Miracle-dz/UniFAR-FTUs huggingface dataset:
...and then she died: Indonesia maternal health assessment.

Maternal health remains one of the top priorities of the Government of Indonesia (GoI) and the Ministry of Health (MoH) because reductions in maternal mortality have been slows. The current Maternal Mortality Ratio (MMR) for Indonesia is 228 but with existing programs and interventions the government does not believe it will be able to achieve its stated millennium development goal of 102 maternal deaths per 100000 live births by 2015. There are positive trends in an increased use of skilled birth attendants almost universal access to some level of antenatal care and continued use of family planning but these are not enough to stem the tide of maternal death. Interventions by the skilled birth attendants in many cases are not in line with existing standards and prove to be ineffective in trying to address the emergence of complications. Antenatal care is important but it is not where gains in decreased mortality will be obtained. The continued use of traditional birth attendants (TBA) and delivering at home are contributory factors to maternal mortality in Indonesia. In collecting data from verbal autopsies in three districts (a widely used government initiative to determine the causes of maternal death) 63 out of 76 deaths occurred in home births that had been assisted by a TBA. In order to improve the access of the poor and the near poor to health services the government is implementing the social insurance scheme Jamkesmas. Approximately 104 million people should qualify for assistance but there are presently only 76.4 million people covered by this social health insurance (SHI) plan. Even those who are covered are not always able to afford care because of external expenses such as transportation charges which must be paid up front. (excerpt)
A Survey on Troll Detection

A troll is usually defined as somebody who provokes and offends people to make them angry, who wants to dominate any discussion or who tries to manipulate people’s opinions. The problems caused by such persons have increased with the diffusion of social media. Therefore, on the one hand, press bodies and magazines have begun to address the issue and to write articles about the phenomenon and its related problems while, on the other hand, universities and research centres have begun to study the features characterizing trolls and to look for solutions for their identification. This survey aims at introducing the main researches dedicated to the description of trolls and to the study and experimentation of methods for their detection.
Evaluation of pathogenesis and sensitivity pattern of the microorganisms involved in the urinary tract infection against common antibiotics in inpatients and outpatients of Imam Khomeini hospital of Ardabil in 2016

Background: Urinary tract infection (UTI) is the most common human bacterial infection that affects different age groups and can occur anywhere in the urinary tract. In this article, we tried to assess the pathogenic and antibiotic susceptibility pattern of these pathogens in inpatients and outpatients of Imam Khomeini hospital of Ardabil. Materials and Methods: In this retrospective and descriptive cross-sectional study we evaluated list of all patients using hospital information system (HIS) software and the result of urinary culture and gender and type of admission were recorded. Obtained data from the study were studied using descriptive statistics. Results: In outpatients and inpatients E. coli was agent in 74 cases (59.6%) and 72 cases (53.7%) respectively. The highest levels of antibiotic sensitivity of E. coli in outpatient and inpatients were to drugs of nitrofurantoin (72.9-70.8) and amikacin (56.7-48.6). The highest rates of antibiotic resistance of E. coli in outpatients were to drugs of cotrimoxazole (35.1 percent), ampicillin (24.3 percent) and ciprofloxacin (24.1 percent) and in hospitalized patients were to drugs of ciprofloxacin (40.2 %), ampicillin (37.5 percent) and gentamicin (27.7 percent). Conclusion: E. coli is the main cause of urinary tract infection in inpatients and outpatients of Imam Khomeini hospital of Ardebil and the most effective antibiotics are nitrofurantoin and amikacin in empirical treatment for these patients.
Évaluation des facteurs influençant l’évolution clinique et l’utilisation des ressources au cours de l’hospitalisation aigue suivant une tétraplégie traumatique et leurs impacts sur la récupération fonctionnelle six mois post-lésion

iii Table des matières . v Liste des tableaux . viii Liste des figures . ix Liste des sigles . x Liste des abréviations . xi Remerciements . xii CHAPITRE 1: PROBLÉMATIQUE . 1 1.1. Introduction et objectifs généraux . 1 CHAPITRE 2: REVUE DE LA LITTÉRATURE ET LACUNES . 4 2.1. La lésion médullaire . 4 2.1.1. La moelle épinière . 4 2.1. 2. Le traumatisme médullaire . 6 2.1. 3. Classification des lésions médullaires . 7 2.1. 4. Incidence, prévalence et conséquences économiques . 9 2.2. Prise en charge hospitalière . 10 2.2.1. Conséquences neurophysiologiques et manifestations cliniques . 10 2.2.2. Complications secondaires . 14 2.2.3. Blessures traumatiques souvent associées . 15 2.2. 4. Mesures thérapeutiques et neuro-­‐protection . 16 2.2. 5. Évolution clinique et récupération neuro-­‐fonctionnelle . 18 2.2. 6. Centres de soins aigus spécialisés . 20 2.2. 7. Processus de réadaptation et réintégration communautaire . 22 2.3. Facteurs influençant l'utilisation des ressources hospitalières, la survenue de complications médicales et la récupération fonctionnelle . 25
Ball Lens Embedded Through-Package Via To Enable Backside Coupling Between Silicon Photonics Interposer and Board-Level Interconnects

Development of an efficient and densely integrated optical coupling interface for silicon photonics based board-level optical interconnects is one of the key challenges in the domain of 2.5D/3D electro-optic integration. Enabling high-speed on-chip electro-optic conversion and efficient optical transmission across package/board-level short-reach interconnections can help overcome the limitations of a conventional electrical I/O in terms of bandwidth density and power consumption in a high-performance computing environment. In this context, we have demonstrated a novel optical coupling interface to integrate silicon photonics with board-level optical interconnects. We show that by integrating a ball lens in a via drilled in an organic package substrate, the optical beam diffracted from a downward directionality grating on a photonics chip can be coupled to a board-level polymer multimode waveguide with a good alignment tolerance. A key result from the experiment was a 14 <inline-formula><tex-math notation="LaTeX">$\mu$</tex-math></inline-formula>m chip-to-package 1-dB lateral alignment tolerance for coupling into a polymer waveguide with a cross-section of 20 × 25 <inline-formula><tex-math notation="LaTeX">$\mu$</tex-math></inline-formula>m<inline-formula><tex-math notation="LaTeX">$^2$</tex-math></inline-formula>. An in-depth analysis of loss distribution across several interfaces was done and a −3.4 dB coupling efficiency was measured between the optical interface comprising of output grating, ball lens and polymer waveguide. Furthermore, it is shown that an efficiency better than −2 dB can be achieved by tweaking few parameters in the coupling interface. The fabrication of the optical interfaces and related measurements are reported and verified with simulation results.
Axial spondyloarthritis – the role of imaging in diagnosis and management

Poster: "ESSR 2017 / P-0303 / Axial spondyloarthritis – the role of imaging in diagnosis and management" by: "A. P. Caetano, A. L. Proenca, S. Castro, M. F. Fontes; Lisbon/PT"
Service delivery and quality of care for individuals with mental illness

Mental illness and substance use illnesses are the most common cause of disease burden in the United States. Over half of individuals with mental illness do not receive appropriate care for their illnesses. This often results in poor outcomes like early mortality, more hospitalizations and increased use of emergency departments (EDs). Provider and payor systems have embarked on delivery system reforms that aim to improve quality of care and reduce health disparities for these individuals. In this dissertation we examine three aspects of health care quality – readmission, ED use and continuity of care – to explore their impact for individuals with mental illness. We show that individuals with mental illness have greater odds of thirty day readmission after acute hospitalization and this odds is increased if medications are dropped after discharge. We categorize individuals with mental illness who frequent the ED and show that high utilizers have a significantly greater rate of substance use comorbidities than occasional utilizers. We also show that high utilizers do not use outpatient services concomitant with their ED use. Finally, we examine the care coordination in physical and behavioral health specialties for seriously mentally ill individuals who have type II diabetes and its association with ED use. We show that increased care coordination in physical health settings is associated with a lower rate of ED visits. Public Health Significance We expect our study to inform health care facilities and policy makers in developing health care delivery systems and improve quality of care for individuals with mental illness.
Species and Other Evolving Lineages as Feedback Systems

This paper proposes a new and testable view about the nature of species and other evolving lineages, according to which they are feedback systems. On this view, it is a mistake to think gene flow, niche sharing, and trait frequency similarities between populations are among variables that interact to cause some further downstream variable that distinguishes evolving lineages from each other, some sort of “species cohesion” for example. Instead, gene flow, niche sharing, similarities between populations, and other causal variables feed into each other—instances of these at earlier times help cause instances of these same variables at later times. And any lineage-identifying cohesion just is the recurrence or cycling of these feedback relations within metapopulations over generations. Such cohesion can then be represented as variable M within multi-dimensional variable spaces, where values of M vary dynamically with the frequency and magnitude of feedback relations. Related conditions for being a species or other evolving lineage are then clarified. To argue for the development and testing of this view, the paper shows how it improves upon others.
Online monitoring of tool chatter in turning based on ensemble empirical mode decomposition and Teager Filter

Online monitoring of acquired vibration signals of the cutting tool can help in predicting the severity of chatter. In the past, researchers have reported that the signals recorded using various types of sensors are usually contaminated with background noise and other disturbances. Processing these contaminated signals results in inappropriate feature extraction. Hence, for predicting the exact nature of chatter it is required to identify: (1) Best suitable sensor for recording the chatter signal, (2) nature of the recorded signals, (3) appropriate technique to filter out the contamination, (4) applying suitable technique to identify chatter frequency and safe cutting zone. In the present work, a theoretical analysis has been done to extract the frequency pertaining to chatter. Moreover, experiments have been performed and a suitable signal pre and post-processing techniques have been adopted to identify the chatter frequency. It has been found that the variation between the theoretical and experimental values is nominal. Furthermore, the safe cutting zone has been identified theoretically as well as experimentally for a given range of input cutting parameters.
Deskriptif Multmiedia Interaktif Berbasis Contextual Teaching and Learning Untuk Menstimulus Kemampuan Komunikasi Matematis

Kemampuan komunikasi matematis merupakan kemampuan siswa untuk mengekspresikan ide-ide dalam matematika, baik secara lisan, tertulis atau dalam bentuk bahasa, simbol, tabel, grafik, serta notasi-notasi matematika secara cermat. Melalui komunikasi juga, siswa dapat mengeksplorasi dan mengkonsilidasikan pemikiran atau ide-ide matematika dengan menggunakan bahasa yang sederhana karena pada dasarnya matematika merupakan bahasa persyaratan dengan menggunakan notasi dan konsep yang telah dibentuk. Penelitian ini bertujuan untuk menganalisis kebutuhan media interaktif yang sesuai dengan model pembelajaran kontekstual yang dapat menstimulus kemampuan komunikasi matematis siswa. Jenis penelitian yang digunakan adalah penelitian kualitatif deskriptif. Tahapan penelitian meliputi pra lapangan, kegiatan lapangan dan analisa data. Subjek uji coba atau responden yang terlibat dalam penelitian ini adalah adalah siswa-siswa SMPS Tanawawo kelas V11 di NTT. Instrumen pengumpulan data penelitian ini adalah menggunakan instrumen wawancara dan observasi. Berdasarkan hasil observasi dan hasil wawancara yang diperoleh, peneliti menyimpulkan bahwa kemampuan komunikasi matematis siswa SMPS Tananuwa masih tergolong rendah. Rendahnya komunikasi matematis siswa SMPS Tanawawo di NTT dikarenakan metode pembelajaran yang digunakan guru masih bersifat konvensional, sekolah tidak menyediakan media interaktif sebagai penunjang pembelajaran dan kurangnya kreatifitas guru dalam menghadirkan media interaktif. Oleh karena itu, peneliti mangajukan solusi penerapan Multimedia Interactive Berbasis Contextual Learning untuk Menstimulus Komunikasi Mathematis Siswa SMPS Tanawawo.
The effect of fluid therapy on hemodynamic and venous blood gas parameters in patients with septic shock

Background: Hemodynamics and venous blood gas (VBG) may be used to guide fluid therapy in septic shock patients. However, the influence of fluid therapy on hemodynamic and blood gas parameters is not fully understood. In this study, we aimed to investigate the effect of fluid therapy on hemodynamic and VBG parameters. Methods: This cross-sectional study was conducted from January to April 2016. All patients with diagnosis of severe sepsis were enrolled in the study. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), central venous pressure (CVP) shock index, VBG parameters, serum sodium (Na) and chloride (Cl) levels, anion gap, and oxygen saturation (O 2sat ) were assessed before fluid resuscitation, after resuscitation, and after fluid challenge test. Results: A total of 100 patients were included (mean age were 72.54 ± 12.77 years, 66% male). Fluid therapy significantly increased DBP (df: 2; F= 4.17; p = 0.017), MAP (df: 2; F= 6.06; p= 0.003), and CVP (df: 2; F= 27.54; p < 0.001), while the shock index was significantly reduced After fluid challenge test (df: 2; F= 7.6; p= 0.001). In addition, fluid therapy had no effect on pH (p= 0.90), HCO 3 (p= 0.23), base excess (p= 0.13), SCVO 2 (p= 0.73), O 2sat (p= 0.73), anion gap (p= 0.96), serum Na level (p= 0.71), and serum Cl level (p= 0.64). Conclusion: Administration of fluid therapy in septic shock patients had no significant effect on SBP, heart rate, or blood gas parameters. Future studies on a larger sample of patients should confirm these findings and correlate them to clinical outcomes.
Synchronization of antral follicles: a step further towards a friendlyIVF Program

Objective: To evaluate the value of synchronization of follicles using luteal phase estradiol for a friendly IVF program. Materials and Methods: A total of 108 infertile couples were included in a pragmatic trial. Group I (n=48) received Progynova 4mg/day for 10 days in the luteal phase preceding the ICSI cycle. Clomiphene citrate was started on the 2nd day of the cycle for five days, and hMG was administered on day 6 for 5 days. Group II (n=60) received the standard long protocol. The dose of hMG was then adjusted according to the ovarian response. Results: There was no significant difference between both groups regarding age, duration of infertility and body mass index. Group I showed a statistically significant reduction in duration of stimulation, dose of hMG (16.4 ± 4.7 vs. 40.9 ± 7.9), and number of oocytes retrieved (4.8 ± 2.6 vs. 16.2 ± 7.5), but it also showed a significant increase in cycle cancellation (8.3%). Even so, there was no significant difference in clinical pregnancy rate/ transfer (33.3% vs. 40%) between the two groups. Conclusion: This approach is both simple and effective and it may prove to be an attractive alternative to the standard GnRH agonist long protocol.
Shear Velocity and Radial Anisotropy beneath Southwestern Canada: Evidence for Crustal Extension and Thick‐Skinned Tectonics

Deformation‐associated craton assembly and Cordilleran orogenesis played major roles during the crustal formation beneath the western margin of North America. To improve the understanding of the deformation history in this region, we investigate the crustal shear velocity and anisotropy by analyzing fundamental mode Rayleigh and Love waves from ambient seismic noise. Continuous recordings from 118 regional broadband stations reveal lateral variations in both velocity and anisotropy with strong spatial affinities to major geological domains. Strong variations in radial anisotropy, which dips westward and extends to at least midcrustal depths, suggest a “thick‐skinned” foreland thrust‐and‐fold belt beneath the Canadian Rocky Mountains. Our regional data also suggest increased horizontal shear velocities beneath the southern Canadian Cordillera, particularly near the Omineca Belt, which may have resulted from strong zonal deformation within the Cordilleran crust. This anisotropic anomaly migrates southward, and its spatial extent agrees well with the normal fault distribution to the west of the Rocky Mountain Trench. Our observations offer new evidence for the Eocene extension of the orogenic hinterland during the trans‐tensional motion of the Cordillera to the North American craton.
A highly contiguous genome for the Golden-fronted Woodpecker (Melanerpes aurifrons) via a hybrid Oxford Nanopore and short read assembly

Background Woodpeckers are found in nearly every part of the world, absent only from Antarctica, Australasia, and Madagascar. Woodpeckers have been important for studies of biogeography, phylogeography, and macroecology. Woodpeckers hybrid zones are often studied to understand the dynamics of introgression between bird species. Notably, woodpeckers are gaining attention for their enriched levels of transposable elements (TEs) relative to most other birds. This enrichment of TEs may have substantial effects on woodpecker molecular evolution. The Golden-fronted Woodpecker (Melanerpes aurifrons) is a member of the largest radiation of New World woodpeckers. However, comparative studies of woodpecker genomes are hindered by the fact that no high-contiguity genome exists for any woodpecker species. Findings Using hybrid assembly methods that combine long-read Oxford Nanopore and short-read Illumina sequencing data, we generated a highly contiguous genome assembly for the Golden-fronted Woodpecker. The final assembly is 1.31 Gb and comprises 441 contigs plus a full mitochondrial genome. Half of the assembly is represented by 28 contigs (contig N50), each of these contigs is at least 16 Mb in size (contig L50). High recovery (92.6%) of bird-specific BUSCO genes suggests our assembly is both relatively complete and relatively accurate. Accuracy is also demonstrated by the recovery of a putatively error-free mitochondrial genome. Over a quarter (25.8%) of the genome consists of repetitive elements, with 287 Mb (21.9%) of those elements assignable to the CR1 superfamily of transposable elements, the highest proportion of CR1 repeats reported for any bird genome to date. Conclusion Our assembly provides a useful tool for comparative studies of molecular evolution and genomics in woodpeckers and allies, a group emerging as important for studies on the role that TEs may play in avian evolution. Additionally, the sequencing and bioinformatic resources used to generate this assembly were relatively low-cost and should provide a direction for the development of high-quality genomes for future studies of animal biodiversity.
The Neural Basis of Human Conscious Existence

(1) Our thesis is that consciousness (C) is a mechanism, a neural brain mechanism, a dual left/right brain mechanism. Receptive fields are increasing to become global in Brodmann Area 10 (BA10) Ego cluster neurons. Inner C (IC) resides in the left brain and outer C (OC) in the right brain. IC is noumenal; OC is phenomenal. Phenomena are spatial, geometric-continuous, are images. Noumena are temporal, logical-sequential, are structures. (2) The precise role of each of two regions BA10, in either of the left/right cerebral hemispheres can be clarified. Brain, BA10 left: I, in my interior castle and greater abstract universe, my noumenal cosmos in the temporal sense. Brain, BA10 right: I, in my environment and larger physical universe, my noumenal cosmos in its spatial sense. (3) Kant’s Oneness function. BA10 provides for oneness (O), a function of the human mind identified by Immanuel Kant as central for experience (E) to occur, forming a unified general experience, which he also calls one experience, interconnected experience, or even experience in general in his Critiques, expounding transcendental metaphysics. (4) Ego Cluster & Global Receptive Field, or Field of Receptivity. The receptive fields of neurons grow progressively larger, increasing in extent and logical depth along the ventral path & eventually become global in the Ego cluster Brodmann Area 10 (BA10), where the white matter tracts of the sensory ventral path terminate. (5) Top-Down (T-D), Bottom-Up (B-U). The inner cosmos, our soul, arises as a top-down nearly free creation, based upon in almost total disregard of bottom-up constraints, the chaotic circumstances in the exterior world. The reason is that the bottom-up approach to interpreting sensory data is unmanagable, hopelessly inefficient & simply impracticable. If it ever succeeds, it still is too slow & bound to fail in the end, due to phenomenal structures being enormously complex and variable. (6) Internal Structural Historical Record (ISHR). Our understanding is based on linguistic expressions for phenomena that we encounter and register as phenomenal engrams in the neurons of the brain, through acquisition of the logos inherent in the relevant aspects of any phenomena, possessing pre-linguistic structure, in form of internal structures, counting for historical record, ISHR. (7) While the human soul reflects the glory of the divine mysteries of the universe, as we, like no other creature on Earth, uniquely understand the totality of it, with certain inherent limitations, yet there never will be a time when its true nature & origins are revealed to any living rational being, Aristotle’s rational animal, ζώον λόγον έχων. (8) To comprehend consciousness we require full & radical holistic thinking, the noumenal cosmos. We have