jimnoneill/paper-to-field-training huggingface dataset:
A retrospective analysis of complications associated with postpartum hemorrhage up to 1 year postpartum in mothers with and without a pre-existing mental health diagnosis

Field: Medicine (Health Sciences)

Background/objectives: There is limited research on the associated immediate and long-term outcomes of postpartum hemorrhage. Mothers with a pre-existing psychiatric disease prior to delivery may be especially vulnerable to postpartum hemorrhage outcomes but little is known on this topic. Barriers to studying this population exist and add to knowledge gaps. The goal of this study is to determine the clinical characteristics and frequency of complications within 1 year of a postpartum hemorrhage diagnosis and the psychiatric sequelae within 7 days of a postpartum hemorrhage diagnosis in mothers with a pre-existing mental health diagnosis prior to delivery versus those without. Methods/design: This is a multicenter retrospective observational cohort study using TriNetX, a de-identified electronic health record database. The following electronic health record data were collected and evaluated in postpartum females who were billed for either a vaginal or cesarean delivery: age, race, ethnicity, diagnostic codes, medication codes, and number of deaths. Results: We included 10,649 subjects (6994 (65.7%) no mental health diagnosis and 3655 (34.3%) pre-existing mental health diagnosis). Haloperidol administration (118 (3.2%) versus 129 (1.8%), p < 0.001) was more prevalent in subjects with a pre-existing mental health diagnosis. Adjusting for demographics, pre-existing mental health diagnoses were associated with complications within 1 year after postpartum hemorrhage diagnosis (OR = 1.39, 95% CI: 1.26–1.52, p < 0.001). Conclusion: Having a mental health disorder history is associated with a higher odds of developing subsequent complications within 1 year of postpartum hemorrhage diagnosis. Mothers with a pre-existing mental health disorder have a significantly higher frequency of certain severe postpartum hemorrhage sequelae, including acute respiratory distress syndrome, retained placenta, sickle cell crisis, and need for mechanical ventilation/tracheostomy up to 1 year after delivery. Medications such as haloperidol were ordered more frequently within 7 days of a postpartum hemorrhage diagnosis in these mothers as well. Further research is needed to understand and manage the unique consequences of postpartum hemorrhage in this vulnerable maternal population.
Potassium Ethenyl Trifluoroborate

Field: Chemistry (Physical Sciences)

[13682-77-4] C2H3BF3K (MW 133.99)

InChI = 1S/C2H3BF3.K/c1-2-3(4,5)6;/h2H,1H2;/q-1;+1

InChIKey = ZCUMGICZWDOJEM-UHFFFAOYSA-N

(an organometallic reagent that participates in palladium-catalyzed cross-coupling reactions with aryl- or alkenyl halides or triflates and with arenediazonium electrophiles. Thus, it is a capable vinylating agent when using palladium catalysts. Rhodium-catalyzed asymmetric conjugate addition to enones. Rhodium-catalyzed addition to dehydroamino esters to give alanine derivatives)

Physical Data: mp 241 °C.

Solubility: soluble in acetone,1 acetonitrile.

Form Supplied in: highly stable, easily prepared white solid.

Analysis of Reagent Purity: 1H NMR, 13C NMR, 19F NMR, 11B NMR.

Preparative Methods:2 to a solution of trimethyl borate (1.5 equiv) in anhydrous THF is added dropwise a 15% solution of vinylmagnesium chloride (1 equiv) in THF at –60 °C. The mixture is stirred under argon for 30 min at –60 °C, raised to room temperature and stirred another 30 min. Potassium hydrogen fluoride (6 equiv) is added at once at 0 °C followed by the slow addition of water which results in a white precipitate. The suspension is stirred for 30 min at room temperature after which the solvents are removed. The resulting powder is thoroughly dried under vacuum, extracted several times with acetone, and the solvent is removed under vacuum. The product is purified by dissolving in a minimum amount of boiling acetone and reprecipitating by addition of diethyl ether to give the vinyl trifluoroborate.

Purification: purified by reprecipitation with diethyl ether from acetone.
157. patient to Environment Transmission of Multidrug-resistant Bacteria Within Intensive Care Units

Field: Medicine (Health Sciences)

Abstract Background Identifying risk factors for environmental contamination with multidrug-resistant organisms (MDROs) is essential to prioritize methods for prevention of hospital transmission. Methods Patients admitted to an ICU with an MDRO detected on clinical culture in the prior 30 days were enrolled. Patients (4 body sites) and high-touch objects (HTO) (3 composite sites) in ICU rooms were sampled. Environmental transmission was defined by shared MDRO species cultured on patient and HTO cultures obtained on multiple time points during the patient’s stay. Risk factors for environmental transmission were identified with logistic regression. Results Forty-five patients were included (median 2 days of longitudinal sampling [IQR 1–4 days]). Enrollment anatomic cultures included extended-spectrum beta-lactamase-producing Enterobacterales (ESBLE) (n=12, 27%), carbapenem-resistant organisms (CRO) (n=4, 9%), methicillin-resistant S.aureus (MRSA) (n=11, 24%), vancomycin-resistant Enterococci (VRE) (n=4, 9%), and C.difficile (CDIFF) (n=14, 31%). Patient colonization during serial sampling was common with CRO (n=21, 47%), ESBLE (n=16, 36%), and VRE (n=16, 36%) and less so with MRSA (n=7, 16%) and CDIFF (n=5, 11%). Detection of MDROs on environmental surfaces was also common with identification of CRO in 47% of patient rooms (n=21) and ESBLE in 29% (n=13); MRSA (n=2, 4%), VRE (n=9, 20%), and CDIFF (n=3, 7%) were rarer. Patient to environment transmission was observed in 40% of rooms (n=18). Thirteen (29%) rooms had foreign MDRO contamination (i.e., one not detected on a body culture), most (n=10) with CRO. Environmental MDROs were most common in bathroom/sinks (n=22), followed by surfaces near the patient (n=10), and least common surfaces often touched by staff within the room (n=6). On multivariable logistic regression, naïve to clustering by patient, recent receipt of a proton pump inhibitor (OR 2.35, 95% CI 1.00 – 5.52, P=0.049) and presence of one or more wounds (OR 2.56, 95% CI 1.05 – 6.26, P=0.038) were significantly associated with environmental transmission (OR 1.56, 95% CI 1.01 – 2.43, P=0.046) (Table 1). Conclusion MDRO contamination of patient rooms is common with detection of organisms attributed to, and foreign to, the occupant. Disclosures Michael Z. David, MD PhD, GSK (Consultant)
Antisymmetric galaxy cross-correlations in and beyond $Λ$CDM

Field: Physics and Astronomy (Physical Sciences)

Many different techniques to analyze galaxy clustering data and obtain cosmological constraints have been proposed, tested and used. Given the large amount of data that will be available soon, it is worth investigating new observables and ways to extract information from such datasets. In this paper, we focus on antisymmetric correlations, that arise in the cross-correlation of different galaxy populations when the small-scale power spectrum is modulated by a long-wavelength field. In $Λ$CDM this happens because of nonlinear clustering of sources that trace the underlying matter distribution in different ways. Beyond the standard model, this observable is sourced naturally in various new physics scenarios. We derive, for the first time, its complete expression up to second order in redshift space, and show that this improves detectability compared to previous evaluations at first order in real space. Moreover, we explore a few potential applications to use this observable to detect models with vector modes, or where different types of sources respond in different ways to the underlying modulating long mode, and anisotropic models with privileged directions in the sky. This shows how antisymmetric correlations can be a useful tool for testing exotic cosmological models.
Implementasi Eksperimen Sains untuk Anak Usia Dini

Field: Social Sciences (Social Sciences)

Science learning for early childhood can be done in a fun way, one of which is with science experiments. This study aims to determine the implementation of science experiments at TKIT Sabilul Huda Cirebon. This study used a qualitative research method with a descriptive approach. Data obtained through interviews, as well as field observations and documentation. Data analysis was carried out by reducing data, presenting data and drawing conclusions. Science experiments at TKIT Sabilul Huda Cirebon are carried out several times in one semester according to the theme. In the use of materials, science experiments also use used materials.
TECHNOLOGICAL RECEIPTS FOR PRODUCING SUSTAINABLE YIELDS OF ALFALFA OF SARGA VARIETY

Field: Agricultural and Biological Sciences (Life Sciences)

The introduction of advanced technologies for alfalfa seeds cultivation of Sarga variety ensures a stable yield of seeds within 360-380 kilogramm per hectare. The main elements of this technology are the use of grass for seeds for only one year, careful preparation of the soil before sowing, respect for the depth of seeding, proper organization of bee pollination, protection of crops from diseases and pests, and the organization of seed processing.
Digital cervical cancer screening: a reliable One-Stop method ?

Field: Medicine (Health Sciences)

BackgroundWorldwide, cervical cancer (CC) is considered the fourth most common cancer in women. Globocandata stated 311,365 CC related mortalities in the world in 2018, 90% of them occurred in low-income countries. In Jordan, CC ranks as the 12th most common cancer among women. The primary aim of this report is to be able to decide if digital screening (DS) is reliable and worth using in our one stop gynecology clinics. Materials and MethodsThis study was done for all women who attended one stop out-patient gynecology services for routine CC screening between 1/1/2019 and 31/12/2019. Inclusion criteria requested women to be 18 years of age or more, healthy, and had previously normal cervical smear (conventional Pap smear (CPS) or Liquid based cytology (LBC)) i.e., all previous screening tests results were normal. ResultsA total number of 94 patients agreed to have the DS method done, mean age was 43 years. 25.5% were found to have abnormal screening results on DS. When compared to the national data of 12.5% abnormal smears in Liquid‐based cytology (LBC), there was a statistically significant difference in the numbers of abnormal screening results between both methods (p value of 0.000). LBC is used in most centers for CCS in Jordan ConclusionThe digital cervical screening method saves time and offers a one stop clinic management, therefore minimizing lost to follow up rate, and where colposcopy is indicated. Additionally, DS should be considered in low resource countries.
Succession planning for the board

Field: Business, Management and Accounting (Social Sciences)

How do directors ensure that the succession planning for the board is optimised with respect to the long-term success of the organisation? Based on a framework of global corporate governance best practice, which can be used in all organisations anywhere in the world, this chapter of Questions To Ask (QTA) in the boardroom gives a high-level but succinct introduction to succession planning for the board. For many boards, succession planning is a reactive activity, triggered by the imminent departure of an existing member, usually through retirement or exhaustion of tenure. However, as many businesses seek to become more agile and find that the pace of change is accelerating, waiting for a board member to retire can result in stale boards which lack diversity of thought. The most efficient boards engage in a continual process of assessment and review to ensure their make-up is best suited to meet the upcoming strategic challenges of the business. The chapter’s introduction leads into the key Questions To Ask in the boardroom, giving the reader further insight into how to initiate discussions about the diversity of thought, effectiveness reviews, role specifications, and the recruitment Process.
Application of PDCA management in reducing medication errors incidence for inpatients

Field: Health Professions (Health Sciences)

Objective: To reduce the incidence of medication errors in hospitalized patients,promote patients medication safety. Methods: To analyze the causes of the hospitalized patients medication errors of 2012 year,and used PDCA circulation method to discusses the countermeasures and organize their implementation. To evaluabe the effect after one year. Results: In 2013 hospitalized patients medication error rate declined obviously. Conclusion: The application of PDCA circulation method could reduce the incidence of medication errors in hospitalized patients,effectively improve the nursing quality,and achieve quality continuous improvement.
Perspectives in primate biology and evolution

Field: Agricultural and Biological Sciences (Life Sciences)

Taub, David M. and Frederick A. King, eds. Current Perspectives in Primate Biology. New York: Van Nostrand Reinhold, 1986, v + 315 pp. including tables, chapter references, and index. $44.50 cloth. Wood, Bernard, Lawrence Martin, and Peter Andrews, eds. Major Topics in Primate and Human Evolution. Cambridge: Cambridge University Press, 1986. vii + 354 pp. including illustrations, chapter references, subject index, and author index. $39.50 cloth.
Mobile learning as a new technology in education

Field: Social Sciences (Social Sciences)

The article discusses mobile technologies as a new direction in education. The specific features of mobile learning in different variants of interaction of subjects of the educational process in the "teacher-student" system are revealed. The article examines the set of pedagogical conditions that determine the need for the development of mobile learning as one of the leading technologies of the knowledge management system in modern education. The possibilities of effective use of mobile learning in the conditions of technical equipment and psychological readiness of the subjects of the modern educational process are analyzed. Attention is drawn to such factors as the growth of uncertainty and the complexity of information flows in the competitive environment of the developing "digital universe", which requires the rapid mastery of numerous forms of interaction.
Predictions of the Climate Change-Driven Exodus of the Town of Tangier, the Last Offshore Island Fishing Community in Virginia's Chesapeake Bay

Field: Environmental Science (Physical Sciences)

Sea-level rise (SLR) has been confirmed to be accelerating globally due to human-influence driven climate change. Multiple studies suggest many coastal communities will soon be inundated by SLR. Prior to inundation, habitable uplands above the high tide line first convert to uninhabitable wetlands, forcing human exodus. Habitability, not the land's presence above the low tide line, drives exodus. We determined the time left for uplands of the Town of Tangier of VA, USA to be converted to wetlands, analyzed local sea level rise data to determine the best local SLR scenario (low, mid, or high) fit, then compared upland conversion rate to the rate of population decline. The upland landmass constituting the Town of Tangier declined from 32.8 to 12.5 ha (1967–2019), accelerating over time, with complete conversion to wetlands predicted by 2051. The US Army Corps of Engineers (USACE) high SLR curve is the best fit to the local tide gauge's raw data (1967–2020), indicating local sea level rise has rapidly accelerated in recent decades, concomitant with the rate of wetland conversion. The Town's population, in decline since the 1930s, accelerated rapidly after 1980 and trended downward in tandem with the conversion of the Town's uplands to wetlands. We also estimated costs to relocate the Town as well as for a conceptual plan to provide long-term stability to the Town and Island of Tangier.
Inflammatory fibroid polyp simulating malignant tumor of the colon in a patient with multiple hamartoma syndrome (Cowden's disease)

Field: Medicine (Health Sciences)

Inflammatory fibroid polyp simulating malignant tumor of the colon in a patient with multiple hamartoma syndrome (Cowden's disease)A W Gooszen, R T Tjon A Tham, M Veselic, J H Bolk and C B LamersAudio Available | Share
Monitoring Section 63 activities.

Field: Health Professions (Health Sciences)

The descriptions published about educational activities provided for general practitioners under Section 63 in the North-West Region have been analysed and the pattern of attendance by general practitioners on the list of the Salford Family Practitioner Committee examined. On the one hand there was a small group of 25 out of 131 (19 per cent) of frequent attenders, who accounted for over half of all attendances; on the other hand there was a group of 18 out of 131 (14 per cent) who never came at all. More than 80 per cent of the topics fell in the area (1) of the Royal College of General Practitioners (1972). Evening meetings were preferred to lunch-time meetings and few general practitioners (12 per cent) travelled more than ten miles from Salford to attend Section 63 meetings in 1973 to 1974. We suggest that local organizers should be requested to complete a form giving brief details of such meetings to assist in regional planning.
Prognostic value of troponin I in cardiac risk stratification of cancer patients undergoing high-dose chemotherapy

Field: Medicine (Health Sciences)

Background— In patients with aggressive malignancies who are undergoing high-dose chemotherapy, even minimal elevation of troponin I (TnI) is associated with late left ventricular dysfunction. The time course of the subclinical myocardial damage and its impact on the clinical outcome have never been investigated previously. Methods and Results— In 703 cancer patients, we measured TnI soon after chemotherapy (early TnI) and 1 month later (late TnI). Troponin was considered positive for values ≥0.08 ng/mL. Clinical and left ventricular ejection fraction evaluation (echocardiography) were performed before chemotherapy, 1, 3, 6, and 12 months after the end of the treatment, and again every 6 months afterward. Three different TnI patterns were identified, and patients were grouped accordingly. In 495 patients, both early and late TnI values were <0.08 ng/mL (TnI−/− group); in 145, there was only an early increase (TnI+/− group); and in 63 patients, both values increased (TnI+/+ group). In the TnI−/− group, no ...
Developing Learning Model Based on the PMR Approach to Improve Student’s Knowledge in Mathemathics Learning

Field: Social Sciences (Social Sciences)

Abstract There are several factors that cause the low achievement of students’ mathematics learning outcomes in several high schools in the Dharmasraya district, including: learning process plans (RPP), monotonous methods, only 15% of students who like mathematics, abstract material, lack of media, teacher’s difficulty in analogizing material into life around students or vice versa. This is a Research and Development that uses the Plomp development model, which consists of three phase the Preliminary, Prototype, and Assessment. Based on the results of this research that the learning design topic Implementation of sequences and series based on PMR approach has; The average value of HLT validity is 4.11 with a very valid category. The practical test of learning books applying PMR-based sequences and series by teachers and students is 85.02 and is classified as very practical. The average value of students’ mathematical reasoning ability tests after being tested is 76.97% and can be categorized as effective and it also can improve student’s knowledge in mathematics learning.
DIFFERENCES IN CLINICAL PRESENTATION OF ACUTE MYOCARDIAL INFARCTION BETWEEN ELDERLY AND YOUNGER PATIENTS : A THREE YEAR PROSPECTIVE STUDY IN A REGIONAL HOSPITAL

Field: Medicine (Health Sciences)

Summary Elderly patients commonly have some unique features as compared to younger ones, but there were not much published data in Hong Kong on the differences between the two groups with respect to the clinical presentation of acute myocardial infarction. We conducted a prospective study to find out the differences between them. All patients admitted to our hospital with a diagnosis of acute myocardial infarction from April 1991 to March 1994 were studied. There were 81 patients in the elderly group (age≥75 years) with a mean age of 79.9 years (range 75 - 93 years), and 231 patients in the younger group, mean age of 62.8 years (range 30 74 years). In the elderly group, there were significantly more female (p<0.0005). More than 90% of younger patients presented with chest pain whereas less than 80% of elderly patients presented with chest pain (p<0.002). There were significantly more elderly patients presenting with shortness of breath or syncope (p<0.005). Prior general practitioner consultation before hospital admission was significantly less common in the elderly group (p<0.05). As the presentations were different, better understanding and knowledge of them might improve the management of elderly patients with acute myocardial infarction.
Three sibs with phalangeal anomalies, microcephaly, severe mental retardation, and neurological abnormalities.

Field: Medicine (Health Sciences)

This paper describes three children of a Pakistani first cousin marriage with a distinctive, non-progressive disorder characterised by variable phalangeal anomalies, microcephaly, pre- and postnatal growth retardation, poor vision, dystonic movements, a characteristic face, and severe mental retardation. This combination of features seems to be distinct and to represent a new autosomal recessive syndrome.
LHD Langmuir4 #927525.1

Field: Physics and Astronomy (Physical Sciences)

Langmuir probes on divertor plates to investigate divertor plasma parameters and fluctuation characteristics of ion flux near the divertor plates. Total 400 Langmuir probes embedded on 20 divertor plates on each of which 20 electrodes are aligned every 6 mm. Sweeping and sampling frequency is normally 250 kHz.
Analisis Penanganan Klaim Asuransi Proteksi Pembiayaan Syariah Pada PT. Asuransi Askrida Syariah Cabang Medan

Field: Business, Management and Accounting (Social Sciences)

A claim on insurance is a request made by a customer to an insurance company for payment for risks incurred under a previous contract. Claims submitted will be reviewed by the company and then paid to the policyholder upon approval. The insurance company is responsible for paying insurance claims for a risk that arises in a loan agreement based on a pre-agreed agreement and provided that the specified terms and conditions are met. The purpose of writing this article is to find out the procedure for handling sharia financing protection insurance claims at PT Asurasi Askrida Syariah Medan Branch. The research method used by the author in writing this article is to use the interview method, the observation method, and also the library research method. Primary data and secondary data are the data used. The data analysis method used is a technical data analysis method. Based on the otained analysis results it can e concluded that PT Asuransi Askrida Syariah Medan Branch has implemented process for handling sharia financing protection insurance claims by providing a good settlement in accordance with applicable standards.. Keywords: Insurance, Claims, Protection, Financing.