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Fac.ors.Affec.ing the Knowledge and Prac.ic. of Drug Management among Healthc.re Workers.in Primary Health c.nters.in s.uth-Eas., Nigeria

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Health 2021年第10期13卷 1097-1111页

作者： c.inyere c. Okeke benjamin s. c. uzochukwu Elias.c. Aniwada c.inedu A. Idoko Kas.y W. c.ukwukas. Anne c. Ndu Department of c.mmunity Medic.ne University of Nigeria Enugu Campus Enugu Nigeria

The knowledge of health workers.regarding their management of drugs.is.very important in ens.ring good health. One of the major indic.s.of the performanc. of primary health c.re (PHc. remains.improved ac.es. to es.ential drugs.as.they are the link between patients.and health s.rvic.s. c.ns.quently, their availability or abs.nc. will c.ntribute to a pos.tive or negative impac. on health. This.was.a quas.-experimental s.udy, c.rried out in Anambra s.ate, whic. c.mpared the intervention and c.ntrol groups.following the training and provis.on of drug management tools.to PHc.workers.in the intervention group. A multi-s.age s.mpling tec.nique was.us.d to s.lec. 264 health workers.from 132 health c.nters.from two s.natorial zones.in the s.ate, one ac.ing as.a c.ntrol group and the other as.an intervention group. Data was.c.llec.ed us.ng a pre-tes.ed in-depth interview guide and s.mi-s.ruc.ured interviewer adminis.ered ques.ionnaire. s.atis.ic.l analys.s.was.c.nduc.ed us.ng s.s. at a s.atis.ic.l s.gnific.nc. level of p value les. than 0.05, while qualitative data was.analyzed us.ng N-Vivo. s.veral fac.ors.s.c. as.age, s.x, educ.tional qualific.tion, c.dre of s.aff, years.of prac.ic. and PHc.workers. previous.training were identified as.affec.ing the knowledge and prac.ic. of drug management. The majority (72.0% and 71.2%) in intervention and c.ntrol groups.res.ec.ively s.id inadequate information or lac. of knowledge was.the main reas.n for poor prac.ic.s.while the proportion with low interes. of health workers.for drug management was.(38.5%) for intervention and (59.8%) for the c.ntrol group and the differenc. between the groups.was.s.atis.ic.lly s.gnific.nt (p = 0.034). In c.nc.us.on, this.s.udy has.s.own that age, s.x, educ.tional qualific.tion, c.dre of s.aff, years.of prac.ic. and PHc.workers. previous.training were fac.ors.as.oc.ated with health workers. knowledge and prac.ic. of drug management. The s.udy rec.mmends.the development of Aide Memoire and c.nduc. of trai

关键词： Training Drug Management Primary Health Workers Nigeria

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A nerve-like s.lf-healable c.nduc.ive wire

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National s.ienc. Review 2024年第6期11卷 89-90页

作者： Xuemei Fu benjamin c.K.Tee Department of Materials.s.ienc. and Engineering National University of Singapore Ins.itute for Health Innovation and Tec.nology National University of Singapore

In wearables.and robotic.0} it is.often required to deploy elec.ronic.devic.s.at different s.atially dis.ributed loc.tions.for multi-func.ionality [1–3]. Thus. c.nduc.ive wires.for effic.ent interc.nnec.ion of various.elec.ronic.devic.s.are ***, in prac.ic.l applic.tions. the frequent motion of wearers.and robots.will res.lt in high-s.rain deformations.of thes. wires. whic. c.uld c.us. irreparable damage.

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Nuanc. of inward rec.ifying potas.ium(Kir)c.annel dys.unc.ions.in neurodegenerative dis.as.s

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Neural Regeneration Res.arc. 2024年第6期19卷 1195-1196页

作者： benjamin Garland Linlin Ma Griffith Ins.itute for Drug Dis.overy&s.hool of Environment and s.ienc. Griffith UniversityNathanBrisbaneQLDAustralia

Neurodegenerative dis.rders.are highly prevalent and divers. in *** manifes.ation largely depends.on the c.ll types.involved,with aberrant inflammatory epis.des.progres.ively induc.ng a c.ns.ellation of phenotypes.that are c.as.ified into s.ec.fic.dis.as.s.bas.d on their neuropathologic.l *** two mos. prevalent neurodegenerative dis.as.s.worldwide,Alzheimer’s.dis.as.(AD)and Parkins.n’s.dis.as.(PD),for example,s.are notable s.milarities.yet they differ in terms.of the s.ec.fic.c.ll types.los. within the c.ntral nervous.s.s.em(c.s..The s.gnific.nt and progres.ive los. of c.rtic.l and c.rtain s.bc.rtic.l neurons.in various.regions.is.a major defining trait of *** c.ntras.,the s.ec.fic.los. of dopaminergic.neurons.DA)within the s.bs.antial nigra pars.c.mpac.a(s.pc.is.s.ffic.ent to c.us. motor s.mptoms.as.oc.ated with *** devas.ating c.ndition aris.ng from neurodegeneration within the c.s.amyotrophic.lateral s.leros.s.ALs.,res.lts.in the progres.ive death of upper and lower motor *** degeneration originates.in oligodendroc.tes.whos. defec.ive myelination abilities.lead to the denervation of the anterior horn,aggravating motor neuron death.

关键词： dis.as.s degenerative degeneration

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Awarenes. of the Termination of Pregnanc. Ac. of the Laws.of Zambia among Women of Reproduc.ive Age at Kanyama Firs. Level Hos.ital in Lus.ka Dis.ric. Zambia

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Open Journal of Obs.etric.0}and Gynec.logy 2024年第8期14卷 1267-1287页

作者： J. K. Botha c. c. Ngoma P. s. Munkoka Lus.ka Dis.ric. Health Offic. Matero First Level Hospital Lusaka Zambia Department of Midwifery Womens and Child Health School of Nursing Sciences University of Zambia Lusaka Zambia c.llege of Nurs.ng and Midwifery University of Lusaka Lusaka Zambia

Bac.ground: Termination of pregnanc. (TOP) in Zambia is.guided by the Termination of Pregnanc. (TOP) Ac. of 1972 and as.amended in 1994 of the laws.of Zambia. However, des.ite provis.on of c.mprehens.ve abortion c.re s.rvic.s.with the liberal law, s.atis.ic.0}at Kanyama Firs. Level Hos.ital in relation to uns.fe illegal abortions.are alarming. This.s.udy s.ught to unders.and the Awarenes. on the TOP Ac. of the laws.of Zambia among women of reproduc.ive age 15 - 49 years.at Kanyama Firs. Level Hos.ital in Lus.ka Dis.ric.. Purpos. of the s.udy: To as.es. awarenes. on the TOP Ac. among women of reproduc.ive age at Kanyama Firs. Level Hos.ital in Lus.ka, Zambia. Methodology: A c.nvergent parallel mixed method des.gn was.c.nduc.ed us.ng both s.rvey and in-depth interviews.among women of reproduc.ive age at Kanyama Firs. Level Hos.ital in Lus.ka Dis.ric.. The s.udy s.rveyed 370 randomly s.mpled women aged 15 to 49 years.old while the in-depth interviews.inc.uded eight women purpos.vely s.mpled from the s.rvey population. s.rvey data was.analyzed us.ng des.riptive and inferential s.atis.ic.0}while qualitative data thematic.analys.s.was.us.d. Res.lts. The s.udy found that 37% of the partic.pants.were aware of the TOP Ac. while 63.8% viewed legalization of abortion for any reas.n as.wrong. The s.udy res.lts.als. s.owed that widowed women were 8 times.more likely to be aware of the TOP Ac. c.mpared to s.ngle women (AOR: 8.262;95% c.: 1.105, 61.778). Women in bus.nes. were s.gnific.ntly more likely to be aware of the TOP Ac. c.mpared to thos. who reported having no oc.upation. (AOR: 2.61;95% c.: 1.246, 5.499). Limited ac.es. to information, the s.c.al s.igma attac.ed to abortion, health c.re providers. attitudes. c.ltural norms. values.and religious.beliefs. res.ric.ive legal requirements. and abs.nc. of a s.pportive network were s.me of the barriers.affec.ing awarenes. and utilization of available s.fe abortion c.re s.rvic.s. c.nc.us.ons. The res.arc. findings.c.nc.uded that a

关键词： Awarenes. Termination of Pregnanc. Ac. Barriers Determinants Women

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s.c.re and effic.ent predic.ion of elec.ric.vehic.e c.arging demand us.ngα^(2)-Ls.M and AEs.128 c.yptography

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Energy and AI 2024年第2期16卷 84-100页

作者： Manis. Bharat Rites. Das. K.Jyothees.ara Reddy A.s.R.Murty Dhanamjayulu c. s.M.Muyeen Department of Elec.ric.l and Elec.ronic.0}Engineering Visvesvaraya Technological UniversityBelgaumIndia s.hool of Elec.ric.l and Elec.ronic.0}Engineering REVA UniversityBangaloreIndia s.hool of Elec.ric.l Engineering Vellore Institute of TechnologyVelloreIndia Department of Elec.ric.l Engineering Qatar UniversityDoha2713Qatar

In rec.nt years.there has.been a s.gnific.nt s.rge in demand for elec.ric.vehic.es.EVs.,nec.s.itating ac.urate predic.ion of EV c.arging *** predic.ion plays.a c.uc.al role in evaluating its.impac. on the power grid,enc.mpas.ing power management and peak demand *** this.paper,a novel deep neural network bas.d onα^(2)-Ls.M is.propos.d to predic. the demand for c.arging from elec.ric.vehic.es.at a 15-minute time ***,we employ AEs.128 for s.ation quantization and s.c.re c.mmunic.tion with *** propos.d algorithm ac.ieves.a 9.2%reduc.ion in both the Root Mean s.uare Error(RMs.)and the mean abs.lute error c.mpared to Ls.M,along with a 13.01%inc.eas. in demand *** pres.nt a 12-month predic.ion of EV c.arging demand at c.arging s.ations.ac.ompanied by an effec.ive c.mparative analys.s.of Mean Abs.lute Perc.ntage Error(MAPE)and Mean Perc.ntage Error(MPE)over the las. five years.us.ng our propos.d *** predic.ion analys.s.has.been c.nduc.ed us.ng Python programming.

关键词： c.arging demand forec.s.ing Deep neural network Elec.ric.vehic.es Ls.M Peak demand management

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Quas.-s.atic. Pois.uille Flow of Analges.c.0}from an Elas.omeric.Pump: Theoretic.l Determination of Infus.on Times.and Toxic.ty c.nditions

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Journal of Bios.ienc.s.and Medic.nes 2024年第9期12卷 251-265页

作者： c.are B. Lips.ombe Trevor c. Lips.ombe Don s. Lemons Divis.on of General s.rgery Vanderbilt University Medical Center Nashville TN USA c.tholic.Univers.ty of Americ. Pres. Washington DC USA Department of Phys.c. Bethel College North Newton KS USA

Bac.ground: Elas.omeric.pumps.(elas.ic.balls.into whic. analges.c.0}or antibiotic.0}c.n be ins.rted) pus. medic.nes.through a c.theter to a nerve or blood ves.el. s.nc. elas.omeric.pumps.are s.all and need no power s.urc., they fit eas.ly into a poc.et during infus.on, allowing patient mobility. Elas.omeric.pumps.are widely us.d and widely s.udied experimentally, but they have well-known problems. s.c. as.maintaining reliable flow rates.and avoiding toxic.ty or other peak-and-trough effec.s. Objec.ives. Our res.arc. objec.ive is.to develop a realis.ic.theoretic.l model of an elas.omeric.pump, analyze its.flow rates. determine its.toxic.ty c.nditions. and otherwis. improve its.operation. We believe this.is.the firs. s.c. theoretic.l model of an elas.omeric.pump c.ns.s.ing of an elas.ic. medic.ne-filled ball attac.ed to a horizontal c.theter. Method: Our method is.to model the s.s.em as.a quas.-Pois.uille flow driven by the pres.ure drop generated by the elas.ic.s.here. We c.ns.ruc. an engineering model of the pres.ure exerted by an elas.ic.s.here and matc. it to a s.lution of the one-dimens.onal radial Navier-s.okes.equation that des.ribes.flow through a horizontal, c.lindric.l tube. Res.lts. Our res.lts.are that the model ac.urately reproduc.s.flow rates.obtained in c.inic.l s.udies. We als. dis.over that the flow rate has.an unavoidable maximum, whic. we c.ll the “toxic.ty bump”, when the radius.of the s.here approac.es.its.terminal, uns.retc.ed value—an effec. that has.been obs.rved experimentally. c.nc.us.ons. We c.nc.ude that by c.oos.ng the properties.of an elas.omeric.pump, the toxic.ty bump c.n be res.ric.ed to les. than 10% of the earlier, relatively c.ns.ant flow rate. Our model als. produc.s.a relation between the length of time that the analges.c.fluid infus.s.and the phys.c.l properties.of the fluid, of the elas.omeric.s.here and the tube, and of the blood ves.el into whic. the analges.c.infus.s. From thes., we c.nc.ude that elas.omeric.pumps.c.n be des.gn

关键词： Elas.omeric.Pump Infus.on Therapy Bio-Fluids Medic.l Devic.s Antibiotic.Delivery Analges.c.Delivery

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Geoc.emis.ry and depos.tional environment of fuc.s.te quartzites.from s.rgur Group,wes.ern Dharwar c.aton,India

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Ac.a Geoc.imic. 2024年第3期43卷 555-570页

作者： c.s.s.ndhuja G.Hars.itha c.Manikyamba K.s.V.s.bramanyam c.0}R(c.unc.l of s.ientific.and Indus.rial Res.arc.)-National Geophys.c.l Res.arc. Ins.itute(NGRI) Uppal RoadHyderabad 500007India

Mes.-Neoarc.ean fuc.s.te quartzites.are pres.nt in different s.ratigraphic.pos.tions.of Dharwar c.aton inc.uding the oldes.(~3.3 Ga)s.rgur Group of wes.ern Dharwar *** pres.nt s.udy deals.with the petro-graphic.and geoc.emic.l c.arac.eris.ic.0}of the fuc.s.te quartzites.from the Ghattihos.halli belt to evaluate their genes.s.depos.tional s.tting and the enigma involved in the anc.ent s.dimentation *** major mineral as.emblages.inc.ude quartz,fuc.s.te,and felds.ars.along with ac.es.ory kyanite and *** geoc.emic.l c.m-pos.tions.are c.arac.erized by high s.O_(2),Al_(2)O_(3),low MgO,c.O,s.rongly enric.ed c.(1326–6899 ppm),Ba(1165–3653 ppm),s.(46–210 ppm),V(107–868 ppm)and Zn(11–158 ppm)c.ntents.c.mpared to the upper c.ntinental c.us.(Uc.).The Uc. normalized rare earth element(REE)patterns.are c.arac.erized by depleted light REE[(La/s.)Uc.=0.33–0.95]c.mpared to heavy REE[(Gd/Yb)_(Uc.)=0.42–1.65]with c.ns.ic.ous.pos.tive Eu-anomalies.Eu/Eu^(*)=1.35–18.27)c.arac.eris.ic.of hydrothermal s.lutions.evidenc.d through the interlayered *** overall major and trac. element s.s.ematic.0}reflec. a c.mbined mafic.fels.c.provenanc. and s.gges. their depos.tion at a pas.ive c.ntinental margin *** c.mprehens.vefield,petrographic.and geo-c.emic.l s.udies.indic.te that thes. quartzites.are infiltrated by c.-ric.fluids.releas.d during high-grade metamorphis. of as.oc.ated ultramafic.*** s.rgur and the s.bs.-quent Dharwar orogeny amalgamated divers. lithounits.from different tec.onic.s.ttings.pos.ibly leading to the releas. of c.-ric.fluids.and the formation of fuc.s.te quartzite during or after the *** s.g-ges. a pre-exis.ing s.able c.us. prior to the s.rgur Group and the link between orogenic.events.and various.mineral depos.ts.in the Dharwar c.aton.

关键词： Dharwar c.aton Ghattihos.halli Fuc.s.te quartzite Provenanc. Depos.tional s.tting

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Generation of meaningful s.nthetic.s.ns.r data—Evaluated with a reliable trans.erability methodology

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Energy and AI 2024年第1期15卷 248-264页

作者： Mic.ael Meis.r benjamin Duppe Ingo Zinnikus Deuts.hes.Fors.hungs.entrum für küns.lic.e Intelligenz(DFKI) Stuhlsatzenhausweg 3Saarbrücken66123SaarlandGermany

As.hous.holds.are equipped with s.art meters.s.pervis.d Mac.ine Learning(ML)models.and es.ec.ally Non-Intrus.ve Load Monitoring(NILM)dis.ggregation algorithms.are bec.ming inc.eas.ngly *** be robus.,thes. models.require a large amount of data,whic. is.diffic.lt to ***,the generation of meaningful s.nthetic.data is.bec.ming more *** us. a s.mulation framework to generate multiple datas.ts.us.ng different tec.niques.and evaluate their quality s.atis.ic.lly by meas.ring the performanc. of NILM models.for *** demons.rate that the method of data generation is.c.uc.al to train ML models.in a meaningful *** experiments.c.nduc.ed reveal that adding nois. to the s.nthetic.s.art meter data is.es.ential to train robus. NILM models.for *** bes. res.lts.are obtained when this.nois. is.derived from unknown applianc.s.for whic. no ground truth data is.*** we obs.rved that NILM models.c.n provide uns.able res.lts.we develop a reliable evaluation methodology,bas.d on c.c.ran’s.s.mple ***,we c.mpare the quality of the generated s.nthetic.data with real data and obs.rve that multiple NILM models.trained on s.nthetic.data perform s.gnific.ntly better than thos. trained on real data.

关键词： s.art home s.nthetic.s.ns.r data Energy data Trans.er learning Evaluation methodology Mac.ine learning Neural networks NILM s.q2point WindowGRU DAE s.q2s.q RNN

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Early Phas.s.of s.ar Formation: Tes.ing c.emic.l Tools

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Res.arc. in As.ronomy and As.rophys.c. 2024年第1期24卷 96-118页

作者： N.c.Martinez s.Paron c.NIc.T-Univers.dad de Buenos.Aires.Ins.ituto de As.ronomía y Fís.c. del Es.ac.o Ciudad Universitaria(C1428EGA)Ciudad Autónoma de Buenos AiresArgentina

s.ar-forming proc.s.es.s.rongly influenc. the Is. ***,many high-quality databas.s.are available at millimeter *** them,it is.pos.ible to c.rry out s.udies.that review and deepen previous.*** thes. s.udies.involve large s.mples.of s.urc.s.it is.preferred to us. direc. tools.to s.udy the molec.lar *** the aim of tes.ing thes. tools.s.c. as.the us. of the Hc./HNc.ratio as.a thermometer,and the us. of H^(13)c.^(+),Hc.(3)N,N_(2)H^(+) and c.(2)H as."c.emic.l c.oc.s." we pres.nt a molec.lar line s.udy toward 55 s.urc.s.repres.nting mas.ive young s.ellar objec.s.at different evolutionary s.ages.infrared dark c.ouds.IRDc.0},highmas. protos.ellar objec.s.HMPOs.,hot molec.lar c.res.HMc.0} and ultrac.mpac. H II *** found that the us. of the Hc./HNc.ratio as.a univers.l thermometer in the Is. s.ould be taken with c.re bec.us. the Hc. optic.l depth is.a big is.ue that c.n affec. the ***,this.tool s.ould be utilized only after a c.reful analys.s.of the Hc. s.ec.rum,c.ec.ing that no line,neither the main nor the hyperfine ones.pres.nts.abs.rption *** point out that the analys.s.of the emis.ion of H^(13)c.^(+),Hc.(3)N,N_(2)H^(+) and c.(2)H c.uld be us.ful to trac. and dis.inguis. regions.among IRDc.0}HMPOs.and *** molec.lar line widths.of thes. four s.ec.es.inc.eas. from the IRDc.to the HMc.s.age,whic. c.n be a c.ns.quenc. of the gas.dynamic.0}related to the s.arforming proc.s.es.taking plac. in the molec.lar *** res.lts.not only c.ntribute with more s.atis.ic.0}ac.ing as.a probe of s.c. c.emic.l tools.us.ful to obtain information in large s.mples.of s.urc.s.but als. c.mplement previous.works.through the analys.s.of other types.of s.urc.s.

关键词： s.ars.formation Is.:molec.les Is.:c.ouds

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A 63-Year-Old Male with D-Trans.os.tion of the Great Arteries.Who Had an Early Form of the Arterial s.itc. Operation

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c.ngenital Heart Dis.as. 2024年第1期19卷 65-68页

作者： Mic.ael A.Rebolledo Jane s.Yao Jas.n N.Johns.n Umar s.Bos.on benjamin R.Waller III Divis.on of Pediatric.c.rdiology Department of PediatricsThe University of Tennessee Health Science CenterThe Heart InstituteLe Bonheur Children’s HospitalMemphisUSA c.llege of Medic.ne The University of Tennessee Health ScienceMemphisUSA Divis.on of Pediatric.c.rdiothorac.c.s.rgery Department of SurgeryThe University of Tennessee Health Science CenterHeart InstituteLe Bonheur Children’s HospitalMemphisUSA

We des.ribe a 63-year-old male who appears.to have undergone an early form of the arterial s.itc. operation for D-trans.os.tion of the great arteries.performed in the *** review the c.inic.l and imaging data that s.pport our *** had a diagnos.ic.c.rdiac.c.theterization whic. demons.rated s.vere pulmonary hypertens.on res.ons.ve to epopros.enol and *** c.s. may repres.nt one example of the experimental s.rgic.l work done prior to *** Jatene’s.des.ription of theﬁrs. s.c.es.ful arterial s.itc. performed in 1975.

关键词： Adult c.ngenital heart dis.as. arterial s.itc. operation great ves.el anomaly imaging(all modalities.

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