Miracle-dz/UniFAR-FTUs huggingface dataset:
Challenges to Quality Primary Health Care in Saudi Arabia and Potential Improvements Implemented by Other Systems: Systematic Review

INTRODUCTION: As primary healthcare centres play an important role in implementing Saudi Arabia’s health strategy, this paper offers a review of publications on the quality of the country’s primary health care. With the aim of deciding on solutions for improvement, it provides an overview of healthcare quality in this context and indicates barriers to quality. METHOD: Using two databases, ProQuest and Scopus, data extracted from published articles were systematically analysed for determining the care quality in Saudi primary health centres and obstacles to achieving higher quality. RESULTS: Twenty-six articles met the criteria for inclusion in this review. The components of healthcare quality were examined in terms of the access to and effectiveness of interpersonal and clinical care. Good access and effective care were identified in such areas as maternal health care and the control of epidemic diseases, whereas poor access and effectiveness of care were shown for chronic disease management programmes, referral patterns (in terms of referral letters and feedback reports), health education and interpersonal care (in terms of language barriers). Several factors were identified as barriers to high-quality care. These included problems with evidence-based practice implementation, professional development, the use of referrals to secondary care and organisational culture. Successful improvements have been implemented by other systems, such as mobile medical units, electronic referrals, online translation tools and mobile devices and their applications; these can be implemented in Saudi Arabia for improving the quality of the primary healthcare system in this country. CONCLUSION: The quality of primary health care in Saudi Arabia varies among the different services. To improve quality, management programmes and organisational culture must be promoted in primary health care. Professional development strategies are also needed for improving the skills and knowledge of healthcare professionals. Potential improvements can be implemented to improve the quality of the primary health system.
EFECTO MEDIADOR DE LA CULTURA ORGANIZACIONAL EN LA RELACIÓN ENTRE EL LIDERAZGO TRANSFORMACIONAL Y LA GESTIÓN DEL CONOCIMIENTO

The main objective of the study was to develop a conceptual model that analyzes the mediating effect that organizational culture has on the relationship between transformational leadership and knowledge management. The data was collected through a survey of 150 employees of a public university in Peru. A self-administered questionnaire was used for data collection. The sample was determined using 95% confidence and an error of 0.05. The results of the structural partial least square equation (PLS-SEM) revealed the positive relationship between transformational leadership and knowledge management. Furthermore, the analysis also showed that organizational culture completely mediates the above relationship. This study suggested that in order to improve knowledge management in the university institution, it is necessary to introduce organizational rules that encourage the formation of an organizational culture based on leadership.
GREEN SYNTHESIS, ANTIMICROBIAL AND ANTICANCER ACTIVITIES OF AgNPs PREPARED FROM THE LEAF EXTRACT OF Eucalyptus camaldulensis

Herein we report the green synthesis of silver nanoparticles (EcAgNPs) from water fraction (Ecs), obtained from methanol extract of Eucalyptus camaldulensis at room conditions. UV-vis, HR-TEM and SEM-EDS devices were used to characterize the EcAgNPs. The UV-visible spectrum of EcAgNPs showed surface plasmon resonance peak at 420 nm. HR-TEM images showed that the EcAgNPs were spherical with a diameter in the range 3.7-29.6 nm. Ag+ ions were reduced to Ago by phytochemicals in the without adding external reducing agent. The presence of biomolecules in the Ecs was investigated by UPLC-MS/MS that detected gallic acid (20.26±0.10 ppb) and quercetin (12.4±0.08 ppb) as major constituents. The antimicrobial activities of Ecs and synthesized EcAgNPs were tested on Escherichia coli, Pseudomonas aeruginosa, Bacillus subtilis, Staphylococcus aureus strains and Candida albicans yeast. Ecs exhibited antimicrobial activity as MIC between 16.2 and 129.3 mg mL-1 while EcAgNP showed MIC between 6.31 and 14.65 µgmL-1. The cytotoxicity of both Ecs and EcAgNPs on A549, HT29 and MDA-MB-231 cancer cell lines was tested by MTT. EcAgNPs showed more significant anticancer activity on MDA-MB-231, HT29 and A549 cancer cell lines (8.10±0.01, 5.08±0.01 and 18.58±0.03 µg mL-1) than Ecs (219.70±0.73, 916.24±0.67, 999.30±1.86 µg mL-1) and it should be investigated for use in various therapeutics.
Development of Creative Potential of Future Teachers – Strategy for Improving the Quality Of Higher Pedagogical Education

The article reveals the interaction of personal orientation of training future teachers and the quality of their pedagogical education, the level of readiness for creative professional activity. The creative potential of the student is considered as an indicator of personal orientation of preparation for professional activity, and its development by means of educational process as strategy of maintenance of quality of the higher pedagogical education. The creative potential of future teachers combines in the structure of motivational, operational, personal and evaluative components, the degree of formation of which depends on the quality of pedagogical education and the degree of their readiness for creative professional activity. The effectiveness of the structural-functional model of the system of development of creative potential of future teachers in compliance with the set of pedagogical conditions has been experimentally confirmed.
Does premedication with NSAIDs or acetaminophen reduce adverse events following childhood vaccinations?

20). They were given 192 mg of magnesium lactate and 20 mg of vitamin B6 or placebo daily for six weeks. The treatment group had improved HAM-A scores at day 21 (8.4 vs 9.9, P5.004) and at day 42 (6.5 vs 7.8, P5.02) compared with placebo. In the third RCT (N5264), patients had a mean age of 45 years old (81% female; HAM-A scores between 16 and 28) and met criteria for generalized anxiety disorder per DSM III. Participants were given 75 mg of elemental magnesium, 75 mg of Hawthorn extract, and 20 mg of California poppy or placebo daily for 12 weeks. The treatment group had improved HAM-A scores at day 90 compared with placebo (10.6 vs 8.9; P5.005). In the fourth RCT (N580), participants were 68% female (mean age not reported; HADS score between 4 and 12). Participants were given 48 mg of magnesium (unknown form), 100 mL of fermented cow’s milk, 222 mg of protein hydrolysate, and blackberry puree (not defined) or placebo daily for four weeks. The treatment group had a 31% improvement in HADS score compared with placebo (P,.05). This review article provided limited statistical analysis and reporting. A 2016 randomized crossover control trial (N5126) compared the effectiveness of magnesium for the treatment of depression with anxiety measured as a secondary outcome compared with no treatment. Patients had a mean age of 52 years old (38% male, 54% white) with 28% under no current treatment for anxiety or depression and 35% on one or more medications. Patients had an average Generalized Anxiety Disorder (GAD-7) score of 9 (where 5–9 is mild, 10–14 moderate, and 15–21 high anxiety) and a Patient Health Questionnaire scores greater than 15 (scored 0–19, with.15 considered severe). Patients with other psychiatric diseases, gastrointestinal disease, or pregnancy were excluded. Patients were given 2,000 mg of magnesium chloride (248 mg elemental magnesium) a day versus no treatment for six weeks. Patients taking magnesium had a GAD-7 score net improvement of greater than 20% (4.5 point reduction; CI, –6.6 to –2.4). Headaches were less likely to be reported by the treatment group with an adjusted difference of –0.16 (CI, –0.25 to –0.03). No difference was observed in the reporting of diarrhea, constipation, nausea, dizziness, and urinary symptoms between treatment and nontreatment groups. Limitations of the study included no placebo arm, a lack of blinding, unclear clinical significance, and anxiety being a secondary measure in the study.
Pengaruh Growth Opportunity dan Leverage pada Earning Response Coefficient

The purpose of this research is aim to obtain empirical evidence about the effect of growth opportunity and leverage on earning response coefficient (ERC). This research was conducted at manufacturing companies listed on the Indonesia Stock Exchange in 2016-2018. The sample are selected with purposive sampling method. The number of selected sample are 65 companies. The analysis technique of this research is using multiple linear regression. The result showed that growth opportunity had positive effect on ERC. Whereas leverage had negative effect on ERC. The higher the company's growth rate will increase ERC. While the higher the leverage the company will reduce ERC.
Parent-Adolescent Sexual Communication in India: Responses of Middle Class Parents

Parents are an important source of sexual health information for adolescents, and quality parent–adolescent sexual communication has been linked to positive sexual health outcomes. We sought to enhance the limited information about parent–adolescent sexual communication in India. The participants were 78 mothers and 91 fathers of adolescents ages 12–19 years. Both mothers and fathers reported limited past sexual communication, on average having talked to their child in general terms only and only a few times, although communication was somewhat better when the sex of the parent and adolescent were congruent. Only half of the parents had strong intentions to engage in these conversations during the following year. Parents’ reports and multiple regression analyses identified parents’ attitudes, knowledge, comfort, and history of sexual communication with their own parents as key factors in limiting parent–adolescent sexual communication engagement and intentions. A number of strategies to enhance parent-adolescent sexual communication are discussed.
When does my program do this? learning circumstances of software behavior

A program fails. Under which circumstances does the failure occur? Our Alhazenapproach starts with a run that exhibits a particular behavior and automatically determines input features associated with the behavior in question: (1) We use a grammar to parse the input into individual elements. (2) We use a decision tree learner to observe and learn which input elements are associated with the behavior in question. (3) We use the grammar to generate additional inputs to further strengthen or refute hypotheses as learned associations. (4) By repeating steps 2 and 3, we obtain a theory that explains and predicts the given behavior. In our evaluation using inputs for find, grep, NetHack, and a JavaScript transpiler, the theories produced by Alhazen predict and produce failures with high accuracy and allow developers to focus on a small set of input features: “grep fails whenever the --fixed-strings option is used in conjunction with an empty search string. ”
School Counselors and African American Students: Counseling within the Psychology of the Black Experience

In the contemporary age of ‘proposed culturally competent practices and pedagogy’, issues in urban educational settings remain somewhat prevalent in today’s K-12 learning environments. This paper provides auto-ethnographic perspectives and relevant literature to assist education professionals and stakeholders in promoting student success, academic achievement, and increasing access to higher education. In this article, the terms African American male and Black male are used interchangeably. Keywords: black (urban) education, school counselor, student success, black males
Countering the "Digital Uncanny"

Photogrammetry and laser scanning, or combinations of the two, are increasingly used in cultural heritage settings to create three-dimensional digital replicas. Yet the technical production processes involved can sometimes result in undesirable outcomes – flattening shadows, light, and surface textural variations of original artifacts. Many of these important visual cues contribute to our understanding of digital models as ‘historical objects,’ and the resulting overly digitized photogrammetry – lacking visual context and depth – can impede user interactivity. Viewers of digital heritage can become deterred by the uncanny, static, or unreal aesthetic of some photogrammetric and laser scans. This article considers two digital heritage projects: “Emotions3D: Bringing Digital Heritage to Life,” and the Smithsonian Apollo 11 Command Module scans in order to explore how technical and curatorial decisions can address issues in photogrammetric and laser post-processing. While often subtle, different post-processing choices are perceived and deeply cognitively and emotionally internalized by viewers and users of digital cultural heritage. Therefore, this paper assesses the relevance of emotions studies, theories of the ‘uncanny’ and the ‘uncanny valley,’ and issues of authenticity and best-practice digital interventions to enhance user engagement and accessibility through digital post-processing techniques.
The response of Inpago 8 rice to the provision of compost and Biochar in dryland

Compost and biochar are organic materials that can improve the function of soil as a growing medium in cultivation. Inpago 8 is a kind of upland rice which is grown in the dry land. This study was conducted to determine the effects of compost and biochar on dryland to the growth and yield of Inpago 8 rice plant. The experiment was conducted on dry land in Natar Experimental Station, South Lampung from January 2015 until May 2015. Six treatments were tested in this study consisted above: (A) control (without compost and biochar), (B) biochar rice husk 5 ton/ha (t/ha), (C) biochar rice husk 10 t/ha, (D) compost 5 t/ha, (E) biochar rice husk 5 t/ha + Compost 5t/ha, and (F) Biochar rice husk 10 t/ha + compost 5t/ha, using a randomized block design with four replications. Observations were conducted on the components of growth and yield of Inpago 8 rice plant, data analysis used Duncan‘s test. The result showed that the best appearance of the growth and yield of Inpago 8 rice plant is the application of biochar rice husk 5 t/ha + compost 5t/ha.
Identification of crop diseases using improved convolutional neural networks

Conventional AlexNet has the problems of slow training speed, single characteristic scale and low recognition accuracy. To solve these problems, a convolutional neural network identification model based on Inception module and dilated convolution is proposed in this study. The inception module combined with dilated convolution, could extract disease characteristics at different scales and increase the receptive field. By setting different parameters, six improved models were obtained. They were trained to identify 26 diseases of 14 different crops; then the authors selected optimal recognition model. On this basis, the segmented dataset and the grey-scaled dataset were trained as comparative experiments to explore the influence of background and colour features on the recognition results. After only two training epochs, the improved optimal model could achieve an accuracy of over 95%. Moreover, the final average identification accuracy reached 99.37%. Contrast experiments indicate that colour and background features may influence the recognition effect. The improved model can extract disease information from different scales in the feature map to identify diverse diseases of different crops. The proposed model has faster training speed and higher recognition accuracy than the traditional model, and thus it can provide a reference for crop disease identification in actual production.
Spectroscopie RMN cérébrale pour l’étude du milieu intracellulaire in vivo : développements méthodologiques pour la diffusion à courtes échelles de temps et pour la mesure du pH en détection 31P

La spectroscopie RMN est un moyen unique d’evaluer l’environnement cellulaire in vivo. En effet, les molecules observees sont exclusivement intracellulaires, et ont en general un role biochimique ainsi qu’une compartimentation cellulaire specifique. C’est donc un outil potentiellement utile pour comprendre le fonctionnement des cellules dans leur environnement. Mon travail de these consistait a developper de nouvelles sequences en spectroscopie de diffusion et en spectroscopie du phosphore 31.Mon premier travail a ete de developper une sequence de spectroscopie de diffusion a temps de diffusion ultra-court pour observer la diffusion anormale dans le cerveau de rat. L’evolution de l’ADC en fonction du temps de diffusion montre que le transport des metabolites dans le cerveau se fait essentiellement par diffusion aleatoire et que la contribution des transports actifs (s’ils existent) est negligeable. La modelisation de ces donnees a mis en evidence que la spectroscopie de diffusion a court temps de diffusion etait sensible a la viscosite du cytoplasme et a l’encombrement a courte echelle. Cette technique a donc ete choisie lors d’une collaboration avec la firme Eli Lilly pour le suivi de souris transgeniques (rTg4510), modele de taupathie. Les resultats preliminaires font apparaitre des differences significatives d’ADC a un stade precoce de la neurodegenerescence (3 et 6 mois). La spectroscopie RMN du phosphore 31 permet d’observer des metabolites directement impliques dans le processus energetique. Au cours de cette these, des sequences de localisation ont ete developpees pour pouvoir mesurer le pH intracellulaire dans le striatum de macaque. A terme, ces sequences seront utilisees pour evaluer l’utilite potentielle du pH comme biomarqueur de la neurodegenerescence dans un modele phenotypique de la maladie de Huntington chez le macaque.
Retrieved wind speed from the Orbiting Carbon Observatory-2

Abstract. Satellite measurements of surface wind speed over the ocean inform a wide variety of scientific pursuits. While both active and passive microwave sensors are traditionally used to detect surface wind speed over water surfaces, measurements of reflected sunlight in the near-infrared made by the Orbiting Carbon Observatory-2 (OCO-2) are also sensitive to the wind speed. In this work, retrieved wind speeds from OCO-2 glint measurements are validated against the Advanced Microwave Scanning Radiometer-2 (AMSR2). Both sensors are in the international Afternoon Constellation (A-Train), allowing for a large number of co-located observations. Several different OCO-2 retrieval algorithm modifications are tested, with the most successful being a single-band Cox–Munk-only model. Using this, we find excellent agreement between the two sensors, with OCO-2 having a small mean bias against AMSR2 of −0.22 m s−1, an RMSD of 0.75 m s−1, and a correlation coefficient of 0.94. Although OCO-2 is restricted to clear-sky measurements, potential benefits of its higher spatial resolution relative to microwave instruments include the study of coastal wind processes, which may be able to inform certain economic sectors.
Modifiable child and caregiver factors that influence community participation among children with Down syndrome

Abstract Purpose To investigate modifiable child and caregiver factors influencing community participation among children with Down syndrome. Methods Cross-sectional data from a study investigating quality of life of children with intellectual disability were analysed. Participants were caregivers of 89 children with Down syndrome (54 females; 83 school attenders) (mean age 11 y 1 mo; SD 4 y 1 mo). Components of participation (attendance, involvement) were measured using the Participation and Environment Measure for Children and Youth, community module. Caregiver factors were time, mood, transport, and disability funding. Child factors were sleep, behaviour, communication, and health. Multivariate linear regression analyses examined if (i) caregiver factors were associated with attendance and (ii) child factors were associated with involvement. Results Increased caregiver time availability was associated with higher frequency of attendance. Higher frequency of attendance was associated with greater child involvement, and having a sleep breathing disorder and less verbal communication ability was associated with less child involvement. These factors combined explained 21% of the variance. Conclusions Children with Down syndrome who participated in the community more frequently enjoyed greater involvement. Supporting participation of children with poorer verbal communication and/or sleep breathing disorders could further the participation of children with Down syndrome. Implications for rehabilitation Children with Down syndrome who more frequently attended opportunities for participation were more likely to be involved in those experiences. Healthcare providers and educators could foster involvement in participation opportunities of children with poorer verbal ability by supporting the development of prerequisite communication strategies. Rehabilitation programs and policies pertaining to accessibility of community activities need to align with modifiable determinants of participation in children, including availability of caregivers’ time.
Interconnect-Aware Area and Energy Optimization for In-Memory Acceleration of DNNs

State-of-the-art in-memory computing (IMC) architectures employ an array of homogeneous tiles and severely underutilize processing elements (PEs). In this article, the authors propose an area and energy optimization methodology to generate a heterogeneous IMC architecture coupled with an optimized Network-on-Chip (NoC) for deep neural network (DNN) acceleration. –Yiran Chen, Duke University
POSIÇÃO PRONA COMO MANOBRA TERAPÊUTICA PARA TRATAMENTO DA SÍNDROME DA ANGÚSTIA RESPIRATÓRIA AGUDA EM GESTANTE: UM RELATO DE CASO

A Síndrome da Angústia Respiratória Aguda (SARA) é um quadro clínico muito prevalente em ambiente hospitalar, caracterizada por hipoxemia grave e refratária ao uso de oxigênio, necessitando de ventilação mecânica assistida como suporte terapêutico. É uma inflamação na membrana alveolar que pode ser desencadeada por fatores pulmonares ou extrapulmonares, tendo assim, várias possíveis etiologias. A posição prona é uma estratégia terapêutica utilizada naqueles pacientes em que o tratamento inicial não está tendo resposta adequada. Por meio deste relato será analisado o caso clínico de uma gestante diagnosticada com SARA grave que foi submetida a posição prona, abordando desde o histórico clínico inicial, diagnóstico e evolução da paciente diante do uso desta terapêutica.