BaDLAD: A Large Multi-Domain Bengali Document Layout Analysis Dataset

While strides have been made in deep learning based Bengali Optical Character Recognition (OCR) in the past decade, the absence of large Document Layout Analysis (DLA) datasets has hindered the application of OCR in document transcription, e.g., transcribing historical documents and newspapers. Moreover, rule-based DLA systems that are currently being employed in practice are not robust to domain variations and out-of-distribution layouts. To this end, we present the first multidomain large Bengali Document Layout Analysis Dataset: BaDLAD. This dataset contains 33,695 human annotated document samples from six domains - i) books and magazines, ii) public domain govt. documents, iii) liberation war documents, iv) newspapers, v) historical newspapers, and vi) property deeds, with 710K polygon annotations for four unit types: text-box, paragraph, image, and table. Through preliminary experiments benchmarking the performance of existing state-of-the-art deep learning architectures for English DLA, we demonstrate the efficacy of our dataset in training deep learning based Bengali document digitization models

Early Life Child Micronutrient Status, Maternal Reasoning, and a Nurturing Household Environment have Persistent Influences on Child Cognitive Development at Age 5 years : Results from MAL-ED

Funding Information: The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project (MAL-ED) is carried out as a collaborative project supported by the Bill & Melinda Gates Foundation, the Foundation for the NIH, and the National Institutes of Health/Fogarty International Center. This work was also supported by the Fogarty International Center, National Institutes of Health (D43-TW009359 to ETR). Author disclosures: BJJM, SAR, LEC, LLP, JCS, BK, RR, RS, ES, LB, ZR, AM, RS, BN, SH, MR, RO, ETR, and LEM-K, no conflicts of interest. Supplemental Tables 1–5 and Supplemental Figures 1–3 are available from the “Supplementary data” link in the online posting of the article and from the same link in the online table of contents at https://academic.oup.com/jn/. Address correspondence to LEM-K (e-mail: [email protected]). Abbreviations used: HOME, Home Observation for Measurement of the Environment inventory; MAL-ED, The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project; TfR, transferrin receptor; WPPSI, Wechsler Preschool Primary Scales of Intelligence.Peer reviewe

Early life child micronutrient status, maternal reasoning, and a nurturing household environment have persistent influences on child cognitive development at age 5 years: Results from MAL-ED

Background: Child cognitive development is influenced by early-life insults and protective factors. To what extent these factors have a long-term legacy on child development and hence fulfillment of cognitive potential is unknown. Objective: The aim of this study was to examine the relation between early-life factors (birth to 2 y) and cognitive development at 5 y. Methods: Observational follow-up visits were made of children at 5 y, previously enrolled in the community-based MAL-ED longitudinal cohort. The burden of enteropathogens, prevalence of illness, complementary diet intake, micronutrient status, and household and maternal factors from birth to 2 y were extensively measured and their relation with the Wechsler Preschool Primary Scales of Intelligence at 5 y was examined through use of linear regression. Results: Cognitive T-scores from 813 of 1198 (68%) children were examined and 5 variables had significant associations in multivariable models: mean child plasma transferrin receptor concentration (β: −1.81, 95% CI: −2.75, −0.86), number of years of maternal education (β: 0.27, 95% CI: 0.08, 0.45), maternal cognitive reasoning score (β: 0.09, 95% CI: 0.03, 0.15), household assets score (β: 0.64, 95% CI: 0.24, 1.04), and HOME child cleanliness factor (β: 0.60, 95% CI: 0.05, 1.15). In multivariable models, the mean rate of enteropathogen detections, burden of illness, and complementary food intakes between birth and 2 y were not significantly related to 5-y cognition. Conclusions: A nurturing home context in terms of a healthy/clean environment and household wealth, provision of adequate micronutrients, maternal education, and cognitive reasoning have a strong and persistent influence on child cognitive development. Efforts addressing aspects of poverty around micronutrient status, nurturing caregiving, and enabling home environments are likely to have lasting positive impacts on child cognitive development.publishedVersio

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Predicting impacts of climate change on forest tree species of Bangladesh: evidence from threatened Dysoxylum binectariferum (Roxb.) Hook.f. ex Bedd. (Meliaceae)

The impact of climate change on ecosystems, especially at the species level, can be currently observed in many parts of the world. Species distribution models (SDMs) are widely used to predict the likely changes in the distribution of species in future climate change scenarios. The aim of the present study is to predict the effect of climate change on a valuable threatened tree species Dysoxylum binectariferum in the northeastern part of Bangladesh using the maximum entropy (MaxEnt) model on species’ occurrence data. The future distribution of D. binectariferum was predicted under two scenarios from the IPCC 5 assessment (RCP 4.5, and RCP 8.5) in 2050 and 2070. Model results showed that approximately 32% (2177 km) of the studied area is currently suitable for this species to grow. However, future predictions obtained by the model projected a complete loss of suitable habitat for D. binectariferum in the studied area by both 2050 and 2070. Therefore, urgent measures are required for the conservation of D. binectariferum in northeastern Bangladesh. The application of species distribution models to simple inventory data (such as the occurrence of the species) may provide policymakers and conservationists with a useful tool for the prediction of future distribution (at both local and regional scales) of poorly known species with high preservation concerns

Screening of salt-tolerant wheat (Triticum aestivum L.) through morphological and molecular markers

Screening of wheat genotypes containing suitable candidate genes for salt tolerance is an essential step in stress-breeding. This study aimed to determine genetic variation, and screen salt-tolerant genotypes using morphological and molecular markers as selection criteria. In this study, 44 genotypes of wheat were screened at the seedling stage by hydroponic culture. The treatments included a control (1 dSm−1), and low (9 dSm−1), moderate (12 dSm−1) and high (15 dSm−1) salinity stresses. Moreover, these genotypes were subjected to marker-assisted selection using 15 salt tolerance related gene-linked simple sequence repeats (SSRs). The total salt stress response indices (TSSRI) categorized wheat genotypes into four groups; tolerant, moderately tolerant, moderately susceptible, and susceptible. TSSRI and principal component analysis (PCA) revealed that Akbar was the most salt-tolerant wheat genotype, followed by Barigom-20, Barigom-22, BW-1284, BW-1262, BW-1237, and Barigom-24. It was evident that the growth of most of the genotypes was significantly inhibited by salt treatment. The tolerant genotypes, however, had to face a lower reduction in morphological parameters. The highest value (0.7127) of polymorphism information content (PIC) was shown by the marker Xwmc17. UPGMA dendrogram showed a clear differentiation of 43 wheat genotypes into seven major clusters considering genetic similarity. Cluster-I consisted of twelve genotypes, seven of which were found salt-tolerant, cluster-VI was composed of seven genotypes, of which four emerged as salt-tolerant, and Cluster-VII accommodated three genotypes all of which were tolerant based on TSSRI. On the contrary, seven genotypes in Cluster-II, and five in Cluster-III were found salt-susceptible according to phenotypic assessment at the seedling stage. In conclusion, considering the morphological characterization and molecular markers response, Akbar, Barigom-20, Barigom-22, BW-1284, and BW-1262 are identified as tolerant genotypes. Therefore, these screened genotypes could be utilized as valuable genetic resources in wheat breeding for salinity tolerance research

OOD-Speech: A Large Bengali Speech Recognition Dataset for Out-of-Distribution Benchmarking

We present OOD-Speech, the first out-of-distribution (OOD) benchmarking dataset for Bengali automatic speech recognition (ASR). Being one of the most spoken languages globally, Bengali portrays large diversity in dialects and prosodic features, which demands ASR frameworks to be robust towards distribution shifts. For example, islamic religious sermons in Bengali are delivered with a tonality that is significantly different from regular speech. Our training dataset is collected via massively online crowdsourcing campaigns which resulted in 1177.94 hours collected and curated from $22,645$ native Bengali speakers from South Asia. Our test dataset comprises 23.03 hours of speech collected and manually annotated from 17 different sources, e.g., Bengali TV drama, Audiobook, Talk show, Online class, and Islamic sermons to name a few. OOD-Speech is jointly the largest publicly available speech dataset, as well as the first out-of-distribution ASR benchmarking dataset for Bengali