The aim of this study was to investigate the inter-fraction variations, patient comfort and knowledge at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). The differences in set-up that occurred between treatme...The aim of this study was to investigate the inter-fraction variations, patient comfort and knowledge at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). The differences in set-up that occurred between treatment sessions for the left sided breast patients were observed and recorded. Measurements of routine set-up variation for 24 patients were performed by matching the cone beam computed tomography (CBCT) and the planning computed tomography (CT). Scans of all five fractions per patient were used to quantify the setup variations with standard deviation (SD) in all the three directions (anterior posterior, left right, and superior inferior). The patients DIBH comfort and knowledge was also evaluated. The average translational errors for the anterior posterior (AP, z), left-right (LR, x), and Superior-inferior (SI, y) directions were 0.40 cm, 0.40 cm, and 0.40 cm, respectively. The translation variation of the three directions showed statistical significance (P < 0.05). On comfort and knowledge investigation, among all participants, 80% moderately agreed that the therapist’s instructions for operating the deep inspiration breath hold (DIBH) technique were easy to understand, and 63.33% indicated that their comfort with the DIBH technique was neutral or average. The inter-fraction variations in patients with left-sided breast cancer were qualitatively analyzed. Significant shifts between CBCT and planning CT images were observed. The daily treatment verification could assist accurate dose delivery.展开更多
Masquerade culture is an essential part of Sekondi-Takoradi cultural embodiment. The masquerade festival titled Ankos displays interesting costumes that have artistic elements of potent colour display and performances...Masquerade culture is an essential part of Sekondi-Takoradi cultural embodiment. The masquerade festival titled Ankos displays interesting costumes that have artistic elements of potent colour display and performances. The masquerade costumes manifest intricate fabric decoration techniques for example pleating, folding, gathering, smocking, hand and machine stitching and the use of varied colour schemes. These decorative techniques make costume production laborious, tedious and downtime constraints. In contributing to the innovative approaches to creating textile designs and prints, the study explored the inspirational possibilities of surface designs of the masquerade costume for textile designs and prints. The art-based research design and direct observation as research instrumentation were employed in the artistic creation for the study. Adobe Photoshop was used in the simulation design processes. The study revealed that the simulation design processes produced an innovative imitated visual appearance of the masquerade costume and production processes from a machine-stitched work to a hand-printed fabric. It is recommended that costume makers adopt the contemporary possibility of using hand screen to print hitherto the traditional laborious and tedious process of producing masquerade costumes.展开更多
Objective:To analyze the application of deep inspiration breath hold technique in radiotherapy after breast-conserving surgery for left breast cancer and the improvement of cardiac dose.Methods:A total of 45 patients ...Objective:To analyze the application of deep inspiration breath hold technique in radiotherapy after breast-conserving surgery for left breast cancer and the improvement of cardiac dose.Methods:A total of 45 patients with left breast cancer treated in our hospital after breast-conserving surgery were selected,and the selection time was set from January 2020 to August 2022.All patients received radiotherapy.The right breast,heart,and lung volumes,and dose parameters of the heart,lungs,right breast,and left anterior descending coronary artery were compared under free breathing(FB)and deep inspiration breath hold(DIBH)technical modes.Results:The heart volume of the DIBH group was smaller than that of the FB group,and the left and right lung volumes were significantly larger than those of the FB group.In the DIBH group,the heart dose parameters V5,proper lung dose parameters,and left anterior descending coronary artery dose parameters were found lower than that of the FB group,and the differences were statistically significant(P<0.05).Conclusion:Compared with FB,the DIBH technique can reduce the heart’s size and increase the lung volume when used for radiotherapy after breast-conserving surgery for left breast cancer.It also reduces the dose to the heart,right lung,and left anterior descending coronary artery,thus protecting the heart and lungs.展开更多
Cyber Defense is becoming a major issue for every organization to keep business continuity intact.The presented paper explores the effectiveness of a meta-heuristic optimization algorithm-Artificial Bees Colony Algori...Cyber Defense is becoming a major issue for every organization to keep business continuity intact.The presented paper explores the effectiveness of a meta-heuristic optimization algorithm-Artificial Bees Colony Algorithm(ABC)as an Nature Inspired Cyber Security mechanism to achieve adaptive defense.It experiments on the Denial-Of-Service attack scenarios which involves limiting the traffic flow for each node.Businesses today have adapted their service distribution models to include the use of the Internet,allowing them to effectively manage and interact with their customer data.This shift has created an increased reliance on online services to store vast amounts of confidential customer data,meaning any disruption or outage of these services could be disastrous for the business,leaving them without the knowledge to serve their customers.Adversaries can exploit such an event to gain unauthorized access to the confidential data of the customers.The proposed algorithm utilizes an Adaptive Defense approach to continuously select nodes that could present characteristics of a probable malicious entity.For any changes in network parameters,the cluster of nodes is selected in the prepared solution set as a probable malicious node and the traffic rate with the ratio of packet delivery is managed with respect to the properties of normal nodes to deliver a disaster recovery plan for potential businesses.展开更多
文摘The aim of this study was to investigate the inter-fraction variations, patient comfort and knowledge at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). The differences in set-up that occurred between treatment sessions for the left sided breast patients were observed and recorded. Measurements of routine set-up variation for 24 patients were performed by matching the cone beam computed tomography (CBCT) and the planning computed tomography (CT). Scans of all five fractions per patient were used to quantify the setup variations with standard deviation (SD) in all the three directions (anterior posterior, left right, and superior inferior). The patients DIBH comfort and knowledge was also evaluated. The average translational errors for the anterior posterior (AP, z), left-right (LR, x), and Superior-inferior (SI, y) directions were 0.40 cm, 0.40 cm, and 0.40 cm, respectively. The translation variation of the three directions showed statistical significance (P < 0.05). On comfort and knowledge investigation, among all participants, 80% moderately agreed that the therapist’s instructions for operating the deep inspiration breath hold (DIBH) technique were easy to understand, and 63.33% indicated that their comfort with the DIBH technique was neutral or average. The inter-fraction variations in patients with left-sided breast cancer were qualitatively analyzed. Significant shifts between CBCT and planning CT images were observed. The daily treatment verification could assist accurate dose delivery.
文摘Masquerade culture is an essential part of Sekondi-Takoradi cultural embodiment. The masquerade festival titled Ankos displays interesting costumes that have artistic elements of potent colour display and performances. The masquerade costumes manifest intricate fabric decoration techniques for example pleating, folding, gathering, smocking, hand and machine stitching and the use of varied colour schemes. These decorative techniques make costume production laborious, tedious and downtime constraints. In contributing to the innovative approaches to creating textile designs and prints, the study explored the inspirational possibilities of surface designs of the masquerade costume for textile designs and prints. The art-based research design and direct observation as research instrumentation were employed in the artistic creation for the study. Adobe Photoshop was used in the simulation design processes. The study revealed that the simulation design processes produced an innovative imitated visual appearance of the masquerade costume and production processes from a machine-stitched work to a hand-printed fabric. It is recommended that costume makers adopt the contemporary possibility of using hand screen to print hitherto the traditional laborious and tedious process of producing masquerade costumes.
文摘Objective:To analyze the application of deep inspiration breath hold technique in radiotherapy after breast-conserving surgery for left breast cancer and the improvement of cardiac dose.Methods:A total of 45 patients with left breast cancer treated in our hospital after breast-conserving surgery were selected,and the selection time was set from January 2020 to August 2022.All patients received radiotherapy.The right breast,heart,and lung volumes,and dose parameters of the heart,lungs,right breast,and left anterior descending coronary artery were compared under free breathing(FB)and deep inspiration breath hold(DIBH)technical modes.Results:The heart volume of the DIBH group was smaller than that of the FB group,and the left and right lung volumes were significantly larger than those of the FB group.In the DIBH group,the heart dose parameters V5,proper lung dose parameters,and left anterior descending coronary artery dose parameters were found lower than that of the FB group,and the differences were statistically significant(P<0.05).Conclusion:Compared with FB,the DIBH technique can reduce the heart’s size and increase the lung volume when used for radiotherapy after breast-conserving surgery for left breast cancer.It also reduces the dose to the heart,right lung,and left anterior descending coronary artery,thus protecting the heart and lungs.
文摘Cyber Defense is becoming a major issue for every organization to keep business continuity intact.The presented paper explores the effectiveness of a meta-heuristic optimization algorithm-Artificial Bees Colony Algorithm(ABC)as an Nature Inspired Cyber Security mechanism to achieve adaptive defense.It experiments on the Denial-Of-Service attack scenarios which involves limiting the traffic flow for each node.Businesses today have adapted their service distribution models to include the use of the Internet,allowing them to effectively manage and interact with their customer data.This shift has created an increased reliance on online services to store vast amounts of confidential customer data,meaning any disruption or outage of these services could be disastrous for the business,leaving them without the knowledge to serve their customers.Adversaries can exploit such an event to gain unauthorized access to the confidential data of the customers.The proposed algorithm utilizes an Adaptive Defense approach to continuously select nodes that could present characteristics of a probable malicious entity.For any changes in network parameters,the cluster of nodes is selected in the prepared solution set as a probable malicious node and the traffic rate with the ratio of packet delivery is managed with respect to the properties of normal nodes to deliver a disaster recovery plan for potential businesses.
