Miracle-dz/UniFAR-FTUs huggingface dataset:
KNOWLEDGE AND ATTITUDE OF WOMEN UTILIZING FOCUSED ANTENATAL CARE AND MATERNAL COMPLICATIONS IN PUBLIC COUNTY HOSPITALS IN NAIROBI COUNTY, KENYA

Introduction: Focused Antenatal Care is antenatal care that provides individualized counseling, targeted assessment and provides safe, cost effective, and evidence-based intervention. Aim: This study aimed at investigating the knowledge and attitude of women utilizing Focused Antenatal Care associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methodology: This was a cross-sectional study design. A sample of 397 postnatal women interviewed for the study. Kenyatta University Ethics and Review Committee (KUERC) approved the study and the National Commission issued the permit for Science, Technology and Innovation (NACOSTI). Permission to collect data obtained from the participating hospitals. Quantitative data was analyzed using Statistical Package for Social Sciences (Version 22.0) Inferential statistics were done using Chi Square tests to determine the association between study variables at 95% confidence interval (p<0.05). Results: The study results revealed that 30% of respondents reported to have encountered a maternal complication during their current delivery outcome. The study results further revealed that 54.7% of respondents had high knowledge levels with 63.7% having positive attitude towards FANC utilization. Knowledge level was significantly associated (p=0.017) with maternal complications among respondents. Conclusion: The study concludes that the respondents from Nairobi City County had relatively low maternal complications. The respondents further had high knowledge levels and positive attitude towards FANC utilization. Recommendation: Scaling up male sensitization and awareness programs towards improved transfer of correct knowledge on FANC thus signify importance of seeking such services while pregnant.
A Linked Shelf-Edge Delta and Slope-Channel Turbidite System: 3D Seismic Case Study from the Eastern Gulf of Mexico

Linked shelf edge deltas and slope channel systems are observed in the eastern Gulf of Mexico. The slope channels are characterized by deep incision into the substrate and moderate sinuosity nearly to the shelfslope break. Channelized flows were not fully confined as evidenced by well-developed levees up to 90 m thick. This sinuosity suggests that turbulent flow within the channel was likely nearly from the uppermost slope. With apparent turbulence characterizing these channels nearly to the shelf-slope break, the dominant mode of sediment delivery to the slope and basin beyond probably was in the form of density underflow (i.e., hyperpycnal flow) rather than shelf edge slump and/or slide progressively transformed into turbidity flow. The stages of evolution of these slope channels are (1) clustering of small slope gullies on the slope at the initiation of lowstand deposition, (2) dominance of one of these slope gullies and formation of one significant channel, formation of a frontal splay fed by the dominant channel, (3) abandonment of frontal splay deposition in favor of leveed channel deposition across the entire slope, and (4) entrenchment of the leveed channel into the earlier deposited leveed channel and frontal splay.
Infusion Simulation of Graphene-Enhanced Resin in LCM for Thermal and Chemo-Rheological Analysis

The present numerical study proposes a framework to determine the heat flow parameters—specific heat and thermal conductivity—of resin–graphene nanoplatelets (GNPs) (modified) as well as non-modified resin (with no GNPs). This is performed by evaluating the exothermic reaction which occurs during both the filling and post-filling stages of Liquid Composite Moulding (LCM). The proposed model uses ANSYS Fluent to solve the Stokes–Brinkman (momentum and mass), energy, and chemical species conservation equations to a describe nano-filled resin infusion, chemo-rheological changes, and heat release/transfer simultaneously on a Representative Volume Element (RVE). The transient Volume-of-Fluid (VOF) method is employed to track free-surface propagation (resin–air interface) throughout the computational domain. A User-Defined Function (UDF) is developed together with a User-Defined Scaler (UDS) to incorporate the heat generation (polymerisation), which is added as an extra source term into the energy equation. A separate UDF is used to capture intra-tow (microscopic) flow by adding a source term into the momentum equation. The numerical findings indicate that the incorporation of GNPs can accelerate the curing of the resin system due to the high thermal conductivity of the nanofiller. Furthermore, the model proves its capability in predicting the specific heat and thermal conductivity of the modified and non-modified resin systems utilising the computed heat of reaction data. The analysis shows an increase of ∼15% in the specific heat and thermal conductivity due to different mould temperatures applied (110–170 °C). This, furthermore, stresses the fact that the addition of GNPs (0.2 wt.%) improves the resin-specific heat by 3.68% and thermal conductivity by 58% in comparison to the non-modified thermoset resin. The numerical findings show a satisfactory agreement with and in the range of experimental data available in the literature.
Growth Performance of Rabbits on Tree Leaves Included Complete Extruder Feed

An experiment was conducted in New Zealand White breed of rabbits to study the growth performance of rabbits on feeding tree fodder included complete extruder feed. Twenty four weaned New Zealand White breed of rabbits aged between six to seven weeks were randomized into 4 treatments with 6 replicates (one male and five females) in each. The treatments were extruder feed with Desmanthus virgatus, concentrate feed 85 parts with desmanthus 15 parts (T1), extruder feed with Subabul (Leucaena leucocephala) concentrate – 83 parts with 17 parts of Subabul (T2), extruder feed with Kalyana Murungai (Erythrina indica) concentrate – 75 parts with 25 parts of Kalyana Murungai (T3) and extruder feed with Jack Fruit leaves (Artocarpus heterophyllus) concentrate – 85 parts with 15 parts of Jack Fruit leaves (T4). The trial was conducted for ten weeks period. The overall average daily gain (ADG) observed in the treatment groups of T1, T2, T3 and T4 were 14.44 g, 12.51 g, 14.77g and 13.25g, respectively. The growth performance of rabbits on Erythrina indica tree fodder was found to be better than the leguminous green fodder Desmanthus virgatus. The Leucaena leucocephala and Artocarpus heterophyllus fed groups also showed a comparable growth performance. The feed conversion ratio in Erythrina indica fed group was lower than the Desmanthus virgatus group (4.27 vs. 4.59). The dry matter intake and feed conversion ratio in Leucaena leucocephala and Artocarpus heterophyllus fed groups seems to be found higher; on cost of production it was economical. This study reveals that the complete extruder feed with tree fodder can be effectively utilized as fodder source for broiler rabbits to reduce the production cost.
Interoceptive experiences and ecological care: an embodied approach within therapeutical realms

The conventional dichotomy between human health and disease has historically been approached through reductionist models that emphasize the exclusive causal relevance of physiological and pathological processes. Consequently, self-awareness and affective dimensions, integral to a phenomenological perspective, are often relegated to secondary traits, affording little consideration for the causal role of embodied living organization. Our interest lies in exploring the potential relevance of the phenomenology of embodied self-awareness in relation to interoceptive processes within therapeutic settings. As we illustrate, when the unfolding processes of interoceptive awareness and its affective capacity take precedence, the agent assumes an active, rather than passive, role in their own experience of health or illness. Departing from an enactive, phenomenological, and ecological standpoint, we propose a distinctive perspective on interoceptive processes, relying on an affective conceptualization of a spectrum of experiences of bodily being-in-the-world. Our primary argument posits that considering interoceptive processes from an embodied and ecological viewpoint of the self, interacting with the material and social environment, enables an approach to the gradient of affective experiences of embodied self-awareness—where pleasure or suffering is perceived and felt—in a naturalized, non-reductive, and relational manner. We discern two ways in which interoceptive processes interrelate with the experience of embodied self-awareness: sensitivity (self-affective) and affective-laden perception. Drawing on this distinction, we provide a nuanced description of these experiences within communities of cis-women, exemplified through the contexts of menstruation and endometriosis. This exploration seeks to enhance our understanding of the phenomenology of embodied, ecological, and affective self-experience from within diverse and situated bodies. The goal is to contribute to their autonomy and ability to adapt and self-regulate within therapeutic contexts.
Comparative Analysis of the Culture of Pink Shrimp Farfantepenaeus brasiliensis and Pacific White Shrimp Litopenaeus vannamei in Biofloc System

Shrimp farming in the Biofloc Technology System (BFT) is already considered an alternative to the traditional culture. The bioflocs maintain the water quality and can be used as a food supplement for shrimp. The Pacific white shrimp Litopenaeus vannamei forms the basis for most of the production in BFT. However, its culture is limited by the low temperatures. Thus, the BFT culture potential of native species, such as the pink shrimp Farfantepenaeus brasiliensis, should be considered. The present study aimed to compare the cultures of F. brasiliensis and L. vannamei in the grow-out phase in the BFT system. The experiment comprised two treatments: (FB), grown out of F. brasiliensis, and (LV), grown out of L. vannamei. The study lasted 70 days and was conducted at the Marine Station of Aquaculture at the Federal University of Rio Grande, Rio Grande do Sul State, Brazil. The stocking density was 100 shrimp/m² for both species. The shrimp were fed twice a day with commercial food. The physicochemical parameters of the water were monitored throughout the experimental period. The results showed that all physicochemical parameters of the water remained within the tolerated limits for both species. However, during the growth phase in the BFT, it was observed that the L. vannamei shrimp showed a better zootechnical performance than F. brasiliensis. The results indicate that L. vannamei has a higher capacity to catch bioflocs as supplementary food, demonstrating a better response of that species to the BFT system in the grow-out phase compared to F. brasiliensis.
Evaluating the risk of ischemic stroke at a young age in patients with autoimmune inflammatory rheumatic diseases: a population-based cohort study in Taiwan

Background Recent studies have demonstrated an increased incidence of ischemic stroke among patients with certain autoimmune inflammatory rheumatic diseases (AIIRDs). However, the associations between young stroke and AIIRDs have not been fully investigated. This study aimed to evaluate the risk of ischemic stroke among young patients with AIIRDs. Methods The National Health Insurance Research Database in Taiwan was utilized to establish cohorts of patients with AIIRDs diagnosed between 2004 and 2015, who were compared with 1,000,000 control participants. Cox proportional hazards regression models were used to calculate the hazard ratio of ischemic stroke and young ischemic stroke for individual AIIRDs after adjustment for relative risk factors. Results During the study period, a total of 64,120 patients with AIIRDss and 1,000,000 control patients were identified. The overall mean follow-up time was 5.33 years. There were 223 (0.8%) and 1,923 (0.3%) young ischemic stroke-related hospitalizations among patients with AIIRDs and controls, respectively. The incidence rate of young ischemic stroke was 0.08 in patients with rheumatoid arthritis, 0.08 in patients with Sjögren’s syndrome, 0.26 in patients with systemic lupus erythematosus, 0.17 in patients with idiopathic inflammatory myositis, 0.24 in patients with systemic sclerosis, 0.05 in patients with Behçet’s disease, and 0.44 in patients with systemic vasculitis, versus 0.05 per 100 person-years in the general population. The adjusted hazard ratios for young ischemic stroke were 1.07 (95% CI 0.70–1.43) for rheumatoid arthritis, 1.39 (95% CI 0.94–2.06) for Sjögren’s syndrome, 5.79 (95% CI 4.68–7.17) for systemic lupus erythematosus, 2.07 for idiopathic inflammatory myositis (95% CI 0.98–4.38), 2.79 for systemic sclerosis (95% CI 1.38–5.63), 0.82 for Behçet’s disease (95% CI 0.26–2.55), and 4.15 (95% CI 1.96–8.82) for systemic vasculitis. Conclusions Patients younger than 50 years with systemic lupus erythematosus, systemic sclerosis, or systemic vasculitis have a significantly elevated risk of developing ischemic stroke. Further research is needed to elucidate the pathogenesis of accelerated atherosclerosis in these AIIRDs.
The particle size distribution and source apportionment of heavy mental contaminated street dusts in different functional district of Zhenjiang

18 sampling sites were laid in six different functional areas(commercial area,traffic area,residential area,cultural and educational area,Riverside Park and Dashikou) of old town of Zhenjiang to collect the street dust samples.The content of 7 heavy metals in street dust was determined,the granularity effect of contaminated street dust was analyzed and the possible pollution source of heavy metals was investigated by using principal component analysis.The results indicated that the heavy metal pollution of street dust in Zhenjiang old town presented significant granularity effect,that was the content of heavy metals were greatly increased with the decreasing of dust size.The possible pollution sources of heavy metal in street dust were:(1) traffic emission,the feature elements were Cu,Zn and Pb;(2) domestic pollution,the feature elements was organic matter;(3) industrial pollution,the feature elements were Ni,Mn,Cr;(4) the re-suspension and transportation of soil particles which relating to geologic setting of parent material;(5) construction garbage and soil dust or the composite pollution from different source.
Right Anterior versus Right Transaxillary Access for Minimally Invasive Aortic Valve Replacement: A Propensity Matched Competitive Analysis

(1) Background: Right anterior thoracotomy (RAT-AVR) has been the sole established sternum-sparing technique for minimally invasive aortic valve replacement (MICS-AVR) thus far. Nevertheless, transaxillary access, known as Minimally Invasive Cardiac LATeral Surgery (MICLATS-AVR), represents the latest and innovative advancement in sternum-sparing MICS-AVR access routes. In this study, procedural and clinical outcomes of a substantial transaxillary MICS-AVR cohort are compared to those of a RAT-AVR control group; (2) Patients and Methods: This retrospective study included 918 consecutive patients who underwent MICS-AVR at our facility between 2014 and 2022. This cohort was divided into two surgical access-related groups: RAT-AVR (n = 492) and MICLATS-AVR (n = 426). Procedural data, operative morbidity, and mortality were compared between groups. Further analysis was performed using propensity score matching; (3) Results: After matching, 359 pairs of patients were included and analyzed. There were no notable differences observed between the two groups regarding major adverse cardio-cerebral events. Despite longer cardiopulmonary bypass time in the MICLATS-AVR group (63.1 ± 20.4 min vs. 66.4 ± 18.2 min; p ≤ 0.001) the skin-to-skin time (129.4 ± 35.9 min. vs. 126.5 ± 29.8 min.; p = 0.790) and the aortic cross-clamp time was comparable between both groups (41.9 ± 13.3 min. vs. 43.5 ± 14.4 min.; p = 0.182). The overall hospital stay was significantly shorter in the MICLATS-AVR cohort (9.7 ± 5.2 days vs. 9.2 ± 4.5 days; p = 0.01). Both groups were comparable in terms of postoperative morbidities. However, significantly lower rates of postoperative impaired wound healing were noted in the MICLATS-AVR group (11.7% vs. 3.9%, p < 0.001); (4) Conclusions: In comparing MICLATS-AVR and RAT-AVR, our study found MICLATS-AVR to be at least as safe and time-efficient as RAT-AVR, with no significant differences in MACCE. MICLATS-AVR showed a shorter hospital stay and lower postoperative wound issues, indicating its feasibility and safety as an alternative. Notably, MICLATS-AVR is sternum- and bone-sparing, preserving the right mammary artery, and facilitates combined procedures like multiple valve surgeries.
Sex-Specific Association of Body Mass Index with Hippocampal Subfield Volume and Cognitive Function in Non-Demented Chinese Older Adults

Recent research suggests a possible association between midlife obesity and an increased risk of dementia in later life. However, the underlying mechanisms remain unclear. Little is known about the relationship between body mass index (BMI) and hippocampal subfield atrophy. In this study, we aimed to explore the associations between BMI and hippocampal subfield volumes and cognitive function in non-demented Chinese older adults. Hippocampal volumes were assessed using structural magnetic resonance imaging. Cognitive function was evaluated using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). A total of 66 participants were included in the final analysis, with 35 females and 31 males. We observed a significant correlation between BMI and the hippocampal fissure volume in older females. In addition, there was a negative association between BMI and the RBANS total scale score, the coding score, and the story recall score, whereas no significant correlations were observed in older males. In conclusion, our findings revealed sex-specific associations between BMI and hippocampal subfield volumes and cognitive performance, providing valuable insights into the development of effective interventions for the early prevention of cognitive decline.
Revolutionizing endodontics: Advancements in nickel–titanium instrument surfaces

Nickel–titanium (NiTi) instruments have become the backbone of endodontics due to their exceptional properties, superelasticity, and shape memory. However, challenges such as unexpected breakage, poor cutting efficiency, and corrosion have prompted researchers to explore innovative surface modifications to enhance their performance. This comprehensive review discusses the latest advancements in NiTi metallurgy and their impact on rotary NiTi file systems. Various surface treatment techniques, including ion implantation, cryogenic treatment (CT), thermal nitridation, electropolishing, and physical or chemical vapor deposition, have been investigated to minimize defects, boost surface hardness, and improve cyclic fatigue resistance. Ion implantation has shown promise by increasing wear resistance and cutting efficiency through nitrogen ion incorporation. Thermal nitridation has successfully formed titanium nitride (TiN) coatings, resulting in improved corrosion resistance and cutting efficiency. CT has demonstrated increased cutting efficiency and overall strength by creating a martensite transformation and finer carbide particles. Electropolishing has yielded mixed results, providing smoother surfaces but varying impacts on fatigue resistance. Physical or chemical vapor deposition has proven effective in forming TiN coatings, enhancing hardness and wear resistance. Furthermore, the concept of surface functionalization with silver ions for antibacterial properties has been explored. These advancements present an exciting future for endodontic procedures, offering the potential for enhanced NiTi instruments with improved performance, durability, and patient outcomes.
Enterococcus faecalis Endocarditis of All Four Native Valves: A Case Report

Enterococcus faecalis is commonly implicated in Infective Endocarditis (IE), resulting in remarkable morbidity and mortality. We present an unusual case documenting the clinical course and outcome of an elderly female patient who developed quadruple valve endocarditis due to Enterococcus faecalis infection. She presented with altered mental status, resulting in hospitalization, and was found to have bacteremia complicated by endocarditis, epidural abscess, discitis, and splenic infarction. Urinalysis was consistent with bacterial infection two days before being admitted to the hospital. Unfortunately, despite aggressive therapeutic regimens, the patient died. This is one of the few documented endocarditis cases involving all heart valves. It reviews the importance of maintaining a high index of clinical suspicion for assessing IE, with a low threshold for performing a transesophageal echocardiogram as a diagnostic tool.
Strong regional atmospheric 14C signature of respired CO2 observed from a tall tower over the midwestern United States

Radiocarbon in CO2 (14CO2) measurements can aid in discriminating between fast (<1 year) and slower (>5–10 years) cycling of C between the atmosphere and the terrestrial biosphere due to the 14C disequilibrium between atmospheric and terrestrial C. However, 14CO2 in the atmosphere is typically much more strongly impacted by fossil fuel emissions of CO2, and, thus, observations often provide little additional constraints on respiratory flux estimates at regional scales. Here we describe a data set of 14CO2 observations from a tall tower in northern Wisconsin (USA) where fossil fuel influence is far enough removed that during the summer months, the biospheric component of the 14CO2 budget dominates. We find that the terrestrial biosphere is responsible for a significant contribution to 14CO2 that is 2–3 times higher than predicted by the Carnegie‐Ames‐Stanford approach terrestrial ecosystem model for observations made in 2010. This likely includes a substantial contribution from the North American boreal ecoregion, but transported biospheric emissions from outside the model domain cannot be ruled out. The 14CO2 enhancement also appears somewhat decreased in observations made over subsequent years, suggesting that 2010 may be anomalous. With these caveats acknowledged, we discuss the implications of the observation/model comparison in terms of possible systematic biases in the model versus short‐term anomalies in the observations. Going forward, this isotopic signal could be exploited as an important indicator to better constrain both the long‐term carbon balance of terrestrial ecosystems and the short‐term impact of disturbance‐based loss of carbon to the atmosphere.