• Title/Summary/Keyword: Protocol Validation

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Novel nomogram-based integrated gonadotropin therapy individualization in in vitro fertilization/intracytoplasmic sperm injection: A modeling approach

  • Ebid, Abdel Hameed IM;Motaleb, Sara M Abdel;Mostafa, Mahmoud I;Soliman, Mahmoud MA
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.2
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    • pp.163-173
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    • 2021
  • Objective: This study aimed to characterize a validated model for predicting oocyte retrieval in controlled ovarian stimulation (COS) and to construct model-based nomograms for assistance in clinical decision-making regarding the gonadotropin protocol and dose. Methods: This observational, retrospective, cohort study included 636 women with primary unexplained infertility and a normal menstrual cycle who were attempting assisted reproductive therapy for the first time. The enrolled women were split into an index group (n=497) for model building and a validation group (n=139). The primary outcome was absolute oocyte count. The dose-response relationship was tested using modified Poisson, negative binomial, hybrid Poisson-Emax, and linear models. The validation group was similarly analyzed, and its results were compared to that of the index group. Results: The Poisson model with the log-link function demonstrated superior predictive performance and precision (Akaike information criterion, 2,704; λ=8.27; relative standard error (λ)=2.02%). The covariate analysis included women's age (p<0.001), antral follicle count (p<0.001), basal follicle-stimulating hormone level (p<0.001), gonadotropin dose (p=0.042), and protocol type (p=0.002 and p<0.001 for short and antagonist protocols, respectively). The estimates from 500 bootstrap samples were close to those of the original model. The validation group showed model assessment metrics comparable to the index model. Based on the fitted model, a static nomogram was built to improve visualization. In addition, a dynamic electronic tool was created for convenience of use. Conclusion: Based on our validated model, nomograms were constructed to help clinicians individualize the stimulation protocol and gonadotropin doses in COS cycles.

An Improved Lightweight Two-Factor Authentication and Key Agreement Protocol with Dynamic Identity Based on Elliptic Curve Cryptography

  • Qiu, Shuming;Xu, Guosheng;Ahmad, Haseeb;Xu, Guoai;Qiu, Xinping;Xu, Hong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.13 no.2
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    • pp.978-1002
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    • 2019
  • With the rapid development of the Internet of Things, the problem of privacy protection has been paid great attention. Recently, Nikooghadam et al. pointed out that Kumari et al.'s protocol can neither resist off-line guessing attack nor preserve user anonymity. Moreover, the authors also proposed an authentication supportive session initial protocol, claiming to resist various vulnerability attacks. Unfortunately, this paper proves that the authentication protocols of Kumari et al. and Nikooghadam et al. have neither the ability to preserve perfect forward secrecy nor the ability to resist key-compromise impersonation attack. In order to remedy such flaws in their protocols, we design a lightweight authentication protocol using elliptic curve cryptography. By way of informal security analysis, it is shown that the proposed protocol can both resist a variety of attacks and provide more security. Afterward, it is also proved that the protocol is resistant against active and passive attacks under Dolev-Yao model by means of Burrows-Abadi-Needham logic (BAN-Logic), and fulfills mutual authentication using Automated Validation of Internet Security Protocols and Applications (AVISPA) software. Subsequently, we compare the protocol with the related scheme in terms of computational complexity and security. The comparative analytics witness that the proposed protocol is more suitable for practical application scenarios.

Development of a Protocol for Nursing Care after Death for Adult Patients in Hospitals (병원 성인 환자의 사후 간호 프로토콜 개발)

  • Kim, Ki Kyong;Kim, Aeng Do;Ahn, Kyung Ah;Cheon, Jooyoung
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.75-84
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    • 2023
  • Purpose: This study developed a protocol for nursing care after death for adult patients in hospitals. Methods: This was a methodological study to develop a care after death protocol. The preliminary protocol was developed based on a literature review, guidelines, and practice recommendations from groups of experts and clinical nurses. Content validity was evaluated by a group of experts (n=6) and nurses (n=30) in two hospitals. Results: The preliminary protocol recommendations were modified by validation and the open-question analysis results. The final protocol comprised three general recommendations and 43 recommendations in five steps that are verification and notification of a death, personal care of the body, viewing the patient, patient transfer, and documentation and self-care. Conclusion: This study result provides nurses with a consensus information on patient care after death and family support in a hospital setting. This nursing protocol is expected to improve the quality of care after death for adult patients and their families, and can be used for developing educational and emotional support for nurses to accomplish their important role.

Validation study of the Dinamap ProCare 200 upper arm blood pressure monitor in children and adolescents

  • Lee, Chong-Guk;Park, Hyang-Mi;Shin, Hye-Jung;Moon, Jin-Soo;Hong, Young-Mi;Kim, Nam-Soo;Ha, Il-Soo;Chang, Myeong-Jin;Oh, Kyeong-Won
    • Clinical and Experimental Pediatrics
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    • v.54 no.11
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    • pp.463-469
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    • 2011
  • Purpose: To validate the Dinamap ProCare 200 blood pressure (BP) monitor against a mercury sphygmomanometer in children 7 to 18 years old in accordance with the 2010 International Protocol of European Society of Hypertension (ESH-IP2) and the British Hypertension Society (BHS) protocol. Methods: Forty-five children were recruited for the study. A validation procedure was performed following the protocol based on the ESH-IP2 and BHS protocols for children and adolescents. Each subject underwent 7 sequential BP measurements alternatively with a mercury sphygmomanometer and the test device by trained nurses. The results were analyzed according to the validation criteria of ESH-IP2. Results: The mean (${\pm}SD$) difference in the absolute BP values between test device and mercury sphygmomanometer readings was $1.85{\pm}1.65$ mmHg for systolic BP (SBP) and $4.41{\pm}3.53$ mmHg for diastolic BP (DBP). These results fulfilled the Association for the Advancement of Medical Instrumentation criterion of a mean${\pm}$SD below $5{\pm}8$ mmHg for both SBP and DBP. The percentages of test device-observer mercury sphygmomanometer BP differences within 5, 10, and 15 mmHg were 96%, 100%, and 100% for SBP, and 69%, 92%, and 100% for DBP, respectively, in the part 1 analysis; both SBP and DBP passed the part 1 criteria. In the part 2 analysis, SBP passed the criteria but DBP failed. Conclusion: Although the Dinamap ProCare 200 BP monitor failed an adapted ESH-IP2, SBP passed. When comparing BP readings measured by oscillometers and mercury sphygmomanometers, one has to consider the differences between them, particularly in DBP, because DBP can be underestimated.

Detecting artefacts in analyses of extreme wind speeds

  • Cook, Nicholas J.
    • Wind and Structures
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    • v.19 no.3
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    • pp.271-294
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    • 2014
  • The impact of artefacts in archived wind observations on the design wind speed obtained by extreme value analysis is demonstrated using case studies. A signpost protocol for detecting candidate artefacts is described and its performance assessed by comparing results against previously validated data. The protocol targets artefacts by exploiting the serial correlation between observations. Additional "sieve" algorithms are proposed to identify types of correctable artefact from their "signature" in the data. In extreme value analysis, artefacts displace valid observations only when they are larger, hence always increase the design wind speed. Care must be taken not identify large valid values as artefacts, since their removal will tend to underestimate the design wind speed.

A Study of Wireless LAN Cryptosystem for Supporting Realtime Mutual Authentication (실시간 상호인증 지원을 위한 무선랜 보안시스템에 관한 연구)

  • Lee Sang-Ryul
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.5 s.37
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    • pp.161-170
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    • 2005
  • The Certificate Revocation List(CRL) or the Online Certificate Status Protocol(OCSP)has been used to validate certificates. However, the CRL cannot validate certificates in realtime because of the Time-Gap problem and the OCSP server overloads in a large scale secure system. In addition, the client cannot access a wired LAN until the client has been authenticated by the authentication server on the IEEE 802. 1x framework. Therefore, the client cannot validate the authentication server's certificate using a certificate validation server. Thus, the client cannot authenticate the authentication server in realtime. To solve these problems this paper designed a secure system that can protect the content of communications and authenticate users in realtime on a wireless LAN The designed certificate validation protocol was proved that the stability and efficiency of the system was very high, the result of the validation had the presence, the speed of the validation was not affected by the system scale, the number of authorities user must trust was reduced to one, and the overload of the validation server was Protected. And the designed user authentication and key exchange protocols were Proved that the mutual authentication was possible in realtime and the fact of the authentication could be authorized by the CA because of using the authorized certificates.

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An Efficient Fault Tolerance Protocol with Backup Foreign Agents in a Hierarchical Local Registration Mobile IP

  • Hong, Choong-Seon;Yim, Ki-Woon;Lee, Dae-Young;Yun, Dong-Sik
    • ETRI Journal
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    • v.24 no.1
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    • pp.12-22
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    • 2002
  • A Mobile IP allows IP hosts to move between different networks without changing their IP addresses. Mobile IP systems supporting local registration were introduced to reduce the number of times a home registration with the remotely located home agent was needed. The local registration Mobile IP scheme enhanced performance by processing registration requests of mobile nodes at a local agent. The local registration approach may affect other aspects of the Mobile IP systems such as fault tolerance. In this paper, we briefly review previous solutions for supporting fault tolerance in local registration Mobile IP systems and propose a fault tolerance protocol with a backup foreign agent in a hierarchical local registration mobile IP to enhance the efficiency of such systems against foreign agent failures. We also describe the specification of the proposed protocol using LOTOS and perform its validation using MiniLite. Finally, we analyze the performance of our proposed fault tolerance protocol through simulation.

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Validation of the Detailed Design of the Label Distribution Protocol for the Multiprotocol Label Switching System (Multiprotocol Label Switching System의 Label Distribution Protocol 상세설계 검증)

  • 박재현
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.26 no.5A
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    • pp.889-901
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    • 2001
  • 본 논문에서 Multiprotocol Label Switching 시스템을 위한 Label Distribution Protocol의 개발과 분석에 관해서 기술한다. 먼저 Gigabit Switched Router를 만들기 위해서, 상용화시 Carrier Class 제품에 적용하기 위한 LDP의 구현시 고려해야 될 사항에 대해 살피고, 상세 설계를 제안한다. IETF 표준에 의거한 LDP의 구현을 위한 상세 설계는 프로토콜 상태기계의 유도 트리와 프로세스 대수를 사용한 형식적 명세를 사용하여 제시한다. 본 논문에서는 제시된 유도트리와 프로세스 대수를 사용한 프로토콜 동작의 분석을 통해, 구현된 LDP의 상호 연동성과 완전성, 생존성, 도달성, 안전성을 검증한다. 또한 이를 사용하여 구현된 LDP가 기존 상용 제품들과의 연동성과 그 동작의 신뢰성을 확보할 것을 기대한다. 결과적으로 구현된 LDP의 프로토콜 동작들의 검증을 제공한다.

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Mathematical Model for Mean Transfer Delay of Web Object in Initial Slow Start Phase (초기 슬로우 스타트 구간에서 웹 객체의 평균 전송 시간 추정을 위한 수학적 모델)

  • Lee, Yong-Jin
    • 대한공업교육학회지
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    • v.33 no.2
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    • pp.248-258
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    • 2008
  • Current Internet uses HTTP (Hyper Text Transfer Protocol) as an application layer protocol and TCP (Transmission Control Protocol) as a transport layer protocol to provide web service. SCTP (Stream Control Transmission Protocol) is a recently proposed transport protocol with very similar congestion control mechanisms as TCP, except the initial congestion window during the slow start phase. In this paper, we present a mathematical model of object transfer latency during the slow start phase for HTTP over SCTP and compare with the latency of HTTP over TCP. Validation of the model using experimental result shows that the mean object transfer latency for HTTP over SCTP during the slow start phase is less than that for HTTP over TCP by 11%.

An Anonymous Authentication with Key-Agreement Protocol for Multi-Server Architecture Based on Biometrics and Smartcards

  • Reddy, Alavalapati Goutham;Das, Ashok Kumar;Yoon, Eun-Jun;Yoo, Kee-Young
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.7
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    • pp.3371-3396
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    • 2016
  • Authentication protocols for multi-server architectures have gained momentum in recent times due to advancements in computing technologies and associated constraints. Lu et al. recently proposed a biometrics and smartcards-based authentication scheme for multi-server environment. The careful analysis of this paper demonstrates Lu et al.'s protocol is susceptible to user impersonation attacks and comprises insufficient data. In addition, this paper proposes an improved authentication with key-agreement protocol for multi-server architecture based on biometrics and smartcards. The formal security of the proposed protocol is verified using the widely accepted AVISPA (Automated Validation of Internet Security Protocols and Applications) tool to ensure that our protocol can withstand active and passive attacks. The formal and informal security analysis, and performance analysis sections determines that our protocol is robust and efficient compared to Lu et al.'s protocol and existing similar protocols.