Miracle-dz/UniFAR-FTUs huggingface dataset:
Developing a research agenda for nursing and midwifery: a modified Delphi study

Aim: We sought to ascertain the nursing and midwifery research priorities at a large private tertiary hospital in Australia. Design: A modified Delphi technique with two rounds of questionnaires. Methods: The first round survey was distributed to 448 nurses and midwives with a 19.2% (n = 86) response rate. Due to a low response rate in some specialties, the second round of the Delphi was only sent to nurses in the Learning and Organisational Development speciality who were asked to rank 10 identified topics specific to Learning and Organisational Development using a five point Likert-type scale. Results: Two hundred and fifty seven topics were identified in Round One and were condensed to 181 topics. Each topic was assigned to one of four categories: clinical audit; existing evidence base; research; or other topics which fell beyond the bounds of nursing or midwifery research. Twenty three research topics were identified with priorities focusing on learning and development and workforce issues. Conclusion: Priorities were congruent with the organisation's strategic workforce focus. Topics identified in this study will ensure that the nursing and midwifery research conducted at the study setting is relevant and reflects priorities as determined by clinical nurses and midwives.
A robust eyelid and eyelash removal method and a local binarization based feature extraction technique for iris recognition system

Biometric systems are becoming popular in replacing conventional security systems. Out of several, iris recognition systems are proving to be highly successful due to their high accuracy and low error rate. This paper presents a new and simple method of extracting features from the iris pattern hence avoiding most of the heavy computations and complexity observed in existing algorithms. In addition to this, robust techniques for eyelid and eyelash detection have been proposed. The proposed detection and encoding scheme gives satisfactory results when tested on several existing databases and outperforms existing techniques when compared to them.
The Ketogenic Diet Revisited: Back to the Future

There has been a recent extraordinary resurgence of interest in the ketogenic diet. Some commentaries in the professional and lay literature have been instructive and informative, others have been less so, and some have been frankly contentious. Books, an informative videotape, a made-for-television movie starring Meryl Streep, and many websites are just some of the current venues that are providing information regarding the diet (1). An unfortunate byproduct of this popularization has been a fruitless dialectic: “Does the ketogenic diet deserve a prominent role in the management of children with refractory epilepsy? ” The answer to this question has always been yes. In our view, this is a distracting issue and one that should be put aside, because the diet is a time-tested, effective, and safe method for treatment of intractable childhood epilepsy. Only bromides, discovered in 1857, and phenobarbital, discovered in 1910, can match the 76 years of experience with the ketogenic diet. Numerous centers have documented its efficacy, and clinical reports indicate that at least one-third to two-thirds of patients benefit substantially from the diet (2-5). Results of treatment with few antiepileptic drugs (AEDs) can match these statistics. Like AEDs the ketogenic diet has also demonstrated efficacy in experimental models of seizures (6-8). At the Neurological Institute of New York, clinicians have used the conventional long-chain diet as a mainstay for the treatment of drug-resistant childhood epilepsy for >30 years, with good success (9). In the last several years, our dietitians and nutritionists have used a novel and effective approach. The diet is organized into food groups so that substitutions among different foods can be made easily. This makes the diet simpler to use and provides parents with greater flexibility. The broad picture regarding the mechanics and the effectiveness of the ketogenic diet has been clear since 1921. Therefore, we regard
Acute Myocardial Infarction Rehospitalization of the Medicare Fee-for-Service Patient: A State-Level Analysis Exploring 30-Day Readmission Factors

Purpose of the Study: Acute myocardial infarction (AMI) readmission among the older adults is frequent and costly to the Medicare Trust Fund and to the patient in preventable suffering. In this study, we explore factors that are associated with states having AMI readmission rates that are higher than the U.S. national rate. Primary Practice Setting(s): Acute inpatient hospital settings. Methodology and Sample: Multivariate regression analysis of 50 state-level data is used. The dependent variable AMI 30-day readmission worse than U.S. rate is based on adult Medicare fee-for-service patients hospitalized with a primary discharge diagnosis of AMI and for which a subsequent all-cause readmission occurred within 30 days of their last discharge. Results: We find one key variable—states with more &bgr;-blocker prescription given at discharge—that is significantly associated with a decrease in probability in states ranking “worse” on AMI 30-day readmission. Whereas, states with more total days of care per 1,000 Medicare enrollees, more community hospital outpatient visits per 1,000 population, and greater aspirin prescription given at discharge have a greater probability for AMI 30-day readmission to be “worse” than the U.S. national rate. Implications for Case Management Practice: Case management programs targeting efficient medication reconciliation from the hospital setting to the transfer setting can potentially help minimize readmission for patients highly dependent on &bgr;-blockers for improved clinical outcomes. This intervention may be more effective than other factors to improve state-level hospital status on AMI 30-day readmission. Factors such as total days of care per 1,000 Medicare enrollees, more community hospital outpatient visits per 1,000 populations, and greater aspirin prescription given at discharge may not be as important as &bgr;-blocker prescription given at discharge.
Epithelial-cell renewal in cultured duodenal biopsies in celiac sprue.

Abstract Proliferation and migration of duodenal epithelium was studied in cultured mucosal biopsies from three normal volunteers and from three patients with celiac sprue before and after treatment with a gluten-free diet. The number of epithelial cells incorporating thymidine-3H into nuclei from the culture medium was over twice as great in pretreatment celiac-sprue biopsies as in normal biopsies. This indicates enhanced proliferation in celiac sprue. Labeled cells migrated to the surface epithelium in 24-hour cultures from all untreated patients whereas labeled cells did not migrate beyond the lower third of the villi in the normal volunteers. Surface epithelial cells, which appear damaged in uncultured celiac-sprue biopsies, reverted toward normal after only 24 hours of culture in a gluten-free environment. After six to 15 weeks of gluten withdrawal, cell proliferation and migration in cultured celiac-sprue biopsies were intermediate between pretreatment and normal biopsies. Thus, short-term treatment.
Increased Viral Replication in Simian Immunodeficiency Virus/Simian-HIV-Infected Macaques With Self-Administering Model of Chronic Alcohol Consumption

Alcohol abuse constitutes a major cohort among HIV-infected individuals. The precise effect of alcohol addiction on HIV pathogenesis remains inconclusive, however. This study was designed to determine the effect of alcohol dependence on virus replication and CD4 profiles in simian immunodeficiency virus/simian-HIV-infected rhesus macaques. A group of 3 male Indian rhesus macaques was adapted to a self-drinking model of alcohol consumption, whereas another group of 3 macaques was provided a Nutrasweet solution. After 7 weeks of alcohol consumption, the alcohol-dependent animals along with controls were intravenously inoculated with a mixture of SHIVKU, SHIV89.6P, and SIV/17E-Fr. These animals were followed for a period of 24 weeks for complete blood cell counts, CD4 cell profiles, and viral loads in the blood and cerebral compartments. The alcohol and control groups showed comparable peak viral loads in the blood. The plasma viral load in the alcohol group was 31- to 85-fold higher than that in the control group at weeks 18 through 24 after infection, however. The pattern of cerebrospinal fluid viral replication was also comparable during the acute phase; however, the virus continued to replicate in the brain of alcohol-dependent animals, whereas it became undetectable in the controls. The extent of CD4 cell loss in the alcohol group was significantly higher than that in the control animals at week 1 after infection.
Novel Cell Culture-Adapted Genotype 2 a Hepatitis C Virus Infectious

Tomoko Date, Takanobu Kato, Junko Kato, Hitoshi Takahashi,* Kenichi Morikawa,* Daisuke Akazawa, Asako Murayama, Keiko Tanaka-Kaneko, Tetsutaro Sata,* Yasuhito Tanaka, Masashi Mizokami, and Takaji Wakita Department of Virology II, National Institute of Infectious Diseases, Tokyo, Institute of Geriatrics, Tokyo Women’s Medical University, Tokyo, Division of Gastroenterology, Department of Medicine, Showa University School of Medicine, Tokyo, Pharmaceutical Research Laboratories, Toray Industries, Inc., Kanagawa, Department of Pathology, National Institute of Infectious Diseases, Tokyo, Department of Virology and Liver Unit, Nagoya City University Graduate School of Medical Sciences, Nagoya, and The Research Center for Hepatitis and Immunology, National Center for Global Health and Medicine, Chiba, Japan
Randomized clinical trial of epidural, spinal or patient‐controlled analgesia for patients undergoing laparoscopic colorectal surgery

Epidural analgesia is considered fundamental in enhanced recovery protocols (ERPs). However, its value in laparoscopic colorectal surgery is unclear. The aim of this study was to examine the effects of different analgesic regimens on outcomes following laparoscopic colorectal surgery in fluid‐optimized patients treated within an ERP.
Evolution des diversités phénotypique et génétique des sorghos et mils cultivés au Niger de 1976 à 2003

La crainte existe que les evolutions socio-economiques et le changement climatique portent atteinte a la biodiversite et notamment a la diversite des plantes cultivees. Une etude sur cette thematique a ete conduite au Niger sur le mil et le sorgho, deux cereales a la base de l'alimentation d'une grande partie des populations subsahariennes, dans une des regions concernees par leur domestication. Elle s'appuie sur une comparaison diachronique de prospections varietales faites en 1976 puis 2003 dans 79 villages couvrant la zone cultivee de ce pays. La diversite des deux cultures a ete evaluee a l'aide de plusieurs criteres : denomination et occurrence varietale, classification botanique, caracteristiques agro-morphologiques et genetiques (avec des marqueurs microsatellites). Sur la periode consideree, les resultats montrent une grande stabilite des formes botaniques des sorghos et mils cultives au Niger. Leur diversite genetique, telle qu'analysee dans cette etude, fait valoir une legere elevation qui amene a conclure qu'il n'y a pas eu d'erosion genetique. Neanmoins, en liaison avec l'assechement climatique qu'a subi le Niger ces 40 dernieres annees, il y a eu une modification de certains caracteres agro-morphologiques des deux plantes. Globalement les sorghos et mils du Niger collectees en 2003 sont un peu plus precoces et plus courts que ceux collectes en 1976. Les mecanismes de cette reponse adaptative sont en cours d'approfondissement. (resume d'auteur)
High Turnover Among State Health Officials/Public Health Directors: Implications for the Public's Health

Context: State health officials (SHOs) serve a critical role as the leaders of state public health systems. Despite their many responsibilities, there is no formal process for preparation to become an SHO, and few requirements influence the selection of an SHO. Furthermore, to date, no studies have examined SHO tenure or their experiences. Objective: This study examines SHO tenure over time and the relationship between SHO tenure and organizational and state attributes. Design: This longitudinal study employed primary data on SHOs and secondary data from the Association of State and Territorial Health Officials on organizational attributes of state public health agencies. Setting: This study examines SHOs within the United States. Participants: SHOs who served in years 1980-2017. Main Outcome Measures: Annual average SHO tenure; average SHO tenure by state. Results: In the 38 years of this study, 508 individuals served as SHOs in the 50 states and the District of Columbia. The average tenure over this period was 4.1 years, with a median tenure of 2.9 years. During the study period, almost 20% of SHOs served terms of 1 year or less. A total of 32 SHOs (32/508 or 6.3%) served for 10 years or longer. Excluding SHOs who served 10 years or longer (n = 32 SHOs who had a collective 478 years of tenure) reduces the average term in office to 3.5 years. The average number of new SHOs per year is 12.3. SHOs appointed by a board of health averaged more than 8 years in office compared with averages just under 4 years for those appointed by governors or secretaries of state agencies. Conclusions: There are notable differences in SHO tenure across states. Future research is needed to further examine SHO tenure, effectiveness, job satisfaction, transitions, and the relationship between SHOs and state health. It may be valuable to expand on opportunities for new SHOs to learn from peers who have moderate to long tenures as well as SHO alumni. Given that average SHO tenure is approximately 4 years and that an SHO could be thrust into the national spotlight at a moment's notice, governors may want to consider experience over partisanship as they appoint new SHOs.
The Factors Affecting Customer Satisfaction and Behavioral Intentions in Using Telecommunication Service in Bangkok , Thailand

Purpose— This study aims to explore the factors affecting customer satisfaction in using mobile telecommunications; and investigate the relationship between customer satisfaction and behavioral intentions in mobile telecommunications service. Design/Methodology— A survey questionnaire was used to collect data from 400 respondents in Bangkok, Thailand. The multi regression was used to analyze and examine the postulated hypothesis. Findings—The findings indicated that perceived value, service quality, and marketing mix have positive effect on customer satisfaction; customer satisfaction has positive effect on behavioral intentions. Research Implications—The findings provide the understanding of the factors affecting customer satisfaction and behavioral intentions. Thus, it gives recommendations for managers to improve customer satisfaction on the mobile telecommunication service. Research Limitations— The questionnaires were only distributed in the Central Ladprao department store. So the result can not represent the whole Bangkok, Thailand.
Comparison of rice straw and bamboo stick substrates in periphyton-based carp polyculture systems

An experiment was conducted to compare rice straw mat and kanchi (bamboo sticks) as substrates in periphyton-based polyculture systems. The experiment had three treatments: (a) no substrate (control), (b) rice straw as a substrate (3 � 2.7 kg pond � 1 ) and (c) kanchi as a substrate (390 kanchi pond � 1 ). Fingerlings (n 5 40) of rohu, Labeo rohita (24.5 � 0.5 g); mrigal, Cirrhinus mrigala (25.1 � 0.6 g); catla, Catla catla (25.8 � 0.5 g); common carp, Cyprinus carpio (27.6 � 0.6 g), and silver carp, Hypophthalmichthys molitrix (30.4 � 0.9 g) were stocked at a 3:2:2:2:1 ratio and cultured for 90 days. There were no diierences in the number of plankton, periphyton and macro-zoobenthos among the treatments. The total plate count of bacteria was higher in the rice straw treatment (41320 million cfu m � 2 ) than that in the kanchi treatment (11780 million cfu m � 2 ). Growth and the ¢nal mean weight of rohu, catla and common carp were higher in the substrate treatments than those in the control. Rice straw and kanchi treatment, respectively, resulted in 38% and 47% higher combined total weight gain over control. Gross margin analysis showed that rice straw treatment resulted in more pro¢t than the control and kanchi treatment. Therefore, rice straw has the potential to be used to increase production in the low-input rural aquaculture.
The effects of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor-gamma2 gene on glucose/insulin metabolism interact with prenatal exposure to famine.

OBJECTIVE An adverse fetal environment may permanently modify the effects of specific genes on glucose tolerance, insulin secretion, and insulin sensitivity. In the present study, we assessed a possible interaction of the peroxisome proliferator-activated receptor (PPAR)-gamma2 Pro12Ala polymorphism with prenatal exposure to famine on glucose and insulin metabolism. RESEARCH DESIGN AND METHODS We measured plasma glucose and insulin concentrations after an oral glucose tolerance test and determined the PPAR-gamma2 genotype among 675 term singletons born around the time of the 1944-1945 Dutch famine. RESULTS A significant interaction effect between exposure to famine during midgestation and the PPAR-gamma2 Pro12Ala polymorphism was found on the prevalence of impaired glucose tolerance and type 2 diabetes. The Ala allele of the PPAR-gamma2 gene was associated with a higher prevalence of impaired glucose tolerance and type 2 diabetes but only in participants who had been prenatally exposed to famine during midgestation. Similar interactions were found for area under the curve for insulin and insulin increment ratio, which were lower for Ala carriers exposed to famine during midgestation. CONCLUSIONS The effects of the PPAR-gamma2 Pro12Ala polymorphism on glucose and insulin metabolism may be modified by prenatal exposure to famine during midgestation. This is possibly due to a combined deficit in insulin secretion, as conferred by pancreatic beta-cell maldevelopment and carrier type of the Ala allele in the PPAR-gamma2 gene.
Errors of commission and omission in novice group counseling trainees' knowledge structures of group counseling situations.

This study investigated how novice group counseling trainees' knowledge structures about group situations differed from experts. ' Eight highly experienced group therapists and 54 novice trainees indicated which of the 19 leader interventions they would consider using to respond to the 21 group situations described in the Group Therapy Questionnaire (GTQ, Wile, Bron, & Pollack, 1970). Pathfinder Network Analysis (Schvaneveldt, 1990) was used to generate knowledge structures (cognitive maps) about group situations based on the aggregated response of experts and each trainee's response to GTQ. Comparing trainees' maps with the referent expert map, we found no common errors of commission, that is, relationship between situations in trainees' knowledge maps but not in experts' knowledge maps, but 10 common errors of omission, that is, relationships among group situations in experts' knowledge maps but not in trainees' knowledge maps. Cluster analysis identified 2 subgroups of trainees. Neither of these trainee subgroups incorporated the group's developmental stage into their map of group situations as experts did: experts saw the situations during the beginning and ending phases of the group as similar but different from situations in the middle phase of the group. The first group of trainees had a holistic approach to group situations but tended to make errors in dealing with group situations involving a problematic member. The second group had an atomistic approach to group situations but lacked a clearly differentiated and structured general organization for the situations. They tended to make errors in dealing with challenging situations where the group is avoidant and lacks engagement.
Cervical Lymphangioma in the Adult

Cervical lymphangioma is rare among adults. Thirty-two patients with cervical lymphangioma were treated at the Mayo Clinic between 1950 and 1982. The records of these patients were reviewed to investigate the clinical and pathologic behavior of this lesion in persons more than 16 years of age. The lesions were seen in all decades of adult life and equally in men and women. Most lesions presented as a rapidly enlarging, asymptomatic mass. The anterior triangle of the neck was involved nearly as often as the posterior triangle, and right-sided locations predominated (72%). Histopathologic differentiation of the lesions into simplex, cavernous, and cystic lymphangiomas was not helpful in predicting clinical behavior. Surgical excision is the treatment of choice. The lesions may intimately involve the carotid sheath or adjacent nerves. Recurrence in 21% of the 28 patients on whom follow-up data were available mostly represented incomplete excision. Lymphangioma should be included in the differential diagnosis of a large asymptomatic neck mass of recent origin in the adult.
Informational and Normative Social Influence in Group-Buying: Evidence from Self-Reported and EEG Data

This study examines two types of information commonly used by group-buying sites to induce purchasing. The first study indicates the number of people who have bought a deal ("buy" information). The second one indicates Facebook friends who "like" a deal ("like" information). The effects of the group-buying information on opinions (attitude and intention) and emotions were examined using a controlled experiment. Our results show that positive and negative "buy" information has an asymmetric influence on attitude and intention, whereas "like" information has a positive influence on intention. The presence of "buy" information is associated with EEG activity that is generally linked to negative emotions. However, the addition of "like" information is associated with EEG activity that is generally linked to positive emotions. The different effects of the two types of group-buying information can be explained by the different social influences exerted by the information.