bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self Tuning Based Adaptive Fuzzy Logic Controller in Lab view for Sterilizing Equipments
Authors: Ragu P. J. 
Published: June 2019

In this paper, temperature monitoring of sterilizing equipment system was established with the help of fuzzy and self tuning Adaptive fuzzy logic controller designed in Lab VIEW software. It combines the advantages of both fuzzy logic and self tuning Adaptive fuzzy logic controller. The implementation attempts to rectify the errors between the measured value and the set point which helps to achieve efficient temperature control. The Adaptive fuzzy controller uses defined rules to control the system based on the current values of input variables and temperature errors. The simulation results presented in order to evaluate the proposed method. The result shows that self tuning Adaptive fuzzy logic controller was tolerant to disturbance and the temperature control is most accurate.
Neuro Fuzzy Based Unified Power Quality Conditioner for Power Quality Improvement Fed Induction Motor Drive
Authors: Saravanan R. , Manoharan P.S. 
Published: June 2019

The unified power quality conditioner (UPQC) plays an important role in the constrained delivery of electrical power from source to an isolated pool of load or from a source to the grid. In this paper presents neuro fuzzy based unified power quality conditioner. The series converter is used to compensate voltage sag/swell compensation. The shunt converter is used to compensate reactive power compensation present in the linear and nonlinear load. The performance of neuro fuzzy and with artificial neural network controller is compared. This approach eliminates the total harmonic distortions efficiently. The performance of proposed system is analysed using Mat lab/Simulink.
Natural Immune System Response As Complexe Adaptive System Using Learning Fuzzy Cognitive Maps
Authors: Tlili Ahmed , Chikhi Salim 
Published: June 2019

In the Natural Immune Systems NIS, adaptive and emergent behaviors result from the behaviors of each cell and their interactions with other cells and environment. Modeling and Simulating NIS requires aggregating these cognitive interactions between the individual cells and the environment. In last years the Fuzzy Cognitive Maps (FCM) has been shown to be a convenient tool for modeling, controlling and simulating complex systems. In this paper, a new type of learning fuzzy cognitive maps (LFCM) have been proposed as an extension of traditional FCM for modeling complex adaptive system is described. Our approach is summarized in two major ideas: The first one is to increase the reinforcement learning capabilities of the FCM by using an adaptation of Q-learning technique and the second one is to foster diversity of concept's states within the FCM by adopting an IF-THEN rule based system. Through modeling and simulating response of natural immune system, we show the effectiveness of the proposed approach in modeling CASs.
The Essence of Mathematics Through Elementary Problems
Authors: Borovik Alexandre , Gardiner Tony 
Published: June 2019

It is increasingly clear that the shapes of reality – whether of the natural world, or of the built environment – are in some profound sense mathematical. Therefore it would benefit students and educated adults to understand what makes mathematics itself ‘tick’, and to appreciate why its shapes, patterns and formulae provide us with precisely the language we need to make sense of the world around us. The second part of this challenge may require some specialist experience, but the authors of this book concentrate on the first part, and explore the extent to which elementary mathematics allows us all to understand something of the nature of mathematics from the inside.
The Essence of Mathematics consists of a sequence of 270 problems – with commentary and full solutions. The reader is assumed to have a reasonable grasp of school mathematics. More importantly, s/he should want to understand something of mathematics beyond the classroom, and be willing to engage with (and to reflect upon) challenging problems that highlight the essence of the discipline.
The book consists of six chapters of increasing sophistication (Mental Skills; Arithmetic; Word Problems; Algebra; Geometry; Infinity), with interleaved commentary. The content will appeal to students considering further study of mathematics at university, teachers of mathematics at age 14-18, and anyone who wants to see what this kind of elementary content has to tell us about how mathematics really works.
Probing the Response of Tropical Deep Convection to Aerosol Perturbations Using Idealized Cloud-Resolving Simulations with Parameterized Large-Scale Dynamics
Authors: Anber Usama M. , Wang Shuguang , Gentine Pierre , Jensen Michael P. 
Published: June 2019

Abstract
A framework is introduced to investigate the indirect effect of aerosol loading on tropical deep convection using three-dimensional limited-domain idealized cloud-system-resolving model simulations coupled with large-scale dynamics over fixed sea surface temperature. The large-scale circulation is parameterized using the spectral weak temperature gradient (WTG) approximation that utilizes the dominant balance between adiabatic cooling and diabatic heating in the tropics. The aerosol loading effect is examined by varying the number of cloud condensation nuclei (CCN) available to form cloud droplets in the two-moment bulk microphysics scheme over a wide range of environments from 30 to 5000 cm−3. The radiative heating is held at a constant prescribed rate in order to isolate the microphysical effects. Analyses are performed over the period after equilibrium is achieved between convection and the large-scale environment. Mean precipitation is found to decrease modestly and monotonically when the aerosol number concentration increases as convection gets weaker, despite the increase in cloud liquid water in the warm-rain region and ice crystals aloft. This reduction is traced down to the reduction in surface enthalpy fluxes as an energy source to the atmospheric column induced by the coupling of the large-scale motion, though the gross moist stability remains constant. Increasing CCN concentration leads to 1) a cooler free troposphere because of a reduction in the diabatic heating and 2) a warmer boundary layer because of suppressed evaporative cooling. This dipole temperature structure is associated with anomalously descending large-scale vertical motion above the boundary layer and ascending motion at lower levels. Sensitivity tests suggest that changes in convection and mean precipitation are unlikely to be caused by the impact of aerosols on cloud droplets and microphysical properties but rather by accounting for the feedback from convective adjustment with the large-scale dynamics. Furthermore, a simple scaling argument is derived based on the vertically integrated moist static energy budget, which enables estimation of changes in precipitation given known changes in surfaces enthalpy fluxes and the constant gross moist stability. The impact on cloud hydrometeors and microphysical properties is also examined, and it is consistent with the macrophysical picture.
Assessing the Quality of Southern Ocean Circulation in CMIP5 AOGCM and Earth System Model Simulations
Authors: Beadling R. L. , Russell J. L. , Stouffer R. J. , Goodman P. J. , Mazloff M. 
Published: June 2019

Abstract
The Southern Ocean (SO) is vital to Earth’s climate system due to its dominant role in exchanging carbon and heat between the ocean and atmosphere and transforming water masses. Evaluating the ability of fully coupled climate models to accurately simulate SO circulation and properties is crucial for building confidence in model projections and advancing model fidelity. By analyzing multiple biases collectively across large model ensembles, physical mechanisms governing the diverse mean-state SO circulation found across models can be identified. This analysis 1) assesses the ability of a large ensemble of models contributed to phase 5 of the Coupled Model Intercomparison Project (CMIP5) to simulate observationally based metrics associated with an accurate representation of the Antarctic Circumpolar Current (ACC), and 2) presents a framework by which the quality of the simulation can be categorized and mechanisms governing the resulting circulation can be deduced. Different combinations of biases in critical metrics including the magnitude and position of the zonally averaged westerly wind stress maximum, wind-driven surface divergence, surface buoyancy fluxes, and properties and transport of North Atlantic Deep Water entering the SO produce distinct mean-state ACC transports. Relative to CMIP3, the quality of the CMIP5 SO simulations has improved. Eight of the thirty-one models simulate an ACC within observational uncertainty (2σ) for approximately the right reasons; that is, the models achieve accuracy in the surface wind stress forcing and the representation of the difference in the meridional density across the current. Improved observations allow for a better assessment of the SO circulation and its properties.
Delivering an Integrated Package of Maternal Nutrition Services in Andhra Pradesh and Telangana (India)
Authors: Sethi Vani , Tiwari Khyati , Sareen Neha , Singh Suneeta , Mishra Chittaranjan , Jagadeeshwar M. , Sunitha K. , Kumar S. Vijay , de Wagt Arjan , Sachdev H. P. S. 
Published: June 2019

Background: Maternal spot feeding programs operational in southern Indian States are providing a package of nutrition services (food, micronutrient supplementation, deworming, gestation weight gain monitoring, and fortnightly nutrition health education) to pregnant women. These remain to be evaluated. Objective: We evaluated the maternal spot feeding programs in 2 Southern Indian states. Methods: Study design was cross-sectional entailing primary data collection (July to November 2016) on 360 pregnant and lactating women (of infants aged 0-6 months) per state and a review of the scheme’s management information system (MIS) beneficiaries’ records for the time period April 2014 to August 2017. To gain program functioning insights, open-ended interviews (n = 252) with state, district, and block program managers a state-level open space technology workshop was conducted. Results: Average days of meal consumption ranged from 19 to 21 days per month; spot meal enhanced high dietary diversity (≥6 food groups; 57%-59%) and consumption of eggs and milk (74%-96%) among pregnant and lactating women. On-the-spot consumption of iron, folic acid, calcium, and deworming was 18%, 87%, and 56%, respectively; 94% attended at least 1 of the 2 nutrition monthly counseling sessions. Majority (68%) of the beneficiaries were motivated to enroll by self-help groups or family members, suggesting the crucial persuasive role of peers and family members. Conclusion: Maternal spot feeding schemes can potentially deliver nutrition interventions outlined in the World Health Organization antenatal care guidelines 2016 for a positive pregnancy outcome. Research on schemes’ impact on birth outcomes, maternal depression, social norms, and its cost-effectiveness is needed.
Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics
Authors: Bruce Liana DesHarnais , Wu Joshua S. , Lustig Stuart L. , Russell Daniel W. , Nemecek Douglas A. 
Published: June 2019

Purpose: To inform health behavior intervention design, we sought to quantify loneliness and its correlates, including social media use, among adults in the United States. Design: Cross-sectional research panel questionnaire. Setting: Responses were gathered from individuals in all 50 states surveyed via Internet from February 2018 to March 2018. Participants: A total of 20 096 US panel respondents aged 18+. Measures: The University of California at Los Angeles (UCLA) Loneliness Scale (theoretical score range = 20-80) was administered along with demographic, structural, cognitive, and behavioral items. Analysis: After calibrating the sample to population norms, we conducted multivariable linear regression analysis. Results: The overall mean survey-weighted loneliness score was 44.03 (standard error = 0.09). Social support (standardized β [sβ] = −0.19) and meaningful daily interactions (sβ = −0.14) had the strongest associations with lower loneliness, along with reporting good relationships, family life, physical and mental health, friendships, greater age, being in a couple, and balancing one’s daily time. Social anxiety was most strongly associated with greater loneliness (sβ = +0.20), followed by self-reported social media overuse (sβ = +0.05) and daily use of text-based social media (sβ = +0.03). Conclusion: Our findings confirm that loneliness decreases with age, and that being in a relationship as well as everyday behavioral factors in people’s control are most strongly related to loneliness. Population health promotion efforts to reduce loneliness should focus on improving social support, decreasing social anxiety, and promoting healthy daily behaviors.
Biomechanical Comparison of Achilles Tendon Pullout Strength Following Midline Tendon-Splitting and Endoscopic Approaches for Calcaneoplasty
Authors: Michalski Max P. , Gonzalez Tyler A. , Metzger Melodie F. , Nelson Trevor J. , Eberlein Samuel , Pfeffer Glenn B. 
Published: June 2019

Background: Calcaneoplasty is a common procedure performed for the management of Haglund’s syndrome when nonoperative management fails. Midline tendon-splitting and endoscopy are 2 common approaches to calcaneoplasty. Studies have suggested that an endoscopic approach may allow earlier return to activity and superior outcomes, but there are no biomechanical or clinical studies to validate these claims. The goal of this study was to quantify and compare Achilles tendon pullout strength following midline tendon-splitting and endoscopic calcaneoplasty in cadaveric specimens. Methods: Twelve match-paired cadaveric specimens were randomly divided into 2 groups: endoscopic and midline tendon-split. Following calcaneoplasty, fluoroscopy was used to match bone resection and the Achilles was loaded to failure in a mechanical testing system. A paired-samples t test was conducted to compare bone resection height, bone resection angle, load to failure, and mode of failure. Results: The endoscopic approach yielded a 204% greater postsurgical pullout strength for the Achilles tendon than the midline tendon-split (1368 ± 370 N vs 450 ± 192 N, respectively) ( P < .05). There were no differences in resection angle or resection height. All specimens failed due to bone or tendon avulsion. Conclusion: Endoscopic calcaneoplasty had more than 3 times greater pullout strength than the midline tendon-splitting approach. Clinical Relevance: This may allow earlier return to functional rehabilitation following endoscopic calcaneoplasty, but further studies are needed to determine if these differences are clinically significant. Further understanding of the time-zero biomechanics following calcaneoplasty may provide guidance regarding postoperative management with respect to surgical approach.
Comparison of yield and complications of craniocaudal versus caudocranial needle trajectory for kidney biopsy
Authors: Prasad Narayan , Shukla Rahul , Behera Manas , Yachha Monika , Bhadauria Dharmendra , Kaul Anupama , Lal Heera , Gupta Amit 
Published: June 2019

Background: Percutaneous renal biopsy can result in serious complications. The study is aimed to compare the safety and yield between the two approaches of biopsy techniques: the conventional craniocaudal and the caudocranial trajectory of the biopsy needle under real-time ultrasound guidance. Methods: In this prospective observational study, a total of 80 serial kidney biopsies were performed, 40 with craniocaudal angulation and 40 with caudocranial angulation of the biopsy needle on the random allocation of 1:1 in each group. In the craniocaudal approach, the patient must hold the breath in deep inspiration to make a lower pole of the kidney approachable during unloading the biopsy gun, which was not required in caudocranial trajectory as the lower pole was approachable without holding the breath in deep inspiration. All kidney biopsies were performed percutaneously under real-time ultrasonogram guidance with a 16-cm-long, 16- or 18-gauge needles with a penetration depth of 22 mm and a sample notch of 18 mm. The yield and complications between the two groups were analyzed. Results: Both the groups were comparable in essential demographic characteristics. The study found that the caudocranial position of renal biopsy is equally suitable concerning tissue yield without any increase in the risk of complications and a smaller number of passes to obtain adequate tissue. Conclusion: Caudocranial trajectory of the biopsy needle using a probe needle guide is as safe as the craniocaudal approach. Both approaches have similar yield and complications; however, the caudocranial approach provides ease to the patient during the procedure.
A Systematic Review of Bystander Interventions for the Prevention of Sexual Violence
Authors: Mujal Gabriela N. , Taylor Meghan E. , Fry Jessica L. , Gochez-Kerr Tatiana H. , Weaver Nancy L. 
Published: June 2019

Introduction: Bystander interventions have been successful in changing bystander attitudes and behaviors to prevent sexual violence. This systematic review was performed to summarize and categorize the characteristics of sexual violence bystander intervention programs and analyze bystander intervention training approaches for the primary prevention of sexual violence and assault. Method: From June to July 2017, the authors searched both published and unpublished American and Canadian studies from 2007 to 2017. The published sources included six major electronic databases and the unpublished sources were Google Scholar and the 40 program websites. From the 706 studies that resulted from this initial search, a total of 44 studies (that included a single bystander intervention program and assessments at both pretest and at least one posttest) were included. Results: Thirty-two percent of studies analyzed bystander behavior postintervention, and most found significant beneficial outcomes. The most frequently used training methods were presentation, discussion, and active learning exercises. Bringing in the Bystander and The Men’s Program had the most replicated empirical support for effectiveness. Discussion: There has been a substantive increase in quasi-experimental and randomized controlled trial approaches to assessing the effectiveness of this type of intervention since 2014. The training methods shared between these efficacious programs may translate to bystander interventions for other victimization types, such as child abuse. Conclusion: The use of in-person bystander training can make positive changes in attitudes and behaviors by increasing awareness of a problem and responsibility to solve it.
Outcomes of Bilateral Internal Thoracic Arteries in Minimally Invasive Coronary Artery Bypass Grafting With Analogy to the SYNTAX Trial
Authors: Nambiar Pradeep , Kumar Sanjay , Mittal Chander Mohan , Sarkar Ila C. 
Published: June 2019

Objectives Minimally invasive CABG is making positive strides in the evolution of coronary artery bypass surgery. We carried out a retrospective study of the efficacy and outcomes of the usage of bilateral internal thoracic arteries in MICS CABG patients over a 6 year period using primary (MACCE) and secondary outcome measures and also carried out a subgroup analysis of patients with diabetes and methodology of revascularization, and with analogy to the SYNTAX trial of the relative risk. Methods Nine hundred and forty patients underwent multivessel MICS CABG via a left mini-thoracotomy from August 2011 to September 2017 and complete revascularization was done using the left internal thoracic artery–right internal thoracic artery Y (LITA–RITA Y) composite conduit. Efficacy and outcomes were evaluated by primary (MACCE) and secondary outcome measures including total length of stay, return to full physical activity, and quality of life. Propensity score matched analyses were carried out in diabetics, in the methodology of revascularization (MICS OPCABG vs. MICS ONCABG), and by comparison to the SYNTAX trial for relative risk. Mean follow-up was 2.9 years (maximum was 5.6 years). Results Out of the 940 patients, 843 (89.6%) were diabetic and 97 (10.4%) were nondiabetic. Average grafts were 3.2. There were 9 mortalities (0.9%). The average ICU and hospital stay was 40 ± 12 hours and 3.1 days. Ten patients (1.06%) required reintervention by angioplasty. A total of 99.3% patients were free from major adverse cardiac and cerebrovascular events (MACCE) at follow-up. Mean follow-up was 33 months and 846 (90%) of the patients were followed up. Based on propensity score–matched groups, patients who had their surgery done by MICS ONCABG (beating heart technique) had greater mean number of grafts and hospital length of stay and had significantly longer ICU stay, extubation in OR and blood loss in comparison to patients who had their CABG done by the MICS OPCABG technique. The new technique has shown favorable risk reduction in comparison to both the arms of the SYNTAX trial. Conclusions The safety, efficacy and outcomes of minimally invasive CABG evaluated by primary (MACCE) and secondary outcomes and quality-of-life measures have been good in this study, especially in diabetics, and have shown results better than conventional CABG. The learning curve can be safely negotiated by using peripheral cardiopulmonary bypass assistance and comparison with the SYNTAX trial has shown a relative reduction in all-cause risk.
Clinical and Echocardiographic Outcomes After Aortic Valve Repair Surgery
Authors: Ram Eilon , Orlov Boris , Shinfeld Ami , Kogan Alexander , Sternik Leonid , Raanani Ehud 
Published: June 2019

Objective To assess early and late clinical outcomes in patients who underwent aortic valve repair surgery for aortic valve insufficiency, and to investigate predictors for recurrence. Methods Of 151 consecutive patients who underwent aortic valve repair surgery for varying degrees of aortic insufficiency (AI) in our department between 2004 and 2018, 60 (40%) underwent aortic root replacement, 71 (47%) aortic cusp plication, 31 (20%) subcommissural annuloplasty, 29 (19%) circular annuloplasty, and 28 (18%) autologous pericardial patch augmentation. Results One patient died in the hospital (0.7%). Mean clinical and echocardiographic follow-up was 62±43 months (range 1 to 159) and 50 ± 40 months (range 1 to 158), respectively. The overall survival rate was 99.3% at 1 year and 98% at 5 years of follow-up. Seventeen patients (11.3%) had recurrent severe AI, and all of them underwent reoperation with a mean duration to reoperation of 35 ± 39 months. Risk factors for the development of recurrent significant AI (≥3) or reoperation, by univariable analysis, were unicuspid or bicuspid aortic valve (AV) ( P = 0.018), the use of subcommissural annuloplasty ( P = 0.010), the need for cusp repair ( P = 0.001), and the use of pericardial patch augmentation ( P < 0.001). By multivariable analysis only the use of pericardial patch augmentation emerged as a significant independent predictor for the development of recurrent significant AI (≥3) or reoperation ( P = 0.020). Conclusion AV repair can be performed with low morbidity and mortality, with good early and late clinical outcomes. However, in our experience there was a significant rate of recurrent AI especially in patients who underwent cusp augmentation using glutaraldehyde-treated autologous pericardial patch.