Email Alerts Research Articles

Implementation of an Automated Radiation Oncology Prescription Checking System, Revealing a Baseline Prescription Error Rate of at Least 0.2%

<h3>Purpose/Objective(s)</h3> Radiation dose prescriptions serve as the radiation oncologist's (RO) treatment intent, containing vital information such as treatment technique, total dose, dose per fraction, and number of fractions. Despite serving as a critical communication tool, prescriptions are entered manually and prone to various forms of error. Human systems and traditional safety checks may not catch these, due to assumption of RO intent and deference to ROs. This can lead to significant wasted treatment planning resources and, if not ultimately caught, can lead to misadministration. In response to the potential for erroneous prescription entry, an automated prescription checking system was designed and implemented. <h3>Materials/Methods</h3> Rules defining clinically appropriate prescriptions were generated, examining specific types of errors: 1) Approved dose per fraction. This was based on review of 14,487 prescriptions written in 2019-2020, divided into 17 disease sites, and manually curated by disease site experts for approved doses per fraction per site. 2) Dose per fraction too large for non-stereotactic treatment technique. 3) Dose per fraction too low (in dose painting prescriptions). With a goal of catching errors as far upstream as possible to minimize their propagation, a report was created and run every 30 minutes, checking all newly written prescriptions against the above rules. When prescriptions did not fall within the bounds of the rules, an automated email was sent to the prescriber alerting them of the atypical prescription and prompting them to check if it was written as intended. The rules were continuously analyzed in an attempt at balancing error detection against false positive alerts. <h3>Results</h3> From June-December 2021, 9,577 prescriptions were checked, and 70 email alerts were triggered, for an average alert rate of 0.7%. Of the 70 alerts, 60 (85.7%) were unapproved doses per fraction, 8 (11.4%) were doses too large for non-stereotactic treatment technique, and 2 (2.9%) were doses that were too low. The alert rate was 1.1% in June and trended down to 0.6% in December. Of the 70 alerts, 23 (32.9%) prescriptions were subsequently amended suggesting that the rate of erroneous prescription entry was 0.2% (23/9,577). <h3>Conclusion</h3> A baseline error rate of radiation oncology prescription entry has not been previously reported. This data suggests that the rate of erroneous prescription entry is at least 0.2%. Given the significant consequences of erroneous prescription entry, ranging from wasted resources and treatment delays (should these errors be caught prior to treatment), to potentially serious misadministration, there is significant value in implementing automated prescription checking systems in radiation oncology clinics.

Effect of Pharmacist Email Alerts on Concurrent Prescribing of Opioids and Benzodiazepines by Prescribers and Primary Care Managers

Policy makers have sought to discourage concurrent prescribing of opioids and benzodiazepines (coprescribing) because it is associated with overdose. Email alerts sent by pharmacists may reduce coprescribing, but this intervention lacks randomized evidence. To investigate whether pharmacist emails to practitioners caring for patients who recently received opioids and benzodiazepines reduce coprescribing of these medications. Randomized clinical trial (intention to treat) conducted in 2019-2021 of patients and their practitioners (prescribers and primary care managers) in the National Capital Region of the Military Health System. Participants were 2237 patients who were recently coprescribed opioids and benzodiazepines. These patients had 789 practitioners eligible for emails. Patients were randomized to email alerts to their practitioners or as-usual care. Clinical pharmacists sent the email alert. Messages were standardized and designed to facilitate coordination between practitioners, increase awareness of guidelines, and provide action steps and resources. The primary outcomes were patients' days received of opioids, benzodiazepines, and concurrent opioids and benzodiazepines during the 90 days following enrollment evaluated using 1-sided hypothesis tests. Secondary outcomes included total prescribing of opioids and benzodiazepines by patients' practitioners, including to patients outside the study, to test for broader outcomes on their prescribing. Of 2237 patients, 1187 were assigned to treatment and 1050 to control; 1275 (57%) were women. Patients received a mean (SD) of 31 (44) days of opioids and 33 (34) days of benzodiazepines in the 90 days before enrollment. There were no detected differences in the primary end points, including patients' receipt of opioids (adjusted difference, 1.1 days; 95% CI, -∞ to 3.0; P = .81), benzodiazepines (adjusted difference, -0.6 days; 95% CI, -∞ to 1.4; P = .30), and opioids and benzodiazepines together (adjusted difference, -0.1 days; 95% CI, -∞ to 0.7; P = .41). Of 789 practitioners, 429 were considered the treatment group, 325 were considered controls, and 35 were excluded. There were no detected differences in practitioners' total prescribing of opioids, benzodiazepines, or both drug classes together. In this randomized clinical trial of pharmacist emails to practitioners, email alerts failed to detectably reduce coprescribing, highlighting the value of alternative approaches. Combining randomization with quality improvement activities may help stakeholders seeking evidence-based interventions to encourage guideline-concordant care. ClinicalTrials.gov Identifier: NCT03887247.

Epitweetr: Early warning of public health threats using Twitter data.

BackgroundThe European Centre for Disease Prevention and Control (ECDC) systematically collates information from sources to rapidly detect early public health threats. The lack of a freely available, customisable and automated early warning tool using data from Twitter prompted the ECDC to develop epitweetr, which collects, geolocates and aggregates tweets generating signals and email alerts.AimThis study aims to compare the performance of epitweetr to manually monitoring tweets for the purpose of early detecting public health threats.MethodsWe calculated the general and specific positive predictive value (PPV) of signals generated by epitweetr between 19 October and 30 November 2020. Sensitivity, specificity, timeliness and accuracy and performance of tweet geolocation and signal detection algorithms obtained from epitweetr and the manual monitoring of 1,200 tweets were compared.ResultsThe epitweetr geolocation algorithm had an accuracy of 30.1% at national, and 25.9% at subnational levels. The signal detection algorithm had 3.0% general PPV and 74.6% specific PPV. Compared to manual monitoring, epitweetr had greater sensitivity (47.9% and 78.6%, respectively), and reduced PPV (97.9% and 74.6%, respectively). Median validation time difference between 16 common events detected by epitweetr and manual monitoring was -48.6 hours (IQR: −102.8 to −23.7).ConclusionEpitweetr has shown sufficient performance as an early warning tool for public health threats using Twitter data. Since epitweetr is a free, open-source tool with configurable settings and a strong automated component, it is expected to increase in usability and usefulness to public health experts.

Design and development of the application monitoring the use of server resources for server maintenance

Abstract Websites must assure web server availability in light of the worldwide increase in internet users. Web server monitoring is the process of examining web application server utilization by showing data in the form of statistics or graphs. Data about web server use will help server owners make decisions about server availability. The purpose of this study is to create a web monitoring program capable of retrieving and storing data from Java application server resources. The research methodology utilized in this study is divided into two phases: data gathering and software development. The data gathering step includes doing a literature study, conducting a survey, distributing questionnaires, and analyzing comparable apps. The development phase employs the waterfall methodology. The outcome of this study is a web application that can monitor the Java application server’s resource use and send email alerts when resource usage becomes excessive. To summarize, web application server monitoring may be utilized to alleviate developer workload.

LIFE RIPARIAS Early Alert: Using GBIF-mediated data to better manage invasive alien species

Invasive alien species represent one of the major threats to biodiversity. Prevention is better than cure, but once invasive species get established, early management interventions are important to prevent further damage to nature and increasing management costs. Managers need to be informed as swiftly as possible when invasive species pop up in their area. Moreover, an effective response also requires information on species in neighbouring areas. This way, managers can anticipate recolonisation and coordinate the response across higher spatial scales. Open data are indispensible to efficiently organize such early detection of and rapid response to invasive species. Here, we present LIFE RIPARIAS Early Alert, a new open source tool that aggregates data from diverse sources and sends tailored e-mail alerts to managers. The tool focusses on the project area of the EU co-funded project LIFE RIPARIAS (Reaching Integrated and Prompt Action in Response to Invasive Alien Species, LIFE19 NAT/BE/000953), which aims to improve dataflows for the management of invasive alien species in river basins across regional administrative borders in Belgium. Data on invasive alien species in Belgium are scattered across a multitude of sources, including project surveys, official monitoring schemes, scientific projects and citizen science reporting portals. We facilitated the standardization and publication of these sources as open datasets to the Global Biodiversity Information Facility (GBIF). The early alert tool then harvests these observations from GBIF, visualizes them on a map as well as in table view, with their exact coordinates and a link to the original record. The tool allows for date range filtering and the selection of newly reported (and published) observations through a simple intuitive user interface. Users can create e-mail alerts to be notified of new observations for their species group(s), area(s) or source dataset(s) of interest. Currently, only observations from LIFE RIPARIAS target species (Branquart et al. 2022)—equally published as a checklist on GBIF—are displayed. These include non-native crayfish, invasive aquatic plants and a range of high-impact alert list species that should not yet occur in the area but will be rapidly removed should they arrive. The tool is currently being tested by the Belgian managerial community. In time, we hope to increase both the taxonomic scope as well as the number of sources. To our knowledge the RIPARIAS early alert tool is one of the first of its kind in Europe. It is unique in displaying data from multiple data sources at the highest spatial resolution, considering the species from the European Union Invasive Species Regulation (European Commission 2019) and actively promoting and supporting data owners to publish their data openly.

Securing the Future of Workforce Communication: A Dynamic Alert Framework for Modern HCM Systems

The operational efficacy of contemporary organizations is increasingly predicated on the sophistication and adaptability of their Human Capital Management (HCM) systems. Within these systems, the strategic handling of information and data is paramount, particularly in the context of generating and disseminating alerts and notifications to relevant stakeholders without violating stringent data security protocols. Although current SaaS (Software as a Service) solutions for HCM offer advanced capabilities for configuring alerts and notifications in alignment with security mandates, a significant gap remains in their ability to dispatch email alerts containing sensitive data to recipients who lack the requisite security permissions within the system. This paper presents a comprehensive examination of the underlying architecture, encompassing the intricacies of security groups, service accounts, and the nuanced configuration of alerts necessary to forge a robust and secure notification framework. Furthermore, it delves into the specific tools and functionalities provided by Workday, assessing their potential to reinforce this framework and thereby augment the overall efficiency of communication channels between employees, HR, and executive management

ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT”

Main menu Home Current Issue Archive Info forAuthors Subscribers Advertisers Editorial Board Other PublicationsIn Vivo Cancer Genomics & Proteomics Cancer Diagnosis & Prognosis MoreIIAR Conferences 2008 Nobel Laureates About UsGeneral Policy Contact Other PublicationsAnticancer Research In Vivo Cancer Genomics & Proteomics User menu Register Subscribe My alerts Log in My Cart Search Search for this keyword Advanced search Other PublicationsAnticancer Research In Vivo Cancer Genomics & Proteomics Register Subscribe My alerts Log in My Cart Search for this keyword Advanced Search Home Current Issue Archive Info forAuthors Subscribers Advertisers Editorial Board Other PublicationsIn Vivo Cancer Genomics & Proteomics Cancer Diagnosis & Prognosis MoreIIAR Conferences 2008 Nobel Laureates About UsGeneral Policy Contact Visit us on Facebook Follow us on Linkedin MeetingAbstracts ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT”4-6 May, 2022 Schlossberg Hotel, Homburg/Saar, Germany J. REICHRATH, TH. VOGT, M.F. HOLICK and M. FRIEDRICH Anticancer Research April 2022, 42 (4) 2193-2222; DOI: https://doi.org/10.21873/anticanres.15702 J. REICHRATH 1Department of Dermatology, Venerology and Allergology, The Saarland University Hospital, Homburg/Saar, Germany;Find this author on Google ScholarFind this author on PubMedSearch for this author on this siteTH. VOGT 1Department of Dermatology, Venerology and Allergology, The Saarland University Hospital, Homburg/Saar, Germany;Find this author on Google ScholarFind this author on PubMedSearch for this author on this siteM.F. HOLICK 2Section of Endocrinology, Nutrition and Diabetes, Department of Medicine, Boston University Medical Center, Boston, MA, U.S.A.;Find this author on Google ScholarFind this author on PubMedSearch for this author on this siteM. FRIEDRICH 3Department of Obstetrics and Gynecology, Helios Clinic Krefeld, Krefeld, GermanyFind this author on Google ScholarFind this author on PubMedSearch for this author on this site ArticleInfo & Metrics PDF This is a PDF-only article. The first page of the PDF of this article appears above. PreviousNext Back to top In this issue Anticancer Research Vol. 42, Issue 4 April 2022 Table of ContentsTable of Contents (PDF)Index by authorBack Matter (PDF)Ed Board (PDF)Front Matter (PDF) Download PDF Article Alerts User Name * Password * Sign In to Email Alerts with your Email Address Email * Email Article Thank you for your interest in spreading the word on Anticancer Research.NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address. Your Email * Your Name * Send To * Enter multiple addresses on separate lines or separate them with commas. You are going to email the following ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT” Message Subject (Your Name) has sent you a message from Anticancer Research Message Body (Your Name) thought you would like to see the Anticancer Research web site. Your Personal Message CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 1 + 4 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Citation Tools ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT” J. REICHRATH, TH. VOGT, M.F. HOLICK, M. FRIEDRICH Anticancer Research Apr 2022, 42 (4) 2193-2222; DOI: 10.21873/anticanres.15702 Citation Manager Formats BibTeXBookendsEasyBibEndNote (tagged)EndNote 8 (xml)MedlarsMendeleyPapersRefWorks TaggedRef ManagerRISZotero Reprints and Permissions Share ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT” J. REICHRATH, TH. VOGT, M.F. HOLICK, M. FRIEDRICH Anticancer Research Apr 2022, 42 (4) 2193-2222; DOI: 10.21873/anticanres.15702 Share This Article: Copy Tweet WidgetFacebook LikeGoogle Plus One Jump to section ArticleInfo & Metrics PDF Related ArticlesNo related articles found.PubMedGoogle Scholar Cited By...No citing articles found.Google Scholar More in this TOC Section ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO) Show more Abstracts Similar Articles © 2022 Anticancer Research

ICT Based Research Support Services in Academic Libraries: A New Frontier to Enhancing Research Integrity and Productivity

This article focuses on the innovative approaches to delivery of research support services using emerging technologies in academic libraries. The emerging technologies rapidly change the research support system to enhance the research output and visibility in higher educational institutions with the aim of research data management and digital transformation of research output over the networks. Currently, Research Support Service (RSS) is one of the significant services delivered by libraries in the context of research support and data management at their institutions. Research support is a new service area for academic libraries to enhance and promote the research activities at their universities in the collaborative mission. To effectively delivery of the research support services by libraries in educational institutions, library professionals has formulated institutional research policy, research data lifecycle, redesign library space and services (digital repository, research advocacy, open data repository, e-resources discovery and accessibility, ETDs management, Web OPAC accessibility, virtual labs, research data management, reference management, plagiarism deterring, Current Awareness Service (CAS), Internet accessibility, wi-fi, email alerts, 3D printing, printing & scanning, bibliometrics, curation & preservation of data, e-documents delivery, data analysis support and open access publishing etc.) to 24x7 research support to the academicians and researchers in the digital age. These research support services help to enhance to usage of library collection & services and promote research-integrity at their instantiations. Research support services, namely the redesign of the library e-infrastructures and services to 24x7 research support to the researchers and academicians to enhance the research output in digital environment. The author’s noticed that delivery of research support services in Indian educational institutions are under progressive stage, only few universities are engaging in effectively delivery of such types of services in open research world. Also, this paper describes the advantage of delivery of research support services through the lens of the digital transformation of library services in academic institutions.

Supervisory framework for threat detection withmultilayer processing in CNN

Face recognition has received huge acknowledgement due to its various uses in Internet communication, security, access control, surveillance, PC entertainment and law enforcement. Conventional methods of recognition based on the ownerships of identity-cards or full knowledge such as a security number or password are not totally solid. Physical ID cards can be lost or forged, passwords can be hacked or forgotten but a face is undoubtedly connected to its owner. It cannot be stolen, borrowed or easily forged. Our current system has a lot of weaknesses wherever it is simply taken and merged. The focus of this paper is to help users for development of the security by utilizing face identification and recognition. The proposed framework principally comprises of subsystems specifically picture capture, face identification and detection, email alerts and metal detection. Furthermore, the improvement in Computer Vision through Deep Learning algorithms has been an impressive achievement, especially with the Convolutional Neural Network algorithm. A convolutional neural network is a feed-forward neural network that is by and large used to break down visual pictures by using grid-like topology. It is also called as ConvNet. The objects in a picture are distinguished and arranged using convolutional neural network. CNN detects various simple complex patterns in images and data in its different layers of Convolution Layer, Max Polling Layer and Fully Connected Layer .This field intends to allow and configure machines to see the world as people do, and utilize the information for doing tasks (such as Image Analysis, Image Recognition and Classification, etc).

Being in the right place: A natural field experiment on the causes of position effects in individual choice

This paper aims to better understand why individuals tend to select items at the top of lists. Within a natural field experiment, we randomize the order in which new economics research papers are presented in email alerts and measure the subsequent download activity. Our novel disaggregate data allows us to evidence i) how position effects vary across users, ii) the order in which users select their items, and iii) how position effects are related to users’ selection orders. Overall, the findings are most consistent with an explanation of choice fatigue where users consider the listed items in a downwards-then-upwards order.

Raspberry Pi House Safeguard System with Alarm and Email Alert

This paper is helpful in providing not only safeguard to the house but also alerts the owner through email. This system quickly alerts the presence of an unknown person using Raspberry Pi. This system deploys a Pi camera which takes the picture of the unknown person and includes the image in the email. This system has various areas such as our House s, offices or anywhere, wherever safeguard is necessary, picture captured by using the webcam will send to user email by using SMTP protocol, Email notifications can be sent out to your customers using either Gmail SMTP server or your own SMTP server

ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO): 30 September - 2 October 2021, Virtual Meeting.

Main menu Home Current Issue Archive Info forAuthors Subscribers Advertisers Editorial Board Other PublicationsIn Vivo Cancer Genomics & Proteomics Cancer Diagnosis & Prognosis MoreIIAR Conferences 2008 Nobel Laureates About UsGeneral Policy Contact Other PublicationsAnticancer Research In Vivo Cancer Genomics & Proteomics User menu Register Subscribe My alerts Log in My Cart Search Search for this keyword Advanced search Other PublicationsAnticancer Research In Vivo Cancer Genomics & Proteomics Register Subscribe My alerts Log in My Cart Search for this keyword Advanced Search Home Current Issue Archive Info forAuthors Subscribers Advertisers Editorial Board Other PublicationsIn Vivo Cancer Genomics & Proteomics Cancer Diagnosis & Prognosis MoreIIAR Conferences 2008 Nobel Laureates About UsGeneral Policy Contact Visit us on Facebook Follow us on Linkedin MeetingAbstracts ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO)30 September - 2 October 2021, Virtual Meeting Orazio Caffo, Renzo Colombo and Vittorio Vavassori Anticancer Research October 2021, 41 (10) 5255-5332; DOI: https://doi.org/10.21873/anticanres.15345 Orazio Caffo Italian Society of Uro-OncologyFind this author on Google ScholarFind this author on PubMedSearch for this author on this siteRenzo Colombo Italian Society of Uro-OncologyFind this author on Google ScholarFind this author on PubMedSearch for this author on this siteVittorio Vavassori Italian Society of Uro-OncologyFind this author on Google ScholarFind this author on PubMedSearch for this author on this site ArticleInfo & Metrics PDF This is a PDF-only article. The first page of the PDF of this article appears above. PreviousNext Back to top In this issue Anticancer Research Vol. 41, Issue 10 October 2021 Table of ContentsTable of Contents (PDF)Index by authorBack Matter (PDF)Ed Board (PDF)Front Matter (PDF) Download PDF Article Alerts User Name * Password * Sign In to Email Alerts with your Email Address Email * Email Article Thank you for your interest in spreading the word on Anticancer Research.NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address. Your Email * Your Name * Send To * Enter multiple addresses on separate lines or separate them with commas. You are going to email the following ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO) Message Subject (Your Name) has sent you a message from Anticancer Research Message Body (Your Name) thought you would like to see the Anticancer Research web site. Your Personal Message CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 8 + 12 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Citation Tools ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO) Orazio Caffo, Renzo Colombo, Vittorio Vavassori Anticancer Research Oct 2021, 41 (10) 5255-5332; DOI: 10.21873/anticanres.15345 Citation Manager Formats BibTeXBookendsEasyBibEndNote (tagged)EndNote 8 (xml)MedlarsMendeleyPapersRefWorks TaggedRef ManagerRISZotero Reprints and Permissions Share ABSTRACTS OF THE 31st ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO) Orazio Caffo, Renzo Colombo, Vittorio Vavassori Anticancer Research Oct 2021, 41 (10) 5255-5332; DOI: 10.21873/anticanres.15345 Share This Article: Copy Tweet WidgetFacebook LikeGoogle Plus One Jump to section ArticleInfo & Metrics PDF Related ArticlesNo related articles found.PubMedGoogle Scholar Cited By...No citing articles found.Google Scholar More in this TOC Section ABSTRACTS OF THE JOINT INTERNATIONAL SYMPOSIA “VITAMIN D IN PREVENTION AND THERAPY” AND “BIOLOGIC EFFECTS OF LIGHT” Show more Abstracts Similar Articles © 2022 Anticancer Research

Targeted Species Projects for Volunteers to Increase Early Detection Capacity: The Water Chestnut Mapping Challenge

Here we present a framework for creating targeted invasive species mapping projects for volunteers, using simple gamification techniques to encourage participation. In Pennsylvania and New York, we chose to focus on water chestnut (Trapa natans) because this species is easy to identify, and it is often feasible to eliminate small populations from newly infested waterbodies. We established a “friendly competition” in which participants would search for water chestnut and report their findings during a specified date range. Online trainings were offered on species identification and submitting data to iMapInvasives, a mobile and browser-based mapping system. During the challenge period, volunteers were kept engaged through up-to-date data tallies and email communication from mapping challenge administrators. At the end, participants with the greatest number of data entries or most locations searched, whether submitting presence or absence information, were announced as winners and received small prizes. The data were shared with regional invasive species managers through email alerts and a summary report. Challenge participants detected water chestnut in new waterbodies and contributed valuable absence data. Over the course of three years in New York (2016–2018), participants discovered 23 new water chestnut infestation locations in 14 waterbodies. In Pennsylvania, over the course of two years (2017–2018), 44 new water chestnut infestation locations in 12 waterbodies were identified. The programs in both states have continued to build on and improve these challenge events by adding additional target species and piloting new ways to keep participants engaged through real-time dashboards and other technologies.

Leveraging technology and supply chain to improve family planning logistics in Pakistan.

Pakistan and USAID have invested in improving the contraceptive supply chain data and commodity security. In 2011, the first digital contraceptive logistics management information system (cLMIS) was launched, enabling supply chain data visibility from the federal level to health facilities. The system has built-in modules on forecasting and supply planning, inventory management, consumption reporting, business intelligence tools, automatic email and SMS alerts. Using these features, policy-makers and health managers annually forecast needs, and procure contraceptives accordingly. The objective of this research was to understand the existing technological platforms for family planning (FP) supply chain data visibility and the potential impact on contraceptive commodity security. The authors reviewed available published and grey literature papers on contraceptives and supplies in Pakistan. We extracted data from the cLMIS, evaluated indicators including reporting compliance, reported stock-out rates, and contraceptive performance. The analysis was validated by reviewing supply chain and FP indicators, such as average monthly consumption, months of stock, and couple years of protection. The cLMIS has resulted in improved distribution, early warning and accountability at the lowest tiers in the FP supply chain in the public sector. At the facility level, FP commodity availability increased from 40% in 2009 to 84% in 2018. Contraceptive supply chain has seen significant growth over the past decade to meet expanding reproductive health evidence to inform strategic decisions; cLMIS is a prime contributor to improvements registered in FP stock availability at public sector facilities.

Assessment of a Ground-Based Lightning Detection and Near-Real-Time Warning System in the Rural Community of Swayimane, KwaZulu-Natal, South Africa

AbstractClimate change projections of increases in lightning activity are an added concern for lightning-prone countries such as South Africa. South Africa’s high levels of poverty, lack of education, and awareness, as well as a poorly developed infrastructure, increase the vulnerability of rural communities to the threat of lightning. Despite the existence of national lightning networks, lightning alerts and warnings are not disseminated well to such rural communities. We therefore developed a community-based early warning system (EWS) to detect and disseminate lightning threats and alerts in a timely and comprehensible manner within Swayimane, KwaZulu-Natal, South Africa. The system is composed of an electrical field meter and a lightning flash sensor with warnings disseminated via audible and visible alarms on site and with a remote server issuing short message services (SMSs) and email alerts. Twelve months of data (February 2018–February 2019) were utilized to evaluate the performance of the EWS’s detection and warning capabilities. Diurnal variations in lightning activity indicated the influence of solar radiation, causing convective conditions with peaks in lightning activity occurring during the late afternoon and early evening (between 1400 and 2100) coinciding with students being released from school and when most workers return home. In addition to detecting the threat of lightning, the EWS was beneficial in identifying periods that exhibited above-normal lightning activity, with two specific lightning events examined in detail. Poor network signals in rural communities presented an initial challenge, delaying data transmission to the central server until rectified using multiple network providers. Overall, the EWS was found to disseminate reliable warnings in a timely manner.

Peringatan Otomatis Pada Internet of Things Sistem Deteksi Smart Motion

The main problem in this research is the increase in cases of theft and robbery. This incident was caused by the busyness of everyone in their daily lives, so they forgot about the safety of their house. An Internet of Things (IoT) based home security system that utilizes a PIR sensor as a human motion detector and then sends a notification in the form of a notification via SMS or e-mail is one solution to overcome the problems that have been previously proposed in previous research. However, to further clarify the warning sent from the system, a home security system is needed that can attach an image to the notification. In this study, an IoT-based home security system was developed. The IoT security system being developed can automatically send a warning message by attaching an image when the PIR sensor detects human presence. The IoT system requires a Raspberry Pi as a microcontroller that is connected to the internet, a PIR sensor to detect human movement and a Pi Camera to win an image when there is an encounter with a human within the range of the PIR sensor. Experiments in this study show that the IoT system can automatically send warning messages via the Telegram application by attaching an image when the PIR sensor detects human presence in various light conditions with a distance of 0-5 meters and the speed of sending email alerts is influenced by the condition of the internet network connection and file size. images sent.

Oculoplastic Abstracts.

Log in Your account has been temporarily locked Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30 mins. For immediate assistance, contact Customer Service: 800-638-3030 (within USA), 301-223-2300 (international) [email protected] Invalid username or password. Try again or register an account. default message Login No user account? Register for free. Register for free. Lippincott Journals Subscribers, use your username or email along with your password to log in. Forgot Password? or Register Register for a free account Existing User Log In Existing User Log In Registered users can save articles, searches, and manage email alerts. All registration fields are required. What's your profession? Academic Medicine Acute Care Nursing Addiction Medicine Administration Advanced Practice Nursing Allergy & Immunology Allied Health Alternative & Complementary Medicine Anesthesiology Anesthesiology Nursing Audiology & Ear and Hearing Basic Science Cardiology Cardiothoracic Surgery Cardiovascular Nursing Cardiovascular Surgery Child Neurology Child Psychiatry Chiropractics Clinical Sciences Colorectal Surgery Community Health Critical Care Critical Care Nursing Dentistry Dermatology Emergency Medicine Emergency Nursing Endocrinology Endoncrinology Forensic Medicine Gastroenterology General Surgery Genetics Geriatrics Gynecologic Oncology Hand Surgery Head & Neck Surgery Hematology/Oncology Hospice & Palliative Care Hospital Medicine Infectious Disease Infusion Nursing Internal/General Medicine Internal/General Medicine Residency Library Sciences Maternal Child Nursing Medical Oncology Medical Research Neonatal/Perinatal Neonatal/Perinatal Nursing Nephrology Neurology Neurosurgery Nursing-administrative Nursing-all Specialties Nursing-education Nutrition & Dietetics Obstetrics & Gynecology Obstetrics & Gynecology Nursing Occupational & Environmental Medicine Oncology Nursing Oncology Surgery Ophthalmology/Optometry Oral & Maxillofacial Surgery Orthopedic Nursing Orthopedics/Spine/Sports Medicine Surgery Otolaryngology Pain Medicine Pathology Pediatric Surgery Pediatrics Pharmacology Pharmacy Physical Medicine & Rehabilitation Physical Therapy & Womens Health Physical Therapy Plastic Surgery Podiatary-general Podiatry-general Primary Care/Family Medicine/General Practice Psychiatric Nursing Psychiatry Psychology Public Health Pulmonology Radiation Oncology/Therapy Radiology Rheumatology Skills & Procedures Sleep Medicine Sport & Exercise/Training/Fitness Sports Medicine Surgical Nursing Transitional Care Transplant Surgery Trauma Nursing Trauma Surgery Urology Womens Health Wound Care Other What's your speciality? Addiction Medicine Allergy & Clinical Immunology Anesthesiology Audiology & Speech-Language Pathology Cardiology Cardiothoracic Surgery Critical Care Medicine Dentistry, Oral Surgery & Medicine Dermatology Dermatologic Surgery Emergency Medicine Endocrinology & Metabolism Family or General Practice Gastroenterology & Hepatology Genetic Medicine Geriatrics & Gerontology Hematology Hospitalist Immunology Infectious Diseases Internal Medicine Legal/Forensic Medicine Nephrology Neurology Neurosurgery Nursing Nutrition & Dietetics Obstetrics & Gynecology Oncology Ophthalmology Orthopedics Otorhinolaryngology Pain Management Pathology Pediatrics Plastic/ Reconstructive Sugery Pharmacology & Pharmacy Physiology Psychiatry Psychology Public, Environmental & Occupational Health Radiology, Nuclear Medicine & Medical Imaging Physical Medicine and Rehabilitation Respiratory/Pulmonary Medicine Rheumatology Sport Medicine/Science Surgery (General) Trauma Surgery Toxicology Transplantation Surgery Urology Vascular Surgery Virology I don't have a medical specialty What's your work setting? Hospital Under 250 Beds Hospital Over 250 Beds Eldercare or Hospice Facility Psychiatric or Rehabilitative Facility Private Practice Group Practice Corporation (Pharmaceutical, Biotechnology, Engineering, etc.) Doctoral University or Medical School Masters or 4-Year Academic University Community College Government Other I have read & acknowledge the End User License Agreement. I have read & accept the terms of the Privacy Policy. Subscribe to journalSubscribe Get new issue alertsGet alerts Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Subscribe to eTOC Secondary Logo Journal Logo All Articles Images Videos Podcasts Blogs Advanced Search Toggle navigation Subscribe Register Login Articles & Issues Current IssuePrevious IssuesPublished Ahead-of-Print CMECollectionsVideosFor Authors Submit a ManuscriptInformation for AuthorsInformation for ReviewersLanguage Editing ServicesAuthor Permissions Journal Info About the JournalEditorial BoardAdvertisingOpen AccessSubscription ServicesReprintsRights and Permissions All Articles Images Videos Podcasts Blogs Advanced Search

New Guidelines for Prescribing Opioids to Children and Teens After Surgery.

An emphasis on more responsible prescribing, improved parent education, and safer disposal of unused drugs.

U.S. Representative Cori Bush.

Missouri sends its first nurse to Congress.

Abstracts from the 5th Cancer Cachexia Society Meeting, Montreal, Canada, September 10-11, 2020.

Log in Your account has been temporarily locked Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30 mins. For immediate assistance, contact Customer Service: 800-638-3030 (within USA), 301-223-2300 (international) [email protected] Invalid username or password. Try again or register an account. default message Login No user account? Register for free. Register for free. Lippincott Journals Subscribers, use your username or email along with your password to log in. Forgot Password? or Register Register for a free account Existing User Log In Existing User Log In Registered users can save articles, searches, and manage email alerts. All registration fields are required. What's your profession? Academic Medicine Acute Care Nursing Addiction Medicine Administration Advanced Practice Nursing Allergy & Immunology Allied Health Alternative & Complementary Medicine Anesthesiology Anesthesiology Nursing Audiology & Ear and Hearing Basic Science Cardiology Cardiothoracic Surgery Cardiovascular Nursing Cardiovascular Surgery Child Neurology Child Psychiatry Chiropractics Clinical Sciences Colorectal Surgery Community Health Critical Care Critical Care Nursing Dentistry Dermatology Emergency Medicine Emergency Nursing Endocrinology Endoncrinology Forensic Medicine Gastroenterology General Surgery Genetics Geriatrics Gynecologic Oncology Hand Surgery Head & Neck Surgery Hematology/Oncology Hospice & Palliative Care Hospital Medicine Infectious Disease Infusion Nursing Internal/General Medicine Internal/General Medicine Residency Library Sciences Maternal Child Nursing Medical Oncology Medical Research Neonatal/Perinatal Neonatal/Perinatal Nursing Nephrology Neurology Neurosurgery Nursing-administrative Nursing-all Specialties Nursing-education Nutrition & Dietetics Obstetrics & Gynecology Obstetrics & Gynecology Nursing Occupational & Environmental Medicine Oncology Nursing Oncology Surgery Ophthalmology/Optometry Oral & Maxillofacial Surgery Orthopedic Nursing Orthopedics/Spine/Sports Medicine Surgery Otolaryngology Pain Medicine Pathology Pediatric Surgery Pediatrics Pharmacology Pharmacy Physical Medicine & Rehabilitation Physical Therapy & Womens Health Physical Therapy Plastic Surgery Podiatary-general Podiatry-general Primary Care/Family Medicine/General Practice Psychiatric Nursing Psychiatry Psychology Public Health Pulmonology Radiation Oncology/Therapy Radiology Rheumatology Skills & Procedures Sleep Medicine Sport & Exercise/Training/Fitness Sports Medicine Surgical Nursing Transitional Care Transplant Surgery Trauma Nursing Trauma Surgery Urology Womens Health Wound Care Other What's your speciality? Addiction Medicine Allergy & Clinical Immunology Anesthesiology Audiology & Speech-Language Pathology Cardiology Cardiothoracic Surgery Critical Care Medicine Dentistry, Oral Surgery & Medicine Dermatology Dermatologic Surgery Emergency Medicine Endocrinology & Metabolism Family or General Practice Gastroenterology & Hepatology Genetic Medicine Geriatrics & Gerontology Hematology Hospitalist Immunology Infectious Diseases Internal Medicine Legal/Forensic Medicine Nephrology Neurology Neurosurgery Nursing Nutrition & Dietetics Obstetrics & Gynecology Oncology Ophthalmology Orthopedics Otorhinolaryngology Pain Management Pathology Pediatrics Plastic/ Reconstructive Sugery Pharmacology & Pharmacy Physiology Psychiatry Psychology Public, Environmental & Occupational Health Radiology, Nuclear Medicine & Medical Imaging Physical Medicine and Rehabilitation Respiratory/Pulmonary Medicine Rheumatology Sport Medicine/Science Surgery (General) Trauma Surgery Toxicology Transplantation Surgery Urology Vascular Surgery Virology I don't have a medical specialty What's your work setting? Hospital Under 250 Beds Hospital Over 250 Beds Eldercare or Hospice Facility Psychiatric or Rehabilitative Facility Private Practice Group Practice Corporation (Pharmaceutical, Biotechnology, Engineering, etc.) Doctoral University or Medical School Masters or 4-Year Academic University Community College Government Other I have read & acknowledge the End User License Agreement. I have read & accept the terms of the Privacy Policy. Subscribe to journalSubscribe Get new issue alertsGet alerts Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Subscribe to eTOC Secondary Logo Journal Logo All Articles Images Videos Podcasts Blogs Advanced Search Toggle navigation Subscribe Register Login Articles & Issues Current IssuePrevious IssuesPublished Ahead-of-Print VideosFor Authors Submit a ManuscriptInformation for AuthorsLanguage Editing ServicesAuthor Permissions Journal Info About the JournalEditorial BoardAdvertisingOpen AccessSubscription ServicesReprintsRights and Permissions All Articles Images Videos Podcasts Blogs Advanced Search