Uniform System Research Articles

Trend analysis of caesarean sections using modified Robson’s classification in a teaching institution in Uttarakhand

ABSTRACT Background: Globally, the rising caesarean section (CS) rate is of great concern as it is associated with increased maternal morbidity and mortality in subsequent pregnancies. It is essential to reanalyze the CS trend and curb the rising menace using a standardized uniform auditing system. This study aimed to analyze and evaluate the trend of CS using Modified Robson’s Ten Group classification system (RTGCS) in a teaching institution in Uttarakhand. Methodology: This cross-sectional study from October 2022 to March 2023 included 260 women undergoing elective or emergency CS. Data on maternal demographics, obstetrics, labour, and fetal outcomes were recorded. Indications for CS were analyzed using modified RTGCS. Results: The overall CS rate for the study period at our hospital was 31.4%. The major contributors to CS were Group 2 (21.5%), Group 10 (21.5%), and Group 5 (20.7%), while Group 6 and Group 8 contributed 10% and 7.6%, respectively. Group 9 had the least share (1%) in the study population. The two main indications for which CS was performed were prior Lower Section Caesarean Section (LSCS) and fetal distress, contributing to 24.6% and 19.2%, respectively. CS for breech presentation was done in 16% of the total cases. Conclusion: Modified RTGCS is an easy and effective method for auditing CS, preventing unnecessary procedures, and improving maternal care. Its implementation is crucial in addressing the increasing prevalence of CS and ensuring better maternal and fetal outcomes.

Influence of pore size distribution and applied cross-flow on ion rejection and separation

To improve the understanding of the separation mechanism of ions through membrane filtration, ion transport through a membrane with non-uniform pore sizes is investigated theoretically by solving the coupled Poisson-Nernst-Planck and Navier-Stokes equations under various conditions. The model focuses on a membrane with pore sizes following a log-normal distribution and considers the flow interaction between pores. The rejection performance for different pore arrangements is addressed for a rational assessment of the best ion rejection and selectivity in membrane filtration processes. In addition to the dead-end setting, a cross-flow is applied on the feed side to alleviate the concentration polarization effect. In the presence of positively charged nanopore surfaces, both the cases of a single salt (NaCl) and mixed salts (NaCl, MgCl2) present in the liquid are considered. We show that the uniform pore system outperforms non-uniform ones in terms of the overall rejection and selectivity between salts. When pore size polydispersity is present, the arrangement among the larger and smaller pores impacts the local rejection and volumetric flux of pores. Moreover, the competitive transport between cationic co-ions makes Mg2+ demonstrate generally higher rejection in all the pore arrangements considered. As uniform pores show lower flow rates, the separation efficiency of ions may be improved by pore size polydispersity at the same concentration and pressure difference.

빛공해로 인한 자연생태계 교란방지를 위한 LED 조명디자인의 조향해석 및 시뮬레이션

Lighting lights such as streetlights and security lights are being illuminated outside the required area, disturbing the ecosystem of nature. In the case of LED lights that replace existing lighting lights, steering analysis and simulation of BUG (Back light, Up light, Glare) control technology that can prevent light pollution by securing left and right light, controlling light in the front and rear, and controlling upward light to prevent disturbance of the ecosystem of nature are performed. By doing so, we present an algorithm that can secure light from left to right, control light from the front to the back, and control light from the front and rear, and efficiently control upward light in the case of LED lighting. Through this, it is possible to effectively prevent light pollution through BUG control of nature-centered light environment and optical performance, such as reducing energy, and securing a uniformity of light pollution problems and the generation of lighting blind spots of conventional LED lights. As a result, it is possible to effectively prevent light pollution through BUG control of natural light environment and optical performance, such as securing a uniformity system for light pollution problems and the generation of lighting blind spots such as conventional LED lights. Various applications of lighting devices have recently been made possible based on powerful light sources through power LED devices. However, from the perspective of nature, industrialization and urbanization have destroyed the living grounds of many living things that coexist with humans, and in turn, they have come to realize that the harm can be brought back to humans. In particular, plants suffer from abnormal growth pains and fatigue syndrome because they cannot distinguish between night and day by using artificial lighting to excessively expand the lighting area to maintain bright conditions as day at night, and many scientific studies have shown that nocturnal animals are unable to hunt or mate properly as the food chain changes, resulting in disturbance of the ecosystem. For example, the use of LED lighting technology is applied according to the location and direction deemed essential, as migratory birds are lost, lost, or recovering from heartless poverty, reducing the population, or cicadas crying until late at night become pollution factors that destroy the natural ecosystem.

Financing universal health care: Premiums or payroll taxes?

This paper presents a stochastic overlapping generations model with endogenous health investment to study the transition from the existing hybrid health insurance system in Germany towards a uniform system, financed by either funded or unfunded premiums or payroll taxes.Our simulation results highlight the insurance properties of payroll taxes, but also their cost in terms of labor supply distortions and moral hazard. We find that compulsory deductibles decrease aggregate welfare in Germany, although they reduce moral hazard and increase private health investment. Reform models with premiums also induce precautionary behavior and increase labor supply, but at the same time increase exposure to productivity risk. Since the introduction of a funded system is costly for transitional cohorts, unfunded premiums provide the highest efficiency gains in our framework.

Federally Qualified Health Centers' Screening for Social Risk Factors and Health Outcomes.

Federally Qualified Health Centers (FQHCs) are ideally positioned to identify and address health-related social needs, but little is understood about the relationship between social risk factor (SRF) screening and health outcomes. We studied 1352 FQHCs from the 2019 Uniform Data System. Ordinary least squares regression was used to estimate the relationship between SRF screening and the percentage of patients with adequately controlled diabetes and hypertension. Results show 71% of the FQHCs in the sample collected SRFs. FQHCs' screened for SRFs had higher percentages of patients with adequately controlled diabetes (69.5% vs 67.0%, P <.001) and hypertension (63.8% vs 59.4%, P <.001) relative to FQHCs not collecting SRFs.

Neuromyelitis optica spectrum disorders registry system in Iran: Validity of data sets

BackgroundA targeted structure for recording, monitoring, and follow-up of patients with neuromyelitis optica spectrum disorders (NMOSD) is in demand. To obtain the correct and uniform standardized information registry system, it is necessary to use a data set that has good validity to help policy-makers systematically plan for improvements in the quality of care. The main goal of the present study was to develop a NMOSD data set for the national registry system in Iran (NMORI) and to evaluate the validity of the presented data set. MethodsThe NMORI data set consisted of baseline characteristics, disease and exposure history, background and past medical history, diagnosis and treatment, clinical features, imaging, and para-clinical findings. The content validity was evaluated by 18 experts from Iran, Japan, and Denmark by scoring each of the questionnaire items in term of transparency, simplicity, and relevance. According to the points given, the content validity index (CVI) and content validity ratio (CVR) scores were calculated and compared with the critical limit. ResultsThe current study was designed as a 125-items data set which was considered valid. In terms of relevance 110 out of 125 items, simplicity 113 out of 125 items, and transparency 123 out of 125 items had Item-CVI>0.79. All Scale-level-CVI values were greater than 0.9, showing noticeable content validity. In this data set, 112 items had CVR > 0.49, which was considered an acceptable level of significance. ConclusionThe implementing of NMORI is important in a developing country such as Iran with significant increasing prevalence of this disease. This registry facilitates a uniform and valid diagnosis and is considered valid for clinical investigation and epidemiological research on NMOSD. Scientists and healthcare policymakers can rely on a validated data set in order to have access to accurate data.

Low-cost monochromatic uniform illumination HSI system for detection and classification of apple bruise

Low-cost monochromatic uniform illumination HSI system for detection and classification of apple bruise

Impact of Malayan Uniform System and Selective Management System of Logging on Soil Quality in Selected Logged-over Forest in Johor, Malaysia

Understanding the effects of various forest management systems, including logging practices, on soil properties is essential for implementing sustainable management strategies. In Malaysia, two types of forest management systems were commonly used: Malayan Uniform System (MUS) and Selective Management System (SMS) practices. However, their effects on soil quality remained elusive, especially after decades of recovery. To address this need, we selected three plots for the MUS and SMS in Johor, Malaysia, to assess soil properties in logged-over forest plots. All the plots were natural forest reserves. Soil properties analyzed include soil acidity, electrical conductivity, cation exchange capacity, selected nutrient contents, and soil compaction. Generally, the results of the study indicate that forests logged using the SMS exhibit superior soil quality compared to those logged using the MUS according to several key soil properties. Specifically, significantly higher cation exchange capacity, potassium content, calcium content, and magnesium content with lower soil compaction was observed in the SMS when compared to MUS plots. In short, the SMS enhances soil quality more effectively than the MUS, even with a shorter logging cycle. This is because the SMS does not harvest all trees and distributes the impact of harvesting more evenly over time, rather than concentrating it at a single time point. Ultimately, this highlights that the SMS can play a significant role in promoting sustainable forest management practices by preserving soil quality.

Intentional Insertion of Air to Predict the Diagnostic Accuracy of Stereotactic Biopsy and a Uniform Grading System for Reporting

Background and Objectives: Stereotactic biopsies are a relatively safe and reliable way of tissue diagnosis and characterization of eloquent area lesions/neoplasm. However, predicting the accuracy of the site of biopsy with the desired/planned site is not always possible. We describe a technique to identify the precise location of the biopsy site in the post-operative computed tomography (CT) scan using the injection of a low volume of air into the biopsy cannula. Methods: Hundred consecutive biopsies were performed in 80 adults/20 children (59 males/41 females, median age 51 years) over 3 years, consisting of 75 frameless and 25 frame-based stereotactic biopsies. After the biopsy specimens had been collected, a small volume of air (median 1 cc) was injected into the site. Post-operative CT was done within 4 hours of the biopsy to see the site of the air bubble, and the same was correlated with the histopathological accuracy. Results: Intra-cranial air in the selected target was present in 95 patients (Grade 1 and 2), while the air was seen in the track (Grade 3) in 3% and at an unrelated site (Grade 4) in 2% of cases. Both Grade 4 biopsies were negative on histopathology (diagnostic yield = 98%). Two negative biopsies were reported, which were both predicted with the Grade 4 biopsy. The grading allowed uniform reporting across series and eliminated the chance of upgrading/downgrading the report due to wrong site sampling within the lesion/neoplasm. Conclusion: The air-injection manoeuvre proposed for use in stereotactic biopsies of intra-cranial mass lesions is a safe and reliable technique that allows the exact biopsy site to be located without any related complications.

Exploring the possibility of adding DGGS support to the S-100 Universal Hydrographic Data Model

reference systems. A DGGS is a spatial reference system consisting of multiple layers of grids with increasing resolution which partition the globe into polygon shaped cells of equal area. Individual cells can be easily identified and basic Geographic Information System (GIS) operations can be performed on data stored within the cells. Advantages of using DGGS for spatial data include the ability to integrate data layers of different data types in a statistically uniform way, the possibility to avoid distortions caused from projection, and the capability to scale analysis across multiple resolution levels. The benefits of using DGGS for hydrographic data, specifically Electronic Navigational Charts (ENC) are examined. The addition of DGGS to S-100 would provide a uniform gridding system for ENC cells, and would eliminate distortions in the Polar Regions caused when projecting rectangular cells based on latitude and longitude. The Open Geospatial Consortium (OGC) led a pilot project for which one of the participants developed a server that offers S-100 marine protected area data organized according to DGGS. Because of this success and the availability of open-source software for the implementation of DGGS, the BSH (German Federal Maritime and Hydrographic Agency) investigated the feasibility and possible benefits of using Discrete Global Grid Systems for S-100 data. The outcome was successful. However, it is recognized that DGGS as a standard is not yet advanced enough and the available software tools are inadequate for wide implementation. More investigation needs to be done, and additionally the best grid shape, orientation and aperture for a uniform grid for hydrographic data need to be determined. Overall, DGGS should be considered for future versions of S-100, the new universal hydrographic data model, because the benefits for ENCs and hydrographic data are clear and in the future, it is expected that DGGS will revolutionize GIS.

Examination of pain comorbid diagnoses in the inpatient rehabilitation population across all impairment groups.

Pain is common in inpatient rehabilitation patients; however, the prevalence of pain diagnoses in this population is not well-defined. This study examines comorbid pain diagnoses in inpatient rehabilitation patients across impairment groups. Adult inpatient rehabilitation patients discharged from January 2016 through December 2019 were identified in the Uniform Data System for Medical Rehabilitation® database using a literature-established framework containing ICD-10-CM pain diagnoses. Demographic data, clinical data, and pain diagnoses were compared across the 17 rehabilitation impairment groups. Of 1,925,002 patients identified, 1,347,239 (70.0%) had at least one ICD-10 pain diagnosis. Over half of all patients in each impairment group had at least one pain diagnosis. The most common pain diagnoses were limb/extremity and joint pain, with variation between impairment groups. Female sex and being in the arthritis, major multiple trauma, and pain syndrome impairment groups were associated with a greater odds of a pain diagnosis. Over half of all patients in each rehabilitation impairment group have a pain diagnosis, which varies between impairment groups. Due to the high prevalence of pain diagnoses, a new focus on pain management in inpatient rehabilitation patients is needed. Rehabilitation outcomes may also be affected by pain.

영향한계강우량을 고려한 삼척시 호우특보 기준에 관한 연구

Heavy rain has a short duration of occurrence, causing many casualties and property damage. However, the heavy rain warning criteria are a single warning criterion that does not reflect local characteristics. Therefore, this study aims to study and propose heavy rain warning criteria for Samcheok City that consider the threshold rainfall to supplement the uniform decision-making system for heavy rain disasters. By analyzing the basic statistical values of the threshold rainfall grid for each advisory area in Samcheok City, the criteria for heavy rain warning for each advisory area were selected in four levels, and the applicability was examined by applying it to past rainfall events. As a result, this study visibly forecasted the expected risk level that changes depending on the rainfall event by advisory area, and categorized the advisories and warnings of heavy rain warning from the KMA were categorized into Warning and Danger levels. The results of this study are expected to be useful in securing more golden time for responding to heavy rain disasters and preparing efficient measures against heavy rain disasters.

Characteristics of temperature uniformity system in multi-tier drying equipment with sharp turning technology

Drying is a process of heat and mass transfer that occurs on the surface and within the material to be dried. It helps reduce the internal moisture of the material, inhibiting the growth, damage, and chemical changes of microorganisms during storage, thus extending the shelf life of dry materials and improving the quality of raw materials. This study aims to test multi-level drying equipment using combustion heat with a square shape and racks inside it used as the drying space for the material. The raw material was placed on racks made of perforated metal. This research started from designing the drying equipment system, fabricating and testing system. The drying system was tested using fish and cocoa beans as sample materials. The tested equipment system included temperature distribution in the combustion chamber, distribution system of hot combustion gases through sharp turning technology, uniform temperature distribution in the drying chamber with 8 levels of racks, each capable of holding a load of 10 kg, and testing of the chimney system. The research findings concluded that to maintain a drying chamber temperature of 90⁰C, an average combustion chamber temperature of 339⁰C was required. The average combustion chamber temperature needed to maintain a drying chamber temperature of 80⁰C was 290⁰C. For a drying chamber temperature of 70⁰C, an average combustion chamber temperature of 314⁰C was required. The temperature distribution inside the drying chamber moves horizontally, indicating that the temperature distribution in the drying chamber was uniform for each drying rack.

National Breast, Cervical, and Colorectal Cancer Screening Use in Federally Qualified Health Centers

Federally qualified health centers (FQHCs) deliver health care to nearly 30 million underserved persons across the US, yet nationwide and state-level breast, cervical, and colorectal cancer screening use in FQHCs is not described. Furthermore, it is unknown how the underscreened FQHC population contributes to the total underscreened population at national and state levels. To describe national- and state-level breast, cervical, and colorectal cancer screening use among individuals served by FQHCs in the US and to estimate the percentage of underscreened individuals in the general population served by FQHCs. This cross-sectional analysis of cancer screening used data from January 1 through December 31, 2020, from the FQHC Uniform Data System, reported by 1364 FQHCs across the US, and self-reported estimates from the Behavioral Risk Factor Surveillance System. Participants were 16 696 692 US adults served by FQHCs who were eligible for breast (age, 50-74 years), cervical (age, 21-64 years), and colorectal (age, 50-75 years) cancer screening. Analyses were conducted between January 1 and June 30, 2023. Breast, cervical, and colorectal cancer screening. Percentages of breast, cervical, and colorectal cancer screening-eligible individuals up to date on screening. A total of 3 162 882 breast, 7 444 465 cervical, and 6 089 345 colorectal screening-eligible individuals were served by FQHCs in 2020. Nationally, screening use in FQHCs was 45.4% (95% CI, 45.4%-45.5%) for breast cancer, 51.0% (95% CI, 51.0%-51.1%) for cervical cancer, and 40.2% (95% CI, 40.1%-40.2%) for colorectal cancer. Screening use among the US general population was 78.2% (95% CI, 77.6%-78.9%) for breast cancer, 82.9% (95% CI, 82.3%-83.4%) for cervical cancer, and 72.3% (95% CI, 71.7%-72.8%) for colorectal cancer. The contribution of the underscreened population served by FQHCs to the national underscreened general population was 16.9% (95% uncertainty interval [UI], 16.4%-17.4%) for breast cancer, 29.7% (95% UI, 28.8%-30.7%) for cervical cancer, and 14.7% (95% UI, 14.4%-15.0%) for colorectal cancer. Findings from this national cross-sectional study indicated major gaps in cancer screening use in FQHCs in the US. Improved prevention is urgently needed to address screening disparities.

Effect of starch granule size on the properties of dough and the oil absorption of fried potato crisps

Starch is a key element in fried potato crisps, however, the effect of starch granule size on oil absorption of the product have yet to be fully investigated. The study explored the impact of starch granule size on both the dough characteristics and oil absorption in potato crisps. The dough composed of small-sized potato granules showed more compact and uniform network system. Additionally, X-ray Microscope analysis showed that potato crisps prepared with small-sized potato granules had limited matrix expansion and fewer pores, cracks, and voids. The small-sized potato and small-sized wheat starches granule addition crisps displayed a significantly greater average cell thickness (52.05 and 53.44 μm) than other samples, while exhibiting notably lower average porosity (61.37 % and 60.28 %) compared to other samples. Results revealed that potato crisps with medium and small potato granules had 12.91 % and 21.92 % lower oil content than those containing large potato starch. Potato crisps with B-type wheat starch showed 16.36 % less oil absorption than those with A-type wheat starch. Small-sized starches significantly influence the dough structure and contribute to the reduction of oil absorption in fried products. The generated insights may provide monitoring indexes for cultivating potato varieties with low oil absorption.

What should we understand by the four-momentum of physical system?

It is shown that, in general, in curved spacetime, none of the known definitions of four-momentum correspond to the definition, in which all the system’s particles and fields, including fields outside matter, make an explicit contribution to the four-momentum. This drawback can be eliminated under the assumption that the primary representation of four-momentum is the sum of two nonlocal four-vectors of the integral type with covariant indices. The first of these four-vectors is the generalized four-momentum, found with the help of Lagrangian density. The time component of the generalized four-momentum, in theory of vector fields, is proportional to the particles’ energy in scalar field potentials, and the space component is related to vector field potentials. The second four-vector is the four-momentum of fields themselves, and its time component is related to the energy given by tensor invariants. As a result, the system’s four-momentum is defined as a four-vector with a covariant index. The standard approach makes it possible to find the four-momentum in covariant form only for a free point particle. In contrast, the obtained formulas for calculating the four-momentum components are applied to a stationary and moving relativistic uniform system, consisting of many particles. In this case, the main fields of the system under consideration are taken into account, including the electromagnetic and gravitational fields, the acceleration field and the pressure field. All these fields are considered vector fields, which makes it possible to unambiguously determine the equations of motion of the fields themselves and the equations of motion of matter in these fields. The formalism used includes the principle of least action, charged and neutral four-currents, corresponding four-potentials and field tensors, which ensures unification and the possibility of combining fields into a single interaction. Within the framework of the special theory of relativity, it is shown that due to motion, the four-momentum of the system increases in proportion to the Lorentz factor of the system’s center of momentum, while in the matter of the system the sum of the energies of all fields is equal to zero. The calculation of the integral vector’s components in the relativistic uniform system shows that the so-called integral vector is not equal to four-momentum and is not a four-vector at all, although it is conserved in a closed system. Thus, in the theory of relativistic vector fields, the four-momentum cannot be found with the help of an integral vector and components of the system’s stress-energy tensor, in contrast to how it is assumed in the general theory of relativity.

Do TLIF and PLIF Techniques Differ in Perioperative Complications? - Comparison of Complications Rates of Two High Volume Centers.

Retrospective bicentric Cohort Study. Posterior (PLIF) and transforaminal lumbar interbody fusion (TLIF) have been clinically proven for the surgical treatment of degenerative spinal disorders. Despite many retrospective studies, the superiority of either technique has not been proven to date. In the literature, the complication rate of the conventional PLIF technique is reported to be significantly higher, but with inconsistent complication recording. In this retrospective bicentric study, a less invasive PLIF technique was compared with the conventional TLIF technique and complications were recorded using the validated SAVES V2 classification system. 1142 patients underwent PLIF (702) or TLIF (n = 440) up to 3 levels in two specialized centers. Epidemiological data, intra- and postoperative complications during hospitalization and after discharge were analyzed according to SAVES V2. The overall complication rate was 13.74%. TLIF-patients had slightly significant more complications than PLIF-patients (TLIF = 16.6%/PLIF = 11.9%, P = .0338). Accordingly, complications during revision surgeries were more frequent in the first cohort (TLIF = 20.9%/PLIF = 12.6%; P = .03252). In primary interventions, the surgical technique did not correlate with the complication rate (TLIF = 12.4%/PLIF = 11.7%). There were no significant differences regarding severity of complications. An important component of this work is the complication recording according to a uniform classification system (SAVES V2). In contrast to previous literature, we could demonstrate that there is not a significant difference between the two surgical techniques.

Contribution of tumour and immune cells to PD-L1 expression as a predictive biomarker in metastatic triple-negative breast cancer: exploratory analysis from KEYNOTE-119.

The efficacy of pembrolizumab monotherapy versus chemotherapy increased with increasing programmed death ligand 1 (PD-L1) expression, as quantified by combined positive score (CPS; PD-L1 expression on both tumour cells and immune cells) in patients with previously treated metastatic triple-negative breast cancer (mTNBC) in the phase 3 KEYNOTE-119 study. This exploratory analysis was conducted to determine whether the expression of PD-L1 on tumour cells contributes to the predictive value of PD-L1 CPS in mTNBC. PD-L1 expression in tumour samples was assessed using PD-L1 IHC 22C3 pharmDx and quantified using both CPS and tumour proportion score (TPS; PD-L1 expression on tumour cells alone). Calculated immune cell density (CID) was defined as CPS minus TPS. The ability of each scoring method (CPS, TPS, and CID) to predict clinical outcomes with pembrolizumab was evaluated. With pembrolizumab, the area under the receiver operating characteristic curve was 0.69 (95% CI = 0.58-0.80) for CPS, 0.55 (95% CI = 0.46-0.64) for TPS, and 0.67 (95% CI = 0.56-0.77) for CID. After correction for cutoff prevalence, CPS performed as well as, if not better than, CID with respect to predicting objective response rate, progression-free survival, and overall survival. Data from this exploratory analysis suggest that, although PD-L1 expression on immune cells alone is predictive of response to programmed death 1 blockade in mTNBC, adding tumour PD-L1 expression assessment (i.e. CPS, which combines immune cell and tumour cell PD-L1 expression) may improve prediction. PD-L1 CPS thus remains an effective and broadly applicable uniform scoring system for enriching response to programmed death 1 blockade with pembrolizumab in mTNBC as well as other tumour types.

Automated Mapping of Common Vulnerabilities and Exposures to MITRE ATT&amp;CK Tactics

Effectively understanding and categorizing vulnerabilities is vital in the ever-evolving cybersecurity landscape, since only one exposure can have a devastating effect on the entire system. Given the increasingly massive number of threats and the size of modern infrastructures, the need for structured, uniform cybersecurity knowledge systems arose. To tackle this challenge, the MITRE Corporation set up two powerful sources of cyber threat and vulnerability information, namely the Common Vulnerabilities and Exposures (CVEs) list focused on identifying and fixing software vulnerabilities, and the MITRE ATT&amp;CK Enterprise Matrix, which is a framework for defining and categorizing adversary actions and ways to defend against them. At the moment, the two are not directly linked, even if such a link would have a significant positive impact on the cybersecurity community. This study aims to automatically map CVEs to the corresponding 14 MITRE ATT&amp;CK tactics using state-of-the-art transformer-based models. Various architectures, from encoders to generative large-scale models, are employed to tackle this multilabel classification problem. Our results are promising, with a SecRoBERTa model performing best with an F1 score of 77.81%, which is closely followed by SecBERT (78.77%), CyBERT (78.54%), and TARS (78.01%), while GPT-4 showed a weak performance in zero-shot settings (22.04%). In addition, we perform an in-depth error analysis to better understand the models’ performance and limitations. We release the code used for all experiments as open source.

Intimate Partner Violence and Human Trafficking Screening and Services in Primary Care Across Underserved Communities in the United States-Initial Examination of Trends, 2020-2021.

The Health Resources and Services Administration (HRSA) began collecting data on intimate partner violence (IPV) and human trafficking (HT) in the 2020 Uniform Data System (UDS). We examined patients affected by IPV and HT served by HRSA-funded health centers in medically underserved US communities during the COVID-19 pandemic. We established a baseline and measured trends in patient care by analyzing data from the 2020 (N = 28 590 897) and 2021 (N = 30 193 278) UDS. We conducted longitudinal ordinal logistic regression analyses to assess the association of care trends and organization-level and patient characteristics using proportional odds ratios (PORs) and 95% CIs. The number of clinical visits for patients affected by IPV and HT decreased by 29.4% and 88.3%, respectively, from 2020 to 2021. Health centers serving a higher (vs lower) percentage of pediatric patients were more likely to continuously serve patients affected by IPV (POR = 2.58; 95% CI, 1.01-6.61) and HT (POR = 6.14; 95% CI, 2.06-18.29). Health centers serving (vs not serving) patients affected by IPV were associated with a higher percentage of patients who had limited English proficiency (POR = 1.77; 95% CI, 1.02-3.05) and Medicaid beneficiaries (POR = 2.88; 95% CI, 1.48-5.62), whereas health centers serving (vs not serving) patients affected by HT were associated with a higher percentage of female patients of reproductive age (POR = 15.89; 95% CI, 1.61-157.38) and urban settings (POR = 1.74; 95% CI, 1.26-2.37). The number of clinical visits for patients affected by IPV and HT during the COVID-19 pandemic declined. Delayed care will pose challenges for future health care needs of these populations.