31 research outputs found

    Examining the Size of the Latent Space of Convolutional Variational Autoencoders Trained With Spectral Topographic Maps of EEG Frequency Bands

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    Electroencephalography (EEG) is a technique of recording brain electrical potentials using electrodes placed on the scalp [1]. It is well known that EEG signals contain essential information in the frequency, temporal and spatial domains. For example, some studies have converted EEG signals into topographic power head maps to preserve spatial information [2]. Others have produced spectral topographic head maps of different EEG bands to both preserve information in The associate editor coordinating the review of this manuscript and approving it for publication was Ludovico Minati . the spatial domain and take advantage of the information in the frequency domain [3]. However, topographic maps contain highly interpolated data in between electrode locations and are often redundant. For this reason, convolutional neural networks are often used to reduce their dimensionality and learn relevant features automatically [4]

    ROLE OF AYURVEDIC DOCTORS IN HEALTH SYSTEM OF NORTH-EAST INDIA IN THE MANAGEMENT OF LIFESTYLE DISEASES

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    Common lifestyle diseases in India are Diabetes, Arteriosclerosis, Heart diseases, Hypertension, Swimmers Ear, malignancy, stroke, Chronic Obstructive Pulmonary diseases (COPDs), Cirrhosis, Nephritis, Hemorrhoids, Fissure-in-Ano etc. Incidence of patient of above said diseases day by day in India as well as different states of North-east India. Due to change of dietary habits, lifestyle, geo-environmental factors, less public awareness and poor early detection facilities of cases in healthcare of Northeast make the Scenario more worsen. Ayurveda is very much rich in preventing these Lifestyle Diseases and for its management. Ayurveda provides better solution in the forms of proper dietary management, lifestyle advises, Panchakarma like detoxification and bio-purification procedures, medicaments, and rejuvenation therapies. The holistic approach of Ayurveda, treating the patient as a whole, meaning intervention targeted toward complete physical, psychological, and spiritual well-being makes this science a wonderful option in lifestyle disorders. So, the Ayurvedic doctors posted in different health institutions of different states of Northeast India may be used for public awareness program regarding the different regiments of Dinacharya, Ritucharya, Sadvritta, Nidra etc. Ayurvedic treatment

    Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis

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    INTRODUCTION: Retention of human resources for health (HRH), particularly physicians and nurses in rural and remote areas, is a major problem in Bangladesh. We reviewed relevant policies and provisions in relation to HRH aiming to develop appropriate rural retention strategies in Bangladesh. METHODS: We conducted a document review, thorough search and review of relevant literature published from 1971 through May 2013, key informant interviews with policy elites (health policy makers, managers, researchers, etc.), and a roundtable discussion with key stakeholders and policy makers. We used the World Health Organization\u27s (WHO\u27s) guidelines as an analytical matrix to examine the rural retention policies under 4 domains, i) educational, ii) regulatory, iii) financial, and iv) professional and personal development, and 16 sub-domains. RESULTS: Over the past four decades, Bangladesh has developed and implemented a number of health-related policies and provisions concerning retention of HRH. The district quota system in admissions is in practice to improve geographical representation of the students. Students of special background including children of freedom fighters and tribal population have allocated quotas. In private medical and nursing schools, at least 5% of seats are allocated for scholarships. Medical education has a provision for clinical rotation in rural health facilities. Further, in the public sector, every newly recruited medical doctor must serve at least 2 years at the upazila level. To encourage serving in hard-to-reach areas, particularly in three Hill Tract districts of Chittagong division, the government provides an additional 33% of the basic salary, but not exceeding US$ 38 per month. This amount is not attractive enough, and such provision is absent for those working in other rural areas. Although the government has career development and promotion plans for doctors and nurses, these plans are often not clearly specified and not implemented effectively. CONCLUSION: The government is committed to address the rural retention problem as shown through the formulation and implementation of related policies and strategies. However, Bangladesh needs more effective policies and provisions designed specifically for attraction, deployment, and retention of HRH in rural areas, and the execution of these policies and provisions must be monitored and evaluated effectively

    Retaining Doctors in Rural Bangladesh: A Policy Analysis

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    Background Retaining doctors in rural areas is a challenge in Bangladesh. In this study, we analyzed three rural retention policies: career development programs, compulsory services, and schools outside major cities – in terms of context, contents, actors, and processes. Methods Series of group discussions between policy-makers and researchers prompted the selection of policy areas, which were analyzed using the policy triangle framework. We conducted document and literature reviews (1971-2013), key informant interviews (KIIs) with relevant policy elites (n = 11), and stakeholder analysis/position-mapping. Results In policy-1, we found, applicants with relevant expertise were not leveraged in recruitment, promotions were often late and contingent on post-graduation. Career tracks were porous and unplanned: people without necessary expertise or experience were deployed to high positions by lateral migration from unrelated career tracks or ministries, as opposed to vertical promotion. Promotions were often politically motivated. In policy-2, females were not ensured to stay with their spouse in rural areas, health bureaucrats working at district and sub-district levels relaxed their monitoring for personal gain or political pressure. Impractical rural posts were allegedly created to graft money from applicants in exchange for recruitment assurance. Compulsory service was often waived for political affiliates. In policy-3, we found an absence of clear policy documents obligating establishment of medical colleges in rural areas. These were established based on political consideration (public sector) or profit motives (private sector). Conclusion Four cross-cutting themes were identified: lack of proper systems or policies, vested interest or corruption, undue political influence, and imbalanced power and position of some stakeholders. Based on findings, we recommend, in policy-1, applicants with relevant expertise to be recruited; recruitment should be quick, customized, and transparent; career tracks (General Health Service, Medical Teaching, Health Administration) must be clearly defined, distinct, and respected. In policy-2, facilities must be ensured prior to postings, female doctors should be prioritized to stay with the spouse, field bureaucrats should receive non-practising allowance in exchange of strict monitoring, and no political interference in compulsory service is assured. In policy-3, specific policy guidelines should be developed to establish rural medical colleges. Political commitment is a key to rural retention of doctors

    Retaining Doctors in Rural Bangladesh: A Policy Analysis

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    Abstract Background: Retaining doctors in rural areas is a challenge in Bangladesh. In this study, we analyzed three rural retention policies: career development programs, compulsory services, and schools outside major cities – in terms of context, contents, actors, and processes. Methods: Series of group discussions between policy-makers and researchers prompted the selection of policy areas, which were analyzed using the policy triangle framework. We conducted document and literature reviews (1971-2013), key informant interviews (KIIs) with relevant policy elites (n=11), and stakeholder analysis/position-mapping. Results: In policy-1, we found, applicants with relevant expertise were not leveraged in recruitment, promotions were often late and contingent on post-graduation. Career tracks were porous and unplanned: people without necessary expertise or experience were deployed to high positions by lateral migration from unrelated career tracks or ministries, as opposed to vertical promotion. Promotions were often politically motivated. In policy-2, females were not ensured to stay with their spouse in rural areas, health bureaucrats working at district and sub-district levels relaxed their monitoring for personal gain or political pressure. Impractical rural posts were allegedly created to graft money from applicants in exchange for recruitment assurance. Compulsory service was often waived for political affiliates. In policy-3, we found an absence of clear policy documents obligating establishment of medical colleges in rural areas. These were established based on political consideration (public sector) or profit motives (private sector). Conclusion: Four cross-cutting themes were identified: lack of proper systems or policies, vested interest or corruption, undue political influence, and imbalanced power and position of some stakeholders. Based on findings, we recommend, in policy-1, applicants with relevant expertise to be recruited; recruitment should be quick, customized, and transparent; career tracks (General Health Service, Medical Teaching, Health Administration) must be clearly defined, distinct, and respected. In policy-2, facilities must be ensured prior to postings, female doctors should be prioritized to stay with the spouse, field bureaucrats should receive non-practising allowance in exchange of strict monitoring, and no political interference in compulsory service is assured. In policy-3, specific policy guidelines should be developed to establish rural medical colleges. Political commitment is a key to rural retention of doctors

    What constitutes responsiveness of physicians: A qualitative study in rural Bangladesh

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    Responsiveness entails the social actions by health providers to meet the legitimate expectations of patients. It plays a critical role in ensuring continuity and effectiveness of care within people centered health systems. Given the lack of contextualized research on responsiveness, we qualitatively explored the perceptions of outpatient users and providers regarding what constitute responsiveness in rural Bangladesh. An exploratory study was undertaken in Chuadanga, a southwestern Bangladeshi District, involving in-depth interviews of physicians (n = 17) and users (n = 7), focus group discussions with users (n = 4), and observations of patient provider interactions (three weeks). Analysis was guided by a conceptual framework of responsiveness, which includes friendliness, respecting, informing and guiding, gaining trust and optimizing benefits. In terms of friendliness, patients expected physicians to greet them before starting consultations; even though physicians considered this unusual. Patients also expected physicians to hold social talks during consultations, which was uncommon. With regards to respect patients expected physicians to refrain from disrespecting them in various ways; but also by showing respect explicitly. Patients also had expectations related to informing and guiding: they desired explanation on at least the diagnosis, seriousness of illness, treatment and preventive steps. In gaining trust, patients expected that physicians would refrain from illegal or unethical activities related to patients, e.g., demanding money against free services, bringing patients in own private clinics by brokers (dalals), colluding with diagnostic centers, accepting gifts from pharmaceutical representatives. In terms of optimizing benefits: patients expected that physicians should be financially sensitive and consider individual need of patients. There were multiple dimensions of responsiveness- for some, stakeholders had a consensus; context was an important factor to understand them. This being an exploratory study, further research is recommended to validate the nuances of the findings. It can be a guideline for responsiveness practices, and a tipping point for future research

    Interpreting Disentangled Representations of Person-Specific Convolutional Variational Autoencoders of Spatially Preserving EEG Topographic Maps via Clustering and Visual Plausibility

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    Dimensionality reduction and producing simple representations of electroencephalography (EEG) signals are challenging problems. Variational autoencoders (VAEs) have been employed for EEG data creation, augmentation, and automatic feature extraction. In most of the studies, VAE latent space interpretation is used to detect only the out-of-order distribution latent variable for anomaly detection. However, the interpretation and visualisation of all latent space components disclose information about how the model arrives at its conclusion. The main contribution of this study is interpreting the disentangled representation of VAE by activating only one latent component at a time, whereas the values for the remaining components are set to zero because it is the mean of the distribution. The results show that CNN-VAE works well, as indicated by matrices such as SSIM, MSE, MAE, and MAPE, along with SNR and correlation coefficient values throughout the architecture’s input and output. Furthermore, visual plausibility and clustering demonstrate that each component contributes differently to capturing the generative factors in topographic maps. Our proposed pipeline adds to the body of knowledge by delivering a CNN-VAE-based latent space interpretation model. This helps us learn the model’s decision and the importance of each component of latent space responsible for activating parts of the brain

    Journalistic ethics and elections news coverage in the Ghanaian press: a content analysis of two daily Ghanaian newspaper coverage of election 2020

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    Purpose This study investigates the incidence of ethical violations in the Ghanaian press which has become topical in the wake of misinformation in a charged political atmosphere. Public interest institutions have questioned the unprofessional conduct of journalists covering election campaigns in recent years. This study content analysed political stories from two leading Ghanaian newspapers (Daily Graphic and Daily Guide) to determine the nature and extent of ethical violations, and to examine the level of prominence accorded to political news stories by the two dailies. Design/methodology/approach This paper relied on qualitative content analysis for data gathering and analysis. A total of 387 political news items published between 1 October and 30 November 2020, were analysed. Findings This study found infractions of various nature to Article 1 of the Ghana Journalists Association (GJA) codes of ethics, chief among which is the deliberate publications of news stories without cross-checking facts. Other infractions to Articles 17, 11, 6 and 5 of the GJA codes of ethics were observed. Political news coverage favours the governing New Patriotic Party (NPP) and the main opposition National Democratic Congress (NDC) than any other parties, with the two parties (NPP-NDC) given greater prominence and salience by the Ghanaian press. Originality/value The research makes a modest contribution to the growing concern of journalism ethics in an increasing ecology of fake new

    Integrated GIS-Based Site Selection of Hillside Development for Future Growth of Urban Areas

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    Urbanization is a challenging issue for developing countries, like Malaysia. Penang Island is one of the states of Malaysia selected as a study area where limited flat land exists. As a result, this would create urban environmental problems, such as unstable slopes and landslides due to uneven topography. The purpose of this study was to develop land suitability model for hillside development. Hence, this research aims land suitability analysis modelling for hillside development by using integrated GIS (Geographic Information System) based MCDM (Multi-Criteria Decision Making approach. The hill land portion of Penang Island was selected for hillside site development using GIS and AHP (Analytic Hierarchy Process) as a MCDM method for sustainable hillside development. This study found that 15% of land was highly suitable, 27% moderately suitable, 41% less suitable, and 17% not suitable. Therefore, this research can be consistently used by the concerned authorities for sustainable hillside urban planning and development. This approach can be used as a policy tool in decision making of urban planning and development
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