Influence of Prenatal Surveillance on Maternal and Perinatal Prognosis: A Prospective Study over 6 Months at the Maternity Ward of the Owendo University Hospital (Gabon)

Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal care is necessary, which is not often the case in our context. Aim: To analyze the influence of antenatal surveillance on maternal and perinatal prognosis. Patients and Method: Preliminary longitudinal and analytical survey at the Owendo University Hospital (OHU) over 6 months. It focused on prenatal surveillance. The study population consisted of parturients who gave birth within 24 hours and we studied sociodemographic characteristics, variables related to antenatal contact, those of delivery as well as maternal and newborn outcomes. Results: 2485 deliveries were recorded and 1300 patients were retained according to the inclusion criteria. No prenatal contact (ANC0) was performed in 93 (7.15%), insufficient (ANCI) in 943 patients (72.5%), and sufficient (ANCS) in 264 patients (20.30%). Patients with low school level were significantly found when the NPC was not performed or insufficient and the same was true for the group of patients who were not employed and those who were single (p < 0.005). The caesarean section rate and perinatal mortality are high in this case. Conclusion: The quality of prenatal contact is insufficient in our context. The absence or inadequacy of the latter has a strong negative impact on maternal and perinatal morbidity and mortality.

Design of Eco-friendly Ultra-high Performance Concrete with Supplementary Cementitious Materials and Coarse Aggregate

Aiming to investigate the mix design of eco-friendly UHPC with supplementary cementitious materials and coarser aggregates, we comprehensively studied the workability, microstructure, porosity, compressive strength, flexural strength, and Young’s modulus of UHPC. Relationship between compressive strength and Young’s modulus was obtained eventually. It is found that the compressive strength, flexural strength, and Young’s modulus of UHPC increase by 19.01%, 10.81%, and 5.99%, respectively, when 40 wt% cement is replaced with supplementary cementitious materials. The relationship between compressive strength and Young’s modulus of UHPC is an exponential form.

基于Afford ance的认知错觉性设计研究

随着生活水平的不断提高,人们在基本的物质需求得到满足后,越来越重视这些"物"之本身品质和情感体验的追求。本文通过对Afford ance和认知错觉性概念理论的梳理,阐述信息社会背景下基于Afford ance的认知错觉性设计的开发意义,进而分析该类设计的两种分类途径,最后整理得出将Afford ance和认知错觉性这两种看似相互矛盾的概念融合应用于高科技化产品设计之中的方法、思路。

SPEECH ENHANCEMENT BASED ON SECOND ORDER ARCHITECTURE AND INFORMATION MAXIMIZATION THEORY

ＣＨＩＴＥＣＴＵＲＥ ＡＮＤ ＩＮＦＯＲＭＡＴＩＯＮ ＭＡＸＩＭＩＺＡＴＩＯＮ ＴＨＥＯＲＹTX＠虞晓＠胡光锐＠陈玮ＩｎｔｒｏｄｕｃｔｉｏｎＴｈｅｂｒｏａｄｕｓｅｏｆｓｐｅｅｃｈｒｅｃｏｇｎｉｔｉｏｎｄｅｍａｎｄｓｅｎ－ｈａｎｃｅｍｅｎｔｏｆｎｏｉｓｙｓｐｅ...

Influence of Velocity Overshoot Effect on High Frequency Perform- ance of AlGaAs / GaAs HBT's

The semiclassical transport equations are used to study the high frequency performance of AlGaAs / GaAs HBTs. Electron velocity overshoot effect and its influence on the cut off frequency characteristics of AlGaAs / GaAs HBTs with different collector design parameters are analyzed and discussed.

In vivo percutaneous reflectance spectroscopy of fatty liver development in rats suggests that the elevation of the scattering power is an early indicator of hepatic steatosis

This study assessed whether there was a scat tering spectral mar ker quantifiable by reflectance measurements that could indicate early development of hepatic steatosis in rats for potential applications to pre procurement organ evaluation.Sixteen rats were fed a methionine choline-deficient(MCD)diet and eight rats were fed a normal diet.Direct assessment of the liver parenchyma of rats in vivo was performed by percut aneous reflect ance spectroscopy using a single fiber probe at the beginning of diet-intake and arbitrary post-diet-intake times up to 11 weeks to render longitudinal comparison.Histological sampling of the liver over the duration of diet adm inistration was performed on two MCD diet treated rats and one control rat eutha-nized after reflectance spectroscopy measurement.The images of hematoxylin/eosin-stained liver specimens were analyzed morphometrically to evahuate the lipid size changes associated with the level of steatosis.The MCD-diet-treated group(n=16)had mild steatosis in seven rats,moderate in three rats,severe in six rats,and no other significant pathology.No control rats(n=8)developed hepatic steatosis.Among the parameters retrieved from per-SfS,only the scat tering power(can be either positive or negative)appeared to be statist ically diferent between MCD-treated and control livers.The scattering power for the 16 MCD-diet-treated livers at the time of euthanasia and presenting various levels of steatosis was 033±0.21,in comparison to 0.036±0.25 of the eight control livers(p=0.0189).When evaluated at days 12 and 13 combined,the scattering power of the 16 MCD-diet-treated livers was 032±0.17,in comparison to 0.10±0.11 of the eight control livers(p=0.0017).All of four MCD-treated livers harvested at days 12 and 13 presented mild steatosis with sub-micron size lipid droplets,even though none of the MCD-treated livers were sonogr aphically remarkable for fatty changes.The elevation of the scattering power may be a valuable marker indicating early hepatic steatosis before the steatosis is sonographically detectable.

DOX-CONJUGATED HIGH-QUALITY AgZnInS QDs FOR REVERSAL OF MULTIDRUG RESISTANCE

The synthesis of water-soluble quantum dots(QDs)has recently received extensive attention dueto noninvasive detection of biological information in living subjects.In this paper,high-qualitywater-soluble(cadmium-free)quaternary AgZnlnS QDs have been successfully synthesized usinga green synthetic route.The as-prepared QDs exhibit tunable photoluminescence(PL)emissionbetween 521 and 658 nm.Secondly,multidrug resistance(MDR)is a major impedinent to theeffective cancer chemot herapy,DOx,a widely used antit umor drug was modified on the surfaceof the QDs in this study.It,therefore,ignificantly enhanced the cytotoxicity of DX to MDRcancer cells as the QDs could bring the DoX to nucleus.

Attendance and Utilization of Antenatal Care (ANC) Services: Multi-Center Study in Upcountry Areas of Uganda

Introduction: Globally every year 529,000 maternal deaths occur, 99% of this in developing coun-tries. Uganda has high maternal and neonatal morbidity and mortality ratios, typical of many countries in sub-Saharan Africa. Recent findings reveal maternal mortality ratio of 435:100,000 live births and neonatal mortality rate of 29 deaths per 1000 live births in Uganda;these still remain a challenge. Women in rural areas of Uganda are two times less likely to attend ANC than the urban women. Most women in Uganda have registered late ANC attendance, averagely at 5.5 months of pregnancy and do not complete the required four visits. The inadequate utilization of ANC is greatly contributing to persisting high rates of maternal and neonatal mortality in Uganda. This study was set to identify the factors associated with late booking and inadequate utilization of Antenatal Care services in upcountry areas of Uganda. Method: Cross-sectional study design with mixed methods of interviewer administered questionnaires, focus group discussions and key informant interviews. Data was entered using Epidata and analyzed using Stata into frequency tables using actual tallies and percentages. Ethical approval was sought from SOM-REC MakCHS under approval number “#REC REF 2012-117” before conducting the study. Results: A total of four hundred one were enrolled with the majority being in the age group 20 - 24 years (mean age, 25.87 ± 6.26). Health workers played a great role (72.04%), followed by the media (15.46%) and friends (12.50%) in creating awareness about ANC. A significant number of respondents went to TBAs with reasons such as “near and accessible”, “my husband decided”, and “they are the only people I know”. 37.63% of the respondents considered getting an antenatal Card as an importance of ANC. 71 (19.67%) respondents gave a wrong opinion (late) on booking time with reasons like demands at work, no problems during pregnancy, advised by friends, just to get a card, long distance and others didn’t know. Almost half of the respondents never knew the recommended number of visits. Religion, occupation, level of education, and parity were found to influence place of ANC attendance, number of ANC visits and booking time. Husbands were necessary to provide financial support, accompany their wives ANC clinic, and ensure that they complete the visits. But their response was poor due to: fear of routine investigations and constrained economically. Conclusion: The study findings show the actual rural setting of ANC services attendance and utilization. Much sensitization has to be done specifically in these rural areas to empower pregnant women and their husbands as to improve ANC attendance and utilization.

Global glance

Lynas selects Kalgoorlie for new cracking&leaching plant Lynas Corporation Limited(ASX:LYC,OTC:LYSDY)("Lynas")announced that Kalgoorlie,Western Australia,has been selected as the location for its new cracking and leaching plant,creating new jobs and a first step in establishing a critical minerals hub in the Goldfields region.

传奇迭新,与S俱进--全新梅赛德斯-AMG C 63 S E PERFORMANCE

五十多年前,秉承‘与吾为伍’的精神,AMG的创始者打造了扬名赛道的品牌开山之作--‘红猪’300 SEL 6.8 AMG。眼下正值AMG品牌诞生55周年,全新梅赛德斯-AMG C 63 S E PERFORMANCE又将在现代汽车市场的舞台上,凭借混动技术打造的卓越性能,为用户提供优秀驾乘体验,再塑性能豪华的新标杆。

Enhancement of the immobilization and discrimination of DNA probe on a biosensor using gold nanoparticles

Nanoparticles have been widely utilized in biological research in recent years. 1,6-Hexanedithiol was used as the medium in this work to attach Au nanoparticles on thegold plates. We studied the immobilization and hybridization of DNA probes onto the resulted plates using the quartz crystal microbalance method. Approximately 3-5 times adsorption enhancement of HS-DNA on the plates was obtained under our experimental conditions. Using this DNA sensor, the sensitivity was promoted by approximately three times to 0.35μg/mL.

Grasping institutional complexity in infrastructure megaprojects through the multi-level governance system： A case study of the Hong Kong-Zhuhai-Macao Bridge construction

This study analyzes the design and operation of multi-level governance system for the smooth delivery of infrastructure mega-projects with high institutional complexity caused by market transition. From an institutional perspective, this study scrutinizes the structure,elements, and dynamics of the governance system of infrastructure mega-projects and then proposes an integrative framework based on the inductive case study of the Hong Kong-Zhuhai-Macao Bridge mega-project. Multiple evidences of archives, field studies, and interviews related to the case project are triangulated to further analyze the institutional effects, specifically those with government logics and market structures, on the design and operation of the three-level governance system. Results reveal that the co-evolution between governments and markets in China has shaped the vertical levels of the mega-project governance system and has further affected their evolution and operation across various stages of project development. This study contributes to the rapidly emerging research on complex system governance by proposing a systematic model of three-level mega-project governance to enhance the timely delivery of infrastructure megaprojects within budget.

A dark vector resonance at CLIC

One of the main problems in particle physics is to understand the origin and nature of dark matter. An exciting possibility is to consider that dark matter belongs to a new complex but hidden sector. In this paper, we assume the existence of a strongly interacting dark sector consisting of a new scalar doublet and new vector resonances,in accordance with the model recently proposed by our group. Since it was found in the previous work that it is very challenging to find the new vector resonances at the LHC, here we study the possibility of finding them at the future Compact Linear Collider(CLIC) running at■= 3 TeV. We consider two distinct scenarios. In the first, when the non-standard scalars are heavy, the dark resonance is intense enough to make its discovery possible at CLIC when the resonance mass is in the range [2000, 3000] GeV. In the second scenario, when the non-standard scalars are light, the new vector boson is too broad to be recognized as a resonance, and is not detectable except when the mass of the scalars is close to(but smaller than) half of the resonance mass and the scale of the dark sector is high. In all positive cases, less than a tenth of the maximum integrated luminosity is needed to reach the discovery level. Finally, we also comment on the mono-Z production.

An all-directional interference cancelling system for large sonar array

The existence of strong interference is the main constraint factor, which influences the detection performance of a signal extraction system. For a sonar with large array the problem of anti-interferences in all-direction has not been solved yet because of the requirements of over-long time delay line and the over high input- output rate. A method proposed in this paper can be used in the design of adaptive signal processing system with large array for suppressing the strong interference in all-direction. This is a combined architecture of adaptive noise canceller (ANC)and a programmable DICANNE system.When the incident angle between signal θS and interference θI is small, the ANC system is used. When θs-θI is large, a programmable DICANNE system, with rising sampling rate, is used, so that an all-directional anti-interferences system can be obtained. The structure described in this paper is easy to implement in hardware by using DSP chips.The design diagram and implementable method in hardware is presented.

高效远程传声技术窄带主动噪声控制研究

远程传声技术(remote microphone technique,RMT)是一种经典的虚拟麦克风主动噪声控制技术,该技术能扩大对噪声的控制范围,在车内主动噪声控制(active noise control,ANC)中拥有很大的研究潜力。但其较大的运算量使得处理器的成本提高,一定程度上限制其在量产车上的应用。将自适应陷波算法引入到RMT当中,提出融合自适应陷波算法的远程传声技术,与传统的远程传声技术相比有效地降低了运算量。用多频率混合噪声作为初级声源进行仿真试验,对比以上两种远程传声技术的降噪性能和算法算力,结果表明,所提出的远程传声技术降噪能力与传统技术相当,程序运行时间却小于传统的远程传声技术。将提出的远程传声技术应用到ANC系统台架试验中,结果表明,在目标降噪区域远离物理麦克风的条件下,系统依然能快速收敛并实现良好的降噪效果。

运载火箭整流罩内主动降噪控制技术

运载火箭整流罩内的声振环境对有效载荷的可靠性和发射任务的成败至关重要。为改善整流罩内低频声振问题,首先从数学原理上介绍了用于主动降噪(ANC)系统的自适应滤波器和通道辨识的方法;其次针对运载火箭整流罩特定情况,建立反馈式滤波最小均方值(FxLMS)-ANC系统控制模型,并在实验室环境下搭建硬件实验平台;最后针对噪声频谱分布的不同特点开展宽带、窄带、宽带与窄带组合式ANC实验。结果表明:采取ANC控制对噪声抑制效果明显,特别是对功率谱峰值所在的频点实施窄带降噪,降噪效果更为突出。实验室环境下所得的实验结论,验证了在运载火箭整流罩内ANC的潜力。

Analysing the Factors Affecting Prenatal Visits in Guinea: A Secondary Study of the 2018 Demographic and Health Survey (DHS)

Background: Despite persistent efforts to improve maternal health through various interventions, Guinea faces challenges in achieving adequate antenatal care coverage (ANC). This study aims to identify the key factors influencing prenatal consultation in Guinea. Methods: A secondary analysis was conducted on Guinea’s 2018 Demographic and Health Survey (DHS) data. The study sample comprised women aged 15 - 49 who participated in the survey. Logistic regression was employed to identify the determinants of ANC utilisation. Results: Most women in the sample (59.1%) were aged between 18 and 30, resided in rural areas (69.8%), had no formal education (71.0%), had low incomes (43.4%), were married (91.4%), relied on the radio for information (63.4%), and were employed at the time of the survey (68.0%). The study identified several factors acting as barriers to meeting the recommended four ANC visits, including low education levels, with odds ratios (OR) of 0.43 (p = 0.011) for those with no schooling and 0.48 (p = 0.046) for those with primary-level education. Lack of radio access also negatively influenced ANC utilisation with an OR of 0.72 (p = 0.012). Additionally, delayed timing of the first ANC visit in the second trimester had an OR of 0.36 (p 0.001), while in the third trimester, the OR was 0.04 (p 0.004). On the other hand, factors that facilitated achieving the recommended four ANC visits included having an average wealth quintile with an OR of 1.63 (p = 0.002) and being wealthy with an OR of 2.30 (p 0.001). Conclusion: This study underscores the negative association between low education level and poverty with ANC utilisation among pregnant women in Guinea. These findings emphasise the need for targeted interventions to address the barriers faced by vulnerable populations and improve maternal healthcare access and utilisation in the country.

MONTBLANC 深入冰川 溯源冒险精神

2023年3月14日至16日,MONTBLANC万宝龙携2023年腕表力作来到中国西南之巅的云南明永冰川,开启了一场全新的探索之旅。万宝龙全球首席执行官柏瑞麒(Nicolas Baretzki)和腕表部门董事总经理Laurent Lecamp虽然未能亲赴现场,却也通过云端连线的方式分享了品牌的新年展望以及卓越的高级制表传统和革新理念。

炎症性肠病患者自身抗体检测及其临床意义

目的；检测炎症性肠病患者血清听 性粒细胞胞浆抗体，抗肠杯状细胞抗体，抗胰外分泌腺抗体三种自身抗体，并探讨三种自身抗体与ＩＢＤ中溃疡性结肠炎和克隆病的关系及临床诊断应用价值。方法：应用间接免疫荧光法。结果：ＡＮＣＮ在ＩＢＤ患者中，常见于ＵＣ，同ＣＤ比较有显著性差异；抗肠杯状细胞状抗体，抗胰外分泌腺抗体多见于ＣＤ。结论：抗中性粒细胞胞浆抗体，抗肠杯状细胞抗体，抗胰外分泌腺抗体三种自身抗体检测。

试论康区朱倭古舞的渊源与特点

This article makes overall introduction to the origin and later development of the ancient dance in Kham Trehor. The main topics, types, procedure of performance,melodies, and styles of the ancient dance in Kham Trehor are analysed, and dresses used in it are introduced.