Academic literature on the topic 'Spikes protocol'

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Journal articles on the topic "Spikes protocol"

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Sadaqat, Ameelia, Sana Sattar, Irem Rasheed, Anaab Wasim, Muhammad Shoaib Nabi, and Tayyiba Wasim. "PHYSICIANS PERSPECTIVE OF BREAKING BAD NEWS-SPIKES PROTOCOL." Journal of Akhtar Saeed Medical & Dental College 04, no. 02 (2024): 70–76. https://doi.org/10.51127/jamdcv06i02oa05.

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Background:Doctor patient relationship is one of the closest and trusted relationship. An effective and good communication is the key to a satisfied client with enhanced capacity to take right decisions. To assess physician knowledge and attitude about SPIKES protocol of breaking bad news.Material and Methods:This crosssectional study was conducted at Ghurki Trust Teaching hospital affiliated with Lahore Medical & Dental College from 1stOctober 2023 to 31stDecember 2023. We used convenient sampling through a questionnaire based on SPIKES protocol which will be filled by doctors who consented to participatein the study.Results: A total of 182 doctors belonging to different specialties of the hospital participated in the study. There were 153(84.1%) females and 29(15.9%)males. Majority (63.1%) were residents and had less than 10 years of experience. 90.6% were not aware of the SPIKES protocol for breaking bad news and (68.1%) learnt by seeing experts or by hit and trial. About 48.9% considered setting of BBN should be in an office. Majority (80.2%) had a tendency to tell the truth about diagnosis to both patients and family members. About 60.4% admitted that they listened to questions asked by patients without interruption. Half of the participants (53.8%) felt sad while delivering bad news. About fears faced by doctors while BBN 37.9% feared they will be ending hope forpatient and 20.3% feared of patient’s reaction. One hundred and sixty (87.9%) participants believed that it is very important to incorporate “how to break bad news” in graduation course.Conclusion:Breakingbadnewsisanessentialcommunicationskillfordoctors.Trainingshouldbegivenaboutprotocolinundergraduateyears.Keywords:Ssetting,Pperception,Iinvitationorinformation,Kknowledge,Eempathy,andSsummarizeorstrategize(SPIKES),Breakingbadnews,Communicationskills
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Gesser, Ana Maria, Mirian Silva Dos Santos, and Marcelo Vier Gambetta. "Spikes: um protocolo para a comunicação de más notícias / Spikes: a protocol for communicating bad news." Brazilian Journal of Development 7, no. 11 (2021): 103334–45. http://dx.doi.org/10.34117/bjdv7n11-111.

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Kayrouz, Rony, Christine Irene Senediak, and Roy Laube. "Building a bridge: A case report on communicating mental-health diagnoses to patients of a culturally and linguistically diverse background." Australasian Psychiatry 25, no. 5 (2017): 478–80. http://dx.doi.org/10.1177/1039856217726685.

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Objective: This paper is based on a case report, describing a protocol to help practitioners communicate mental-health diagnosis to patients from culturally and linguistically diverse (CALD) backgrounds. The protocol was presented by integrating the DSM-5 Cultural Formulation Interview (CFI) and the SPIKES protocol for communicating the diagnosis of cancer, yielding a modified CFI-SPIKES protocol (i.e. S, Support; P, Perception using CFI; I, Invitation; K, Knowledge; E, Emotions). The protocol was demonstrated using a case report with a patient of a Middle-Eastern background experiencing generalised anxiety disorder. Conclusions: The CFI-SPIKES protocol for communicating mental-health diagnosis allows for a collaborative process, whereby the CALD patient and practitioner can address the stigma associated with communicating a mental-health diagnosis, ensuring patient engagement and informed shared decision making.
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Delgado-García, Gabriel, Isabel M. Martín-López, Fulgencio Soto-Méndez, Arturo Quílez-Maimón, and Salvador Boned-Gómez. "Does the Fatigue Induced by a 30-Minute Run Affect the Lower Limb Acceleration Spikes’ Asymmetries?" Bioengineering 12, no. 3 (2025): 294. https://doi.org/10.3390/bioengineering12030294.

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Running-induced fatigue affects several biomechanical parameters, and yet few studies are focused on the acceleration spikes’ asymmetries. This study aimed to evaluate the effects of a 30 min run on lower limbs spikes’ asymmetries. Eighteen recreational runners (35.6 ± 7.5 years; seven women) performed a treadmill running protocol at a moderate speed and acceleration spikes’ asymmetries and kinematic (temporal) parameters were measured via accelerometers—on the tibias and sacrum—and photogrammetry. Acceleration spikes’ parameters were continuously measured and averaged per minute to assess the relationship between fatigue and acceleration spike asymmetries via a linear regression model. Right tibial acceleration spikes increased over time (r = 0.9; p < 0.001) and left tibia spikes decreased (r = 0.78; p < 0.001), with a rise in tibial load asymmetry from 9% to 25% at the end (r = 0.98; p < 0.001). This study suggest that fatigue affects the acceleration spikes of the two legs differently, with increasingly greater acceleration spikes in the right (dominant) leg. These findings should be considered, as greater asymmetries are related to overuse injuries and lower efficiency. Also, in studies focusing on running mechanics with fatigue, it is recommended that researchers collect data from both limbs, and not only from the right (dominant) leg.
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Peixoto, Vanessa Giffoni de Medeiros Nunes Pinheiro, Rosiane Viana Zuza Diniz, and Clécio de Oliveira Godeiro Junior. "SPIKES-D: a proposal to adapt the SPIKES protocol to deliver the diagnosis of dementia." Dementia & Neuropsychologia 14, no. 4 (2020): 333–39. http://dx.doi.org/10.1590/1980-57642020dn14-040001.

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ABSTRACT. Dementia is a life-threatening and stigmatizing condition, with devastating impacts on the patient's personal identity and caregivers. There are many barriers to an effective diagnosis disclosure of dementia, including fear of causing distress, uncertainty of diagnosis, caregivers’ objection and lack of training in communication skills in undergraduate medical schools. Although some studies have been published on how to help physicians deliver an Alzheimer's disease diagnosis, no specific protocol has been published yet. The SPIKES protocol is a didactic approach designed to deliver bad news related to cancer, but it has been used globally and in a variety of clinical settings, including the teaching of communication skills to medical students and residents. It is known, however, that the cognitive impairment of Alzheimer's disease and other dementias may limit the understanding of the diagnosis’ complexity; hence, a few adaptations of this model were made after reviewing the current literature on dementia diagnosis disclosure. The suggested SPIKES-D protocol seems to encompass current guidelines about the communication of the diagnosis of dementia, keeping its didactic approach on breaking bad news and helping fulfill the gaps in this topic.
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Gold, Carl, Cyrille C. Girardin, Kevan A. C. Martin, and Christof Koch. "High-Amplitude Positive Spikes Recorded Extracellularly in Cat Visual Cortex." Journal of Neurophysiology 102, no. 6 (2009): 3340–51. http://dx.doi.org/10.1152/jn.91365.2008.

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We simulated the shape and amplitude of extracellular action potentials (APs or “spikes”) using biophysical models based on detailed reconstructions of single neurons from the cat's visual cortex. We compared these predictions with spikes recorded from the cat's primary visual cortex under a standard protocol. The experimental data were derived from a large number of neurons throughout all layers. The majority of spikes were biphasic, with a dominant negative peak (mean amplitude, −0.11 mV), whereas a minority of APs had a dominant positive peak of +0.54-mV mean amplitude, with a maximum of +1.5 mV. The largest positive amplitude spikes were recorded in layer 5. The simulations demonstrated that a pyramidal neuron under known biophysical conditions may generate a negative peak with amplitude up to −1.5 mV, but that the amplitude of the positive peak may be at most 0.5 mV. We confirmed that spikes with large positive peaks were not produced by juxtacellular patch recordings. We conclude that there is a significant gap in our present understanding of either the spike-generation process in pyramidal neurons, the biophysics of extracellular recording, or both.
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Obioma, Ezeani Chukwuemeka, and E. C. Amadi. "Analysis of Optimal Routing Protocol for an Inter-Campus Private Cloud Network System." International Journal of Modern Developments in Engineering and Science 3, no. 2 (2024): 8–12. https://doi.org/10.5281/zenodo.12643596.

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With the need for resources sharing and the integration of cost-effective IT solution across tertiary institution in Nigeria, the need for an inter-campus private cloud network is presented in this project. The inter-campus private cloud network provides a platform for sharing resources across campuses instead of replicating such resources which are in many cases underutilized. This work presents the optimal routing protocol for an inter-campus private cloud network system that connects 5 campuses together within Owerri city in Nigeria. A star-star hybrid network topology was adopted in this project work and was modelled using Packet Tracer simulator. The network was simulated using the three main routing protocols namely RIP (routing information protocol), OSPF (open shortest path first) and EIGRP (enhanced interior gateway routing protocol) which were tested and compared to determine the routing protocol with the shortest convergence time. The connection time of the three routing protocols used on the exchange point network was run at a TTL value of 24 and packet size of 32 bytes. The RIP provided a convergence time that is within 3 and 4 seconds, with slightly varied spikes of not up to 10 seconds, OSPF and EIGRP also tries to maintain a time of between 3 and 4 seconds but is plagued with so many spikes of up 20 seconds for EIGRP and 17seconds for OSPF. The results showed that with a routing protocol like RIP, connections between the campuses via the exchange point will converge faster. As a result, RIP routing protocol was adopted as the optimal routing protocol to be used for the network configuration due to its better convergence time.
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Mehrez Mahmoud Ali, Marwa, Amany Sayed Eweas Mohamed, Doaa El Demerdash, Hala Eid Mohammed, Manal Mohamed Ahmed Ayed, and Aida Faried Abdelwanees Ali. "Evaluating SPIKES Protocol Implementation in Critical Care Setting." Egyptian Journal of Health Care 15, no. 3 (2024): 1269–80. http://dx.doi.org/10.21608/ejhc.2024.390705.

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Girardi, José Marcos, Beatriz Amélia Monteiro de Andrade, Flavio Rogerio de Carvalho Leao, Mairla Machado Protazio, Márcia Pedrosa de Oliveira, and Cristianne Soares Chaves. "O protocolo spikes na comunicação de más notícias em saúde: revisão integrativa." Revista Brasileira de Educação e Saúde 14, no. 1 (2024): 142–50. http://dx.doi.org/10.18378/rebes.v14i1.10218.

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Introdução: A competência de comunicação em saúde exigida para o cuidado está associada a melhores resultados e maiores índices de satisfação, em especial quando profissionais fornecem más notícias, que alteram negativamente a visão do paciente sobre seu futuro. O protocolo SPIKES, realizado em seis etapas, é abordagem didática relacionada ao câncer, mas tem sido usado em diversos cenários clínicos, como em doenças crônico-degenerativas e infertilidade, destacando o direito do paciente de não saber. Intervenções educacionais parecem eficazes para ensinar os educandos a lidar com esta competência. Objetivo: Identificar o papel do protocolo SPIKES na comunicação de más notícias em saúde. Metodologia: Busca bibliográfica de artigos em línguas inglesa ou portuguesa realizada no mês de agosto de 2023 nas bases eletrônicas de dados da literatura em saúde (MEDLINE e LILACS via BIREME, PUBMED, SciELO e SCOPUS), utilizando os termos “communication in health”, AND “breaking bad News” AND “SPIKES protocol”, sem limitação para o ano de publicação. Resultados: De 175 artigos incialmente identificados foram selecionados 39, excluídos aqueles que não atendiam à pesquisa, permanecendo 19 que embasaram a revisão. O protocolo SPIKES é plataforma valiosa, cujos modelos de comunicação centrados nas preferências dos pacientes podem resultar em melhores resultados de tratamento. Conclusão: Comunicação de más notícias é tarefa difícil para profissionais de saúde, para a qual a educação médica oferece pouca preparação, pois as habilidades de comunicação não são parte essencial dos currículos. O protocolo SPIKES fornece mensagem clara e compreensível de acordo com as necessidades e desejos dos pacientes.
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Kachkovska, Vladyslava. "THE UTILIZATION OF THE SPIKES PROTOCOL WITHIN RHEUMATOLOGY PRACTICE." Eastern Ukrainian Medical Journal 12, no. 3 (2024): 670–77. http://dx.doi.org/10.21272/eumj.2024;12(3):670-677.

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Introduction. The beginning of the patient-physician relationship often involves the delivery of bad news. The work of rheumatologists is unique in that they have to form strong relationships with their patients while delivering bad news. Many rheumatology patients stay with their doctors for their entire lives, which makes it essential to create a positive and caring experience for them. This depends on the physician's professional skills, ability to understand the patient, and engage in respectful and understandable communication when discussing complicated information. Currently, no specific recommendations exist for constructing an appropriate approach for every patient, especially in the case of rheumatology patients. This paper will adapt the SPIKES protocol for rheumatology practice. Methods. The literature search was done via MEDLINE/PubMed, Scopus, and Google Scholar. Search terms included “Ethics”, “Rheumatology”, “Bad news”, “SPIKES” and “Difficult patient”. These keywords were used in different combinations, using a filter box with an option for the recent 5 years. Firstly, articles’ abstracts were analyzed, and only articles that met inclusion criteria were included. Also, references from the selected articles were analyzed, except for the older publications and those irrelevant to the specific topic. Since there was not enough information for these requests, we tried to narrow the search by combining the names of various (most common) rheumatological diseases and using them along with the main purpose of the search. Then, we focused on the publications that met criteria and analyzed the sources cited in them. The 'Related Citations' function was also used in the search strategy. In the literature review process, we included 10 MEDLINE/PubMed articles, 4 Scopus articles, and 2 Google Scholar articles. Aim. This paper analyzes utilization of the SPIKES protocol in rheumatology practice. Results. Currently, no studies have been conducted on the utilization of these approaches in rheumatology practice. There is insufficient data regarding comparison of the effectiveness of different protocols in enhancing communication between the healthcare provider (physician or nurse) and the patient. Effective communication between physicians and patients can be achieved by following the six-step SPIKES approach, which involves specific communication skills. Conclusion. Delivering bad news requires different approaches, but none of them have been specifically tailored for rheumatic disease patients. These patients have unique behavior patterns due to the nature of their illnesses, which can lead to a decrease in their quality of life, limited activity, and painful symptoms. As a result, they often turn to their doctors in a state of personal and mental suffering. Thus, the SPIKES protocol is a useful tool for rheumatology practice
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Dissertations / Theses on the topic "Spikes protocol"

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Sousa, Fernando Henrique de. "A comunicação de más notícias: análise do treinamento de habilidades para profissionais de saúde." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-23012018-162932/.

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Estudo quase experimental, com grupo de intervenção avaliado antes e após o procedimento, com o objetivo de capacitar os profissionais da saúde para as situações de comunicação de más notícias aos pacientes e aos seus familiares, por meio de um curso de difusão gratuito, com duração de cinco horas. Participaram 79 profissionais da saúde, entre enfermeiros, estudantes de enfermagem, biólogos, farmacêuticos, estudantes de medicina, psicólogos, assistentes sociais e terapeutas ocupacionais. Foram utilizados como instrumentos de pesquisas: 1) o questionário Breaking Bad News sobre o protocolo SPIKES, que possui 13 questões objetivas. Este questionário foi analisado pela distribuição da porcentagem de respostas para cada questão; 2) o questionário de avaliação do curso de más notícias composto por 43 questões objetivas. Para a análise das variáveis quantitativas foram utilizadas as médias e as medianas para resumir as informações, e os desvios-padrão, mínimo e máximo, para indicar a variabilidade dos dados, além da porcentagem. A comparação entre as pontuações dos participantes na primeira e na segunda avaliação de habilidades de comunicação foi realizada pelo teste estatístico de McNemar. O teste estatístico não paramétrico Mann-Whitney foi utilizado para comparar a relação entre a idade dos participantes e as respostas do questionário de avaliação do curso de más notícias. A comparação entre a idade e a pontuação total dos participantes na avaliação de conteúdo do curso foi feita pelo coeficiente de correlação de Spearman. Para todos os testes assumiu-se o nível de significância em 5%. A idade dos participantes variou entre 18 e 55 anos, sendo a maioria do sexo feminino (83,5%) e da área da enfermagem (53,2% profissionais e 24,1% estudantes). Ademais, 57% dos participantes nunca tiveram qualquer formação sobre transmissão de más notícias, porém mesmo após este curso, oito pessoas continuaram afirmando que não tiveram formação alguma. A autoavaliação da capacidade de informar uma má notícia no pré-teste foi considerada boa por 18,2%; 20,8% consideraram-se ruins e 6,5%, péssimos, enquanto que o pós-teste 42,8% consideraram-se bons, 11,7%, ruins e 2,6%, péssimos. O conforto do profissional neste momento variou de 21,8% para 7,7% no item absolutamente desconfortável, e de 6,4% para 14,1% no item confortável. Após o conhecimento sobre o protocolo SPIKES, 92,3% acreditam em sua aplicabilidade na prática clínica.Quanto à estratégia utilizada pelos entrevistados em sua prática clínica, o item mostrou que \"um plano ou estratégia consistente\" apresentou frequências de 21,9% no pré-teste e 51,56% no pós-teste. Os elementos do protocolo SPIKES apontados como de maiores facilidades entre os participantes no pré-teste foi o local da notícia e a verificação da compreensão de tudo o que foi dito, 30,6% e 28,6%, ao passo que no pós-teste o item mais escolhido foi a escolha do ambiente (53,06%). A relação entre idade e conhecimento do protocolo SPIKES teve apenas um item que apresentou significância. Concluiu-se, portanto, que o treinamento de habilidades de comunicação de más notícias atingiu seus objetivos melhorando o conhecimento e a aptidão dos profissionais da saúde. Evidenciou-se também que a educação em comunicação na área da saúde mantém-se falha, bem como é escassa a difusão de protocolos que abarquem esta difícil tarefa destinada aos profissionais da saúde. O pós-teste mostrar-se-ia mais eficaz caso fosse aplicado após o retorno dos profissionais aos seus pacientes e o uso das técnicas apreendidas. Sugerimos a adoção de educação permanente aos atuantes na área da saúde<br>A quasi-experimental study with an intervention group evaluated before and after the procedure, in order to enable health professionals to communicate bad news to patients and their families through a free course of five hours duration. We evaluated 79 health professionals, including nurses, nursing students, biologists, pharmacists, medical students, psychologists, social workers and occupational therapists. The following research tools were used: 1) the Breaking Bad News questionnaire about the SPIKES protocol, which has 13 objective questions. This questionnaire was analyzed by the distribution of the percentage of answers for each question; 2) the evaluation questionnaire of the course of bad news composed by 43 objective questions. For the quantitative analysis we used the means and the medians to summarize the information, and the standard deviations, minimum and maximum to indicate the variability of the data, besides the percentage. The comparison between the scores of participants in the first and second evaluation of communication skills was performed by the McNemar statistical test. The Mann-Whitney non-parametric statistical test was used to compare the relationship between the age of the participants and the responses of the evaluation questionnaire of the course of bad news. The comparison between the age and the total score of the participants in the evaluation of course content was made by the Spearman correlation coefficient. For all tests, the level of significance was set at 5%. The participants\' ages ranged from 18 to 55 years old, with most females (83.5%) and nursing (53.2% professionals and 24.1% students). In addition, 57% of the participants never had any training on the transmission of bad news, but even after this course, eight people continued to claim that they had no training. The self-reported ability to report bad news in the pre-test was considered good by 18.2%; 20.8% were considered bad and 6.5% were poor, while the post-test 42.8% were considered good, 11.7%, bad and 2.6% Lousy. The comfort of the professional at the time ranged from 21.8% to 7.7% on the uncomfortable item and from 6.4% to 14.1% on the comfortable item. After knowing about the SPIKES protocol, 92.3% believe in its applicability in clinical practice. Regarding the strategy used by the interviewees in their clinical practice, the item showed that \"a consistent plan or strategy\" presented frequencies of 21.9% in the pre-test and 51.56% in the post-test. The elements of the SPIKES protocol identified as greatest facilities among participants in the pre-test were the news site and the verification of the understanding of all that was said 30.6% and 28.6%, while in the post-test the most chosen item was the choice of the environment (53.06%). The relationship between age and knowledge of the SPIKES protocol had only one item that presented significance. It was concluded, therefore, that communication education in the health area remains flawed, as well as the dissemination of protocols that cover this difficult task for health professionals. The post-test would be more effective if it were applied after the return of the professionals to their patients and the use of the seized techniques. We suggest the adoption of permanent education to those in the health area
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Howes, Julie K. "Testing of lumbar porcine spines, development of an experimental apparatus, protocol and 3D analysis tools." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20653.pdf.

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Hallquist, Carrie L. "Research into chemical spill response protocol at Hutchinson Technology Incorporated in Eau Claire, Wisconsin." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000hallquistc.pdf.

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Cross, Kasey, and Kasey Cross. "A Proposal for a Best-Practice Protocol for the Management of Patients with Suspected Cervical Spine Injury." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626650.

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Background: Research suggests that cervical spine CT examination is over used for potential injury due to blunt trauma. Education of emergency providers regarding evidence-based guidelines can help reduce the over-use of CT examination, and the development of an evidence-based protocol for the management of patients with suspected cervical spine trauma may help promote more appropriate clinical use of radiologic imaging for cervical spine clearance. Purpose: The ultimate goal of this project is to develop a best-practice, evidence-based protocol for the management of patients with suspected cervical spine injury, in order to promote safe and efficient clinical clearance, as well as promote judicious and appropriate use of diagnostic imaging for suspected cervical spine injury. Methods: A retrospective chart review of emergency radiographic imaging studies obtained over a three-month timeframe for suspected cervical spine injury at a 300-bed hospital in Tucson, Arizona was performed to compare ordering practices with the ACR-AC. Descriptive statistics were used for data analysis. A web-based survey was conducted of facility stakeholders including emergency physicians, nurse practitioners and physician assistants regarding their views about clinical guidelines and protocols for radiographic and clinical clearance of cervical spine injury. Descriptive statistics and thematic analysis was used for survey responses. Results: Analysis of 263 imaging studies over a three-month timeframe demonstrated that 24.3% of cervical spine imaging studies obtained in three-month timeframe would be considered not appropriate based on the ACR-AC. The survey of emergency clinicians revealed that none of those who responded have a preference for referring to the ACR appropriateness criteria, and the majority of respondents did not support the implementation of a hospital protocol for the management of patients with suspected cervical spine trauma. Recommendations: An institutional protocol for suspected cervical spine injury developed from the ACR-AC with incorporation of clinical clearance criteria is recommended. To promote clinician acceptance, overcome resistance to implementation, and promote individualized patient care, the protocol should also include provider education and should allow for variance based on individual patient circumstances.
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Hala, Martin. "Ovladač a hardwarový modul protokolu MiWi pro Linux." Master's thesis, Vysoké učení technické v Brně. Fakulta informačních technologií, 2014. http://www.nusl.cz/ntk/nusl-235422.

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The master's thesis is about a communication element - a hardware module, its design and implementation. The communication is to be maintained between a Linux embedded device and the sensors elements, using the MiWi protocol. The task is part of the IoT project, developed at FIT BUT. Furthermore, the paper describes design of a driver for the module, its likely solution, as well as the very implementation. Finally, the obtained experience is discussed in a summary, along the next step options on how to proceed further with the driver development.
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Hagström, Martin. "Remote desktop protocols : A comparison of Spice, NX and VNC." Thesis, Högskolan i Skövde, Institutionen för kommunikation och information, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-5931.

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This thesis compares the remote desktop protocol Spice to NX and VNC taking into consideration user experience when viewing multimedia content. By measuring the quality of the protocols by viewing a video in a slow-motion benchmark compared to ordinary speeds it is shown that Spice has a low video quality compared to VNC. It is likely that due to a large amount of data sent, Spice does not manage to reach a high quality user experience.
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Bettsworth, Christian. "Pist : un environnement pour l’étude des techniques d’implantation et le test de logiciel de communication." Lyon, INSA, 1988. http://www.theses.fr/1988ISAL0082.

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Le système PIST a pour but de faciliter l'étude et l'implantation de protocoles de communication. C'est un système de simulation qui permet d'intégrer un sous-ensemble d'un logiciel de communication dans son environnement de fonctionnement selon le modèle d'interconnexion des systèmes ouverts. Nous exposons les principes qui ont permis la conception et l'analyse d'un système modulaire et conduit à l'emploi d'un support multitâche. Le logiciel à tester est mis en présence d'un sous-système de référence homologue (n), d'un service de communication (n-1), et d'entités (n+1) qui mettent en œuvre des scénarios de test, le tout sous l'égide d'un superviseur. Une technique de modélisation du service (n-1) a été conçue et la décomposition modulaire a conduit à étudier les communications entre sous-systèmes adjacents et à définir une interface standard. Enfin, nous montrons comment un prototype centré sur la couche Transport d'ISO a été implanté sur un système d'exploitation UNIX et la façon dont on peut utiliser PIST pour la formation pratique à l'implantation des protocoles de communication.
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Gautier, Juliette. "Nanoparticules d'oxydes de fer PEGylées pour la délivrance de la doxorubicine : développement et évaluation de leur potentiel théragnostique." Thesis, Tours, 2013. http://www.theses.fr/2013TOUR3805/document.

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Des nanoparticules d’oxydes de fer superparamagnétiques (SPIONs) PEGylées ont servi de plateforme pour la formulation de nanovecteurs théragnostiques pour la délivrance d’un agent anticancéreux, la doxorubicine (DOX). Le chargement de la DOX sur les nanovecteurs à l’aide d’un complexe avec l’ion fer (II) a été optimisé. Ce complexe se dissocie en milieu acide, typique des compartiments intracellulaires. La spectroscopie Raman exaltée de surface (SERS) a confirmé que les nanovecteurs libèrent la DOX sous forme non complexée. La cytotoxicité in vitro induite par la libération de la DOX a été évaluée sur différentes lignées cellulaires de cancer du sein, et comparée à celle de la DOX en solution. Les voies d’internalisation des nanovecteurs ont été explorées en microscopie électronique en transmission (MET), et le devenir intracellulaire de la DOX a été suivi en imagerie confocale multispectrale (ICMS). Enfin, un protocole thérapeutique in vivo chez la souris tumorisée a permis d’évaluer la capacité de la nanoformulation à limiter la croissance tumorale, la possibilité d’un ciblage magnétique, et la réduction des effets secondaires induits par la DOX<br>PEGylated superparamagnetic iron oxide nanoparticles (SPIONs) were used as a platform to build theranostic nanovectors for the delivery of an anticancer drug, doxorubicin (DOX). The DOX loading on nanocarriers via a DOX-iron (II) complex was optimized. The complex dissociates at low pH, typical of intracellular compartments. Surface enhanced Raman scattering (SERS) confirmed that the nanovectors released DOX under free form. In vitro cytotoxicity due to DOX loaded on nanocarriers was performed on different breast cancer cells, and compared to that of DOX in solution. Internalization pathways of nanovectors were explored with transmission electron microscopy (TEM), and intracellular fate of DOX was monitored by confocal spectral imaging (CSI). To finish, a therapeutical protocol was performed on tumorized mice, in order to evaluate the efficacy of the nanoformulation on tumor reduction, the possibility of magnetic targeting, and the decrease of side effects induced by DOX
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Yeomans, William Easton. "The effect of treated sewage effluent (urban wastewater) on the trichodinid (protozoa: ciliophora) communities ectozoic on three-spined sticklebacks, Gasterosteus aculeatus L." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367184.

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Seixo, Carina Sofia da Purificação Pontes. "Transmissão de más notícias em contexto de cuidados continuados integrados." Master's thesis, 2015. http://hdl.handle.net/10198/12693.

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Comunicação de má notícia é definida como “Qualquer informação que altere de forma drástica e negativa a visão do doente sobre o seu futuro” (Buckman, 1984). Ou seja, é entendida como informação que muda a visão que o paciente tem do seu futuro, que envolve as enfermidades, dor ou perda das funções que se tornarão crónicas ou permanentes, ou a necessidade de tratamentos prolongados e dolorosos que podem enfraquecer e/ou mutilar o seu corpo. A comunicação de más notícias e a relação entre profissional de saúde/ doente/família são uma realidade no nosso quotidiano, constituindo-se numa das problemáticas mais difíceis e complexas, quer pelos dilemas pessoais e profissionais que origina, quer pela gravidade da situação e pela controvérsia que existe em “E agora, onde, como e quando é que vou dizer que...”. Perante esta realidade, consideramos pertinente proceder à realização deste estudo “Transmissão de Más Notícias em contexto de Cuidados Continuados Integrados”, com a finalidade de contribuir para a otimização e uniformização de critérios na transmissão de más notícias. O presente relatório tem como principal finalidade analisar e compreender os conhecimentos dos profissionais de uma equipa de Cuidados Continuados Integrados acerca da transmissão de más notícias, de modo a obtermos linhas orientadoras, para o desenvolvimento de competências de comunicação de más notícias, por parte dos profissionais de saúde, e também, para contribuir para uma conduta humanizada por parte destes mesmos profissionais. Este trabalho foi desenvolvido no âmbito do Mestrado em Cuidados Continuados entre Março e Junho de 2015, sendo apresentado em duas partes. A primeira parte diz respeito à estrutura prática, onde se descreve o nosso estágio curricular- Unidade de Cuidados Continuados Integrados de Murça no período de 3 de Março a 8 de Maio de 2015 (240 horas).A segunda parte destina-se à descrição do estudo empírico. O método de investigação utilizado neste estudo seguiu o paradigma quantitativo. O tipo de estudo foi um estudo de caso, descritivo-observacional, num plano transversal. Participaram neste estudo um total de 32 profissionais de saúde (n=32) da Unidade de Cuidados Continuados Integrados de Murça, nomeadamente 6 médicos (1 fisiatra,1 cirurgião geral, 2 internistas,1 pneumologista e 1 ortopedista), 19 enfermeiros (1 dos quais é diretor técnico), 3 fisioterapeutas, 1 terapeuta da fala, 1 terapeuta ocupacional, 1 assistente social e 1 psicóloga clínica. No que concerne ao questionário por nós elaborado, este foi construído com recurso à revisão da literatura efetuada. É composto por uma primeira parte de informação sociodemográfica e uma segunda parte (escala ordinal tipo Likert) por questões de resposta fechada. A revisão da literatura efetuada e o questionário aplicado aos profissionais de saúde a exercerem funções na Unidade de Cuidados Continuados Integrados de Murça possibilitaram a identificação de fatores que influenciam o processo de transmissão de más notícias, pelos profissionais de saúde. De entre os resultados, revela-se que 59 % dos profissionais de saúde considera que os doentes têm o direito de serem informados sobre o conteúdo da má notícia, ao passo que os restantes 41% acreditam que não o fazer pode diminuir o impacto negativo no estado físico e emocional dos doentes. Os mesmos, quando confrontados com a sua prática, apresentam algumas dificuldades em informar o doente sobre o conteúdo da má notícia. Os principais motivos invocados pelos profissionais de saúde mostrou que a maior dificuldade está em “lidar com as emoções do doente” (M= 3.93, DP= 1.25) e mais fácil “conseguir tempo para informar” (M= 2.17, DP= 1.44). É de realçar a formação contínua dos profissionais de saúde na comunicação de más notícias, uma vez que a formação é uma estratégia fundamental para o desenvolvimento de competências nesta área (de acordo com os resultados obtidos, mais de metade da equipa teve formação em comunicação de más notícias durante o percurso académico, 56%, mas apenas 31% continuou a fazer esse tipo de formação).<br>The communication of a bad new is defined as an information that “any information that change dramatically and negatively the patient’s view of its future” (Buckman, 1984). It is understood as an information that change the patient’s vision of it’s future, which involves diseases, pain or loss of function that will become chronic or permanent or will need prolonged and painful treatments that can weaken and/or maim the body. The communication of bad news and the relation between health professionals/patient/family are a reality in our daily lives, becoming one of the most difficult and complex issues. It is not only from personal and professional dilemmas, but also by the gravity of the situation and by the controversy that exists in “now and where, how and when i will say that…” Given this reality, we consider relevant to the construction of this study “of a Bad News Broadcast in the context of the Continuing Integrated Cares”, in order to contribute to the optimization and standardization of criteria in breaking bad news. This report's main purpose is to analyze and understand the knowledge of professionals in a team of Continuous Care about breaking bad news in order to obtain guidelines for the development of bad news communication skills by professionals health, and also to contribute to a humane conduct by these same professionals. This work was developed under the Master of Continuing Care between March and June 2015 and is presented in two parts. The first part concerns the practical framework, which describes our stage curricular- Continuous Care Unit Murça at 3 in the period from March to May 8, 2015 (240 hours) .The second part is intended for the description of the empirical study. The research method used in this study followed the quantitative paradigm. The type of study was a case study, descriptive, observational, cross a cloth. Participated in this study a total of 32 health professionals (n = 32) of the Continuous Care Unit of Murça, including 6 doctors (one physiatrist, one general surgeon, two internists, 1 pulmonologist and one orthopedic surgeon), 19 nurses (one of which is technical director), 3 physiotherapists, 1 speech therapist, one occupational therapist, one social worker and one clinical psychologist. With regard to the questionnaire prepared for us, this was built using the review of the literature performed. It consists of a first part of socio-demographic information and a second portion (ordinal Likert scale) for reasons of closed response. The review of the literature and the questionnaire enable the identification of facts that influence the process of breaking bad news, by the health professionals. Among the results, it’s revealed that 59% of health professionals think that patients are entitled to be informed of the bad news content, while the remaining 41% believe that hiding the results can reduce the negative impact in the physical and emotional state of the patient. The most part of the professionals have some difficulties to inform the patient about the contents of the bad news. The reasons of the health professionals shows that the big difficulty is to “deal with the patient’s emotions” (M= 3.93, DP= 1.25) and it is easier “get time to inform” (M= 2.17, DP= 1.44). It should be noted that the continuing education of health professionals in communicating bad news, considering that training is a key strategy for the development of skills in this area (according to the results obtained more than half of the team was training in poor communication news during the academic route, 56%, but only 31% continued to do this kind of training).<br>Communication de mauvaise nouvelle est défini comme “Toute information qui change radicalement et négativement le point de vue du patient de son future” (Buckman, 1984). C'est-à-dire, l'information qui change la vision que le patient a de son avenir, impliquant les maladies, la douleur ou la perte des fonctions qui vont devenir chroniques ou permanentes, ou la nécessité de traitements prolongés et douloureux qui peuvent affaiblir et/ou de mutiler leur corps. La communication de mauvaises nouvelles et la relation entre la santé professionnelle/patient/famille sont une réalité dans nos vies quotidiennes, devenant l'un des problèmes les plus difficiles et complexes, soit pour les dilemmes personnels et professionnels soit par la gravité de la situation et la controverse qui existe dans '' Et maintenant, où, comment et quand vais-je dire que.... ''. Compte tenu de cette réalité, nous considérons pertinent la réalisation de cette étude “Transmission de Mauvaises Nouvelles dans le cadre de surveillance continue”, afin de contribuer à l'optimisation et la uniformisation des critères pour la transmission de mauvaises nouvelles. Le but principal de ce rapport est d'analyser et de comprendre les connaissances des professionnels dans une équipe de soins continue de briser les mauvaises nouvelles pour obtenir des lignes directrices pour le développement de mauvaises nouvelles compétences de communication par des professionnels la santé, et aussi de contribuer à une conduite humaine par ces mêmes professionnels. Ce travail a été développé dans le cadre du Master of Continuing Care entre Mars et Juin 2015 et est présenté en deux parties. La première partie concerne le cadre pratique, qui décrit notre scène curricular- Soins continus Unité Murça à 3 dans la période de Mars à Mai 8, 2015 (240 heures) .Le deuxième partie est destinée à la description de la étude empirique. La méthode de recherche utilisée dans cette étude a suivi le paradigme quantitatif. Le type d'étude est une étude de cas, descriptive et observationnelle, un plan transversal. Participé à cette étude, un total de 32 professionnels de la santé (n = 32) de l'unité de Murça de soins continus, dont 6 médecins (un physiatre, un chirurgien généraliste, deux internistes, 1 pneumologue et un chirurgien orthopédique), 19 infirmières (un des qui est directeur technique), 3 kinésithérapeutes, 1 orthophoniste, un ergothérapeute, un travailleur social et un psychologue clinicien. En ce qui concerne le questionnaire préparé pour nous, cela a été construit en utilisant la revue de la littérature réalisée. Il se compose d'une première partie de l'information socio-démographique et une seconde partie (échelle ordinale de Likert) pour des raisons de réponse fermée. La revue de la littérature réalisée et le questionnaire permettent l'identification des facteurs qui influencent le processus de mauvaises nouvelles, par les professionnels de santé. Parmi les résultats, il est révélé que 59% des professionnels de la santé pensent que les patients ont le droit d'être informé du contenu de la mauvaise nouvelles, tandis que les 41% estiment que ne pas le faire peut réduire l'impact négatif sur l'état physiques et émotionnels des patients. Lorsqu'ils sont confrontés à leur pratique, ils présentent des difficultés pour informer le patient sur le contenu de la mauvaise nouvelle. Les principales raisons invoquées par les professionnels de la santé ont montré que la plus grande difficulté est de «traiter avec les émotions du patient" (M = 3.93, SD = 1,25) et plus facile “trouver du temps pour informer” (M = 2.17, SD = 01:44) . Il convient de noter la formation continue des professionnels de la santé à communiquer de mauvaises nouvelles, puisque la formation est une stratégie clé pour le développement des compétences dans ce domaine (selon les résultats obtenus, plus de la moitié de l'équipe était la formation pour l'information de mauvaises nouvelles pendant les études, 56%, mais seulement 31% ont continué à faire ce genre de formation).
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Books on the topic "Spikes protocol"

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Goldish, Meish. Tricky trapdoor spiders. Bearport Pub., 2009.

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Thomas, Tim. Rehabilitation of seabirds: Improved protocols in the light of continual review and practice. Royal Society for the Prevention of Cruelty to Animals, 1993.

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Organization, International Maritime, ed. Protocol of 1992 to amend the International Convention on Civil Liability for Oil Pollution Damage, 1969.: Protocol of 1992 to amend the International Convention on the Establishment of an International Fund for Compensation for Oil Pollution Damage, 1971. International Maritime Organization, 1996.

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Sexton, Colleen A. Aphids. Bellwether Media, 2008.

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Taber, Stephen Welton. The world of the harvester ants. Texas A&M University Press, 1998.

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Saidoff, David C. Critical pathways in therapeutic intervention: Upper extremities. Mosby, 1997.

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Saidoff, David C. Critical pathways in therapeutic intervention: Upper extremity. Mosby, 1997.

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1950-, Malone Terry, McPoil Thomas G, and Nitz Arthur J, eds. Orthopedic and sports physical therapy. 3rd ed. Mosby-Year Book, 1997.

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1946-, Stanley David W., and Nelson Dennis R. 1936-, eds. Insect lipids: Chemistry, biochemistry, and biology. University of Nebraska Press, 1993.

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McDermott, Andy. Shadow Protocol: A Novel. Random House Publishing Group, 2014.

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Book chapters on the topic "Spikes protocol"

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Desai, Vishal, and Jehan Ghany. "MRI Protocol." In MRI of the Spine. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43627-8_1.

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Chen, Yi-Ning, Aydemir Akin, Chien Chang Loa, et al. "PCR Amplification and Sequencing Analysis of Full-Length Turkey Coronavirus Spike Gene." In Springer Protocols Handbooks. Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-3414-0_14.

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Pedroza, Miguel A., and Carmen C. Licon. "Preparation of Beverage Samples Spiked with Aroma Standards." In Basic Protocols on Emotions, Senses, and Foods. Springer US, 2023. http://dx.doi.org/10.1007/978-1-0716-2934-5_2.

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Agolia, James Paul, Scott Robertson, Keki Turel, and Ekkehard M. Kasper. "Preventing Wrong-Level Spine Surgery." In Acta Neurochirurgica Supplement. Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-61601-3_1.

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AbstractImportance: Wrong-level spine surgery (WLSS), a medical error in which a surgeon operates at an unintended vertebral level, is considered a “never event.” However, it continues to be a problem in spine surgery today despite the implementation of preventive measures such as the Universal Protocol. The consequences of this event are severe for both the afflicted patient and the treating physician and may result not only in physical harm but also in costly medicolegal proceedings.Observations: While WLSS incidence varies with the patient population and practice setting, large studies generally report rates below 1%. Given the ubiquity of spine surgery, this remains a concerning number. Risk factors for WLSS can be categorized into three domains: patient factors, imaging issues, and technical issues. Awareness of risk factors allows surgeons to plan for difficulties in level localization. Many techniques for preventing WLSS have been developed, including invasive preoperative marking strategies. Intraoperative radiography or fluoroscopy is necessary but not sufficient for WLSS prevention, in that many errors occur after imaging. The evidence for prevention methods remains of low quality, necessitating future prospective comparison studies.Conclusions and relevance: Consensus has been reached in professional societies: All spine surgeons should implement WLSS prevention protocols. We assess the reported techniques for safer surgery and emphasize one crucial time-out element: the time-out for level localization (TOLL). Addressing WLSS as a problem specific to spine surgery, we show that by using specially tailored prevention strategies, such measures will allow WLSS to become a true never event.
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Chen, Yi-Ning, Ching Ching Wu, and Tsang Long Lin. "Identification of a Neutralizing Epitope-Containing Segment in Turkey Coronavirus Spike Protein for Diagnostic Serology." In Springer Protocols Handbooks. Springer US, 2022. http://dx.doi.org/10.1007/978-1-0716-2091-5_13.

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Songping, Liang. "Protocols for Peptidomic Analysis of Spider Venoms." In Methods in Molecular Biology. Humana Press, 2009. http://dx.doi.org/10.1007/978-1-60761-535-4_6.

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Chen, Yi-Ning, Mohamed Abdelwahab, Chien Chang Loa, Ming-Kun Hsieh, Ching Ching Wu, and Tsang Long Lin. "Antibody-Capture Enzyme-Linked Immunosorbent Assay for Detecting Protective Antibodies to Turkey Coronavirus Based on Recombinant Spike Protein Segment with Neutralizing Epitope." In Springer Protocols Handbooks. Springer US, 2022. http://dx.doi.org/10.1007/978-1-0716-2091-5_14.

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Tourinho, Ana Lúcia, and Nancy Lo-Man-Hung. "Standardized Sampling Methods and Protocols for Harvestman and Spider Assemblages." In Measuring Arthropod Biodiversity. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-53226-0_15.

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Dahl, Benny T., Deepak Neradi, and Balwinder Sherry. "Surgical Management of TB Spine: Indications and Overview with Postoperative Protocols." In Tuberculosis of the Spine. Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-9495-0_16.

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Burton, Douglas C. "Modifiable Factors in a Standard Work Protocol for Adult Deformity Surgery." In Value-Based Approaches to Spine Care. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-31946-5_7.

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Conference papers on the topic "Spikes protocol"

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Jackson, Tracey, Lei Huang, and Rosanel Morales. "Corrosivity of Oxygen Scavenger in a Sea Water Environment." In CORROSION 2018. NACE International, 2018. https://doi.org/10.5006/c2018-11264.

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Abstract Sodium bisulfite (SBS) oxygen scavenger is being applied in several sea water flood injection systems in the Gulf of Mexico. High corrosion rates (CRs) were observed in one particular field during periods when oxygen scavenger injection rates were elevated. In an effort to establish a safe operating concentration for oxygen scavenger, testing was conducted over a range of conditions to determine the corrosivity of the oxygen scavenger in seawater. Initial test work identified corrosion rate spikes upon injection of SBS in the laboratory and all subsequent work was designed to determine the mechanism generating these corrosion spikes. Scavenger performance was studied with and without the presence of oxygen. Parameters included in this study were SBS concentration, tetrakis-hydroxymethyl-phosphonium (THPS) concentration, temperature, and pH. Electrolyte simulation software was used to determine the dominant aqueous reactions that may contribute to the corrosive environment. This paper outlines the test protocols and results of the lab tests as well as the aqueous modeling. According to the test results and aqueous simulations, the field dose rate of 49 ppm SBS appears to be safe with respect to corrosivity and effective at eliminating the dissolved oxygen.
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Gregg, M. R., J. Slofstra, D. Thill, and W. Sudds. "Corrosion Experiences and Inhibition Practices Managing Wet Sour Salty Gas Pipeline Environments Contaminated with Elemental Sulfur Deposits." In CORROSION 2003. NACE International, 2003. https://doi.org/10.5006/c2003-03174.

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Abstract Corrosion experiences and inhibition practices operating wet sour gas gathering systems are discussed with emphasis on wet salty pipelines contaminated with elemental sulfur deposition. Baseline pitting corrosion rates and inhibitor performance in a series of sulfur spiked laboratory test protocols are also reviewed. Tests were conducted simulating field environments in Western Canada, challenging corrosion inhibitors to protect pipeline assets from severe pitting corrosion consequences, when sour produced brine is contaminated with elemental sulfur compounds.
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D R, Primmia, Sudeep Kumar Gupta, Hassan M. Al-Jawahry, Shweta Joshi, S.Gopalakrishnan, and Krishnaraj Rao N S. "Adaptive Bioinspired Protocols for UWSNs Using Spider Monkey Optimization." In 2024 IEEE International Conference on Communication, Computing and Signal Processing (IICCCS). IEEE, 2024. http://dx.doi.org/10.1109/iicccs61609.2024.10763616.

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Karakkadan, Nakshathra Nazer. "Quantum Anti-Spyware Protocols for Fault Injection Detection." In 2024 IEEE International Conference on Signal Processing, Informatics, Communication and Energy Systems (SPICES). IEEE, 2024. https://doi.org/10.1109/spices62143.2024.10779643.

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Wido, Daniel M., Denis J. DiAngelo, and Brian P. Kelly. "Robotic Simulation of an Eccentric Lever Arm Protocol and a Novel Head Weight Protocol for Evaluation of the Subaxial Cervical Spine: An In Vitro Biomechancial Comparison." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53740.

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In vitro testing provides a critical tool for understanding the biomechanics of the subaxial cervical spine. Previous common testing protocols used to evaluate the subaxial cervical spine include pure moment, follower load, and eccentric lever arm (EL) loading methods [1,2,3]. Although these methods are widely accepted, there is always a goal to try to better simulate physiologic loading conditions. While the follower load attempts to simulate compression due to muscle activation, no previous protocol has taken into account the constant vertical force vector applied to C2 produced by the weight of the human head. Furthermore, we are unaware of previous direct protocol to protocol comparisons using the same testing platform and test specimens. Our multi-axis programmable robotic testing platform (Spine Robot) provides the means to explore such comparisons. The objectives of this study were: 1) to develop a novel head weight influenced loading protocol (HWL), 2) simulate and compare the EL protocol and the HWL protocol on a single programmable robotic testing frame with a consistent specimen sample group.
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Wido, Daniel M., Denis J. DiAngelo, and Brian P. Kelly. "Use of Spine Robot Employing Real Time Force Control to Simulate a Pure Moment Protocol for the Subaxial Cervical Spine: An In Vitro Biomechancial Study." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53902.

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A standard biomechanical testing protocol for evaluation of the sub-axial cervical spine is the application of pure bending moments to the free end of the spine (with opposing end fixed) and measurement of its motion response. The pure moment protocol is often used to compare spinal fusion instrumentation and has also been used to evaluate non-fusion instrumentation (e.g. disc arthroplasty devices) [1,2]. A variety of different testing systems have been employed to implement pure moment application. In cases where the loading is applied quasi-statically using a series of weights and pulleys the spine may relax between intermittent loading phases and/or unintended loading may be applied causing experimental artifact. Our objective was to use an existing programmable robotic testing platform (Spine Robot) to develop a novel real time force control strategy to simulate pure moment loading under precisely controlled continuous movement conditions. This would serve to advance robotic testing capabilities with an end goal to simulate different protocols in the same platform, and to potentially minimize fixturing and quasi-static artifacts.
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Maruyama, Koji, and Franco Nori. "Entanglement purification by natural spin-spin interactions and single spin measurements." In Workshop on Entanglement and Quantum Decoherence. Optica Publishing Group, 2008. http://dx.doi.org/10.1364/weqd.2008.asi3.

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We present a simple protocol to purify bipartite entanglement in spin-1/2 particles by utilizing only natural spin-spin interactions and S z -measurements on single spins. It is shown that only one switching on (and off) of a multi-spin interaction, as well as single spin operations, is sufficient for purify entanglement. This approach significantly reduces the number of controls that would induce errors compared with conventional purification protocols and it could be useful for quantum information processing in solid-state-based systems.
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Quiel Barros Martins, Nathália, Maria Gabriela Thomazini, Marília Tavares Rodrigues, Maycon Souza Matos, and Roberta Ribeiro Souto. "Comunicação de más notícias através do protocolo SPIKES: uma revisão bibliográfica." In v. 8 n. 15 (2023): Suplemento - IV Congresso dos Estudantes e Profissionais da Saúde. Revista Master, 2023. http://dx.doi.org/10.47224/revistamaster.v8i15.414.

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Introdução: A relação médico paciente tem evoluído e, no que tange a comunicação de más-notícias, esse avanço se manifestou por meio do protocolo SPIKES, que preza pela revelação da verdade na transmissão de informações psicologicamente dolorosas ao paciente e família de forma humanizada, buscando fortalecer o vínculo e amenizar os impactos na transmissão dessas informações. Objetivo: revisar a utilização do protocolo SPIKES na comunicação da má-notícia. Metodologia: Realizou-se uma revisão de literatura a partir de dados presentes em plataformas de pesquisa avançada e selecionando 11 artigos, junto ao Código de Ética Médica e documentos do Ministério da Saúde para embasamento teórico da discussão. Discussão: Observou-se uma carência de ensino deste método nas universidades e nos cursos de educação permanente, de modo a expor os profissionais não qualificados e os seus pacientes, já que a não utilização do protocolo pode impactar a relação médico-paciente, assim como potencializar a sensação de fracasso na comunicação, aumentando as chances do desenvolvimento da Síndrome de Burnout. Estudos apontam a relevância desse protocolo na prática médica, os seus benefícios e a sua aplicabilidade dentro do método clínico centrado na pessoa. Considerações Finais: comunicar más notícias é frequente para profissionais da saúde, fazendo-se necessário aplicação de uma técnica simples, prática e didática, como o SPIKES, que proporciona autonomia de adequação desse recurso à personalidade do profissional de saúde e realidade de cada paciente, atendendo aos preceitos básicos da medicina centrada na pessoa.
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Biyani, Aabha, Gantavya Sharma, Jagannath Aghav, Piyush Waradpande, Purva Savaji, and Mrityunjay Gautam. "Extension of SPIKE for Encrypted Protocol Fuzzing." In 2011 3rd International Conference on Multimedia Information Networking and Security (MINES). IEEE, 2011. http://dx.doi.org/10.1109/mines.2011.143.

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Gudavalli, Maruti R., James M. Cox, Gregory D. Cramer, James A. Baker, and Avinash G. Patwardhan. "Intervertebral Disc Pressure Changes During Low Back Treatment Procedures." In ASME 1998 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1998. http://dx.doi.org/10.1115/imece1998-0093.

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Abstract Some of the treatments for low back pain use different motions to the spine. One such treatment protocol used by chiropractic physicians in the treatment of low back pain is the Cox flexion-distraction procedure (1). The Cox procedure consists of placing the patient in a prone position on a flexion-distraction table and then creating distraction, flexion, extension, lateral flexion, and circumduction motions at the joint of interest. Gudavalli et al. (2) reported decreases in intradiscal pressures during the combined motions of flexion-distraction motions. However, no data exist during other motions of the table. The purpose of the present study was to measure the changes in the intradiscal pressures during all the maneuvers of the treatment protocols.
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Reports on the topic "Spikes protocol"

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Sadeghsalehi, Hamidreza, Parinaz Onikzeh, Afshin Heidari, et al. Application of smartphone apps in assessment after spine surgeries: a systematic review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2021. http://dx.doi.org/10.37766/inplasy2021.10.0054.

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Review question / Objective: The aim of this systematic review is to investigate applications of smartphone apps in assessment and monitoring of postoperative symptoms and patient functions after spine surgeries. Condition being studied: Some patients with spinal problems, such as Discopathy, need surgery. These patients need frequent follow-up and assessment of symptoms and function after surgery. Currently, the use of mobile applications is a new way to monitor and evaluate patients after spinal surgeries. Information sources: Following databases were searched until 2021-03-16: Pubmed, Scopus, Embase via Embase, Web of Science Core Collection, CINAHL via EBSCO, Cochrane Central Register of Controlled Trials Via Ovid, ACM, Psycinfo.
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Perkins, Dustin. Invasive exotic plant monitoring at Golden Spike National Historical Park: 2021 field season. Edited by Alice Wondrak Biel. National Park Service, 2022. http://dx.doi.org/10.36967/2293843.

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Invasive exotic plant (IEP) species are one of the biggest threats to natural ecosystem integrity and biodiversity. Controlling them is a high priority for the National Park Service. The Northern Colorado Plateau Network (NCPN) selected the early detection of IEPs as one of 11 monitoring protocols to be implemented as part of its long-term monitoring program. This report represents work completed during the 2021 field season at Golden Spike National Historical Park (NHP). On June 24–25, 2021, we recorded a total of six priority IEP species during monitoring at the park. A total of 191 priority IEP patches were detected along 20 kilometers (12.4 miles) of 13 monitoring routes that covered all major roads, trails, and riparian areas. Three additional IEP species were recorded only in transects. The highest densities of IEP patches were recorded along the Hydro 1 and Last Cut drainages, followed by the Residence Service Road, East Tour Road, and Visitor Center Sidewalk Area. Rush skeletonweed (Chondrilla juncea) was the most prevalent priority species, representing 46% of all recorded patches. Field bindweed (Convolvulus arvensis) and Scotch thistle (Onopordum acanthium) constituted most other patches. The notable absence of Russian knapweed (Centaurea repens) represents past control efforts for this species. When compared to 2018, there was a dramatic increase in the number of IEP patches in 2021, driven by rush skeletonweed and field bindweed. More-widespread species monitored in transects were still common, with cheatgrass (Bromus tectorum), crested wheatgrass (Agropyron cristatum), and tumble mustard (Sisymbrium altissimum) present in 84%, 45%, and 36% of all transects, respectively. The network plans to return to Golden Spike NHP for an eighth year of monitoring in 2023.
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Lo Bu, Riana, Rose Fluss, Yashraj Srivastava, et al. Hounsfield Unit Utilization in Cervical Spine for Bone Quality Assessment- a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2024. http://dx.doi.org/10.37766/inplasy2024.10.0126.

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Chen, Botao, Xiaohong Fan, Tong Li, et al. Spine strengthening exercise for treating aged hyperkyphosis: a protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2020. http://dx.doi.org/10.37766/inplasy2020.12.0091.

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Horning, Ned, P. McPhearson, and Osman Wallace. Applications Of Remote Sensing To Biodiversity Conservation. American Museum of Natural History, 2004. http://dx.doi.org/10.5531/cbc.ncep.0181.

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Remote sensing can be used to address a plethora of biodiversity conservation issues and is a valuable tool for scientists, conservation practitioners, land managers, and many others. Aquatic, atmospheric and terrestrial systems are all amenable to study with remote sensing techniques. However, remote sensing is not a panacea for all problems conservation biologists may encounter, and there are limitations to the technology. This module is primarily designed to introduce the applications of remote sensing to typical problems biodiversity conservation practitioners commonly encounter (for more basics, first see the module Introduction to Remote Sensing). An attempt has been made to utilize case studies on multiple topics to give a more detailed examination of the protocols, tools, and skills needed to pragmatically address problems. Notable examples include fire detection and monitoring, habitat assessment, landscape change detection, and monitoring oil spills.
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Wu, Wei-Ting, and Ke-Vin Chang. Prevalence of Sarcopenia and Its Impact on Clinical Outcomes in Lumbar Degenerative Spine Disease: a Protocol for Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2020. http://dx.doi.org/10.37766/inplasy2020.12.0123.

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Yue, Lei, Zengmao Lin, Guanzhang Mu, and Haolin Sun. Effects and safety of perioperative intravenous magnesium on spine surgeries: a protocol of a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2021. http://dx.doi.org/10.37766/inplasy2021.7.0023.

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Liao, Xianhui, Beihai Ge, and Qiang Chen. The Effect of Mind-body Exercise on the Cervical Spine Mobility of People with Neck Discomfort: A Protocol for a Systemic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2021. http://dx.doi.org/10.37766/inplasy2021.4.0126.

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Krabill, Eleanor, Vivienne Zhang, Eric Lepowsky, et al. Menzingen Verification Experiment - Verifying the Absence of Nuclear Weapons in the Field. Edited by Pavel Podvig. The United Nations Institute for Disarmament Research, 2023. http://dx.doi.org/10.37559/wmd/23/mve.

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The Menzingen Verification Experiment described in this report was designed to test practical procedures for verifying the absence of nuclear weapons at a storage site. The experiment, which was conducted on 8 March 2023, was organized by UNIDIR in partnership with the Swiss Armed Forces, Spiez Laboratory, Princeton University’s Program on Science and Global Security, and the Open Nuclear Network. The project was supported by the Governments of the Kingdom of the Netherlands, Norway, and Switzerland. The experiment modelled an on-site inspection of a nuclear weapons storage site, represented by a former air defence site near Menzingen, Switzerland. In preparation for the experiment, UNIDIR developed a model protocol governing the inspection activities. Together with its partners, it designed procedures to confirm the non-nuclear nature of the inspected items, including radiation measurements with active sources, and arranged for the acquisition of satellite imagery of the site. The scenario developed for the experiment assumed that the inspection was conducted as part of an agreement that requires the parties to remove all nuclear weapons from storage sites associated with military bases that host nuclear-capable delivery systems. The inspection procedures used in the experiment were modelled on those developed for the Conventional Forces in Europe Treaty and New START. The Menzingen Verification Experiment demonstrated in practice the viability of the approach to nuclear disarmament based on removing nuclear weapons from their delivery systems. It provided an opportunity to test in practice specific verification procedures and techniques, provided valuable insights into the challenges that can be encountered during an on-site inspection, and identified promising new approaches to verification that can create political space for arms control and disarmament initiatives.
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McDonald, Jacob, Eric Starkey, and Wendy Wright. Wadeable stream suitability assessment for long-term monitoring: Congaree National Park. National Park Service, 2018. https://doi.org/10.36967/2256949.

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The Southeast Coast Network (SECN) initiated a monitoring effort to assess habitat conditions in wadeable streams at national parks, recreation areas, battlefields, and monuments in Alabama, Georgia, and South Carolina (McDonald et al. 2018a). These parks include Chattahoochee River National Recreation Area, Kennesaw Mountain National Battlefield Park, Congaree National Park, Horseshoe Bend National Military Park, and Ocmulgee National Monument. Wadeable stream monitoring, implemented in 2016, focuses specifically on providing relevant data to assess the physical condition of Piedmont and upper Coastal Plain streams with respect to aquatic and riparian habitats and how these habitats may be changing over time. The habitat assessment methods outlined in the protocol rely on standard data collection methods and standard operating procedures currently in use by the U.S. Geological Survey, U.S. Environmental Protection Agency, and U.S. Forest Service that have been modified to better meet the needs of National Park Service (NPS) managers. The Monitoring Wadeable Stream Habitat Conditions in Southeast Coast Network Parks protocol (McDonald et al. 2018a) was developed to begin a monitoring program that will provide insight into the status of, and trends in, stream and riparian habitat conditions. The number of reaches surveyed at each park is dependent on the spatial extent of the park and the total number of wadeable streams that are present within park boundaries. Regardless of the size of the park and the number of reaches that are to be monitored, selected reaches (1) are representative of the processes influencing the streams in each park; (2) can address current and anticipated management concerns, and (3) offer the most utility for future complementary studies. The purpose of this report is to document the stream suitability survey that was conducted at Congaree National Park (Congaree NP) to determine which streams should be chosen for long-term monitoring (McDonald et al. 2018a). On 1–3 November 2017, fifteen stream segments at Congaree National Park were assessed to determine their suitability for long-term monitoring (Table 1 and Figure 1). Stream segments were classified as suitable for long-term monitoring if they could be safely accessed, were part of a single channel, wadeable stream system, and were not greatly influenced by upstream impoundments. Of the fifteen stream segments, six were determined to be potentially suitable for long-term monitoring and the remaining nine were determined not to be suitable (Table 1). The Dry Branch reaches (c015 and c016) were classified as not suitable for monitoring because the gradient is too low, they are part of a multi-channel system, and heavily affected by an upstream reservoir. The Cedar Creek segments (c008–c014) are not wadeable (deep water and mucky bottom) and are difficult to access (requires a watercraft and there are a large number of portages [more than 20] leading up to the sites). The remaining six streams were only initially classified as potentially suitable for monitoring because the streams at Congaree National Park are much different than streams the monitoring protocol was designed to monitor. While the six potentially suitable stream segments all have definable banks and are mostly part of a single-thread system, all of the sites need to be accessed either through wetlands (Toms and McKenzie Creeks) or by watercraft (sites on Cedar Creek). Additionally, all of these streams are low energy and lack the diversity of geomorphic channel units (i.e., riffles, runs, pools) that characterize the in-stream habitats present at the majority of the streams at the other SECN parks. In spite of these drawbacks, these potential monitoring sites can provide an understanding of how upstream development and disturbance are influencing the movement of water and sediment into the park.
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