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Operationalizing Adolescent Health Services at Primary Health Care Level in India: Processes, Challenges and Outputs

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Health 2017年第1期9卷 1-13页

作者： Beena Nitin Joshi Sanjay Laxman Chauhan Ragini Nitin Kulkarni Babita Kamlapurkar rajesh mehta Department of Operational Research National Institute for Research in Reproductive Health (ICMR) Mumbai India Department of Operational and Clinical Research National Institute for Research in Reproductive Health (ICMR) Mumbai India Health and Family Welfare Bureau Government of Maharashtra Pune India Child and Adolescent Health WHO SEARO Office New Delhi India

Background: Ministry of Health, Government of India developed the Adolescent Reproductive and Sexual Health (ARSH) strategy and operationalized adolescent health services up to district and sub-district hospital level. Objectives: To operationalize adolescent health services at primary health care level in a block of Maharashtra;assess impact of need based interventions on quality of services;and understand potential for scalability in the state. Methods: Adolescent and Youth friendly centers were established at primary health care settings and interventions such as health system strengthening, sensitizing gatekeepers, involving Accredited Social Health Activist (ASHAs), developing inter and intra-sectoral linkages, improving monitoring and evaluation were tested. Results: Over a period of 2009-2014, there was a steady increase in the number of clients attending the Adolescent and Youth Friendly Health Centers (A&YFHCs). Attitude of providers to address adolescents’ needs improved significantly. Successful interventions were networking with schools, colleges and Non Government Organization (NGOs), linkages with HIV program and Integrated Child Development Services (ICDS), and involvement of ASHAs. Conclusions: The study demonstrates that although health system has the primary responsibility of addressing health issues among adolescents;it has limitations in terms of its reach to adolescents and generating demand for services. There is a need to network with education sector, ICDS, NGOs working for adolescent health and development to work as a team and address the multifaceted needs of the adolescents. Such a strategy will be crucial while implementing the recently launched Rashtriya Kishor Swasthya Karyakram— the new national adolescent health programme in India.

关键词： Adolescent Sexual and Reproductive Health Adolescent and Youth Friendly Health Services Quality of Care Standards Linkages

2P3FL:A Novel Approach for Privacy Preserving in Financial Sectors Using Flower Federated Learning

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Computer Modeling in Engineering & Sciences 2024年第8期140卷 2035-2051页

作者： Sandeep Dasari rajesh Kaluri School of Computer Science Engineering and Information Systems Vellore Institute of TechnologyVellore632014India

The increasing data pool in finance sectors forces machine learning(ML)to step into new *** data has significant financial implications and is *** users data from several organizations for various banking services may result in various intrusions and privacy *** a result,this study employs federated learning(FL)using a flower paradigm to preserve each organization’s privacy while collaborating to build a robust shared global ***,diverse data distributions in the collaborative training process might result in inadequate model learning and a lack of *** address this issue,the present paper proposes the imple-mentation of Federated Averaging(FedAvg)and Federated Proximal(FedProx)methods in the flower framework,which take advantage of the data locality while training and guaranteeing global *** improves the privacy of the local *** analysis used the credit card and Canadian Institute for Cybersecurity Intrusion Detection Evaluation(CICIDS)***,recall,and accuracy as performance indicators to show the efficacy of the proposed strategy using FedAvg and *** experimental findings suggest that the proposed approach helps to safely use banking data from diverse sources to enhance customer banking services by obtaining accuracy of 99.55%and 83.72%for FedAvg and 99.57%,and 84.63%for FedProx.

关键词： Federated learning FedAvg FedProx flower framework privacy preservation financial sectors

Traffic Engineering and Quality of Service in Hybrid Software Defined Networks

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China Communications 2024年第2期21卷 96-121页

作者： Samiullah Mehraban rajesh Kumar Yadav IOT Lab Department of Computer Science&EngineeringDelhi Technological UniversityDelhi 110042India

For Future networks, many research projects have proposed different architectures around the globe;Software Defined Network(SDN) architectures, through separating Data and Control Layers, offer a crucial structure for it. With a worldwide view and centralized Control, the SDN network provides flexible and reliable network management that improves network throughput and increases link utilization. In addition, it supports an innovative flow scheduling system to help advance Traffic Engineering(TE). For Medium and large-scale networks migrating directly from a legacy network to an SDN Network seems more complicated & even impossible, as there are High potential challenges, including technical, financial, security, shortage of standards, and quality of service degradation challenges. These challenges cause the birth and pave the ground for Hybrid SDN networks, where SDN devices coexist with traditional network devices. This study explores a Hybrid SDN network’s Traffic Engineering and Quality of Services Issues. Quality of service is described by network characteristics such as latency, jitter, loss, bandwidth,and network link utilization, using industry standards and mechanisms in a Hybrid SDN Network. We have organized the related studies in a way that the Quality of Service may gain the most benefit from the concept of Hybrid SDN networks using different algorithms and mechanisms: Deep Reinforcement Learning(DRL), Heuristic algorithm, K path partition algorithm, Genetic algorithm, SOTE algorithm, ROAR method, and Routing Optimization with different optimization mechanisms that help to ensure high-quality performance in a Hybrid SDN Network.

关键词： DRL hSDN QoE QoS SDN TE

Performance of Bacillus tropicus on Mechanical,Durable and Crack Remediation Properties in Sustainable Vermiculite Concrete

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Journal of Bionic Engineering 2024年第4期21卷 1987-1999页

作者： Anbazhagan rajesh Venkatesh Sri Hariny Arunachalam Sumathi School of Civil Engineering SASTRA Deemed to be UniversityThirumalaisamudramThanjavurTamilnadu613401India

Sustainable cement-based concrete materials are primarily used for construction,among which vermiculite as lightweight fine aggregate gains more future development ***,a bacterial solution was sprayed over vermiculite and wrapped using calcium sulphoaluminate(CSA)cement to replace with fine aggregate in ***,based on a preliminary test on compressive strength results,10%of Ground Granulated Blast Furnace Slag(GGBS)and a healing solution proportion of 9:1 was selected for preparing self-healing *** fine aggregate was replaced in concrete using vermiculite in 0%,5%,10%and 15%and the findings suggest that bacterial vermiculite replacement should be at most 5%to achieve better results in strength and durable *** strength enhancement observed for compressive strength,strength regain,split tensile strength,flexural strength,and ultrasonic pulse velocity were 29.22%,45.5%,34.02%,28.03%and 41.4%*** crack healing at 7,14 and 28 days of BIVC was 38.23%,58.82%and 79.41%,which is 3–4%lower than internal crack *** analysis by Scanning Electron Microscopy(SEM),X-Ray Diffractometer(XRD),and Energy Dispersive Spectroscopy(EDS)reveals the existence of calcite,and it was formed due to the bio-mineral action of bacteria with available nutrients in sustainable concrete.

关键词： Bacillus tropicus Vermiculite Ground granulated blast furnace slag Mechanical properties Durable properties Crack healing Microstructural characterization

Dual PPAR delta/gamma agonist offer therapeutic potential for Alzheimer's disease

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Neural Regeneration Research 2024年第6期19卷 1175-1176页

作者： Ian Steinke Meenakshi Singh rajesh Amin Department of Drug Discovery and Development Auburn UniversityAuburn AlabamaALUSA

The increasing incidence of Alzheimer's disease(AD)in the aging population,indicates the critical need for the development of novel targeted molecular therapies for ameliorating AD ***,clinical and preclinical evidence demonstrates that peroxisomal proliferator activating receptors(PPAR)agonists regulate energy and lipid homeostasis in models of diabetes,as well as improve spatial memory in animal models of AD(Khan et al.,2019).

关键词： Alzheimer clinical homeostasis

Effective data transmission through energy-efficient clustering and Fuzzy-Based IDS routing approach in WSNs

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虚拟现实与智能硬件（中英文） 2024年第1期6卷 1-16页

作者： Saziya TABBASSUM rajesh Kumar PATHAK Research Scholar Department of Computer ScienceOPJS University ChuruSadulpurRajasthan 331303India Vice Chancellor OPJS University ChuruSadulpurRajasthan 331303India

Wireless sensor networks(WSN)gather information and sense information samples in a certain region and communicate these readings to a base station(BS).Energy efficiency is considered a major design issue in the WSNs,and can be addressed using clustering and routing *** is sent from the source to the BS via routing ***,these routing protocols must ensure that packets are delivered securely,guaranteeing that neither adversaries nor unauthentic individuals have access to the sent *** data transfer is intended to protect the data from illegal access,damage,or ***,in the proposed model,secure data transmission is developed in an energy-effective manner.A low-energy adaptive clustering hierarchy(LEACH)is developed to efficiently transfer the *** the intrusion detection systems(IDS),Fuzzy logic and artificial neural networks(ANNs)are ***,the nodes were randomly placed in the network and initialized to gather *** ensure fair energy dissipation between the nodes,LEACH randomly chooses cluster heads(CHs)and allocates this role to the various nodes based on a round-robin management *** intrusion-detection procedure was then utilized to determine whether intruders were present in the *** the WSN,a Fuzzy interference rule was utilized to distinguish the malicious nodes from legal ***,an ANN was employed to distinguish the harmful nodes from suspicious *** effectiveness of the proposed approach was validated using metrics that attained 97%accuracy,97%specificity,and 97%sensitivity of 95%.Thus,it was proved that the LEACH and Fuzzy-based IDS approaches are the best choices for securing data transmission in an energy-efficient manner.

关键词： Low energy adaptive clustering hierarchy(LEACH) Intrusion detection system(IDS) Wireless sensor network(WSN) Fuzzy logic and artificial neural network(ANN)

Effect of in ovo feeding of xylobiose and xylotriose on plasma immunoglobulin, cecal metabolites production, microbial ecology, and metabolic pathways in broiler chickens

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Journal of Animal Science and Biotechnology 2024年第4期15卷 1578-1589页

作者： Razib Das Pravin Mishra Birendra Mishra rajesh Jha Department of Human Nutrition Food and Animal SciencesCollege of Tropical Agriculture and Human ResourcesUniversity of Hawaii at ManoaHonoluluHI 96822USA

Background Dietary supplementation of xylooligosac charides(XOS) has been found to influence gut health by manipulating cecal microbiota and producing microbe-origin *** no study investigated and compared the effect of in ovo feeding of xylobiose(XOS2) and xy lotriose(XOS3) in *** study investigated the effect of in ovo feeding of these XOS compounds on post-hatch gut health parameters in chickens.A total of 144 fertilized chicken eggs were divided into three groups:a) non-injected control(CON),b) XOS2,and c) *** the 17^(th) embryonic day,the eggs of the XOS2 and XOS3 groups were injected with 3 mg of XOS2 and XOS3 diluted in 0.5 mL of 0.85% normal saline through the amniotic *** hatching,the chicks were raised for 21 *** was collected on d 14 to measure plasma *** digests were collected for measuring short-chain fatty acids(SCFA) on d 14 and 21,and for microbial ecology and microbial metabolic pathway analyses on d 7 and *** The results were considered significantly different at P<*** quantified plasma IgA and IgG on d 14chickens,revealing no differences among the *** chromatography results showed no significant differences in the concentrations of cecal SCFAs on d 14 but significant differences on d ***;the SCFA concentrations were lower in the XOS3 than in the CON group on d *** cecal metagenomics data showed that the abundance of the family Clostridiaceae significantly decreased on d 7,and the abundance of the family Oscillospiraceae increased on d 21 in the XOS2 compared to the *** was a reduction in the relative abundance of genus Clostridium sense stricto 1 in the XOS2 compared to the CON on d 7 and the genus Ruminococcus,torques in both XOS2 and XOS3 groups compared to the CON on d *** XOS2 and XOS3 groups reduced the genes for chondroitin sulfate degradation Ⅰ and L-histidine degradation Ⅰpathways,which contribute to improved gut health,respectivelyc in the micr

关键词： Broiler In ovo Metagenomics Prebiotic Xylooligosaccharides

Longitudinally extensive transverse myelitis associated with scrub typhus:A case report

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Asian Pacific Journal of Tropical Medicine 2024年第8期17卷 375-378页

作者： Amit Kumar rajesh Chetiwal Shweta Tanwar Department of Medicine ESIC Postgraduate Institute of Medical Sciences and ResearchBasaidarapurNew DelhiIndia Indian Council of Medical Research New DelhiIndia

Rationale:Longitudinally extensive transverse myelitis(LETM)is a rare inflammatory demyelinating disease predominantly associated with autoimmune and inflammatory *** typhus can cause a variety of neurological complications,which may result in poor recovery and long-term *** report reveals a rare linkage between LETM and scrub *** concerns:A 24-year-old female presented with a history of fever for 10 days associated with progressive *** examination revealed bilateral lower limb weakness(grade 0/5)and bilateral upper limb weakness(grade 2/5)with reduced sensation below the T3 ***:Scrub typhus presenting with longitudinally extensive transverse ***:Steroid pulse therapy with antibiotics supported by early intensive ***:Complete recovery was ***:This case report highlights the importance of considering scrub typhus as a potential cause of LETM in endemic regions,particularly in patients presenting with febrile illness and neurological symptoms.

关键词： Longitudinally extensive transverse myelitis Scrub typhus Orientia tsutsugamushi Case report

The Impact of Heat Treatment and Surface Treatment on Thermal Conductivity of Heat Sinks Made of Aluminium Die Casting Alloys

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Journal of Harbin Institute of Technology(New Series) 2024年第4期31卷 34-41页

作者： rajesh Kumar Manickam Dilip Raja Narayana Department of Mechanical Engineering Vel Tech Rangarajan Dr.Sagunthala R&D Institute of Science and TechnologyChennai 600001Tamil NaduIndia

This research contributes to understand the thermal management capabilities of Plate Fin Heat Sinks(PFHS)fabricated from *** uniqueness in this study is that the heat sinks were exposed to abrasive blasting,heat treatment,and graphene coating,and a full evaluation of the influence of the aforementioned treatments on the thermal management capacities of PFHS was *** PFHS is compared with 1)abrasive blasted and graphene coated heat sink,and 2)heat treated and graphene coated heat *** assess the thermal efficiency of the PFHS variants,a dedicated experimental set up was meticulously *** is noteworthy that a junction temperature of 60℃was assumed as the reference point for the *** results revealed that the charging cycle time which denotes the time required attaining the junction temperature,increased 1.3 times for the sample being abrasive-blasted at 0.5 MPa pressure and graphene-coated for 0.5 mm when the maximum heat input of 45 W is *** low heat input of 15 W is evaluated,the results revealed that there is no significant difference in charging cycle when compared to the untreated heat *** charging cycle time increased 2 times for the sample which is heat-treated at 450℃and graphene-coated for 0.5 mm at heat input of 15 *** finding unequivocally underscores the heightened capacity of the heat treated and graphene coated PFHS made of AlSi10Mg to withstand elevated junction temperatures.

关键词： PFHS abrasive blasting heat treatment graphene