Performance contracting is a strategic technique that uses feedback loops to meet desirable targets. Introduction of performance contracting by the government was seen as effective and hopeful method for improvement of the performance in public institutions and state agencies. Past Studies on Performance contracting, and Organization performance shows that there had never been a study on how Performance Contracting influences performance of County Referral Hospitals and there lay the research gap. The research main objective was to ascertain the effect of performance contracting results on organizations performance in Kapenguria County Referral Hospital. In a specific way, the study sought to find out how performance contract target setting influence performance of the Hospital. The target population was 291 employees of Kapenguria County Referral Hospital, the study used a stratified random sampling technique to get the sample size which was 184 employees. Descriptive research design was adopted by this study. The study utilized primary data mainly collected using structured questionnaires. The data collected was then analyzed using descriptive and inferential statistics with the help of SPSS. Tables were used to present the results of the study. The study found out that there was a positive and significant relationship between Target setting and Organization performance, this, therefore, implied that setting of targets in performance contracting influenced the organizational performance. results of ANOVA established that there was a significant mean because the coefficients were all less than 0.05. lastly, all independent variables had statistically significant association with the dependent variable at 95% level of confidence. The study, therefore, concludes that performance contracting greatly influence organization performance. Going by high affirmation of the respondents, Performance contracting enhances assertion of more effort by employees to their duties and tasks, motivates employees when rewarded or recognized based on the results of evaluation, enhances work accountability in the organization among others. this study recommends that there should be adequate consultation and involvement of employees in setting of targets, this will lead to high employees' commitment to the set targets and in turn enhance achievement of the general organizational targets.


Second language acquisition is facilitated when teachers provide the necessary assistance for the learners through the process of scaffolding. The study aimed at identifying the scaffolding strategies EFL instructors use in writing classrooms at Wollega University. Six EFL teachers were video recorded while teaching writing to first-year students in Communicative English Skills II. The video-recorded data were transcribed and analyzed using Open code project software. Interview data were also used to strengthen the teachers' classroom activities. The data from the interview were analyzed through narration according to specific themes. The result indicates that the instructors use scaffolding strategies like a questioning, explanation, inviting learners, repeating students' utterances, praising learners, giving instruction, recasting, directing students' thinking, giving feedback, use of L1, and others. Contrary to the use of scaffolding strategies, the misuse of the strategies has to be given attention to enhance its usage.
Keywords: Interaction; scaffolding; strategies; writing.


Background:

In the last decade, researchers have found that, each person's success in education, either in school or in university, is not only related with his/her intelligence quotient, but today Emotional Intelligence is considered as another forecaster of people prosperities in their lives .The aim of this study is to determine the relationship between emotional intelligence and clinical performance of midwifery students in clinical unit. Methods: This investigation is a descriptive- correlation study, which is carried out on 19 eighth-semester midwifery students. The evaluation of clinical performance in this study was performed in training unit in the hospital. Bar- on Emotional Intelligence Questionnaire was given to students at the end of the term in order to answer and then deliver it to researcher. Results: There is a significant and direct relationship between total grade of students' emotional intelligence and clinical performance in training field (p=0.003). Conclusion:
Students who have higher emotional intelligence could have better clinical performance and as a result improvement of academic performance. So, if they are trained in a manner to acquire higher level of EI we can hope for showing their maximum potential.


Objective To investigate the clinical manifestation and therapeutic result of 60 cases of intrahepatic cholestasis of pregnancy.Methods The clinical manifestation and treatment on 60 cases with intrahepatic cholestasis of pregnancy(ICP)Retrospectively analyzed.Results 60 patients with ICP were showed cutaneous pruritus.Compared with the pre-ICP group,AST,ALT,TBIL、DBIL and TBA of patients in the after-ICP group were obviously increased,and perinatal mortality of patients in the after-ICP group were obviously increased.Conclusion It was a key point for reducing the death rate by means of earlier diagnosis,earlier treatment,earher monitor and to terminate pregnancy with an adequate laboring way.

Key words:
Cholestasis,intrahepatic; Fetal distress; Premature birth; Stillbirth


Zr-Al-Ca-O-N composites were prepared in N2 atmosphere at 1600 oC with Ca-PSZ and AlN powders as raw materials. Zr-Al-Ca-O phase was synthesized in air atmosphere at 1600 oC with Al2O3, ZrO2 and CaO powders as raw materials. Phase constitution of these composites was investigated by XRD and EDS analyses. The results show that Zr-Al-Ca-O phase exists in Al-CaO-ZrO2-N2 systems ceramic and Zr-Al-Ca-O phase can be synthesized in air atmosphere at high temperature with Al2O3, ZrO2 and CaO powders as raw materials.


Take the number of manned one kind of query system and method for forecasting the number of manned ride. Take the number of manned aboard query system receives user input points and receives public transport vehicle driving point over a wireless network. Take the number of manned query system to determine travel time based on the point and take the driving point. Take the number of manned query system to reach the travel time statistics based on the number of units and take the time to calculate the point of waiting to take the number of points, and receives public transport vehicle through a wireless network instant multiplier manned. Take the number of manned query system based on number of people waiting to take the point, take immediate aboard manned number and the number of points unloading statistic calculated prediction point multiplier manned aboard.


Abstract : This proposal utilizes a novel screening strategy that can be applied to the identification of genes involved in metastasis and invasion. The basic approach is so make retroviral-based expression libraries from invasive tumor tissues, and then transfer the invasive phenotype to non-invasive breast tumor cells. This report describes a screen of a library derived from the highly invasive MBA-MB-23l breast tumor cell line. Four cDNAs were recovered in this screen that exhibited an invasive phenotype when retested in the non-invasive MCF-V breast cell line. These cDNAs were sequenced in their entirety and were found to encode DAP-l (a known tumor suppressor), LIPE (hormone sensitive lipase), HSPA5 (heat shock protein) and ABLIM (actin binding protein) . The DAP-l cDNA was orientated in the anti-sense, and was by far the most invasive (20-fold increase vs vector) . Since DAP-l had already been attributed tumor suppressor properties in other biological systems, it was selected for further analysis. Anti-sense expression of DAP-l in NIH 3T3 mouse fibroblasts caused transformation, which was associated with specific activation of the small GTPase RhoA. To summarize, we have successfully screened for invasive cDNAs, and are now characterizing these cDNAs to determine the molecular basis of their transforming activity.


Irrigated agriculture is the most water-consuming sector in Brazil, representing one of the main challenges for the sustainable use of water. This study proposes and experimentally evaluates univariate time series models that predict the value of reference evapotranspiration, a metric of the water loss from crop to the environment. Reference evapotranspiration plays an essential role in irrigation management since it can be used to reduce the amount of water that will not be absorbed by the crop. The experiments performed under the meteorological dataset generated by a weather station. Moreover, the results show that the approach is a viable and lower cost solution for predicting ET0, since only a variable needs to be monitored.


The conductive polymer composite(CPCs) bipolar plate had been the target to replace the pure-graphite. This is due to the low manufacturing cost and light of total mass of bipolar plate in PEMFCs. The aim of this research is to study the effect of CNTs on the properties of Gr/CB/EP composite. The second aim of this research is to determine the critical loading of CNTs in Gr/CB/EP composite. The ratio of fillers (Gr/CNT) and binder (EP) is fixed at 75:25. The amount of CB also will be fixed 25% and by adding the small amount of CNTs in to Gr/CNT/EP composite thus will gives synergy effects on electrical conductivity and mechanical properties. The small amount of CNTs which is 0, 5, 10 and 15 wt.% (from the total weight of fillers 75%) will be added into Gr/CB/EP composite. Before the fabrication process using the hot press, the filler of Gr/CB/CNT will be mixed used ball mill. In order the determines the effect of CNTs content in Gr/CNT/EP composite, the test such as electrical conductivity, flexure test, density test hardness and microstructure analysis has been carried out. The best weight of CNTs contents are at 10wt% in Gr/CB/EP.


This paper looks at the development of a polyetherimide coated fibre Bragg grating based humidity sensor. Different fibre coating methods and coating thicknesses were trialled with a Bragg wavelength shift of 0.93pm/%RH achieved.


Pointing errors and optical imperfections automatically corrected. Coherent optical transponder employs nearly-degenerate four-wave mixing in nonlinear optical element to produce signal traveling back toward source of incoming signal. Return signal modulated for communication, navigation, data transmission, tracking, and identification. When perfected concept finds important civilian and military applications in line-of-sight tracking, communication and identification.


This paper presents a cluster-based PPMB multiprocessor system and an analysis of its performance. The effective memory bandwidth is chosen as the main performance measure. Three situations are considered : (1) a processor is equally likely to address any one of the memory modules, (2) a processor has a few favorite memory modules, and (3) a processor has a few favorite and private memory modules. The results derived show that the cluster-based PPMB multiprocessor system performs well and is fairly close to a typical processor-oriented partial multiple bus system for high rates of favorite requests. The number of connections of this system is also evaluated and compared with those of other systems. In addition, an improved model to determine the bandwidth of this system is presented under the assumption that the rejected memory requests are resubmitted in a memory cycle. It shows that the results obtained from this improved model match very closely those obtained from the simulation.


In 1978, McKeever et al. [10], studying lepromatous tissues from Mycobacterium leprae‐infected armadillos by cytochemical and electronmicroscopic technics, found a subpopulation of macrophages containing peroxisomes (probably monocytes), but not infected with bacilli, and a subpopulation of macrophages lacking peroxisomes and infected with bacilli. Both infected and noninfected macrophages displayed acid phosphatase activity that was more intense and less precisely localized in heavily infected and vacuolated macrophages than in moderately or noninfected cells. Then, in 1983, Gomez Estrada et al [5], looking for the presence of myeloperoxidase (MPO) in histiocytes, Kupffer cells, and PMN leukocytes of nodular lepromatous patients, found abundant M. leprae in the phagocytes of the lesions but they did not find MPO activity within these cells (except in one case of reactional leprosy). They also found that MPO activity was present in Kupffer's cells and in PMN of patients and controls.


This paper brings up issues of construction and operation of transportation by rope in the area of competence of the authorities and the rights of parties. Through a complex analysis of key regulations the role of the administrative proceedings is indicated, which is specifi c kind of denominator for a number of diff erent regulations in the fi eld of substantive law. The authors discuss the source of the competence of the authorities in the process of construction and operation of transportation by rope, as well as the rules applicable in determining these competencies. The rights of the parties arising from the administrative procedure are also analyzed, both during construction cableway and during operation.


Analysis is made of a laser supported detonation wave using Whitham's rule. The C+ characteristic is developed for absorption of laser energy immediately behind a shock wave. The characteristic is then coupled with the Rankine‐Hugoniot equations relating conditions across the shock. In this way an equation for predicting the transient shock strength is obtained. The result is compared to experiment and to steady state laser supported detonation theory. The result of this comparison is that the derived equation does duplicate the transient response of the experiment and (when allowed to run to steady state) it does agree with many of the characteristics of the steady state theory.


Cardiovascular discase is the most frcquent diagnosis in cldcny pe。 p1e and is the leading cause of dea山 in both mcn and、vomcn o1dcr than65years,Every year in the Unitcd states more than700,000paticnts arrivc at the cmergency roon1、 vith ST segment e1evation myocardia1infarction (sTEMIl,About6o pcrcent of hos∮ IIn admis蚯ons for AMI are of pcop1co1der than65ycars。 Their in-hospital, 1-month, and1-ycar mortaII ty is high.1In u1is article,we、 vIIl providc a revicw on clinica1trials that guidc the managcment of ST e1evation myocardial infarction of the elder1y patients.


Through analyzing both the favorable and unfavorable conditions of the economic development of Yulin City,the author of this paper puts forward the basic target for the fast development of Yulin's economy,the ways to achieve this target and the focus of attention in the process of achieving this target.


ABSTRACT. Tres J.E., Pereira R. de C.G., Oliveira J.P., Direito G.M., Jesus V.L.T. de & Jacob J.C.F. [Influence of zearalenone on reproduction of crossbred heifers.] Influencia da zearalenona sobre a reproducao de novilhas mesticas. Revista Brasileira de Medicina Veterinaria, 33(1):48-50, 2011. Departamento de Avaliacao e Reproducao Animal, Instituto de Zootecnia, Universidade Federal Rural do Rio de Janeiro, BR 465, km 7, Seropedica, RJ 23890-000, Brasil. E-mail: firstname.lastname@example.com Zearalenone produced by Fusarium, found in concentrate and roughage, which is the staple diet of cattle predispose the occurrence of follicular cysts in dairy cows. Besides it, induce hyperestrogenism, which presents with recurrence of estrus, and therefore reducing the conception rate. In the period September 2007 to April 2008, 14 heifers fed with barley a long time, showing clinical similar to that produced by zearalenone, these were found 9 heifers with follicular cysts with a size between 18.5 mm and 26 mm. Wander laboratory tests, the presence of zearalenone in barley was detected, demonstrating that Fusarium contamination affects reproduction and cause economic losses.


Abstract The Wechsler Memory Scale-Revised (WMS-R) is widely used in the clinical assessment of memory. Two studies were designed to determine (1) how the absence of standardised administration guidelines for the Logical Memory subtest would affect the speed of presentation, and (2) how variations in speeds of presentation would impact on test performance. Fifty-seven trainee psychologists were tape-recorded in a simulated administration of the Logical Memory subtest. The results revealed considerable variability in speeds of presentation. The second study examined the performances of three groups of subjects under three conditions of presentation (viz., fast, medium, and slow). Results revealed that subjects in the fast group recalled significantly fewer memory items than did subjects in the slow group. Clinical implications of the effect of speed of presentation on test performance are discussed, together with suggestions for improvement in the administration of the WMS-R Logical Memory subtest.


This paper describes the physico-chemical analyses performed on an Egyptian wood coffin on the occasion of its restoration in the hall of the National Archaeological Museum of Parma (Italy), with the aim of investigating the pigments and organic materials originally used. Pigment determination was performed both in situ by a portable energy-dispersive X-ray fluorescence (EDXRF) spectrometer and in the laboratory using a micro-Fourier-transform-infrared (micro-FTIR) and a Fourier-transform (FT) Raman spectrometer. The identification of organic materials was performed through gas chromatography – mass spectrometry (GC–MS) and micro-FTIR analysis. Amongst the pigments, special attention was paid to the green, which appeared to be severely degraded and was examined using powder X-ray diffraction (XRD) and scanning electron microscopy – energy-dispersive X-ray (SEM–EDX) in addition to the above-cited techniques. Other materials used in the polychromatic decorations are Egyptian blue, cinnabar and possibly orpiment, while calcium carbonate was used for the ground layer. The organic materials were identified as beeswax, mastic and gum arabic, sometimes as mixtures.


A significant number of children who have completed treatment for acute lymphoblastic leukemia may be experiencing anxiety or depression, according to a new study.


Take full advantage of the continuity and uniformity of target moving contrail,put forward a effective arithmetic of multi-target tracking about homonymy matching among frames,so the difficulty of multi-target tracking disturbing is avoided,at the same time,considering the complexity,the stabilization and the real time,the approach adopted the most advanced graphics workstation,the high speed frame-grab technology and the memory method of SCSI hard disk array.The synthetic and real application in the shooting range testing show that the system can give the results of high tracking precision,good tracking effect,high succeed ratio of tracking and high apply value.


This paper proposes a self-learning algorithms of neural networks based on Genetic Algorithms(GA) and neural network prediction.It uses GA to search the optimum resolution globally.The data generated during the evolutionary process is used to train the predictive networks.When the self-learning of networks converges on the adjacent domains of optimum resolution,it uses the prediction network to predict the map between network parameters and system response.The neural networks' optimum resolution approximate property guides the GA to converge on the optimum resolution and solve the local oscillation problem of GA.Experimental result proves the fast convergence property of the proposed algorithm through design speed controller of asynchronous machine drive system


Thinking back to 2008 brings us to a different early childhood world- one before all the changes associated with the National Quality Agenda.


The present paper introduces the basis upon which the equipments are revamped and upgraded as well as the proper model of the equipments selected in light of the design defects existing in the equipments currently in use in the oscillating inverter of the mold in the No.1 continuous caster of No.3 Branch of General Steelmaking Plant of WISCO.It's of great significance in meeting the need of production in the plant and can also be used as valuable reference.


Neuroinflammation plays a critical role in the pathophysiology of mesial temporal lobe epilepsy. We aimed to evaluate whether intracerebral transplantation of interleukin 13–producing mesenchymal stem cells (IL‐13 MSCs) induces an M2 microglia/macrophage activation phenotype in the hippocampus with an epileptogenic insult, thereby providing a neuroprotective environment with reduced epileptogenesis.


Under the constraint of GPS velocity field,a 3D viscoelastic modeling was realized for studying the lithosphere dynamics of North China and its adjacent area based on the comprehensive geological and geophysical data,such as 3D rheological structure,the active blocks of China,velocity structure,thermal structure,et al.The reliability of modeling results was proved high by means of a detailed comparison of the fitting of GPS velocity field and the Euler Poles.It is confirmed that in the horizontal direction the Ordos block is moving as a whole. Based on the results,the Euler Poles of Ordos block along the depth were calculated,which presents an obvious difference between the upper-middle crust and the lithosphere mantle.A gradient zone of the horizontal velocity is located in the lower crust.We can get the anticlockwise twist of the lithosphere mantle relative to upper-middle crust through further investigation of the velocity variation along the depth at 4 sites.So by this study,although the horizontal movement of Ordos block is moving as a whole in lateral direction,a gradient velocity zone exists in the lower crust.Those results imply a ductile shear belt in the lower crust of the Ordos block.


Purpose To explore midwives' experiences in performing newborn resuscitation on maternity wards. Patients and Methods It was a qualitative study, using a phenomenological hermeneutic approach. Individual interviews with 16 clinical midwives working in Norwegian maternity wards were conducted from August 2018 to January 2019. Results The complexity underlying how midwives balance responsibility and vulnerability when performing newborn resuscitation during the Golden Minute was revealed. Midwives described the stress they experienced during resuscitation events and their need for support and confirmation after performing newborn resuscitation. Conclusion The vulnerability and responsibility that midwives bear for mothers and newborns simultaneously affected midwives in several ways. We saw that midwives need support and confirmation to be prepared for newborn resuscitation. We also found that a lack of knowledge, skills and experience were barriers to midwives feeling prepared. Simulation training, including tailored programs, are suggested to improve midwives' skills and help them feel prepared for real-life resuscitations. The importance of midwives' assessment during the Golden Minute and further investigation from other perspectives are needed to understand fully this clinical complexity.


This paper describes the development of an eddy current prototype that combines positional and eddy-current data to produce a C-scan of tested material. The preliminary system consists of an eddy current probe, a position tracking mechanism, and basic data visualization capability. Test results of the prototype are presented and briefly discussed.


The scientific crisis was due to the separating of science from humanity at modern times. Its essence is the cultural crisis of science. The function of science is to describe and normalize. In order to overcome the scientific crisis, the science must be concerned with humanity.


Gustav Schmidt is Professor of International Politics, Faculty of Social Sciences, and a co-opted member of the Faculty of History, Ruhr-Universitat Bochum. He has been visiting professor at Oxford, Emory University, University of Toronto and Cornell University. His major publications include The Politics and Economics of British Appeasement, lg^o—igjy (Leamington, 1985; England in der Krise, Wiesbaden, 1981); Der europdische Imperialismus (Munich, 1985, 1989). He has edited — and contributed to — Europe Divided-Divided Germany (CEH III, 1994); Ost-West-Beziehungen: Konfrontation und Detente, 1945—ig8g, 3 vols. (Bochum, 1993—95); (with Charles F. Doran) Amerikas Option fur Deutschland und Japan (Bochum, 1996); Zwischen Bundnissicherung und privilegierter Partnerschaft: Die deutsch-britischen Beziehungen und die Vereinigten Staaten von Amerika, 1955—1961 (Bochum, 1995). He is currently completing 'Changing Structures of the "Cold War", 1950—1956'.


This paper designed an effervescent atomizer to investigate spray flow characteristics, spray flame and elements of exhaust gases. The spray characteristics including mean drop size distributions and droplets velocity profiles were measured by Particle Dynamics Analysis. The velocity profiles of spray are similarly in all experimental conditions. The spray cone angle decreases slightly at higher liquid mass flow rate and lower air/liquid mass flow rate ratio. With the increasing of air/liquid mass flow rate ratio, Sauter mean drop size reduces gradually at the same liquid mass flow rate. A cylindrical laboratory furnace was devised to investigate diesel oil spray flame systematically. In swirling air flow, the spray flame is turbulent. Heat transfer and mass transfer processes among vortexes induce flame propagation. Temperature profile near burner was dominated by inner recirculation zone and lateral recirculation zone. The volume fractions of carbon monoxide, hydric and hydrocarbon in exhaust gases decrease gradually with the increasing of excess air and air/liquid mass flow rate ratio. The exhaust gas recirculation reduces the nitrogen oxides by 30%. The air swirl intensity has distinct effects on spray flame structure. In different swirl numbers of the guide vane airs wirler, combustion performances are different. Experimental results show that the optimal swirl number is 1.2.


In this paper, examples of the use of digital resources in geometry lessons are considered. The aim of the study is to solve the problem of using digital educational resources to activate students' thinking, increase their interest in learning geometry, improve their ability to memorize new concepts, and activate their own self-learning skills. The study used such scientific methods as observation, questionnaire and analysis. Based on the analysis of the questionnaire results, conclusions were drawn about the need to study geometric concepts using digital resources, competently combining them with traditional teaching methods.


This study aims to investigate the effectiveness of the self-monitoring technique in writing among students. Diploma students (N==100) from the Mechanical Engineering Department, Kuching Polytechnic Sarawak were selected for this study. The experimental design was deployed for this study whereby students were divided into the treatment group (Group 1) and the controlled group (Group 2). Descriptive statistics, t-test and AVONA were used to tabulate the data obtained from the study. A questionnaire survey was also carried out to elicit students' responses toward the self-monitoring technique. The survey revealed that majority of students (78%) had positive attitude towards the self-monitoring technique. The data analysis showed that there was a moderate significant of difference between the scores obtained by Group 1 and Group 2 on the effectiveness of the self-monitoring writing technique.


Bioinspired materials design aims for high‐performing composite materials based on natural biomineralization processes and biomineral architectures. A key component to the research is the bioorganic–inorganic interface, one of the most crucial parameters for controlling the material properties. In this study, genetically engineered phages expressing an inorganic‐binding peptide for the molecular recognition of a ceramic material is exploited to generate thin film multilayer assemblies, with the phage template as minority component. The bioorganic–inorganic interface in the ceramic (zinc oxide, ZnO) multilayer systems is strengthened by the ZnO‐binding motif HSSHH of a peptide to increase Young's modulus and hardness. Applying a point‐mutated version of the peptide, DSSHH, which modulates the interface forces, shows an increased fracture toughness without deteriorating the Young's modulus and the hardness. Molecular matching of the organic phase and its modulation in order to form a specific interface is shown to be important in controlling material properties like in natural biominerals. With this tool in hand, it is not only possible to imitate the structure of biominerals but also to genetically control the molecular recognition of bioorganic molecules to induce macroscopic effects in synthetic composite materials.


For uncertain discrete-time linear systems under continual gain actuator fault, optimal guaranteed cost reliable control with continual gain actuator fault is presented. Based-on LMIs, the sufficient condition of standard and reliable control existence are given. On the basis of convex optimization theory, the design method about optimal guaranteed cost reliable controller and standard controller transform convex optimization arithmetic. Simulation results are shown to effectiveness of the design method. Furthermore, the comparisons of the optimal guaranteed cost standard system and the reliable system show the necessity of reliable control.


The mathematical model of discharge processes in low voltage capacitive ignition systems in emergency mode of relaxation oscillations on the basis of a general method for analysing the stability of autooscillations in electrical circuits is analysed using a common method for evaluating the stability of vehicle oscillations in electrical circuits. A condition for the prevention of emergency relaxation oscillations was obtained and recommendations were given for the selection of parameters of the discharge circuits of low voltage capacitive ignition systems providing the required performance.


Author(s): Falasca Zamponi, Simonetta | Abstract: Can the concept of ecstasy explain some of the rationale of dictatorships, and more specifically of fascism? And can the concept of ecstasy be connected to manipulation? These are the two central questions I would like to raise and explore in this paper, although there are also other questions that will emerge in my discussion which I hope will help clarify the relationship between ecstasy and manipulation


A 40-year-old man with known hypertrophic cardiomyopathy presented with syncope after coughing. Physical examination revealed a systolic murmur that was accentuated by the Valsalva maneuver. An electrocardiogram suggested biventricular hypertrophy and biatrial enlargement (Fig. 1). Echocardiograms revealed asymmetric septal hypertrophy with a diastolic septal thickness of 2.3 cm, and evidence of flow acceleration across the right ventricular outflow tract (RVOT) and left ventricular outflow tract (LVOT) (Figs. 2 and 3).

Fig. 3 Transthoracic echocardiogram (parasternal long-axis view) shows systolic flow acceleration across the right ventricular outflow tract (RVOT).

Fig. 2 Transthoracic echocardiogram (parasternal long-axis view) shows systolic flow acceleration across the right (RVOT) and left ventricular outflow tracts (LVOT).

Fig. 1 Electrocardiogram shows evidence of biventricular hypertrophy and biatrial enlargement.

Cardiac magnetic resonance images confirmed noncontiguous hypertrophy involving the basal septal, basal anterior, and apical walls of the left ventricle, as well as the inferior and free walls of the right ventricle (RV). A prominent muscle band in the RVOT contributed to dynamic obstruction across the RVOT (Figs. 4 and 5). Patchy hyperenhancement in the septum, visible in delayed-enhancement sequences after gadolinium administration, was consistent with myocardial fibrosis (Fig. 6). The subendocardium was not involved, suggesting a cause other than coronary disease.

Fig. 4 Cardiac magnetic resonance image shows noncontiguous left ventricular hypertrophy involving the basal septum and apex (arrows).

Fig. 5 Cardiac magnetic resonance image shows a hypertrophied muscle band in the right ventricular outflow tract contributing to dynamic obstruction indicated by flow acceleration (arrow).

Fig. 6 Cardiac magnetic resonance image shows delayed enhancement in the interventricular septum after gadolinium administration (arrow), consistent with myocardial fibrosis that spares the subendocardium.

Angiography was performed to measure and characterize the gradient across the RVOT. There was a hemodynamically significant gradient of 54 mmHg (mean, 33 mmHg). When the patient coughed and then performed the Valsalva maneuver, the peak gradients increased to 94 mmHg and 106 mmHg, respectively. Potentiation of the peak gradient across the RVOT was observed after a premature ventricular contraction (Fig. 7). Because of the patient's unexplained syncope, a cardioverter-defibrillator was implanted for the primary prevention of sudden cardiac death. An atrial lead was also implanted to accommodate any future need for atrioventricular synchronous pacing. Transthoracic echocardiography was performed to evaluate the effect of RV pacing on the RVOT gradient. The peak gradient across the RVOT was 17 mmHg with RV pacing and 37 mmHg without RV pacing (Fig. 8).

Fig. 8 Transthoracic echocardiograms show gradients across the right ventricular outflow tract. A) With pacing, the peak gradient was 17 mmHg at 72 beats/min. B) Without pacing, the peak gradient was 37 mmHg at approximately 72 beats/min.

Fig. 7 Hemodynamic tracings from right-sided heart catheterization show simultaneous right ventricular (RV) pressure (across the RV outflow tract) and pulmonary artery (PA) tracings. This figure shows potentiation of the peak RV gradient (bottom tracing) ...


Abstract This paper evaluates possible relations between the clinical activity and the histopathological findings of the entire intestine in dogs with inflammatory bowel disease (IBD). To perform this study, hospital records of 64 dogs of different sex and breed diagnosed with IBD were evaluated. The results of this study did not show a statistically significant correlation between clinical activity and the histopathological assessment of dogs with IBD. Certain connections were found between diarrhea and lacteal dilation in duodenum, and hematochezia and villous epithelial injury in colon but no other associations were found between the rest of the lesions and symptoms.


Many newly emerging markets need to increase resources available for investment. The first section of this paper shows that government deficits reduce national saving and growth. Furthermore, greater reliance in inflationary finance, financial repression and foreign borrowing as ways for financing any given deficits are generally not conducice to savingand impedes economic developmenteven more.


Accumulated evidence indicate that Ginkgo biloba extract (EGb 761) acts as an antioxidant and scavenger of free radicals as well as influencing apoptotis. Earlier studies have employed the inflammatory agent lipopolysaccharide (LPS) to induce severe sepsis. In the present study, we examined whether the intraperitoneal injection of EGb 761 increases the survival rate of mice in the LPS-induced severe sepsis model. The survival rate was significantly increased by 30% in mice administered with 100 mg/kg of EGb 761 but not in mice administered with 50 mg/kg EGb 761. In addition, pre-treatment with EGb 761 increased the survival rate (30%) but post-treatment with EGb 761 did not. These results suggest that EGb 761 may have clinical potential in preventing sepsis induced mortality.


There is a growing impetus to eliminate ventilator-associated pneumonia (VAP). In the United States, 2 key developments are exerting considerable pressure on hospitals to tackle VAP: mandatory public reporting of health care–associated infections and the Centers for Medicare and Medicaid Services proposal to add VAP to their list of nonreimbursable complications. Concerted advocacy by patient safety organizations, such as the Institute for Healthcare Improvement, complements these pressures. In response, many hospitals have adopted bundled sets of prevention measures to try to drive down their VAP rates. The implicit and often explicit goal of these campaigns is to reach a VAP rate of zero [1–3]. The evidence base informing the design, implementation, and impact of VAP bundles, however, is limited [4]. Different hospitals have adopted different VAP bundles and report highly variable results (Table 1) [5–17]. Whether a VAP rate of zero is an achievable (and indeed appropriate) goal is controversial [18–21]. As with other areas of quality improvement, there


Though most people think they are science fiction, quantum cryptography systems are now operational, with prototypes protecting Internet traffic across metropolitan areas. These systems are so novel that we can consider quantum cryptography, or more properly, quantum key distribution (QKD), as the third and final insight to transform cryptography in the 20th century.


In order to develop the fabric keyboard,which may replace the traditional rigid keyboard and have the advantages of being carried easily,foldable,flexible,comfortable,having little noise,being washed easily and so on,the fabric keyboard switches have been designed and weaved.The plain weave and the warp backed weave have been used to weave the upper conductive fabric,and the bottom conductive fabric is weaved by the plain weave and the weft backed weave.And the insolated fabric with reserved holes is weaved using several wefts weaved separately.The upper conductive fabric,the bottom conductive fabric,and the insulated fabric are made together to form two fabric keyboard switches.By comparing the turn-on rate of the two kinds of fabric keyboard switches,it can be concluded that when the sizes of holes on the insolated layer are the same,the conductive performance of the fabric keyboard switch weaved in the warp backed weave is better than that made in plain weave.


Ovarian cancer is one of the most common gynecological malignancies and is usually diagnosed at an advanced stage. Accurate cancer staging and optimal cytoreduction are vital for prediction of prognosis and adjuvant therapy. The laparotomy approach is the traditional option for this procedure. However, recent studies also suggest that robotic surgery is an alternative option for appropriately selected patients with advanced ovarian cancer, without extensive dissemination (absence of ascites and carcinomatosis) intraperitoneally, due to its favorable perioperative outcomes and early onset chemotherapy without affecting survival rates. Data on primary debulking surgery for advanced ovarian cancer by the robotic single port approach are limited. Transumbilical single port surgery has potential benefits in terms of safe tissue extraction, increased cosmetics, and reduced pain and incisional morbidity over multiport access. Our video demonstrates the feasibility and safety of primary debulking surgery for selected advanced stage epithelial ovarian cancer by the transumbilical single port approach using the da Vinci Xi surgical system. The patient in her 50 s had suspected ovarian cancer with gross lesions confined to the pelvis and Figure 1 Right ovarian mass.


Aspects of a nine-month characterization of the physical-chemical dynamics of a dissolved inorganic fertilizer plume in a shallow sand and gravel aquifer are reported. The work was undertaken to establish the extent of ground-water contamination due to extremely high levels of total ammonia (>2,000 mg L−1) and to provide a basis for remedial action.

The results from a numerical solute transport model showed the plume of contaminated ground water persisted at steady-state conditions within the study site. This conclusion is supported by a comparison of the time of source emplacement (three years) to the calculated requirement of approximately one year for the plume at the field location to achieve a steady-state configuration. Simulations suggested once the source was removed, about 420 days would be required to naturally flush the contaminant plume from the site.

Chemical equilibrium calculations demonstrate that phosphate and carbonate mineral equilibria control calcium solubility in contaminated ground water. The most probable natural sink for ammonia removal from the plume is by the activity of nitrifying microorganisms, presumably well-acclimated to the extreme conditions.


Two groups of undergraduate students, matched for reading skill but differing in spelling ability, participated in three experiments with the aim of exploring the causes of differences in spelling skill in this population. In the first experiment participants were presented with a range of tasks to investigate the possibility that the poor spellers had poorer phonological abilities than the good spellers. No significant differences were observed. In Experiment 2, a lexical decision task was used. The words in the task differed in orthographic neighbourhood size (N) and frequency. Analysis of the latencies revealed effects of frequency and N, but the effect of spelling group was not significant and neither was the interaction with N. Analysis of the errors revealed that the poor spellers made significantly more errors than the good spellers. In Experiment 3 participants were asked to identify the letters in briefly presented words and non-words. There was a significant effect of stimulus type in favour of words. Poor spellers made more errors in the task than the good spellers, although the difference was restricted to non-words. Finally, an analysis of the errors made in spelling to dictation by the two groups was carried out. This revealed that the poor spellers were more likely than the good spellers to make errors that were not phonologically plausible and that differed markedly from the target. Overall, the results are interpreted in terms of a partial orthographic representations explanation of poor spelling in good readers.


Business processes, goals, and tasks of individuals in an Enterprise must constantly be aligned with several regulations, standards, policies and EA principles imposed internally by organizations or externally by governments. Due to the complexity of these documents and their constant changes, it is not possible for organizations and individuals to ensure compliance with the descriptive and textual version of these documents. To overcome this, we propose a principle-based GRL framework which help to formally model these interactions with an extension of GRL and analyze the impact of the principles, regulations, standards and policies on the overall goals of the organization. In this paper, we discuss our proposed framework and then focus mainly on providing a GRL profile for Enterprise Architecture principles.


We initiate a study of W'-topology. This is a modification of ordinary topology in which morphisms exist after smashing with a fixed space W. Several classical topics are considered in this setting, inter alia Whitehead products, Hopf invariants and the E-H-Δ sequence. The main emphasis is on detection of non-trivial elements in the W-homotopy groups of spheres.


In the paper described comparative characteristic of polysaccharide complexes rough cornflower ( Centaurea scabiosa L .) and lozhnopyatnistogo cornflower ( Centaurea pseudomaculosа Dobrocz. ). Was proposed the technique of sequential selection of water-soluble polysaccharides and pectins from the above-ground parts of the research objects. The content of water-soluble polysaccharides from the above-ground part of C. scabiosa is 2,8 times more (2,7 ± 0,3%, n = 3) than in C. pseudomaculosа (0,97 ± 0,50%, n = 3), pectins from the above-ground part of C. scabiosa is 2 times more (7,6 ± 0,4%, n = 3), than  in C. pseudomaculosа (3,9  ±  0,3%, n = 3).  The main monomer units of the polysaccharide complexes C. scabiosa and C. pseudomaculosa are D-galacturonic acid, L-rhamnose, D-xylose, D-mannose, D-galactose and D-glucose. From water-soluble polysaccharides of perspective C. scabiosa was isolated by ion exchange chromatography three fractions of polysaccharides (molecular weights of 667, 722 and 1027 kDa), which contain D-galacturonic acid, L-rhamnose, D-xylose, D-galactose and D-glucose.


Variable deadband sampling is used in wireless networked control systems to reduce the network message. In this paper the T-S fuzzy PID with variable deadband sampling is designed to optimize the quality of network services and the quality of control performance in closed control loop. Furthermore, Kalman filtering algorithms dealing with variable deadband sampling are considered in the paper. The comparison results of proposed method and PID with period sampling are presented based on the extensive simulations by using TrueTime 1.5 toolbox for Matlab/simulink, and the simulation results verify the effectiveness of the proposed method.


PURPOSE
This clinical focus article outlines various communication challenges and scenarios related to information giving encountered by a group of audiology students, as reflected on during a series of communication skills workshops.

METHOD
We held two online training workshops during which students reflected on their clinical communication experiences and asked questions related to clinical scenarios. Third-year audiology students from a South African university participated in the workshops (17 in the first, 15 in the second). We analyzed these reflections using thematic analysis.

RESULTS
Students' reflections related to four themes: (a) balancing information giving, (b) managing shared decision making, (c) managing linguistic differences, and (d) relating bad news. The first theme was heavily prioritized in students' reflections. Providing students with time to practice skills introduced in the initial communication skills workshop enabled further reflection in the subsequent workshop. We discuss these themes using specific examples raised by students.

CONCLUSIONS
Our findings suggest that students first need to master basic information giving skills before they can move on to more advanced skills such as managing shared decision making, linguistic differences, and relating bad news. This study confirms that reflective skills need to be developed with students in an explicit manner, rather than as part of a hidden curriculum. Our approach to providing communication training and encouraging reflection on clinical experiences offers a starting point for clinical educators to support students in developing these skills.


Trust is a societal value that is difficult to gain and easy to lose. This article deals with the levels of trust that journalists working in eight post-authoritarian and post-totalitarian countries (Argentina, Bangladesh, Brazil, Czech Republic, Indonesia, Latvia, South Africa and Tanzania) have in various social institutions using data from the present Worlds of Journalism Study. In each country, results showed the level of trust in journalists' own institution—the media—is higher than the level of trust in both political and regulative institutions. The expression of low trust, particularly in regulative institutions, in the sampled countries represents significantly different results from previous studies about journalists' trust in countries with longer democratic traditions.


Summary Large doses of cortisone greatly increased the susceptibility of mice to lethal infection by West Nile, Ilheus, and Bunyam-wera viruses. ACTH in massive dosage produced the same effect with West Nile virus. Desoxycorticosterone, testosterone, progesterone, and estradiol in massive doses had no significant effect on these virus infections in mice. Anopheles B virus was not infective by intraperitoneal route even in cortisone treated mice. Adrenalectomy did not influence susceptibility to virus infection. The possible mechanisms of the cortisone effect are discussed and it is concluded that the effect of cortisone upon virus infection is probably due to a direct effect of cortisone upon the host.


Industrial operation data based on correction of the apparent kinetics of thiophene desul-(furization) derived from laboratory study was considered to be more reliable,and was expressed as follows:r=6.935×10~(-12)exp-45 054RTp~(1.4)___(H_2)p~(0.83)___(Th).The influence of temperature on hydrogenation of thiophene under isothermal condition was simulated,and a simulation was then made for the second stage reactor from actual temperature profiles in the catalyst bed.The results show that temperature is the critical factor for thiophene removal,and the inlet temperature should be raised corresponding to the decrease of adiabatic temperature rise occurred in the bed.


By modeling soils as spatially random media, estimates of the reliability of foundations against serviceability limit state failure, in the form of excessive differential settlements, can be made. The soil's property of primary interest is its elastic modulus, E, which is represented here using a lognormal distribution and an isotropic correlation structure. Prediction of settlement below a foundation is then obtained using the finite element method. By generating and analyzing multiple realizations, the statistics and density functions of total and differential settlements are estimated. In this paper probabilistic measures of total settlement under a single spread footing and of differential settlement under a pair of spread footings using a two-dimensional model combined with Monte Carlo simulations are presented. For the cases considered, total settlement is found to be represented well by a lognormal distribution. Probabilities associated with differential settlement are conservatively estimated through the use of a normal distribution with parameters derived from the statistics of local averages of the elastic modulus field under each footing.


Performance is just one part of an employee's overall development as a professional and as a leaderThis crucial development depends on the employee's emotional intelligence and the ability of the manager to encourage and increase it. Coaching for Emotional Intelligence provides a carefully planned strategy to help managers address the issues that make coaching for EI more challenging than coaching for performance alone.Key features Coaching too often focuses entirely on job performance. While important, performance coaching does not do very much to develop exceptional talent or nurture overall growth. This book gives managers the tools to help employees make the leap from solid performer to superstar Demonstrates how managers can leverage and develop such factors as personality traits, communication styles, and personal behaviours Clear, accessible, and practical approach to an often elusive subject


The tumult in the late Eastern Han Dynasty bestowed upon Cao Cao the opportunity to gain power and rule most parts of China like a king.Various complicated feelings stirred in his heart endowed his poems with unique features,which contain impassioned and imposing words as well as wailful savor and worrying consciousness with straight and clear writing style.


This invention provides a method for testing fault of bilatery forward detection link BFD including: the end point of BFD transmits BFD message to the opposite and detects it, when the session end point of the local BFD receives the first BFD message of the opposite, it starts up the BFD session detection.


Your dreams are crushed: Your well-planned and executed research project has ended in insignificant results. Not only are your chances for publication slim to non-existent, the benefits you envisioned for extending your findings to other fields of study have also dissipated. This is not an uncommon scenario among researchers and one that I experienced in my first foray into the wonderful world of educational research. I consider my experience as a fortunate misadventure because it has forced me to look deeply into the research culture. I believe that instead of discounting some research studies as unpublishable or unsharable, these studies have the potential to advance knowledge for the good of society, as well as to advance the personal goals of the researcher. I present my argument by sharing my journey from a "failed" research project to the discovery of three underlying principles that drive the research culture. These principles, in my opinion, are the foundation to the behavior of non-sharing of insignificant or negative research study findings. The principles can be described as: (a) the "publish or perish" rule, (b) the "hoard until it's published rule", and (c) the "what happens in Vegas, stays in Vegas" rule. I highlight the reasons for following these rules and the detrimental consequences to the researcher. I argue that interdisciplinarity sharing is a viable way to advance the research goals of the individual while also acting altruistically. I conclude with suggestions for safe sharing across disciplines.


An artificial weathering test(UVB radiation/condensation) was used for aging testing of acrylic polyurethane varnish coatings.The barrier protection properties of coatings with different exposure times were evaluated using electrochemical impedance spectroscopy(EIS).The results showed that low frequency impedance|Z|at a fixed frequency decreased with the increase of exposure time which and yielded time series function.Fourier transform infrared spectroscopy(FTIR) indicated that degradation had taken place upon exposure to artificial weathering test,and also appearsed to undergo some molecular segments re-association after 12 days exposure which led to the increase of low frequency impedance.Therefore,low frequency impedance could be used as an appropriate parameter to characterize the protective properties of intact organic coatings.


We present the results of a multi-Lorentzian fit to the power spectra of two kilohertz quasi-periodic oscillation (QPO) sources: 4U 0614+09 and 4U 1728-34. This work was triggered by recent results of a similar fit to the black hole candidates (BHCs) GX 339-4 and Cyg X-1 by Nowak in 2000. We find that one to six Lorentzians are needed to fit the power spectra of our two sources. The use of exactly the same fit function reveals that the timing behavior of 4U 0614+09 and 4U 1728-34 is almost identical at luminosities that are about a factor of 5 different. As the characteristic frequency of the Lorentzians we use the frequency νmax, at which each component contributes most of its variance per log frequency, as proposed by Belloni, Psaltis, & van der Klis in 2001. When using νmax instead of the centroid frequency of the Lorentzian, the recently discovered hectohertz Lorentzian is practically constant in frequency. We use our results to test the suggestions by Psaltis, Belloni, & van der Klis in 1999 and Nowak in 2000 that the two Lorentzians describing the high-frequency end of the broadband noise in BHCs in the low state can be identified with the kilohertz QPOs in the neutron star low-mass X-ray binaries. The prediction for the neutron star sources is that if the two kilohertz QPOs are present, then these two high-frequency Lorentzians should be absent from the broadband noise. We find that when the two kilohertz QPOs are clearly present, the low-frequency part of the power spectrum is too complicated to draw immediate conclusions from the nature of the components detected in any one power spectrum. However, the relations we observe between the characteristic frequencies of the kilohertz QPOs and the band-limited noise, when compared to the corresponding relations in BHCs, hint toward the identification of the second highest frequency Lorentzian in the BHCs with the lower kilohertz QPO. They do not confirm the identification of the highest frequency Lorentzian with the upper kilohertz QPO.


The most common form of forest stand parameter estimation is undertaken based on field-based forest inventory data. Parameter estimations are implemented at a range of scales depending on the user needs and requirements. Due to time and cost constraints, these approaches are sample based, with measurements collected using sampling frames, which tend to be sparsely distributed when inventories are carried out across a country (e.g. national forest inventories) or region (Matthews and Mackie, 2006). Commonly, forest managers require detailed information on individual stands in order to plan silvicultural management strategies. Such information is typically derived from a stand-based inventory, where detailed measurements from several plots are collected within each stand, providing more precise forest parameter estimates. In recent decades, forest practitioners have increasingly integrated remote sensing data as a means of assisting and complementing forest inventories. Aerial photography has been used extensively to estimate forest attributes, which include species identification, tree height, crown diameter and the delineation of forest boundaries (Tuominen and Pekkarinen, 2005). Top height is an important forest parameter that is used in the UK and Ireland to estimate Yield Class (annual production potential) and as an indicator of standing biomass. Using remote sensing, tree height can be measured using high-resolution stereoscopic aerial photos, with photogrammetric techniques to measure the lengths of shadows projected onto level open ground (Kovats, 1997). However, these techniques are dependent on a number of factors that include level open ground and the need to determine the sun elevation and latitude, which consequently limits the operational use of these techniques. However, a more effective approach to determine tree heights in forests is by using parallax measurements from stereoscopic photographs (Schut and Van Wijk, 1965). More recently, research has been conducted that combines space-borne satellite imagery with forest inventory Forest canopy height retrieval using LiDAR data, medium-resolution satellite imagery and kNN estimation in Aberfoyle, Scotland


High concentration of carbon dioxide in the atmosphere is the major cause of global warming. This study focuses on estimation of carbon emissions from forest fires in Indonesia, especially Bukit Batu area, Bengkalis Regency. Peatlands in this area are widely used as an agricultural cultivation and plantations. The aim of this study is to measure the concentration of CO2 emitted based on the relationship of physical and chemical properties of peat soil. Measurements carried out on these peatlands with different vegetation covered, i.e. bush land, palm plantations and secondary forests. Methods used in this research were Infrared Gas Analyzer and Gas Chromatography. The average of CO2 emissions obtained of bush land, palm plantations, and secondary forest were 497.4 ppm; 523. 2 ppm; and 457.2 ppm, respectively.


There is limited research on transformative experiences and ambassadorship based on polar expeditions. This study is aimed to investigate whether college students who participated in the Students o ...


Unmanned Aerial Vehicles (UAV) become more and more popular today. The chairman of DJI which is one of the most important UAV producers told an online magazine that their turnover increased by a factor of four in the last years [1]. This development validates the increasing popularity of UAVs. But it is still challenging to control them and it is even more challenging to film important surface structures which are for example used for virtual model reconstructions. Therefore, the thesis presents an algorithm which is able to automatically plan the shortest drone path where all surfaces of an arbitrary mesh which the user can choose were seen. One of the main components to achieve this performance is a cost function which ensures that the drone saw most parts of a virtual model and that at the same time the travelling path is short. This function is then minimized with different optimization methods like the particle swarm and the Nelder-Mead method. The other part is a graphics processing unit-based (GPU-based) rendering technique to speed up the evaluation of the cost function. The result is a drone path which can be revisited, stored and used to reconstruct a 2D texture of a 3D surface. The findings were evaluated to demonstrate the efficiency of the path and the quality of the texture reconstruction.


The synthesis of γ;-methoxypropylmethyldichlorosilane, and its subsequent polymerization and copolymerization with di;-n;-hexyldichlorosilane through the reductive coupling with sodium has been accomplished. The resulting polymers contain methyl ether side groups that allow further synthetic transformations on the polysilane backbone. For poly (γ;-methoxypropylmethylsilylene) these groups impart solubility characteristics different than typical alkyl and aryl substituted polysilanes. These new polymers and copolymers have been characterized by GPC and 1H-, 13C-, and 29Si-NMR. © 1994 John Wiley & Sons, Inc.


Generating realistic turbulent inflow conditions for large-eddy simulations and other large-scale-resolving approaches is essential to fully exploit the ever-increasing capabilities of modern compu...


Sales forecasting is crucial for many retail operations. It is especially critical for the fashion retailing service industry in which product demand is very volatile and product's life cycle is short. This paper conducts a comprehensive literature review and selects a set of papers in the literature on fashion retail sales forecasting. The advantages and the drawbacks of different kinds of analytical methods for fashion retail sales forecasting are examined. The evolution of the respective forecasting methods over the past 15 years is revealed. Issues related to real-world applications of the fashion retail sales forecasting models and important future research directions are discussed.


During our field trips to Ardahan province of Turkey, we have collected some interesting moss samples, such as Herzogiella turfacea (Lindb.) Z.Iwats., which was determined as new for Turkey, Mediterranean basin and Southwest Asia. Descriptions, illustrations, geographic distribution and comparisons with morphologically similar taxa are given.


The net deposition efficiency which describes the successful incorporation of germania in silica was studied by varying the GeCl4 flow rate while maintaining that of SiCl4 constant. Both theoretical and experimentally-derived net deposition efficiencies were determined. The radial and longitudinal homogeneities of the fabricated preform were also determined. EDX analysis was also carried out to confirm the germanium presence in the fabricated preform.


Digital health and education are potentially huge game changers at the intersection of technology, health and academia. This will radically change how we access and use personal general information and knowledge.


In India majority of people live in rural areas and new technologies are not accessible from remote villages, therefore a wide gap has been evolved between the libraries of 'knowledge haves' and knowledge have-nots. Today Internet and web technologies open up new ways of interactive communication between public libraries and the civil society. The progress in the Information and communication Technologies (ICT) enable remote people can be connected by several technical options in a more affordable manner. Based on the widely accepted conceptualization of "ICT for development," this article suggested various ways where convergence technologies can be used to improve and promote the existing library services. An attempt is made here to make a proposal for ICT driven public libraries for Indian states with suitable library extension programs to help the entire rural as well as urban community especially unprivileged masses.


Most studies on dialogue corpora, as well as most dialogue systems, employ dialogue acts as the basic units for interpreting discourse structure, user input and system actions. The definition of the discourse structure and the dialogue strategy consequently require the tagging of dialogue corpora in terms of dialogue acts. The tagging problem presents two basic variants: a batch variant (annotation of whole dialogues, in order to define dialogue strategy or study discourse structure) and an online variant (decoding of the dialogue act sequence of a given turn, in order to interpret user intentions). In the two variants is unusual having the segmentation of each turn into the dialogue meaningful units (segments) to which a dialogue act is assigned. In this paper we present the use of the N-Gram Transducer technique for tagging dialogues, without needing to provide a prior segmentation, in these two different variants (dialogue annotation and turn decoding). Experiments were performed in two corpora of different nature and results show that N-Gram Transducer models are suitable for these tasks and provide good performance.


Objective To determine the prevalence, associations and management of hypertension in the 25–74-year-old urban black population of Cape Town and examine the change between 1990 and 2008/09 in 25–64-year-olds. Methods In 2008/09, a representative cross-sectional sample, stratified for age and sex, was randomly selected from the same townships sampled in 1990. Cardiovascular disease risk factors were determined by administered questionnaires, clinical measurements and fasting biochemical analyses. Logistic regression models evaluated the associations with hypertension. Results There were 1099 participants, 392 men and 707 women (response rate 86%) in 2008/09. Age-standardised hypertension prevalence was 38.9% (95% confidence interval (CI): 35.6–42.3) with similar rates in men and women. Among 25–64-year-olds, hypertension prevalence was significantly higher in 2008/09 (35.6%, 95% CI: 32.3–39.0) than in 1990 (21.6%, 95% CI: 18.6–24.9). In 2008/09, hypertension odds increased with older age, family history of hypertension, higher body mass index, problematic alcohol intake, physical inactivity and urbanisation. Among hypertensive participants, significantly more women than men were detected (69.5% vs. 32.7%), treated (55.7% vs. 21.9%) and controlled (32.4% vs. 10.4%) in 2008/09. There were minimal changes from 1990 except for improved control in 25–64-year-old women (1990∶14.1% vs. 2008/09∶31.5%). Conclusions The high and rising hypertension burden in this population, its association with modifiable risk factors and the sub-optimal care provided highlight the urgent need to prioritise hypertension management. Innovative solutions with efficient and cost-effective healthcare delivery as well as population-based strategies are required.


The Na+/H+ exchanger 3 (NHE3) mediates Na+ (re)absorption in the intestine and the kidney, thereby playing a key role in fluid homeostasis and blood pressure (BP) regulation. NHE3 is expressed in the luminal membrane of the renal proximal tubule, where the majority of renal Na+ reabsorption (60% to 75%) occurs. Whole body NHE3 knockout mice exhibit hypovolemia, hypotension, diarrhea, metabolic acidosis and renal Na+ wasting. Study in kidney‐specific (proximal tubule [PT] and thick ascending limb [TAL]) NHE3 knockout mice has reported a rather mild phenotype in terms of Na+ homeostasis and no phenotype for acid‐base homeostasis (Kidney International; 2017, 92:397‐414). NHE3 is also substantially expressed in the TAL and our data point to a novel role in this nephron segment for urinary concentrating ability. To determine the physiological role of NHE3 in the TAL for salt homeostasis, urinary concentrating ability and BP regulation, we generated a novel tamoxifen (Tam)‐inducible TAL‐specific NHE3 knockout (NHE3TAL‐KO) mice by crossing floxed NHE3 (Control, Con) with UmodCreERT2 mice. Immunofluorescent staining showed that application of Tam (3 days, 67 mg/kg via oral gavage) selectively deleted NHE3 from TAL but not PT. Before Tam, in Con and NHE3TAL‐KO mice had comparable food (4.9±0.1 vs 5.3±0.2 g/(day*30g)) and water intake (5.6±0.3 vs 5.9±0.4 g/(day*30g)), urinary osmolality (2435±107.4 vs 2220±111.9 mOsm/kg), urinary pH (6.02±0.06 vs 6.02±0.06), urinary Na+/creatinine (46.3±6.2 vs 52.0±5.2 mmol/mmol) and K+/creatinine (109.0±9.5 vs 97.2±9.2 mmol/mmol). Two weeks after Tam, compared to Con mice, NHE3TAL‐KO mice showed lower urinary osmolality (2224±90.1 vs 1826±92.8 mOsm/kg, P<0.01) associated with a strong tendency of higher water intake (5.3±0.2 vs 6.1±0.3 g/(day*30g), P=0.08). However, no difference was found in urinary pH (6.07±0.05 vs 6.17±0.05, NS), urinary Na+/creatinine (37.4±4.6 vs 40.9±4.5 mmol/mmol, NS) and K+/creatinine (80.9±5.7 vs 94.1±6.8 mmol/mmol, NS). In conclusion, we successfully generated TAL‐specific NHE3 knockout mouse model. This mouse model will be used to study the isolated role of NHE3 in the TAL regarding to salt homeostasis, urinary concentrating ability and BP regulation to distinguish the contribution of TAL from PT.


Buprofezin (Award 40 SC) was evaluated at the concentrations of 200, 400 and 600 ppm on the mortality of Spodoptera litura (Fab.) larvae under laboratory conditions in Bangladesh from July 2015 to June 2016. The 2nd instar larvae were treated with selected concentrations through three different application methods viz. direct or topical, indirect or leaf-dip and combined. The larval mortality was recorded at 1, 3, 5 & 7 days after treatment (DAT) application. The mortality was clearly dose, method and time dependent. The highest larval mortality about 66.67% from combined method, 63.88% from leaf-dip and 56.70% from topical application method was recorded at 7 DAT through 600 ppm which was followed by 400 and 200 ppm respectively. Mortality increased with increasing time & at 7 DAT it was maximum which was followed by 5, 3 & 1 DAT. So from this study, it can be concluded that Buprofezin had significant effect for controlling Spodoptera litura (Fab.) larvae.


We apply the so-called $p$-regularity theory to prove the existence of
solutions to two nonlinear boundary value problems: an equation of rod
bending and some nonlinear Laplace equation.


Making a policy (regelgeving) is one of the functions of government. The fact that all citizens are  always  in contact with the  public policy  issued  by  governments, particularly concerning public interest. The development of the concept of state right to control the land started  from  the constitution which is then poured in the Agraria Law. Tenure by the State is not only done by the central government, but also by the local government  through a process of devolution of authority  in line with  the spirit of  regional  autonomy laws. However, with the issuance of Government Regulation No. 38 of 2007,  the fact that majority of  the state's power in land  still held by the central government on behalf of  the state. This realitiy shows  that the governenment failed  to establish a decentralized system in the land sector.


Background—This study examined the hypothesis that 26S proteasome dysfunction in human end-stage heart failure is associated with decreased docking of the 19S regulatory particle to the 20S proteasome. Previous studies have demonstrated that 26S proteasome activity is diminished in human end-stage heart failure associated with oxidation of the 19S regulatory particle Rpt5 subunit. Docking of the 19S regulatory particle to the 20S proteasome requires functional Rpt subunit ATPase activity and phosphorylation of the &agr;-type subunits. Methods and Results—An enriched proteasome fraction was prepared from 7 human nonfailing and 10 failing heart explants. Native gel electrophoresis assessed docking of 19S to 20S proteasome revealing 3 proteasome populations (20S, 26S, and 30S proteasomes). In failing hearts, 30S proteasomes were significantly lower (P=0.048) by 37% suggesting diminished docking. Mass spectrometry–based phosphopeptide analysis demonstrated that the relative ratio of phosphorylated:non phosphorylated &agr;7 subunit (serine250) of the 20S proteasome was significantly less (P=0.011) by almost 80% in failing hearts. Rpt ATPase activity was determined in the enriched fraction and after immunoprecipitation with an Rpt6 antibody. ATPase activity (&rgr;mol PO4/&mgr;g protein per hour) of the total fraction was lowered from 291±97 to 194±27 and in the immunoprecipitated fraction from 42±12 to 3±2 (P=0.005) in failing hearts. Conclusions—These studies suggest that diminished 26S activity in failing human hearts may be related to impaired docking of the 19S to the 20S as a result of decreased Rpt subunit ATPase activity and &agr;7 subunit phosphorylation.


In this project, we use OPNET to design a Multimedia Wireless Network where a number of voice, data and video users transmit information that is received by a wireless receiver. We focus on a specific user and treat others as interferers. We then characterize the interference as envisioned by the receiver. The assumed area is around 1 km X 1 km in a campus where the users are randomly distributed. Another important feature of this project is that instead of assuming usual Poisson distributed traffic patterns, we use realistic traffic models.


The development of molecular biology techniques has allowed a new approach to palaeontology and studies on ancient DNA. As a plant fossil resin, amber provided a good matrix for preserving ancient biological material. Some difficulties arise when experimental work is done to extract information concerning these preserved specimens. The major risks in this type of works are the contamination with modern DNA and the degradation of the ancient DNA. A safe method to sterilize amber stones has been designed allowing the amplification of a fragment of the ancient RbcL gene from the Miocene (c.a. 25 million years). Presumably, the gene was from Hymenaea protera, an extinct member of the Leguminoseae family. The phylogenetic tree and divergence rates indicate that since although it is a well-conserved gene, and then should be a good candidate for studying the evolution of plant macrogroups, probably it is not good enough for analyzing divergence among closely related species.


Objective To investigate the expressions of caspase-6,-7 during skin wound healing and the applicability of the time-dependent expressions of caspase-6,-7 to determination of the wound age.Method The expressions of caspase-6,-7 were studied in skin incised wound in mice by immunohistochemical SABC method,and the non-incised mouse skin was used as control.Results Expressions of caspase-6,-7 were detectable in polymorphonuclear cells (PMNs) in the wound specimens aged 6h. In the wound specimens aged from 12h to 24h after injury, caspase-6,-7 were identified in a large number of infiltrating PMNs and part of mononuclear cells (MNCs). Afterwards, the MNCs and fibroblastic cells (FBCs) accounted for the most part of the caspase-6,-7-positive cells. Morphometrically, the ratios of the number of the caspase-6,-7-stained PMNs, MNCs and FBCs to total number of the cells in the wounds were evaluated and calculated. The ratios of the caspase-6,-7-positive cells were low in the wound specimens aged from 0h to 3h, and maximized in the wound specimens aged 3 day. Thereafter, the ratios decreased and minimized in the specimens aged 14 day.Conclusion The results suggest that caspase-6,-7 were expressed in neutrophils, macrophages and fibroblasts during healing process of skin incised wound in mice. Caspase-6,-7 may be used as a marker for the wound age determination.


Let M be a smooth closed spin (resp. oriented and totally non-spin) manifold of dimension n ≥ 5 with fundamental group π. It is stated, e.g. in [RS01], that M admits a metric of positive scalar curvature (pscm) if its orientation class in kon(Bπ) (resp. Hn(Bπ;Z)) lies in the subgroup consisting of elements which contain pscm representatives. This is 2-locally verified loc. cit. and in [Sto94]. After inverting 2 it was announced that a proof would be carried out in [Jun], but this work has never appeared in print. The purpose of our paper is to present a self-contained proof of the statement with 2 inverted.


Regulatory Detailed Planning(RDP) provides legal basis for land development and control in China,but its function is greatly limited by the uncertainties of social-economic development.With a case study,this paper explores the approaches of coordinating the inherent conflict between "rigidity "and "flexibility" of RDP,concerning RDP system reform on both technical and institutional aspects.The introduction of special planning unit and market mechanism of land development right trade is thought to be especially important to RDP system reform.


The utility model relates to a seal ring structure for a copper pipe of a water heater. The seal ring structure comprises an annular ring body; a through hole is formed in the ring body; a first limit groove is formed in the periphery of the through hole of the ring body; a second limit groove is formed in the inner wall of the through hole; the ring body is divided into a first seal section and a second seal section by the first limit groove; the peripheral seal face of the first seal section and the peripheral seal face of the second seal section are both oblique planes. According to the seal ring structure disclosed by the utility model, the water seepage phenomenon avoids being generated in the copper pipe of the water heater.


The induction in mice of immunological unresponsiveness to granulomatous hypersensitivity around Schistosoma mansoni eggs was attempted by exposure of mice to egg antigens in the prenatal, neonatal, and adult stages of life. Prenatal treatment was carried out by breeding of naturally infected females or by intravenous injection of intact living schistosome eggs or soluble schistosome egg antigens into pregnant females. Marked hyporesponsiveness was demonstrated only in offspring of massively infected mothers bred soon after the onset of egg-laying and in offspring of mothers injected with massive amounts of soluble egg antigens. The hyporesponsive state of progeny of mothers treated with large doses of soluble egg antigens was transient. Similar prenatal treatment caused no amelioration of hepatosplenic disease in offspring that were subsequently infected with S. mansoni. Hyporesponsiveness to granuloma formation was also induced neonatally with large doses of antigen. Lower doses of antigen (as low as 10-4 [g) induced sensitization. A moderate degree of hyporesponsiveness was also induced in adult mice by very large doses of antigen, but not in those treated with lower doses of antigen plus immunosuppressive drugs.


The Queen's Birthday long weekend brought Norwood back into the top five, and wins to Adelaide, Sturt, Port Adelaide and North Adelaide.


Recent studies in adults have shown the efficiency and safety of continuous low-dose intravenous insulin in the treatment of diabetic ketoacidosis. Little data has been reported in pediatrfe patients.Fourteen consecutive children presented in diabetic ketoacidosis. Six were newly diagnosed diabetics. The average admission blood glucose concentration was 806 mg/dl and the mean admission capillary blood pH was 7.13. All patients were given intravenous fluids and continuous low-dose intravenous insulin at a dose of 0.06 units/kg/hr. Fresh insulin solutions were prepared every four hours. Human serum albumin and sodium bicarbonate were not used. There were two critical times in the management of each patient; the first when the blood glucose concentration declined to 300 mg/dl. At this time the I.V. fluids were changed to a glucose containing solution. The average time needed to obtain this blood glucose concentration was 5.7 hr. The second critical time was when the capillary blood pH reached 7.35. At this time intravenous insulin was discontinued. The average duration of intravenous insulin therapy was 9.8 hr. The accumulated dose of intravenous insulin was 0.6 u/kg. The patient was then switched to subcutaneous insulin, .25-.5 u/kgm every 4 hours. No complications were observed. This method was found to be safe and effective.


The theory of ..gamma..-neutrino angular correlation in nuclear muon capture is developed using the density matrix technique. A closed expression for the correlation coefficient, for unpolarized muon capture and including relativistic terms, is obtained in the particle-hole model for the nucleus. An interesting relation between the correlation coefficient and the longitudinal polarization of the recoil nucleus in muon capture is established. This relation is independent of nuclear models and the muon capture coupling constants, and its importance in connection with time-reversal invariance is pointed out. Utilizing the close analogy between muon capture and inelastic electron scattering, the numerical results for the process ..mu../sup -/ + /sup 28/Si(0/sup +/) ..-->.. /sup 28/Al* (1/sup +/) + ..nu../sub ..mu../, /sup 28/Al* (1/sup +/) ..-->.. /sup 28/Al(0/sup +/) + ..gamma.. are presented. It is found that the correlation coefficient is extremely sensitive to the nuclear model, contrary to common belief, and also sensitive to the induced pseudoscalar coupling constant in muon capture. The results are compared with the available experimental data and a range for g/sub P//g/sub A/ is obtained as 3 < g/sub P//g/sub A/ < 20, in agreement with other predictions, indicating a remote possibility of the quenching of g/sub P/ duemore » to virtual pion effects in the A = 28 system. With the ''canonical'' value for g/sub P/, our results give g/sub T//g/sub A/ = + 4.5 +- 7.5 due to the large uncertainty in the experimental data.« less


One and the same civilization produces simultaneously two such different things s a poem by T. S. Eliot and a Tin Pan Alley song, or a painting by Braque and a Saturday Evening Post cover. All four are on the order of culture, and ostensibly, parts of the same culture and products of the same society. Here, however, their connection seems to end. A poem by Eliot and a poem by Eddie Guest – what perspective of culture is large enough to enable us to situate them in an enlightening relation to each other? Does the fact that a disparity such as this within the frame of a single cultural tradition, which is and has been taken for granted – does this fact indicate that the disparity is a part of the natural order of things? Or is it something entirely new, and particular to our age? The answer involves more than an investigation in aesthetics. It appears to me that it is necessary to examine more closely and with more originality than hitherto the relationship between aesthetic experience as met by the specific – not the generalized – individual, and the social and historical contexts in which that experience takes place. What is brought to light will answer, in addition to the question posed above, other and perhaps more important questions. A society, as it becomes less and less able, in the course of its development, to justify the inevitability of its particular forms, breaks up the accepted notions upon which artists and writers must depend in large part for communication with their audiences. It becomes difficult to assume anything. All the verities involved by religion, authority, tradition, style, are thrown into question, and the writer or artist is no longer able to estimate the response of his audience to the symbols and references with which he works. In the past such a state of affairs has usually resolved itself into a motionless Alexandrianism, an academicism in which the really important issues are left untouched because they involve controversy, and in which creative activity dwindles to virtuosity in the small details of form, all larger questions being decided by the precedent of the old masters. The same themes are mechanically varied in a hundred different works, and yet nothing new is produced: Statius, mandarin verse, Roman sculpture, Beaux-Arts painting, neo-republican architecture. It is among the hopeful signs in the midst of the decay of our present society that we – some of us – have been unwilling to accept this last phase for


The invention provides a base fluid for a biomass drilling fluid and a preparation method thereof. The base fluid comprises, by weight, 60 to 90 parts of amino acid alcohol ester, 5 to 30 parts of polyetheramine alkyl glucoside and 5 to 10 parts of methylsilicone oil. The above components are mixed so as to obtain the base fluid for the biomass drilling fluid. According to the invention, amino acid alcohol ester has the advantage that the viscosity of amino acid alcohol ester is slightly influenced by temperature changes as the viscosity of ester substances, and has the characteristics of environment friendliness and biodegradability; through addition of polyetheramine alkyl glucoside, the surface activity of the base fluid is substantially improved, so the base fluid has good ecological security and intermiscibility; and as methylsilicone oil is added, the base fluid has good lubricity, physiological inertness and chemical stability. Thus, the base fluid for the biomass drilling fluid in the invention has the advantages of high environment friendliness, a wide viscosity range, a low freezing point, good lubricity, etc. and can meet performance demands for preparation of base oil for the drilling fluid. The invention also provides the biomass drilling fluid.


During the past three years, we have developed and implemented an enterprise information system (EIS) to reengineer and facilitate the administrative process for preparing and teaching distance learning courses in a midsized-to-large university (with 23,000 students). The outcome of the implementation has been a streamlined and efficient process which has delivered higher faculty satisfaction at a substantial cost reduction. In this paper, we propose a new conceptual and operational framework for process reengineering (PR) in higher education institutions. We also share our practical experience gained while designing, developing, and integrating three subsystems into an EIS. We hope that our experience,delineated in this paper, will help other universities' distance learning efforts and will encourage them to implement enterprise information systems to effectively manage their administrative processes.


The article investigates the origins of the idea of religious-philosophical discourse in the doctrine of the living. Based on the analysis of ancient philosophical thought and the subsequent, based on it, views of early Christian thinkers, a perspective is formed on the idea of the living as a special type of religious-philosophical discourse based on the principles of creationism, theocentrism and subordinationism. It is concluded that early Christian religious philosophy supported and affirmed the ideas of the value of the living as the creation of God, a trembling attitude toward it, adoring any manifestation of life, giving it spiritual and moral dimensions.


An UASB u pflow anaerobic sludge blanket reactor of 4.5 liters was studied under mesophiliC cond!  tions to lreat syntheUc wastewater composed by protein (caseine). The effluent Oow rate wa 8 .3 1/d and the hyd rau lic retention time was 12 hou rs. The r eactor wa in culated with grain sludge [rom a brewery. The organic load range was 2·8 Kg DQO / m 3 d . equivalent to a total DQO in the efflu enl of 1000 4000 mg/1. During lhe experiment. the following parameters were monitor d : pH. Tempera turc . Alkalinity. Bio gas Production. Methane Contento Chemical Oxygen Demand. Volatile Fa tty Acids Production. and Sus· pending Solids . The experimental results showed lhat the best behavior of the syslem was achieved wh n the efOucnt DQO was 4000 mg/l. in wh ich lhe total DQO removal was 9 1.91% with a methane ontent a t about 10.4 I/d (STP). The methane yield was O. 4 m 3 CH4/ Kg DQO removed


Abstract Precipitation of calcium carbonate minerals by bacteria, the so-called bacterial carbonatogenesis, is a promising method for the consolidation of decayed stone. Despite extensive laboratory testing that has demonstrated the efficacy of this method, little is, however, known regarding the medium- and/or long-term performance of this bacterial conservation treatment once applied in situ, on stone buildings. Here, we report on the evaluation of the performance of bacterial consolidation treatments applied in three different historical buildings placed in an urban environment and built using a highly porous, easily decayed calcarenite stone. Peeling tape tests show a significant long-lasting (up to four years) strength improvement following treatment with either a Myxococcus xanthus bacterial culture or a sterile nutritional solution that selectively activates the carbonatogenic bacteria inhabiting the stone. Total color changes, measured before and after treatment using a spectrophotometer, are systematically below the acceptable value of ΔE ≤ 5. Culture-dependent analysis of the microbiota shows that 100% of the culturable bacteria collected before and after treatment is carbonatogenic, and the total count of fungi spores remains constant or diminishes, while the population of acid-producing bacteria decreases over time after treatment application. Culture-independent microbial analyses show that no deleterious microbiota develops after treatment, being carbonate-producing Proteobacteria, Firmicutes and Actinobacteria the most abundant phyla both before and after treatment. Overall these results show that the in situ application of the bacterial consolidation method shows no detrimental side effects and is highly effective in the medium- and long-term.


We investigated the admissibility of linear estimators in a linear model under matrix loss function.Based on the thoery of matrix,some new necessary and sufficient conditions for a linear estimator to be admissible in the class of linear estimators were obtained.The new conditions are demonstrated to be much easier to verify and to apply via an example.


Background : Health is the part of the economic and social development of the state. The application of the BPJS Health national social security system in Indonesia is one of the government's efforts to provide health financing protection for all citizens and prevent catastrophic health expenditures. Hospitals as providers of secondary or tertiary health services often suffer losses because the payment system from BPJS Kesehatan uses a case-based payment method or INA-CBGs. This study aimed to examine the factors that influence the difference in rates between INA-CBGs rates and real hospital rates in labor cases. Subje cts an d Met hod : This was an analytic observational study with a cross-sectional design.  The study was carried out in Mataram and Siti Hajar Mataram Islamic hospitals, Mataram, West Nusa Tenggara, in May 2019. A sample of 200 postpartum women was selected by stratified random sampling. The dependent variable was the difference between real cost and INA-CBGs reimbursement. The independent variables were the type of hospital, class of treatment, type of birth delivery, length of stay, and severity disease. The data were collected from the medical record and analyzed by a multiple linear regression run on Stata 13. Results : Difference between real cost and INA-CBGs tariff of birth delivery reimbursement was negatively affected by type III of class treatment (b = -390,725; 95% CI= -790,082 to 8,631; p= 0,055), section caesarean (b= -1,429,648; 95% CI= -1,811,275 to -1,048,022; p <0.001), length of stay (b= -211,912; CI (95%) = -427,786 to 3,960; p = 0.054), moderate severity (b= -114,028; 95% CIi= -507,057 to 279,000; p = 0.568), and the high level of severity (b = -1,735,612; CI (95%) = -3,482,347 to 11,123; p = 0.051). The INA-CBGs rate difference and RS real rates of labor cases decreased due to the classification of private hospitals (b = 281,021; CI (95%) = -73,054 to 635,097; p = 0,119), treatment class II (b = 8,736; CI (95 %) = -392,068 to 409,541; p = 0.966). Conclusion : The difference in rates between INA-CBGs rates and hospital real rates in childbirth cases would increase if it serves treatment class III, type of cesarean delivery, care days which are longer, and moderate or severe severity. The difference in rates between INA-CBGs rates and hospital real rates in childbirth cases can decrease in services at private hospitals and serve treatment classes II. Keywords : INA-CBGs rates, hospital real rates, labor costs. Correspondence :  Baiq Holisatul Ismiana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Jawa Tengah, Indonesia. Email: firstname.lastname@example.com. Mobile: +6287739031046. Journal of Health Policy and Management (2019), 4(3): 161-169 https://doi.org/10.26911/thejhpm.2019.04.03.03


Cardiovascular diseases rank first in mortality in Mexico, with the main cause of atherosclerosis, the main risk factors are dyslipidemia, hypertension, overweight/obesity and hyperglycemia. These can develop as a physiological response to a family history and environmental factors such as sedentary lifestyle, smoking and eating a high-calorie diet. Previous studies show that consumption of drinks represents one fifth of the total calories in the diet, therefore is great interest to elucidate the effect of beverages consumption on cardiovascular health. The aim of this study was to identify the presence of cardiovascular risk factors and their possible relation with the consumption of drinks in students from university. An observational study was conducted, and cross at 317 young people between 18 and 25 years. The presence of cardiovascular risk factors was diagnosed, including anthropometric measurements, blood pressure and blood sample to perform the corresponding biochemical determinations. Drinking habits were determined by applying a food frequency questionnaire. The data obtained were used to compare the reproducibility of two beverage classifications. 5 Patterns of beverage consumption by principal components were identified, subsequently conducted two linear regression models, one to determine their associations with cardiovascular risk factors and the other to determine whether environmental factors influence the association. All cardiovascular risk factors were present in the study sample, the most prevalent factor was overweight/obesity, diagnosed by body fat percentage. Milk drinks pattern, characterized by high consumption of low-fat milk, was the pattern that exhibited more significant adverse effects on cardiovascular health. Sedentary lifestyle, smoking and eating a high-calorie diet inhibited the positive effect of coffee and tea consumption on blood pressure. The classification of beverages that considers all the nutritional content is more efficient to evaluate the consumption and the possible associations of drinks with cardiovascular risk factors.


In machine vision, surveillance systems are a kind of security that concentrates on the safety of the human and property. One of the main tasks of a surveillance system is the detection of humans. This paper presents a system of human detection and the development of a technique of human segmentation using a combination of information thermal and depth in a real indoor setting from a mobile robot. A novel fusion of thermal-depth information (FTDI) is introduced to enhance the efficiency of the segmentation process and expedite processing. In experimental studies, evaluation of the performance for the proposed system is carried out using Ground Truth (GT), in which the proposed system yield is compared to GT. The proposed system performs well with an approximate accuracy of over 90% for all data sets as illustrated in the quantitative results and even outperformed state-of-the-art algorithms. This paper presents the novelty of the work, in which the detection method can improve the classification of persons and their occlusion. The advantages, such as being computationally inexpensive and performs well even under severe occlusion and poor illumination, show that this proposed system is robust.


We discuss how superconductivity can emerge from (1)quasi–1D spin-Peierls system and (2) stripe-ordered state, with an emphasis on the role played by global antiferromagnetic fluctuations. A parallelism between the two cases based on physical and symmetry considerations is noted.


A number of invertebrates are associated with sugarcane crop where they carry out many important functions. To explore invertebrate diversity of sugarcane crop an area of 10 acres was selected and aerial and foliage invertebrates were collected by using hand picking, hand net and forceps throughout sugarcane cropping season i.e. from September 2006 to February 2007. A total of 163 specimens were collected comprising of 24 species belonging to 21 families, 10 orders and 2 classes. February showed the least diverse sample comprising of 11 species and 23 specimens. While November sample was large and diverse with respect to occurrence of different species comprising of 17 species 32 specimens. The ascending order of months during the study period was February, January, December, September, October and November with respect to the number of species found. This work presents preliminary information on the fate of faunal diversity and similar future studies will definitely benefit farming industries.


The structure and effects of thermally stabilized PAN original fibers were characterized utilizing a mixture of volume density, color change observations, flame tests, X-ray diffraction (XRD), infrared spectroscopy (FT-IR), and thermogravimetric analysis (TGA) measurements. The results obtained from the analysis of XRD work showed the conversion of the original molecular structure from a highly laterally ordered condition to a disordered amorphous structure. The experimental results acquired from FT-IR analysis indicated rapid and concurrent aromatization and dehydrogenation reactions assisted by the formation of oxygen-containing functional groups. TGA analysis showed a carbon yield of 72% at 1000 °C. The application and use of NH4Br pretreatment are expected to increase the productivity of carbon fiber processing at lowered cost by significantly reducing the processing time necessary for the successful completion of thermal stabilization reactions.