Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparison of language and visual-motor developments between exclusively and non-exclusively breastfed infants through cognitive adaptive test/clinical linguistic and auditory milestone scale

Background Provision of adequate nutrients is needed in the early year oflife to support the most rapid growth and development period in infant's life. Moreover, warm and responsive parent-child interaction associated with breastfeeding is beneficial for optimal child development. Objective The objective of this study was to compare the language and visual-motor developments between exclusively breast-fed and non-exclusively breast-fed infants. Methods This historical cohort study was performed from May to June 2009. Study subjects consisted of 6-month-old infants lived in Puskesmas Garuda operational area. Language and visual-motor development were measured by cognitive adaptive test/clinical linguistic &auditory milestone scale (CAT/CLAMS). The differences of CAT /CLAMS scores between groups were analyzed with Mann-Whitney test. Results There were 39 exclusively breastfed and 39 non-exclusively breastfed infants enrolled in this study. No significant differences were found between the two groups concerning the subject or their parents characteristics. Mean CAT/CLAMS score of the exclusively breastfed infants was 8.34 points higher than that of the non-exclusively breastfed infants (P=0.002). Similar outcomes were found in language and visual-motor scales which were higher in the exclusively breastfed infants with the differences of9.82 points (P=O.OOl) and 6.85 points (P=0.039), respectively. Conclusion Exclusively breastfed infants has higher language and visual-motor developmental quotient score than non-exclusively breastfed infants.
Oldham Mental Health Phone Triage/RAID Pilot Project Evaluation Report

In 2013, Greater Manchester Police (GMP) commissioned an independent evaluation of the Oldham Phone Triage/RAID Pilot Project. This evaluation report covers the period of the six month pilot from 02.12. 2013 to 31.05. 14. Lord Adebowale’s recent Independent Commission on Mental Health and Policing (2013) concluded that mental health represents one of the most significant and complex challenges for policing in the UK; addressing this matter is core business and should become a priority in all future service planning and delivery at a local level. The Sainsbury Centre (2008) identified that nationally, 15% of all incidents dealt with by the police include the presence of significant mental health difficulties and problems. The report highlighted that police officers do not typically have ready access to sufficient additional information that would support their decision-making in these types of cases. Officers also felt that their training did not always adequately prepare them for this area of work. In February 2014, a national Crisis Care Concordat was signed by more than 20 organisations in England in a bid to drive up standards of care for people in police custody. The Concordat, seeks to build on other announcements on mental health care, notably liaison and diversion schemes, street triage and the national Mental Health Action Plan (2014). GMP and the Office of the Police and Crime Commissioner for Greater Manchester (PCCGM) have been instrumental in setting up a Mental Health Strategy Group to coordinate and improve mental health and policing across Greater Manchester. Mental health and the need to protect vulnerable people have been given major status in the Police and Crime Plan 2013-16 for Greater Manchester (PCCGM, 2013). At a recent consultation event, Tony Lloyd (Police and Crime Commissioner for Greater Manchester) stated: ‘People suffering mental health problems deserve the best service and the only way to achieve that is for the police, NHS and other agencies to pool resources and work together’ (PCCGM, 2014: online).
Can we reduce facial biases? Persistent effects of facial trustworthiness on sentencing decisions

Trait impressions from faces influence many consequential decisions even in situations in which decisions should not be based on a person’s appearance. Here, we test (a) whether people rely on trait impressions when making legal sentencing decisions and (b) whether two types of interventions—educating decision-makers and changing the accessibility of facial information—reduce the influence of facial stereotypes. We first introduced a novel legal decision-making paradigm. Results of a pretest (n = 320) showed that defendants with an untrustworthy (vs. trustworthy) facial appearance were found guilty more often. We then tested the effectiveness of different interventions in reducing the influence of facial stereotypes. Educating participants about the biasing effects of facial stereotypes reduced explicit beliefs that personality is reflected in facial features, but did not reduce the influence of facial stereotypes on verdicts (Study 1, n = 979). In Study 2 (n = 975), we presented information sequentially to disrupt the intuitive accessibility of trait impressions. Participants indicated an initial verdict based on case-relevant information and a final verdict based on all information (including facial photographs). The majority of initial sentences were not revised and therefore unbiased. However, most revised sentences were in line with facial stereotypes (e.g., a guilty verdict for an untrustworthy-looking defendant). On average, this actually increased facial bias in verdicts. Together, our findings highlight the persistent influence of trait impressions from faces on legal sentencing decisions.
Design and evaluation of indoor wireless ad hoc network using BATMAN-adv with mobile robots

The mesh networks are one alternative because it has three essential characteristics: scalable, cooperative work, and self-organization. This type of network can solve problems of load assignment, distribution of tasks, and resources. One alternative to wireless networks (WLAN) is possible to communicate with multiple nodes, but the mesh networks can have connectivity with all nodes. However, it has been observed that in the literature, there is no implementation of this version (B.A.T.M.A.N. version V) of the protocol in indoor situations. Therefore, in this article, a mesh wireless network with heterogeneous devices is proposed to testbed the protocol with conditions in areas with different levels of obstructions applying teleoperation.
Profile of repeat victimisation within multi-agency referrals

To help reduce victimisation, safeguarding practices in England and Wales are becoming more multi-agency, with Multi-Agency Safeguarding Hubs (MASH) being a contemporary example of such an approach. MASH aims to reduce victimisation by identifying and managing vulnerability at the earliest opportunity. This is achieved through the co-location of safeguarding agencies, joint decision making and the co-ordination of interventions. Previous research has indicated that the demand placed upon MASH often outweighs available resources, questioning the extent to which MASH effectively safeguards vulnerable people at the earliest opportunity. Whilst existing literature has focused upon the characteristics of MASH referrals, alongside referral processes, rates of repeat referrals have been overlooked. This paper aims to bridge this gap by exploring the number of repeat referrals made over a two-month period to a MASH location in the north-west of England (n = 2,134). By investigating repeat referrals, reasons why some individuals are susceptible to being victimised on multiple occasions are identified. The paper concludes that whilst MASH has taken a step towards identifying and managing victimisation, practices and processes need to be reviewed if MASH is to proactively prevent repeat victimisation.
Space-Shifted Wye–Delta Winding to Minimize Space Harmonics of Fractional-Slot Winding

A space-shifted wye–delta winding for fractional-slot concentrated winding (FSCW) is proposed that can simultaneously cancel both sub- and super-order harmonics of its stator MMF. The new winding concept proposes two sets of three-phase windings by doubling the number of stator slots connected in the wye–delta configuration. These two winding sets are shifted in space with respect to each other and are connected in series. The wye–delta configuration eliminates subharmonics and enhances the torque-producing component, whereas their relative shifting angle eliminates the dominant higher order harmonics to provide a cleaner and enhanced MMF spectrum. In FSCW motors, dominant space harmonics other than the torque-producing component give rise to undesirable losses in the magnet and rotor core. The efficacy of the proposed method is demonstrated through its stator MMF, harmonic spectrum, and motor performance using finite-element analysis. The application of the proposed winding to a permanent magnet (PM) machine showed dominant sub- and super-order harmonics cancellation, total harmonic distortion reduction, and magnetic loss reduction along with torque density and power factor improvements. A prototype PM machine is built, and the performance of the proposed concept is verified experimentally.
Maximum Power Extraction for Wind Energy Systems Using a Double Integral Sliding Mode Controller

This paper describes a wind energy conversion system (WECS) with a double integral sliding mode controller (DISMC) based on a five-phase permanent magnet synchronous generator (PMSG) linked to the grid through a back-to-back converter (BTBC). A DISMC was used to achieve maximum power point tracking (MPPT). The maximum power is calculated using the machine side converter (MSC) at various wind speeds. The grid side converter (GSC) is used to inject active power into the grid with a unity power factor (UPF). The problems of steady-state error, time response and total harmonics distortion (THD%) are solved by the performance of the suggested controller (DISMC). The various simulation results obtained with MATLAB/SIMULINK show that the recommended control method is successful and superior to that of the classical proportional integral (PI) controller, increasing total WECS efficiency to 93.33% compared to 88% for the PI controller.
Fuzzy-Suboptimal Mode MPPT Control for Three-Phase Grid-Connected PV

In order to maximize the conversion efficiency of a photovoltaic generator a maximum power point controller is used. In this paper, a new suboptimal sliding mode control is designed to maximize the energy delivered by a photovoltaic chain connected to a three-phase electrical grid. The proposed control law ensures a stable DC-DC converter output power and a three-phase grid voltage source inverter control is used to regulate the DC link voltage. The performances of the proposed controller are verified through simulation and the injection of zero reactive energy is guaranteed.
Problem niedożywienia u chorych na nowotwory

The problem of nutrition disorders affects most patients with cancer. Prevention and treatment of malnutrition is dependent on the stage of the disease and the patient’s requirements. Doctor’s task is the assessment of nutrition status, treatment of malnutrition, and monitoring the effectiveness and safety of the treatment. It is worth remembering that patient can derive great benefits from an appropriate nutrition and from professional nutritionist care. Effective treatment can be carried out in the hospital as well as at patient’s home. Prevention and treatment of nutrition disorders can significantly improve the patient’s condition and the course of oncological treatment and best supportive care. Therefore, the problem of an appropriate nutrition should be considered in every patient with cancer.
The mechanisms and functional implications of altered microvascular vasoreactivity in healthy and essential hypertensive men and women

Cutaneous vasodilation enables nutrient delivery to the skin and effectively transfers heat away from the body core to the environment for thermoregulatory purposes. Direct local skin heating elicits a hyperemic response that is reflective of global changes in microcirculation and in endothelial function. Local skin heating is commonly used as a microvascular vasoreactivity test because it is largely reliant on nitric oxide (NO)-dependent mechanisms to elicit vasodilation. NO-dependent vasodilation elicited from local skin heating is reduced in populations with cardiovascular risk factors such as aging and essential hypertension, but further studies are needed to characterize the upand down-stream mechanisms mediating NO-dependent signaling during local skin heating. Further, the effects of systemic cardiovascular therapies on microvascular function can be examined using skin vasoreactivity tests in both healthy and clinical populations. Drug therapies that alter microvascular function could have functional thermoregulatory consequences during heat stress. The purpose of this series of studies was to investigate and characterize the mechanisms mediating NO-dependent vasodilation in middleaged and essential hypertensive men and women. In addition, we planned to investigate the functional thermoregulatory consequences of systemic antithrombotic therapy during rest and exercise in the heat. In the first study we investigated the specific nitric oxide synthase (NOS) isoforms responsible for mediating NO-dependent vasodilation during local skin heating in healthy young and middle-aged men and women. Human aging is associated with attenuated cutaneous vasodilation but little is known about the middle-aged cohort, which is commonly used for comparison with clinical populations. We tested the hypotheses that endothelial NOS (eNOS) is the primary isoform mediating NO production during local heating and that eNOS-dependent vasodilation would be reduced in middle-aged skin. Vasodilation was induced by local heating (42°C) and during acetylcholine dose-response (Ach-DR: 0.01, 0.1, 1.0, 5.0, 10.0, 50.0, 100.0mmol/L) protocols. Four intradermal microdialysis fibers were placed in the skin of 12 middle-aged (531yrs) and 12 young (231yrs) men and women. Sites served as control, nonselective NOS inhibited (NOS-I; L-NAME), inducible (i)NOS inhibited (1400W), and neuronal (n)NOS inhibited (NPLA). After full expression of the local heating response, L-NAME was perfused at all sites. Laser-Doppler flowmetry (LDF) was used to measure cutaneous vascular conductance (LDF flux/mean arterial pressure) and normalized to maximum (%CVCmax: sodium
Contribuições para análise da política de saúde auditiva no Brasil Contributions for the Brazilian hearing health policy assessment

ABSTRACT Purpose: To quantity the procedures related to hearing aid fitting included in Hearing Health Care National Policy ( Tabela SUS ). Methods: Data about fitting procedures included in Tabela SUS were gathered in the website www.datasus. gov.br. After data col-lection, it was conducted the organization and descriptive analysis of the production of ambulatory consults registered by hearing health services in Brazil, during the period from November 2004 to July 2010. Data were statistically analyzed. Results: Regarding procedures related to dispensing hearing aids in national territory, in 2006, speech-language therapy exceeded the amount obtained by hearing aid fitting, and audiological follow-up was little frequent. Hearing aids with technologies B and C have been adapted more than hearing aids with technology A, and the use of measures with a real-ear measurement or 2cc coupler in the adaptation of hearing aids is uncommon, in comparison to functional gain measures. Conclusion: There has been great progresses in the area of hearing impaired attention in the country, but it is necessary to improve the audiological follow-up to hearing aid users, and to review procedures such as the real-ear measurement and technologies of hearing aids.
A era dos inibidores da integrase: o novo padrão ouro para terapia antirretroviral

Introdução A terapia antirretroviral (TARV) atual representa um avanço impressionante ocorrido nas duas últimas décadas. A partir da monoterapia com a zidovudina, ainda nos anos 1980, drogas e classes novas e progressivamente mais potentes e seguras foram sendo introduzidas na prática clínica, com benefícios que se traduziram em níveis de sucesso virológico crescentes e duradouros, transformando uma epidemia letal em mais uma doença controlável. Esses benefícios se refletem em maior expectativa de vida para os infectados pelo HIV, com mais qualidade e segurança. Atualmente, dispomos de quase três dezenas de drogas ARV licenciadas para uso clínico, distribuídas em quatro grandes classes: os inibidores da transcriptase reversa do HIV-1 análogos de nucleosídios (ITRN) e não nucleosídios (ITRNN), os inibidores da protease viral (IP), os inibidores de entrada e, finalmente, os inibidores da integrase (INI), a última classe de ARV a ser introduzida na prática clínica. Três drogas em uso clínico compõem essa classe: raltegravir (RAL) – primeiro INI a ser utilizado no Brasil, disponível na rede pública –, elvitegravir (EVG) – não disponível em nosso meio -, e o mais recente membro, o dolutegravir (DTG) – aprovado para uso em nosso país, e que em breve deverá estar disponível na rede pública. A classe dos INI tem se tornado referência para a TARV, desde que as principais diretrizes internacionais a elegeram como classe preferencial para compor a primeira linha de tratamento. Esse movimento teve início nos primeiros meses de 2015, quando as recomendações do U.S. Department of Health and Human Services (DHHS, Departamento de Saúde e Serviços Humanos dos Estados Unidos) foram atualizadas, e apenas esquemas baseados em INI ou IP/r (nesse caso, apenas o darunavir/ritonavir – DRV/r – foi escolhido) foram recomendados para início da TARV. Essa posição foi rapidamente secundada por outras diretrizes internacionais, e algumas (Espanha, por exemplo) passaram a recomendar apenas esquemas baseados em INI como opção preferencial para início de terapia. A tabela 1 mostra as recomendações mais recentes do DHHS.
An Improved Method for Speech Enhancement Using Convolutional Neural Network Approach

In the speech processing domain Speech enhancement is one of the most widely used techniques. With the development of deep neural networks and the availability of powerful hardware, multiple deep learning-based speech enhancement models have come up in recent years. In this work, the speech enhancement technique using a Convolutional Neural Network(CNN) as Denoising Autoencoders (DAEs) is investigated and compared with the conventional feed-forward topology. Further, The proposed model is analyzed at various SNR levels to process the corrupted english speech and also tested on unseen speech data which includes additional SNR levels. It is observed from simulation results that the proposed model outperforms the existing model in terms of Perceptual Evaluation of Speech Quality (PESQ) and Log Spectral Distance (LSD). The network achieved 3% higher scores than feed-forward neural networks, and it is found that the convolutional DAEs perform better than feed-forward counterparts.
Utilizing TIGER Competencies to Improve Informatics Practice

Nursing Informatics (NI) is quickly becoming an essential part of nursing. From the classroom, to the bedside, and to the boardroom, nurses across the nursing continuum are expected to use NI in their practice with the hopes of delivering better quality care to their patients. However, the training and education of NI provided to all levels of nurses is unable to keep up with the pace of technology. This project seeks to improve the NI competency of the nursing workforce at a pediatric hospital through an educational course using NI competencies identified by the Technology Informatics Guiding Educational Reform (TIGER) Initiative (2009). The value of this project is that it addresses the gap in NI education and competencies at a 265-bed pediatric hospital and creates a NI curriculum that is relevant, timely, and teaches nurses the essential skills to use NI to provide quality care and become a driver of patient quality outcomes.
Effect of hormones on genes related to hormone receptors and milk component synthesis in bovine mammary epithelial cells grown in two and three dimensional culture system

Abstract In this study, the effects of hormones (prolactin, insulin, and growth hormone) on triglyceride (TG) content and the mRNA expression of genes involved in hormone receptor and milk component synthesis were evaluated in bovine mammary epithelial cells that were cultured in two-dimensional (2D) and three-dimensional (3D) systems. TG content was measured with a TG determination kit, and expression of genes were measured with real-time quantitative polymerase chain reactions (RT-qPCR). The expression of these genes and TG content increased significantly in the 3D model compared to those in the 2D model. Moreover, hormone supplementation markedly upregulated the mRNA expression of genes related to hormone receptors and milk component synthesis. A pyramid and interaction effect among hormone supplementation and culture model was obvious. The 3D model is more conducive to study the effect of hormones on genes expression, especially for genes expression relies on response to lactogenic hormones. Highlights The expression of genes and TG content increased in the 3D model compared to those in the 2D model. Hormone supplementation upregulated the mRNA expression of genes related to hormone receptors and milk component synthesis. The 3D model is more conducive to study the effect of hormones on gene expression related to hormone receptors and milk component synthesis.
A systematic literature review and a proposed model on antecedents of trust to use social media for e-government services

Trust is an essential determinant that encourages citizens’ behavior to use e-government services. However, despite its importance there is little evidence of research to investigate citizens’ trust in e-government services, particularly in context of using social media as a technology platform for e-government services. The objective of this paper is to investigate antecedents of trust to use social media for e-government services from multiple dimensions. A systematic literature review was conducted from published articles between 2007 to 2017 with a relevant discussion on citizen’s trust aspects towards e-government services. As a result, 35 articles were selected from 7 electronic databases after an intensive systematic literature review process of searching and using an inclusion and exclusion criteria to extract relevant articles meeting the objective of this study. The findings from the analysis of this review reveal that trust has been mostly discussed in literature as a single component of e-government adoption factors rather than being studied independently. In addition, trust generating factors in context of using social media for e-government services have not received much attention in previous studies. To address this research gap, this study proposes a model that identifies antecedents of trust from multiple dimensions which are classified as individual characteristics, government factors, risk factors and social media characteristics. This study contributes to present a new paradigm for developing citizens’ trust to increase their participation in social media-based services of e-government and also highlights directions for future research.