Miracle-dz/UniFAR-FTUs huggingface dataset:
Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital

Objectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy. Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to December 31st, 2015. The controls referred to 320 pregnant women who underwent cesarean section at the closest time before and after the study cases. The medical records were collected and analysed. Multivariate logistic regression analysis was performed to identify risk factors. Results: During the study period, there were 50,729 deliveries and 80 pregnant women with cesarean hysterectomy (1.58:1,000). The statistically significant risk factors for cesarean hysterectomy were placenta adherent (adjusted odds ratios (AOR) 120.91, 95% confidence interval (95% CI) 22.05-1653.22), uterine atony (AOR 26.77, 95% CI 5.64-127.07), placenta previa (AOR 19.15, 95% CI 5.74-63.92), the tearing of lower uterine segment (AOR 14.92, 95% CI 4.92-45.29), multigravida (AOR 4.84, 95% CI 1.65-14.20) and emergency cesarean section (AOR 3.98, 95% CI 1.26-12.58). Hypovolemia, disseminated intravascular coagulation, postoperative fever and bladder injury were significant common complications. Conclusion: Placenta adherent, uterine atony, placenta previa, the tearing of lower uterine segment, multigravida and emergency cesarean section were identified as significant risk factors for cesarean hysterectomy.
Using eService-Learning to Practice Technical Writing Skills for Emerging Nonprofit Professionals

Undergraduate students entering the nonprofit sector receive theoretical information on working in nonprofits but may need practical skills. Universities can assist in developing these practical skills through service-learning opportunities. Nonprofit courses and programs are increasingly being offered online and students may lack the opportunity to participate in traditional service-learning classes. Service-learning— linking service to course learning outcomes—as a pedagogy is transforming to meet the needs of these virtual classrooms. One key transformation is the rise of eServicelearning, a method that is mediated by technology and is delivered online. This paper discusses ways that eService-learning was effectively utilized in an online nonprofit course by students to practice technical writing skills. It provides an example of a project in which students developed practical skills and created a professional product for nonprofits. The paper also discusses challenges and successes with the project with recommendations for use by others.
Exceptionality and derived environment effects: a comparison of Korean and Turkish

Morphologically derived environment effects (MDEEs) are well-known examples where phonotactic patterns in the lexicon mismatch with what is allowed at morphological boundaries – alternations. Analyses of MDEEs usually assume that the alternation is morphologically general, and that the sequences ‘repaired’ across morpheme boundaries are phonotactically well-formed in the lexicon. This paper examines the phonotactic patterns in the lexicon of two languages with MDEEs: Korean palatalisation and Turkish velar deletion. I show that Korean heteromorphemic sequences that undergo palatalisation are underattested in the lexicon. A computational learner learns a markedness constraint that drives palatalisation, suggesting a pattern of exceptional non-undergoing. This contrasts with Turkish, where the relevant constraint motivating velar deletion at the morpheme boundary is unavailable from phonotactic learning, and where the alternation is an example of exceptional triggering. These results indicate that MDEEs are not a unitary phenomenon, highlighting the need to examine these patterns in closer quantitative detail.
The Effect of Prior Financial Performance on Organizational Reputation and Earnings Management

The paper aims to investigate the linkage among prior financial performance, organizational reputation and earnings quality. Firstly, it examines the influence of prior financial performance on organizational reputation and on earnings quality. Secondly, this research explores the moderating role that prior financial performance plays in the causal relationship from organizational reputation to earnings quality. Thirdly, the mediating role of organizational reputation in the effect of prior financial performance on earnings quality is analyzed. The empirical findings show that, prior financial performance positively affects both earnings quality and organizational reputation that in turn partly mediates the causal connection from prior financial performance to earnings quality; whereas prior financial performance imposes a positive moderation in the influence of organizational reputation on earnings quality. This research is expected to provide scholars and practitioners with a thorough understanding of the complex link among prior financial performance, organizational reputation and earnings quality. That helps them to deliver good decisions on the investment of suitable resources in maintaining and enhancing their organizational reputation, which assures a higher quality of reported earnings that in turn improves involved stakeholders’ confidence in their firm. This likely leads the firms to gain better performance in the
Fast Retrograde Access to Projection Neuron Circuits Underlying Vocal Learning in Songbirds

Understanding the structure and function of neural circuits underlying speech and language is a vital step towards better treatments for diseases of these systems. Songbirds, among the few animal orders that share with humans the ability to learn vocalizations from a conspecific, have provided many insights into the neural mechanisms of vocal development. However, research into vocal learning circuits has been hindered by a lack of tools for rapid genetic targeting of specific neuron populations to meet the quick pace of developmental learning. Here, we present a new viral tool that enables fast and efficient retrograde access to projection neuron populations. In zebra finches, Bengalese finches, canaries, and mice, we demonstrate fast retrograde labeling of cortical or dopaminergic neurons. We further demonstrate the suitability of our construct for detailed morphological analysis, for in vivo imaging of calcium activity, and for multicolor brainbow labeling.
Prevalence, Risk Factors and Short Term Outcome of Infants with Transient Tachypnea of the Newborn in Sudan

Background: Transient tachypnea of the newborn is the most important respiratory problems in the neonatal period. Materials and methods: This was a descriptive, hospital based study that was conducted in the NICU of Omdurman maternity hospital. 170 newborns who fulfilled the inclusion criteria were included in the study. Data was collected using a structured questionnaire and was analyzed using SPSS program version 20. Frequency tables and graphs were used to present data. Results: The main result revealed that transient tachypnea of the newborn constituted 1.67% of all hospital deliveries, Identifiable risk factors included multiparity, maternal diabetes mellitus, maternal asthma and delivery by caesarean section. Additional risk factors included male sex and lower gestational age. The overall prognosis for transient tachypnea of the newborn was good with eventual recovery in all babies. Conclusion: Measures to reduce unnecessary caesarean sections should be implemented to reduce the risk of TTN.
Remisión de diabetes mellitus tipo 2 a largo plazo tras cirugía bariátrica

Overweight and obesity have become a major health problem in developed countries. In 2014, according to WHO, the obesity rate has tripled since1980s, with 900 million people over 18years old with overweight of which 600million (13%) are obese. In Spain there is a 22,9% prevalence of obesity (BMI>30 kg/m2)with a 1.8% of morbid obesity (MO) (BMI> 40 kg/m2). Moreover, obesity is responsible of 3,4 million deaths and 3,9% life-years lost. It is also a risk factor for developing diseases such as cancer, cardiovascular disease and diabetes mellitus. Epidemiological studies have shown that obesity is a significant risk factor for type 2 diabetes mellitus. The free fatty acids derived from visceral adipose tissue impair insulin sensitivity and beta cell function (lipotoxicity), leading to metabolic syndrome and diabetes. Given the increasing prevalence of obesity worldwide, the epidemic of diabetes has become an even larger economic and social public health challenge. Long-term glycemic control of diabetes can halt the progression of the disease, prevent complications and reduce cardiovascular risks. However, there are needs that are not addressed by intensified multifactorial interventions due to the need for continual monitoring and increasing doses over time, given the progressive nature of the disease, and most diabetic patients are unable to achieve adequate glucose control with medical therapy in the long term. In contrast, bariatric surgery has been shown to induce the remission of diabetes or to reduce the need for medications with durable long-term results in morbidly obese patients, thereby providing a potentially cost-effective approach to treating type 2 diabetes mellitus. Bariatric surgery (BS) is currently considered the most effective treatment option for morbid obesity, and is associated with25-50%, lower long-term mortality rate, improves comorbidities and avoids further complications related to obesity. This surgical option is indicated in patients with a BMI> 40 kg/m2or those with BMI 35-40 kg/m2 with comorbidities (including diabetes) in whom have failed medical therapy and without contraindications.
Stable-by-Design Kinematic Control Based on Optimization

This article presents a new kinematic control paradigm for redundant robots based on optimization. The general approach takes into account convex objective functions with inequality constraints and a specific equality constraint resulting from a Lyapunov function, which ensures closed-loop stability by design. Furthermore, we tackle an important particular case by using a convex combination of quadratic and $l_{1}$-norm objective functions, making possible for the designer to choose different degrees of sparseness and smoothness in the control inputs. We provide a pseudoanalytical solution to this optimization problem and validate the approach by controlling the center of mass of the humanoid robot HOAP3.
The comparison of ultrasonography guided transversus abdominis plane block and wound infiltration for pediatric inguinal hernia repair: Randomised clinical study

Objective: Postoperative analgesic effect of transversus abdominis plane (TAP) block in patients undergoing abdominal surgery has been debatable. The aim of this study was to compare the analgesic effect of ultrasound guided TAP block and wound infiltration in pediatric patients undergoing inguinal herniorrhaphy. Methods: After ethical board approval, 60 children between 3 and 8 years of age undergoing unilateral inguinal hernia repair were randomized to TAP block (Group TAP, n=30) or to wound infiltration (Group infiltration, n=30). Group TAPB received ultrasoundguided TAP block with 0.25% bupivacaine 0.5 ml/kg and Group C received wound infiltration with 0.25% bupivacaine 0.5 ml/kg before surgery. Pain scores (Wong-Baker Faces), parental satisfication, block complications and additional analgesia requirements were recorded. Results: Compared with the infiltration group, the pain scores were statistically lower in the TAPB group during the first 12 hours (p<0.05). The additional analgesia requirement was statistically lower in the TAPB group than Group infiltration group (10/30 vs 18/30 respectively, p=0.038). Parental satisfaction was statistically higher in the Group TAPB than Group infiltration (p<0.001). Conclusion: Despite the postoperative effect of TAP block is debatable; ultrasoundguided TAP block reduces postoperative pain after pediatric inguinal hernia repair compared to wound infiltration.
Modeling the Transient Behavior of Gas Turbines

As a consequence of the increasing share of volatile renewable energy sources such as wind and solar in present-day electrical grid systems, time variations of the power demand for fossil fuel plants can become more sudden. Therefore, an ability to respond to sudden load changes becomes an important issue for power generation gas turbines. This paper describes a real-time model for predicting the transient performance of gas turbines. The method includes basic transient phenomena, such as volume packing and the heat transfer between the working fluid and the structural elements. The dynamics of components are quantified by solving ordinary differential equations with appropriate initial and boundary conditions. Compressor and turbine operating points are determined from corresponding performance maps previously calculated using sophisticated aerodynamic, through-flow codes. This includes a sufficient number of such characteristics to account for the variations in speed and machine geometry. The developed dynamic model was verified by comparison of simulation results with experimentally recorded operating parameters for a real engine. This includes the start-up sequence and the load changes. Additional simulation covers the system response to a step increase in fuel flow. The simulation is carried out faster than the real process.
sEMG-based variable impedance control of lower-limb rehabilitation robot using wavelet neural network and model reference adaptive control

Purpose This paper aims to propose an innovative adaptive control method for lower-limb rehabilitation robots. Design/methodology/approach Despite carrying out various studies on the subject of rehabilitation robots, the flexibility and stability of the closed-loop control system is still a challenging problem. In the proposed method, surface electromyography (sEMG) and human force-based dual closed-loop control strategy is designed to adaptively control the rehabilitation robots. A motion analysis of human lower limbs is performed by using a wavelet neural network (WNN) to obtain the desired trajectory of patients. In the outer loop, the reference trajectory of the robot is modified by a variable impedance controller (VIC) on the basis of the sEMG and human force. Thenceforward, in the inner loop, a model reference adaptive controller with parameter updating laws based on the Lyapunov stability theory forces the rehabilitation robot to track the reference trajectory. Findings The experiment results confirm that the trajectory tracking error is efficiently decreased by the VIC and adaptively correct the reference trajectory synchronizing with the patients’ motion intention; the model reference controller is able to outstandingly force the rehabilitation robot to track the reference trajectory. The method proposed in this paper can better the functioning of the rehabilitation robot system and is expandable to other applications of the rehabilitation field. Originality/value The proposed approach is interesting for the design of an intelligent control of rehabilitation robots. The main contributions of this paper are: using a WNN to obtain the desired trajectory of patients based on sEMG signal, modifying the reference trajectory by the VIC and using model reference control to force rehabilitation robot to track the reference trajectory.
Synergy-Based Control of Assistive Lower-Limb Exoskeletons by Skill Transfer

Considering neuronal coordination between limbs, this article presents a study on the control of lower-limb exoskeletons for assistance of human gait by transferring the motor skills. The synergy-based robotic controller captures kinesiological information and biological signals from the healthy leg and generates intended motor patterns for the assisted leg in different gait phases of the slope walking behavior. First, we have developed a computationally efficient stiffness estimation model of the lower-limb joints and identified the experimental parameters in accord with the subject’s locomotion behavior. The estimated stiffness matrix at minimum muscular contraction is scaled by cocontraction index and mapped to joint stiffness to be utilized in the control design. Then, we have proposed the impedance matching model and realized human skills transfer by surface electromyography signals. Considering the uncertain dynamics of the human–robot system, we have developed an adaptive fuzzy approximator to estimate robot’s dynamic parameters and drive the robot tracking the referenced trajectories. The developed synergy-based control has been verified using three subjects with varying locomotor abilities. Results from these participants have shown a symmetrical and consistent adaptability between two legs with the synergy-based control, while the range of motion of the assisted leg in the affected side is more volitional and individualized.
Transition or transformation: shifting priorities and stakeholders in Australian mined land rehabilitation and closure

ABSTRACT This article is a retrospective study of the shifting priorities and stakeholders over the last four decades of Australia’s mine rehabilitation and closure practices. We map the evolution of knowledge, stakeholder involvement, and community awareness of mining socio-environmental risks and impacts to show how mine rehabilitation and closure practices have evolved over time. We conclude that shifting priorities have transitioned through three phases as understandings of the priorities for successful closure evolved. An initial focus on biophysical rehabilitation within the boundaries of individual mines has extended to currently attend to management of risks that extend beyond the boundaries and include social dimensions. These practices are guided by a desire for improved engagement processes and agreement on outcomes for post-mining landscapes.
Bacterial Evaluation of Mixgrill Meals Served at Hotels Level in Alexandria Province

Mixgrill meal is considered the most popular meal served in hotels and restaurants of Alexandria province. A total of 96 random samples of mixgrill meals (before marinating and after cooking) represented by raw minced meat, grilled kofta, raw chicken and grilled shish-tawook were collected from three different categories of touristic Egyptian hotels in Alexandria province named A, B and C (32 of each hotel , 8 samples of each product /hotel). The samples collected during the period extended from February to September 2017 and subjected to bacterial evaluation. Our results indicated that the highest mean values of Aerobic Plate Count (APC), Enterobacteriaceae Count (EC), Coliforms Count (CC), and Staphylococcus aureus Count (SAC) in examined raw minced meat samples were found in hotel C (1.13 x 106 ± 0.45 x 106), hotel A (1.32 x 105 ± 0.73 x 105), hotel B (7.34 x 104 ± 3.33 x 104) and hotel C (6.17 x105 ± 2.37 x105) for each count, respectively. Also, the highest counts in grilled kofta samples were found in hotel C (3.71 x 104 ± 1.45x 104), hotel B (1.92 x 104 ± 0.79 x 104), hotel C (2.50 x 104 ± 0.50 x 104) and hotel B (1.98 x104 ± 0.60 x104), respectively. On the other hand, all highest counts in raw chicken meat samples were present in hotel A; (3.79 x 105 ± 0.84 x 105), (1.73 x 105 ± 0.86 x 105), (7.62 x 104 ± 3.76 x 104) and (1.73 x105 ± 0.46 x105), while in grilled shish-tawook samples the highest counts were found in hotel B (1.68 x104 ± 0.39 x104), hotel C (1.10 x 104 ±0.90 x 104), hotel C (8.25 x103 ±6.75 x 103) and hotel A (1.13 x 104 ±0.96 x104) for each count, respectively. In addition, the detection percent of coagulase positive Staphylococcus aureus in the totally examined raw minced meat, grilled kofta, raw chicken and grilled shish-tawook samples were 25%, 16.7%, 8.3% and 25%, and that for enteropathogenic E. coli were 58.3%, 12.5%, 29.2% and 16.7%, while the incidence of Salmonellae were 8.3%, 0%, 12.5% and 4.2%, respectively. Serological identification of enteropathogenic E. coli isolated from the totally examined raw minced meat and chicken samples revealed the presence of different serotypes including; EHEC (O26, O111:K58, O26:K60), EPEC (O55:K59, O86:K61, O119:K69), ETEC (O128:K67, O125:K70) and EIEC (O124:K7), while isolated Salmonellae could be serotyped as; S. Typhimurium, S. Enteritidis, S. Kentasucky, S. Virchow and S. Chester. On the other hand, isolates of examined RTE grilled kofta and shish-tawook samples identified as EHEC (O111:K58), EPEC (O119:K69, O86:K61), ETEC (O127:K63) and EIEC (O124:K72) meanwhile S. Enteritidis could be identified from salmonellae isolates of shish tawook samples of hotel (A). So, the present study concluded that mixgrill meals could be subjected for contamination with high bacterial loads and/or such pathogens along their processing steps and may constitute a public health hazard. Recommendations for strict hygienic measures that should be applied to produce safe and high quality mixgrill meals were fully discussed.
BS38 Role of neutrophil elastase in abdominal aortic aneurysms and thoracic aortic dissection

Abdominal Aortic Aneurysm (AAA) affects 4–5% of men over 65, and Thoracic Aortic Dissection (TAD) is a life-threatening aortic pathology where 75% of patients die within 2-weeks post-onset. Relatively little is known about the underlying mechanisms, which warrants further investigation. Neutrophil Elastase (NE) is an enzyme with roles in priming of the immune system, clearance of large pathogens and remodelling of extra-cellular-matrix proteins, all influential in AAA and TAD. Our recent study suggests a causal role for NE in hyperlipidemia-induced atherosclerosis. However, little is known regarding implications of NE in AAA and TAD. This Study aims to investigate the role of NE within both pathologies. Gene-expression of NE and AAA-associated markers, MMP-2 and MMP-9, were significantly up-regulated by CaCl2-and AngII-treatment in the cultured vascular smooth muscle cells, endothelial cells and macrophages. In both AngII- and CaCl2-induced AAA mouse models, reduction of aortic expansion in NE-knockout mice was observed, compared with wild-type littermates. TAD experiments reaffirmed the functional importance of NE, with significant reduction in death within NE-knockout mice. Histological and Proteomics analysis was carried out in order to determine changes produced by loss of the NE gene within these models. Preliminary translational work is underway, with an Audit of Aneurysm patients’ blood profiles. Additionally, peripheral blood and aortic tissues were harvested from surgical repair patients with AAA for NE expression analysis. Initial results show an alteration in proportions of White Blood cell populations, namely macrophages and lymphocytes within expansive aneurysms and co-localisation of NE with MMPs in AAA human samples. This study suggests NE could be a regulator of aortic expansion and dissection, and therefore a potential target for AAA and TAD treatment. Further work is still needed to elucidate the causal mechanism by which NE takes its effect on AAA and TAD. Conflict of interest no