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A Time Of Transition: Globally And At Mgdr, Nikhilesh Dholakia, Deniz Atik, Zeynep Ozdamar Ertekin, Delphine Godefroit-Winkel

Markets, Globalization & Development Review

No abstract provided.

Dynamic Transmit Power And Duty Cycle Control For Wireless Range Extension, Omar El Ayach, Nihar Jindal

Defensive Publications Series

Wireless communication range for certain devices (e.g., a smartphone, smart watch, wearable device, augmented reality glasses, etc.) can be limited by regulatory transmit power constraints, such as for specific absorption rate, which may contribute to unreliable connections at a network edge. Systems and methods are described for dynamically managing a transmitter's duty cycle and instantaneous power. For example, a link assessment module can monitor wireless conditions and, upon detecting a power-limited state, a duty cycle modulator can reduce the transmitter's active time using techniques such as inter-frame space elongation or control frame mechanisms. This reduction can create a power budget …

User-Specified Source Preferences For Personalizing Information Retrieval Results, Deep Shah, Aditya Bhandari, Phelipe Fernandes, Chris Meave-Ohrt

Defensive Publications Series

The information retrieval systems that utilize general ranking algorithms may not consistently surface content from sources an individual user personally trusts, potentially leading to a less personalized experience. Systems and methods can provide a framework for users to explicitly designate preferred content sources. These preferences may be stored and retrieved when a user performs a search. With appropriate user permissions being obtained, the search process can be modified to incorporate these preferences, for example, by performing a parallel search restricted to the preferred sources or by applying a ranking boost to content originating from these sources. This approach can result …

The Server-Side Heartbeat For Power-Optimized Persistent Connection Management, Nazih Almalki, Sumukh Shevde, Fred Quintana, Todd Hansen

Defensive Publications Series

Maintaining persistent connections between a server and a client device can be resource-intensive for the client. The client-initiated heartbeat signals, used to prevent connection timeouts by network intermediaries, can lead to increased power consumption and data usage on battery-powered devices, for example, a smartphone, smart watch, or wearable device. A technique is described for a server-side connection management system where the server, rather than the client, can initiate a periodic heartbeat signal to the client to help keep the connection active. The system may also incorporate state-aware logic, allowing the server to receive signals indicating the client's power state, such …

Dynamic Adjustment Of User Interface Colors Based On Contextual Signals, Tim Whalin

Defensive Publications Series

The user interface colors extracted from source content may exhibit reduced legibility and inconsistent visual fidelity when viewed under different conditions. Factors such as device screen brightness, ambient lighting, and system display modes can alter the perceived color. A system can receive a base color and a set of real-time contextual signals from a computing device and a transformation algorithm can then process these signals to modify properties of the base color, for example, its lightness and saturation, while often preserving its hue. This process can improve the perceptual consistency and readability of user interface colors across various viewing environments …

Autonomous Agentic Analytics -Ai System For Financial Datasets, Santosh Babu Kanutala, Karthikeyan Kandasamy, Nick G. Roberts

Defensive Publications Series

The present disclosure relates to a method and system for automatic agentic analytics for proactive, intelligent analytics through coordinated artificial intelligence (AI) agents. The system monitors one or more real-time financial data sources and generates user context features, data context features and organizational context features based on the monitoring. The system combines the user context features, the data context features, and the organizational context features to generate a combined feature vector. Further, the system processes the combined feature vector to identify AI agents to be activated and determines agent coordination strategies for the identified AI agents.

Multimodal Llm For Automated Validation And Correction Of Geospatial Data., Ilia Labzovsky, Danny Karmon

Defensive Publications Series

Manual verification of potential map inaccuracies can be resource and time intensive. Some systems may utilize a multimodal large language model (LLM) as a reasoning engine for map data validation. An LLM can be configured to ingest and analyze disparate data sources, such as user-generated reports, street-level and satellite imagery, and anonymized aggregate location data. By performing a cross-validation analysis on these inputs, the system may calculate a confidence score for a potential map discrepancy. In some examples, when the score exceeds a predetermined threshold, the system can automatically execute a correction in a geospatial database. This automated correction process …

Method Of Electrically Insulating And Mechanically Protecting Multi-Chip Modules (Mcm) To Enable Re-Work Capabilities

Defensive Publications Series

Electronics for down-hole drilling operations, missile or high-power applications are exposed to harsh environments. In particular high temperatures can cause quick failure of printed-circuit board (PCB) electronic assemblies using microelectronic components (e.g. bare dies) with an organic package due to chemical degradation. Hence, typically hermetically sealed multi-chip modules (MCMs) are applied for high-temperature harsh environment applications. These modules consist of active (e.g. bare dies) and passive components assembled on various substrates in a hermetically sealed housing with pin connectors enabling external control. MCMs designed to be used for harsh environments providing a much higher reliability typically are significantly more cost …

Multi-Directional Haptics Actuator, J-Z Tseng

Defensive Publications Series

This publication discloses a multi-dimensional haptic actuator (“MDHA”) for use in electronic devices, such as smartphones and tablet computers. Several of the disclosed MDHA’s components are uniquely configured and positioned in both the X plane and the Y plane to provide enhanced power-force efficiency in two or more directions, thereby enabling a wider range of user scenarios (e.g., additional vectorial sensations and different compositions of haptic frequencies) than are possible with traditional single-plane actuators.

Seismic Responsive Buildings: Comparison Between Egyptian Code 2012 With Different International Codes For Seismic Structural Irregularities At Architectural Design, Aya Abd El Ghaffar Mohamed, Mohamed Anwar Mohamed Fikry, Mai Mohamed Abdo

Mansoura Engineering Journal

Seismic codes are laws and regulations that establish the basic requirements for building structures that can withstand seismic activity. Each country has different restrictions under different subheadings, depending on the seismic history of the region and the economic situation of the country. "Structural irregularity" is the most significant aspect of earthquake codes contributing to architectural design. A regular design of a structure leads to more rational behavior during earthquakes, enhancing resistance to dynamic loads and economic performance in comparison to irregular buildings. Architects must understand how earthquakes impact structures, as the structural system shapes the building's form and aesthetics, and …

How Can Smart Resilience Cities Provide Sdgs? An Integrative Framework Regarding Climate Change Mitigation, Asmaa M. Hassan, Manar A. Kotb

Mansoura Engineering Journal

Urbanization and climate change influence public health and wellbeing, which presents challenges facing architects and urban planners towards providing sustainable and resilient cities. In this context, smart city concept has been adopted to contribute to mitigating such influence. This study aims to conduct a bibliometric analysis within the previous scope. Then an integrative framework for climate change mitigation towards resilient smart cities based on SDGs is accomplished. The results indicate that further efforts are needed to develop “smart tools”, “urban economy”, and “carbon footprint. In addition, the proposed framework provides a significant paradigm shift towards mitigation of climate change impacts, …

Comparative Analysis Of Tuberculosis Treatment Costs: Drug-Resistant Vs. Drug-Sensitive Cases In Vietnam, Thi-Kim-Thang Dao, Dao Dinh, Mai-Hien Chuc, Hai-Anh Ha

Bulletin of Faculty of Pharmacy Cairo University

This study analyses the economic and clinical implications of treating pulmonary tuberculosis (TB), focusing on direct treatment costs and patient outcomes at Da Nang Hospital for Lung Diseases in Vietnam. Data were collected from 448 inpatient TB cases throughout 2022, encompassing both drug-sensitive and drug-resistant forms of TB. Analysis revealed that drug-resistant TB patients incur significantly higher treatment costs compared to those with drug-sensitive TB, with costs escalating further among older adults and patients with multiple comorbid conditions. Specifically, treatment for drug-resistant TB averaged $463.84 per patient, significantly surpassing the $217.09 average for drug-sensitive cases, indicating the economic burden posed …

Evaluation Of The Relationship Between Polycystic Ovarian Syndrome And Hypertension: A Case-Control Study, Ayat Salim Khaleel, Abeer Gheaid Yousif Al-Fatlawi, Wasan Ghazi Aboud Al-Safee

Al-Ameed Journal for Medical Research and Health Sciences

Background: Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting reproductive-aged women. It has been associated with metabolic disturbances that may increase the risk of hypertension. Objective: This study aimed to evaluate the association between PCOS and hypertension, with a particular focus on anti-Müllerian hormone (AMH) as a potential biomarker. Methods: A case-control involving women aged 15-45 years (mean of age 28.666±6.837) years, divided into two groups n=45 (mean of age 31.689 ± 6.842) used as controls and n=45 patients (mean of age 24.644 ± 5.390), The serum LH, FSH, insulin, prolactin, and testosterone were measured …

Dislodged Denture In A Patient On High-Flow Nasal Cannula: A Rare Mechanical Complication, Ranjana Chimauriya, George John Pyrgos

Journal of Community Hospital Internal Medicine Perspectives

A man in his 70s presented with dyspnea and a seizure, requiring intubation for suspected status epilepticus. Following extubation and treatment for a COPD exacerbation, persistent hypoxemia led to high-flow nasal cannula (HFNC) therapy. However, his condition worsened with increased work of breathing and inability to speak. Chest radiography revealed a dislodged denture in the upper airway. Emergency reintubation and removal of the denture led to rapid clinical improvement, and he was extubated the next day. While denture dislodgement has been reported with bag-mask ventilation and BiPAP, this is the first case associated with HFNC. This case underscores the need …

Gastric Adenocarcinoma With Enteroblastic Differentiation Presenting As Lung Nodules: A Diagnostic Dilemma, Jain Evani, Yadav Devvrat, Sainatham Chiranjeevi, Kc Manisha, Jain Anirudh, Jindal Vishal

Journal of Community Hospital Internal Medicine Perspectives

Background: Gastric Adenocarcinoma with enteroblastic differentiation (GAED) is a rare subtype of AFP-producing gastric cancers characterized by a tubulo-papillary pattern resembling fetal gastrointestinal epithelium. It expresses at least one of the following enteroblastic markers (EMs): glypican-3 (GPC3), spalt-like transcription factor 4 (SALL4), and α-fetoprotein (AFP). Case Report: A 78-year-old man with a history of chronic dry cough was found to have multiple fluorodeoxyglucose avid lung nodules with CDX-2 positivity on immunohistochemistry (IHC). Next Generation Sequencing (NGS) and Caris GPSai were inconclusive. Endoscopy revealed a fungating mass at the gastroesophageal junction. Histology revealed well-differentiated adenocarcinoma with mucinous features. IHC was positive …

A Rare Case Of Spondylodiscitis Due To Actinotignum Schaalii In A Patient With Crohn’S Disease, Austin Tiesenga, Thomas R. , Birris, William Schreiner, David Malaka, Michael S. Wang

Journal of Community Hospital Internal Medicine Perspectives

We report a case of a 55-year-old male with a history of Crohn’s Disease who presented for acute on chronic worsening back pain. He was found to have spondylodiscitis with adjacent myositis secondary to an uncommon urinary tract infection pathogen, Actinotignum schaalii. He underwent an interventional radiology disc biopsy and open surgical biopsy with culture. He was successfully treated with a six-week course of IV daptomycin and ceftriaxone.

Bullous Myringitis In An Adult With Chronic Noise Exposure, Oluchi Ndulue, Faisal Elali, Sahibjot Sandhu, Michal Preis, Michael Marcelin

Journal of Community Hospital Internal Medicine Perspectives

Bullous Myringitis (BM) is an acute painful infection in which vesicles or bullae form on the tympanic membrane. It is rare in adults and could be present with acute otitis media (AOM) if the middle ear is involved. This case report details a 55-year-old male with a history of recurrent childhood ear infections, chronic military noise exposure, smoking, and Crohn’s disease presenting with severe right ear pain, hearing loss, and fever. Examination revealed signs of AOM with perforations in the tympanic membrane and purulent drainage. Initial management included antibiotics and analgesics, but symptoms progressed, requiring further investigation. Imaging showed complete …

Infective Endocarditis With Coronary Artery Embolization And Multisystem Involvement In A Patient With A History Of Iv Drug Use: A Case Report, Abdul Moiz, Khawaja Owais Omar

Journal of Community Hospital Internal Medicine Perspectives

Background: Infective endocarditis (IE) is a rare cause of myocardial infarction (MI). In contrast to other embolic phenomena associated with IE, the incidence of coronary embolism is65%. Common risk factors of IE include intravenous drug use (IVDU), hemodialysis and the use of cardiac devices. We present a unique case of multiple coronary artery involvement on 2 separate occasions highlighting the need for increased awareness among healthcare professionals.

Case Report: A 38-year-old female with history of IVDU, hepatitis B and C presented with acute chest pain and was found to have NSTEMI and active aortic valve vegetation. Left heart catheterization (LHC) …

A Not Too Fragile Bacteroides, Siddartha Guru, Nadim Jaafar, Rahul Sharma, Poonam Bai

Journal of Community Hospital Internal Medicine Perspectives

We present a rare case of Bacteroides fragilis vertebral osteomyelitis, in a 20-year-old female with no underlying medical conditions. She presented with a three-week history of lower back pain, myalgias, rigors, and night sweats. The patient was febrile and tachycardic, with borderline low blood pressures. Her initial labs showed elevated inflammatory markers with no leukocytosis. MRI of the thoracic and lumbar spine demonstrated T12/L1 discitis/osteomyelitis with phlegmonous changes and concerns for epidural abscess, causing mild to moderate spinal stenosis. Bacteroides fragilis grew in an anaerobic bottle, and a CT-guided biopsy of the T12/L1 lesion grew Bacteroides fragilis. E-test sensitivities revealed …

A Unique Metastatic Spread Of Lung Adenocarcinoma To The Stomach: A Case Report And Literature Review., Aniqa Faraz, Ammad Naeem, Hafiz Muhammad Aslam

Journal of Community Hospital Internal Medicine Perspectives

Lung cancer is a leading cause of cancer-related deaths and commonly spreads to the brain, bones, liver, and adrenal glands. Gastric metastases from lung cancer are uncommon and can occur in melanoma, breast cancer, and lung cancer. Most patients show no symptoms at presentation; however, metastasis from lung cancer portends a poor prognosis. This case report highlights a rare instance of lung cancer metastasizing to the stomach in a 60-year-old female that was detected incidentally on a PET scan. The scan showed two new stomach masses with increased FDG uptake and contrast enhancement. The patient had chemoimmunotherapy after receiving palliative …

Two Cases Of Intramyocardial Dissecting Hematoma Diagnosed By Echocardiography, Jianbo Wu, Fei Bian, Xijun Zhu, Xin Du, Tao Hao, Qian Liu

Journal of Community Hospital Internal Medicine Perspectives

Intramyocardial dissecting hematoma (IDH), a rare complication of myocardial infarction, was investigated through two unique clinical cases in this study. We demonstrate echocardiography's pivotal role in emergency diagnostics by detailing its critical contribution to rapid identification. Furthermore, we propose a hypothesis regarding the anatomical subtypes of IDH, potentially offering new perspectives and insights into this rare cardiac condition.

Unravelling The Downhill Spiral: A Tale Of Alcohol, Varices, And A Hidden Stenosis, Edris Adel, Urwah Ahmad, Ramya Vasireddy, Jasmine Barrow

Journal of Community Hospital Internal Medicine Perspectives

Downhill esophageal varices (EVs) were first described in 1964 by Felson and Lessure.¹ They are rare with an incidence rate of 0.5% in the general population.¹ They usually develop due to an increase in pressure and/or obstruction of the superior vena cava (SVC) and rarely present with hematemesis. SVC syndrome, surgical ligation of the SVC, Castleman syndrome, pulmonary hypertension, and hypercontractile esophageal motility disorders can cause this.¹ We report a case of downhill EVs in an older male with alcohol use disorder with incidental finding

of SVC stenosis secondary to an old, unused chemotherapy port.

Utilization Of Antiviral Treatment For Hospitalized Patients With Mild-To-Moderate Covid-19 At High Risk For Disease Progression, Michael P. Iannetti, Katie Barnes, Stephen Varga, Suzanne Kemper, Elaine Davis Mattox

Journal of Community Hospital Internal Medicine Perspectives

Clinicians frequently encounter patients in the hospital with mild-to-moderate COVID-19 who are at high risk for disease progression. Antiviral drugs reduce the rate of progression to severe COVID-19 when given to these patients within 5-7 days of symptom onset. To look at the utilization of antiviral medications in hospitalized patients with mild-to-moderate COVID-19, a detailed chart review was conducted of 500 randomly selected patients from the Charleston Area Medical Center COVID-19 Registry. We identified 124 patients with mild-to-moderate COVID-19 who were eligible for antiviral treatment. Only 41 of the 124 patients (33.1%) received antiviral treatment. Providers listed mild symptoms as …

Psychological Impact Of Pulmonary Embolism: A Narrative Review., Farooq Hyder, Hina Pervaiz, Fnu Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari Vishal Nenwani, Allah Warayo, Kishor Kumari, Muhammad Salman, Abida Parveen, Mubeena Javid, Raveena Bai Bansari

Journal of Community Hospital Internal Medicine Perspectives

Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health …

Iron Deficiency—Challenging To Diagnose: A Retrospective Chart Review Of Referrals To Classical Hematology Clinic, Arianna S Moss, Melissa Thomas, Spencer Gibson, Ray Quy, Eva Zhao, Angelina Wang, Ben P Debeusscher, Zahra Pakbaz

Journal of Community Hospital Internal Medicine Perspectives

Background: Iron deficiency (ID) is the leading nutritional deficiency and a major public health concern globally. Although anemia is the most widely known consequence of ID, ID is also an underrecognized cause of white blood cell and platelet count abnormalities.The primary objective of the current study is to assess physicians’ abilities to diagnose ID. Methods: This study is a retrospective chart review of 862 adults (mean age +/- SD of 52.5 ± 18.4, 447 female) seen by a classical hematologist at an academic center. Data analysis included specialty type of referring provider, referral reason, and the diagnosis made by the …

Quality Of Life Changes Post-Pci With Contrast-Induced Nephropathy, Uzair Nisar Malik, Kashif Iltaf, Maria Mohamed Ahmed Babiker, Prem Chand, Rakesh Kumar, Areesha Qureshi, Aajay Kumar, Muhammad Hassan Bari, Ali Karim, Sameet Kumar, Fnu Shweta, Fnu Rumela, Fnu Payal, Abida Parveen

Journal of Community Hospital Internal Medicine Perspectives

Objective: This study aimed to evaluate the impact of contrast-induced nephropathy (CIN) on quality of life (QoL) in patients undergoing percutaneous coronary intervention (PCI) in Pakistan. Methods: A retrospective cohort study was conducted involving 5,325 patients who underwent PCI, divided into CIN (n = 1,250) and non-CIN (n = 4,075) groups. Demographics, clinical characteristics, and procedural details were recorded. QoL was assessed using a standardized questionnaire before and after PCI, covering physical functioning, pain, mobility, anxiety/depression, and overall health. Statistical analyses compared QoL scores between groups and identified predictors of change. Results: Patients who developed CIN exhibited a significant decline …

Jchimp 15th Anniversary Issue: Peer Review, Authorship And Scholarly Activity, Surendra Marur, Lucien J Cardinal, Gillian Junker

Journal of Community Hospital Internal Medicine Perspectives

JCHIMP's Editor-in-Chief and a Member of the Board review the value of peer review and its compliance with ACGME rules, touch upon the cost of publications and potential sources for publication funding and acknowledges the contributions of authors and peer reviewers to the success of JCHIMP in 2024.

A Novel Hybrid Intrusion Detection Model: A New Metaheuristic Approach For Feature Selection Based On Ai Techniques For Cyber Threat Detection, Maryam Mahdi Alhusseini, Alireza Rouhi

Iraqi Journal for Computer Science and Mathematics

The rapid increase in internet usage, digital transformation, and the rise of interconnected devices have greatly expanded the attack surface, introducing new and evolving cybersecurity challenges. Conventional security solutions frequently have difficulty adjusting to complex threats and the vast dimensionality of network traffic data, particularly in the case of imbalanced datasets. To tackle these challenges, this research introduces a Hybrid Intrusion Detection System (HyIDS-EVO) that combines the Energy Valley Optimizer (EVO) for feature selection and dimensionality reduction with machine learning classifiers, which include Support Vector Machine (SVM), Random Forest (RF), Decision Tree (DT), and K-Nearest Neighbors (KNN). The system’s effectiveness …

Mmp-7 Expression And Rs11225307 Polymorphism In Breast Cancer And Fibroadenoma: A Molecular Study In Basrah, Iraq, Heba Jassam, Wijdan Nazar Ibraheim, Mazin Hawwaz Abdulridha, Rafid Adil Abood, Karam B. Nanjem

AUIQ Complementary Biological System

Breast cancer (BC) progression relies heavily on extracellular matrix degradation, mediated in part by matrix metalloproteinase-7 (MMP-7). While overexpression of MMP-7 has been implicated in multiple cancers, data from Middle Eastern populations remain limited.

This study examined MMP-7 gene expression and polymorphism patterns, with emphasis on rs11225307, in breast cancer versus benign fibroadenoma (FA) tissues among women in Basrah, Iraq. Thirty-seven BC and twenty-three FA patients were enrolled. MMP-7 mRNA expression was quantified using qRT-PCR and normalized to β-actin, while polymorphisms were analyzed through Sanger sequencing of eight SNPs and allele-specific PCR for rs11225307. Statistical significance was set at …

Population Structure Analysis Of Four Basal Higher-Attines Using Bioinformatic Approaches, Gabriel Mcdanield

Biology Theses

Metapopulations within the family Formicidae are unique among other animals due to the large colonies they build, and the mating strategies required to fertilize a specialized reproductive caste that will often produce young for the life of the colony. One group of ants, the fungus-gardeners (tribe Attini). The population structure of North American non-leafcutting, fungus-gardening ants has been understudied, especially in the southwest of the United States. Additionally, not much is known about their dispersal biology, so the dynamics of dispersal of these species and how they affect population structure is likewise not well known. To shed light on the …