Miracle-dz/UniFAR-FTUs huggingface dataset:
Diagnostic value of echocardiography in fetal cardiac malformation and clinical classification

Diagnostic value of echocardiography in fetal cardiac malformation and clinical classification was investigated. In total, 206 high-risk parturients, who received a screening of prenatal fetal cardiac malformation in Jinan Maternity and Child Care Hospital from January 2015 to June 2017, were retrospectively analyzed, among those parturients, the results of labor induction or newborns of 141 parturients were diagnosed as cardiac malformation, the fetuses of 65 parturients were diagnosed as non-cardiac malformation, the detection of fetal cardiac malformation of all the parturients was carried out by two-dimensional ultrasound and four-dimensional ultrasound during gestation period, presence or absence of congenital cardiac malformation of the fetuses and clinical classification were estimated. The sensitivity of two-dimensional ultrasound diagnosis combined with four-dimensional ultrasound diagnosis was significantly higher than that of two-dimensional ultrasound diagnosis and four-dimensional ultrasound diagnosis (P<0.05). In addition, the sensitivity of four-dimensional ultrasound diagnosis was significantly higher than that of two-dimensional ultrasound diagnosis (P<0.05). The specificity and positive predictive value of four-dimensional ultrasound diagnosis were significantly higher than those of two-dimensional ultrasound diagnosis and two-dimensional ultrasound diagnosis combined with four-dimensional ultrasound diagnosis (P<0.05). The diagnostic coincidence rates of four-dimensional ultrasound diagnosis and two-dimensional ultrasound diagnosis combined with four-dimensional ultrasound diagnosis were significantly higher than that of two-dimensional ultrasound diagnosis (P<0.05). The negative predictive values of the combined ultrasound diagnosis and four-dimensional ultrasound diagnosis were significantly higher than that of two-dimensional ultrasound diagnosis (P<0.05). The diagnostic efficiency of two-dimensional ultrasound combined with four-dimensional ultrasound was good in the diagnosis of fetal cardiac malformation in prenatal period of pregnant women, it could improve detection rate of fetal cardiac malformation and is worthy of being generalized in clinic.
Smith's principle for congestion control in high speed ATM networks

In high speed communication networks, long propagation delays are critical for the stability of closed loop congestion control algorithms. In this paper, Smith's principle is proposed as a key tool to design a feedback control law for congestion avoidance in high speed ATM networks. The proposed algorithm assures the stability of network queues and the full utilization of network links in a realistic scenario where many connections, with different propagation delays, share the network. Finally, Smith's principle is proposed to enhance the flow control algorithm of the TCP Internet protocol.
Detection of Postprandial Hyperglycemia in Type 1 Diabetes Mellitus Patients: Initial Assessment of Current Recommendations versus Alternatives

Ageing population and traditional consequences of ageing is expected to cause an increased number of recipients of community care services and socio-economic burden. To accommodate these changes, The Danish Health Authority has recommended several tools to help community personnel detect early signs of disease in the home care setting. These tools are used solely for detecting current deviations from the habitual health status, and no data analysis is performed in order to predict upcoming deviations. This paper describes a study protocol to investigate the potential of developing a data driven decision support model to predict unplanned, preventable hospitalizations. Machine learning techniques, such as logistic regression, will be applied on data from three various sources in order to predict which recipients of home care services are at risk of an unplanned, preventable hospitalization. If successful, the proposed model may facilitate earlier prediction and actions towards deviations from the individual citizen’s habitual health status and thereby increase the chance of prevention of hospitalization and functional decline.
Computed Tomography in Evaluation of Cerebrovascular Accidents: A Prospective Study in a Tertiary Care Hospital

Introduction: Due to so many reasons, Cerebrovascular accidents now a days very common ad also major emergency conditions patients are mainly from the same pool. Therefore, we conducted the study to evaluate the role of computed tomographic scan in patients with cerebrovascular accidents. Materials and Methods: This prospective study was conducted in the department of Radio Diagnosis at Era’s Lucknow Medical College and Hospital. All the patients with CVA during the duration of January 2016 to June 2016 were subjected to computed tomography scan of the head using GE Revolution ACTs 16 slice MDCT scanners, Slice Thickness – 2mm, 5mm and 10mm and Matrix size of 512 X 512. Results: Total of 35 patients with clinically suspected of CVA were submitted for CT scan study of brain. Out of 35 patients, 18 patients had infarction, 9 patients had hemorrhage, 3 patients had Subarachnoid hemorrhage (SAH), 2 patient had tumorous pathology, 2 Patient had cerebral venous thrombosis and 1 Patient had normal study. Conclusion: CT scanning was the “Gold standard” technique for diagnosis of acute stroke as the rational management of stroke depends on “Accurate diagnosis” and it should be ideally done in all cases.
An Environment to Support GPU and Multicore Programming for Rapid, High Performance, Application Deployment

Homogeneous multicore processors, heterogeneous multicore processors, high performance accelerators, and other heterogeneous architectures have significant computing potential over traditional single core processors. Computer systems comprised of these specialized processing elements are increasingly common. Due to the increased complexity of these architectures, programming them has become increasingly complex and error prone. Each of these architectures have different memory systems, programming languages and development environments. This has driven the need for portable programming APIs and tools that allow developers to easily exploit all of the computational power of these platforms and effortlessly move their programs between different computing systems. To deal with these challenges MIT Lincoln Laboratory developed the Parallel Vector Tile Optimizing Library (PVTOL) to simplify the task of portable programming for complex systems. The PVTOL Tasks and Conduits framework provides a set of high-level programming constructs for writing high performance code that is portable across a range of traditional and heterogeneous architectures. This research extends PVTOL to include support for Graphics Processing Units (GPUs) and heterogeneous computing architectures using both the NVIDIA Compute Unified Device Architecture (CUDA) and Open Compute Language (OpenCL), while maintaining simplicity of programming and portability. We have demonstrated the utility of this framework by porting both a quantum Monte Carlo simulation and 3D cone beam image reconstruction application to different systems consisting of various heterogeneous architectures. These applications have been ported from single CPU/GPU systems up to heterogeneous cluster architectures with as many as 24 nodes containing GPUs, showing significant speed up and scalability with minimal developer effort. Using this framework, we have achieved total application run time speed ups of quantum Monte Carlo simulations of 115x on 24 distributed GPU nodes and speed ups of 3D cone beam image reconstruction of 315x on 16 distributed GPU nodes compared to multi-threaded C code.
Association between Rehabilitation Needs and Quality of Life of the Elderly Patients with Visual Impairment

Introduction: Given to the high prevalence of impaired vision in aging population and importance of their quality of life, this study was aimed to evaluate the association between quality of life and vision rehabilitation needs in elderly patients with low vision referring to Bu Ali Sina Hospital, Qazvin, Iran. Methods: A total of 94 elderly patients with visual acuity less than 6/18 participated in this cross-sectional study. Visual functioning questionnaire -25 and vision rehabilitation needs questionnaire were used to assess the quality of life and rehabilitation needs, respectively. Data were analyzed using Pearson and Spearman correlations, Independent t, and ANOVA tests. Results: The prevalence of rehabilitation needs ranged from 29.8% (telling time with a watch or clock) to 76.4% (reading). The results also showed significant associations between the quality of life, age, marital status, and total rehabilitation needs (p < 0.05). Conclusion: These results highlight that addressing the rehabilitation needs of elderly patients with a visual impairment may be an effective means to improve their quality of life.
Determinants of adoption and use-intensity of soil and water conservation practices among smallholder farmers in Nigeria

Smallholder farmers are faced with myriads of soil and water related issues in production, which makes them vulnerable to land degradation and low productivity. Land resource degradation remains a major threat to food security leading to persistent poverty among the agrarian and urban populace. Therefore, there is need for appropriate interventions such as improved soil and ground water conservation (SWC) practice. This study examined the dynamics influencing the use and extent of use of SWC practices among smallholder farmers in Nigeria with particular reference to Osun State. The sampling technique used involved random selection in many stages to select the representative sample of 240 respondents. Data collected through primary source included: farmers’ socio-economic attributes, farm level characteristics as well as the use of SWC practices in the study area. The data were analyzed using descriptive statistics, binary probit and negative binomial regression models. Findings from the count of SWC practices revealed that on the average, most farmers use at least one SWC practice. The results also indicated that fairly aged farmers were the set of people in the study area who adopted between 2 to 3 different SWC practices. Estimation of binary probit and its marginal effects at the means (MEMs) revealed that age of the farmers ( p <0.01), gender ( p <0.01), years of formal education ( p <0.01) and farm size under cultivation ( p <0.1) were significant determinants of SWC practices adoption. Similarly, the count model estimates revealed that age of the farmer ( p <0.01), gender ( p <0.01) and the size of farmland put under cultivation ( p <0.05) significantly determined the log counts of SWC practices adopted by smallholder farmers in the study area. However, the test of overdispersion parameter showed that the model fits well. Therefore, there is need for massive campaign by the institutional establishments saddled with agricultural development policies on the need for SWC farming practices, so that the resource-poor farmers can have remunerative livelihoods in Nigeria. Keywords: Adoption, binary probit, conservation, negative binomial model, smallholders, Nigeria Afr. J. Food Agric. Nutr. Dev . 2019; 19(3): 14571-14586
Using Saratoga with a Bundle Agent as a Convergence Layer for Delay- Tolerant Networking

Saratoga is a simple, lightweight, UDP-based transfer protocol. This describes how to use Saratoga as a Delay-Tolerant Networking (DTN) "convergence layer" with the Bundle Protocol and its Bundle Agents, building on the Saratoga specification in draft-wood-tsvwg-saratoga.
Maternal attitudes, beliefs and practices related to the feeding and nutritional status of schoolchildren

ABSTRACT Objective To analyze the relationship between the maternal attitudes, beliefs and practices and the children’s food consumption and nutritional status. Methods A cross-sectional study of 563 mother-child pairs. Mothers answered an online questionnaire that collected the following information: sociodemographic data, maternal nutritional status, the child’s food consumption (evaluated through the Food Frequency Questionnaire and the School Child Diet Index), and maternal attitudes, beliefs and practices about the schoolchildren’s eating (assessed through the Child Feeding Questionnaire). Children had their anthropometric measurements evaluated for the interpretation of the nutritional status. Results Mothers who considered their children to be bigger (ORaj=6.60) and who worried more about their children’s weight (ORaj=3.47) presented greater chances of having overweight children. Mothers with a greater perception of responsibility (ORaj=0.57) and who put more pressure in their children to eat (ORaj=0.38) presented lower chances of having overweight children. The majority of children consumed high-quality food (77.4%). Mothers who more closely monitored their children’s food consumption were 2.79 times more likely to have their children eating high-quality food. Conclusion Nutritional interventions should focus on stimulating the parents’ sense of responsibility for the child’s nutrition, as well as on promoting the frequent monitoring of the child’s food intake.
Oral health intervention program among primary school children at El-Qalyubia Governorate

Background Oral health is a major public health issue affecting all groups of the population. Poor oral health during childhood is directly associated with poor oral health outcomes during childhood and throughout adulthood. Aim The aim of this study was to evaluate the effect of an Oral Health Intervention Program among primary school children. Patients and methods A quasiexperimental study was used to fulfill the aim of the study. This study was conducted at two experimental schools in El-Qaliubiya Governorate. A purposive sample of all students in the fifth grade who fulfilled the inclusion criteria from the two schools was included in the study. Two tools were developed: the oral health structured interviewing questionnaire, which included two parts (personal data and oral health knowledge), and observational checklist for oral hygiene practice. Results The results revealed that the mean age of the study participants was 10.63±0.63. As regards the causes of tooth decay, 50 and 66%, respectively, recognized the causes before and after the intervention program, and 33 and 63%, respectively, identified the consequences of tooth decay before and after the intervention program. A highly statistically significant difference was found between the study participant’s total knowledge before and that after the intervention program (P Conclusion Primary school children represent a high-risk group for oral health problems, and this study indicated that the oral health intervention program was effective in increasing knowledge and practices toward oral health. Recommendations It is recommended to empower periodic screening for school students to detect oral problems, disseminate the oral health intervention program to parents, school teachers, and nurses for early detection of student’s dental problems, and connect to referral system for care, which is integrated in school insurance program.
Performance, power, and energy tuning using hardware and software techniques for modern parallel architectures

As the high-performance computing (HPC) community continues the push towards exascale computing, power consumption is becoming a major concern for designing, building, maintaining, and getting the most out of supercomputers. Energy efficiency has become one of the top ten exascale system research challenges. Meeting the goal of exascale performance with 20 Megawatts of power limit requires performance, power, and energy optimization techniques at all levels, from the hardware to the application. In the meanwhile, although advances in parallel architectures promise improved peak computational performance, the use of software tools to drive parallelism of the hardware still requires expertise that is not widely available. Domain scientists are faced with a challenge to efficiently port applications to new parallel architectures like Nvidia GPUs and Intel Many-Integrated Core (MIC) accelerators. The fact that an increasing number of supercomputers are going to contain accelerators poses more challenge to application developers, who will need to get their applications ready for the supercomputers. In this dissertation, we began with the study on how to achieve both automatic parallelization using OpenACC and enhanced portability using OpenCL. We applied our parallelization techniques on GPUs as well as an Intel MIC-architecture accelerator to reduce the running time of 2D wave propagation simulations. The performance and programmability of CUDA, OpenCL, OpenACC, and OpenMP implementations of the wave propagation simulation are compared. Compared to CUDA and OpenCL, we believe that OpenACC is preferable for domain scientists because programmers can parallelize their code using simple directives, and therefore it speeds up the process of parallelizing applications. OpenACC is shown to be able to achieve comparable performance as CUDA and OpenCL on GPUs with much reduced coding effort. Our
Adjuvant hormone therapy after radical prostatectomy in high-risk localized and locally advanced prostate cancer: First multicenter, observational study in China

Objective Potential of combined androgen blockade (CAB) has not been explored extensively in Chinese males with prostate cancer (PCa). Therefore, this study evaluated the 2-year prostate-specific antigen (PSA) recurrence rate and quality of life (QoL) in patients with high-risk localized and locally advanced PCa receiving adjuvant hormone therapy (HT) after radical prostatectomy (RP). Methods This prospective, multicenter, observational study conducted in 18 centers across China enrolled patients with high-risk factor (preoperative PSA>20 ng/mL or Gleason score >7) or locally advanced PCa. Different adjuvant HT were administered after RP according to investigator’s decision in routine clinical practice. Relationship of baseline and postoperative characteristics was assessed with recurrence rate. PSA recurrence rate and Functional Assessment of Cancer Therapy-Prostate (FACT-P) QoL scores were recorded at 12 months and 24 months. Kaplan-Meier analysis was used to construct the PSA recurrence rate during follow-up. Results A total of 189 patients (mean age: 66.9±6.5 years) were recruited, among which 112 (59.3%) patients showed serum PSA>20 ng/mL preoperatively. The highest postoperative pathological advancement noticed was from clinical T2 (cT2) to pathological T3 (pT3) (43.9%) stage. The majority of the patients (66.1%) received CAB as adjuvant HT, for a median duration of 20.0 months. The least recurrence (15.2%) was noticed in patients treated with CAB, followed by those treated with luteinizing hormone-releasing hormone agonist (LHRHa) (16.1%), and antiandrogen (19.0%), with non-significant difference noted among the groups. None of the baseline or postoperative characteristics was related with PSA recurrence in our study. The 24-month FACT-P QoL score of 119 patients treated for >12 months showed significant improvement above baseline compared with those treated for ≤12 months. Conclusions Adjuvant CAB therapy after RP showed reduction trend in 2-year PSA recurrence rate in high-risk Chinese patients with localized and locally advanced PCa, compared with adjuvant anti-androgens (AA) or LHRHa therapy. Further long-term therapy (>12 months) significantly improved QoL compared to short-term HT therapy, suggesting the beneficial effect of long-term CAB therapy in improving QoL.
Cost Analysis of Single-Level Lumbar Fusions

Study Design: Cost analysis of a retrospectively identified cohort of patients who had undergone primary single-level lumbar fusion at a single institution’s orthopedic or neurosurgery department. Objective: The purpose of this article is to analyze the determinants of direct costs for single-level lumbar fusions and identify potential areas for cost reduction. Methods: Adult patients who underwent primary single-level lumbar fusion from fiscal years 2008 to 2012 were identified via administrative and departmental databases and were eligible for inclusion. Patients were excluded if they underwent multiple surgeries, had previous surgery at the same anatomic region, underwent corpectomy, kyphectomy, disc replacement, surgery for tumor or infection, or had incomplete cost data. Demographic data, surgical data, and direct cost data in the categories of supplies, services, room and care, and pharmacy, was collected for each patient. Results: The cohort included 532 patients. Direct costs ranged from $8286 to $73 727 (median = $21 781; mean = $22 890 ± $6323). Surgical approach was an important determinant of cost. The mean direct cost was highest for the circumferential approach and lowest for posterior instrumented spinal fusions without an interbody cage. The difference in mean direct cost between transforaminal lumbar interbody fusions, anterior lumbar interbody fusions, and lateral transpsoas fusions was not statistically significant. Surgical supplies accounted for 44% of direct costs. Spinal implants were the primary component of supply costs (84.9%). Services accounted for 38% of direct costs and were highly dependent on operative time. Comorbidities were an important contributor to variance in the cost of care as evidenced by high variance in pharmacy costs and length of stay related to their management. Conclusion: The costs of spinal surgeries are highly variable. Important cost drivers in our analysis included surgical approach, implants, operating room time, and length of hospital stay. Areas of high cost and high variance offer potential targets for cost savings and quality improvements.
Relationship Between the Coping Factor and the Inclination to Relapse among Former Drug Addicts

Even though the government has taken many steps to overcome the drug problem among former drug addicts, this problem persists. This study aims to find out if there exists a relationship between the personal factors, which are problem-focused coping, emotion-focused coping, and evasive coping and the inclination to relapse among former drug addicts. This study involves 242 former drug addicts and utilizes the Coping Strategy Inventory (COPE) questionnaire set by Carver, Scheier & Weintraub (1989). The Reliability Coefficient of scales utilizing the Cronbach’s alpha analysis found all to be greater than . 70. Studies found the level of coping for the three aspects of coping among former drug addicts are at a medium stage. Furthermore, the inferential analysis for the factors of problemfocused coping, emotion-focused coping, and evasive coping, and the inclination to relapse show the relationship strength to be between r=. 06 and r=. 05. This study shows the problem-focused coping, emotion-focused coping, and evasive coping factors are factors identified as related to the inclination to relapse. The positive association for the coping factors shows the existence of a positive relationship between the three coping aspects and the inclination to relapse.