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review of Maternal deaths over 3 and a Half Years at the Kara University Hospital Center, Northern Togo: About 65 Cases

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 682-692页

作者： Logbo-Akey Kossi Edem dédé régine diane Ajavon Kambote Yendoubé Tenete Assiaham douaguibe Banguilane Agoro Sibabe Aboubakari Abdoul-Samadou dé partement de Gyn&#233cologie-Obst&#233trique Universit&#233 de Kara Kara Togo Hopital Mè re-Enfat SOS Kara Kara Togo dé partement de Gyn&#233cologie-Obst&#233trique Universit&#233 de Lom&#233 Lom&#233 Togo direction ré gionale de la sant&#233 Kara Togo

Objective: To analyze maternal deaths, identify causes and dysfunctions leading to these deaths in order to contribute to the implementation of strategies to reduce maternal mortality at CHU Kara. Method: Cross-sectional descriptive study involving 65 cases of maternal deaths recorded at CHU-Kara from January 1, 2018 to June 30, 2021. results: Our study focused on 65 cases of maternal deaths recorded at the maternity ward of CHU-Kara. The average age was 30 years, with a range of 15 to 45 years. They were mostly housewives (52.3%), uneducated (38.5%), multiparous (41.5%), and referred (86.2%). The causes were mainly direct obstetric causes (81.54%), with preeclampsia and its complications (28.30%) and immediate postpartum hemorrhage (20.75%) being the most common. However, uterine rupture (20.5%) and post-abortion sepsis (16.4%) were the most lethal etiologies. delayed evacuation (46.43%), inadequate transportation (91%), and insufficient prenatal care (72.31%) were the dysfunctions before referral. Within the CHU Kara, delays in management (58.46%), unavailability of blood and labile products (18%), and insufficient monitoring were the dysfunctions identified. Ninety-five point four percent (95.4%) of the deaths were preventable. Conclusion: The magnitude of intrahospital maternal deaths, the various dysfunctions observed in the occurrence of maternal deaths before referral/evacuation and within the hospital highlight the importance of effectively implementing recommendations from audits in the fight against maternal mortality. The majority of the deaths were preventable (95.38%).

关键词： review of Maternal deaths CHU Kara Togo

Hybrid LES/rANS Simulations of Compressible Flow in a Linear Cascade of Flat Blade Profiles

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Journal of Thermal Science 2024年第5期33卷 1839-1850页

作者： Jaromír PrIHOdA Petr STrAKA david SIMUrdA Petr SIdLOF Jan LEPICOVSKY Institute of Thermomechanics of the Czech Academy of Sciences Dolejskova 1402/518200 Prague 5Czech Republic Aerospace research and Test Centre Beranovych 13019905 PragueCzech Republic Technical University of Liberec Faculty of MechatronicsStudentska 246117 Liberec 1Czech Republic

The paper reports on 3d numerical simulations of unsteady compressible airflow in a blade cascade consisting of flat profiles using a hybrid LES/rANS approach including a transition *** a first step towards simulation of blade flutter in turbomachinery,various incidence angle offsets of the middle blade were *** simulations were run for the flow regime characterized by outlet isentropic Mach number M_(is)=0.5and zero *** results of the LES/rANS simulations(pressure and Mach number distributions)were compared to a baseline rANS model,and to experimental data measured in a high-speed wind *** numerical results show that both methods overpredict flow separation taking place at the leading *** this regard,the hybrid LES/rANS method does not provide superior results compared to the traditional rANS ***,the LES/rANS results also capture vortex shedding from the blunt trailing *** frequency of the trailing edge vortex shedding in CFd simulations matches perfectly the spectral peak recorded during wind tunnel measurements.

关键词： numerical simulation blade cascade hybrid LES/rANS

does a large prostate size,small lesion volume,or long needle distance from the probe to the lesion reduce magnetic resonance imaging–targeted cancer detection?

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Current Urology 2024年第2期18卷 144-147页

作者： Mark d.Bevill Justin N.drobish Kevin J.Flynn Maheen rajput Catherine Metz Chad r.Tracy Paul T.Gellhaus department of Urology University of Iowa Carver College of MedicineIowa CityIAUSA department of radiology University of Iowa Carver College of MedicineIowa CityIAUSA

Background:We aimed to evaluate whether large prostate size,small lesion volume,or long lesion distance from the ultrasound probe tip would decrease cancer detection in transrectal magnetic resonance imaging(MrI)–targeted *** and methods:Patients who underwent MrI-targeted biopsy at our institution between May 2017 and August 2019 were enrolled in a prospective *** to 5 cores were obtained from≥2 prostate imaging reporting and data system v2 lesions.A multivariable model was created that included needle distance to the lesion,prostate specific antigen,prostate imaging reporting and data system,lesion volume,and prostate ***:A total of 377 patients with 533 lesions underwent a biopsy during the study period.A total of 233(44%)lesions were positive for prostate cancer,and 173(32%)lesions had clinically significant prostate *** mean needle distance to the lesion was 11.7mm(interquartile range,7.6–15.5mm).The likelihood of obtaining a positive core on biopsy decreased as the distance fromthe ultrasound probe increased for all prostate cancers and clinically significant prostate cancer(p=0.018 and p=0.004,respectively).Every 10mmfrom the rectum,there was an 8%–10%decrease in the rate of cancer ***,as the prostate volume increased,the odds of obtaining a positive core also decreased(p=0.039).There was no significant association between the lesion size and amount of cancer obtained on ***:Our data showed that transrectal MrI-targeted biopsy cancer detection modestly decreased the lesion from the ultrasound probe and with a large prostate volume but could not prove that lesion volume was a significant predictor of the amount of cancer detected.

关键词： Prostate cancer Biopsy Magnetic resonance imaging

Multi-objective method of selecting performance-based local climatic zones using binomial logistic regression in warm and humid climate

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Frontiers of Architectural research 2024年第1期13卷 184-200页

作者： G.r.Madhavan dorairaj Kannamma department of Architecture National Institute of TechnologyTiruchirappalliTamil Nadu 620015India

Urban agglomeration is a serious concern due to its high energy usage and impact on the local *** countries strive to determine the development path to optimize energy *** present study aims to examine the local climatic zones(LCZs)performance in warm and humid climate through a multi-objective approach for the residential *** performance is assessed by evaluating the urban microclimate and cooling load consumption for both summer and winter months using binomial logistic *** study concludes that LCZ 2_(3)(compact mid-rise with open low-rise)and LCZ 6_(B)(open low-rise with scattered trees)perform better for 80%and 50%of total hours in warm and humid *** also proves the presence of significant performance differences between mid-rise and low-rise *** intra-zonal differences between the climatic variables are higher than the inter-zonal differences due to the impact of land surface temperature(LST).The high aspect ratio and low sky view factor of LCZ 2_(3) help the residents in that morphology in enhancing better thermal comfort and reducing cooling load *** present study contributes to building regulation policymakers by providing information on the suitable morphology for warm and humid climate.

关键词： LCZ Outdoor thermal comfort Cooling load LST and urban morphology indicators

The future is frozen:cryogenic CMOS for high-performance computing

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Chip 2024年第1期3卷 43-54页

作者： r.Saligram A.raychowdhury Suman datta School of Electrical and Computer Engineering Georgia Institute of TechnologyAtlantaUSA

Low temperature complementary metal oxide semiconductor(CMOS)or cryogenic CMOS is a promising avenue for the continuation of Moore’s law while serving the needs of high performance *** temperature as a control“knob”to steepen the subthreshold slope behavior of CMOS devices,the supply voltage of operation can be reduced with no impact on operating *** the optimal threshold voltage engineering,the device ON current can be further enhanced,translating to higher *** this article,the experimentally calibrated data was adopted to tune the threshold voltage and investigated the power performance area of cryogenic CMOS at device,circuit and system *** also presented results from measurement and analysis of functional memory chips fabricated in 28 nm bulk CMOS and 22 nm fully depleted silicon on insulator(FdSOI)operating at cryogenic ***,the challenges and opportunities in the further development and deployment of such systems were discussed.

关键词： Cryogenic CMOS design technology co-optimization High performance computing Parameter variation Threshold voltage engineering Cryogenic Memories Interconnects

Comparing Fine-Tuning, Zero and Few-Shot Strategies with Large Language Models in Hate Speech detection in English

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Computer Modeling in Engineering & Sciences 2024年第9期140卷 2849-2868页

作者： ronghao Pan JoséAntonio García-díaz rafael Valencia-García departamento de Informática y Sistemas Universidad de MurciaCampus de EspinardoMurcia30100Spain

Large Language Models(LLMs)are increasingly demonstrating their ability to understand natural language and solve complex tasks,especially through text *** of the relevant capabilities is contextual learning,which involves the ability to receive instructions in natural language or task demonstrations to generate expected outputs for test instances without the need for additional training or gradient *** recent years,the popularity of social networking has provided a medium through which some users can engage in offensive and harmful online *** this study,we investigate the ability of different LLMs,ranging from zero-shot and few-shot learning to *** experiments show that LLMs can identify sexist and hateful online texts using zero-shot and few-shot approaches through information ***,it is found that the encoder-decoder model called Zephyr achieves the best results with the fine-tuning approach,scoring 86.811%on the Explainable detection of Online Sexism(EdOS)test-set and 57.453%on the Multilingual detection of Hate Speech Against Immigrants and Women in Twitter(HatEval)***,it is confirmed that the evaluated models perform well in hate text detection,as they beat the best result in the HatEval task *** error analysis shows that contextual learning had difficulty distinguishing between types of hate speech and figurative ***,the fine-tuned approach tends to produce many false positives.

关键词： Hate speech detection zero-shot few-shot fine-tuning natural language processing

On Multi-Granulation rough Sets with Its Applications

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Computers, Materials & Continua 2024年第4期79卷 1025-1038页

作者： radwan Abu-Gdairi r.Mareay M.Badr department of Mathematics Faculty of ScienceZarqa UniversityZarqa13132Jordan department of Mathematics Faculty of ScienceKafrelsheikh UniversityKafrelsheikh33516Egypt department of Mathematics Faculty of ScienceNew Valley UniversityEl Kharga72713Egypt

recently,much interest has been given tomulti-granulation rough sets (MGrS), and various types ofMGrSmodelshave been developed from different viewpoints. In this paper, we introduce two techniques for the classificationof MGrS. Firstly, we generate multi-topologies from multi-relations defined in the universe. Hence, a novelapproximation space is established by leveraging the underlying topological structure. The characteristics of thenewly proposed approximation space are *** introduce an algorithmfor the reduction ***, a new approach for the classification ofMGrS based on neighborhood concepts is introduced. Finally, areal-life application from medical records is introduced via our approach to the classification of MGrS.

关键词： Multi-granulation rough sets data classifications information systems interior operators closure operators approximation structures

Autonomous Vehicle Platoons In Urban road Networks:A Joint distributed reinforcement Learning and Model Predictive Control Approach

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IEEE/CAA Journal of Automatica Sinica 2024年第1期11卷 141-156页

作者： Luigi d’Alfonso Francesco Giannini Giuseppe Franzè Giuseppe Fedele Francesco Pupo Giancarlo Fortino IEEE the department of Computer Engineering ModelingElectronics and SystemsUniversitàdella CalabriaVia Pietro BucciCubo 42-CRende(CS)87036Italy the department of Mechanical Engineering Energy Engineering and ManagementUniversitàdella CalabriaVia Pietro BucciCubo 42-CRende(CS)87036Italy

In this paper, platoons of autonomous vehicles operating in urban road networks are considered. From a methodological point of view, the problem of interest consists of formally characterizing vehicle state trajectory tubes by means of routing decisions complying with traffic congestion criteria. To this end, a novel distributed control architecture is conceived by taking advantage of two methodologies: deep reinforcement learning and model predictive control. On one hand, the routing decisions are obtained by using a distributed reinforcement learning algorithm that exploits available traffic data at each road junction. On the other hand, a bank of model predictive controllers is in charge of computing the more adequate control action for each involved vehicle. Such tasks are here combined into a single framework:the deep reinforcement learning output(action) is translated into a set-point to be tracked by the model predictive controller;conversely, the current vehicle position, resulting from the application of the control move, is exploited by the deep reinforcement learning unit for improving its reliability. The main novelty of the proposed solution lies in its hybrid nature: on one hand it fully exploits deep reinforcement learning capabilities for decisionmaking purposes;on the other hand, time-varying hard constraints are always satisfied during the dynamical platoon evolution imposed by the computed routing decisions. To efficiently evaluate the performance of the proposed control architecture, a co-design procedure, involving the SUMO and MATLAB platforms, is implemented so that complex operating environments can be used, and the information coming from road maps(links,junctions, obstacles, semaphores, etc.) and vehicle state trajectories can be shared and exchanged. Finally by considering as operating scenario a real entire city block and a platoon of eleven vehicles described by double-integrator models, several simulations have been performed with the a

关键词： distributed model predictive control distributed reinforcement learning routing decisions urban road networks

Image Splicing Forgery detection Using Feature-Based of Sonine Functions and deep Features

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Computers, Materials & Continua 2024年第1期78卷 795-810页

作者： Ala’a r.Al-Shamasneh rabha W.Ibrahim department of Computer Science College of Computer&Information SciencesPrince Sultan UniversityRiyadh11586Saudi Arabia department of Computer Science and Mathematics Lebanese American UniversityBeirut11022801Lebanon department of Mathematics Mathematics Research CenterNear East UniversityNicosia99138Turkey Information and Communication Technology research Group Scientific Research CenterAlayen UniversityDhi Qar64001Iraq

The growing prevalence of fake images on the Internet and social media makes image integrity verification a crucial research *** of the most popular methods for manipulating digital images is image splicing,which involves copying a specific area from one image and pasting it into *** were made to mitigate the effects of image splicing,which continues to be a significant research *** study proposes a new splicing detectionmodel,combining Sonine functions-derived convex-based features and deep *** stages make up the proposed *** first step entails feature extraction,then classification using the“support vector machine”(SVM)to differentiate authentic and spliced *** proposed Sonine functions-based feature extraction model reveals the spliced texture details by extracting some clues about the probability of image *** proposed model achieved an accuracy of 98.93% when tested with the CASIA V2.0 dataset“Chinese Academy of Sciences,Institute of Automation”which is a publicly available dataset for forgery *** experimental results show that,for image splicing forgery detection,the proposed Sonine functions-derived convex-based features and deep features outperform state-of-the-art techniques in terms of accuracy,precision,and ***,the obtained detection accuracy attests to the benefit of using the Sonine functions alongside deep feature *** the regions or locations where image tampering has taken place is limited by the *** research will need to look into advanced image analysis techniques that can offer a higher degree of accuracy in identifying and localizing tampering regions.

关键词： Image forgery image splicing deep learning Sonine functions