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2022 ◽  
Vol 27 (3) ◽  
pp. 1-31
Author(s):  
Yukui Luo ◽  
Shijin Duan ◽  
Xiaolin Xu

With the emerging cloud-computing development, FPGAs are being integrated with cloud servers for higher performance. Recently, it has been explored to enable multiple users to share the hardware resources of a remote FPGA, i.e., to execute their own applications simultaneously. Although being a promising technique, multi-tenant FPGA unfortunately brings its unique security concerns. It has been demonstrated that the capacitive crosstalk between FPGA long-wires can be a side-channel to extract secret information, giving adversaries the opportunity to implement crosstalk-based side-channel attacks. Moreover, recent work reveals that medium-wires and multiplexers in configurable logic block (CLB) are also vulnerable to crosstalk-based information leakage. In this work, we propose FPGAPRO: a defense framework leveraging P lacement, R outing, and O bfuscation to mitigate the secret leakage on FPGA components, including long-wires, medium-wires, and logic elements in CLB. As a user-friendly defense strategy, FPGAPRO focuses on protecting the security-sensitive instances meanwhile considering critical path delay for performance maintenance. As the proof-of-concept, the experimental result demonstrates that FPGAPRO can effectively reduce the crosstalk-caused side-channel leakage by 138 times. Besides, the performance analysis shows that this strategy prevents the maximum frequency from timing violation.


2022 ◽  
pp. 002076402110689
Author(s):  
Véra Forcheron ◽  
Elodie Sacareau ◽  
Jérôme Bourgeois ◽  
Arnaud Pouchon ◽  
Mircea Polosan ◽  
...  

Aims: To qualitatively characterize the experience, impact and needs of informal family caregivers around the communication of a diagnosis of schizophrenia. Methods: In all, 13 informal family caregivers were recruited. All were parents. Semi-structured interviews were used to explore their experience of the diagnosis of schizophrenia, the impacts of the diagnosis and the needs related to the diagnosis around its communication. Interviews were recorded, transcribed, codes generated and mixed deductive–inductive thematic analysis undertaken. Results: Participants described receiving the diagnosis of schizophrenia for their relative as a devastating experience, although some nuanced the experience with a sense of relief of finally naming the disorder and getting access to care. Caregivers’ experience and representations prior to hearing the diagnosis played an important role in the way the ‘news’ was internalized. The communication of the diagnosis constituted a starting point for acceptance of the reality of the illness in participants. Numerous unmet needs around the communication of the diagnosis were reported by participants, including personnalized support, specific explanations about the disorder and guidance on their role as caregiver. Conclusion: A specific attention must be given to the communication of the diagnosis of schizophrenia to the informal family caregivers. Information giving must be early, comprehensive, personalized and embedded into tailored education and support programmes for caregivers to facilitate illness acceptance and adaptation.


2022 ◽  
Vol 9 ◽  
Author(s):  
Catherine Ellis ◽  
Anna Pease ◽  
Joanna Garstang ◽  
Debbie Watson ◽  
Peter S. Blair ◽  
...  

Background: Advice to families to follow infant care practices known to reduce the risks of Sudden Unexpected Death in Infancy (SUDI) has led to a reduction in deaths across the world. This reduction has slowed in the last decade with most deaths now occurring in families experiencing social and economic deprivation. A systematic review of the literature was commissioned by the National Child Safeguarding Practice Review Panel in England. The review covered three areas: interventions to improve engagement with support services, parental decision-making for the infant sleep environment, and interventions to improve safer sleep practices in families with infants considered to be at risk of SUDI.Aim: To describe the safer sleep interventions tested with families with infants at risk of SUDI and investigate what this literature can tell us about what works to reduce risk and embed safer sleep practices in this group.Methods: Eight online databases were systematically searched in December 2019. Intervention studies that targeted families with infants (0–1 year) at increased risk of SUDI were included. Studies were limited to those from Western Europe, North America or Australasia, published in the last 15 years. The Quality Assessment Tool for Studies with Diverse Designs was applied to assess quality. Data from included studies were extracted for narrative synthesis, including mode of delivery using Michie et al.'s Mode of Delivery Taxonomy.Results: The wider review returned 3,367 papers, with 23 intervention papers. Five types of intervention were identified: (1) infant sleep space and safer sleep education programs, (2) intensive or targeted home visiting services, (3) peer educators/ambassadors, (4) health education/raising awareness interventions, (5) targeted health education messages using digital media.Conclusion: Influencing behavior in families with infants at risk of SUDI has traditionally focused on “getting messages across,” with interventions predominantly using education and awareness raising mechanisms. This review found evidence of interventions moving from “information giving” to “information exchange” models using personalized, longer term relationship-building models. This shift may represent an improvement in how safer sleep advice is implemented in families with infants at risk, but more robust evidence of effectiveness is required.Systematic Review Registration:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/901091/DfE_Death_in_infancy_review.pdf, identifier: CRD42020165302.


2021 ◽  
Vol 12 (2) ◽  
pp. 124
Author(s):  
Devian Try Gustary ◽  
Suciati Anggraini

This study focuses on flouting maxim uttered by characters in “UP!” movie. This study is aimed at analyzing types of flouting maxims performed by the characters and describing strategies of flouting maxims uttered by characters in the movie. In analyzing the types and strategies of flouting maxims of characters, Cutting’s theory (2002) is used. The researcher also employed qualitative research method to collect the data. The result showed two important findings. First, it was found that there are four types of flouting maxims in the movie. They are flouting maxims of quantity, quality, relation and manner. Flouting maxims of quality was rank first because the characters deliberately say something that is believed to be false. Second, there are ten strategies of flouting maxims found in the movie. They are giving too little information, giving too much information, hyperbole, metaphor, irony, banter, sarcasm, being irrelevant, changing the topic and being obscure. The occurrence of the strategy that mostly used to flout maxims was giving too much information. It happened because the characters always give too much information than what is required.


2021 ◽  
Vol 12 ◽  
pp. 64-73
Author(s):  
Indra Karapetjana ◽  
◽  
Gunta Roziņa

In the 21st century, globalization and massive migration have increased the global demand for effective transnational communication skills in English in the health care workplace and academic contexts, including dentistry. English for Dentistry falls under the umbrella of English for Specific Purposes (ESP): this refers to teaching and learning English as a foreign language in a particular domain. While the role of grammar acquisition in ESP courses is often understated in the key theoretical literature on ESP, this article highlights the importance of lexicogrammatical knowledge. Dentistry students and practitioners in Latvia highly value the accuracy in communication since the knowledge of various syntactic and morphological rules of grammar and their use in the dentistry-related context contribute to the accuracy required in the performance of different communicative tasks, for instance, asking for, explaining, and providing information, giving instructions. Besides, if dentists are unable, for example, to explain a diagnosis, agree on treatment options with the patient in a meaningfully accurate way, the dentist’s authority may be undermined, resulting in unsuccessful communication. The case study reports on the tasks employing lexicogrammatical strategies in the material “Dentistry and Language Integrated Learning”, which has been developed by the authors of this article working in close collaboration with individual academic staff at the the Faculty of Medicine of the University of Latvia. The material piloted amongst both dentistry practitioners and students suggests that the applied strategies of morphological derivation, for instance, recognizing and building new words by gaining control of affixation devices, can be considered as useful tools in the new lexeme meaning-making process in dentistry. As a result, this study has attempted to support the assumption that ESP and content and language integrated learning (or CLIL) are compatible and can be efficiently mastered in the professional discourse development process.


2021 ◽  
Author(s):  
◽  
Sandra Roberta Ridley

<p>Older patients with a cognitive deficit, such as seen in Alzheimer's Disease (AD), have not been extensively researched in ED. Often patients with AD are accompanied by a familiar person such as a family caregiver when they present to an acute care facility. Literature has shown that family caregivers' have reported dissatisfaction with interaction with healthcare professionals in inpatient settings. There is a paucity of research on the experiences family caregivers have in ED. This study explored the experiences of family caregivers of people with Alzheimer's Disease in the ED of a regional hospital in New Zealand. A Hermeneutic phenomenology method was used to bring meaning to the lived experience of family caregivers in the ED. Ricouers Interpretation theory was used to analyse and interpret the data. Six family caregivers were interviewed, using semi-structured interviews, to explore and give meaning to their experience. Findings revealed family caregivers were 'sidelined'; felt invisible, ignored and abandoned by the healthcare professionals in ED. There appeared to be little understanding about dementia symptoms, or the needs of caregivers of people with AD. The experience was distressing for participants who felt they were not able to relay information about their loved one that was pertinent to their health and presenting symptoms. Health Professionals tended to speak directly to their loved ones and not with the participants. Consequently there was a risk of misinformation and poor communication driving treatment decisions for these patients. Participants reported poor information giving and family caregivers were left for long periods of time with no contact, and no support. Despite this, caregivers justified and excused the actions of healthcare professionals. They became passive recipients of process and procedures that were not adequately explained.</p>


2021 ◽  
Author(s):  
◽  
Sandra Roberta Ridley

<p>Older patients with a cognitive deficit, such as seen in Alzheimer's Disease (AD), have not been extensively researched in ED. Often patients with AD are accompanied by a familiar person such as a family caregiver when they present to an acute care facility. Literature has shown that family caregivers' have reported dissatisfaction with interaction with healthcare professionals in inpatient settings. There is a paucity of research on the experiences family caregivers have in ED. This study explored the experiences of family caregivers of people with Alzheimer's Disease in the ED of a regional hospital in New Zealand. A Hermeneutic phenomenology method was used to bring meaning to the lived experience of family caregivers in the ED. Ricouers Interpretation theory was used to analyse and interpret the data. Six family caregivers were interviewed, using semi-structured interviews, to explore and give meaning to their experience. Findings revealed family caregivers were 'sidelined'; felt invisible, ignored and abandoned by the healthcare professionals in ED. There appeared to be little understanding about dementia symptoms, or the needs of caregivers of people with AD. The experience was distressing for participants who felt they were not able to relay information about their loved one that was pertinent to their health and presenting symptoms. Health Professionals tended to speak directly to their loved ones and not with the participants. Consequently there was a risk of misinformation and poor communication driving treatment decisions for these patients. Participants reported poor information giving and family caregivers were left for long periods of time with no contact, and no support. Despite this, caregivers justified and excused the actions of healthcare professionals. They became passive recipients of process and procedures that were not adequately explained.</p>


2021 ◽  
Author(s):  
◽  
Clare Alison Buckley

<p>This descriptive, correlational study was designed to describe levels of consumer satisfaction with emergency department (ED) nursing and to identify the key determinants of satisfaction with ED nursing in a regional New Zealand hospital. The relationship between satisfaction with ED nursing and with overall satisfaction with the ED visit was also explored. Satisfaction is an important indicator of the quality of healthcare and an understanding of satisfaction and its determinants has the potential to improve healthcare services and consumer health outcomes. The study employed a survey design using the Consumer Emergency Care Satisfaction Scale (CECSS) which is an internationally recognised tool that has demonstrable reliability and validity. It consists of 19 items divided between two subscales - Caring and Teaching. Respondents indicate on a five point Likert scale the extent to which they agree or disagree with each item. In addition to the 19 items in the scale, respondents were also asked to provide some consumer characteristic data and to answer two open-ended questions. The survey was posted to a convenience sample of 410 ED attendees within 24-48 hours of their visit to the emergency department. The final sample comprised 100 completed or partially completed surveys. The majority (n = 65, 88%) were either satisfied or very satisfied with ED nursing. There were no statistically significant relationships between any consumer characteristics and satisfaction; however the following visit characteristics were demonstrated to affect levels of satisfaction - triage category, self-rated acuity, the times consumers arrived at and were discharged from the ED, being able to differentiate between health professionals, being kept informed about the visit and any delays, length of stay (LOS), and number of previous visits to the emergency department. There was a strong positive correlation (r = 0.571, p = 0.000) between consumer satisfaction with ED nursing and with overall satisfaction with the visit. Thematic analysis of the data from the question about what consumers liked about ED nursing revealed four themes - personal qualities of the nurse, professional qualities of the nurse, interpersonal qualities of the nurse, and miscellaneous comments. Thematic analysis of the data from the question about what the nurse could have done to make the visit better also revealed four themes - nothing, staffing/service, information giving, and the environment. The study concludes that ED consumers want to know who their nurses are and to have nurses who communicate well with them and keep them informed about their visit. The most significant implications and challenges for researchers are in exploring the area around the consumer health journey as it is these visit characteristics that this study has demonstrated affect levels of satisfaction with ED nursing.</p>


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