Abstract: The main purpose of this research is to discover what causes death in children of the Wayuu community, and deeply analyze those results in order to take corrective measures to properly control infant mortality. We consider important to determine the reasons that are producing early death in this specific type of population, since they are the most vulnerable to high risk environmental conditions. In this way, the government, through competent authorities, may develop prevention policies and the right measures to avoid an increase of this tragic fact. The methodology used to develop this investigation is data mining, which consists in gaining and examining large amounts of data to produce new and valuable information. Through this technique it has been possible to determine that the child population is dying mostly from malnutrition. In short, this technique has been very useful to develop this study; it has allowed us to transform large amounts of information into a conclusive and important statement, which has made it easier to take appropriate steps to resolve a particular situation.
Abstract: This study investigates the impact of public healthcare facilities and socio-economic circumstances on the status of child health in Pakistan. The complete analysis is carried out in correspondence with fourth and sixth millennium development goals. Further, the health variables chosen are also inherited from targeted indicators of the mentioned goals (MDGs). Trends in the Human Opportunity Index (HOI) for both health inequalities and coverage are analyzed using the Pakistan Social and Living Standards Measurement (PLSM) data set for 2001-02 to 2012-13 at the national and provincial level. To reveal the relative importance of each circumstance in achieving the targeted values for child health, Shorrocks decomposition is applied on HOI. The annual point average growth rate of HOI is used to simulate the time period for the achievement of target set by MDGs and universal access also. The results indicate an improvement in HOI for a reduction in child mortality rates from 52.1% in 2001-02 to 67.3% in 2012-13, which confirms the availability of healthcare opportunities to a larger segment of society. Similarly, immunization against measles and other diseases such as Diphtheria, Polio, Bacillus Calmette-Guerin (BCG), and Hepatitis has also registered an improvement from 51.6% to 69.9% during the period of study at the national level. On a positive note, no gender disparity has been found for child health indicators and that health outcome is mostly affected by the parental and geographical features and availability of health infrastructure. However, the study finds that this achievement has been uneven across provinces. Pakistan is not only lagging behind in achieving its health goals, disappointingly with the current rate of health care provision, but it will take many additional years to achieve its targets.
Abstract: In Brazil, neonatal mortality rate is considered
incompatible with the country development conditions, and has been
a Public Health concern. Reduction in infant mortality rates has also
been part of the Millennium Development Goals, a commitment
made by countries, members of the Organization of United Nations
(OUN), including Brazil. Fetal mortality rate is considered a highly
sensitive indicator of health care quality. Suitable actions, such as
good quality and access to health services may contribute positively
towards reduction in these fetal and neonatal rates. With appropriate
antenatal follow-up and health care during gestation and delivery,
some death causes could be reduced or even prevented by means of
early diagnosis and intervention, as well as changes in risk factors
and interventions. Objectives: To study the quality of maternal and
infant health care based on fetal and neonatal mortality, as well as the
possible actions to prevent those deaths in Botucatu (Brazil).
Methods: Classification of prevention according to the International
Classification of Diseases and the modified Wigglesworth´s
classification. In order to evaluate adequacy, indicators of quality of
antenatal and delivery care were established by the authors. Results:
Considering fetal deaths, 56.7% of them occurred before delivery,
which reveals possible shortcomings in antenatal care, and 38.2% of
them were a result of intra- labor changes, which could be prevented
or reduced by adequate obstetric management. These findings were
different from those in the group of early neonatal deaths which were
also studied. Adequacy of health services showed that antenatal and
childbirth care was appropriate for 24% and 33.3% of pregnant
women, respectively, which corroborates the results of prevention.
These results revealed that shortcomings in obstetric and antenatal
care could be the causes of deaths in the study. Early and late
neonatal deaths have similar characteristics: 76% could be prevented
or reduced mainly by adequate newborn care (52.9%) and adequate
health care for gestational women (11.7%). When adequacy of care
was evaluated, childbirth and newborn care was adequate in 25.8%
and antenatal care was adequate in 16.1%. In conclusion, direct
relationship was found between adequacy and quality of care
rendered to pregnant women and newborns, and fetal and infant
mortality. Moreover, our findings highlight that deaths could be
prevented by an adequate obstetric and neonatal management.
Abstract: In this paper, a Bayesian Network (BN) based system
is presented for providing clinical decision support to healthcare
practitioners in rural or remote areas of India for young infants or
children up to the age of 5 years. The government is unable to
appoint child specialists in rural areas because of inadequate number
of available pediatricians. It leads to a high Infant Mortality Rate
(IMR). In such a scenario, Intelligent Pediatric System provides a
realistic solution. The prototype of an intelligent system has been
developed that involves a knowledge component called an Intelligent
Pediatric Assistant (IPA); and User Agents (UA) along with their
Graphical User Interfaces (GUI). The GUI of UA provides the
interface to the healthcare practitioner for submitting sign-symptoms
and displaying the expert opinion as suggested by IPA. Depending
upon the observations, the IPA decides the diagnosis and the
treatment plan. The UA and IPA form client-server architecture for
knowledge sharing.
Abstract: A model is presented to find the optimal design of the
mixed renewable warranty policy for non-repairable Weibull life
products. The optimal design considers the conflict of interests
between the customer and the manufacturer: the customer interests
are longer full rebate coverage period and longer total warranty
coverage period, the manufacturer interests are lower warranty cost
and lower risk. The design factors are full rebate and total warranty
coverage periods. Results showed that mixed policy is better than full
rebate policy in terms of risk and total warranty coverage period in all
of the three bathtub regions. In addition, results showed that linear
policy is better than mixed policy in infant mortality and constant
failure regions while the mixed policy is better than linear policy in
ageing region of the model. Furthermore, the results showed that
using burn-in period for infant mortality products reduces warranty
cost and risk.
Abstract: It has been always observed that the effectiveness of
MIS as a support tool for management decisions degenerate after
time of implementation, despite the substantial investments being
made. This is true for organizations at the initial stages of MIS
implementations, manual or computerized. A survey of a sample of
middle to top managers in business and government institutions was
made. A large ratio indicates that the MIS has lost its impact on the
day-to-day operations, and even the response lag time expands
sometimes indefinitely. The data indicates an infant mortality
phenomenon of the bathtub model. Reasons may be monotonous
nature of MIS delivery, irrelevance, irreverence, timeliness, and lack
of adequate detail. All those reasons collaborate to create a degree of
degeneracy. We investigate and model as a bathtub model the
phenomenon of MIS degeneracy that inflicts the MIS systems and
renders it ineffective. A degeneracy index is developed to identify
the status of the MIS system and possible remedies to prevent the
onset of total collapse of the system to the point of being useless.