Raj Kumar

Bio: Raj Kumar is an academic researcher from Indian Council of Agricultural Research. The author has contributed to research in topics: Nusselt number & Baffle. The author has an hindex of 18, co-authored 83 publications receiving 876 citations. Previous affiliations of Raj Kumar include Central Soil Salinity Research Institute.

Application level hand-off support for mobile media transcoding sessions

Abstract: Media transcoding can be used to enable mobile devices that have low resolution and low bit-rate capabilities to access content created for stationary, desktop clients with high bandwidth connections. By deploying transcoding servers near the edge of a large network, it becomes possible to support clients with multiple resolutions, while limiting the bandwidth requirements in the core network.

Self‐management education for patients with chronic obstructive pulmonary disease

Abstract: BACKGROUND: There is great interest in chronic obstructive pulmonary disease (COPD) and the associated large burden of disease. COPD is characterised by frequent day by day fluctuations, and repetitive clinical exacerbations are typical. Self-management is a term applied to educational programmes aimed at teaching skills needed to carry out medical regimens specific to the disease, guide health behaviour change, and provide emotional support for patients to control their disease and live functional lives. In COPD, the value of self-management education is not yet clear. The first Cochrane review about self-management was published in 2003. It was intended to shed light on the effectiveness of self-management programmes in COPD and the relative efficacy of their constitutive elements. No conclusions about the effectiveness of self-management could be drawn because of the large variation in outcome measures used in the limited number of included studies. This article describes the first update of this review. OBJECTIVES: The objective of this review was to assess the settings, methods and efficacy of COPD self-management education programmes on health outcomes and use of health care services. SEARCH STRATEGY: We searched the Cochrane Airways Group trial register, MEDLINE (January 1985 to January 2006), reference lists, and abstracts of medical conferences. SELECTION CRITERIA: Controlled trials (randomised and non-randomised) of self-management education in patients with COPD. Studies focusing mainly on pulmonary rehabilitation and studies without usual care as a control group were excluded. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed study quality and extracted data. Investigators were contacted for additional information. MAIN RESULTS: The reviewers included 15 group comparisons drawn from 14 trials. They assessed a broad-spectrum of interventions and health outcomes with different follow-up times. Meta-analyses could often not appropriately be performed because of heterogeneity among studies. The studies showed a significant reduction in the probability of at least one hospital admission among patients receiving self-management education compared to those receiving usual care (OR 0.64; 95% CI (0.47 to 0.89)). This translates into a one year NNT ranging from 10 (6 to 35) for patients with a 51% risk of exacerbation, to an NNT of 24 (16 to 80) for patients with a 13% risk of exacerbation. On the disease specific SGRQ, differences reached statistical significance at the 5% level on the total score (WMD -2.58; 95% CI (-5.14 to -0.02)) and impact domain (WMD -2.83; 95% CI (-5.65 to -0.02)), but these difference did not reach the clinically relevant improvement of 4 points. A small but significant reduction was detected in dyspnoea measured with the BORG-scale (WMD -0.53; 95% CI (-0.96 to -0.10)). No significant effects were found either in number of exacerbations, emergency department visits, lung function, exercise capacity, and days lost from work. Inconclusive results were observed in doctor and nurse visits, on symptoms other than dyspnoea, the use of courses of oral corticosteroids and antibiotics, and the use of rescue medication. AUTHORS' CONCLUSIONS: It is likely that self-management education is associated with a reduction in hospital admissions with no indications for detrimental effects in other outcome parameters. This would in itself already be enough reason for recommending self-management education in COPD. However, because of heterogeneity in interventions, study populations, follow-up time, and outcome measures, data are still insufficient to formulate clear recommendations regarding the form and contents of self-management education programmes in COPD. There is an evident need for more large RCTs with a long-term follow-up, before more conclusions can be drawn.

The international energy agency

Abstract: This chapter surveys the role of the IEA as a key component of the international energy security system. First, it gives an overview of the nature of the energy security challenges and the key governance regimes that have been set up historically to manage these challenges, including the IEA. Then, it elaborates on the specific roles taken up by the IEA in global energy governance, particularly in light of the dramatic changes that characterize the global energy security system. Finally, it gives a comparative overview of the three oil market interventions that the IEA has so far coordinated, before presenting the conclusions.

Video Streaming: Concepts, Algorithms, and Systems

Abstract: video streaming, video delivery, streaming media content delivery networks, video coding, errorresilient; multiple description coding Video has been an important media for communications and entertainment for many decades. Initially video was captured and transmitted in analog form. The advent of digital integrated circuits and computers led to the digitization of video, and digital video enabled a revolution in the compression and communication of video. Video compression became an important area of research in the late 1980’s and 1990’s and enabled a variety of applications including video storage on DVD’s and Video-CD’s, video broadcast over digital cable, satellite and terrestrial (over-the-air) digital television (DTV), and video conferencing and videophone over circuit-switched networks. The growth and popularity of the Internet in the mid-1990’s motivated video communication over best-effort packet networks. Video over best-effort packet networks is complicated by a number of factors including unknown and time-varying bandwidth, delay, and losses, as well as many additional issues such as how to fairly share the network resources amongst many flows and how to efficiently perform one-to-many communication for popular content. This article examines the challenges that make simultaneous delivery and playback, or streaming, of video difficult, and explores algorithms and systems that enable streaming of pre-encoded or live video over packet networks such as the Internet.