Determinants of Home Deliveries by Pregnant Mothers in Lumbo Chabbobboma Zone of Gwembe District in Zambia

Background: Home deliveries is still high globally at 42% WHO 2022, due to high home deliveries, maternal death is also high at 43% globally. In sub-Sahara region home deliveries still high. Giving birth at health facilities in most of sub-Saharan African countries Zambia inclusive is still a challenge whereby more than 51% of first-time mothers give birth at home and this gives a risk of high maternal and perinatal deaths. Therefore Reducing number of home deliveries is important to improve maternal and perinatal health issues. In this study, the aim was to investigate the determinants of home deliveries by pregnant mothers in the Luumbo zone of Gwembe district, Zambia. Purpose: Access to skilled care and facilities with capacity to provide emergency and newborn care is critical to reduce maternal death. In Zambia 42% of women still deliveries from home, suggesting a persistent challenge for women to seek, reach, and receive quality maternity care. This study aimed investigate the determinants of home deliveries by pregnant mothers in Luumbo zone of Gwembe district, Zambia. Methods: The study was conducted among postnatal mothers who came for postnatal care at 6 weeks in Luumbo Chabbobboma clinic in Gwembe district southern province of Zambia. This was a descriptive cross-sectional study where a Simple random sampling technique was used to select 105 women of childbearing age who attended postnatal and had a recent delivery. Data were collected using a researcher-administered structured questionnaire to identify determinants of home deliveries in Luumbo Chabbobboma zone. Data analysis was done using SPSS computer software version 27.0. Both descriptive and inferential (chi-square test) analyses were performed and statistical significance was taken at α ≤ 0.05. Results: The results show that 46 (43.8%) respondents were in the age bracket 20 - 29 years. Of the 105 respondents included in the study, 24 (22.9%) of them delivered from home. The results show that high maternal age (p = 0.03), occupation (p = 0.024), distance to the facility (p = 0.014), means of transportation (p = 0.023), multiparity (p = 0.01), timing and number of ANC visits (p Conclusion: From this population. The major reason why women still deliver at home was long distance to the nearest facility. To reduce maternal and perinatal mortality access to health facilities by pregnant women needs to be improved. There should also be active engagement of the traditional and religious institutions in the area.

基于NodeMCU和Home Assistant的智能家居控制系统

为了提高家居生活的舒适性和便利性,开发了一套智能家居控制系统。该系统采用节点微控制单元(NodeMCU)作为基础硬件,负责收集传感器数据并操控相关执行器件。同时,该系统利用消息队列遥测传输协议(MQTT)和WiˉFi技术构建数据传输链路。此外,该系统利用开源的Home Assistant系统建立了后台服务端,以实现数据的图形化展示。用户可通过安卓移动设备实时监控家居环境状况,并对智能设备实施控制。该系统经过严格测试,表现稳定,显著提高了家居环境的智能化程度。

Efficient and Secure IoT Based Smart Home Automation Using Multi-Model Learning and Blockchain Technology

The concept of smart houses has grown in prominence in recent years.Major challenges linked to smart homes are identification theft,data safety,automated decision-making for IoT-based devices,and the security of the device itself.Current home automation systems try to address these issues but there is still an urgent need for a dependable and secure smart home solution that includes automatic decision-making systems and methodical features.This paper proposes a smart home system based on ensemble learning of random forest(RF)and convolutional neural networks(CNN)for programmed decision-making tasks,such as categorizing gadgets as“OFF”or“ON”based on their normal routine in homes.We have integrated emerging blockchain technology to provide secure,decentralized,and trustworthy authentication and recognition of IoT devices.Our system consists of a 5V relay circuit,various sensors,and a Raspberry Pi server and database for managing devices.We have also developed an Android app that communicates with the server interface through an HTTP web interface and an Apache server.The feasibility and efficacy of the proposed smart home automation system have been evaluated in both laboratory and real-time settings.It is essential to use inexpensive,scalable,and readily available components and technologies in smart home automation systems.Additionally,we must incorporate a comprehensive security and privacy-centric design that emphasizes risk assessments,such as cyberattacks,hardware security,and other cyber threats.The trial results support the proposed system and demonstrate its potential for use in everyday life.

Informing policy makers in developing countries:Practices and limitations of geriatric home medication review in Malaysia-A qualitative inquiry

Objective:To explore existing practices and challenges in the delivery of geriatric home medication review(HMR).The study was part of a larger study aimed to offer solution to expand the range of geriatric HMR.Methods:This study employed qualitative exploratory design through semi-structured individual in-depth interviews with the public pharmacists involved in the delivery of geriatric HMR at public hospitals.The purpose of the interviews was to explore challenges faced by them in the delivery of geriatric HMR.Results:Based on the emerging themes from the qualitative data,the study reveals that geriatric HMR in Malaysia is integrated as part of multidisciplinary home care visits,encompassing a diverse patient population with various healthcare needs.However,it faces challenges such as the lack of outcome monitoring,formal training,and workforce constraints.Despite these hurdles,there is a pressing need for the expansion of this service to better serve the community,and collaboration with community pharmacists holds potential to broaden its scope.Ultimately,the findings suggest that pharmacist-led HMR is both warranted and feasible within the Malaysian healthcare context.In order to optimize medicine-use among older people living in the community,approaches for expanding geriatric HMR services in Malaysia must be developed.Conclusions:This study holds profound implications as it attempts to illuminate policy makers in developing countries,enabling them to formulate effective HMR plans.By considering the challenges highlighted within this research,policy makers can design a comprehensive HMR service that caters adeptly to the healthcare needs of the mass population.

Which Neighborhoods Have Easier Access to Online Home Delivery Services?A Spatiotemporal Accessibility Analysis in Nanjing,China

The rise in online home delivery services(OHDS)has had a significant impact on how urban services are supplied and used in recent years.Studies on the spatial accessibility of OHDS are emerging,but few is known about the temporal dimension of OHDS accessibility as well as the geographic and socioeconomic differences in the spatiotemporal accessibility of OHDS.This study measures the spatiotemporal accessibility of four types of OHDS,namely leisure,fresh and convenient,medical,and catering services.The geographic and socioeconomic disparities in the spatiotemporal accessibility of these four types of OHDS are then identified using spatial statistical methods and the Kruskal-Wallis test(K-W test).The case study in Nanjing,China,suggests that:1)spatiotemporal accessibility better reflects the temporal variation of OHDS accessibility and avoids overestimation of OHDS accessibility when only considering its spatial dimension.2)The spatiotemporal accessibility of OHDS varies geographically and socioeconomically.Neighborhoods located in the main city or neighborhoods with higher housing prices,higher population density,and higher point of interest(POI)mix have better OHDS spatiotemporal accessibility.Our study contributes to the understanding of OHDS accessibility from a spatiotemporal perspective,and the empirical insights can assist policymakers in creating intervention plans that take into account variations in OHDS spatiotemporal accessibility.

LSTM Based Neural Network Model for Anomaly Event Detection in Care-Independent Smart Homes

This study introduces a long-short-term memory(LSTM)-based neural network model developed for detecting anomaly events in care-independent smart homes,focusing on the critical application of elderly fall detection.It balances the dataset using the Synthetic Minority Over-sampling Technique(SMOTE),effectively neutralizing bias to address the challenge of unbalanced datasets prevalent in time-series classification tasks.The proposed LSTM model is trained on the enriched dataset,capturing the temporal dependencies essential for anomaly recognition.The model demonstrated a significant improvement in anomaly detection,with an accuracy of 84%.The results,detailed in the comprehensive classification and confusion matrices,showed the model’s proficiency in distinguishing between normal activities and falls.This study contributes to the advancement of smart home safety,presenting a robust framework for real-time anomaly monitoring.

Expérience des parents faceàl’accompagnement pédiatrique en HAD:étude exploratoire qualitative Parents’Experience of Pediatric Home Care:A Qualitative Exploratory Study

Aim:To investigate parents’experience of home care for children in oncology in order to identify the benefits,expectations,and possible difficulties associated.Material and methods:A qualitative method was adopted,with non-directive interviews conducted with nine participants,then analyzed using thematic content analysis.Results:The main recurring themes in the discourse include:(1)relief,(2)positive representation of home,(3)positive representation of home care,and(4)negative representation of home care.For these parents,home care appears to be positive overall,even though the introduction of home care is often reported as a source of stress for them.Conclusion:These results must be interpreted with caution,but they do support previous research and highlight certain recommendations for further improving this experience,particularly for parents,but also for the sick child and the family.

Improving Smart Home Security via MQTT: Maximizing Data Privacy and Device Authentication Using Elliptic Curve Cryptography

The rapid adoption of Internet of Things(IoT)technologies has introduced significant security challenges across the physical,network,and application layers,particularly with the widespread use of the Message Queue Telemetry Transport(MQTT)protocol,which,while efficient in bandwidth consumption,lacks inherent security features,making it vulnerable to various cyber threats.This research addresses these challenges by presenting a secure,lightweight communication proxy that enhances the scalability and security of MQTT-based Internet of Things(IoT)networks.The proposed solution builds upon the Dang-Scheme,a mutual authentication protocol designed explicitly for resource-constrained environments and enhances it using Elliptic Curve Cryptography(ECC).This integration significantly improves device authentication,data confidentiality,and energy efficiency,achieving an 87.68%increase in data confidentiality and up to 77.04%energy savings during publish/subscribe communications in smart homes.The Middleware Broker System dynamically manages transaction keys and session IDs,offering robust defences against common cyber threats like impersonation and brute-force attacks.Penetration testing with tools such as Hydra and Nmap further validated the system’s security,demonstrating its potential to significantly improve the security and efficiency of IoT networks while underscoring the need for ongoing research to combat emerging threats.

Rôles et vécus des pharmaciens d’officine dans les soins palliatifsàdomicile en France Role and Experience ofCommunity Pharmacists in Home Palliative Care in France

The need for home palliative care is increasing in allWestern countries.Community pharmacists are local professionals whose role in end-of-life care at home remains poorly understood.The aim of this study is to understand how community pharmacists see their role in end-of-life home care in France,and to analyze their experiences of this care.An online questionnaire was distributed to community pharmacists working in France between December 2022 and March 2023.Of the 136 respondents to the questionnaire,87%had accompanied at least one patient at the end of life in the 3 months preceding the survey.Therapeutic education(88%of respondents),psychological support for caregivers(85%of respondents),securing treatment(82%of respondents)and monitoring therapeutic compliance(80%of respondents)are the behaviors validated by the greatest number of participants.The majority of professionals surveyed had a positive overall experience of managing patients at the end of life.These results pave the way for pharmacists to better support end-of-life patients at home.

A Home Automation Control System Based on LabVIEW

The objective of this project is to explore the possibility of using X-10 and LabVIEW to control the device in the house. Based on the serial port communication of LabVIEW, the X-10 module can be programmed by using the X-10 commands. Through the power line, all the devices connected to the socket will be controlled. Without replacing the existing wire, it must be an easy control system for the user who has no experience in electronics or communication engineering. Actually, this is a quite practical X-10 home automation system.

Neuroarchitecture Analysis in the Mis Abuelitos Nursing Home in Cochachinche, Huanuco, Peru - A Secondary Publication

Neuroarchitecture is a set of characteristics grouped into principles that seek to generate a certain behavior when applied.These principles will vary according to the type of user for whom the design is intended.In this research,these neuroarchitectural principles are identified in the nursing home Mis Abuelitos in Cochachinche,Huánuco.The home was designed and built with notions of nature and the Andean while emphasizing the occupants are the elderly.With this purpose,qualitative research was carried out using two sequential criteria,the first was to identify what these principles are and the second was to recognize the principles within the area.The principles that are assertively used for the elderly occupants were selected.The study observation was performed with observation and photographic sheets and was analyzed with ATLAS.ti processing software.It was obtained that the three neuroarchitectural principles are present in the nursing home which are 67%of the recommended characteristics for the elderly.

Application of horticulture therapy as a health intervention for elderly people in nursing homes:a scoping review

Objective:To review the scope of interventional studies on horticultural therapy(HT)applied to elderly people in nursing institutions to support the efficient implementation of HT among this target group.Methods:In accordance with the scoping review framework proposed by the Joanna Briggs Institute(JBI),the Pub Med,JSTOR,Web of Science,CNKI,and Wanfang databases were searched.Data from the retrieved literature were summarized and analyzed.Results:In all,18 studies were included in this review.The target population groups of interventions included self-supporting elderly people,cognitively impaired elderly people,elderly people with negative emotions,and elderly people with frailty living in nursing institutions.HT interventions,including planting,craft activities,derivative activities,and outdoor viewing activities,are implemented indoors,outdoors,or in mixed settings.The most common duration of the intervention was 8 weeks,the most common frequency was once per week,and the most common session duration was 60 min.Conclusions:The measurements used in HT interventions included assessments of physical,psycho-mental,and social health;quality of life;and activity effects.Future studies should include partially dependent groups and completely dependent groups of elderly individuals,interventions that last at least 6 months,scientifically designed activity intensity and safety-guarantee plans,and outcomeevaluation indicators such as compliance and intervention benefits.

An Integrated Model of Smart Home Applications User Experience Based on Cognitive Dissonance

This study constructs an integrated model of user experience in smart home applications(apps)to deeply explore the impact of cognitive dissonance on users’emotional responses,subsequent behaviors,and experiential outcomes.The research emphasizes the importance of addressing emotional management in the design and development of smart home apps.The findings indicate that emotional response plays a critical mediating role in the user experience of these apps,offering new insights for further optimization.By understanding users’emotional reactions and behavioral patterns under cognitive dissonance,developers can more effectively improve interface design and enhance the overall user experience.

浅析两种家庭网络技术:HomePNA和Powerline

本文比较了两种家庭网络技术:电话线接入技术和电力线接入技术。简述了其标准规范和关键技术,分析了两种技术的优缺点,并对它们的应用前景作了展望。

An Investigative Study for Smart Home Security: Issues, Challenges and Countermeasures

Home security should be a top concern for everyone who owns or rents a home. Moreover, safe and secure residential space is the necessity of every individual as most of the family members are working. The home is left unattended for most of the day-time and home invasion crimes are at its peak as constantly monitoring of the home is difficult. Another reason for the need of home safety is specifically when the elderly person is alone or the kids are with baby-sitter and servant. Home security system i.e. HomeOS is thus applicable and desirable for resident’s safety and convenience. This will be achieved by turning your home into a smart home by intelligent remote monitoring. Smart home comes into picture for the purpose of controlling and monitoring the home. It will give you peace of mind, as you can have a close watch and stay connected anytime, anywhere. But, is common man really concerned about home security? An investigative study was done by conducting a survey to get the inputs from different people from diverse backgrounds. The main motivation behind this survey was to make people aware of advanced HomeOS and analyze their need for security. This paper also studied the necessity of HomeOS investigative study in current situation where the home burglaries are rising at an exponential rate. In order to arrive at findings and conclusions, data were analyzed. The graphical method was employed to identify the relative significance of home security. From this analysis, we can infer that the cases of having kids and aged person at home or location of home contribute significantly to the need of advanced home security system. At the end, the proposed system model with its flow and the challenges faced while implementing home security systems are also discussed.

Factors Associeted with Home Accidents in Childhood at Regional Teaching Hospital of OuéméPlateau

Introduction: Home accidents (HA) are often unknown in Benin compared to infectious pathologies. The aim of this work was to determine the prevalence and the factors associated with HA in children admitted to the CHUD-OP. Method: This was a cross-sectional study conducted from August 1st to October 31th 2021. We studied children aged 0 to 18 who presented with HA to the pediatrics and emergency reception and triage departments at CHUD-OP. We defined HA as “any event occurring inside the home or in the immediate vicinity of the home that resulted in an injury which was not done deliberately. Results: The hospital frequency of HA was 8.4% (61/725). The median age was 5 years with a male to female ratio of 1.6. Trauma was the leading cause of HA (59%) followed by poisoning (23%). Falling was the main mechanism of trauma (80.6%). The toxins causing poisoning were dominated by caustics (28.6%). The age of the children (p = 0.02), the level of education of the mothers (p , and the area they occur (kitchen with p = 0.04 and on the stairs with p = 0.03) were statistically associated with the occurrence of trauma. Conclusion: HA are common among children admitted at CHUD-OP and factors associated with HA are identified. Measures to prevent home accidents among children in the community should be considered.

Home control system based on ZigBee wireless sensor networks

A new scheme of the home control system based on ZigBee wireless sensor networks is presented. The design and development of the software and hardware of the proposed system are given. In addition to the basic data acquisition and processing functions, the gateway supports the Bluetooth-based local interface and the general packet radio service （GPRS）-based remote interface. Users on the client service side can use a pocket PC or notebook PC to achieve real-time data acquisition and control instruction implementation, or remotely control the home control system through a mobile phone by sending a short message. The Labview graphical development environment is adopted to create PDA applications running on pocket PCs and monitoring platform established on notebook PCs. Except for the gateway, other nodes in the system work in sleep mode most of the time on the system, and thus it improves the lifetime of the whole system efficiently.

英国Hospital to Home项目及其对中国养老照护服务的启示

HospitaltoHome（H2H）项目是近年来提出的一项多机构合作政策，该项目旨在通过对老年出院患者居住环境进行针对性评估、合理修整及给予信息支持等措施，使其符合老年出院患者的康复和照护需求，确保患者出院后居住环境安全，从而避免出院延迟，保证出院后康复和减少再入院，最终减少医疗资源的消耗。

Homeplug AV over Coax系统设计

设计了一种基于Homeplug AV技术利用家用同轴电缆实现家庭HFC网的双向接入设备。介绍了整个系统的设计思路,并对Homeplug AV over Coax设备进行了测试,包括衰减、设备组网、网络节点、传输帧的大小对整个系统的吞吐量、延时的影响,得出其性能要比电力线上用好得多,并对Homeplug AV over Coax的应用前景作了分析。

“家/family/home”在中西文化中的概念差异及其文化认知理据

认知社会语言学研究把语言及其幕后认知的普遍性研究转向特定社会文化语境下语言(变体)与认知的研究。本文在认知社会语言学的视角下通过概念隐喻和转喻理论来探析文化关键词"家/family/home"在汉英两种语言中的概念语义变异,并从中西方两种文化模式中寻求这一变异的根源。