A Comprehensive Analysis on the Healthcare Systems in Latin America

This comprehensive report summarizes and analyzes the current state of healthcare in Latin America, specifically in the countries of Mexico, Brazil, the Northern Triangle (El Salvador, Guatemala, and Honduras), the Andean Region (Ecuador, Peru, and Bolivia) and the Rioplatense Region (Uruguay, and Argentina). Each country's healthcare system is examined in depth, in terms of health infrastructure, the healthcare providing industry, and the effects of healthcare on the countries' respective populations.Mosser, Michael W.International Relations and Global Studie

Socioeconomic Status and Dehumanization in India: Elaboration of the Stereotype Content Model in a Non-WEIRD Sample

A perceiver’s socioeconomic status (SES) should influence social perceptions toward others. However, there is little evidence for this effect within and beyond Western samples. We hence evaluate the relationship between perceiver SES and dehumanized perception in a society where status is historically defined: India. Across two studies, we hypothesized that perceiver SES would predict dehumanization toward societal outcasts—beggars—and norm violators. Replicating previous work, in Study 1, upper SES perceivers dehumanized beggars more than lower SES perceivers; accounted for by low self-reported contact likelihood. In Study 2, norm violators were perceived as less human but more so by lower rather than upper SES perceivers. This novel finding was partially explained by perceivers viewing female violators as less prototypical, aligned with theorizing in gender research. Our results indicate that SES influences dehumanization via contact likelihood as well as the perceived normativity of a targets’ behavio

Socioeconomic Status and Dehumanization in India: Elaboration of the Stereotype Content Model in a Non-WEIRD Sample

A perceiver’s socioeconomic status (SES) should influence social perceptions toward others. However, there is little evidence for this effect within and beyond Western samples. We hence evaluate the relationship between perceiver SES and dehumanized perception in a society where status is historically defined: India. Across two studies, we hypothesized that perceiver SES would predict dehumanization toward societal outcasts—beggars—and norm violators. Replicating previous work, in Study 1, upper SES perceivers dehumanized beggars more than lower SES perceivers; accounted for by low self-reported contact likelihood. In Study 2, norm violators were perceived as less human but more so by lower rather than upper SES perceivers. This novel finding was partially explained by perceivers viewing female violators as less prototypical, aligned with theorizing in gender research. Our results indicate that SES influences dehumanization via contact likelihood as well as the perceived normativity of a targets’ behavio

Factors affecting the choice of contraceptives among married women of reproductive age

Introduction: Family planning refers to a conscious effort by a couple to limit or space the number of children through the use of contraceptive methods. This study aims to identify the factors affecting the choice of contraceptives among married women of reproductive age. Method: A descriptive cross-sectional study design was adopted among 326 samples at Family Planning Sansthagat Clinic, Lalitpur from July to September 2017. Face-to-face interview using a structured questionnaire was used for data collection. Association between married women’s socio-demographic variables with factors affecting the choice of contraceptives were analyzed. SPSS 16 was used for statistical analysis. Ethical approval was taken from the Institutional Review Board of Tribhuvan University, Institute of Medicine. Result: The study revealed that 100% of the respondents had known about condoms and pills as contraceptives methods. 314(96.3%) of the respondents were using a modern method of family planning. Among them, 186(59.2%) were using an implant. One hundred and seventy-three women (53.1%) had started using contraceptives after the birth of their first child. 142(43.6%) stated that they discontinued using some contraceptives in the past. The main reason for discontinuation was due to side effects of 70(49.3%). Purposes of using contraceptives, preference for child sex are the significant factors for the choice of contraceptives. Conclusion:  Study result revealed that most of the respondents were using a modern method and among them, Implant was the most practiced family planning method. Women’s active involvement in decision-making regarding the use of contraceptives can play an important role in its utilization

Risk and burden of adverse intrapartum-related outcomes associated with non-cephalic and multiple birth in rural Nepal: a prospective cohort study

Objectives Intrapartum-related complications are the second leading cause of neonatal death worldwide. We estimate the community-level risk and burden of intrapartum-related fetal/neonatal mortality and morbidity associated with non-cephalic and multiple birth in rural Sarlahi District, Nepal. Design Community-based prospective cohort study. Setting Rural Sarlahi District, Nepal. Participants Pregnant women residing in the study area. Methods We collected data on maternal background characteristics, conditions during labour and delivery, fetal presentation and multiple birth during home visits. We ran log-binomial regression models to estimate the associations between non-cephalic/multiple births and fresh stillbirth, early neonatal mortality and signs of neonatal encephalopathy, respectively, and calculated the per cent attributable fraction. To better understand the context under which these adverse birth outcomes are occurring, we also collected data on maternal awareness of non-cephalic presentation and multiple gestation prior to delivery. Primary outcome measures Risk of experiencing fresh stillbirth, early neonatal encephalopathy and early neonatal mortality associated with non-cephalic and multiple birth, respectively. Results Non-cephalic presentation had a particularly high risk of fresh stillbirth (aRR 12.52 (95% CI 7.86 to 19.95), reference: cephalic presentation). 20.2% of all fresh stillbirths were associated with non-cephalic presentation. For multiple births, there was a fourfold increase in early neonatal mortality (aRR: 4.57 (95% CI 1.44 to 14.50), reference: singleton births). 3.4% of early neonatal mortality was associated with multiple gestation. Conclusions Globally and in Nepal, a large percentage of stillbirths and neonatal mortality is associated with intrapartum-related complications. Despite the low incidence of non-cephalic and multiple birth, a notable proportion of adverse intrapartum-related outcomes is associated with these conditions. As the proportion of neonatal deaths attributable to intrapartum-related complications continues to rise, there is a need to investigate how best to advance diagnostic capacity and management of these conditions. Trial registration number NCT01177111; pre-results

TSTR^\mathrm{R}: Target Similarity Tuning Meets the Real World

Target similarity tuning (TST) is a method of selecting relevant examples in natural language (NL) to code generation through large language models (LLMs) to improve performance. Its goal is to adapt a sentence embedding model to have the similarity between two NL inputs match the similarity between their associated code outputs. In this paper, we propose different methods to apply and improve TST in the real world. First, we replace the sentence transformer with embeddings from a larger model, which reduces sensitivity to the language distribution and thus provides more flexibility in synthetic generation of examples, and we train a tiny model that transforms these embeddings to a space where embedding similarity matches code similarity, which allows the model to remain a black box and only requires a few matrix multiplications at inference time. Second, we show how to efficiently select a smaller number of training examples to train the TST model. Third, we introduce a ranking-based evaluation for TST that does not require end-to-end code generation experiments, which can be expensive to perform.Comment: Accepted for EMNLP-Findings, 202

Maternal vitamin A supplementation increases natural antibody concentrations of preadolescent offspring in rural Nepal

AbstractObjectiveB1a lymphocytes—which constitutively produce most natural antibodies (NAb)—arise from an early wave of progenitors unique to fetal life. Vitamin A regulates early lymphopoiesis. In animals, deficiency during this critical period compromises B1 cell populations. The aim of this study was to investigate the effect of maternal supplementation with vitamin A or β-carotene from preconception through lactation on NAb concentrations of offspring.MethodsParticipants (N = 290) were born to participants of a cluster-randomized, placebo-controlled trial of weekly maternal vitamin A or β-carotene supplementation (7000 μg retinol equivalents) conducted in Sarlahi, Nepal (1994–1997) and assessed at ages 9 to 13 y (2006–2008). Serum retinol was measured by reversed-phase high-performance liquid chromatography at mid-pregnancy and 3 mo of age. Enzyme-linked immunosorbent assay (ELISA) was used to measure children's plasma NAb concentrations at 9 to 13 y.ResultsUnadjusted geometric mean concentrations were 20.08 U/mL (95% confidence interval [CI], 17.82–22.64) in the vitamin A group compared with 17.64 U/mL (95% CI, 15.70–19.81) and 15.96 U/mL (95% CI, 13.43–18.96) in the β-carotene and placebo groups (P = 0.07), respectively. After adjustment, maternal vitamin A supplementation was associated with a 0.39 SD increase in NAb concentrations (P = 0.02). The effect was mediated by infant serum retinol in our statistical models. Although girls had 1.4-fold higher NAb concentrations (P < 0.001), sex did not modify the vitamin A effect.ConclusionsIn an undernourished population, maternal vitamin A supplementation enhanced NAb concentrations of preadolescent children. We posit that this was due to a greater allotment of B1a precursors during fetal life and a sustained higher count of NAb-secreting B1a cells