A Transformer-Based Neural Machine Translation Model for Arabic Dialects That Utilizes Subword Units.

Languages that allow free word order, such as Arabic dialects, are of significant difficulty for neural machine translation (NMT) because of many scarce words and the inefficiency of NMT systems to translate these words. Unknown Word (UNK) tokens represent the out-of-vocabulary words for the reason that NMT systems run with vocabulary that has fixed size. Scarce words are encoded completely as sequences of subword pieces employing the Word-Piece Model. This research paper introduces the first Transformer-based neural machine translation model for Arabic vernaculars that employs subword units. The proposed solution is based on the Transformer model that has been presented lately. The use of subword units and shared vocabulary within the Arabic dialect (the source language) and modern standard Arabic (the target language) enhances the behavior of the multi-head attention sublayers for the encoder by obtaining the overall dependencies between words of input sentence for Arabic vernacular. Experiments are carried out from Levantine Arabic vernacular (LEV) to modern standard Arabic (MSA) and Maghrebi Arabic vernacular (MAG) to MSA, Gulf-MSA, Nile-MSA, Iraqi Arabic (IRQ) to MSA translation tasks. Extensive experiments confirm that the suggested model adequately addresses the unknown word issue and boosts the quality of translation from Arabic vernaculars to Modern standard Arabic (MSA).

Adapting a skills-based stroke prevention intervention for communities in Ghana: a qualitative study.

BACKGROUND: Stroke is a major cause of death in Ghana. Evidence-based interventions for stroke prevention have been successful in the US; however, in low- and middle-income countries (LMICs), such interventions are scarce. The "Discharge Education Strategies for Reduction of Vascular Events" (DESERVE) intervention led to a 10-mmHg reduction in systolic blood pressure (SBP) among Hispanic survivors of mild/moderate stroke and transient ischemic attack (TIA) at 1-year follow-up. Our objectives were to capture the perceptions of a diverse set of stakeholders in an urban community in Ghana regarding (1) challenges to optimal hypertension management and (2) facilitators and barriers to implementation of an evidence-based, skills-based educational tool for hypertension management in this context. METHODS: This exploratory study used purposive sampling to enroll diverse stakeholders in Accra (N = 38). To identify facilitators and barriers, we conducted three focus group discussions: one each with clinical nurses (n = 5), community health nurses (n = 20), and hypertensive adults (n = 10). To further examine structural barriers, we conducted three key informant interviews with medical leadership. All interviews were audio recorded and transcribed. Thematic analysis was carried out via deductive coding based on Proctor's implementation outcomes taxonomy, which conceptualizes constructs that shape implementation, such as acceptability, adoption, appropriateness, cost, and feasibility. RESULTS: Findings highlight facilitators, such as a perceived fit (appropriateness) of the core intervention components across stakeholders. The transferable components of DESERVE include: (1) a focus on risk knowledge, medication adherence, and patient-physician communication, (2) facilitation by lay workers, (3) use of patient testimonials, (4) use of a spirituality framework, and (5) application of a community-based approach. We report potential barriers that suggest adaptations to increase appropriateness and feasibility. These include addressing spiritual etiology of disease, allaying mistrust of biomedical intervention, and tailoring for gender norms. Acceptability may be a challenge among individuals with hypertension, who perceive relative advantage of alternative therapies like herbalism. Key informant interviews highlight structural barriers (high opportunity costs) among physicians, who perceive they have neither time nor capacity to educate patients. CONCLUSIONS: Findings further support the need for theory-driven, evidence-based interventions among hypertensive adults in urban, multiethnic Ghana. Findings will inform implementation strategies and future research.