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Fulltext Successful pregnancy in untreated limited Wegener's granulomatosis

Sahni V, Agarwal SK, Singh NP, Sikdar S, Yadav A, Wadhwa A, et al.

Med J Malaysia, 2005 Oct;60(4):492-4.
PMID: 16570714

A thirty four year old female presented with upper and lower respiratory symptoms in the third trimester of pregnancy. After the delivery of a healthy baby, the symptoms progressed to involve multiple organ systems and eventually a diagnosis of limited Wegener's Granulomatosis (Carrington-Liebow syndrome) was made. The extremely rare combination of WG and pregnancy, especially the onset of disease in late pregnancy is discussed. The successful outcome of pregnancy even without treatment of WG is the highlight of the case.
Fulltext Grouping and Sponsoring Centric Green Coverage Model for Internet of Things

Kumar V, Kumar S, AlShboul R, Aggarwal G, Kaiwartya O, Khasawneh AM, et al.

Sensors (Basel), 2021 Jun 08;21(12).
PMID: 34201100 DOI: 10.3390/s21123948

Recently, green computing has received significant attention for Internet of Things (IoT) environments due to the growing computing demands under tiny sensor enabled smart services. The related literature on green computing majorly focuses on a cover set approach that works efficiently for target coverage, but it is not applicable in case of area coverage. In this paper, we present a new variant of a cover set approach called a grouping and sponsoring aware IoT framework (GS-IoT) that is suitable for area coverage. We achieve non-overlapping coverage for an entire sensing region employing sectorial sensing. Non-overlapping coverage not only guarantees a sufficiently good coverage in case of large number of sensors deployed randomly, but also maximizes the life span of the whole network with appropriate scheduling of sensors. A deployment model for distribution of sensors is developed to ensure a minimum threshold density of sensors in the sensing region. In particular, a fast converging grouping (FCG) algorithm is developed to group sensors in order to ensure minimal overlapping. A sponsoring aware sectorial coverage (SSC) algorithm is developed to set off redundant sensors and to balance the overall network energy consumption. GS-IoT framework effectively combines both the algorithms for smart services. The simulation experimental results attest to the benefit of the proposed framework as compared to the state-of-the-art techniques in terms of various metrics for smart IoT environments including rate of overlapping, response time, coverage, active sensors, and life span of the overall network.
Preparedness to Face the COVID-19 Pandemic in Hospice and Palliative Care Services in the Asia-Pacific Region: A Rapid Online Survey

Lin CP, Boufkhed S, Kizawa Y, Mori M, Hamzah E, Aggarwal G, et al.

Am J Hosp Palliat Care, 2021 Jul;38(7):861-868.
PMID: 33789503 DOI: 10.1177/10499091211002797

BACKGROUND: Hospice and palliative care services provision for COVID-19 patients is crucial to improve their life quality. There is limited evidence on COVID-19 preparedness of such services in the Asia-Pacific region.
AIM: To evaluate the preparedness and capacity of hospice and palliative care services in the Asia-Pacific region to respond to the COVID-19 pandemic.
METHOD: An online cross-sectional survey was developed based on methodology guidance. Asia-Pacific Hospice and Palliative Care Network subscribers (n = 1551) and organizational members (n = 185) were emailed. Descriptive analysis was undertaken.
RESULTS: Ninety-seven respondents completed the survey. Around half of services were hospital-based (n = 47, 48%), and public-funded (n = 46, 47%). Half of services reported to have confirmed cases (n = 47, 49%) and the majority of the confirmed cases were patients (n = 28, 61%). Staff perceived moderate risk of being infected by COVID-19 (median: 7/10). > 85% of respondents reported they had up-to-date contact list for staff and patients, one-third revealed challenges to keep record of relatives who visited the services (n = 30, 31%), and of patients visited in communities (n = 29, 30%). Majority of services (60%) obtained adequate resources for infection control except face mask. More than half had no guidance on Do Not Resuscitate orders (n = 59, 66%) or on bereavement care for family members (n = 44, 51%).
CONCLUSION: Recommendations to strengthen the preparedness of palliative care services include: 1) improving the access to face mask; 2) acquiring stress management protocols for staff when unavailable; 3) reinforcing the contact tracing system for relatives and visits in the community and 4) developing guidance on patient and family care during patient's dying trajectory.

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