Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system
Efficacy and Safety of Intravenous Ketamine Anaesthesia in a Suburban Nigerian Hospital | Chapter 10 | New Horizons in Medicine and Medical Research Vol. 8
The goal of this retrospective study was to highlight intravenous ketamine use in a general practise hospital in Auchi, Nigeria. Case records of all patients who were operated on using intravenous ketamine were collected and significant data was taken for the study from January 1994 to January 2014. A total of 1,370 patients were operated on, including 463 (33.8%) major operations and 907 (66.2%) intermediate/minor procedures. Males (725 [53.0 percent]) were operated on more than females (725 [53.0 percent]) (645 [47.0 percent ]). Side events included transitory hypertension with moderate tachycardia, postoperative disorientation and confusion, emergent delirium, and priapism in 31 people. Intravenous ketamine anaesthesia has been demonstrated to have high clinical efficacy and safety in these patients. Author(S) Details G. B. S. Iyalomhe Department of Pharmacology and Therapeutics,Faculty of Clinical Sciences,College of Medicine ,Ambrose Alli University, Ekpoma, Nigeria. S. I.