Antenatal care (ANC) provides a platform to counsel pregnant women on maternal nutrition and to prepare the mother to breastfeed. Recent reviews suggest that gaps in the coverage and quality of counselling during pregnancy may partly explain why services do not consistently translate to improved behavioural outcomes in South Asia. This scoping literature review collates evidence on the coverage and quality of counselling on maternal nutrition and infant feeding during ANC in five South Asian countries and the effectiveness of approaches to improve the quality of counselling. Coverage data were extracted from the most recent national surveys, and a scoping review of peer-reviewed and grey literature (1990-2019) was conducted. Only Afghanistan and Pakistan have survey data on the coverage of counselling on both maternal nutrition and breastfeeding, nine studies described the quality of counselling and three studies assessed the effectiveness of interventions to improve the quality of services. https://www.selleckchem.com/mTOR.html This limited body of evidence suggests that inequalities in access to services, gaps in capacity building opportunities for frontline workers and the short duration and frequency of counselling contracts constrain quality, while the format, duration, frequency and content of health worker training, together with supportive supervision, are probable approaches to improve quality. Greater attention is needed to integrate indicators into monitoring and supervision mechanisms, periodic surveys and programme evaluations to assess the status of and track progress in improving quality and to build accountability for quality counselling, while research is needed to understand how best to assess and strengthen quality in specific settings.The room-temperature (RT) Na/S battery is a promising energy storage system owing to suitable operating temperature, high theoretical energy density, and low cost. However, it has a poor cycle life and low reversible capacity. In this work, we report a long-life RT-Na/S battery with amorphous porous silica as a sulfur host. The sulfur is loaded into amorphous silica by a dipping method; the optimal sulfur loading is up to 73.48 wt %. Molecular dynamics simulation and first-principles calculations suggest that the complex pores, acting as micro-containers and the formation of Na-O chemical bonds between amorphous silica and sodium polysulfide, give the electrodes a strong ability to inhibit sodium polysulfide shuttle. This would give rise to effectively avoiding the loss of active sulfur, corresponding to a superior capacity and an excellent cyclability even at 10 A gsulfur-1 (nearly 100 % coulomb efficiency and high reversible capacity of 955.8 mAh gsulfur-1 after 1460 cycles).Despite the great promises that artificial intelligence (AI) holds for health care, the uptake of such technologies into medical practice is slow. In this paper, we focus on the epistemological issues arising from the development and implementation of a class of AI for clinical practice, namely clinical decision support systems (CDSS). We will first provide an overview of the epistemic tasks of medical professionals, and then analyse which of these tasks can be supported by CDSS, while also explaining why some of them should remain the territory of human experts. Clinical decision making involves a reasoning process in which clinicians combine different types of information into a coherent and adequate 'picture of the patient' that enables them to draw explainable and justifiable conclusions for which they bear epistemological responsibility. Therefore, we suggest that it is more appropriate to think of a CDSS as clinical reasoning support systems (CRSS). Developing CRSS that support clinicians' reasoning process therefore requires that (a) CRSSs are developed on the basis of relevant and well-processed data; and (b) the system facilitates an interaction with the clinician. Therefore, medical experts must collaborate closely with AI experts developing the CRSS. In addition, responsible use of an CRSS requires that the data generated by the CRSS is empirically justified through an empirical link with the individual patient. In practice, this means that the system indicates what factors contributed to arriving at an advice, allowing the user (clinician) to evaluate whether these factors are medically plausible and applicable to the patient. Finally, we defend that proper implementation of CRSS allows combining human and artificial intelligence into hybrid intelligence, were both perform clearly delineated and complementary empirical tasks. Whereas CRSSs can assist with statistical reasoning and finding patterns in complex data, it is the clinicians' task to interpret, integrate and contextualize.
To assess if there are any differences in maxillary dentogingival exposure between different facial expressions (maximum smile with eyes open and eyes closed), age groups and both sexes.

Digital photographs of the lower third of the face of 120 subjects, belonging to 6 different age groups were taken. There were 20 subjects in each of the 6 age groups (20-30, 30-40, 40-50, 50-60, 60-70, and 70-80) which were comprised of 80 women and 40 men. Two standardized images of each subject were taken, one of maximum smile with eyes open, and the second of maximum smile with eyes closed. These 240 images were used to quantify a dentogingival exposure ratio (DER) for each tooth spanning the second bicuspids on either side, using standardized measurement techniques. Additionally, incidence of interdental papilla visibility was studied in a binary manner, and all data were studied with respect to various covariables of age, sex and type of facial expression using a generalized linear mixed effects model. A p-value &lty necessary for complete and accurate data collection for prosthodontic treatment planning purposes.Aqueous rechargeable Zn metal batteries have attracted widespread attention due to the intrinsic high volumetric capacity, low cost, and high safety. However, the low Coulombic efficiency and limited lifespan of Zn metal anodes resulting from uncontrollable growth of Zn dendrites impede their practical application. In this work, a 3D interconnected ZnF2 matrix is designed on the surface of Zn foil (Zn@ZnF2 ) through a simple and fast anodic growth method, serving as a multifunctional protective layer. The as-fabricated Zn@ZnF2 electrode can not only redistribute the Zn2+ ion flux, but also reduce the desolvation active energy significantly, leading to stable and facile Zn deposition kinetics. The results reveal that the Zn@ZnF2 electrode can effectively inhibit dendrites growth, restrain the hydrogen evolution reactions, and endow excellent plating/stripping reversibility. Accordingly, the Zn@ZnF2 electrode exhibits a long cycle life of over 800 h at 1 mA cm-2 with a capacity of 1.0 mAh cm-2 in a symmetrical cell test, the feasibility of which is also convincing in Zn@ZnF2 //MnO2 and Zn@ZnF2 //V2 O5 full batteries.