Late Arrival Research Articles

Dating the beginning of the Pottery Neolithic in South Iran: Radiocarbon dates from Tol-e Sangi, the Fars

Abstract The Fertile Crescent of Southwest Asia is considered one of the main centers of the first Neolithization worldwide. However, the dating and processes of its spread to neighboring regions have yet to be studied. This study reports new chronological data from the Fars highlands, southeast of the Fertile Crescent. Although the Pottery Neolithic in Fars has long been believed to have started in the late 7th millennium BC, recent excavations at Tepe Rahmatabad have suggested a date half a millennium earlier, raising controversy. Our data from Tol-e Sangi, a stratified site with Pre-Pottery (PPN) and Pottery Neolithic (PN) cultural deposits, support the advent of the Pottery Neolithic at the beginning of the 7th millennium BC. This suggests that despite the late arrival of the food production economy in the Fars highlands, which is dated from the mid-8th millennium BC, subsequent cultural development followed a path similar to that of the eastern wing of the Fertile Crescent.

Empowering self-reliance: Assessing the impact of lifting ban for pregnant girls to return to school in Tanzania

The main objective of this study was to examine how the Tanzanian government’s program allowing girls who became pregnant while in school to return after giving birth relates to efforts in promoting self-reliance among these girls. Using a quantitative research approach with a cross-sectional design, the study found that 87.5% of teenage mother students and 62.5% of teachers had positive perceptions of the program. Factors influencing teenage pregnancies included poverty (37.5%), peer pressure (10%), bad friends (10%), and rape (12.5%). Additionally, 32.5% of the pregnancies were attributed to businessmen, 27.5% to bodaboda (motorcycle taxi) drivers, 25% to street men, and 15% to fellow students. The study also revealed challenges for teenage mothers, such as difficulty balancing studying and childcare (62.5%) and stigmatization from students, teachers, family, and community members (57.5%). Teachers reported issues like low concentration in class (62.5%), late arrivals (75%), lack of respect (62.5%), and absenteeism (68.5%). Furthermore, 65% of teenage mother students reported no support from the fathers of their children, highlighting a lack of support from these individuals. It is recommended that all stakeholders provide both psychological and material support to help these teenage mothers become self-reliant. The government, in collaboration with the community, should also ensure that all perpetrators of pregnancies are held accountable for supporting these teenage mothers.

Employer-provided parking: Departure time choice, investment decision, and welfare effects

Employer-provided parking (EP) has become a prevalent way to reduce employees’ parking delays and late arrivals through offering them free or low-price parking spaces at the workplace. This paper explores the EP effects on employees’ trip scheduling, employer’s EP investment decision, and commercial parking operator’s pricing decision. An analytical trip scheduling equilibrium model is first presented to model the interaction between EP provision and employees’ departure time choices during morning commute. A profit maximization model incorporating the employee productivity is then developed to determine the employer’s optimal EP investment decision. A competitive game between employer’s investment decision and commercial parking operator’s parking pricing decision is analytically investigated, together with the effects of EP investment on social welfare. The results show that the EP investment can lead to a win-win situation with decreased employee commuting cost and increased firm production output; and the employer would like to provide only part of the employees with EP services. The competitive game solutions depend very much on the marginal costs of EP and commercial parking spaces. The EP investment with an excessively high commercial parking fee may hurt the society due to decreased social welfare.

Review of complains about the late arrival of ambulances

Review of complains about the late arrival of ambulances

Does Timing Matter? The Effect of Intensive Care Unit Arrival Timing on Elective Cardiac Surgery

BackgroundDue to staffing changes at scheduled intervals and decreases in essential staff in the evenings, late intensive care unit (ICU) arrivals may be at risk for suboptimal outcomes. Utilizing a regional collaborative, we sought to determine the effect of ICU arrival timing on outcomes in elective isolated coronary artery bypass. MethodsAdults undergoing elective, isolated coronary artery bypass from 17 hospitals between 2013 and 2023 were identified. Patients with missing predicted risk of mortality or missing ICU arrival time were excluded. Late ICU arrival time was defined as between 6:00 pm and 6:00 am. Hierarchical logistic regression with appropriate predicted risk scores was utilized for outcome risk adjustment. ResultsWe identified 11,638 patients, with 972 (8.4%) experiencing late ICU arrival. Late ICU arrival patients had higher predicted risk of morbidity or mortality (8.2%; [interquartile range {IQR}, 5.6%, 12.0%] vs 7.7% [IQR, 5.5%, 11.5%], P = .048) compared with early ICU arrival patients with longer median cardiopulmonary bypass times (96 minutes [IQR, 78, 119] vs 93 [IQR, 73, 116], P < .001). Late ICU arrival patients experienced more unadjusted complications including prolonged ventilation (7.7% vs 4.2%, P < .001) and operative mortality (2.0% vs 1.1%, P = .02), although no difference in failure-to-rescue (11.0% vs 10.4%, P = .84). Logistic regression with risk adjustment demonstrated late ICU arrival as a predictor of prolonged ventilation (odds ratio, 1.49 [95% CI, 1.12-1.99], P = .006). ConclusionsAfter adjustment, late ICU arrivals experienced higher rates of prolonged ventilation, although this did not translate to failure-to-rescue.

Patients with acute intracerebral hemorrhage and severe symptoms are highly sensitive to prehospital delay. A subgroup analysis from the RESIST and TRIAGE-STROKE trials

BackgroundPatients with a positive prehospital stroke severity score and underlying intracerebral hemorrhage (ICH) may be harmed by longer onset-to-admission time. We aimed to investigate the interaction between ICH severity and time from onset to admission on functional outcome.MethodsThis is an individual patient data analysis with data from two randomized prehospital stroke trials using the same prehospital stroke scale. Patients were stratified according to the presence of a positive stroke severity score. They were grouped into early arrivers (admitted ≤ 90 min from onset) and late arrivers (admitted ≥90 min after onset). The primary outcome was a shift toward a better functional outcome on the modified Rankin Scale (mRS).ResultsA total of 212 patients had ICH. A positive stroke severity score was seen in 123 of these patients. Patients with ICH and a positive prehospital stroke severity score had a significantly worse outcome if they arrived 90 min or later at the hospital (adjusted odds ratio [aOR]: 2.02, 95% CI [1.01, 4.12]). This difference was not observed in patients without a positive severity score (aOR: 0.50, 95% CI [0.22, 1.14]). Patients with a positive score also had an increased risk of death or severe dependency (mRS of 5–6) of 9.1 percentage points (95% CI [−1.6%, 19.8%]) per hour if they were diagnosed with ICH.ConclusionLonger onset-to-admission time was harmful for patients with ICH and a positive prehospital stroke severity score.

Multi-Task Multi-Objective Evolutionary Search Based on Deep Reinforcement Learning for Multi-Objective Vehicle Routing Problems with Time Windows

The vehicle routing problem with time windows (VRPTW) is a widely studied combinatorial optimization problem in supply chains and logistics within the last decade. Recent research has explored the potential of deep reinforcement learning (DRL) as a promising solution for the VRPTW. However, the challenge of addressing the VRPTW with many conflicting objectives (MOVRPTW) still remains for DRL. The MOVRPTW considers five conflicting objectives simultaneously: minimizing the number of vehicles required, the total travel distance, the travel time of the longest route, the total waiting time for early arrivals, and the total delay time for late arrivals. To tackle the MOVRPTW, this study introduces the MTMO/DRP-AT, a multi-task multi-objective evolutionary search algorithm, by making full use of both DRL and the multitasking mechanism. In the MTMO/DRL-AT, a two-objective MOVRPTW is constructed as an assisted task, with the objectives being to minimize the total travel distance and the travel time of the longest route. Both the main task and the assisted task are simultaneously solved in a multitasking scenario. Each task is decomposed into scalar optimization subproblems, which are then solved by an attention model trained using DRL. The outputs of these trained models serve as the initial solutions for the MTMO/DRL-AT. Subsequently, the proposed algorithm incorporates knowledge transfer and multiple local search operators to further enhance the quality of these promising solutions. The simulation results on real-world benchmarks highlight the superior performance of the MTMO/DRL-AT compared to several other algorithms in solving the MOVRPTW.

Consequences and Explanatory Factors of Late Start to Prenatal Consultation by Pregnant Women at the MAZIBA Reference Health Center, in the Democratic Republic of Congo

Introduction: It is undeniable that the NPC plays a crucial role in the development process of nations; “because maternal and neonatal deaths, which hinder economic growth and cause global losses in productivity, can be avoided thanks to ANC, which is all the more effective if it is early and regularly repeated. This consultation effectively contributes to avoiding “complications of pregnancy and its consequences, which are a major challenge for the health of women of childbearing age; and the leading global cause of morbidity, disability and mortality in this target, especially in developing countries. This research seeks to determine the repercussions and explanations explanations of the beginning late arrival of women to prenatal consultation. Method: This study is quantitative of the cross-sectional descriptive correlational type, carried out at the MAZIBA health and maternity center, more precisely in the Bonhomme district, in the commune of Matete, city of Kinshasa, in the Democratic Republic of Congo, during the period from January 29 2022 to April 8, 2023. It used the survey method, combined with the interview technique and a survey questionnaire as the data collection instrument. Results: The late onset of CPN remains a major public health issue in the study region. The late arrival of pregnant women at the CPN is influenced by different variables such as neglect, fatigue, distance, lack of financial means, high cost of care, poor reception, lack of space, lack of chairs or benches. The consequences linked to late arrival at the ANC are on two levels: the consequence for the pregnant woman and for the fetus. In the pregnant we obtained an average of 18.7% and 31.3% in the fetus. This study demonstrated that there is a significant statistical relationship between It also appears that there is a significant statistical relationship between personal, socio-economic, organizational, cultural factors and the consequences in the fetuses (p = 0.00. P=0.01, and p=0.00). Conclusion: Thus, healthcare professionals have the opportunity to provide ongoing education on the importance of starting prenatal care visits early to avoid adverse pregnancy outcomes, taking into account all the elements mentioned.

Asuhan Kebidanan Komprehensif Pada Ny. M Umur 44 Tahun G4P2A1 Faktor Resiko Umur Ibu Lebih Dari 35 Tahun Dan Pre-Eklamsia Di Wilayah Kerja Puskesmas Paguyangan Tahun 2023

The Program Registration at the Ministry of Health in 2020 shows a figure of 5,125 deaths. AKI is caused by bleeding, pre-eclampsia/eclampsia, infection, late arrival of the mother to a health facility and mothers with positive PCR/Antigen. The aim of this research is to be able to implement comprehensive midwifery care for Mrs. M, 44 years oldhe maternal mortality rate in Indonesia compiled from the Family Health. This research method used quantitative descriptive with a case study approach. The case study carried out was in the form of Comprehensive Midwifery Care which examined women during pregnancy, childbirth, newborns, postpartum and family planning with Varney's seven-step midwifery management and SOAP. Comprehensive Midwifery Care for Mrs. M, namely during pregnancy, pre-eclampsia was discovered. Delivery by Sectio Caesarea and the baby was born normally. During the postnatal period, no problems were found in the baby. During the postpartum period, no problems were found. Mother uses MOW birth control. Based on the care, it is concluded that the care has been implemented according to Midwifery Service standards.

Factors Affecting Length of Stays in the Emergency Department of a Teaching Hospital: A Retrospective Study From Najran, Saudi Arabia.

Reducing the frequency of emergency department (ED) patient visits for treatment, particularly in urgent instances, is a global healthcare objective. Additionally, a more extended stay in the ED can harm a patient's prognosis during later hospitalization. This study aims to investigate the factors affecting the length of stay in the ED in a teaching hospital. A retrospective chart review study was done between January 1, 2021, and February 31, 2021, involving 122 adult patients who had delayed ED visits to King Khalid Hospital in Najran, Saudi Arabia. Data on the patient's characteristics, visit time, and the causes for the delay based on the Canadian Triage and Acuity Scale (CTAS) were gathered and analyzed. Factors associated with more than six hours of delay were investigated in a univariate analysis. The mean age was 52.3 ±13.5 years, and 42 (34.4%) were more than 65 years of age. More than half of the study population were female (n=66; 54.1%). Most delays occurred among CTAS 4 and 5 cases (47.5%), and 22 (18.0%) occurred during holidays. The mean delay time was 6.1 ±1.8 hours. The leading delay causes were multiple consultations with further investigations (37.7%) and conflict between the teams (36.1%). In univariate analysis, ED visiting at holiday time (OR: 0.14; 95% CI: 0.04-0.40, p <0.001) and CTAS 4 and 5 (OR: 2.22; 95% CI: 0.95-5.30, p = 0.003) significantly had more delay. Factors associated with delay in univariate analysis were multiple consultations with further investigations (OR: 2.82; 95% CI: 1.32-6.26, p = 0.013), various assessments in different ED areas with a late arrival of the specialist (OR: 0.43; 95% CI: 0.20-0.91, p = 0.042), and conflict between the teams (OR: 2.50; 95% CI: 1.17-5.54, p = 0.031). In this study, multiple assessments in different ED areas and conflict between the teams were the main factors that caused delays in ED. Implementing a timeframe monitoring system for consultations while emphasizing accelerated decision-making and disposition for patients and understanding teamwork collaboration may reduce patients' length of stay in the ED. Implementing these strategies and evaluating their impact on the length of stay in the ED requires further investigation.

Major Delay in Door-to-Ballon Time for Primary Percutaneous Coronary Intervention is Not Related to Interventional Cardiologist's Late Arrival

AbstractInterventional cardiologists are held accountable for delay in the door-to-balloon time (DBT) for patients undergoing primary percutaneous coronary intervention in the setting of ST-elevation myocardial infarction (STEMI) even though in the chain of STEMI activation, the interventional cardiologist is the last person that needs to be available to start angiography. The goal of our study is to conduct a thorough analysis of the DBT data to assess time delays by randomly evaluating two consecutive years at the University of Arizona Medical Center (UAMC). We evaluated all available DBT data for STEMIs occurring in the fiscal years of 2011 and 2012 at the UAMC and calculated the time needed for the cardiologist to start the procedure after the patient was ready in the cardiac catheterization laboratory called time to start the procedure (TSP) in addition to other time intervals. Mean TSP time was 4 minutes and 24 seconds, one of the shortest time delays in the chain of STEMI activation and DBT. The median TSP delay was 3 minutes. The longest delay interval was the STEMI team's arrival to with a mean of 17 minutes and 38 seconds. Our data are the first to evaluate delays related to DBT revealing the least delay occurring due to the late arrival of Interventional cardiologists. Our data emphasizes the importance of performing a detailed time analysis of the DBT.

XVIAmerican Literature: The Twentieth Century

Abstract This chapter has nine sections: 1. Poetry; 2. Fiction 1900–1945; 3. Fiction since 1945; 4. Genre Fiction; 5. Drama; 6. Comics; 7. African American Writing; 8. Native Writing; 9. Latino/a, Asian American, and General Ethnic Writing. Section 1 is by James Gifford; section 2 will resume next year; section 3 will resume next year; section 4 is by James Gifford; section 5 will resume next year; section 6(a) is by Anna Peppard; section 6(b) is by Orion Ussner Kidder; section 7 is by Adam Rudder; section 8 will resume next year; section 9 is by Antonio Velásquez. Very few titles were received for 2022 last year. This year includes more late arrivals than is typical.

EVALUATING CASSAVA FARMERS’ LEVEL OF PARTICIPATION IN THE IMPLEMENTATION OF FADAMA III-ADDITIONAL FINANCING PROJECT IN EBONYI STATE, NIGERIA

The study assessed the cassava farmers’ level of participation in Fadama III- additional financing in Ebonyi State, Nigeria. Two hundred and forty (240) cassava farmers were chosen through a multi-stage sampling procedure to participate in the Fadama III- additional financing project. A multistage sampling procedure was used to obtain primary data from 240 cassava farmers participating in Fadama III- additional financing project. A timetable for conducting interviews was utilized to gather primary data, which were then analyzed using basic statistical methods like frequency, percentage, mean, and Likert-type scale. The study's findings showed that the cassava farmers in the research region actively engaged in the creation of business plans need assessments, input and project distribution, and training sessions. It also demonstrated how cassava growers profited from better input availability, higher farm yields, workshops and training, bigger farms, easier access to market data, lower labour costs, and infrastructure support. The respondents cited several significant issues that impede agricultural productivity, including late arrival of inputs, the unsatisfactory attitude of some Fadama staff, lack of market information, inadequate communication channels, poverty, poor access to loans, and fear of crop failure and disease assault. To overcome the significant obstacle of late farm input arrival, it is highly recommended that governments at all levels and the World Bank guarantee the timely release of farm inputs to cassava farmers. This will encourage cassava farmers to actively participate in Fadama III- additional financing project in the study area.

Pemanfaatan Aplikasi Berbasis Android Untuk Meminimasi Produk Return/”Retur” di Industri Retail

The main process carried out by the retail industry is distribution. The distribution flow starts from receiving goods from suppliers by the receiving division, the picking process carried out by the warehouse division, sending goods to retailers carried out by the distribution and delivery division, as well as receiving returned/returned goods (unsold goods) from retailers by the returns division. The problem faced by the retail industry is the high value of returned products identified as inventory. From the results of problem identification using the six sigma method, it was found that the cause of the high inventory of returned products was the late arrival of returned goods from retailers. In general, returned goods can be returned to the supplier/manufacturer if the maximum expiration date is 3 months. If the expiration date is less than 3 months, the item cannot be returned/replaced with a new product. Delays are caused by the system for checking returned goods that are nearing their expiry date, which is still done manually, so there is no system that can warn retail employees to immediately return the returned goods. This problem can be avoided if there is a product identification system that will expire. This identification system is called an early warning system. Early signal system design uses the Structured Analyzed and Design Technique (SADT) design method. The operating system chosen is Android base. The use of the Android base was chosen because it is more effective and efficient for use in retail branches or retail industry outlets. The process of creating this early signal system uses a MySQL database. The application creation process uses PHP and Android Studio. With an early signal system, delays in returning goods by retailers can be minimized.

XVIIIBibliography, Textual Criticism, Reference Works, and Miscellaneous

Abstract This chapter, in common with Chapter XVII, has broadly six sections, although there is crossing over between them: 1. Periodicals; 2. Edited Collections; 3. Editions and Associated Books; 4. Bibliography; 5. Miscellaneous; 6. Late Arrivals, which includes some items not covered in earlier chapters . In order to avoid confusion, YWES readers are strongly advised to consult the excellent ‘YWES Index of Authors and Subjects’ found at the end of the present volume. Thanks are due to Professor James May for input on the 2022 volume of The Eighteenth-Century Intelligencer, and to Professor Patrick Scott for his input on the Burns Chronicle and Studies in Scottish Literature. The compiler is also grateful to those who facilitated ease of access to their journals such as Professor Shef Rogers and Script &amp; Print, the Bulletin of the Bibliographical Society of Australia &amp; New Zealand, Emma Brown and James Fleming in the instance of The Book Collector, and Dr Sarah Werner for access to PBSA—The Papers of the Bibliographical Society of America. Last but by no means least Juan Christian Pellicer, of the University of Oslo, a former YWES contributor, for generously making available to me his fascinating study Preposterous Virgil: Reading through Stoppard, Auden, Wordsworth, Heaney. If anyone or organization has been omitted, my apologies.

Forward modeling of quake’s infrasound recorded in the stratosphere on board balloon platforms

Acoustic waves generated by seismic waves contain information on the internal structure of planets, and can be sensed by pressure sensors onboard high-altitude balloons. To identify the various contributions (infrasound signal, noise, balloon response, etc.) in such pressure records, a full waveform modeling is implemented and completed by infrasound ray tracing and additional data analysis. Here, we analyze the Stratéole-2 pressure data associated with two earthquakes (Garcia et al. Geophys. Res. Lett. 49(15):e98844, 2022) and compared these to full waveform simulations by SPECFEM2D-DG-LNS software. Even if our simulations do not precisely reproduce the waveform observed in the frequency range [0.05, 0.3] Hz, we show that the waveform presents more sensitivity to quake and internal structure parameters than to atmospheric structure, and that seismic surface wave dispersion is observed in balloon pressure records. The long-duration pressure oscillations observed after the main infrasonic signal cannot be fully reproduced by our one-dimensional input model even when source time function complexity and aftershocks are considered. These features are ascribed mainly to the complex vertical ground movements below the balloon and partly to late secondary infrasound arrivals excited by the interactions of seismic waves with the topography. These results enhance the advantages and limitations of quake-related infrasound observations on board terrestrial and planetary balloon platforms.Graphical

The Influence of ERP-SAP Implementation and Inventory Management on Production Efficiency through Inventory Control Performance Using Partial Least Square (PLS) Method

PT XYZ is the largest manufacturing company in Indonesia that produces biscuits with the support of the SAP system, which has integrated data from each division, especially the inventory control division. Due to the accessibility of real-time data, it was observed that there were two late arrivals of raw materials, causing the company to only achieve 75% of the weekly production target. Therefore, this study aims to determine the effect of ERP-SAP implementation and inventory management on smooth production and provide recommendations for improvement through inventory control performance at PT XYZ. The method used is Partial Least Square (PLS) which uses SmartPLS. Based on the research conducted, it was found that the implementation of ERP-SAP does not have a positive impact on production flexibility, but has a positive impact on inventory management performance, and then inventory management directly positively affects production efficiency and inventory control performance

Feasibility and acceptability of a parent‐toddler programme to support the development of executive functions in children at elevated likelihood of autism or ADHD: Pilot findings

AbstractThis study reports feasibility, fidelity and acceptability of a pilot of START; a 12‐week parent‐toddler, group‐based, neurodiversity‐affirming programme aiming to support executive function development in toddlers at elevated likelihood of autism or ADHD. After 4 days' training, community early years practitioner pairs delivered START to 13 UK families with a toddler showing elevated autistic traits, or with a parent or sibling with autism or ADHD, in groups of 6 and 7. Sessions were audio‐recorded and rated by practitioners and researchers regarding the extent to which programme and session aims were met. Practitioners' reflections on strengths and challenges in session delivery, adaptations to the session plan and researchers' observations from the audio recordings were probed in weekly debrief calls, and one‐to‐one interviews at programme end‐point. Recruitment and retention were monitored. Parent participants were asked to complete a feedback questionnaire after each session. Results show recruitment to the programme is feasible, but a large minority of parents experience barriers to regular attendance, which is a challenge for achieving exposure targets. Practitioners delivered the programme to a high quality and at least partially met programme and session‐specific aims in every session. The most significant barrier to fully meeting session aims was families' late arrival. Parents reported regularly engaging with the suggested activities at home and found the sessions useful, although not all parents responded each week. Overall, the results of this small‐scale pilot indicate START is feasible and acceptable as a parent‐mediated programme to support toddlers at elevated likelihood of autism or ADHD to thrive.

One suitcase, two grammars: what can we conclude about Australian Turkish heritage speakers’ divergent processing of evidentiality?

Abstract This study investigates the processing of evidentiality using an auditory sentence verification task in heritage speakers of Turkish residing in Sydney, Australia. Evidentiality is a grammatical category that marks the sources of information through which the speaker comes to know information regarding an event. Turkish obligatorily marks two distinct forms of direct and indirect evidentials. We compare the sensitivity to evidentiality-information source mismatches of the speakers of Turkish as a heritage language to Turkish speakers who were late arrivals to Australia. The results show that the heritage language speakers perform less accurately and with longer response times than late arrivals, and both the groups’ response accuracy is largely predicted by amount of exposure to Turkish during their development. The data suggest that heritage speakers of Turkish show insensitivity to evidentiality. Moreover, diminishing exposure to Turkish throughout heritage speakers’ development appears to be an important trigger for divergent attainment of evidentiality in Turkish heritage grammar.

An IoT-Based Automatic Vehicle Accident Detection and Visual Situation Reporting System

Road accidents are a major cause of injuries and deaths worldwide. Many accident victims lose their lives because of the late arrival of the emergency response team (ERT) at the accident site. Moreover, the ERT often lacks crucial visual information about the victims and the condition of the vehicles involved in the accident, leading to a less effective rescue operation. To address these challenges, a new Internet of Things (IoT)-based system is proposed that uses on-vehicle sensors to detect and report the accident to rescue operator without any human involvement. The sensor data are automatically transmitted to a remote server to create a visual representation of the accident vehicles (which existing systems lack), facilitating the situation-based rescue operation. The system tackles any false reporting issue and also sends alerts to the victim’s family. A mobile application has also been developed for eyewitnesses to manually report the accident. The proposed system is evaluated in a simulated environment using a remote-controlled car. The results show that the system is robust and effective, automatically generating visuals of accident vehicles to facilitate informed rescue operation. The system has the potential to aid the ERT in providing timely first aid and, thus, saving human lives.