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Risk Factors Associated with Unsuccessful Vaginal Birth after One Cesarean (VBAC-1) in puerto Rico

Open Journal of Obstetrics and Gynecology 2024年第6期14卷 888-902页

作者： Irazú Guinan Marjorie Suárez Fabiola Angulo Luis Mayol paula Suárez Lisandris Dominicci Nathalie Chang Saribel Torres Antonio Rodríguez Raymond L. Tremblay Maricarmen Colón-Díaz Department of physiology and pathology San Juan Bautista School of Medicine Caguas USA

Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic and associated factors influencing vaginal birth after one cesarean (VBAC-1) success focusing on variables like pre-pregnancy BMI, diabetes, hypertension, education, and smoking. Study Design and Methods: In this retrospective study, we analyzed 285 cases (81 unsuccessful VBAC-1, 204 successful VBAC-1) from San Juan City Hospital (puerto Rico) between January 1, 2019, and December 31, 2020. We used odds ratios and model selection comparison to assess the impact of variables on successful VBAC-1, using a significance threshold of 95% CI. Model selection assessed binomial model combinations using a generalized linear approach to identify key risk factors. Results: Unsuccessful VBAC-1 (a repeat cesarean), was associated with diabetes (OR: 0.376, p = 0.086), hypertension (OR: 0.23, p = 0.006), and university-educated women (OR: 1.372, p = 0.711). High school-educated women had an OR of 3.966 (p = 0.105), while overweight women were 0.481 times more likely to have unsuccessful VBAC-1 (p = 0.041). Significant associations were not found with obesity (OR: 0.574, p = 0.122), underweight/normal (OR: 1.01, p = 0.810), or smoking (OR: 1.227, p = 0.990). Conclusion: Results revealed women with higher education levels, hypertension, or diabetes are less likely to have a successful VBAC-1. Understanding the complex interactions affecting these outcomes is aimed at establishing guidelines for healthcare professionals to conduct systematic risk/benefit assessments. This study lays a foundation for evidence-based practices and policies, offering initial insights into VBAC-1 success factors in puerto Rico.

关键词： Diabetes Hypertension Obesity Trial of Labor Vaginal Birth after Cesarean

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Exploring the potential of drill cuttings for reservoir characterization:A case study from the Volga-Ural basin,Russia

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petroleum Research 2024年第2期9卷 193-205页

作者： Ibrahem Yousef V.p.Morozov Kazan Federal University Institute of Geology and Petroleum Technologies420008Russian Federation

The research objectives are to assess the possibility of using drill cutting analysis to obtain information about the mineralogical and geochemical properties of the reservoir *** cutting samples were collected from a vertical well that penetrated the Domanik sediments(Semiluksk Formation)in one of the oil fields in the Volga-Ural petroleum *** sections from drill cuttings were examined using an optical polarizing microscope(Axio Imager A2).X-ray diffraction(XRD)analyses were performed using a Brucker D2 phaser X-ray powder *** properties were studied using an STA 449 F3 Jupiter *** pyrolytic studies were performed using the Rock-Eval *** inspection showed that the studied sediments are alternations of carbonates and siliceous-carbonate *** section examinations revealed that the carbonates are mainly limestone(mudstone and wackestone)and are characterized by a dense texture and up to 30%organic *** siliceous-carbonate rocks are dominated by siliceous mudstones and are characterized by dark colours,layered structure,and an enrichment in organic *** analyses showed that the carbonate rocks are mainly composed of calcite,dolomite,quartz,feldspar,and mica,which are minor *** siliceous-carbonate rocks are dominated by quartz,followed by calcite,although they also contain feldspars,mica,dolomite,and pyrite as *** to the simultaneous thermal analysis,the average total hydrocarbon in the carbonate and siliceous-carbonate rocks is 13.6%(for the core samples)and 11.5%(for the drill cutting samples).The content of heavy hydrocarbons in the rocks is higher than the content of light hydrocarbons,indicating the immature nature of organic *** is found sporadically in siliceous-carbonate *** to the pyrolytic studies,average S1 is 4.4 mg/g and average S2 is 19.8 mg/g(for the core samples);average S1 is 2.1 mg/g and average S2 is 17.8 mg/g(for the

关键词： Drill cuttings Reservoir characterization Domanik Semiluksk Volga-Ural Russia

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A Hybrid Machine Learning Approach for Improvised QoE in Video Services over 5G Wireless Networks

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Computers, Materials & Continua 2024年第3期78卷 3195-3213页

作者： K.B.Ajeyprasaath p.Vetrivelan School of Electronics Engineering Vellore Institute of TechnologyChennaiTamil Nadu600127India

Video streaming applications have grown considerably in recent *** a result,this becomes one of the most significant contributors to global internet *** to recent studies,the telecommunications industry loses millions of dollars due to poor video Quality of Experience(QoE)for *** the standard proposals for standardizing the quality of video streaming over internet service providers(ISps)is the Mean Opinion Score(MOS).However,the accurate finding of QoE by MOS is subjective and laborious,and it varies depending on the user.A fully automated data analytics framework is required to reduce the inter-operator variability characteristic in QoE *** work addresses this concern by suggesting a novel hybrid XGBStackQoE analytical model using a two-level layering *** one combines multiple Machine Learning(ML)models via a layer one Hybrid *** ML models at level one are trained using the entire training data *** level two Hybrid XGBStackQoE-Model is fitted using the outputs(meta-features)of the layer one ML *** proposed model outperformed the conventional models,with an accuracy improvement of 4 to 5 percent,which is still higher than the current traditional *** proposed framework could significantly improve video QoE accuracy.

关键词： Hybrid XGBStackQoE-model machine learning MOS performance metrics QoE 5G video services

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Hydrothermal treatment of pearl millet grains:Effects on nutritional composition,antinutrients and flour properties

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Grain & Oil Science and Technology 2024年第2期7卷 87-95页

作者： p.prashanth T.Jayasree Joshi Shagolshem Mukta Singh p.Srinivasa Rao Agricultural and Food Engineering Department Indian Institute of Technology KharagpurKharagpurWest Bengal 721302India

pearl millet(pennisetum glaucum)is one of the major millets with high nutritional *** crop exhibits exceptional resilience to drought and high ***,the processing of pearl millet poses a significant challenge due to its high lipid content,enzyme activity,and presence of ***,it becomes imperative to enhance the quality and prolong the shelf life of pearl millet flour by employing suitable *** treatment in the food industry has long been seen as promising due to its potential to reduce microbial load,inactivate enzymes,and improve nutrient *** study aims to investigate the effects of hydrothermal treatment on the quality characteristics of pearl *** independent variables of the study were soaking temperature(35,45,55℃),soaking time(2,3,4 h),and steaming time(5,10,15 min).Treatment conditions had a statistically significant effect on nutrient *** antinutrients like tannins and phytates were reduced by 0.99% to 5.94% and 0.36% to 6.00%,respectively,after the *** activity decreased significantly up to 10% with the treatment *** findings of this study could potentially encourage the use of pearl millet flour in the production of various food items and promote the application of hydrothermal treatment in the field of food processing.

关键词： pearl millet Hydrothermal treatment Nutritional properties Antinutrients

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Seismic response of deep circular tunnels subjected to S-waves:Axial bending

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Underground Space 2024年第4期17卷 267-279页

作者： Chatuphat Savigamin Antonio Bobet Osvaldo p.M.Vitali HR Engineering Services Inc.MedleyFL 33166United States Lyles School of Civil Engineering Purdue UniversityWest LafayetteIN 47907United States Department of Civil Environmentaland Construction EngineeringUniversity of Hawaii at ManoaHonoluluHI 96822United States

Ovaling deformation of circular tunnels has received great interest from the tunneling community because this mode of seismicinduced deformation is considered the most ***,there is growing evidence that other deformation modes can also be important and thus need to be considered in *** study presents a new analytical solution to estimate axial bending(snaking),a mode of deformation caused by S-waves impinging on a tunnel parallel to the tunnel *** solution is developed using the soilstructure interaction approach with the assumption that the interface between the ground and the tunnel lining is frictionless(fullslip).Full dynamic numerical simulations are conducted to verify the new full-slip solution,together with the existing no-slip *** of dynamic amplification are also explored for both full-slip and no-slip interface conditions by changing the wavelength(or frequency)of the seismic input motions.

关键词： Seismic response of tunnels Analytical solutions Soil-structure interaction Axial bending Snaking S-waves

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Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm-Based Clustering Scheme for Augmenting Network Lifetime in WSNs

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China Communications 2024年第9期21卷 159-178页

作者： N Tamilarasan SB Lenin p Mukunthan NC Sendhilkumar Department of Electronics and Communications Engineering Sri Indu College of Engineering and TechnologyHyderabadTelanganaIndia Department of Electronics and Communications Engineering Sri Manakula Vinayagar Engineering CollegePondicherryIndia

In Wireless Sensor Networks(WSNs),Clustering process is widely utilized for increasing the lifespan with sustained energy stability during data *** clustering protocols were devised for extending network lifetime,but most of them failed in handling the problem of fixed clustering,static rounds,and inadequate Cluster Head(CH)selection criteria which consumes more *** this paper,Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm(SRITL-AGOA)-based Clustering Scheme for energy stabilization and extending network *** SRITL-AGOA selected CH depending on the weightage of factors such as node mobility degree,neighbour's density distance to sink,single-hop or multihop communication and Residual Energy(RE)that directly influences the energy consumption of sensor *** specific,Grasshopper Optimization Algorithm(GOA)is improved through tangent-based nonlinear strategy for enhancing the ability of global *** the other hand,stochastic ranking and violation constraint handling strategies are embedded into Teaching-Learning-based Optimization Algorithm(TLOA)for improving its exploitation ***,SR and VCH improved TLOA is embedded into the exploitation phase of AGOA for selecting better CH by maintaining better balance amid exploration and *** results confirmed that the proposed SRITL-AGOA improved throughput by 21.86%,network stability by 18.94%,load balancing by 16.14%with minimized energy depletion by19.21%,compared to the competitive CH selection approaches.

关键词： Adaptive Grasshopper Optimization Algorithm(AGOA) Cluster Head(CH) network lifetime Teaching-Learning-based Optimization Algorithm(TLOA) Wireless Sensor Networks(WSNs)

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Emission colour tuning in KLnF_(4):Yb^(3+),Er^(3+)/Ho^(3+)phosphor

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Journal of Rare Earths 2024年第1期42卷 57-65,I0002页

作者： Janani K Gayathri E Vijayatha V Ramasubramanian S Thiyagarajan p Department of Science and Humanities Nehru Institute of TechnologyKaliapuramThirumalayampalayamCoimbatoreIndia Department of Sciences Amrita School of Physical SciencesAmrita Vishwa VidyapeethamCoimbatoreIndia Department of physics Anna UniversityChennaiIndia

KLnF_(4):Yb^(3+),Er^(3+)/Ho^(3+)(Ln=Y,Yb,Gd)phosphors were prepared by solid-state reaction *** each of the Yb^(3+)/Er^(3+)and Yb^(3+)/Ho^(3+)co-doped phosphors independently,phase confirmation and morphological examination were accomplished using the X-ray diffraction technique and scanning electron microscope analysis.X-ray photoelectron spectroscopy analysis shows the charge state and existence of lanthanides and *** luminescence emissions of green and red colour were detected for the synthesized *** changes in the upconverted emission intensities and colour output pertaining to the change of the lanthanide host matrix along with dopants were investigated for the prepared *** the upconversion luminescence,erbium-doped samples exhibit a predominance of red emission while holmium-doped samples display a prevalence of green *** rare-earth Er/Ho doped KYbF4shows strong red emission compared to other ***_(4):Yb,Er/Ho exhibits relatively significant green upconve rsion emissions,while Yb,Er-doped KGdF_(4)host displays a 10-fold increase in green/red emission ratio with an increase in the input power of 20-780 *** photoluminescence studies and decay curve analysis were carried out using UV light excitation for the developed phosphors.A higher lifetime of 2.2 ms was measured for the downshifting red emission in the Ho doped KYbF_(4)*** study suggests a potential for colour tunability in the upconversion and downshifting emissions through host modifications to the fluoride phosphor.

关键词： Rare earths Energy transfer upconversion Downshifting Colour coordinates

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Synergies from off-gas analysis and mass balances for wastewater treatment--Some personal reflections on our experiences

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Environmental Science and Ecotechnology 2024年第5期21卷 413-417页

作者： Eveline I.p.Volcke BioCo Research Group Department of Green Chemistry and TechnologyGhent UniversityCoupure Links 6539000GentBelgium

Looking back at over a decade of research by herself and her group,the author advocates the added value of gas phase measurements and the application of mass balances,as well as the synergetic benefits obtained when combining *** increased application of off-gas measurements for greenhouse gas emission monitoring offers a great opportunity to look at other components in the gas phase,particularly *** balances should not be strictly reserved for modellers but also prove useful while conducting lab experiments and studying full-scale measurement *** off-gas measurements with mass balances may serve not only to quantify greenhouse gas emission factors and aeration efficiency but also to follow dynamic concentration profiles of dissolved components without dedicated sensors and/or to calculate other unmeasured ***-balance-based data reconciliation allows for obtaining reliable and accurate data,and even more when combined with off-gas analysis.

关键词： Wastewater treatment Greenhouse gas emissions Mass balances Off-gas analysis Monitoring Data reconciliation

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Mean nocturnal baseline impedance in gastro-esophageal reflux disease diagnosis:Should we strictly follow the Lyon 2 Consensus?

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World Journal of Gastroenterology 2024年第26期30卷 3253-3256页

作者： Theodoros A Voulgaris Georgios p Karamanolis Department of Gastroenterology School of MedicineNational and Kapodistrian University of AthensAthens 11527Greece

Clinical practice guidelines drive clinical practice and clinicians rely to them when trying to answer their most common *** of the most important position papers in the field of gastro-esophageal reflux disease(GERD)is the one produced by the Lyon *** an updated second version has been *** nocturnal baseline impedance(MNBI)was proposed by the first Consensus to act as supportive evidence for GERD *** a cut-off of 2292 Ohms was proposed,a value revised in the second *** updated Consensus recommended that an MNBI2500 Ohms can be used to refute *** proposed cut-offs move in the correct direction by diminishing the original cut-off,nevertheless they arise from a study of normal subjects where cut-offs were provided by measuring the mean value±2SD and not in symptomatic ***,data exist that even symptomatic patients with inconclusive disease or reflux hypersensitivity(RH)show lower MNBI values in comparison to normal subjects or patients with functional heartburn(FH).Moreover,according to the data,MNBI,even among symptomatic patients,is affected by age and body mass ***,various studies have proposed different cut-offs by using receiver operating characteristic curve analysis even lower than the one ***,no information is given for patients submitted to on-proton pump inhibitors pH-impedance studies even if new and extremely important data now ***,even if MNBI is an extremely important tool when trying to approach patients with reflux symptoms and could distinguish conclusive GERD from RH or FH,its values should be interpreted with caution.

关键词： Mean nocturnal baseline impedance Gastro-esophageal reflux disease Lyon 2 Consensus pH-impedance Diagnosis

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Chronic active and atrophic gastritis as significant contributing factor to the development of gastric cystica profunda

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World Journal of Gastroenterology 2024年第17期30卷 2308-2310页

作者： Veronika papp pál Miheller Department of Surgery Transplantation and GastroenterologySemmelweis UniversityBudapest 1082Hungary

Gastric cystica profunda(GCp)is an uncommon but underestimated gastric *** precancerous potential determines its *** addition to previous mucosa injury due to operations,biopsy or polypectomy,chronic active and atrophic gastritis may also lead to the development of *** carefully examining the stomach and taking biopsy samples from the susceptible regions,the stage of atrophy can be *** atrophic gastritis is a risk factor for cancer evolvement and it can also contribute to GCps *** frequently occur close to early gastric cancers(EGCs)or EGC can arise from the cystic *** resection is an effective and minimally invasive treat-ment in GCp.

关键词： Gastric cystica profunda Chronic active gastritis Atrophic gastritis Operative Link for Gastritis Assessment staging Early gastric cancer Endoscopic resection

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