A mashup based framework for multi level healthcare interoperability

Healthcare delivery is evolving from disease-centered to patient-centered care delivery where patients are active participants in their healthcare delivery. This calls for more communication and collaboration among all healthcare actors. There is also an increasing demand for personalized healthcare systems that provide effective information management, facilitate communication and collaboration, and support applications to meet user requirements. To address these challenges, we need to advance the integration and interoperability of healthcare applications in a controlled manner. Drawing upon a conceptual model from a collaborative care case study, we identified a set of interoperability requirements and developed a Mashup based interoperability framework. Our framework allows patients and other healthcare actors to engage in collaborative processes through online applications facilitated by mashups. We then use proof-of-concept implementations to demonstrate how our framework is able to facilitate different types of interoperability. We believe that collaborative technologies such as mashups can implement process interoperability requirements to support collaborative care delivery, particularly for asynchronous care delivery.     

Trans-10 18:1 in ruminant meats: A review

Trans (t) fatty acids (TFA) from partially hydrogenated vegetable oils (i.e., industrial trans) have been phased out of foods in many countries due to their promotion of cardiovascular disease. This leaves ruminant-derived foods as the main source of TFA. Unlike industrial TFA where catalytic hydrogenation yields a broad distribution of isomers, ruminant TFA are enzymatically derived and can result in enrichment of specific isomers. Comparisons between industrial and ruminant TFA have often exonerated ruminant TFA due to their lack or at times positive effects on health. At extremes, however, ruminant-sourced foods can have either high levels of t10- or t11-18:1, and when considering enriched sources, t10-18:1 has properties similar to industrial TFA, whereas t11-18:1 can be converted to an isomer of conjugated linoleic acid (cis(c)9,t11-conjugated linoleic acid), both of which have potential positive health effects. Increased t10-18:1 in meat-producing ruminants has not been associated with negative effects on live animal production or meat quality. As such, reducing t10-18:1 has not been of immediate concern to ruminant meat producers, as there have been no economic consequences for its enrichment; nevertheless at high levels, it can compromise the nutritional quality of beef and lamb. In anticipation that regulations regarding TFA may focus more on t10-18:1 in beef and lamb, the present review will cover its production, analysis, biological effects, strategies for manipulation, and regulatory policy.     

Counting eosinophils in bronchoalveolar lavage fluid images with fuzzy methodology

This paper proposes a new fuzzy approach to count eosinophils, as a measure of inflammation, in bronchoalveolar lavage fluid images, provided by digital camera through microscope. We use fuzzy cluster analysis and fuzzy classification algorithm to determine the number of objects in an image. For this purpose, a fuzzy image processing procedure consisting of five main stages is presented. The first stage is pre-highlighting the objects in the images by using an image pre-processing method for enhancement, which is sharpening the image with the Laplaian high pass filter in order to have acceptable contrast in the image. The second stage is segmentation by clustering with fuzzy c-mean algorithm for portioning. In this stage the clustered data are the rough symbols of objects in the image containing noise. In the third step, first, a Gaussian low pass filter is used for noise reduction. Then, a contrast adoption in the image is done by modifying the membership functions in the image [H.R. Tizhoosh, G. Krell, B. Michaelis, Knowledge-based enhancement of megavoltage images in radiation therapy using a hybrid neuro-fuzzy system, Image and Vision Computing 19(July) (2000) 217–233]. Object recognition, the fourth stage, will be done by using fuzzy labeling for the objects in the image, using a fuzzy classification method. The number of labeled images shows the number of eosinophils in an image which is an index for diagnosing inflammation. The last stage is tuning parameters and verification of the system performance by using a feed forward Neural Network.     

Engineering Transition Metal Layers for Long Lasting Anionic Redox in Layered Sodium Manganese Oxide

Oxygen-redox-based-layered cathode materials are of great importance in realizing high-energy-density sodium-ion batteries (SIBs) that can satisfy the demands of next-generation energy storage technologies. However, Mn-based-layered materials (P2-type Na-poor Na_y[A_xMn_1−x]O₂, where A = alkali ions) still suffer from poor reversibility during oxygen-redox reactions and low conductivity. In this work, the dual Li and Co replacement is investigated in P2-type-layered Na_xMnO₂. Experimentally and theoretically, it is demonstrated that the efficacy of the dual Li and Co replacement in Na_0.6[Li_0.15Co_0.15Mn_0.7]O₂ is that it improves the structural and cycling stability despite the reversible Li migration from the transition metal layer during de-/sodiation. Operando X-ray diffraction and ex situ neutron diffraction analysis prove that the material maintains a P2-type structure during the entire range of Na⁺ extraction and insertion with a small volume change of ≈4.3%. In Na_0.6[Li_0.15Co_0.15Mn_0.7]O₂, the reversible electrochemical activity of Co³⁺/Co⁴⁺, Mn³⁺/Mn⁴⁺, and O^2-/(O₂)^n- redox is identified as a reliable mechanism for the remarkable stable electrochemical performance. From a broader perspective, this study highlights a possible design roadmap for developing cathode materials with optimized cationic and anionic activities and excellent structural stabilities for SIBs.     

The Role of Elastic and Plastic Anisotropy of Sn in Recrystallization and Damage Evolution During Thermal Cycling in SAC305 Solder Joints

Because failures in lead-free solder joints occur at locations other than the most highly shear-strained regions, reliability prediction is challenging. To gain physical understanding of this phenomenon, physically based understanding of how elastic and plastic deformation anisotropy affect microstructural evolution during thermomechanical cycling is necessary. Upon solidification, SAC305 (Sn-3.0Ag-0.5Cu) solder joints are usually single or tricrystals. The evolution of microstructures and properties is characterized statistically using optical and orientation imaging microscopy. In situ synchrotron x-ray measurements during thermal cycling are used to examine how crystal orientation and thermal cycling history change strain history. Extensive characterization of a low-stress plastic ball grid array (PBGA) package design at different stages of cycling history is compared with preliminary experiments using higher-stress package designs. With time and thermal history, microstructural evolution occurs mostly from continuous recrystallization and particle coarsening that is unique to each joint, because of the specific interaction between local thermal and displacement boundary conditions and the strong anisotropic elastic, plastic, expansion, and diffusional properties of Sn crystals. The rate of development of recrystallized microstructures is a strong function of strain and aging. Cracks form at recrystallized (random) boundaries, and then percolate through recrystallized regions. Complications arising from electromigration and corrosion are also considered.     

Trans10,cis15 18:2 Isolated from Beef Fat Does Not Have the Same Anti-Adipogenic Properties as Trans10,cis12–18:2 in 3T3-L1 Adipocytes

During ruminal biohydrogenation of α‐linolenic acid, a non‐conjugated non‐methylene interrupted dienoic acid is formed containing a t10 double bond, namely t10,c15–18:2. The present study was designed to examine whether t10,c15–18:2 would exert similar anti‐adipogenic effects compared to t10,c12–18:2 in 3T3‐L1 adipocytes. Differentiated 3T3‐L1 adipocytes were treated with 35 or 70 µM of LNA, t10,c12–18:2, t10,c15–18:2, or bovine serum albumin (BSA) vehicle control for 120 h. Cellular triacylglycerol and protein were quantified using commercial colorimetric kits. Cells were analyzed for fatty acid composition and gene expression using gas chromatography and quantitative PCR, respectively. Trans10,cis12–18:2 decreased (P < 0.05) the adipocyte triacylglycerol (TAG) content, which was mainly related to a reduction in saturated fatty acids (SFA; e.g., 16:0 and 15:0) and cis monounsaturated fatty acids (c‐MUFA; e.g., c9–16:1 and c9–18:1). Trans10,cis12 also decreased (P < 0.05) the expression of genes related to fatty acid synthesis (ACACA, FASN), delta‐9 desaturation (SCD1), fatty acid elongation (ELOVL5), and fatty acid uptake (LPL) and upregulated (P < 0.05) the expression of the rate‐liming enzyme involved in fatty acid β‐oxidation (CPT1). In contrast, LNA and t10,c15–18:2 did not affect the gene expression and cellular content of the TAG, SFA, c‐MUFA, or SCD1 indices in adipocytes. Our findings suggest that t10,c15–18:2, despite having structural similarity to t10,c12–18:2 (presence of a trans‐10 double bond), does not exert anti‐adipogenic effects in 3T3‐L1 adipocytes.     

Nafion/histidine functionalized carbon nanotube: High-performance fuel cell membranes

Here we show preparation and characterization of a new type of composite membrane based on Nafion^®/histidine modified carbon nanotube by imidazole groups (Im-CNT), for direct methanol fuel cell (DMFC) applications. Due to the presence of this imidazole-based amino acid on the surface of CNT, new electrostatic interactions can be formed in the interface of Nafion^® and Im-CNT. Physical characteristics of these nanocomposite membranes are investigated by water uptake, methanol permeability, ion exchange capacity, proton conductivity, as well as fuel cell performance results.     

An optimal algorithm for two robots path planning problem on the grid

This paper is a study on the problem of path planning for two robots on a grid. We consider the objective of minimizing the maximum path length which corresponds to minimizing the arrival time of the last robot at its goal position. We propose an optimal algorithm that solves the problem in linear time with respect to the size of the grid. We show that the algorithm is complete; meaning that it is sure to find an optimal solution or report if any does not exist.     

Wrapping carbon nanotubes by biopolymer chains: Role of nanointerfaces in detection of vapors in conductive polymer composite transducers

Chitosan (CS) and hydrophobic‐modified chitosan (HM‐CS) chains were wrapped onto multiwalled carbon nanotubes (MWNTs) and introduced to polyvinyl alcohol (PVA) matrices as nanohybrid conductive polymer composites (CPCs) for detection of polar vapors. The effect of grafted alkyl groups on polarity of CS chains were studied by quantum mechanics (QM). The designed composites were applied as sensitive layers to clarify the response mechanism in CPCs gas sensors. It was realized that the wrapped biopolymers intensely influenced the sensitivity of the composites. Experiment results specified that the nature of biomacromolecules and their interactions with vapor molecules affects the resistance change in CPCs. The higher interaction of CS with polar vapor molecules caused more plasticization of polymer segments in the MWNTs connections. Such phenomenon enhanced the resistance change in the presence of analytes. Moreover, it was inferred that the semiconductor character of MWNTs has an important effect in the final signals. The more polar structure of CS in comparison with HM‐CS enhanced the adsorption of vapor molecules on the surface of MWNTs, and the electron donor analytes decreased the conductivity of p‐type MWNTs increasing the final responses. The presented results corroborate that the performance of CPCs gas sensors could be finely tuned through manipulation of the nanointerfaces. POLYM. COMPOS., 37:2803–2810, 2016. © 2015 Society of Plastics Engineers