RESUMEN
INTRODUCTION: Abnormal placental cord insertions (APCIs) are significant risk factors for pregnancy complications, encompassing marginal cord insertion (MCI), velamentous cord insertion (VCI), and vasa previa (VP). While ultrasound is the primary imaging modality, its accuracy can be limited by factors such as maternal obesity and fetal positioning. Complementary to ultrasound, magnetic resonance imaging (MRI) offers a more precise visualization of the fetus, placenta, and umbilical cord relationships. This study aims to investigate the diagnostic value of prenatal magnetic resonance imaging (MRI) for APCIs compared with prenatal ultrasound. METHODS: We retrospectively collected data from 613 patients who underwent prenatal placental ultrasound and MRI. Of those who were confirmed as APCIs through surgery or pathology, the prenatal MRI features were compared with prenatal ultrasound. The diagnostic efficacy of prenatal MRI and ultrasound for APCIs was assessed based on the clinicopathological findings. RESULTS: Fifty-six patients were confirmed as APCIs by surgery or pathology, comprising 31 marginal cord insertions (MCIs), 18 velamentous cord insertions (VCIs), 5 vasa previa (VP) cases, and 2 VCI cases combined with VP. Ultrasound examination showed 55.36 % sensitivity (31/56) and 98.38 % specificity (486/494) in diagnosing APCIs, whereas MRI demonstrated 87.50 % sensitivity (49/56) and 98.88 % specificity (531/537). CONCLUSION: For APCIs complicated by placental location or morphological abnormalities, MRI demonstrates superior diagnostic efficacy compared to ultrasound in late pregnancy.
RESUMEN
In this article, a finite-time fault-tolerant controller based on the fully actuated system (FAS) theory is presented to realize system stabilization and trajectory tracking. Paralleling to first-order nonlinear state space theory, the high-order FAS (HOFAS) theory contains rich controller design approaches. The existing FAS approaches can only give general global asymptotic stability results. In order to enhance the applicability of FAS approaches in fast control systems, a parameterized FAS stabilization controller based on the homogeneity principle is established for global finite-time stability. Moreover, a finite-time FAS tracking controller based on a finite-time observer is proposed for a HOFAS model with process faults. The proposed observer can yield zero-value convergence of state estimation error and fault estimation error in a finite time, and the proposed fault-tolerant controller can yield zero-value convergence of tracking error in a finite time. The main results are proved theoretically and illustrated experimentally.
RESUMEN
The gearbox is a critical component of electromechanical systems. The occurrence of multiple faults can significantly impact system accuracy and service life. The vibration signal of the gearbox is an effective indicator of its operational status and fault information. However, gearboxes in real industrial settings often operate under variable working conditions, such as varying speeds and loads. It is a significant and challenging research area to complete the gearbox fault diagnosis procedure under varying operating conditions using vibration signals. This data article presents vibration datasets collected from a gearbox exhibiting various fault degrees of severity and fault types, operating under diverse speed and load conditions. These faults are manually implanted into the gears or bearings through precise machining processes, which include health, missing teeth, wear, pitting, root cracks, and broken teeth. Several kinds of actual compound faults are also encompassed. The development of these datasets facilitates testing the effectiveness and reliability of newly developed fault diagnosis methods.
RESUMEN
Neuroinflammation is a common pathological feature in a number of neurodegenerative diseases, which is mediated primarily by the activated glial cells. Nucleotide-binding oligomerization domain-like receptor pyrin domain-containing-3 (NLRP3) inflammasome-associated neuroinflammatory response is mostly considered. To investigate the situation of the NLRP3-related inflammation in prion disease, we assessed the levels of the main components of NLRP3 inflammasome and its downstream biomarkers in the scrapie-infected rodent brain tissues. The results showed that the transcriptional and expressional levels of NLRP3, caspase-1, and apoptosis-associated speck-like protein (ASC) in the brains of scrapie-infected rodents were significantly increased at terminal stage. The increased NLPR3 overlapped morphologically well with the proliferated GFAP-positive astrocytes, but little with microglia and neurons. Using the brain samples collected at the different time-points after infection, we found the NLRP3 signals increased in a time-dependent manner, which were coincidental with the increase of GFAP. Two main downstream cytokines, IL-1ß and IL-18, were also upregulated in the brains of prion-infected mice. Moreover, the gasdermin D (GSDMD) levels, particularly the levels of GSDMD-NT, in the prion-infected brain tissues were remarkably increased, indicating activation of cell pyroptosis. The GSDMD not only co-localized well with the astrocytes but also with neurons at terminal stage, also showing a time-dependent increase after infection. Those data indicate that NLRP3 inflammasomes were remarkably activated in the infected brains, which is largely mediated by the proliferated astrocytes. Both astrocytes and neurons probably undergo a pyroptosis process, which may help the astrocytes to release inflammatory factors and contribute to neuron death during prion infection.
RESUMEN
N-linked glycosylation is an essential and highly conserved co- and post-translational protein modification in all domains of life. In humans, genetic defects in N-linked glycosylation pathways result in metabolic diseases collectively called Congenital Disorders of Glycosylation. In this modification reaction, a mannose rich oligosaccharide is transferred from a lipid-linked donor substrate to a specific asparagine side-chain within the -N-X-T/S- sequence (where X ≠ Proline) of the nascent protein. Oligosaccharyltransferase (OST), a multi-subunit membrane embedded enzyme catalyzes this glycosylation reaction in eukaryotes. In yeast, Ost4 is the smallest of nine subunits and bridges the interaction of the catalytic subunit, Stt3, with Ost3 (or its homolog, Ost6). Mutations of any C-terminal hydrophobic residues in Ost4 to a charged residue destabilizes the enzyme and negatively impacts its function. Specifically, the V23D mutation results in a temperature-sensitive phenotype in yeast. Here, we report the reconstitution of both purified recombinant Ost4 and Ost4V23D each in a POPC/POPE lipid bilayer and their resonance assignments using heteronuclear 2D and 3D solid-state NMR with magic-angle spinning. The chemical shifts of Ost4 changed significantly upon the V23D mutation, suggesting a dramatic change in its chemical environment.
Asunto(s)
Hexosiltransferasas , Liposomas , Proteínas de la Membrana , Resonancia Magnética Nuclear Biomolecular , Hexosiltransferasas/genética , Hexosiltransferasas/química , Hexosiltransferasas/metabolismo , Resonancia Magnética Nuclear Biomolecular/métodos , Proteínas de la Membrana/química , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Liposomas/química , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Mutación , Glicosilación , Subunidades de Proteína/química , Subunidades de Proteína/genéticaRESUMEN
This article presents a novel self-healing fault accommodation framework for high-order fully actuated systems (HOFASs) with sensor faults. Starting from the HOFAS model with nonlinear measurements, a q -redundant observation proposition is derived from an observability normal form based on each individual measurement. On the heels of the ultimately uniformly bounded error dynamics, a definition of sensor fault accommodation is determined. After a necessary and sufficient accommodation condition is highlighted, a self-healing fault-tolerant control strategy is proposed, which can be applied in steady-state processes or transient processes. The main results are proved theoretically and illustrated experimentally.
RESUMEN
In recent years, high-order fully actuated (HOFA) systems, founded by Prof. GR Duan, have recorded rapid progress for deterministic systems. However, the control issue of stochastic fully actuated systems is still an open problem. This study develops a novel stochastic HOFA system model that complements the existing HOFA methodology. Notably, stochastic signals can be considered in the proposed model, different from the case in the deterministic model. By adopting a high-order operator, equivalent control and stabilization control laws are realized to guarantee the global asymptotic stability in probability of the closed-loop system. For the system with sensor gain faults, an observer-based fault-tolerant control law is designed. Finally, the simulation results validate the effectiveness of the proposed control schemes.
RESUMEN
Galectin 3 (Gal-3) is one of the major elements for activating microglia and mediating neuroinflammation in some types of neurodegenerative diseases. However, its role in the pathogenesis of prion disease is seldom addressed. In this study, markedly increased brain Gal-3 was identified in three scrapie-infected rodent models at the terminal stage. The increased Gal-3 was mainly colocalized with the activated microglia. Coincidental with the increased brain Gal-3 in prion-infected animals, the expression of brain trigger receptor expressed in myeloid cell 2 (TREM2), one of the Gal-3 receptors, and some components in the downstream pathway also significantly increased, whereas Toll-like receptor 4 (TLR4), another Gal-3 receptor, and the main components in its downstream signaling were less changed. The increased Gal-3 signals were distributed at the areas with PrPSc deposit but looked not to colocalize directly with PrPSc/PrP signals. Similar changing profiles of Gal-3, the receptors TREM2 and TLR4, as well as the proteins in the downstream pathways were also observed in prion-infected cell line SMB-S15. Removal of PrPSc replication in SMB-S15 cells reversed the upregulation of cellular Gal-3, TREM2, and the relevant proteins. Moreover, we presented data for interactions of Gal-3 with TREM2 and with TLR4 morphologically and molecularly in the cultured cells. Stimulation of prion-infected cells or their normal partner cells with recombinant mouse Gal-3 in vitro induced obvious responses for activation of TREM2 signaling and TLR4 signaling. Our data here strongly indicate that prion infection or PrPSc deposit induces remarkably upregulated brain Gal-3, which is actively involved in the microglia activation and neuroinflammation mainly via TREM2 signaling.
Asunto(s)
Enfermedades por Prión , Priones , Ratones , Animales , Priones/metabolismo , Galectina 3/genética , Galectina 3/metabolismo , Receptor Toll-Like 4/metabolismo , Microglía/metabolismo , Enfermedades Neuroinflamatorias , Proteínas PrPSc/metabolismo , Enfermedades por Prión/metabolismo , Encéfalo/metabolismo , Transducción de SeñalRESUMEN
This study investigates nonstationary process monitoring under frequently varying modes, where new modes are allowed to emerge constantly. However, in current multimode process monitoring methods, generally, data are required from all possible modes and mode identification is realized by prior knowledge for multimode nonstationary processes. In contrast, recursive methods update a monitoring model based on the successive data. However, they forget the learned knowledge gracefully and fail to track drastic variations. Aimed at nonstationary data in each mode, this article proposes an adaptive cointegration analysis (CA) to distinguish real faults from normal variations, which updates a model once a normal sample is encountered and adapts to the gradual change in the cointegration relationship. Then, a modified recursive principal component analysis (RPCA) with continual learning ability is developed to deal with the remaining dynamic information, wherein elastic weight consolidation is adopted to consolidate the previously learned knowledge when a new mode appears. The preserved information is beneficial for establishing a more accurate model than traditional RPCA and avoiding drastic performance degradation for future similar modes. In addition, novel statistics are proposed with prior knowledge and thresholds are calculated by recursive kernel density estimation to enhance the performance. An in-depth comparison with recursive CA and recursive slow feature analysis is conducted to emphasize the superiority, in terms of the algorithm accuracy, memory properties, and computational complexity. Compared with state-of-the-art recursive algorithms, the effectiveness of the proposed method is shown by studying on a numerical case and a practical industrial system.
RESUMEN
By employing data from Shanghai and Shenzhen A-share markets for the period of 2019-2020, this paper examines the relationship between the degree of the COVID-19 pandemic's impact on firms' cash-holdings levels in China. We find that firms that are severely affected by the COVID-19 pandemic have higher current cash holdings levels, suggesting that the more positive (negative) the management tone in responding to the COVID-19 pandemic impact, the lower (higher) the firm's current cash holdings. However, future corporate cash holdings decrease considerably irrespective of the corporate sentiment towards COVID-19. The positive sentiment of each firm's management team towards the supply chain and the government policies results in a relative reduction of current cash holdings, whereas the severe impact on operating performance, especially the impact of the outbreak on the supply chain, demand, production and operations, and government policies, reduces the firm' s future cash holdings. In addition, the impact of the pandemic has increased the current cash holdings of state-owned enterprises and reduced the future cash holdings of non-state-owned enterprises. Meanwhile, companies located in a city with a higher density of population or companies that experience relatively higher competition in the industry tend to undergo a severer impact on their current and future cash holdings due to the COVID-19 pandemic. Overall, this study sheds the light on stimulating the vitality of enterprise investment and promoting the domestic economic cycle.
RESUMEN
Phytochemicals with bone formation potential in traditional medicines captured more and more attentions due to their advantages to bone loss and fewer side effects. As a famous aphrodisiac phytomedicine, Eurycoma longifolia (EL) has acquired general recognition in improving male sexual health, and thus been considered as traditional medicine for the treatment of androgen-deficient osteoporosis. Although the aqueous extract of EL had been proved to be beneficial to bone loss, the active constituents and the mechanisms underlying the effects are still obscure. The current study performed a chemical investigation on the roots of EL, which resulted in the isolation and identification of ten quassinoids (EL-1-EL-10), and then conducted their osteogenic activity evaluations in vivo zebrafish model with or without dexamethasone (Dex) and in vitro C3H10 cell model. The result displayed that most tested concentrations of EL-1-EL-5 could significantly increase the mineralization areas and integrated optical densities (IODs) of skull in both zebrafish model. The majority tested concentrations of EL-1-EL-5 could also improve the mRNA expression of early osteogenic associated genes ALPL, Runx2a, Sp7 in zebrafish model without Dex, but only a few could accelerate the mRNA expression of late osteogenic associated genes OCN. These results suggested the ability of EL-1-EL-5 to increase bone formation mainly by accelerating osteogenic differentiation at the early stage. The structure-based virtual screening based on the pharmacophores in ePharmaLib, as well as the molecular docking study, implied that the effects of the quassinoids (EL-1-EL-5) on the enhancement of bone formation might be related with improving the content and the activity of androgen through binding with CYP19A, SHBG and AKR1C2, and activating bone metabolism-related ANDR target genes and signal pathways by combining with ANDR directly. Although the assumptions are in silico model-based and further in vitro and in vivo validations are still necessary, we provided a new perspective to explore the potential of EL to be used as an alternative treatment for not only androgen-deficient osteoporosis, but also estrogen-deficient bone loss, by combining with SHBG.
Asunto(s)
Afrodisíacos , Eurycoma , Osteoporosis , Cuassinas , Andrógenos , Animales , Afrodisíacos/uso terapéutico , Dexametasona , Estrógenos , Eurycoma/química , Masculino , Simulación del Acoplamiento Molecular , Osteogénesis , Osteoporosis/metabolismo , Extractos Vegetales/química , Cuassinas/química , Cuassinas/farmacología , ARN Mensajero , Pez CebraRESUMEN
Based on Rusch's creep constitutive relation, differential equations for the redistribution of shrinkage internal force and creep of the composite beam are derived and solved. The closed solution is cumbersome and is inconvenient to be applied practically. It is hard to solve the accurate solution for coupled differential equations. Therefore, a simplified approach is given. However, it ignores the influence of the redistribution of bending moment of the concrete slab on the axial strain and removes the coupling relationship of differential equations so that it makes the solution become convenient. The comparison of the results calculated by the two approaches shows that their calculated errors are small, within 3%, when the stiffness ratio of the concrete slab and the steel beam are less than 0.185. It also shows that the greater the stiffness of the steel beam, the greater the constraint on the creep of the concrete slab, so is the redistribution of internal force.
RESUMEN
Effective process monitoring is both a prerequisite and a guarantee for high system reliability. In modern industrial processes, binary variables may appear together with continuous variables, making process monitoring more intractable. Recently, a model named hybrid variable monitoring (HVM) has been proposed to conduct anomaly detection with both continuous and binary variables. Although the performance of HVM has been significantly improved after using the information of binary variables, it assumes that every continuous variable obeys a single Gaussian distribution and each binary variable obeys a single Bernoulli distribution. It is difficult for practical processes to satisfy such strict assumptions. To overcome this problem, this study proposes an improved algorithm called HVM mixture model (HVMMM). The HVMMM contains multiple components with the assumption of an HVM for every component. Compared with the HVM, the HVMMM is suitable for more general situations and has a more accurate characterization of the data features. Subsequently, the expectation-maximization (EM) algorithm is adopted for parameter learning for multiple components. The mathematical expressions of the parameters are derived in detail. In addition, the improvement on the monitoring performance caused by multiple components is analyzed. Finally, a numerical example and a practical case are used to demonstrate the effectiveness and efficiency of HVMMM. After multiple components are considered, the fault detection rate increases by 5.49% in the numerical example and the false alarm rate reduces by 1.6% in the practical case.
RESUMEN
In this article, the problem of intermittent fault (IF) detection is investigated for linear stochastic systems over sensor networks, where the appearing and disappearing times, and magnitude of IF are all nondeterministic. By utilizing the moving-horizon estimator, a novel residual generator is designed to realize the distributed detection of IFs in sensor networks. Different from the traditional moving horizon estimation algorithms, weight matrices of the quadratic cost function in this article are regulated by an unreliability index of the prior estimate to suppress the smearing effect of IFs. In virtue of the matrix transformation method and statistical theory, estimator parameters are obtained and the detectability of a single IF is analyzed by using the residual. In order to avoid the collisions of detection results from different residuals, the global detectability condition is given for all IFs. A cooperative decision-making strategy is proposed such that the only detection result can be guaranteed, which includes the appearing and disappearing times of IFs, and the nodes suffering from IFs. Finally, an illustrative example is provided to show the feasibility and effectiveness of the derived results.
RESUMEN
In this article, a robust asymptotic fault estimation (RAFE) design is proposed for discrete-time interconnected systems with sensor faults. By constructing a singular augmented system, an equivalent description of the considered interconnected systems is presented. Then, a novel RAFE observer is proposed for the singular augmented system. Furthermore, gain matrices of the RAFE observer are calculated based on multiconstrained design. Simulation results are illustrated to show the feasibility of the presented approaches.
RESUMEN
OBJECTIVES: With about one-third of the population living below the poverty line, Jordan faces major healthcare, social and national development issues. Low insurance coverage among the poor and high out-of-pocket expenditure worsens the financial insecurity especially for the marginalised population. The Government of Jordan aims to achieve universal coverage of health insurance-a bold plan that requires research evidence for successful implementation. In this study, we aimed to assess the proportion of the population covered by any health insurance, and the determinants owing a health insurance. DESIGN: A population-based prospective cohort study. SETTING: Jordan. METHODS: Data for this study were derived from the Jordan Population and Family Health Survey, which was implemented by the Department of Statistics from early October 2017 to January 2018. Sample characteristics were described as percentages with 95% CIs. Binary logistic regression models were used to estimate OR of health insurance ownership. Parsimonious model was employed to assess the sex and geographical differences. RESULTS: Data revealed that in 2017-2018, 73.13% of the 12 992 men and women had health insurance. There was no indication of age of sex difference in health insurance ownership; however, marital status and socioeconomic factors such as wealth and education as well as internet access and geographical location appeared to be the important predictors of non-use of health insurance. The associations differed by sex and urbanicity for certain variables. Addressing these inequities may help achieve universal coverage in health insurance ownership in the population. CONCLUSIONS: More than one-quarter of the population in Jordan were not insured. Efforts to decrease disparities in insurance coverage should focus on minimising socioeconomic and geographical disparities to promote equity in terms of healthcare services.
Asunto(s)
Seguro de Salud , Propiedad , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Jordania , Masculino , Estudios Prospectivos , Factores SocioeconómicosRESUMEN
An operationally rapid and efficient synthesis of N-sulfonyl formamidines that proceeds under mild conditions was achieved by reaction of a mixture of an amine, a sulfonyl azide, and a terminal ynone under catalyst-free and solvent-free conditions. Terminal ynones provide the C source to formamidines via complete cleavage of C[triple bond, length as m-dash]C.
RESUMEN
Resveratrol shows ability to eliminate prion replication, but the exact mechanism for prion eradication was not clear yet. Our previous studies demonstrate a downregulation of brain-derived nerve growth factor (BDNF) during prion infection, meanwhile recovery of cerebral nerve growth factor (NGF) level by resveratrol treatment has been reported in other neurodegenerative models. To obtain the possible changes of brain NGF and its upstream regulatory cascade during prion infection and after removal of prion propagation, the levels of NGF and its upstream regulatory factors in various prion-infected and prion-eradicated SMB cell lines and mice brains inoculated with various SMB cellular lysates were assessed with various methodologies. The levels of NGF were significantly decreased during prion replication, while recovered after removal of PrPSc by resveratrol in vitro. Morphological assays revealed that the NGF signals mainly colocalized within neurons, but not in the proliferative astrocytes and microglia. The upstream positive regulatory kinases, such as p-CREB, p-CaMKIV, CaMKK2 were decreased in the prion infected cells and mice brains, whereas the negative regulatory one, p-CaMKK2, was increased. The aberrant situations of those kinases in prion infected cell lines or mice brains could be also partially reversed by removal of prion agent. Moreover, we demonstrated that the signals of CaMKK2 and p-CaMKK2 were also distributed predominately in neurons in the brain tissues. The data illustrate a direct linkage of abnormally repressive NGF and its upstream regulatory kinases with prion infection. Resveratrol has not only the ability to inhibit prion replication, but also to improve the expression of NGF via CaMKK2/CaMKIV cascade, which might benefit the microenvironment in brains.
Asunto(s)
Priones , Animales , Astrocitos/metabolismo , Encéfalo/metabolismo , Ratones , Factor de Crecimiento Nervioso , Proteínas PrPSc/metabolismo , Priones/metabolismo , Resveratrol/farmacologíaRESUMEN
BACKGROUD: ZBTB protein is an important member of the C2H2 zinc finger protein family. As a transcription factor, it is widely involved in the transcriptional regulation of genes, cell proliferation, differentiation, and apoptosis. The ZBTB7A has been largely linked to different kinds of tumors due to its diverse function. However, the value for ZBTB7A in uterine corpus endometrial carcinoma (UCEC) is unclear. METHODS: In our work, we assessed the importance of ZBTB7A in UCEC. Firstly, Using Oncomine and Tumor Immunoassay Resource (TIMER) databases to evaluate the expression of ZBTB7A. Secondly, we explored the co-expression network of ZBTB7A through the cBioPortal online tool, Metascape, and LinkedOmics. TIMER was also used to explore the relationship between ZBTB7A and tumor immune invasion, and to detect the correlation between the ZBTB7A and the marker genes related to immune infiltration. Finally, CCK8, migration, ChIP assays were introduced to partly validate ZBTB7A function in endometrial cancer cells. RESULTS: We found the ZBTB7A expression in TIMER was associated with various cancers, especially UCEC. The decreased expression of ZBTB7A was markedly related to the stage and prognosis of UCEC. Furthermore, ZBTB7A was also related to the expression of various immune markers such as Neutrophils, Dendritic cell, T cell (general), Th1, Th2, and Treg. Finally, we verified that ZBTB7A repressed E2F4 transcription and inhibited cells proliferation and migration. These results indicate that ZBTB7A may play a vital role in regulating immune cell infiltration in UCEC, and is a valuable prognostic marker. CONCLUSIONS: In summary, we demonstrate that ZBTB7A is notably downregulated in UCEC, plays a vital role in regulating immune cell infiltration, possesses diagnostic and prognostic values and attenuates E2F4 transcription and cell proliferation, migration in vitro.
RESUMEN
BACKGROUND: Cambodia is a Southeast Asian country and has one the highest rates of maternal and child mortality with inadequate use of maternal healthcare services in the region. The present study aimed to analyse the progress made in terms of using maternal healthcare services since 2000. METHODS: Two rounds of Demographic and Health Surveys (DHS 2000 and DHS 2014) were used in the study. Sample population consisted 11,961 women aged between 15 and 49 years. The outcome measures were: Timing of first antenatal care (ANC) attendance, adequacy of ANC attendance, place of delivery and postnatal checkup. WHO guidelines were used to set the cut-off/define these measures. Data were analyzed in Stata version 14 using descriptive and multivariate regression analyses. RESULTS: Findings indicated that the overall prevalence of making the first ANC visit in the first trimester was 64.19% [95%CI = 62.22,66.11], and that of having at least four ANC visits was 43.80% [95%CI = 41.89,45.73]. Prevalence of health facility delivery was 48.76% [46.62,50.90] and that of postnatal checkup was 71.14% [95%CI = 69.21,73.01]. Between 2000 and 2014, the percentage of timely and adequate use of ANC increased by respectively 61.8 and 65.3%, while that of health facility delivery and postnatal care increased by respectively 74.5 and 43.9%. Important demographic, socioeconomic and geographic disparities were observed in the utilization of ANC, health facility delivery and postnatal care services. Urban residency, having better educational status, white collar job, access to electronic media showed positive association, whereas higher parity (having > 2 children) and unwanted pregnancy showed negative association with the use of maternal healthcare services. Having at least four ANC visits was associated with significantly increased higher odds of using health facility delivery and postnatal care. CONCLUSION: There has a been a remarkable increase in the prevalence of women who are using the maternal healthcare services since 2000. The current findings provide important insights regarding the sociodemographic factors associated with the utilization of maternal health services in Cambodia that could contribute to evidence-based health policy making and designing intervention programs.