End-User Skin Analysis (Moles) through Image Acquisition and Processing System.

Skin moles and lesions can be the first signs of severe skin diseases such as cancer. This paper presents the development of an end-user device capable of capturing images, segmentation and diagnosis of moles by using the ABCD rule, which stands for analyzing moles' parameters as: asymmetry, border, color, and diameter. These are the main mole characteristics that doctors look at, each of them having a different factor of importance, and depending on these an accurate diagnosis can be given. For the hardware, we developed a small and compact device that can be manipulated easily by anyone without knowledge of medicine, in which we considered a custom-designed 3D enclosure with two white LEDs to control the light. The device has the role of facilitating analysis of the suspicious moles regularly at home, even if only from an indicative and not from a medical point of view. The developed PC software permits the storage of the images in a local database for easy tracking and analysis in time. The image processing developed for the ABCD rule is incorporated into the PC software and tested extensively on the international PH2 database with skin melanoma images to validate our segmentation and criteria evaluation. Using the developed device, we captured mole images for patients, who also took a medical examination by a specialist using the standard dermatoscope. Therefore, we obtained our own database containing 26 images for which we have also the specialists' diagnosis. The performance evaluation measures obtained using our device are-Accuracy: 0.92, Precision: 1.0, Recall: 0.92, F1-score: 0.96.

Unified InterPlanetary Smart Parking Network for Maximum End-User Flexibility.

Technological breakthroughs have offered innovative solutions for smart parking systems, independent of the use of computer vision, smart sensors, gap sensing, and other variations. We now have a high degree of confidence in spot classification or object detection at the parking level. The only thing missing is end-user satisfaction, as users are forced to use multiple interfaces to find a parking spot in a geographical area. We propose a trustless federated model that will add a layer of abstraction between the technology and the human interface to facilitate user adoption and responsible data acquisition by leveraging a federated identity protocol based on Zero Knowledge Cryptography. No central authority is needed for the model to work; thus, it is trustless. Chained trust relationships generate a graph of trustworthiness, which is necessary to bridge the gap from one smart parking program to an intelligent system that enables smart cities. With the help of Zero Knowledge Cryptography, end users can attain a high degree of mobility and anonymity while using a diverse array of service providers. From an investor's standpoint, the usage of IPFS (InterPlanetary File System) lowers operational costs, increases service resilience, and decentralizes the network of smart parking solutions. A peer-to-peer content addressing system ensures that the data are moved close to the users without deploying expensive cloud-based infrastructure. The result is a macro system with independent actors that feed each other data and expose information in a common protocol. Different client implementations can offer the same experience, even though the parking providers use different technologies. We call this InterPlanetary Smart Parking Architecture NOW-IPSPAN.

Antibiotic treatment in childhood community-acquired pneumonia - clinical practice versus guidelines: results from two university hospitals.

BACKGROUND AND AIMS: Community-acquired pneumonia (CAP) is a both common and serious childhood infection. Antibiotic treatment guidelines help to reduce inadequate antibiotics prescriptions. METHODS: We conducted a retrospective study at the Clinical Emergency Hospital for Children, 3rd Pediatric Clinic, Cluj-Napoca and Dr. Gavril Curteanu Clinical City Hospital, in Oradea. All patients discharged with a diagnosis of CAP between December 1, 2014 and February 28, 2015, were included in the study. RESULTS: There were 146 cases discharged with pneumonia in Cluj-Napoca center (mean age 4 years; range: 1 month - 16 years), and 212 cases in Oradea center (mean age 0.9 years; range: 2 weeks - 8 years). All cases were analyzed. The analysis made in Clinical Emergency Hospital for Children, 3rd Pediatric Clinic, Cluj-Napoca, showed that the antibiotics used in children hospitalized with community-acquired CAP are cefuroxime (43%), ceftriaxone (23%), macrolides (16%), ampicillin in association with an aminoglycoside (6%) and other antibiotics. The same antibiotics were used in Dr. Gavril Curteanu Clinical City Hospital of Oradea, where ampicillin in association with aminoglycoside was utilized in younger children (mean age 1.3 years), while ceftriaxone in older children (5.7 years) and children with high inflammation markers (ESR, CRP). From 11 pleurisy cases, 9 received cefuroxime or ceftriaxone. CONCLUSIONS: There was a wide variability in CAP antibiotic treatment across university hospitals, regarding antibiotic choice and dosing. Antibiotic selection was not always related to the clinical and laboratory characteristics of the patient. The national guideline was not followed, especially in children aged one to three months.