Recent Articles

Technological advancement in the field of telecommunication has led to the creation of highly dynamic networks, one of such is Mobile Ad-Hoc Networks which can be described as an autonomous collection of devices (mobile devices) that offers dynamic topologies, no central administration, dynamic and ever mobile nodes and so on, information becomes easy to disseminate. Mobile Ad-Hoc Networks and the various features it provides affects the security of the network. A network with dynamic nodes and no central administration can be prone to network attacks one of such is session hijacking. Integrity is paramount in any network, session hijacking affects the integrity of data on a network, important information is leaked also due to the sensitive application of MANETs especially in the military these has to be avoided. This paper looks into session hijacking in MANETS, reviewed various existing solutions to find out gaps and also proposing an optimised IDS which offers more flexibility and also dynamic applications in any network traffic environment.

Introduction Medication reviews are an essential part of daily routine at a hospital ward but are prone to mistakes. With this study we want to assess the strengths and weaknesses of a Clinical Decision Support System (CDSS) and evaluate the additional value on the reduction of medication errors compared with manual medication reviews. Materials and Methods We gathered all remarks related to (potential) errors in the current medication regime (notifications) regarding medication errors for 332 patients from 12 grand rounds of the internal medicine ward and orthopedic ward at the Maastricht University Medical Centre during four months. Simultaneously, we electronically extracted data regarding the patient’s medication list, laboratory data and patient characteristics and entered these data into our CDSS. Results and Discussion One hundred thirty-eight notifications were made during grand rounds. One-hundred and seventy-nine relevant alerts were reported by the CDSS. Only three of the relevant notifications were reported by both. Overall, errors regarding indication without medication and medication without indication were most frequently noticed during grand rounds and contraindications or side effects were most frequently noticed by the CDSS. The CDSS may be a relevant addition to the manual performed medication reviews in the hospital. The strength of the present CDSS lies in the detection of errors regarding contraindications and side effects. Future developments include optimizing the cut off values at which the CDSS should provide an alert is an important next step in improving the CDSS. Additionally, in order to increase notifications about indication without medication and medication without indication, the medical history should be incorporated into the CDSS. Finally, relevance on patient outcome should be determined.

The identification and treatment of coronary artery disease (CAD) remain a great challenge for physicians in all the world. In this case report, the author explains how physicians can be able to detect a subtle coronary artery disease in otherwise healthy paucisymptomatic individuals, as athletes or ex-athletes, using only the exercise ECG stress (Ex-ECG) testing and clinical common sense, in the era of advanced technologies like cardiovascular imaging.