Miracle-dz/UniFAR-FTUs huggingface dataset:
The effects of facility-related factors on perinatal outcomes-a study of mothers attending antenatal services at public and non-public health facilities in Kisii County in the context of free maternity care services

Background: To improve perinatal outcomes, many countries in Sub-Saharan Africa are introducing universal access to maternal and newborn care. In June 2013the government of Kenya introduced free maternity services in all public health facilities to increase skilled birth attendance. Facility-related determinants of perinatal outcomes in the context of free maternity care have not been well documented in the study area. Methods: Data based on biological variables, access to and quality of services was collected from mothers attending antenatal clinic (ANC) at the 1 st visit, 2 nd and 3 rd visits (which coincided with the 1 st , 2 nd and 3 rd trimesters) up to 2 weeks post-delivery. Some variables such as distance to the facility were measured only at baseline while biological variables were monitored in each of the subsequent visits. Enumerators for the study were midwives at the selected facilities. The primary outcome was the final perinatal outcome (i. uneventful pregnancy, delivery and puerperium or ii). An abnormal perinatal outcome (stillbirth, neonatal ill health, maternal death, maternal ill health, maternal disability, birth injuries & trauma, normal baby/neonate). The secondary outcome was weight at birth. Frequency of facility factors against normal vs abnormal perinatal outcomes was compared by χ 2 testing, the odds of perinatal outcome versus specific facility indicators were calculated using Logistic Regression tests and McNemar’s tests were used to compare relative means (of numeric variables) of different factors at different ANC visits. Results: Data from 287 mothers who attended all the 3 follow-up ANC visits was analysed out of the 365 mothers recruited during the first visit. Out of the 287 study subjects, 65% (187) of were drawn from public health facilities (Oresi & Kenyenya) while 35% (100) were drawn from non-public facilities (Christamarriane/CMMH and Tabaka). McNemar’s test statistic to check for the relationship between the distance to a facility and perinatal outcome show that perinatal outcomes were not with distance to facilities. No statistically significant differences were observed in public vs nonpublic hospitals among mothers who were served and delivered by skilled midwives and those who were attended to by non-skilled midwives (only 12 individuals were attended to by non-skilled midwives). Individuals who delivered at facilities with low midwife-client ratio had a 5% higher likelihood of having a normal perinatal outcome as compared to those delivering in facilities with high staffing ratios (OR =0.05, 95% CI 0.046-0.055, p=0.006)Conclusion: In free maternity care contexts, facility-level factors play a crucial role in positive perinatal outcomes. There is need to strengthen information dissemination by health workers, training and in-service support for midwives and ensure optimal staffing levels at health facilities.
Determinination of the viral kinetics of human RSV M37 strain in newborn lambs for use in therapeutic testing and characterization of clinical signs and sickness behavior

Respiratory Syncytial Virus (RSV) is an enveloped single stranded RNA pneumovirus in the pneumoviridae family that causes bronchiolitis and pneumonia in preterm and term newborns and elderly adults resulting in 75,000 to 125,000 hospitalizations of children below 1 year of age in the US each year. Currently, there are no approved vaccines or effective therapeutic drugs for RSV infection, with treatment being solely limited to supportive care. One of the hurdles for developing vaccines or effective therapeutic drugs for RSV infection is a clinically relevant animal model. Animal models developed to study RSV infection include mice, cotton rats, ferrets, non-human primates, cattle, and lambs. Lambs have several biological features that closely mimic RSV infection in human infants such as: similarities to human infants in lung development, lung structure and airway branching, cellular composition and immune responses, and susceptibility to various strains of RSV, including human strains (Long, A2, and Memphis Strain 37). To utilize the neonatal lamb model for therapeutic and vaccine studies, the viral kinetics of human M37 RSV strain was characterized to follow the progressive development of clinical signs, lung pathology and inflammatory/immune responses over time that closely resembled those of human infants. Once the viral kinetics of M37 were established, ALX-0171, a trivalent nanobody targeting the RSV F-protein was evaluated for its therapeutic potential, safety, and dose levels in newborn lambs infected with RSV M37. ALX-0171 was well-tolerated in RSV infected newborn lambs and exerted a positive effect on RSV-induced lung lesions while reducing symptoms of illness.
Efectos del entrenamiento por intervalos de alta intensidad sobre capacidad aeróbica en personas con enfermedad de las arterias coronarias

The aim of this review was to know the influence of high-intensity interval training (HIIT) on aerobic capacity in people with coronary artery disease. We conducted a review of systematic reviews and meta-analyzes in PubMed up to 4 June 2019. A total of 23 articles were identified, of which 3 were finally selected for this review. The quality of the included studies was high (AMSTAR-2). The HIIT presented significant improvements in aerobic capacity in this population. The HIIT with duration between 7-12 weeks and intensity higher than 90% HRpeak - 80% VO2peak reported greater improvements in aerobic capacity. Further studies are necessary to establish consistent conclusions about the effects of other elements of HIIT prescription in this population.
Quality Changes in Grape Berry as Affected by the Use of Different Colored Shade Nets Proposed to Alleviate the Adverse Effects of Climate Change

In Turkey, viticulture practices have displayed significant development with the production of high quality fresh grapes, juice, molasses and raisin. Grape berries contain high amount of phenolic compounds collected enormous interest due to their essential function in the improvement of produces attained from grapes, but also for their potential useful health effects as functional food. The purpose of present investigation was to reveal the effects of different colored shade nets on berry skin color and functional properties of grape juice. Four years old vines of ‘Alphonse Lavallee’ table grape were cultivated soilless in about 70 L black plastic pots containing sterile peat and perlite mixture under controlled glasshouse condition. The grapevines were covered with different colored shading nets (yellow, blue, white, red, green and black) at the beginning of the summer period. At commercial maturity, investigations show that berry skin color and the analyzed biochemical features of ‘Alphonse Lavallee’ table grape cultivar displayed great variations in response to the different colored shade net. Such differential effects should be evaluated when the use of shade nets is considered in protected viticulture to cope with environmental constraints. The findings may also be useful for the future experiments under conventional vineyard conditions.
Current Research in Acupuncture Treatment for Sudden Sensorineural Hearing Loss

Sudden sensorineural hearing loss (SSNHL) is defined as a sensorineural hypoacusis of at least 30 dB over 3 continuous speech frequencies within 3 days [1] and affects 5 to 20 per 100,000 populations, with nearly 4000 new cases per year in the United States [2]. SSNHL can occur at any age, nevertheless most commonly affects patients 43 to 53 years of age [3] and similar numbers of men and women are affected [4]. Risk factors for idiopathic SSNHL are still uncertain [5]. The etiology of most cases of SSNHL is also unclear [6]. Assumptive causes for idiopathic SSNHL include viral cochleitis, microvascular events [7] and autoimmune disorders [8,9]. A research showed an association of genes related to prothrombotic states and promoted serum levels of fibrinogen and homocysteine in patients with SSNHL offered a multifactorial basis for microvascular events as a cause of SSNHL [9]. Strong evidence for the efficacy of any treatment option for the patients with SSNHL currently is not available.
Agency and AI in Consulting: Pathways to Prioritize Agency‐Enhancing Automations

Amidst the advances of AI and automation, this paper provides a framework for ethnographic methods and insights to enhance human agency at work. Through analyzing data collected from ethnographic immersions in three different consulting firms (a professional services firm, a management consultancy, and a boutique insights agency), human-agent decisions are isolated in case studies and the pathways of unlocking the potential of automation to enhance the agency of individuals rather than constraining it are highlighted. Through drawing a distinction between thinking agency and executional agency present in the work of a consultant, this paper argues that automations that preserve thinking agency while maximizing productivity and accuracy are the solutions that should be adopted. Through vetting workflows sourced from ethnographic immersions with the established criteria, a framework for consultancies – and more broadly businesses – to better employ AI and automation is laid out and substantiated by an account of how anthropological approaches can be brought in to assist the process of prioritization among contextual automation processes. consultants and technologists may have thought. This paper explores how agency , agency of the consultants and indirectly the institutions and individuals they consult for, are affected by increasing adoption of AI and automation in the world of consulting. The paper differentiates two distinct forms of agency at play and structures the existing and potential effects of AI and automation on what we call “thinking agency” and “executional agency. ” Thinking agency is defined as the ability to freely ideate, while executional agency is defined as the ability to execute on or implement the agent’s thoughts and ideas. The paper argues that the problemata in consulting is that oftentimes thinking agency is limited by executional agency, where unsophisticated tools of analysis impose artificial constraints on the answer set for a consultant’s ideas, limiting and automating the possibilities of their recommendations and their ramifications. Stripping thinking agency, often also means stripping executional agency – not only indicating a lack of meaning and agency for the consultant, but an even more intensified lack of agency for the employees whose lives are being impacted. automation and AI under the hood that helps me categorize my original ideas into concrete and written conclusions. ”
Deep Learning Classifier with Piecewise Linear Activation Function: An Empirical Evaluation with Intraday Financial Data

Price movement predictions of financial instruments using traditional time-series models with a predefined mathematical structure are common, but this method restricts their ability to learn latent patterns in the data. In recent times, artificial neural networks (ANN) have been able to learn complex hidden patterns from financial datasets using a highly nonlinear architecture. However, most experiments with neural networks require a lot of time to search a suitable network and subsequently train the network. The authors have developed a deep multilayer perceptron (MLP) classifier with a zero-centered piecewise linear unit activation that yielded better classification performance according to their accuracy metric and required consistently less training time compared to a similar MLP network with leaky rectified linear unit and tanh activation functions. The authors illustrate their technique with a large high-frequency dataset on selected bank shares from the Indian stock market. The authors also discuss the theoretical properties and advantages of their proposal. TOPICS: Statistical methods, simulations, big data/machine learning Key Findings • Time-series models have been used extensively to understand stock price movements. They are constrained by a predefined structure. Artificial neural network (ANNs), due to their universal approximation properties, offer more flexibility; however, they suffer from long training times. • In this article, the authors introduce a zero-centered piecewise linear unit (PLU), a hybrid activation function derived from tanh and leaky rectified linear unit (ReLU) functions that exhibits the zero-centered property from tanh and the nonzero gradient property from leaky ReLU. • The authors developed a multilayer perceptron (MLP) classifier with PLU activation, which yielded better classification performance according to the accuracy metric and required consistently less training time compared to a similar MLP network with leaky ReLU and tanh activation.
Learning with play behaviour in artificial agents

This thesis investigates the role of exploratory play in the development of the basic knowledge of actions and objects involved in play with artificial agents. We developed a learning system, Dev-PSchema, inspired from the sensorimotor stage and schema mechanism of Piaget’s theory of cognitive development. The learning system enables the artificial agents to develop their knowledge, in the shape of schemas containing action and perceptions, based on their existing knowledge and play behaviour. We demonstrate the system embodied in two agents, a simulator and a real robot, developing their knowledge through exploratory sensorimotor experiences and extending for novel situations of the environment through schema generalisation. The schema generalisation mechanism enables the agents to extend their knowledge for novel situations and predict action outcomes. The agents begin learning with a set of basic actions, provided to interact with their environment and perform suitable actions selected through an action selection mechanism, the excitation calculator. This mechanism is modelled on the habituation paradigm, widely studied in developmental psychology. We demonstrate how the excitation mechanism can be tuned to demonstrate a range of behaviour preferences in the artificial agents, similar to the infants observed in the developmental psychology studies. We then demonstrate the agents developing complex actions, labelled as schema chains, from their basic knowledge gained through the exploratory play. The agent demonstrates performing the schema chains as a singular action following a few repetitions. This skill is modelled on the chain reflex and motor program behaviours observed in humans while performing a sequence of actions. This capability enables the agent to develop complex skills that are used to achieve a state in the environment which is, otherwise, not possible to achieve with a single action. Furthermore, we demonstrate the capability to scaffold the learning of the agent through achieving tasks, increasing in complexity. In conclusion, we demonstrate that the exploratory play helps the agents to develop their knowledge about actions and the objects involved. The developed knowledge is further used
REKONSTRUKSI PERGESERAN PARADIGMA UPAYA ADMINISTRATIF DALAM PENYELESAIAN SENGKETA PRA PEMILIHAN KEPALA DAERAH

Undang-undang Administrasi Pemerintahan dan Undang-undang Pemerintahan Daerah yang memberi ruang pelaksanaan Pemilihan Kepala Daerah serentak mendorong pergeseran paradigma upaya administratif dalam penyelesaian sengketa pra-pemilihan kepala daerah di Indonesia. Pergeseran paradigma upaya administratif tersebut memberi kewenangan pada PT TUN untuk mengadili sengketa penetapan pasangan calon yang ditetapkan oleh KPU Daerah, serta Mahkamah Agung dalam hal kasasi atas putusan PT TUN tersebut. Hal tersebut salah satunya harus disertai dengan penegasan yang sejalan dalam Undang-undang Peradilan Tata Usaha Negara yang selaras dengan paradigma upaya administratif pada Undang-undang Administrasi Pemerintahan dan Undang-undang Pemerintahan Daerah kaitannya dengan sengketa pra-pemilihan kepala daerah di Indonesia. Tulisan ini menggunakan metode Penulisan hukum normatif dengan pendekatan perundang-undangan dan pendekatan konseptual. Tulisan ini bertujuan untuk menganalisis, mengkaji serta merekonstruksi pergeseran paradigma upaya administratif termasuk dalam penyelesaian sengketa administratif pada tahapan pra-pemilihan Kepala daerah di Indonesia.
Event-triggered fault tolerant control for a class of state saturated systems subject to deception attacks

This study is concerned with event-triggered fault tolerant control for a class of state-saturated systems subject to stochastic faults, unknown but bounded disturbances and deception attacks. After formulating stochastic faults, state saturations, and deception attacks, a hybrid system model is developed to facilitate analysis and design. An event-triggered transmission mechanism is proposed to decide whether the measurement values should be sent to the controller via wireless network. Since the sensor data is attacked by the adversary during the transmission, the actual measurement value received by the controller needs to be recalculated. Expressions of the dynamic output feedback controller are presented, and criteria are used to design a dynamic feedback controller to ensure that the system is uniformly ultimately bounded. To deal with the current problem, an algorithm is also developed and tested using the linear matrix inequality (LMI) toolbox. Finally, two numerical examples are given to illustrate the validity and effectiveness of the proposed strategies.
Antepartum hemorrhage at a tertiary care teaching hospital in Nepal

Introductions: Antepartum hemorrhage (APH) is a serious obstetrical emergency and is a leading cause of maternal and perinatal morbidity and mortality. Incidence varies from 2-5% of all deliveries. The maternal and perinatal complications of APH are anemia, postpartum hemorrhage, shock, low birth weight, intrauterine fetal death and birth asphyxia. Methods: This descriptive study was conducted at Department of Obstetrics and Gynaecology of Patan Hospital, a tertiary care teaching hospital of Patan Academy of Health Sciences (PAHS), Lalitpur, Nepal. All patients who were admitted after 22 weeks of gestation with diagnosis of antepartum hemorrhage from April 2012 to April 2016 were included. Results: The incidence of APH was 0.23% in the present study. Out of 84 patients, 39.3% were in age group of 25-29 years, 63% were multigravidae, 63% had placenta previa, 92.3% lower segment caesarean section done in new onset APH and 53.1% done in previous admitted cases of APH, 23.8% developed hypovolemic shock, 14.3% needed blood transfusion, 9.5% had postpartum hemorrhage, 1.2% had caesarean hysterectomy, 54.8% had preterm delivery, 9.5% were admitted in neonatal intensive care unit and perinatal mortality was 10.7%. Conclusions: APH is a major cause of maternal and perinatal morbidity and mortality. In our study, the most common cause of APH was placenta previa. The commonest mode of delivery was caesarean section. The major maternal complication was hypovolemic shock with consequent high blood transfusion rate and fetal complication in prematurity. Keywords: antepartum hemorrhage, placenta previa, perinatal mortality Nepal
A Flexible Mode Electrolytic Capacitor-Free LED Driver With High Efficiency Over a Wide Range of Input Voltage

The conventional ac-dc LED drivers fail to achieve high efficiency and optimized bus voltage over a wide range of input voltage. In order to obtain the better performance in high-line and low-line conditions simultaneously, a flexible mode LED driver is proposed. The proposed driver can operate in half-voltage input mode at high-line input to achieve relatively low-bus voltage and high efficiency. Meanwhile, the proposed driver can operate in full-voltage input mode at low-line input to cut down the diode loss and switch loss; thus, high efficiency can be also achieved. Meanwhile, zero-voltage switching characteristic of the active switches can be fulfilled in both modes. In addition, the proposed LED driver can achieve electrolytic capacitor free. The detail structure, operational principle, and design considerations are examined in detail. Finally, the feasibility and the effectiveness of the proposed LED driver are verified by an experimental prototype with rated power of 100 W.
Correlation of tumor size and immunohistochemistry status with lung metastasis in carcinoma breast

Breast cancer is common cancer among females in rural India and is rapidly catching up to cervical cancer in rural India. An estimated about 1 Million cases of breast carcinoma been diagnosed annually worldwide. Of these, most common site of distant metastasis is bone followed by the lung. Metastasis can occur after the initiation of treatment or at the time of diagnosis. The stage at initial presentation and underlying biology of the tumor have an impact on prognosis and metastasis the of the tumor. The Tumor size, grade, nodal involvement, lymphovascular invasion, estrogen, and progesterone receptor (ER, PR) and human epidermal growth factor receptor 2 ABSTRACT
A bibliometric analysis of scientific research on tribology of composites in Southeastern Europe

In recent years there is a small but increasing number of articles presenting and/or analyzing the scientific production from discrete geographical regions on a certain scientific topic. These articles applied the so-called bibliometric methods in order to evaluate the contribution of different countries in a scientific research field. In the present work, the research output of all countries in Southeastern Europe on the scientific field of composites tribology is presented by using bibliometric indicators such as the total number of publications and citations, the average number of citations per publication, and the h-index. Analysis spans the last ten years and the required scientific data in order to calculate the bibliometric indicators were retrieved using the Scopus® scientific database.