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Journal articles on the topic 'Prompt delivery'

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Published: 4 June 2025

Last updated: 15 July 2025

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Patil, Rajvardhan, Thomas F. Heston, and Vijay Bhuse. "Prompt Engineering in Healthcare." Electronics 13, no. 15 (2024): 2961. http://dx.doi.org/10.3390/electronics13152961.

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The rapid advancements in artificial intelligence, particularly generative AI and large language models, have unlocked new possibilities for revolutionizing healthcare delivery. However, harnessing the full potential of these technologies requires effective prompt engineering—designing and optimizing input prompts to guide AI systems toward generating clinically relevant and accurate outputs. Despite the importance of prompt engineering, medical education has yet to fully incorporate comprehensive training on this critical skill, leading to a knowledge gap among medical clinicians. This article addresses this educational gap by providing an overview of generative AI prompt engineering, its potential applications in primary care medicine, and best practices for its effective implementation. The role of well-crafted prompts in eliciting accurate, relevant, and valuable responses from AI models is discussed, emphasizing the need for prompts grounded in medical knowledge and aligned with evidence-based guidelines. The article explores various applications of prompt engineering in primary care, including enhancing patient–provider communication, streamlining clinical documentation, supporting medical education, and facilitating personalized care and shared decision-making. Incorporating domain-specific knowledge, engaging in iterative refinement and validation of prompts, and addressing ethical considerations and potential biases are highlighted. Embracing prompt engineering as a core competency in medical education will be crucial for successfully adopting and implementing AI technologies in primary care, ultimately leading to improved patient outcomes and enhanced healthcare delivery.

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Morris, Abigail S., Kelly A. Mackintosh, Neville Owen, Paddy C. Dempsey, David W. Dunstan, and Melitta A. McNarry. "Rise and Recharge: Exploring Employee Perceptions of and Contextual Factors Influencing an Individual-Level E-Health Smartphone Intervention to Reduce Office Workers’ Sedentary Time at Work." International Journal of Environmental Research and Public Health 18, no. 18 (2021): 9627. http://dx.doi.org/10.3390/ijerph18189627.

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This feasibility study explored the contextual factors influencing office workers’ adherence to an e-health intervention targeting total and prolonged sedentary time over 12 weeks. A three-arm quasi-randomized intervention included prompts at 30 or 60 min intervals delivered via a smartphone application, and a no-prompt comparison arm. Fifty-six office workers completed baseline (64% female) and 44 completed the 12 week follow-up (80% retention). Ecological momentary assessments (EMA) captured contextual data, with 82.8 ± 24.9 EMA prompt questionnaires completed weekly. Two focus groups with n = 8 Prompt 30 and 60 participants were conducted one-month post-intervention to address intervention acceptability and feasibility. Contextual findings indicate that when working on a sedentary task (i.e., reading or screen-based work) and located at an individual workstation, hourly prompts may be more acceptable and feasible for promoting a reduction in total and prolonged sedentary time compared to 30 min prompts. Interpersonal support also appears important for promoting subtle shifts in sedentary working practices. This novel study gives a real-time insight into the factors influencing adherence to e-health prompts. Findings identified unique, pragmatic considerations for delivering a workplace e-health intervention, indicating that further research is warranted to optimize the method of intervention delivery prior to evaluation of a large-scale intervention.

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BATES, BETSY. "First-Trimester Stress May Prompt Early Delivery." Family Practice News 35, no. 8 (2005): 45. http://dx.doi.org/10.1016/s0300-7073(05)70400-x.

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BATES, BETSY. "First-Trimester Stress May Prompt Early Delivery." Ob.Gyn. News 40, no. 4 (2005): 12. http://dx.doi.org/10.1016/s0029-7437(05)70897-1.

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BATES, BETSY. "First-Trimester Stress May Prompt Early Delivery." Clinical Psychiatry News 33, no. 3 (2005): 74. http://dx.doi.org/10.1016/s0270-6644(05)70082-5.

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Polf, J. C., S. Beddar, and D. Mackin. "Verifying Proton Treatment Delivery Using Prompt Gamma Imaging." International Journal of Radiation Oncology*Biology*Physics 90, no. 1 (2014): S923—S924. http://dx.doi.org/10.1016/j.ijrobp.2014.05.2616.

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Doyle, Patricia M., Mark Wolery, Melinda Jones Ault, and David L. Gast. "System of Least Prompts: A Literature Review of Procedural Parameters." Journal of the Association for Persons with Severe Handicaps 13, no. 1 (1988): 28–40. http://dx.doi.org/10.1177/154079698801300104.

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This manuscript describes an instructional strategy, system of least prompts, and reviews the use of the procedure in the applied research literature. The literature is analyzed in terms of the populations for which the procedure has been used, the type of skills that have been taught with the procedure, and the results when the procedure was employed. The literature also is described in terms of previously identified parameters of the system of least prompts including (a) the number and type of prompts included in the least-to-most assistance prompt hierarchies, (b) the presentation of the target stimulus at each prompt level, (c) use of a fixed response interval, and (d) the delivery of reinforcement following correct prompted and unprompted responses. Summary statements and recommendations about future use and research are included.

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Hopkins, Mark R., Monica R. Butcher, Kevin M. Martin, Lona R. Small, and Lori J. Sokoll. "Quality Improvement in Critical Value Delivery at a Tertiary Care Center." Journal of Applied Laboratory Medicine 6, no. 4 (2021): 985–91. http://dx.doi.org/10.1093/jalm/jfab002.

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Abstract Background Prompt notification of critical laboratory values to providers is essential for effective patient care. To improve the delivery of these critical values, a quality improvement project was initiated to determine the obstacles to prompt notification and to identify possible interventions to improve this process. Methods Critical value call logs were retrieved, and delivery time, patient location, test name, and call time were abstracted and analyzed. All critical values with delivery times greater than 60 min were reviewed by 2 authors for 1 representative month in both the pre- and postintervention period. Results Based on the results of the data review, a modification to the laboratory information system call center color-coded alerts was introduced to address delays attributable to the laboratory. The overall rate of calls greater than 60 min decreased from 3.4% ± 0.8% in the preintervention study period to 1.3 ± 0.3%, postintervention. The average number of values not delivered within 60 min decreased by 64% across all locations, following with an 82% decrease for values originating from inpatient locations, and a 39% decrease for outpatient values. Conclusions Low complexity interventions to critical value callback protocols can significantly increase the efficacy of communication between the laboratory and providers.

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Eller-Vainicher, Cristina, Manuela Wally Ossola, Paolo Beck-Peccoz, and Iacopo Chiodini. "PTHrP-associated hypercalcemia of pregnancy resolved after delivery: a case report." European Journal of Endocrinology 166, no. 4 (2012): 753–56. http://dx.doi.org/10.1530/eje-11-1050.

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A 35-year-old oriental woman, who was 32 weeks pregnant, was hospitalized with suspected preeclampsia. Subsequently, she developed stupor and lethargia. Biochemical assessment showed severe hypercalcemia (21 mg/dl) with undetectable parathyroid hormone (PTH) and markedly elevated PTH-related peptide (PTHrP) levels (26 pmol/l, normal values <1.1 pmol/l). The patient was treated with i.v. fluid administration, which resulted in an unsatisfactory reduction in serum calcium. Therefore, a cesarean section was performed to deliver the baby. Serum calcium levels promptly normalized after delivery with undetectable PTHrP levels. She delivered a healthy infant only presenting with transient mild jaundice and slightly prolonged QT interval with serum calcium level of 7.8–8.4 mg/dl (corrected for albumin levels). In the subsequent days, the patient developed a transient ‘hungry bone’ syndrome (calcium 6.7 mg/dl, phosphorous 2.1 mg/dl, and PTH 100.4 pg/ml). In conclusion, this pregnant patient presented with PTHrP-associated hypercalcemia, presumably of placental origin. Delivery resulted in prompt reduction of serum calcium levels and a transient ‘hungry bone’ syndrome.

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Sathish, Srinivasan. M., and Chitra G. Dr. "Investigation on usage of Integrated Project Delivery (IPD) in Construction Projects." Journal of Advances in Civil Engineering and Management 3, no. 2 (2020): 1–7. https://doi.org/10.5281/zenodo.3938922.

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Construction industry is one of the major economic sectors in India. Prompt delivery of construction project to the client is a major issue to any construction company. To overcome and enhance the project delivery, Integrated project delivery (IPD) can be adopted successfully. The main objective of this study is to examine the factors influencing the implementation of Integrated project delivery in Indian construction projects and evaluating the performance of the project though implementing IPD. Major ten IPD influencing factors are addressed in the study among which top five factors identified though questionnaire survey for construction project carried across India and the main focus of the study is to identifying major IPD influencing factors in TCE construction projects and provided with suggestive measure to avoid same mistakes in the future.

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Han, Ningjuan, Huanle Fang, and Rui Niu. "Nanosphere and Microsphere-Based Drug Delivery Systems for Wound Healing Applications: A Review." Science of Advanced Materials 15, no. 4 (2023): 441–56. http://dx.doi.org/10.1166/sam.2023.4446.

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Chronic and acute wounds pose a huge burden on patients and health care systems. Early diagnosis and prompt treatment is essential in preventing further complications such as limb amputation and infection. Recent progress in our understanding of different wounds’ pathophysiology, has resulted in developing different drug delivery vehicles to target different phases of wound healing. During the past decade, microspheres and nanospheres have gained significant attention in drug delivering wound dressings. These vehicles have gained popularity largely due their biocompatibility, biodegradability, their high capacity to deliver various drug types, and long term sustained release profile. In the current review, we will discuss the challenges and prospects of microsphere and nanosphere-based drug delivery systems in wound healing.

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Naveen Kumar, S.N.Panda, and Preethi Pradhan. "Hybrid Approach for Automatic Drug Dispensing and Control." Journal of Multidisciplinary Research in Healthcare 3, no. 2 (2017): 69–77. http://dx.doi.org/10.15415/jmrh.2017.32007.

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Clinical scenario for critically ill patients involves large number of medical devices, such as, bed side monitors that provide vital information about the admitted patient. Critically ill patients need prompt and perfect decision, so that lifesaving drugs can be delivered at a proper time. Moreover suggestions/ recommendations of a super specialist doctor may also be required in hospitals. The main problem in hospitals is lack of specialist doctors, so, patients are not able to approach to them on time. Automatic drug delivery using microprocessor/ microcontroller has improved tremendously in recent years due to advancement in Information and Communication Technology (ICT). This paper is focused on various Drug Delivery System Interfaces used in emergency cases to reduce manual intervention. We are proposing a hybrid approach for drug dispensing, which can work as open or closed loop system. Another feature of this system is that it can be controlled from a remote location, so is to provide virtual presence of a doctor. The system will help the doctor monitor the patient as per the immediate requirement and deliver drug remotely to patient using smart phone.

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Williams, Katherine L., and Joseph G. Pastorek II. "Postpartum Endomyometritis." Infectious Diseases in Obstetrics and Gynecology 3, no. 5 (1995): 210–16. http://dx.doi.org/10.1155/s1064744995000640.

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Endomyometritis following parturition is a major cause of maternal morbidity. It is most common following cesarean delivery, especially in certain high-risk patient populations. The infection is usually caused by bacteria in the cervicovaginal tract that are inoculated into the uterus during labor and delivery. Both anaerobes and aerobes are thought to be involved in the disease process. A prompt diagnosis based on clinical suspicion, a thorough physical examination, and adjunctive laboratory measures is necessary to insure effective therapy and prompt resolution of the infection. The treatment consists of supportive care and broad-spectrum antibiotic coverage either with single extended-spectrum drugs or with combinations of antimicrobials. In cases appropriately treated, recovery without sequelae is the rule.

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Kormoll, T., A. Duplicy, W. Enghardt, et al. "Prompt Gamma-ray Timing experiment during different modalities of proton beam delivery." Radiotherapy and Oncology 118 (February 2016): S60. http://dx.doi.org/10.1016/s0167-8140(16)30123-2.

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Militello, Lisa, Michael Sobolev, Fabian Okeke, Daniel A. Adler, and Inbal Nahum-Shani. "Digital Prompts to Increase Engagement With the Headspace App and for Stress Regulation Among Parents: Feasibility Study." JMIR Formative Research 6, no. 3 (2022): e30606. http://dx.doi.org/10.2196/30606.

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Background Given the interrelated health of children and parents, strategies to promote stress regulation are critically important in the family context. However, the uptake of preventive mental health is limited among parents owing to competing family demands. Objective In this study, we aim to determine whether it is feasible and acceptable to randomize digital prompts designed to engage parents in real-time brief mindfulness activities guided by a commercially available app. Methods We conducted a 30-day pilot microrandomized trial among a sample of parents who used Android smartphones. Each day during a parent-specified time frame, participants had a 50% probability of receiving a prompt with a message encouraging them to engage in a mindfulness activity using a commercial app, Headspace. In the 24 hours following randomization, ecological momentary assessments and passively collected smartphone data were used to assess proximal engagement (yes or no) with the app and any mindfulness activity (with or without the app). These data were combined with baseline and exit surveys to determine feasibility and acceptability. Results Over 4 months, 83 interested parents were screened, 48 were eligible, 16 were enrolled, and 10 were successfully onboarded. Reasons for nonparticipation included technology barriers, privacy concerns, time constraints, or change of mind. In total, 80% (8/10) of parents who onboarded successfully completed all aspects of the intervention. While it is feasible to randomize prompt delivery, only 60% (6/10) of parents reported that the timing of prompts was helpful despite having control over the delivery window. Across the study period, we observed higher self-reported engagement with Headspace on days with prompts (31/62, 50% of days), as opposed to days without prompts (33/103, 32% of days). This pattern was consistent for most participants in this study (7/8, 87%). The time spent using the app on days with prompts (mean 566, SD 378 seconds) was descriptively higher than on days without prompts (mean 225, SD 276 seconds). App usage was highest during the first week and declined over each of the remaining 3 weeks. However, self-reported engagement in mindfulness activities without the app increased over time. Self-reported engagement with any mindfulness activity was similar on days with (40/62, 65% of days) and without (65/103, 63% of days) prompts. Participants found the Headspace app helpful (10/10, 100%) and would recommend the program to others (9/10, 90%). Conclusions Preliminary findings suggest that parents are receptive to using mindfulness apps to support stress management, and prompts are likely to increase engagement with the app. However, we identified several implementation challenges in the current trial, specifically a need to optimize prompt timing and frequency as a strategy to engage users in preventive digital mental health.

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Singh, Atulesh Pratap, Dr Ajay Singh, and Dr Pushpneel Verma. "Prompt Engineering in AI driven Indian Healthcare." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 07 (2024): 1–9. http://dx.doi.org/10.55041/ijsrem36348.

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The phenomenal growth of artificial intelligence (AI) and machine learning (ML) in recent years has revolutionized various sectors, including healthcare. Particularly the large language models (LLMs) developed recently by various companies such as Google, Microsoft, Nvidia, OpenAI have demonstrated remarkable capabilities in understanding and generating contextualized text thus making them valuable tools that can be effectively utilized by healthcare industry and service providers. Prompt engineering plays a crucial role leveraging full potential of such LLMs. Prompt Engineering is the technique used to design and refine inputs to improve the performance of AI models and maximize the efficacy of AI applications. In India, with diverse population and varying healthcare needs and resource constraints specially in tier 3 cities, villages and remote areas. This paper highlights pivotal role that Prompt Engineering can play in supplementing solutions and initiatives to address healthcare needs. It explores applications in diagnostics, electronic health records (EHRs), virtual health assistants and the overall impact on patient care and administrative efficiency. Through case studies and theoretical analysis, this paper aims to demonstrate how prompt engineering can enhance diagnostic accuracy, streamline administrative tasks, and improve patient care. Keywords— AI, healthcare delivery, prompt engineering, LLM, EHRs, virtual health assistants, patient care

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Raffin, Renata P., Letícia M. Colomé, Cristiane R. D. Hoffmeister, et al. "Pharmacokinetics evaluation of soft agglomerates for prompt delivery of enteric pantoprazole-loaded microparticles." European Journal of Pharmaceutics and Biopharmaceutics 74, no. 2 (2010): 275–80. http://dx.doi.org/10.1016/j.ejpb.2009.11.015.

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Adenigbo, Adedotun Joseph, Joash Mageto, and Rose Luke. "Adopting Technological Innovations in the Air Cargo Logistics Industry in South Africa." Logistics 7, no. 4 (2023): 84. http://dx.doi.org/10.3390/logistics7040084.

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Background: The air cargo logistics industry has been deemed reluctant to adopt new technologies for their business operations. So, this study aims to examine the adoption of technological innovations in the air cargo logistics industry in South Africa. The specific objective is to emphasise the effects of technologies on air cargo logistics operations to address the reluctance to adopt technological innovations in the industry. Methods: A questionnaire survey was conducted randomly on three hundred and seventy-three (373) cargo agents at the OR Tambo International Airport. The data were subjected to a nonparametric test with Kruskal–Wallis, exploratory factor analysis and regression analysis to explore the effects of technologies for prompt adoption and implementation of emerging innovations that enhance quality service delivery. Results: The study found that promptly adopting emerging technological innovations in the air cargo logistics industry promotes efficient operations, improves warehousing, and enhances cargo delivery services for customer satisfaction. Also, the study established that technologically driven operations and warehousing are significant determinants of quality service delivery in the air cargo logistics industry. Conclusions: This study encourages the prompt adoption and implementation of technological innovations for improved quality service delivery, customer satisfaction, and loyalty in the air cargo logistics industry.

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Seifelnasr, Amr, Xiuhua April Si, and Jinxiang Xi. "Visualization and Estimation of Nasal Spray Delivery to Olfactory Mucosa in an Image-Based Transparent Nasal Model." Pharmaceutics 15, no. 6 (2023): 1657. http://dx.doi.org/10.3390/pharmaceutics15061657.

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Background: Nose-to-brain (N2B) drug delivery offers unique advantages over intravenous methods; however, the delivery efficiency to the olfactory region using conventional nasal devices and protocols is low. This study proposes a new strategy to effectively deliver high doses to the olfactory region while minimizing dose variability and drug losses in other regions of the nasal cavity. Materials and Methods: The effects of delivery variables on the dosimetry of nasal sprays were systematically evaluated in a 3D-printed anatomical model that was generated from a magnetic resonance image of the nasal airway. The nasal model comprised four parts for regional dose quantification. A transparent nasal cast and fluorescent imaging were used for visualization, enabling detailed examination of the transient liquid film translocation, real-time feedback on input effect, and prompt adjustment to delivery variables, which included the head position, nozzle angle, applied dose, inhalation flow, and solution viscosity. Results: The results showed that the conventional vertex-to-floor head position was not optimal for olfactory delivery. Instead, a head position tilting 45–60° backward from the supine position gave a higher olfactory deposition and lower variability. A two-dose application (250 mg) was necessary to mobilize the liquid film that often accumulated in the front nose following the first dose administration. The presence of an inhalation flow reduced the olfactory deposition and redistributed the sprays to the middle meatus. The recommended olfactory delivery variables include a head position ranging 45–60°, a nozzle angle ranging 5–10°, two doses, and no inhalation flow. With these variables, an olfactory deposition fraction of 22.7 ± 3.7% was achieved in this study, with insignificant discrepancies in olfactory delivery between the right and left nasal passages. Conclusions: It is feasible to deliver clinically significant doses of nasal sprays to the olfactory region by leveraging an optimized combination of delivery variables.

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Furey, Pippa. "Generative artificial intelligence 6: simulation." Journal of Paramedic Practice 17, no. 6 (2025): 1–7. https://doi.org/10.12968/jpar.2025.17.6.cpd1.

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Simulation-based education plays a critical role in paramedic education by enabling learners to develop both clinical and non-technical skills in a safe, realistic environment. This article concludes a continuing professional development series on generative artificial intelligence (Gen AI), focusing on how this technology can support and enhance simulation design. It explores how prompt engineering can reduce facilitator workload, improve scenario consistency and support reflective practice through augmented debriefing. Practical examples of Gen AI-generated simulation prompts are presented and critically analysed to illustrate both the potential and limitations of current tools. As paramedic education continues to evolve, Gen AI offers promising opportunities to enrich simulation delivery – provided that its use is guided by professional standards and supported by appropriate human oversight.

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Pandey, Nalini Bala, Anupriya Narain, Mannan Gupta, Y. M. Mala, Sakshi Aggarwal, and Poonam Sachdeva. "Pregnancy with Tubercular Pericarditis Presenting as A Cardiac Emergency: Review of A Rare Case." Indian Journal of Emergency Medicine 7, no. 2 (2021): 21–23. http://dx.doi.org/10.21088/ijem.2395.311x.7221.3.

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Pericardial effusion can present as one of the life threatening emergency requiring prompt diagnosis and immediate life-saving measures. We are presenting a case of a large pericardial effusion, tubercular in origin, in a pregnant woman with 31 weeks period of gestation. She presented with acute onset cough, dyspnea and hemodynamic instability. She was managed successfully with pericardiocentesis and antitubercular therapy and later she had a normal vaginal delivery. Prompt and correct diagnosis and team-based approach is the key in the management of such patients and a successful outcome. Keywords: Pericardial Effusion; Tubercular; Pregnant; Pericardiocentesis.

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Farmankulova, Yorkinoy Rafikovna. "NATAL INJURIES OF THE CERVICAL SPINE IN NEWBORNS." Multidisciplinary Journal of Science and Technology 5, no. 5 (2025): 1043–45. https://doi.org/10.5281/zenodo.15503393.

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Natal injuries of the cervical spine in newborns are rare but potentially devastating conditions that require prompt recognition and careful management. These injuries may occur during complicated labor and delivery processes, particularly in cases of breech presentation, instrumental delivery, or excessive traction applied during birth. This article reviews the epidemiology, mechanisms of injury, clinical presentation, diagnostic methods, and treatment strategies associated with cervical spine trauma in neonates. Emphasis is placed on early detection, neuroimaging protocols, multidisciplinary care, and long-term neurodevelopmental outcomes.

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Ogunde, Ayodeji Olubunmi, Odje Emmanuel Dafe, Gbemisola Ajoke Akinola, et al. "Factors Militating Against Prompt Delivery of Construction Projects in Lagos Megacity, Nigeria: Contractors’ Perspective." Mediterranean Journal of Social Sciences 8, no. 3 (2017): 233–42. http://dx.doi.org/10.5901/mjss.2017.v8n3p233.

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Abstract Delay is a common issue faced in the construction industry all over the world especially in developing countries. The aim of this study is to evaluate factors causing delays and their effects on construction projects in Lagos Mega City, Nigeria from the contractors’ perspective. It is predicated on the incessant delay experienced by contractors on construction projects. Purposive sampling method was adopted for the study;. Quantitative data was obtained by administration of One hundred (100) structured questionnaires distributed to contractors of construction project sites in Lagos State and Qualitative data was obtained from interview of key management personnel of the companies and journals. Ranking analysis of the 33 major causes of delays identified through literature review using Relative Importance Index (RII) showed that cash flow problems during construction (RII=4.81), clients’ financial difficulties (RII=4.47) and poor procurement (RII=4.40) were the most importantt causes of delays in construction project sites in Lagos State, Cost overrun (RII=4.92), late payment (RII=4.59) and project extension (RII=4.45) were predominant effects of delay in construction project. Hypotheses testing on relationship between shortage of skilled labour, improper equipment during construction and delay in construction project using One-Way ANOVA showed positive correlation. For improved efficiency and effective project delivery in the industry, proper payment from client (RII=4.78), competent project managers (RII=4.64), the use of experienced subcontractors and suppliers (RII=4.48) should be encouraged to mitigate against delay in construction projects.

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Shah, Shahid, Muhammad Hanif, Ghulam Abbas, et al. "Prompt drug delivery of rabeprazole through raft formation: In vitro and in vivo evaluation." Journal of Drug Delivery Science and Technology 60 (December 2020): 101932. http://dx.doi.org/10.1016/j.jddst.2020.101932.

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Biederman, G. B., J. L. Fairhall, K. A. Raven, and V. A. Davey. "Verbal Prompting, Hand-over-Hand Instruction, and Passive Observation in Teaching Children with Developmental Disabilities." Exceptional Children 64, no. 4 (1998): 503–11. http://dx.doi.org/10.1177/001440299806400406.

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In hand-over-hand modeling with response-contingent verbal prompts, tasks are divided into identifiable sequential components, and the achievement of each component is marked by the delivery of some form of verbal prompt. In a within-subjects design, children were trained in one skill with response-contingent verbal prompts and in a second skill with simple passive observation. A separate group of children were trained with less rigorous verbal prompting in one skill and with passive observation in a second. Consistent with previous research, we found that passive modeling was overall significantly more effective than hand-over-hand modeling and that passive modeling was significantly more effective than hand-over-hand modeling with response-contingent prompting. Our evidence therefore indicates that current methods for teaching basic skills to children with severe developmental delays may require reassessment because simple observation of modeled skills appears to be more effective than more labor-intensive instruction.

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Parks, P. B., and W. Wu. "Limitations of extended gas delivery tubes used for fuelling mitigated plasma disruptions, and a unique injection concept for prompt gas delivery." Nuclear Fusion 51, no. 7 (2011): 073014. http://dx.doi.org/10.1088/0029-5515/51/7/073014.

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Cao, Qingkui, Xuefei Zhang, and Xiangyang Ren. "Path Optimization of Joint Delivery Mode of Trucks and UAVs." Mathematical Problems in Engineering 2021 (November 17, 2021): 1–15. http://dx.doi.org/10.1155/2021/4670997.

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With the development of e-commerce and information technology, new modes of distribution are emerging. A new type of distribution tool, UAV (unmanned aerial vehicle), has entered into the public’s field of vision. In the background of growing e-commerce, this paper proposes a new delivery mode of joint delivery of trucks and UAVs which particularly has been popular in recent years, with the advantages of prompt delivery, low cost, and independence from terrain restrictions, while traditional transportation tools such as trucks have more advantages in terms of flight distance and load capacity. Therefore, the joint delivery mode of trucks and UAVs proposed in this paper can well realize the complementary advantages of trucks and UAVs in the distribution process and consequently optimize the distribution process. Moreover, the growing e-commerce promotes customers’ higher needs for delivery efficiency and the integrity of the delivered goods which urges companies to pay more attention to customers’ satisfaction. This paper analyzes the joint delivery mode of trucks and UAVs, aims to minimize total delivery cost and maximize customer satisfaction, and builds a multiobjective optimization model for joint delivery. Furthermore, an improved ant colony algorithm is proposed in order to solve the mode in this paper. In order to effectively avoid prematurity of the ant colony algorithm, the limited pheromone concentration and the classification idea of the artificial bee colony algorithm are introduced to improve the ant colony algorithm. Finally, some experiments are simulated by MATLAB software, and the comparison shows that the joint delivery of trucks and UAVs has more advantages, and the improved ant colony algorithm is more efficient than the traditional ant colony.

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Nabila Salim Ali, Rozina Mehmood, Gulnar Ajaz, and Reema Danish. "Uterine Rupture Following Full-Term Vaginal Delivery: A Case Report." Social Science Review Archives 3, no. 2 (2025): 274–79. https://doi.org/10.70670/sra.v3i2.613.

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Uterine rupture in an unscarred uterus is an obstetric emergency that can lead to considerable morbidity and mortality for both mother and fetus. It is uncommon yet fatal. This case report presents a 39-year-old woman, gravida 4 para 3+0, with no prior history of uterine surgery or complications during her antenatal visits. At 38 weeks of gestation she delivered a healthy neonate via spontaneous vaginal delivery. Following the delivery, she suffered from massive postpartum haemorrhage and was unresponsive to initial management, including the use of uterotonics, balloon tamponade, and resuscitation. While transferring her to a tertiary care facility, the posterior uterine rupture was identified, and she underwent emergency surgical intervention. After resuscitation with fluids and blood products, the patient was monitored closely and underwent uterine repair. The case underscores the importance of considering uterine rupture as a possible cause of persistent postpartum bleeding, even without a prior cesarean section history. It highlights the need for prompt diagnosis, surgical intervention, and multidisciplinary care to optimize maternal health in such rare but high-risk case scenarios.

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Mengi, Volkan. "The Impact of Artificial Intelligence on News Visualization: A Comprehensive Prompt Analysis." Communication Papers 13, no. 27 (2024): 76–99. https://doi.org/10.33115/udg_bib/cp.v13i27.23080.

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The rapid development of artificial intelligence has revolutionized the creation of visual content for digital media, with significant implications for news visualization. This article examines the growing role of AI-driven text-to-image generation in enhancing the delivery of news, focusing on the importance of prompt engineering in guiding AI systems to create relevant, emotionally resonant visuals. The integration of visual and textual content, long a cornerstone of effective communication, is explored in the context of modern news platforms, where AI-generated imagery plays a pivotal role in storytelling. This study also delves into the historical and technological evolution of image generation, demonstrating how AI applications like Midjourney are shaping the future of visual content creation. By analyzing specific prompt strategies, I outline the ways in which AI enhances news narratives, enriching the audience's engagement and understanding.

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Temel, Jennifer S., Joseph A. Greer, Emily R. Gallagher, et al. "Electronic Prompt to Improve Outpatient Code Status Documentation for Patients With Advanced Lung Cancer." Journal of Clinical Oncology 31, no. 6 (2013): 710–15. http://dx.doi.org/10.1200/jco.2012.43.2203.

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Purpose Rates of documentation of end-of-life care preferences in the medical record remain low, even among patients with incurable malignancies. We therefore conducted a two-phase study to develop and assess the effect of electronic prompts to encourage oncology clinicians to document code status in the outpatient electronic health record (EHR) of patients with advanced lung cancers. Patients and Methods To determine the optimal delivery, content, and timing of the electronic prompt, we first facilitated focus groups with oncology clinicians at an affiliated medical center. Given this feedback, we developed e-mail reminders timed to the start of each new chemotherapy regimen. Between July 2009 and January 2011, 102 eligible patients with incurable lung cancer were approached, and 100 agreed to participate. We compared e-mail prompt participants (EPPs) with a cohort of 100 consecutive historical controls who began therapy for incurable lung cancer at least 1 year before the start of this study. The primary outcome measure was clinician documentation of code status in the EHR. Results EPPs were similar to historical controls, with no significant differences in demographic or clinical characteristics. At 1-year follow-up, 33.7% (n = 33/98) of EPPs had a code status documented in the outpatient EHR compared with 14.5% (n = 12/83) of historical controls (P = .003). Mean time to code status documentation was significantly shorter in EPPs (8.6 months [95% CI, 7.6 to 9.5]) compared with controls (10.5 months [95% CI, 9.8 to 11.3]; P = .004). Conclusion e-mail prompts may improve the rate and timing of code status documentation in the EHR and warrant further investigation.

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Gitari, Ni Made, Romy Windiyanto, and Gusti Ayu Sri Ari Swandewi. "Neonatal dengue: a case report and literature review." International Journal of Research in Medical Sciences 12, no. 12 (2024): 4723–26. https://doi.org/10.18203/2320-6012.ijrms20243731.

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Dengue fever is a viral infectious disease that remains a health problem worldwide. Neonates mortality and morbidity have been linked to vertical transmission of the dengue virus. Infants born to mothers with dengue infection before the days of delivery require suspicion and tracing of dengue infection, particularly in dengue-endemic areas. This case report describes the possibility of vertical transmission of dengue in an infant with a dengue-infected mother near delivery. The baby had clinical improvement during treatment and was discharged at 11 days of life. Prompt diagnosis, appropriate treatment, and close monitoring are needed to improve neonatal dengue outcomes.

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Chemjong, Binita, Luna Amatya, Binaya Raj Ghimire, Ganesh Dangal, Sonu Bharati, and Sunita Maharjan. "Perinatal Transmission of Dengue in a Neonate: A Case Report." Journal of Nepal Medical Association 62, no. 278 (2024): 700–701. http://dx.doi.org/10.31729/jnma.8771.

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Vertical transmission of dengue is rare. However, the rapid rise of dengue infection is a risk in pregnancy which can lead to preterm delivery, low birth weight, stillbirth, miscarriage, neonatal morbidity and mortality. Here, we present a case of perinatal transmission of dengue in a term neonate who presented with fever on second day of life and desaturation without respiratory distress. Laboratory findings showed thrombocytopenia, dengue Ag NS1/IgM positive and treatment was started. There was positive maternal history of dengue 10 days prior to delivery. Hence, early investigations with prompt interventions was done leading to uneventful recovery.

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Scott, John P., Lindsey Loveland Baptist, and Richard J. Berens. "Pediatric Resuscitation: Outcome Effects of Location, Intervention, and Duration." Advances in Anesthesiology 2015 (February 8, 2015): 1–9. http://dx.doi.org/10.1155/2015/517863.

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Cardiopulmonary resuscitation (CPR) is performed in order to restore oxygen delivery and prevent multiorgan system failure and death. Prompt initiation of CPR with appropriate medical or surgical therapy may shorten arrest duration before irreversible organ injury occurs. The brain is most susceptible to irreversible anoxic injury. Survival data suggests that children are more likely than adults to survive and have good neurologic outcomes following cardiac arrest. In this review of pediatric resuscitation, we discuss important predictors of postarrest outcomes as well as advances in resuscitation science focusing on the critical importance of oxygen delivery during periarrest care.

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Weinstein, Eric, Luca Ragazzoni, Frederick Burkle, Mea Allen, David Hogan, and Francesco Della Corte. "Delayed Primary and Specialty Care: The Coronavirus Disease–2019 Pandemic Second Wave." Disaster Medicine and Public Health Preparedness 14, no. 3 (2020): e19-e21. http://dx.doi.org/10.1017/dmp.2020.148.

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ABSTRACTTime is of the essence to continue the pandemic disaster cycle with a comprehensive post-COVID-19 health care delivery system RECOVERY analysis, plan and operation at the local, regional and state level.The second wave of COVID-19 pandemic response are not the ripples of acute COVID-19 patient clusters that will persist until a vaccine strategy is designed and implemented to effect herd immunity. The COVID-19 second wave are the patients that have had their primary and specialty care delayed. This exponential wave of patients requires prompt health care delivery system planning and response.

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Lucas, DN, E. Kursumovic, TM Cook, et al. "Cardiac Arrest in Obstetric Patients Receiving Anesthetic Care: Results From the 7th National Audit Project of the Royal College of Anaesthetists." Obstetric Anesthesia Digest 45, no. 1 (2025): 1. https://doi.org/10.1097/01.aoa.0001097480.73388.f9.

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(Anaesthesia. 2024, 79, 514–523. doi:10.1111/anae.16204) Cardiac arrest (CA) among pregnant women is not common, occurring between 2.78 per 100,000 patients and 1 in 12,000 hospitalizations. Effective management of such situations necessitates modifications to customary resuscitation procedures, like manual left uterine displacement and prompt cesarean delivery (CD), to improve likelihood of maternal survival. In the UK, anesthetic complications such as local anesthetic toxicity and high neuraxial blocks, are the primary reasons for obstetric CA occurring before delivery. On the other hand, in the United States, typical reasons are bleeding, cardiac complications, amniotic fluid embolism, and septicemia.

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Ling, Tin Yee, Kavita Maravar, and Ruzica Ardalic. "Rare cause of abdominal pain in the third trimester: uterine torsion." BMJ Case Reports 16, no. 10 (2023): e255325. http://dx.doi.org/10.1136/bcr-2023-255325.

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The occurrence of uterine torsion is rare, as the uterus is supported in place by the uterine ligaments. When occurring during pregnancy, it is associated with increased perinatal mortality and maternal morbidity. We report a case of uterine torsion in a 36-week pregnant woman with a history of one previous caesarean section who presented with acute abdominal pain and signs of fetal distress. A 180 degree uterine torsion was recognised during emergency caesarean section with detorsion done prior to delivery and the baby was delivered in good condition. This case highlights the importance of prompt recognition and decision-making in managing this rare obstetric emergency to achieve a successful maternal and foetal outcome.

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Ellis, Peter G., Kathleen Lokay, and Melinda Krebs. "Incorporation of a patient question prompt list into a pancreatic cancer pathway." Journal of Clinical Oncology 33, no. 29_suppl (2015): 20. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.20.

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20 Background: Metastatic pancreatic cancer is an aggressive disease affording a life expectancy of less than 6 months (Worni et al., 2013). Timely end-of-life discussions are critical. Patient question prompt lists (QPL) have been shown to facilitate discussions around distressing topics and increase patient satisfaction (Brandes et al., 2014; Clayton et al., 2007). We evaluated the use of a QPL embedded in a pancreatic pathway provided by Via Pathways (VP) to enhance communication between oncologists and patients with metastatic disease. Methods: VP are disease-specific decision support algorithms delivered in a web-based portal and used by oncologists at the point of care. Through a committee of oncologists and palliative care specialists, a QPL was developed and incorporated into the VP pancreatic pathway. The goal of the QPL was to empower patients to have informed discussions of available cancer therapies, treatment goals, and personal preferences. Users of the pathway were required to indicate if the QPL was used, then had to provide it to the patient. The QPL prompt was placed in the first line metastatic branch of the pancreatic pathway and piloted from 12/1/14 to 2/28/15. Following the pilot, users were surveyed through email. Results: Results are shown in the table. Conclusions: Based on the results, the pilot had limited success. Although there was an even distribution of those indicating the QPL was and was not provided to the patient, survey results suggested the majority of providers were unaware of the QPL. Our conclusion is that our approach must be less of a burden to the oncologist. Current focus is on automated delivery of advance care planning materials directly to the patient, removing that task from the oncologist workflow. [Table: see text]

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Harish, Kokate* Dnyaneshwar Khade Vrushali Nikhade. "Fast Disintegrating Tablets: A Review on Novel Drug Delivery System." International Journal of Pharmaceutical Sciences 3, no. 6 (2025): 56–70. https://doi.org/10.5281/zenodo.15569265.

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Fast Disintegrating Tablets (FDTs) are a promising class of oral drug delivery  tablets that dissolve or disintegrate quickly in saliva, offering a practical and patient-friendly alternative for various populations. These tablets dissolve quickly in the buccal cavity, allowing direct absorption through the mucosa, ensuring prompt therapeutic effects. They have advantages such as improved tongue feel, ease of administration, accurate dose, and comfort for bedridden or mobile patients. However, they also have drawbacks like brittleness, hygroscopicity, mechanical strength, and unpleasant scents. A balanced formulation strategy is needed to overcome these challenges. The article also explores non-invasive drug delivery methods, such as spray drying, tablet molding, and freeze-drying, to meet pharmaceutical industry demands.

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Das, Ujjwal, Nishamani Kar, Sailajananda Saikia, and Nihar Ranjan Rout. "The impact of mode of birth delivery on child health in India." Journal of Clinical and Translational Research 10, no. 3 (2024): 00239. http://dx.doi.org/10.36922/jctr.22.00239.

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Background: A skilled birth attendant and the place of delivery have significant effects on child growth. Aims: The present paper aims to examine the mode of delivery and its impact on child health among children (0 – 59 months) in India. Methods: The life table estimation of mortality and both bivariate and multivariate logistic regressions were used to identify the association between child health and mode of delivery using data from the National Family Health Survey conducted in 2015 – 2016. Results: After adjusting for socioeconomic and biodemographic factors, poor child growth (measured through Z-scores for stunting, wasting, and underweight categories) was more significant in cesarean delivery compared to normal delivery. In contrast, live birth for different groups of women was reportedly higher in normal vaginal delivery than in cesarean delivery. Neonatal and infant mortality rates were lower for normal delivery than cesarean delivery, particularly in public hospitals. The risk of child death was also higher in cesarean delivery, particularly in the neonatal period. Conclusion: The findings from this study could inform the development of health-care policies and the implementation of strategies aimed at improving the quality of painless labor and prompt delivery in health-care facilities, particularly public hospitals. Relevance for Patients: The present study may help pregnant women and their providers decide whether a cesarean delivery is appropriate.

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Ubabudu, Mary Chinelo, Patrick Chukwuemeka Ozoemena, and Bassey Ekpenyong Anam. "Effectiveness of Inventory Management on the Profitability of Manufacturing Sectors in Nigeria Bottling Company, Kaduna." European Journal of Business and Innovation Research 12, no. 1 (2024): 1–14. http://dx.doi.org/10.37745/ejbir.2013/vol12n1114.

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Inventory management plays a crucial role in the profitability of manufacturing sectors, including the Nigeria Bottling Company in Kaduna. The study aimed to assess the effectiveness of inventory management on the profitability of manufacturing sectors in Nigeria Bottling Company, Kaduna. The study is quantitative and utilizes both primary and secondary data. A survey instrument was developed to collect primary data from a sample of 100 managers and employees within the Nigeria Bottling Company, Kaduna. Additionally, secondary data was collected from annual reports and financial statements of the company. The primary data collected was analyzed using statistical techniques such as descriptive statistics and regression analysis, while the secondary data was analyzed using content analysis. This mixed-method approach allowed for a comprehensive examination of the effectiveness of inventory management on the profitability of the manufacturing sectors in the Nigeria Bottling Company, Kaduna. From the result of data analysis, the hypothesis there is a positive relationship between inventory management and prompt delivery in manufacturing sectors (Nigerian Bottling Company) Kaduna, was rejected and the alternate was accepted. The study concludes that although inventory management is a key factor in prompt service delivery, it is not the only factor. The organization must balance its operations by putting in place important management and operational policies that support service delivery. Some of which are recommended to include the implementation of advanced inventory management techniques, enhancing demand forecasting and production planning processes, among other things.

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Penninckx, Sébastien, Félicien Hespeels, Julien Smeets, Julien L. Colaux, Stéphane Lucas, and Anne-Catherine Heuskin. "Metallic Nanoparticles: A Useful Prompt Gamma Emitter for Range Monitoring in Proton Therapy?" Radiation 1, no. 4 (2021): 305–16. http://dx.doi.org/10.3390/radiation1040025.

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In clinical practice, dose delivery in proton therapy treatment is affected by uncertainties related to the range of the beam in the patient, which requires medical physicists to introduce safety margins on the penetration depth of the beam. Although this ensures an irradiation of the entire clinical target volume with the prescribed dose, these safety margins also lead to the exposure of nearby healthy tissues and a subsequent risk of side effects. Therefore, non-invasive techniques that allow for margin reduction through online monitoring of prompt gammas emitted along the proton tracks in the patient are currently under development. This study provides the proof-of-concept of metal-based nanoparticles, injected into the tumor, as a prompt gamma enhancer, helping in the beam range verification. It identifies the limitations of this application, suggesting a low feasibility in a realistic clinical scenario but opens some avenues for improvement.

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LU, Zhengqing, Jiajie Zhou, ChaoWei Wang, Zhihong Zhou, Guoliang Shi, and Ying Yin. "Delivery Garbage Behavior Detection Based on Deep Learning." International Journal of Information Technologies and Systems Approach 17, no. 1 (2024): 1–15. http://dx.doi.org/10.4018/ijitsa.343632.

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In the context of rapid urbanization, the challenge of effective garbage disposal has become increasingly significant. Traditional methods for addressing illegal littering by pedestrians are not only inefficient but also resource-intensive, demanding considerable manpower and materials. This study introduces a deep learning-based approach for detecting improper garbage disposal behavior. Leveraging advanced deep learning technologies, this approach focuses on object detection, tracking, and human posture analysis to identify and alert against illegal dumping activities captured in video footage, specifically targeting incidents outside designated times or areas. The primary aim is to facilitate prompt detection and mitigate associated health risks. The system uses three deep learning models, YOLOv5, DeepSORT and MobilePose. YOLOv5 is used to identify the human body and garbage bag, DeepSORT is used to track the two, and MobilePose identifies the key points of the human body for posture estimation. The tracking algorithm is used to determine whether to throw garbage.

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Shrestha, Reena, SD Shrestha, AP Malla, R. Pradhan, B. Pradhan, and Laxmi RC. "Acute Total Uterine Inversion: A Life Threatening Obstetrics Emergency." Nepal Journal of Obstetrics and Gynaecology 12, no. 1 (2018): 62–63. http://dx.doi.org/10.3126/njog.v12i1.18987.

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Acute total uterine inversion is a rare and life threatening obstetric emergency. Prompt diagnosis and aggressive management reduces maternal mortality and morbidity .We report a case of 28 year old primi, who had total uterine inversion immediately after normal delivery of full term baby weighing 3150gm. Immediate manual repositioning was done by Johnson’s maneuver under general anesthesia. She recovered well and was discharged after 5 days.

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Broom, Jennifer, and David Sowden. "Premature labour precipitated by highly active antiretroviral therapy: an adverse reaction in a newly diagnosed HIV-positive patient." Sexual Health 8, no. 3 (2011): 436. http://dx.doi.org/10.1071/sh10071.

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A pregnant woman was diagnosed with HIV infection at 29 weeks’ gestation. Antiretroviral therapy (ART) of lopinavir–ritonavir and zidovudine–lamivudine was initiated. Ten days later, a hypersensitivity reaction occurred, followed by preterm delivery of the infant 3 days later at 30 weeks’ gestation. Hypersensitivity reactions to ART should prompt urgent consideration of a change in ART to avoid the potential for adverse pregnancy outcomes.

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Sivamani, Saraswathi, Kyunghun Kwak, and Yongyun Cho. "A Study on Intelligent User-Centric Logistics Service Model Using Ontology." Journal of Applied Mathematics 2014 (2014): 1–10. http://dx.doi.org/10.1155/2014/162838.

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Much research has been undergone in the smart logistics environment for the prompt delivery of the product in the right place at the right time. Most of the services were based on time management, routing technique, and location based services. The services in the recent logistics environment aim for situation based logistics service centered around the user by utilizing various information technologies such as mobile devices, computer systems, and GPS. This paper proposes a smart logistics service model for providing user-centric intelligent logistics service by utilizing smartphones in a smart environment. We also develop an OWL based ontology model for the smart logistics for the better understanding among the context information. In addition to basic delivery information, the proposed service model makes use of the location and situation information of the delivery vehicle and user, to draw the route information according to the user’s requirement. With the increase of internet usage, the real-time situations are received which helps to create a more reliable relationship, owing to the Internet of Things. Through this service model, it is possible to engage in the development of various IT and logistics convergence services based on situation information between the deliverer and user which occurs in real time.

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Tuladhar, Ruhee, and J. S. S. Sharma. "Maternal Complications and Perinatal Outcome in The Booked and Unbooked Cases of Pregnancy at Manipal Teaching Hospital." Journal of Perinatal Society of Nepal 1, no. 1 (2023): 15–23. http://dx.doi.org/10.59881/jpeson4.

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Introduction: The use of prenatal care prevents maternal complications and perinatal adverse outcomes by early identification of high risk pregnancies, assessment of growth and well being of the fetus, prompt diagnosis and management of complications, with safe delivery. Objectives: This study aims at comparing the obstetrical complications and perinatal outcomes in delivered booked and unbooked mothers to determine the correlation of booking status and maternal and perinatal outcome. Methodology: In this prospective study, 350 patients admitted for delivery at Manipal Teaching Hospital, Pokhara during March 2014 to May 2015 were included. Antenatal complications of the mothers, postnatal complications, neonatal outcome and the mode of delivery were compared amongst the booked and unbooked cases. Results: There was an increased prevalence of preeclampsia (6.3% in unbooked vs. 1.6% in booked); eclampsia (2.5% in unbooked vs. nil in booked); antepartum haemorrhage (5.06% in unbooked vs. 2.1% in booked); Preterm premature rupture of membrane (5.1% in unbooked vs. 2.1% in booked); Rh-isoimmunization (06% in unbooked vs. nil in booked); Intrauterine growth restriction (5.7% in unbooked vs. 3.6% in booked ); and Intrauterine fetal death (7.6% in unbooked vs. 0.5% in booked) in unbooked mothers as compared to booked mothers. The unbooked mothers were prone to postpartum hemorrhage (6.9% vs 2.6% in booked mothers). Assisted breech delivery and ventouse delivery were recorded higher in unbooked cases than in booked case (3.2% vs. 0.5% and 3.8% vs. 3.1% respectively). Conclusion: The poorer maternal and fetal outcome in unbooked cases in comparison to booked cases can be reduced with the best utilization of the prenatal care.

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Tejashwini, A. N., G. Mahendra, and K. Subbappa. "A Case Series on Management Of Scar Endometriosis Following C-Section At A Teritary Health Care Centre." International Journal of Pharmaceutical and Clinical Research 16, no. 9 (2024): 971–75. https://doi.org/10.5281/zenodo.13910099.

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Endometriosis was first described by Karl Von Rokitansky in 1860. It is a chronic gynecologic disorder where the functional and morphological endometrial glands and stroma are present outside the uterine cavity. The most common sites of involvement, in decreasing order of frequency, are the ovaries, pelvic peritoneum, deep pelvic subperitoneal spaces, the intestinal system, and the urinary system .Hereby presenting a case series of patients with scar endometriosis and its management. Overall outcome of the case with scar endometriosis with early diagnosis with prompt management is highlighted in these studies.      

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Researcher. "AI-POWERED TEST AUTOMATION: REVOLUTIONIZING CLOUD TESTING WITH LLMS." International Journal of Research In Computer Applications and Information Technology (IJRCAIT) 7, no. 2 (2024): 901–13. https://doi.org/10.5281/zenodo.14050264.

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This article presents a novel testing framework that integrates AI and Large Language Models (LLMs) with serverless architectures for cloud-native application testing. The framework demonstrates significant improvements in testing efficiency, with a 78% reduction in manual test writing time and 91% accuracy in edge case identification. Leveraging advanced prompt engineering and serverless execution, the system achieves 65% faster test execution than traditional infrastructure while reducing operational costs by 45-60%. Empirical results from over 1,400 professionals show that organizations implementing this approach are 2.4 times more likely to be elite performers in software delivery, with automated test coverage increasing by 42% year-over-year. The framework's architecture combines LLM integration, prompt engineering, serverless orchestration, and feedback analysis systems, achieving 99.82% service reliability and processing capabilities of 32,000 requests per minute.

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Adebawojo, Olufemi, Adebayo Akadri, and John Imaralu. "Hypertensive disorders of pregnancy: A five-year review in Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria." Babcock University Medical Journal (BUMJ) 3, no. 1 (2020): 67–72. http://dx.doi.org/10.38029/bumj.v3i1.35.

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Objective: To determine the prevalence and outcome of hypertensive disorder of pregnancy in Babcock University Teaching Hospital, Ilishan-Remo, Ogun State Nigeria Method: This was a retrospective descriptive study of all documented cases of hypertensive disorder of pregnancy between the 1st of June 2012 and 31st May, 2017. Information such as age, parity, booking status, level of education, blood pressure at presentation, urinalysis at presentation, gestational age at presentation, and delivery, mode of delivery, baby’s birth weight was extracted from patients’ case files. Result: There were 1,118 deliveries during the study period out of which 55 (4.9%) patients had hypertensive disorders in pregnancy. The mean age was 31.5years ±48.1 and mean parity, 1.2± 1.1. The mean systolic and diastolic blood pressures were 180.4 ± 1.88mmHg and 105.1± 1.5mmHg, respectively. Thirty-four (75.5%) of the women had preeclampsia/ eclampsia, while 7 (15.5%) had gestational hypertension. Most women were delivered preterm (22 patients, 48.7%). The majority of them (33, 73.3%) were delivered by cesarean section, out of which 2 (4.4%) were elective cesarean section and 31 patients (68.8%) were emergency cesarean section. The case fatality rate was 1.8%. Conclusion: Pre-eclampsia was the most prevalent t hypertensive disorder of pregnancy. It was more prevalent among primigravidae patients and the most common complication was preterm delivery. Strengthening antenatal care services will enable early identification of cases. Prompt referral of cases for specialist care will help in reducing the adverse outcomes associated with the condition.

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Werner, Theresa, Jonathan Berthold, Fernando Hueso-González, et al. "Processing of prompt gamma-ray timing data for proton range measurements at a clinical beam delivery." Physics in Medicine & Biology 64, no. 10 (2019): 105023. http://dx.doi.org/10.1088/1361-6560/ab176d.

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