Miracle-dz/UniFAR-FTUs huggingface dataset:
Prevalence of multimorbidity in the adult population attending primary care in Portugal: a cross-sectional study

Objectives To determine the prevalence of multimorbidity in the adult population attending primary care in Portugal, to identify associated sociodemographic factors, and to reveal combinations of chronic health problems. Design Cross-sectional, analytical study. Setting Primary Care Centres in mainland Portugal across the five Portuguese Healthcare Administrative Regions. Participants 1279 women and 714 men agreed to participate. The mean age was 56.3 years (59.0 years for men; 54.8 years for women). The most frequent marital status was married/cohabiting (69.5%). The most predominant living arrangement was living as a couple (57.2%). A considerable proportion consisted of pensioners/retirees (41.5%) and adults with a low educational level (48.7%). Sufficient monthly income was reported in 54.4% of the cases. Primary outcome measures For each patient, multimorbidity was measured either by the presence of ≥2 or ≥3 chronic health problems, from a list of 147 chronic health problems. Clinical data were collected using the general practitioner's knowledge of the patient's history, patient's self-report and medical records. Cluster analyses were performed to reveal distinct patterns of multimorbidity. Secondary outcome measures Patient social and demographic data (sex, age, residence area, current marital status, number of years of formal education, living arrangements, professional status and self-perceived economic status). Logistic regression analyses were performed to determine the association between sociodemographic factors and multimorbidity. Results Multimorbidity (2 or more chronic health problems) was present in 72.7%. When a cut-off of three or more was used, an expressive percentage of multimorbidity (57.2%) remained present. The likelihood of having multimorbidity increased significantly with age. Pensioners/retirees and adults with low levels of education were significantly more likely to suffer from multimorbidity. Cardiometabolic and mental disorders were the most common chronic health problems. Six multimorbidity clusters have been identified. Conclusions Multimorbidity was found to be a common occurrence in the Portuguese primary care users. Future primary healthcare policies should take multimorbidity into consideration.
The Making of Our Bodies, Ourselves: How Feminism Travels across Borders

Acknowledgments ix Introduction 1 Part I: The Book and Its Travels 1. OBOS in the United States: The Enigma of a Feminist "Success Story" 19 2. OBOS Abroad: From "Center" to "Periphery" and Back 50 3. Between Empowerment and Bewitchment: The Myth of the Boston Women's Health Book Collective 85 4. Reclaiming Women's Bodies: Colonialist Trope or Critical Epistemology? 120 5. Creating Feminist Subjects: The Reader and the Text 142 Part III: Transnational Body/Politics 6. Oppositional Translations and Imagined Communities: Adapting OBOS 169 7. Transnational Knowledges, Transnational Politics 197 Appendix 1. Foreign-Language Editions of OBOS 214 Appendix 2. Books Inspired by OBOS 217 Appendix 3. Translations and Adaptations of OBOS in Progress 218 Appendix 4. Translations and Adaptations of OBOS Seeking Funds for Start-up 219 Notes 221 Bibliography 243 Index 273
Rate-limiting mechanisms in high-temperature growth of catalyst-free InAs nanowires with large thermal stability

We identify the entire growth parameter space and rate-limiting mechanisms in non-catalytic InAs nanowires (NWs) grown by molecular beam epitaxy. Surprisingly huge growth temperature ranges are found with maximum temperatures close to ∼600 °C upon dramatic increase of V/III ratio, exceeding by far the typical growth temperature range for catalyst-assisted InAs NWs. Based on quantitative in situ line-of-sight quadrupole mass spectrometry, we determine the rate-limiting factors in high-temperature InAs NW growth by directly monitoring the critical desorption and thermal decomposition processes of InAs NWs. Both under dynamic (growth) and static (no growth, ultra-high vacuum) conditions the (111)-oriented InAs NWs evidence excellent thermal stability at elevated temperatures even under negligible supersaturation. The rate-limiting factor for InAs NW growth is hence dominated by In desorption from the substrate surface. Closer investigation of the group-III and group-V flux dependences on growth rate reveals two apparent growth regimes, an As-rich and an In-rich regime defined by the effective As/In flux ratio, and maximum achievable growth rates of > 6 µm h−1. The unique features of high-T growth and excellent thermal stability provide the opportunity for operation of InAs-based NW materials under caustic environment and further allow access to temperature regimes suitable for alloying non-catalytic InAs NWs with GaAs.
A phenomenological study of the lived experiences of employees who work virtually and their perceptions of leadership behaviors that create a successful virtual organization

Can virtual work simply be described as doing the same work in a different venue? Is the virtual workforce merely a construct of technology? Where does the virtual worker fit into the paradigm of telework? And how does leadership of the virtual workforce need to adapt to accomplishing work in a virtual environment? The fact is that the culture of virtual work has become increasingly rooted over the years. Most recently, economic struggles and the advanced technology associated with a global economy have set the stage for a more connected workforce in more disconnected venues. Virtual work offers distinct positives for organizations as well as employees. Employers save financially by reducing the costs associated with physical footprints, and employees save commute time as well as commute costs. While virtual organizations may appear to be a panacea for the economic and time complexities that beset employees and corporations, the success of the virtual workforce presents a viable challenge to leaders. Instead of leading less in a relatively anonymous environment, leaders need to alter their leadership behaviors to be able to lead more in the virtual workspace. Through a phenomenological study, the research herein was designed to explore and offer insights into leadership behaviors, from the vantage point of virtual workers, that positively or negatively influence the success of virtual organizations. The significance of this topic rests in the fact that leadership behaviors play a central role in defining the success of a virtual organization (Society for Human Resource Management, 2010). Hence, the purpose of this study is to explore the leadership behaviors that positively and negatively impact the success of a virtual organization. Using an analysis of research that defines the successful virtual organization as one that maintains metrics that are equal to or exceed in-office environments in terms of employee productivity, retention, LEADERSHIP BEHAVIORS FOR A SUCCESSFUL VIRTUAL WORKFORCE
Interactional competence in paired speaking tests: Role of paired task and test-taker speaking ability in co-constructed discourse

level on media use to a more personal level oriented to the amount of available leisure time that RB has. The fact that HE does not continue developing the original topic by adding another argument, but rather poses a question out of the blue on a different topic instead, shows that HE’s contribution does not fit in the sequential context of the conversation. The abrupt shift
Adrenal insufficiency in children with sepsis.

OBJECTIVE To determine the frequency of adrenal insufficiency in children diagnosed with sepsis that were staying in pediatric intensive care units and to establish the association between adrenal function and the use of vasoactive drugs, mechanical ventilation time and mortality. METHODS A cohort-designed study was conducted to assess the incidence of adrenal insufficiency in children aged 29 days to 12 years who were diagnosed with sepsis using the adrenocorticotropic hormone (ACTH) stimulation test. RESULTS Thirty-nine children were included in the study. The frequency of adrenal insufficiency was 30.7% (12 patients). Children with adrenal insufficiency had an increased need for vasoactive drugs as well as longer mechanical ventilation times; however, the differences were not statistically significant. A Kaplan-Meier curve indicated lower survival rates among the adrenal insufficiency children, but the differences were not statistically significant (p = 0.1263). No differences were identified between the adrenal sufficiency and adrenal insufficiency groups in regards to mechanical ventilation time, use of vasoactive drugs, infection type and chronic disease. CONCLUSION This study determined the frequency of adrenal insufficiency in children with sepsis and its relationship to increased mortality within the first 28 post-admission days. No statistically significant association was found between adrenal insufficiency and mechanical ventilation time or the use of vasoactive drugs.
Taking Europe to its extremes: Examining cueing effects of right-wing populist parties on public opinion regarding European integration

In this article we examine the role of right-wing parties in framing and mobilizing national identity against European integration. Using a multi-level analysis and combining individual-level and contextual data, we analyze public support for European integration within the Western European member states of the European Union from 1992 to 2002. The empirical analysis shows that national identities are contested and constructed within national contexts and that right-wing populist elites act as influential political cues in this process. Populist political entrepreneurs on the right side of the political spectrum play a decisive role in framing opposition to supranational governance with defense of the national community.
Meat yield and the effects of curing on the characteristics of snail meat.

Yield of different parts of snail ( Archachatina marginata ) was obtained by collecting 100 snails at random from Ibagwa-Aka in Igbo-Eze local Government Area of Enugu State and weighing each snail and its parts i.e. the shell, foot (edible portion) and offal (composed of the viscera, blood and slime) and the proximate composition of the edible portion (foot) was obtained. Thereafter, onekilogram portions of the foot were cured for 16h by immersing and equilibrating (under room conditions) in one liter of solution containing 0%, 10%, 20% and 30% salt. The samples were draindried after curing and analyzed. Results show that the edible portion (foot) accounted for about 38.5% of the live weight of the snail while the inedible portion accounted for more than 60%. While all parts increased quantitatively as the snail increased in size, the shell was accumulated more and at the expense of the foot and offal. Proximate analysis suggests that the moisture content (79.5%) and crude protein (18.9%) approximated those of raw beef muscle. During curing, moisture content and water activity decreased as the concentration of salt in the curing solution increased, presumably due to osmotic dehydration. Moisture content, water activity and pH reduced further during storage. However, those samples treated with 30% salt maintained lower moisture and water activity through storage compared with other samples. Peroxide value and total viable microorganisms increased in all samples during storage but salt treatment increased rancidity while inhibiting the growth of microorganisms.
BREAST CANCER DIAGNOSIS USING MACHINE LEARNING ALGORITHMS -A SURVEY

Breast cancer has become a common factor now-a-days. Despite the fact, not all general hospitals have the facilities to diagnose breast cancer through mammograms. Waiting for diagnosing a breast cancer for a long time may increase the possibility of the cancer spreading. Therefore a computerized breast cancer diagnosis has been developed to reduce the time taken to diagnose the breast cancer and reduce the death rate. This paper summarizes the survey on breast cancer diagnosis using various machine learning algorithms and methods, which are used to improve the accuracy of predicting cancer. This survey can also help us to know about number of papers that are implemented to diagnose the breast cancer.
Send Orders of Reprints at Reprints@benthamscience.net Eleven Year Results of Total Hip Arthroplasty in Patients with Secondary Osteoarthritis Due to Slipped Capital Femoral Epiphysis

Background: Total hip arthroplasty (THA) in patients with a history of Slipped Capital Femoral Epiphysis (SCFE), is typically indicated to address the consequent deformity of the proximal femur and/or acetabulum. It can be a challenging procedure for the orthopaedic surgeon. Previous studies have focused on prevention of osteoarthritis post-SCFE. However, there is a paucity of data on the outcomes of total hip arthroplasty in patients with osteoarthritis secondary to SCFE. This study was performed to assess the mid-term results of total hip arthroplasty in this patient cohort. Materials and Methods: All patients with secondary osteoarthritis due to slipped capital femoral epiphysis, treated with total hip arthroplasty between 1987 and 2005, were included in this retrospective study (n=30). Thirty patients (17 male, 13 female) met the inclusion criteria with one patient lost to follow-up and one unrelated death one year before follow up examination, thereby leaving 28 patients (32 hips) eligible for the study with a mean follow-up time period of 11.2 years. The Harris Hip Score (HHS) and MOS 36 short form health survey (SF36) were determined preoperatively and at most recent follow-up for all patients. Complications were also noted for all cases. (p<0.0001). The SF-36 health survey showed an improvement of quality-of-life in all sub-scales. Overall, revision surgery was required in six cases (19 %). Aseptic loosening, leading to implant removal, was noted in five cases. A single-stage revision to address infection was performed in one case. The cumulative survival rate at latest follow-up was 81 %. No other complications were encountered during the study. Conclusions: Despite a higher failure rate, compared to total hip arthroplasty in the treatment of primary osteoarthritis, total hip arthroplasty can be considered a feasible option for patients with secondary osteoarthritis of the hip due to slipped capital femoral epiphysis. The current study demonstrates good outcomes in patients treated with a cementless column-preserving prosthesis, which is of particular relevance for this young patient cohort. However, further clinical prospective randomized studies are warranted to provide more definitive evidence.
Effects of Student Self-Corrective Measures on Learning and Standardized Test Scores

Beth Poplin. EFFECTS OF STUDENT SELF-CORRECTIVE MEASURES ON LEARNING AND STANDARDIZED TEST SCORES. (Under the direction of Dr. Bet h Ackerman) School of Education, 2009. This study examined whether students who graded and corrected their own test paper s improved their learning and standardized test scores on the North Carolina end-ofcourse test in United States History. Four preexisting, intact classrooms of 11 th grade United States History students in two different high schools formed the basis of this quas iexperimental, Static Group Comparison Design. Two classes formed the control group, and two classes participated in the alternative assessment strategy, wi h both groups taking the pretest and posttest in United States History. The control group had thei r weekly tests graded by the classroom teacher and returned to them, while the experimental group self-graded and corrected their test papers by using a p redetermined format focusing on the questions’ main ideas. As the semester concluded, each cl ass took the state end-of-course test in United States History. After comparing and analyzing scores, using descriptive statistics and the statistical procedure indepe ndent samples ttest, this research study determined it was unlikely the treatment had a posi tive statistical relationship to higher standardized test scores or that students learned more than wi th teacher-only grading. Finally, the researcher failed to reject the null hypothesis because students in the treatment group did not achieve statistically higher scores on t he Nor h Carolina end-of-course test in United States History than students in the contr ol group.
N-Nitrosodimethylamine (NDMA) as a Drinking Water Contaminant: A Review

N-Nitrosodimethylamine (NDMA) is a member of a family of extremely potent carcinogens, the N-nitrosamines. Until recently, concerns about NDMA mainly focused on the presence of NDMA in food, consumer products, and polluted air. However, current concern focuses on NDMA as a drinking water contaminant resulting from reactions occurring during chlorination or via direct industrial contamination. Because of the relatively high concentrations of NDMA formed during wastewater chlorination, the intentional and unintentional reuse of municipal wastewater is a particularly important area of concern. Although ultraviolet (UV) treatment can effectively remove NDMA, there is considerable interest in the development of less expensive alternative treatment technologies. These alternative technologies include approaches for removing organic nitrogen-containing NDMA precursors prior to chlorination and the use of sunlight photolysis, and in situ bioremediation to remove NDMA and its precursors.
Immediate and delayed incorporations of events into dreams: further replication and implications for dream function

The incorporation of memories into dreams is characterized by two types of temporal effects: the day‐residue effect, involving immediate incorporations of events from the preceding day, and the dream‐lag effect, involving incorporations delayed by about a week. This study was designed to replicate these two effects while controlling several prior methodological problems and to provide preliminary information about potential functions of delayed event incorporations. Introductory Psychology students were asked to recall dreams at home for 1 week. Subsequently, they were instructed to select a single dream and to retrieve past events related to it that arose from one of seven randomly determined days prior to the dream (days 1–7). They then rated both their confidence in recall of events and the extent of correspondence between events and dreams. Judges evaluated qualities of the reported events using scales derived from theories about the function of delayed incorporations. Average ratings of correspondences between dreams and events were high for predream days 1 and 2, low for days 3 and 4 and high again for days 5–7, but only for participants who rated their confidence in recall of events as high and only for females. Delayed incorporations were more likely than immediate incorporations to refer to events characterized by interpersonal interactions, spatial locations, resolved problems and positive emotions. The findings are consistent with the possibility that processes with circaseptan (about 7 days) morphology underlie dream incorporation and that these processes subserve the functions of socio‐emotional adaptation and memory consolidation.
Two cases of non‐melanocytic skin cancer confused as trauma

A 70-year-old male underwent an optical urethrotomy in 2010 for treatment of a dense 3-cm anastomotic urethral stricture. His history is significant for Gleason 9 T2b prostate cancer treated with an uncomplicated prostatectomy in 1998 and external beam radiotherapy in 2003 secondary to local recurrence. His urethral catheter was removed day 3 post-optical urethrotomy. He developed right groin pain radiating to the inner thigh and had difficulty weight bearing on the right leg over the subsequent days. His symptoms intermittently worsened and he presented 5 weeks post-optical urethrotomy to the emergency department with a fever, right groin pain and inability to walk. His C-reactive protein was elevated at 137 mg/L and a urine culture positive for pseudomonas aeruginosa. A contrast-enhanced computed tomography scan of his abdomen and pelvis revealed a hypoechoic lesion in his obturator externus muscle. An initial bone scan showed no area of increased uptake to suggest osteomyelitis. On day 3 of admission, a magnetic resonance imaging showed an extensive collection within the right obturator externus measuring 3.7 ¥ 2.1 cm as well as osteomyelitis of the pubis (Fig. 1). Ultrasound-guided drainage of the collection aspirated 3 mL of purulent material which grew Pseudomonas aeuroginosa. Optical urethrotomy is considered a safe and effective treatment for urethral strictures. The most common complications are fever, bleeding, urinary tract infection, epididymitis, urinary incontinence, urinary extravasation and recurrence of stricture. We postulate that a disruption of the anatomical planes secondary to radiotherapy resulted in the extravasation of urine, from a breach in the corpus spongiosum at time of urethrotomy, into the superficial perineal space which then tracked deep to Colles’ fascia into the medial compartment of the thigh. Pyomyositis is a rare but possible complication of optical urethrotomy, with patients previously treated with local radiotherapy at particular risk.
A cross-sectional study of the relationships between organizational justices and OCB

Purpose – The purpose of this paper is to test the mediating effect of organizational identification (OI) in the relationship between organizational justice and organizational citizenship behavior (OCB), and also to examine the moderating effects of transactional and relational contracts in the relationship between OI and OCB. Design/methodology/approach – Data were collected from employees working for ten companies in South Korea. The participants were asked with a self-reported survey, and 284 questionnaires were used in the analyses. Findings – Among the three types of organizational justice, the effects of distributive and interactional justice on OCB were mediated by OI. The authors also found that the positive relationship between OI and OCB was stronger for both a low level of transactional and a high level of relational contract. In addition, the moderated mediation analyses confirmed that the indirect relationships between distributive, interactional justice and OCB through OI were valid for both.
EXPLORING SOCIAL PRESENCE IN ASYNCHRONOUS TEXT-BASED ONLINE LEARNING COMMUNITIES ( OLCS )

This paper reports the findings from a longitudinal case study at University of York, UK. It aims to investigate the development of social presence among online members in textbased online learning environment. The transcripts from the electronic bulletin boards posted by online students and tutors in Health Economics for Health Care Professionals by Distance Learning Programme were studied using a research technique called content analysis. The findings from this study suggest that students and tutors in this programme employed different types and exhibited different degree of social presence when communicating in OLCs. However, similar patterns of social presence were found in each group of online participants.