Multi-Head Spatiotemporal Attention Graph Convolutional Network for Traffic Prediction.

Intelligent transportation systems (ITSs) have become an indispensable component of modern global technological development, as they play a massive role in the accurate statistical estimation of vehicles or individuals commuting to a particular transportation facility at a given time. This provides the perfect backdrop for designing and engineering an adequate infrastructural capacity for transportation analyses. However, traffic prediction remains a daunting task due to the non-Euclidean and complex distribution of road networks and the topological constraints of urbanized road networks. To solve this challenge, this paper presents a traffic forecasting model which combines a graph convolutional network, a gated recurrent unit, and a multi-head attention mechanism to simultaneously capture and incorporate the spatio-temporal dependence and dynamic variation in the topological sequence of traffic data effectively. By achieving 91.8% accuracy on the Los Angeles highway traffic (Los-loop) test data for 15-min traffic prediction and an R2 score of 85% on the Shenzhen City (SZ-taxi) test dataset for 15- and 30-min predictions, the proposed model demonstrated that it can learn the global spatial variation and the dynamic temporal sequence of traffic data over time. This has resulted in state-of-the-art traffic forecasting for the SZ-taxi and Los-loop datasets.

Assessment of wild turmeric-based eco-friendly yellow natural bio-colorant for dyeing of wool fabric.

The current study has been designed to observe the coloring efficacy of wild turmeric-based natural yellowish colorant for wool dyeing under microwave (MW) treatments. Extracts and fabrics have been exposed to MW treatment for up to 10 min. Surface morphology and changes in the fabric's chemical nature before and after radiation have been studied through SEM and FTIR, respectively. The results obtained after a series of experiments show that using 45 mL of aqueous extract (pH = 5) in the presence of 1.5g/100mL of table salt as an exhausting agent at 75°C for 45 min has displayed outstanding color depth (K/S) onto microwave-treated wool fabric. On applying biomordants, it has been found that acacia extract (1.5%), pomegranate (2%), and pistachio extracts (1.5%) before dyeing, whereas acacia (1%), pomegranate (1%), and pistachio extracts (2%) after dyeing, have shown colorfast shades of high strength. Comparatively, salts of Al (1.5%) and Fe (1%), and T.A (2%) before dyeing, while salts of Al (1%) and Fe (1.5%) and T.A (1.5%) after dyeing, have given the best results. Generally, it has been originated that salt of Fe (1.5%) as a post-chemical mordant and pomegranate extract (1.5%) as a post-bio-mordant have displayed wonderful color strength. It very well may be inferred that MW treatment, being naturally protected, has just superior the varying strength of colorants on wool fabric. Adding biomordants has transformed the strategy into a more sustainable one.

Personality traits and social loafing among employees working in teams at small and medium enterprises: A cultural perspective data from emerging economies.

The main objective of this research is to examine the association between personality traits such as conscientiousness and neuroticism and social loafing behavior of employees with moderating impact of individualistic behaviors. A multi correlational survey was used to investigate and analyze this study. The survey sample consisted of 241 supervisors and subordinates who attended a survey at manufacturing firms operating in three South Asian countries e.g., Pakistan, Bangladesh, and India. In the data analysis, a reliability and validity test were conducted and then correlation and regression analyses were used to investigate the results. Statistically substantial differences on some study variables were perceived vis-à-vis cultural traits. Correlation and regression verdicts exhibited that there was a substantial negative association between conscientiousness and social loafing, and a positive association between neuroticism and social loafing. Furthermore, this relationship between variables was strengthened when an individual behavior was included as moderator.

Association between procalcitonin levels and duration of mechanical ventilation in COVID-19 patients.

BACKGROUND: Patients diagnosed with COVID-19 frequently require mechanical ventilation. Knowledge of laboratory tests associated with the prolonged need for mechanical ventilation may guide resource allocation. We hypothesized that an elevated plasma procalcitonin level (>0.1 ng/ml) would be associated with the duration of invasive mechanical ventilation. METHODS: Patients diagnosed with COVID-19, who were admitted to any of our health system's hospitals between March 9th-April 20th, 2020 and required invasive mechanical ventilation, were eligible for this observational cohort study. Demographics, comorbidities, components of the Sequential Organ Failure Assessment score, and procalcitonin levels on admission were obtained from the electronic health record. The primary outcome was the duration of mechanical ventilation; secondary outcomes included 28-day mortality and time to intubation. Outcomes were assessed within the first 28 days of admission. Baseline demographics and comorbidities were summarized by descriptive statistics. Univariate comparisons were made using Pearson's chi-square test for binary outcomes and Mann-Whitney U test for continuous outcomes. A multiple linear regression was fitted to assess the association between procalcitonin levels and the duration of mechanical ventilation. RESULTS: Patients with an initial procalcitonin level >0.1 ng/ml required a significantly longer duration of mechanical ventilation than patients with a level of ≤0.1 ng/ml (p = 0.021) in the univariate analysis. There was no significant difference in 28-day mortality or time to intubation between the two groups. After adjusted analysis using multivariable linear regression, the duration of mechanical ventilation was, on average, 5.6 (p = 0.016) days longer in patients with an initial procalcitonin level >0.1 ng/ml. CONCLUSION: In this cohort of 93 mechanically ventilated COVID-19 patients, we found an association between an initial plasma procalcitonin level >0.1 ng/ml and the duration of mechanical ventilation. These findings may help to identify patients at risk for prolonged mechanical ventilation upon admission.

Impact of pharmacist educational intervention on disease knowledge, rehabilitation and medication adherence, treatment-induced direct cost, health-related quality of life and satisfaction in patients with rheumatoid arthritis: study protocol for a randomized controlled trial.

BACKGROUND: The objective of this study is to evaluate the effectiveness of pharmacist intervention in improving disease knowledge, adherence to treatment, health-related quality of life (HRQoL) and direct cost of treatment. The study also documents patient satisfaction with pharmacist counselling as a quality control measure. METHODS/DESIGN: This is a randomized, single-blind, two-arm, controlled trial in patients with rheumatoid arthritis visiting outpatient rheumatology clinics in Karachi, Pakistan. We will enroll patients with established diagnosis of rheumatoid arthritis over 3 months. The patients would be randomized through a computer-generated list into the control group, i.e., usual care or into the intervention group, i.e., pharmaceutical care, in a ratio of 1:1, after providing signed written consent. The study will take place in two patient-visits over the course of 3 months. Patients in the intervention group would receive intervention from the pharmacist while those in the control group will receive usual care. Primary outcomes include change in mean score from baseline (week 0) and at follow up (week 12) in disease knowledge, adherence to medications and rehabilitation/physical therapy. The secondary outcomes include change in the mean direct cost of treatment, HRQoL and patient satisfaction with pharmacist counselling. DISCUSSION: This is a novel study that evaluates the role of the pharmacist in improving treatment outcomes in patients with rheumatoid arthritis. The results of this trial could set the foundation for future delivery of care for this patient population in Pakistan. The results of this trial would be published in a peer-reviewed journal. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03827148 . Registered on February 2019.

Noteworthy Cardiac Surgical Literature 2018: Value-Based Bundled Payments, Opioid Crisis and Cardiac Surgery, Percutaneous Suction Thrombectomy for Intracardiac/Caval Thrombus and Vegetations, and Minimally Invasive Left Ventricular Assist Device Placement.

There has been tremendous evolution in the care of cardiac surgical patients in 2018. In this article, 4 topics of considerable impact on cardiac surgical care in the current landscape are reviewed based on recent publications. The first topic reviews the recent paradigm shift to value-based payments and the potential role of bundled payments on health care and physician reimbursement. The second topic highlights the impact of the opioid crisis on cardiac surgery. The third topic demonstrates the increasing utilization and expanding role of novel percutaneous suction thrombectomy technique in the extraction of caval and right-sided intracardiac thrombi and vegetations with veno-venous bypass. The final topic reviews the current trend of minimally invasive left ventricular assist device placement. Each of these topics addresses the contemporary issues in cardiac surgery with the reasoning for evolution in our current practices in 2018.

A qualitative study investigating perceived barriers to medication adherence in chronic illness patients of Karachi, Pakistan.

OBJECTIVE: The study aimed to perceived barriers to medication adherence in patients with chronic illnesses.. METHODS: A qualitative study was conducted in a tertiary care hospital in Karachi in September 2017, using grounded theory and inductive approach. Interviews were conducted using a checklist in Urdu language from patients of chronic illnesses determined based on medicines dispensed from the out-patient pharmacy in hospital. Interviews were recorded, transcribed verbatim, translated in English and validated. The translated quotations were analysed using a qualitative analysis software, and thematic analysis was conducted. Codes were generated and analysed by semantic linkages and network analysis using ATLAS.ti qualitative research software. RESULTS: Of the 16 patients interviewed, 8(50%) were males and 8(50%) were females. Barriers to medication adherence identified were patient behaviour (intentional and un-intentional non-adherence), comorbidity and pill burden, cost-related non-adherence, and low patient knowledge. The last barrier was associated with the rest. CONCLUSIONS: Counselling has the potential to increase patient knowledge regarding medication use, and active pharmacist-physician collaboration can improve medication adherence..

Continuous Assessment as a Good Motivational Tool in Medical Education.

OBJECTIVE: Continuous assessment tests influence the learning needs of medical students at particular times but are also beneficial in scheduled learning, and act as motivating tool. These tests drive them to study by developing competition and optimism regarding the forthcoming result. This study has been designed to evaluate the role of these tests for medical students by learning about their motivation. METHODS: This study was conducted on 150 medical students. The students selected a continuous testing system or a classical system. Those who selected the continuous system had six assessment tests each, after completion of a curriculum block, usually 45 days apart. The motivation of the students in both the groups was assessed by asking them for their expected results just before the final examination. Statistical analysis was performed using Superior Performance Statistical Software (SPSS) version 20. RESULTS: The students' final results showed that almost half of the students who adopted the continuous assessment test system were successful and one third of those who did not adopt this system. The comparison of the successful students showed that the expectation of the students from the continuous assessment test system was high compared to the students who were not in the continuous assessment test system (P<0.05), even though the students in these groups had more or less similar actual marks (P>0.05). The comparison of the expected and actual marks of the successful students, of students who failed only one unit and of students who failed both units, showed that all these students had the same expectation (P<0.05) from the examination, although they had different actual marks (P>0.05). CONCLUSION: It was concluded that continuous assessment is good for student motivation. A support system matched with the individual needs of the students is suggested to improve their efficiency to gain the full benefits from this system.

Efficient estimation of Pareto model: Some modified percentile estimators.

The article proposes three modified percentile estimators for parameter estimation of the Pareto distribution. These modifications are based on median, geometric mean and expectation of empirical cumulative distribution function of first-order statistic. The proposed modified estimators are compared with traditional percentile estimators through a Monte Carlo simulation for different parameter combinations with varying sample sizes. Performance of different estimators is assessed in terms of total mean square error and total relative deviation. It is determined that modified percentile estimator based on expectation of empirical cumulative distribution function of first-order statistic provides efficient and precise parameter estimates compared to other estimators considered. The simulation results were further confirmed using two real life examples where maximum likelihood and moment estimators were also considered.

Risk factors of neonatal mortality in Faisalabad, Pakistan.

The objective of study was to find out major correlates of neonatal mortality. The main focus was in determining the impact of different demographic and health related characteristics of neonates and their mothers. A planned questionnaire was prepared in order to collect the information from mothers of newborns. The data were collected from different public and private hospitals of Faisalabad district. Discharge condition of neonate (dead or alive) was taken as response. Binary logistic regression was applied in order to unveil the impact of different contributory factors on the chances of neonatal mortality. Marriage age of mother, age of mother at baby birth, number of pregnancies, time since last birth, antenatal care, delivery mode, gender of baby, baby weight, baby disease and its nature, domestic violence, baby nutrition and residence were found to be significant factors affecting neonatal mortality. Odds ratio was used as a measure of association. From the results, it can be summed up that marriages at optimal ages, lesser frequency of pregnancies, early initiation of mother feeding, increased care during pregnancy to avoid low birth weight and birth time diseases, and increased facilities of antenatal care in rural areas can effectively reduce the neonatal mortality rates.

A Decade of Change: Training and Career Paths of Cardiothoracic Surgery Residents 2003 to 2014.

BACKGROUND: During the past decade, cardiothoracic surgery (CTS) education has undergone tremendous change with the advent of new technologies and the implementation of integrated programs, to name a few. The goal of this study was to assess how residents' career paths, training, and perceptions changed during this period. METHODS: The 2006 to 2014 surveys accompanying the Thoracic Surgery Residents Association/Thoracic Surgery Directors' Association in-training examination taken by CTS residents were analyzed, along with a 2003 survey of graduating CTS residents. Of 2,563 residents surveyed, 2,434 (95%) responded. RESULTS: During the decade, fewer residents were interested in mixed adult cardiac/thoracic practice (20% in 2014 vs 52% in 2003, p = 0.004), more planned on additional training (10% in 2003 vs 41% to 47% from 2011 to 2014), and the frequent use of simulation increased from 1% in 2009 to 24% in 2012 (p < 0.001). More residents recommended CTS to potential trainees (79% in 2014 vs 65% in 2010, p = 0.007). Job offers increased from a low of 12% in 2008 with three or more offers to 34% in 2014. Debt increased from 0% with more than $200,000 in 2003 to 40% in 2013 (p < 0.001). Compared with residents in traditional programs, more integrated residents in 2014 were interested in adult cardiac surgery (53% vs 31%) and congenital surgery (22% vs 7%), fewer were interested in general thoracic surgery (5% vs 31%, p < 0.001), and more planned on additional training (66% vs 36%, p < 0.001). CONCLUSIONS: With the evolution in CTS over the last decade, residents' training and career paths have changed substantially, with increased specialization and simulation accompanied by increased resident satisfaction and an improved job market.

Rearing the cotton bollworm, Helicoverpa armigera, on a tapioca-based artificial diet.

The impact of a tapioca-based artificial diet on the developmental rate, life history parameters, and fertility was examined over five consecutive generations for the cotton bollworm, Helicoverpa armigera Hubner (Lepidoptera: Noctuidae), a highly polyphagous pest of many agricultural crops. The study showed that when fed the tapioca-based artificial diet during larval stage, larval and pupal developmental period, percent pupating, pupal weight, emergence rate of male and female, longevity, fecundity and hatching were non-significantly different than that of the control agar-based artificial diet. Moreover, the cost to rear on tapioca-based diet approached 2.13 times less than the cost of rearing on the agar-based artificial diet. These results demonstrate the effectiveness and potential cost savings of the tapioca-based artificial diet for rearing H. armigera.