422 research outputs found

    CHILDHOOD TB IN HIV ERA - IN SUB SAHARAN AFRICA

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    Mining and analysis of audiology data to find significant factors associated with tinnitus masker

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    Objectives: The objective of this research is to find the factors associated with tinnitus masker from the literature, and by using the large amount of audiology data available from a large NHS (National Health Services, UK) hearing aid clinic. The factors evaluated were hearing impairment, age, gender, hearing aid type, mould and clinical comments. Design: The research includes literature survey for factors associated with tinnitus masker, and performs the analysis of audiology data using statistical and data mining techniques. Setting: This research uses a large audiology data but it also faced the problem of limited data for tinnitus. Participants: It uses 1,316 records for tinnitus and other diagnoses, and 10,437 records of clinical comments from a hearing aid clinic. Primary and secondary outcome measures: The research is looking for variables associated with tinnitus masker, and in future, these variables can be combined into a single model to develop a decision support system to predict about tinnitus masker for a patient. Results: The results demonstrated that tinnitus maskers are more likely to be fit to individuals with milder forms of hearing loss, and the factors age, gender, type of hearing aid and mould were all found significantly associated with tinnitus masker. In particular, those patients having Age<=55 years were more likely to wear a tinnitus masker, as well as those with milder forms of hearing loss. ITE (in the ear) hearing aids were also found associated with tinnitus masker. A feedback on the results of association of mould with tinnitus masker from a professional audiologist of a large NHS (National Health Services, UK) was also taken to better understand them. The results were obtained with different accuracy for different techniques. For example, the chi-squared test results were obtained with 95% accuracy, for Support and Confidence only those results were retained which had more than 1% Support and 80% Confidence. Conclusions: The variables audiograms, age, gender, hearing aid type and mould were found associated with the choice of tinnitus masker in the literature and by using statistical and data mining techniques. The further work in this research would lead to the development of a decision support system for tinnitus masker with an explanation that how that decision was obtained

    Oscillatory dissipative conjugate heat and mass transfer in chemically-reacting micropolar flow with wall couple stress : a finite element numerical study

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    High temperature non-Newtonian materials processing provides a stimulating area for process engineering simulation. Motivated by emerging applications in this area, the present article investigates the time-dependent free convective flow of a chemically-reacting micropolar fluid from a vertical plate oscillating in its own plane adjacent to a porous medium. Thermal radiative, viscous dissipation and wall couple stress effects are included. The Rosseland diffusion approximation is used to model uni-directional radiative heat flux in the energy equation. Darcy’s model is adopted to mimic porous medium drag force effects. The governing two-dimensional conservation equations are normalized with appropriate variables and transformed into a dimensionless, coupled, nonlinear system of partial differential equations under the assumption of low Reynolds number. The governing boundary value problem is then solved under physically viable boundary conditions numerically with a finite element method based on the weighted residual approach. Graphical illustrations for velocity, micro-rotation (angular velocity), temperature and concentration are obtained as functions of the emerging physical parameters i.e. thermal radiation, viscous dissipation, first order chemical reaction parameter etc. Furthermore, friction factor (skin friction), surface heat transfer and mass transfer rates have been tabulated quantitatively for selected thermo-physical parameters. A comparison with previously published paper is made to check the validity and accuracy of the present finite element solutions under some limiting cases and excellent agreement is attained. Additionally, a mesh independence study is conducted. The model is relevant to reactive polymeric materials processing simulation

    Calcium Nutrition of Broilers: Current Perspectives and Challenges

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    Calcium (Ca) plays an essential role in poultry nutrition as 99% of Ca is located in birds' skeletal system. However, oversupply of Ca rather than deficiency of Ca is the current concern in commercial broiler diets. Calcium is an inexpensive dietary nutrient due to the cheap and abundant availability of limestone, the major Ca source; therefore, little attention was given to the oversupply of Ca in the past. The recent shift in the use of digestible P in broiler feed formulations has necessitated a closer look at digestible Ca, as Ca and P are interrelated in their absorption and postabsorptive utilisation. In this context, data on ileal digestibility of Ca and P in ingredients has been determined. Preliminary data on the digestible Ca and digestible P requirements for the different growth stages of broilers have also recently become available. The present review focusses on these recent advances in Ca nutrition. In addition, aspects of homeostatic control mechanisms, different Ca sources and factors influencing Ca digestibility in poultry are covered.fals

    Democratization and the Diffusion of Shari'a Law: Comparative Insights from Indonesia

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    The democratization of politics has been accompanied by a rise of Islamic laws in many Muslim-majority countries. Despite a growing interest in the phenomenon, the Islamization of politics in democratizing Muslim-majority countries is rarely understood as a process that unfolds across space and time. Based on an original dataset established during years of field research in Indonesia, this article analyzes the spread of shari’a regulations across the world’s largest Muslim-majority democracy since 1998. The article shows that shari’a regulations in Indonesia diffused unevenly across space and time. Explanations put forward in the literature on the diffusion of morality policies in other countries such as geographic proximity, institutions, intergovernmental relations and economic conditions did not explain the patterns in the diffusion of shari’a regulations in Indonesia well. Instead, shari’a regulations in Indonesia were most likely to spread across jurisdictions where local Islamist groups situated outside the party system had an established presence. In short, the Islamization of politics was highly contingent on local conditions. Future research will need to pay more attention to local Islamist activists and networks situated outside formal politics as potential causes for the diffusion of shari’a law in democratizing Muslim-majority countries
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