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Project management is a strategy that needs to be done in achieving the efficiency and effectiveness of a company. Developments in the era of technology in this period are in line with the development of SMEs engaged in the field of karawo craft services, such as Rumah Karawo. The project planning can be prepared using Work Breakdown Structure (WBS). Project management can also be used to estimate the project acceleration (crasing) at Karawo House. With the preparation of a good project management, it can be estimated the time and cost needed to run the project, so as to minimize cost losses due to the possibility of project overturning. The development of a project management plan carried out using a waterfall.

These days e-medical services frameworks are getting famous for taking care of patients from far-off spots, so a lot of medical services information like the patient’s name, area, contact number, states of being are gathered distantly to treat the patients. A lot of information gathered from the different assets is named big data. The enormous sensitive information about the patient contains delicate data like systolic BP, pulse, temperature, the current state of being, and contact number of patients that should be recognized and sorted appropriately to shield it from abuse. This article presents a weightbased similarity (WBS) strategy to characterize the enormous information of health care data into two classifications like sensitive information and normal information. In the proposed method, the training dataset is utilized to sort information and it comprises of three fundamental advances like information extraction, mapping of information with the assistance of the training dataset, evaluation of the weight of input data with the threshold value to classify the data. The proposed strategy produces better outcomes with various assessment boundaries like precision, recall, F1 score, and accuracy value 92% to categorize the big data. Weka tool is utilized for examination among WBS and different existing order procedures.

Software project scope verification is an essential aspect in project scope management that must be completed correctly to prevent project rework and improve project scope control. A software project scope is defined as the work that needs to be carried out to create the required product with its necessary functions and features. Moreover, software scope verification is crucial in the process of delivering exactly what the customer requested and minimizing project scope changes. Well-defined software scope eases the process of scope verification and contributes to project success. A deliverable-oriented WBS often serves as a roadmap to a well-defined software scope of work. This chapter expands the use of deliverable-oriented WBS to the scope verification process on the basis of this. A deliverable-oriented WBS, according to this article, is a method for software scope verification.

Building Information Modeling (BIM) methodologies and approaches are becoming topics of increasing interest within several infrastructural engineering applications. As far as Construction Management (CM) is concerned, BIM technologies provide a valid support-decision tool, which includes a repository of CM related data, useful for any further development and use. This work presents current Infrastructural Building Information Modeling (InfraBIM) implementation possibilities regarding the correlation between information digital modeling, schedule, and cost management dimensions. The methodology is applied to case studies simulation of excavation and construction phases in underground structures to generate budgeted cost and time schedules linked to BIM models. The major benefit in applying such an approach results in obtaining a model with different types of information that can be updated during the design and construction phases. Also, the associated workflow management system allows to update the 3D model, time schedule, and cost estimation while maintaining relations and interconnections previously defined between model components and specific information on their activities and cost. Another key result is about the chance to communicate design and construction schedules via Virtual and Augmented Reality (VAR) techniques, which provide a consistent support tool for the visualization of infrastructure projects. QC 20230706

The Cardiovascular Continuum describes a sequence of events from cardiovascular risk factors to end-stage heart disease. It includes conventional pathologies affecting cardiovascular functions such as hypertension, atherosclerosis or thrombosis and was traditionally considered from the metabolic point of view. This Cardiovascular Continuum, originally described by Dzau and Braunwald, was extended by O'Rourke to consider also the crucial role played by degradation of elastic fibers, occurring during aging, in the appearance of vascular stiffness, another deleterious risk factor of the continuum. However, the involvement of the elastin degradation products, named elastin-derived peptides, to the Cardiovascular Continuum progression has not been considered before. Data from our laboratory and others clearly showed that these bioactive peptides are central regulators of this continuum, thereby amplifying appearance and evolution of cardiovascular risk factors such as diabetes or hypertension, of vascular alterations such as atherothrombosis and calcification, but also nonalcoholic fatty liver disease and nonalcoholic steatohepatitis. The Elastin Receptor Complex has been shown to be a crucial actor in these processes. We propose here the participation of these elastin-derived peptides and of the Elastin Receptor Complex in these events, and introduce a revisited Cardiovascular Continuum based on their involvement, for which elastin-based pharmacological strategies could have a strong impact in the future.

Objective. To show that I-131 false-positive results on whole-body scans (WBSs) after thyroidectomy for thyroid cancer may be a result of inflammation unassociated with the cancer. Methods. We performed a retrospective image analysis of our database of thyroid cancer patients who underwent WBS from January 2008 to January 2012 to identify and stratify false positives. Results. A total of 564 patients underwent WBS during the study period; 96 patients were referred for 99 I-131 single-photon emission computed tomography (SPECT/CT) scans to better interpret cryptic findings. Among them, 73 scans were shown to be falsely positive; 40/73 or 54.7% of false-positive findings were a result of inflammation. Of the findings, 17 were in the head, 1 in the neck, 4 in the chest, 3 in the abdomen, and 14 in the pelvis; 1 had a knee abscess. Conclusions. In our series, inflammation caused the majority of false-positive WBSs. I-131 SPECT/CT is powerful in the differentiation of inflammation from thyroid cancer. By excluding metastatic disease, one can properly prognosticate outcome and avoid unnecessary, potentially harmful treatment of patients with thyroid cancer.

International audience; Today, most of Wireless Body Sensors (WBS) for remote monitoring of cardiovascular disease, rarely include automatic analysis and detection of ECG abnormalities, or are limited to cardiac arrhythmia's. The detection of more complex cardiac anomalies such as Ischemia or myocardial infarction, requires an advanced analysis of ECG wave Known as P, Q, R, S, and T, especially the T-wave, which is often associated with serious cardiac anomalies. The goal of this paper is to study the classification of T-wave abnormalities with consideration to a context of wireless monitoring system. The study approach is based on experimentation and comparison of classification performance and response time of 7 supervised learning models. We performed our experiments on a real ECG data from the EDB medical database from Physionet. Our results show that the decision trees models offer better results with, on average, an Accuracy of 92.54 %, a Sensitivity of 96.06%, a Specificity of 55.41% and an Error Rate 7.41%.

International audience; Various wearable devices are foreseen to be the key components in the future for vital signs monitoring as they offer a non-invasive, remote and real-time medical monitoring means. Among those, Wireless Body Sensors (WBS) for cardiac monitoring are of prominent help to early detect cardioVascular Diseases (CVD) by analyzing 24/24 and 7/7 collected cardiac data. Today, most of these WBS systems for CVD detection, includeonly limited automatic anomalies detection, particularly regarding ECG anomalies. Severe CVD, such as Myocardial Infarction or Ischemia, needs to achieve an advanced analysis of ECG waves known as P, Q, R, S and T. In particular, the T-wave and its specific changes. In this paper, we focus on T-wave anomalies detection in a context of WBS. Our study suggests an accurate and lightweight T-wave changes detection model which suits well an ECG monitoring system based on WBS architecture. We performed a comparative study of 7 well-known supervised learning classification models,on real ECG data sets from 7 different leads. We compared the results from both perspectives of classification and processing times. Our results show that the C4.5 Decision Tree technique performs better results with 92.54% Accuracy, 96.06% Sensibility, 55.41% Specificity and 7.41% Error Rate.

Serum thyroglobulin (Tg) assays are considered fundamental in postoperative surveillance of differentiated thyroid cancer (DTC) patients. However, the postsurgical profile of Tg levels has never been specifically investigated in patients who do not undergo radioiodine remnant ablation (RRA).Our objective was to explore the evolution of Tg levels over time in DTC patients treated with total or near-total thyroidectomy without RRA.We retrospectively analyzed 290 consecutively diagnosed cases of low-risk (American Thyroid Association criteria) DTC treated with thyroidectomy alone and followed yearly with neck ultrasonography and serum Tg assays. We compared final Tg values in this group and a matched group of 495 RRA-positive patients. Temporal trends of serial Tg levels were also analyzed in 78 of the RRA-negative patients monitored with a high-sensitivity immunoradiometric assay.After follow-up of 2.5-22 yr (median 5 yr), final Tg levels were undetectable (1 ng/ml) in 274 of 290 RRA-negative patients (95%) and 492 of 495 RRA-positive controls (99%). In the subset of 78 RRA-negative patients, undetectable Tg levels (0.2 ng/ml) were recorded in 60% at the first postoperative evaluation (3-12 months) and in 79% after 5 yr. Tg levels increased in the single patient who experienced disease recurrence during the observation period.In most RRA-negative patients, postoperative serum Tg values spontaneously drop to undetectable levels within 5-7 yr after thyroidectomy. Thus, in later phases, Tg assays may be a valuable tool for follow-up even in patients who do not undergo RRA.

This paper describes a system for monitoring the safety of workers who are exposed to unhealthy environments. The system is based on a low-cost wireless network of smart wearable buttons that can be applied inside the protective suits and that embed the measurement device along with a 2.4 GHz radio. The proposed solution is conceived to be employed with elements that use textile fibres as intrinsic sensors and with discrete sensors as well. The network allows both the measurement strategy and the program code of the wearable sensors to be remotely updated in order to adapt and optimize the power consumption. The real-time operability is also permitted by introducing proxy elements that allow the network area to be extended in a solution similar to that of the Zigbee but optimized for the required architecture. The system can be employed in a wide class of indoor medical applications; an example is provided that is intended to monitor temperature and humidity for workers inside refrigerated chambers.

The ‘Rethinking Project Management’ research agenda created an environment for reconsidering project management practice. One suggestion is to focus on project management as an expression of creating value. However, this endgame perspective does not take into account the necessity of all projects to be created through tasks. In the first issue of the International Journal of Project Management (IJPM) published in February 1983, the editor wrote that one purpose of the Journal was to describe “…procedures, concepts and techniques that lead to successful planning and control…” Thus, one method of responding to the appeal for reconsideration of traditional perspectives is to explore the IJPM related to the agenda set in the 1980s. Work breakdown structure (WBS) is a one “procedure, concept or technique” utilized for project planning and control. Thus the search term WBS was instrumental in this review of IJPM Original Research Articles published between 1983 and 2013. A simple numerical ranking protocol indicated WBS significance in 140 documents. Although over 70% of articles used the term once or twice, WBS was not the article focus. A comprehensive document analysis found only 19 articles with substantive WBS content. However the review identified 11 research papers in which project management knowledge was expanded through development of more effective use of the WBS to plan and control project processes. Although this review did not find large numbers of WBS related planning and control articles, articles spanning three decades of IJPM indicates continuing WBS relevancy, if not popularity.