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College-University Transfer Experiences of Students With Disabilities: A Survey Study 残疾学生的转学经历:一项调查研究
Q3 Engineering Pub Date : 2020-07-31 DOI: 10.20849/ijsn.v5i3.755
C. Anyinam, C. Silva, S. Coffey, Frank A. Smith, C. Arnold, B. Muirhead, E. Vogel, R. Vanderlee
The benefits of postsecondary education (PSE) are well documented and yet historic challenges have contributed to significant underrepresentation of students with disabilities. This paper presents the results of a survey study that explored students with disabilities’ experiences of transfer between PSE institutions in Canada. Data was collected using a survey questionnaire developed by the research team. Rating questions were analyzed using descriptive data. Students also answered open-ended questions that were analyzed using a qualitative content analysis approach. Sixty-nine of the 248 survey responses received indicated involvement in transfer between PSE institutions, mostly college to university. Four out of 5 of the transfer students self-identified as having psychiatric and mental health disabilities (e.g., anxiety, depression). Perceptions and experiences among successful and non-successful transfer students were mixed. Fully one-third of transfer students indicated that they felt that college-university transfer may be a better route for PSE for students with disabilities than going straight to university. Barriers to college-university transfer, among others, included a lack of information about who can assist with the process (62.5%) and inadequate information about disabilities and accommodation (56.3%). The results of this snapshot of PSE students with disabilities’ perceptions of college-university transfer may inform the design of evidence-based PSE transition interventions for this population. Additionally, given the under-representation of Indigenous and other racialized students in PSE, there is merit in further investigation focusing on their transfer experiences.
高等教育(PSE)的好处是有案可稽的,但历史挑战导致残疾学生的代表性明显不足。本文介绍了一项调查研究的结果,探讨了加拿大残疾学生在PSE机构之间转学的经历。数据是通过研究小组开发的调查问卷收集的。使用描述性数据分析评级问题。学生们还回答了一些开放式问题,这些问题使用定性内容分析方法进行了分析。收到的248份调查答复中有69份表示参与了PSE机构之间的转学,主要是学院转学到大学。五分之四的转学生自认为有精神和心理健康障碍(如焦虑、抑郁)。成功和不成功的转校生的看法和经历各不相同。整整三分之一的转校生表示,他们认为对于残疾学生来说,学院-大学转学可能是比直接上大学更好的PSE途径。在其他障碍中,学院-大学转学的障碍包括缺乏关于谁可以协助这一过程的信息(62.5%)和关于残疾和住宿的信息不足(56.3%)。对残疾PSE学生对大学-大学转学的认知的快照结果可能会为针对这一人群的循证PSE转学干预措施的设计提供信息。此外,鉴于土著和其他种族学生在PSE中的代表性不足,有必要进一步调查他们的转学经历。
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引用次数: 1
Clinical Efficiency Analysis of Share Decision Making in the Atrial Fibrillation Patients 共享决策在房颤患者中的临床效果分析
Q3 Engineering Pub Date : 2020-07-30 DOI: 10.20849/ijsn.v5i3.765
Hao-min Cheng, H. Chang, H. Huang, H. Hsu, Chih-Yi Lee, Mei-Jyh Sheu, Hsiao-Hui Chiu
Background : Atrial Fibrillation (AF) prevalence rate is about 2%-3% worldwide. The risk of stroke in patients with AF is 4 -5 times than normal. It’s important to take oral anticoagulant therapies to prevent stroke. Aims: The purpose of this study was to estimate whether share decision making (SDM) could lower the anxiety and improve the intension of medical decision or not. Methods: This was one-group pretest-posttest study design. The study contained 21 patients who had hospitalized following diagnosis and treatment of AF pectoris in Cardiology in the Veterans General Hospital. After using health education, patient filled out the questionnaire. TREND guideline has been adhered to in the reporting of this study. Results: The anxiety level decrease after the SDM from 2.8 to 1.2 points ( p -value<0.05) and the rate of the intension to choose medication increase from 57% to 76%. The promote factors are "After patient understand the disease and treatment, they are ready for consultation (83%)". Medical staff believes that the relevant factors of "System-related difficulties" are "Insufficient time to talk with patient (45%)". Conclusion: Both medical staff and patients have positive feedback and statistically significant differences in affecting the patient's medical willingness and reducing patient anxiety in SDM. It is important to help patients to think and evaluate carefully through SDM and determine the most appropriate treatment.
背景:房颤(AF)在世界范围内的患病率约为2%-3%。房颤患者发生卒中的风险是正常人的4 -5倍。口服抗凝治疗对预防中风很重要。目的:本研究的目的是评估共享决策(SDM)是否可以降低医疗决策的焦虑和提高医疗决策的强度。方法:采用单组前测后测研究设计。本研究纳入了21例在退伍军人总医院心脏病科诊断和治疗后住院的房颤心绞痛患者。在进行健康教育后,患者填写问卷。本研究报告遵循TREND指南。结果:SDM后焦虑水平由2.8分下降至1.2分(p值<0.05),选择药物的意向率由57%上升至76%。促进因素是“患者在了解疾病和治疗后,愿意咨询”(83%)。医务人员认为“制度相关困难”的相关因素是“与患者交谈时间不足(45%)”。结论:SDM中医护人员和患者在影响患者就医意愿和降低患者焦虑方面均有正反馈,差异有统计学意义。重要的是通过SDM帮助患者仔细思考和评估,确定最合适的治疗方法。
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引用次数: 1
Cervical Cancer Knowledge, Attitude, and Practices: Educational Program Management for Female Workers at Port Said University 子宫颈癌知识、态度与实践:塞得港大学女工教育项目管理
Q3 Engineering Pub Date : 2020-07-25 DOI: 10.20849/ijsn.v5i3.776
Mervat Caber Zagloul, H. Hassan, E. Naser
Background: Women of all races and ethnicities have the possibility of developing cervical cancer. Cervical cancer has continued to be а significant issue in public health worldwide. Aim: To assess the impact of а cervical cancer educational program on the awareness, attitude, and practice of working women at the University of Port Said. Subject & Methods; Design: Α quasi-experimental design. Setting: The study conducted at Port Said University faculties; Subjects: 260 working women at Port Said University, who accepted to participate in the study. Results: The mean age of the females surveyed was 37.22±11.00 years. There has been а general increase in the awareness, practice, and attitude of the studied women about cervical cancer during the different measurement periods compared with before the program; with а highly statistically significant difference at р-values <0.001. There was a positive highly statistical significant correlation (р<0.001) between total knowledge and attitude scores as well as total knowledge and practice scores at different times of assessment. Conclusion: The implementation of educational program led to significant improvements in women's knowledge, practices, and attitude. Recommendations: The study can be replicated on а larger sample in different settings. More rigorous researches are required to explore the long-term impact of these programs and to plan an individualized educational system in formulating their educational program.
背景:所有种族和民族的妇女都有患宫颈癌的可能性。宫颈癌仍然是全世界公共卫生中的一个重大问题。目的:评估塞得港大学宫颈癌教育项目对职业妇女宫颈癌意识、态度和行为的影响。研究对象与方法;设计:Α准实验设计。环境:研究在塞得港大学院系进行;研究对象:260名接受参与研究的塞得港大学职业女性。结果:受访女性平均年龄为37.22±11.00岁。与项目实施前相比,在不同的测量期间,受研究妇女对宫颈癌的认识、行为和态度普遍有所提高;具有高度统计学意义的差异,标准值<0.001。总知识分与态度分、总知识分与实践分在不同的评估时间有高度显著的正相关(p <0.001)。结论:教育项目的实施使妇女的知识、行为和态度有了明显的改善。建议:该研究可以在不同环境下的更大样本中重复。需要更严格的研究来探索这些项目的长期影响,并在制定他们的教育计划时规划个性化的教育体系。
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引用次数: 13
Effect of a Planned Health Teaching on Improving Knowledge and Competence of Home Care Practice of Post Stroke Patient Among Caregivers' Achievement 计划健康教学对提高脑卒中后患者家庭护理实践知识和能力的影响
Q3 Engineering Pub Date : 2020-06-30 DOI: 10.20849/ijsn.v5i2.761
Eman Ali Abd El Moaty Sheha, Asmaa Abouda Abdelhamed Soultan, Rasha Nabil Malk, E. Elsherbeny
Background: Stroke is one of the major healthcare challenges, being one of the leading causes of death, disability, and dependency in the activity of daily living worldwide Homecare of stroke patients is having a great role in the patient recovery. Patient family caregivers and relatives can play an important role in the care of patients. But how to continue proper care of the patient at home after discharge, they don't know what to do and don't have practice as well. In this view, the researcher believes that it might be a great help for caregivers and the patients to teach theirs about stroke and home care of stroke patients. Objective: The study aims to evaluate the effectiveness of a planned health teaching on the caregiver's knowledge and competence of home care of stroke patients. Therefore, improve the patients' functional ability. Methods: The two group pre and post-test, quasi-experimental design was conducted among 50 caregivers of stroke patients, assigned to 25 caregivers as a control group and 25 caregivers as an experimental group. The study was done in the university hospital at El Fayoum city from 1st March 2019 to 31st August 2019. Four tools were used for data collection after reviewing relevant data as the following; a structured interviewing questionnaire, caregiver's knowledge questionnaire regarding stroke, caregiver's practices regarding bed position, Position Change and Transfer, and Range of Motion Exercises, and patient function ability assessment according to Barthel index. Results : revealed that there was a poor score level of knowledge and competence of home care practices before the intervention. However, there was an improvement of score level in the control and experimental group post-intervention, but the higher score was observed in the experimental group. The mean score level of patient functional ability in the experimental group improved than the control group through follow up. Highly statistical significance was found between control and experimental group post-intervention related to knowledge and practices. A positive significant correlation between caregiver's practices and patients function ability in the experimental group was found. Conclusion: planned health teaching is important after patients discharge to increase the caregiver's knowledge and competence of home care practices of post-stroke patients; resulting in improved patient functional ability.
背景:脑卒中是主要的医疗保健挑战之一,是全球范围内导致死亡、残疾和日常生活依赖的主要原因之一。脑卒中患者的家庭护理在患者康复中起着重要作用。患者家属照顾者和亲属可以在患者的护理中发挥重要作用。但出院后如何在家中继续进行适当的护理,他们不知道该怎么做,也没有实践。因此,研究人员认为,向护理人员和患者传授中风和中风患者的家庭护理知识可能会对护理人员和患者有很大的帮助。目的:探讨计划健康教学对脑卒中患者居家护理知识和能力的影响。因此,提高患者的功能能力。方法:对50名脑卒中患者护理人员进行前后测试、准实验设计,分为25名护理人员为对照组,25名护理人员为实验组。该研究于2019年3月1日至2019年8月31日在法尤姆市的大学医院进行。在审查相关数据后,使用了以下四种工具进行数据收集:一份结构化访谈问卷、护理员卒中知识问卷、护理员床位、体位变换与移位、关节活动度练习实践问卷,以及根据Barthel指数进行患者功能能力评估。结果:干预前家庭护理实践知识和能力得分较低。干预后,对照组和实验组的得分水平均有提高,但实验组得分较高。通过随访,实验组患者功能能力平均评分水平较对照组有所提高。干预后对照组与实验组在相关知识和实践方面存在高度统计学意义。实验组护理人员行为与患者功能能力之间存在显著正相关。结论:出院后计划健康教学对提高护理人员对脑卒中后家庭护理实践的知识和能力具有重要意义;从而提高患者的功能能力。
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引用次数: 1
A Critical Realist Review of Pre-Registration Nursing Student Stress 对注册前护理学生压力的批判性现实主义回顾
Q3 Engineering Pub Date : 2020-06-28 DOI: 10.20849/ijsn.v5i2.748
P. Coleman, G. Vance
This Critical Realist review recognises the transitional challenge faced by all undergraduates on their path to becoming qualified practitioners but draws attention to the particularly high levels of student stress associated with the experience of learners who enrol on pre-registration nursing programmes. It also examines international evidence of factors which contribute to such stress. Professional opinion, reports, qualitative, quantitative and mixed methods research is thematically presented to indicate the wide range of educational, social, environmental, intrapersonal and interpersonal variables that contribute to pre-registration nursing student stress. Congruent with the principles of Critical Realism, the paper also identifies several emerging fields associated with student nurse stressors that are worthy of further investigation due to an apparent paucity of published work. Finally, the authors briefly highlight their own research activity currently underway to extend the body of knowledge in these areas and in so doing seek to help address student retention issues within nursing.
这篇批判现实主义的评论认识到所有本科生在成为合格的从业人员的道路上面临的过渡挑战,但提请注意与参加预注册护理课程的学习者的经验相关的特别高的学生压力。它还审查了造成这种压力的因素的国际证据。专业意见,报告,定性,定量和混合方法的研究主题提出了广泛的教育,社会,环境,个人和人际关系的变量,有助于注册前护理学生的压力。与批判现实主义的原则一致,该论文还确定了与学生护士压力源相关的几个新兴领域,由于明显缺乏已发表的工作,这些领域值得进一步调查。最后,作者简要地强调了他们自己目前正在进行的研究活动,以扩展这些领域的知识体系,并在此过程中寻求帮助解决护理领域的学生保留问题。
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引用次数: 0
Clinical Application and Efficiency Analysis of Shared Decision Making (SDM) in the Treatment of Stable Angina 共同决策(SDM)在稳定型心绞痛治疗中的临床应用及疗效分析
Q3 Engineering Pub Date : 2020-06-28 DOI: 10.20849/ijsn.v5i2.751
Hao-min Cheng, H. Hsu, Chih-Yi Lee, H. Chang, H. Huang, Mei-Jyh Sheu, Hsiao-Hui Chiu
Background : Cardiac disease is the second leading causes of death in Taiwan in 2018 and coronary artery disease is one of the main reasons. Aims: The purpose of this study was to estimate whether Shared decision making (SDM) could lower the anxiety of the patient in the treatment of cardiac catheterization and improve the intension of medical decision or not. Methods: One-group pretest-posttest design.Using the public medical aids opinion questionnaire that was developed by the Taiwan Ministry of Health and Welfare. STROBE guidelines have been adhered to in the reporting of this study. Results: The anxiety level decrease after the SDM from 3.5 to 2.1 points (p-value<0.05) and the proportions of the intension to choose medication and surgery increase from 34% to 66%. Results show that SDM has positive influence in the relief of anxiety. Conclusion: SDM has positive influence in lowering patient’s anxiety and improve the intension of medical decision, the hesitation of patient and deficiency of time are two of the main barriers during the application process.
背景:心脏疾病是2018年台湾第二大死亡原因,冠状动脉疾病是主要原因之一。目的:本研究的目的是评估共同决策(Shared decision making, SDM)是否能降低心导管治疗中患者的焦虑情绪,提高医疗决策的强度。方法:单组前测后测设计。采用台湾卫生福利部编制的公众医疗辅助工具意见问卷。本研究报告遵循STROBE指南。结果:SDM后焦虑水平由3.5分下降至2.1分(p值<0.05),选择药物和手术的意向比例由34%上升至66%。结果表明,SDM对焦虑的缓解有积极的影响。结论:SDM在降低患者焦虑、提高医疗决策强度方面具有积极作用,患者的犹豫和时间不足是应用SDM的主要障碍。
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引用次数: 1
Socio-Demographic Determinants of Exclusive Breastfeeding Practices Among Nursing Mothers in Enugu State 埃努古州哺乳母亲纯母乳喂养行为的社会人口决定因素
Q3 Engineering Pub Date : 2020-05-20 DOI: 10.20849/ijsn.v5i2.736
Anthonia C. Ogbe, C. Nwankwo, Theresa O. Agbele, Joshua C. Nwambo
Exclusive breastfeeding (EBF) plays a pivotal role in determining the optimal health and development of infants with reduction in infant mortality. This study focuses on those factors which place nursing mothers in the likelihood of not adopting and practicing EBF. It is a descriptive study that utilized a multi-stage sampling technique. A structured questionnaire, mean and standard deviation were used. The result shows that the EBF practice among nursing mothers is high with a grand mean and standard deviation of 2.75 (0.61). Those with secondary qualification and below had 3.10(0.37) while tertiary had 2.23 (0.41). Mothers aged 25 and below had 3.39 (0.14) and above age 25 had 2.57(0.52).Parity of 1-4 had 2.93 (0.47) while parity of 5 and above had 1.93 (0.34). Married and single mothers had 2.75 (0.61) and 1.26 (0.05) respectively. Effective EBF education is needed to reduce socio-demographic factors that hinder mothers’ practice of EBF.
纯母乳喂养(EBF)在确定婴儿的最佳健康和发育以及降低婴儿死亡率方面发挥着关键作用。本研究的重点是那些因素,使哺乳母亲在不采用和实践EBF的可能性。这是一项描述性研究,利用了多阶段抽样技术。采用结构化问卷,采用均数和标准差。结果显示,哺乳期母亲的EBF实践率较高,均数和标准差为2.75(0.61)。中等及以下学历为3.10(0.37),而高等学历为2.23(0.41)。25岁及以下为3.39例(0.14),25岁以上为2.57例(0.52)。1-4的奇偶性为2.93(0.47),而5及以上的奇偶性为1.93(0.34)。已婚和单身母亲分别为2.75(0.61)和1.26(0.05)。需要有效的EBF教育来减少阻碍母亲实践EBF的社会人口因素。
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引用次数: 0
Influence of Hot Compresses Versus Cabbage Leaves on Engorged Breast in Early Puerperium 热敷与白菜叶对产褥期早期乳房充盈的影响
Q3 Engineering Pub Date : 2020-05-09 DOI: 10.20849/ijsn.v5i2.740
Mervat Caber Zagloul, E. Naser, H. Hassan
Breast engorgement is а common issue affecting breastfeeding initiation and length. There are minimal options for relieving the pain associated with breast engorgement. Therefore, further study of strategies to achieve successful pain relief is crucial to promoting progress in breastfeeding. This study was conducted to evaluate and compare the effectiveness of compressed cold cabbage leaves versus hot compresses among postnatal mothers in relieving breast engorgement. Αn interventional quasi-experimental study design used to conduct this study. The study was carried out in the postnatal wards of Ismailia & port-Said general hospitals, and Suez Canal University Hospital. Α convenient sample study was 60 breast-engorgement postnatal mothers. Tools of data collection were; an interviewing questionnaire sheet included socio-demographic and obstetrical data, Visual Analogue Scale, and Six-point engorgement scale. The results showed that before the intervention, there was no statistically significant difference between the two groups linked to breast engorgement symptoms & body temperature. But body temperature, scores of breast engorgement and pain were statistically significant differentiated between the two groups’ pre and post-intervention. Significant improvement in the breast engorgement and pain scales after the intervention was found, ( p < 0.001). In conclusion, this study revealed that hot compresses and cabbage leaves compresses, as well, for relieving breast engorgement; are time-efficient and easy to perform. However, hot compresses are better than compresses of raw cabbage leaves to minimize discomfort among postnatal mothers and to alleviate breast engorgement. Additional randomized controlled trials with potential placebo treatment should be performed to elucidate the unspecific effects of the application of hot compress and cold Cabbage leaves.
乳房充盈是影响母乳喂养开始和长度的常见问题。缓解乳房膨胀引起的疼痛的方法很少。因此,进一步研究成功缓解疼痛的策略对于促进母乳喂养的进展至关重要。本研究旨在评估和比较压缩冷甘蓝叶与热敷在产后母亲缓解乳房肿胀方面的效果。Αn采用介入性准实验研究设计进行本研究。这项研究是在伊斯梅利亚和赛义德港综合医院以及苏伊士运河大学医院的产后病房进行的。Α方便的样本研究是60名乳房膨大的产后母亲。数据收集工具有;访谈问卷包括社会人口统计学和产科数据、视觉模拟量表和六分式膨胀量表。结果显示,在干预前,两组之间在乳房肿胀症状和体温方面没有统计学上的显著差异。但两组患者的体温、乳房胀大和疼痛评分在干预前后差异有统计学意义。干预后乳房胀大和疼痛评分显著改善(p < 0.001)。综上所述,本研究表明热敷和白菜叶敷也可以缓解乳房肿胀;时间效率高,易于执行。然而,热敷比生卷心菜叶更能减少产后母亲的不适,缓解乳房肿胀。额外的随机对照试验与潜在的安慰剂治疗应该进行,以阐明应用热敷和冷白菜叶的非特异性效果。
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引用次数: 9
An improved weighted centroid localisation algorithm for wireless sensor networks in coal mine underground 煤矿井下无线传感器网络的改进加权质心定位算法
Q3 Engineering Pub Date : 2020-04-17 DOI: 10.1504/ijsn.2020.10028585
Haibo Liu, Yujie Dong, Fuzhong Wang
In view of the practical characteristics of coal mine underground working environment and the low positioning accuracy of existing algorithm, an improved weighted centroid localisation algorithm based on received signal strength indicator (RSSI) is proposed. Firstly, the environmental parameters of RSSI ranging are modified by the least square method to eliminate the influence of various interferences on the measured data. The exponential factor and the modified RSSI value are directly calculated to determine the coordinates of the unknown node. The exponential factor is optimised by an improved quantum particle swarm optimisation algorithm based on the criterion of minimum root mean square error. The simulation results show that the proposed algorithm can reduce the influence of complex environment factors in the positioning process and has the better positioning accuracy than the traditional method, which meets requirements of personnel location precision in underground long-distance roadway.
针对煤矿井下工作环境的实际特点和现有算法定位精度较低的问题,提出了一种改进的基于接收信号强度指标(RSSI)的加权质心定位算法。首先,采用最小二乘法对RSSI测距的环境参数进行修正,消除各种干扰对测量数据的影响;直接计算指数因子和修正后的RSSI值,确定未知节点的坐标。采用基于最小均方根误差准则的改进量子粒子群优化算法对指数因子进行优化。仿真结果表明,该算法能够降低定位过程中复杂环境因素的影响,具有比传统方法更好的定位精度,满足地下长距离巷道人员定位精度的要求。
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引用次数: 0
Wireless corrosion monitoring system based on an interdigital capacitive corrosion sensor 基于数字间电容式腐蚀传感器的无线腐蚀监测系统
Q3 Engineering Pub Date : 2020-04-17 DOI: 10.1504/ijsn.2020.10028586
Y. Along, Jiao Jiajia, Cao Hao, Sun Hongbing, Dai Jinqiao
The corrosion of reinforcing steel bars in concrete is the main factor affecting the durability of reinforced concrete structures. The traditional capacitance method has many limitations in detecting the corrosion of the bars, such as low sensitivity, short lifespan and small test range. Therefore, an interdigital capacitive corrosion sensor is designed based on the capacitive method, and a wireless corrosion monitoring system for reinforcing steel bars in concrete is established based on the ZigBee wireless sensor network technology. The data processing unit, wireless communication unit, data acquisition unit, voltage conversion unit and serial communication unit are designed for terminal nodes and the coordinator node in the system. Moreover, a host computer interface is developed with Microsoft Visual Studio 2010, which can realise real-time display and query of monitoring information. The experimental results show that the system can effectively monitor the corrosion of reinforcing steel bars in concrete, which can provide a reliable basis for timely and effective maintenance.
混凝土中钢筋的腐蚀是影响钢筋混凝土结构耐久性的主要因素。传统的电容法检测棒材腐蚀存在灵敏度低、寿命短、测试范围小等局限性。因此,基于电容法设计了一种跨数电容式腐蚀传感器,并基于ZigBee无线传感器网络技术建立了混凝土中钢筋的无线腐蚀监测系统。针对系统中的终端节点和协调器节点设计了数据处理单元、无线通信单元、数据采集单元、电压转换单元和串行通信单元。利用Microsoft Visual Studio 2010开发了上位机界面,实现了监控信息的实时显示和查询。试验结果表明,该系统能有效监测混凝土中钢筋的腐蚀情况,为及时有效的维修提供可靠依据。
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引用次数: 0
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International Journal of Security and Networks
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