of the data set. The refined data set is then processed through various Rough Set operators which enable discovery of parameter relationships and interdependencies. The discovered knowledge is automatically transformed into a rule base expressed in Fuzzy terms. Two exemplary cancer repository datasets (for Breast and Lung Cancer) have been used to test and implement the proposed framework.

Thermal and Mechanical Buckling of Short and Long Functionally Graded Cylindrical Shells Using First Order Shear Deformation Theory

This paper presents the buckling analysis of short and long functionally graded cylindrical shells under thermal and mechanical loads. The shell properties are assumed to vary continuously from the inner surface to the outer surface of the shell. The equilibrium and stability equations are derived using the total potential energy equations, Euler equations and first order shear deformation theory assumptions. The resulting equations are solved for simply supported boundary conditions. The critical temperature and pressure loads are calculated for both short and long cylindrical shells. Comparison studies show the effects of functionally graded index, loading type and shell geometry on critical buckling loads of short and long functionally graded cylindrical shells.

Features of Following the Customs and Traditions in Turkestan in the Late XIXth and Early XXth Centuries

This article discusses the customs and traditions in Turkestan in the late XIXth and early XXth centuries. Having a long history, Turkestan is well-known as the birthplace of many nations and nationalities. The name of Turkestan is also given to it for a reason - the land of the Turkic peoples who inhabited Central Asia and united under together. Currently, nations and nationalities of the Turkestan region formed their own sovereign states, and every year they prove their country names in the world community. Political, economic importance of Turkestan, which became the gold wire between Asia and Europe was always very high. So systematically various aggressive actions were made by several great powers. As a result of expansionary policy of colonization of the Russian Empire - the Turkestan has appeared.

A New Technique for Progressive ECG Transmission using Discrete Radon Transform

The aim of this paper is to present a new method which can be used for progressive transmission of electrocardiogram (ECG). The idea consists in transforming any ECG signal to an image, containing one beat in each row. In the first step, the beats are synchronized in order to reduce the high frequencies due to inter-beat transitions. The obtained image is then transformed using a discrete version of Radon Transform (DRT). Hence, transmitting the ECG, leads to transmit the most significant energy of the transformed image in Radon domain. For decoding purpose, the receptor needs to use the inverse Radon Transform as well as the two synchronization frames. The presented protocol can be adapted for lossy to lossless compression systems. In lossy mode we show that the compression ratio can be multiplied by an average factor of 2 for an acceptable quality of reconstructed signal. These results have been obtained on real signals from MIT database.

Temporally Coherent 3D Animation Reconstruction from RGB-D Video Data

We present a new method to reconstruct a temporally coherent 3D animation from single or multi-view RGB-D video data using unbiased feature point sampling. Given RGB-D video data, in form of a 3D point cloud sequence, our method first extracts feature points using both color and depth information. In the subsequent steps, these feature points are used to match two 3D point clouds in consecutive frames independent of their resolution. Our new motion vectors based dynamic alignement method then fully reconstruct a spatio-temporally coherent 3D animation. We perform extensive quantitative validation using novel error functions to analyze the results. We show that despite the limiting factors of temporal and spatial noise associated to RGB-D data, it is possible to extract temporal coherence to faithfully reconstruct a temporally coherent 3D animation from RGB-D video data.

Soft Real-Time Fuzzy Task Scheduling for Multiprocessor Systems

All practical real-time scheduling algorithms in multiprocessor systems present a trade-off between their computational complexity and performance. In real-time systems, tasks have to be performed correctly and timely. Finding minimal schedule in multiprocessor systems with real-time constraints is shown to be NP-hard. Although some optimal algorithms have been employed in uni-processor systems, they fail when they are applied in multiprocessor systems. The practical scheduling algorithms in real-time systems have not deterministic response time. Deterministic timing behavior is an important parameter for system robustness analysis. The intrinsic uncertainty in dynamic real-time systems increases the difficulties of scheduling problem. To alleviate these difficulties, we have proposed a fuzzy scheduling approach to arrange real-time periodic and non-periodic tasks in multiprocessor systems. Static and dynamic optimal scheduling algorithms fail with non-critical overload. In contrast, our approach balances task loads of the processors successfully while consider starvation prevention and fairness which cause higher priority tasks have higher running probability. A simulation is conducted to evaluate the performance of the proposed approach. Experimental results have shown that the proposed fuzzy scheduler creates feasible schedules for homogeneous and heterogeneous tasks. It also and considers tasks priorities which cause higher system utilization and lowers deadline miss time. According to the results, it performs very close to optimal schedule of uni-processor systems.

Performance Evaluation of an ANC-based Hybrid Algorithm for Multi-target Wideband Active Sonar Echolocation System

This paper evaluates performances of an adaptive noise cancelling (ANC) based target detection algorithm on a set of real test data supported by the Defense Evaluation Research Agency (DERA UK) for multi-target wideband active sonar echolocation system. The hybrid algorithm proposed is a combination of an adaptive ANC neuro-fuzzy scheme in the first instance and followed by an iterative optimum target motion estimation (TME) scheme. The neuro-fuzzy scheme is based on the adaptive noise cancelling concept with the core processor of ANFIS (adaptive neuro-fuzzy inference system) to provide an effective fine tuned signal. The resultant output is then sent as an input to the optimum TME scheme composed of twogauge trimmed-mean (TM) levelization, discrete wavelet denoising (WDeN), and optimal continuous wavelet transform (CWT) for further denosing and targets identification. Its aim is to recover the contact signals in an effective and efficient manner and then determine the Doppler motion (radial range, velocity and acceleration) at very low signal-to-noise ratio (SNR). Quantitative results have shown that the hybrid algorithm have excellent performance in predicting targets- Doppler motion within various target strength with the maximum false detection of 1.5%.

Fuzzy Relatives of the CLARANS Algorithm With Application to Text Clustering

This paper introduces new algorithms (Fuzzy relative of the CLARANS algorithm FCLARANS and Fuzzy c Medoids based on randomized search FCMRANS) for fuzzy clustering of relational data. Unlike existing fuzzy c-medoids algorithm (FCMdd) in which the within cluster dissimilarity of each cluster is minimized in each iteration by recomputing new medoids given current memberships, FCLARANS minimizes the same objective function minimized by FCMdd by changing current medoids in such away that that the sum of the within cluster dissimilarities is minimized. Computing new medoids may be effected by noise because outliers may join the computation of medoids while the choice of medoids in FCLARANS is dictated by the location of a predominant fraction of points inside a cluster and, therefore, it is less sensitive to the presence of outliers. In FCMRANS the step of computing new medoids in FCMdd is modified to be based on randomized search. Furthermore, a new initialization procedure is developed that add randomness to the initialization procedure used with FCMdd. Both FCLARANS and FCMRANS are compared with the robust and linearized version of fuzzy c-medoids (RFCMdd). Experimental results with different samples of the Reuter-21578, Newsgroups (20NG) and generated datasets with noise show that FCLARANS is more robust than both RFCMdd and FCMRANS. Finally, both FCMRANS and FCLARANS are more efficient and their outputs are almost the same as that of RFCMdd in terms of classification rate.

Direct Measurements of Wind Data over 100 Meters above the Ground in the Site of Lendinara, Italy

The wind resource in the Italian site of Lendinara (RO) is analyzed through a systematic anemometric campaign performed on the top of the bell tower, at an altitude of over 100 m above the ground. Both the average wind speed and the Weibull distribution are computed. The resulting average wind velocity is in accordance with the numerical predictions of the Italian Wind Atlas, confirming the accuracy of the extrapolation of wind data adopted for the evaluation of wind potential at higher altitudes with respect to the commonly placed measurement stations.

Performance of Bio-Composite Carbonized Materials in Probiotic Applications

A new composite sorbent based on carbonized rice husk (CRH) and immobilized on it living cells and inactivated cultural liquid containing antimicrobials metabolites of Bacillus subtilis CK-245 is developed. The sorption and antimicrobic activity of CRH concerning five species of Enterobacteriaceae is studied. Prospects of use of developed sorbent in medicine and veterinary science is shown.

Versatile Dual-Mode Class-AB Four-Quadrant Analog Multiplier

Versatile dual-mode class-AB CMOS four-quadrant analog multiplier circuit is presented. The dual translinear loops and current mirrors are the basic building blocks in realization scheme. This technique provides; wide dynamic range, wide-bandwidth response and low power consumption. The major advantages of this approach are; its has single ended inputs; since its input is dual translinear loop operate in class-AB mode which make this multiplier configuration interesting for low-power applications; current multiplying, voltage multiplying, or current and voltage multiplying can be obtainable with balanced input. The simulation results of versatile analog multiplier demonstrate a linearity error of 1.2 %, a -3dB bandwidth of about 19MHz, a maximum power consumption of 0.46mW, and temperature compensated. Operation of versatile analog multiplier was also confirmed through an experiment using CMOS transistor array.

Towards Medical Device Maintenance Workflow Monitoring

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.

New Wavelet Indices to Assess Muscle Fatigue during Dynamic Contractions

The purpose of this study was to evaluate and compare new indices based on the discrete wavelet transform with another spectral parameters proposed in the literature as mean average voltage, median frequency and ratios between spectral moments applied to estimate acute exercise-induced changes in power output, i.e., to assess peripheral muscle fatigue during a dynamic fatiguing protocol. 15 trained subjects performed 5 sets consisting of 10 leg press, with 2 minutes rest between sets. Surface electromyography was recorded from vastus medialis (VM) muscle. Several surface electromyographic parameters were compared to detect peripheral muscle fatigue. These were: mean average voltage (MAV), median spectral frequency (Fmed), Dimitrov spectral index of muscle fatigue (FInsm5), as well as other five parameters obtained from the discrete wavelet transform (DWT) as ratios between different scales. The new wavelet indices achieved the best results in Pearson correlation coefficients with power output changes during acute dynamic contractions. Their regressions were significantly different from MAV and Fmed. On the other hand, they showed the highest robustness in presence of additive white gaussian noise for different signal to noise ratios (SNRs). Therefore, peripheral impairments assessed by sEMG wavelet indices may be a relevant factor involved in the loss of power output after dynamic high-loading fatiguing task.

Improved Segmentation of Speckled Images Using an Arithmetic-to-Geometric Mean Ratio Kernel

In this work, we improve a previously developed segmentation scheme aimed at extracting edge information from speckled images using a maximum likelihood edge detector. The scheme was based on finding a threshold for the probability density function of a new kernel defined as the arithmetic mean-to-geometric mean ratio field over a circular neighborhood set and, in a general context, is founded on a likelihood random field model (LRFM). The segmentation algorithm was applied to discriminated speckle areas obtained using simple elliptic discriminant functions based on measures of the signal-to-noise ratio with fractional order moments. A rigorous stochastic analysis was used to derive an exact expression for the cumulative density function of the probability density function of the random field. Based on this, an accurate probability of error was derived and the performance of the scheme was analysed. The improved segmentation scheme performed well for both simulated and real images and showed superior results to those previously obtained using the original LRFM scheme and standard edge detection methods. In particular, the false alarm probability was markedly lower than that of the original LRFM method with oversegmentation artifacts virtually eliminated. The importance of this work lies in the development of a stochastic-based segmentation, allowing an accurate quantification of the probability of false detection. Non visual quantification and misclassification in medical ultrasound speckled images is relatively new and is of interest to clinicians.