Miracle-dz/UniFAR-FTUs huggingface dataset:
Treatment of constipation in children based on anorectal manometery findings

Background: Constipation is a common symptom in children and manometery can be a useful diagnostic method in choosing suitable therapeutic methods for these patients. Aim: The aim of this study was to assess the manometeric findings and determine its role in the management of children with constipation referred to our hospital. Setting and Design: This was a descriptive cross-sectional study. Materials and Methods : It was carried out on patients referred from September 2006 to December 2009 to the children hospital for performance of anorectal manometery because of constipation. They received their treatment according to findings at manometry (normal, absent, dilated, and retentive) with Botolinium toxin (BT) injection, surgery, enema, and medications, respectively. For each patient, variables such as age, sex, chief complaint, manometry result, food regimen, and treatment method were recorded. Symptom severity scale was assessed using a scored questionnaire. Statistical Analysis: Data were analyzed using SPSS 17 and descriptive statistics, t-test, and χ2 . Results: Seventy-one patients were included in our study. The mean age of the participants was 4.98 ΁ 1.43. Sixteen (22.5%) had acute and 55 (77.5%) had chronic constipation. Seventeen (25.4%) had a diagnosis of Hirschsprung′s disease and 22 patients (31%) had retentive type constipation. Nineteen patients (28.8%) received pull through treatment and 27 (38%) received BT, while 34 (47.9%) received medical treatment. Mean symptom severity score after treatment was 3.88 and 4.59 in males and females, respectively. This difference was statistically significant (P = 0.03). There was no statistically significant difference after treatment according to other variables. Conclusions : In summary, our study results were comparable with studies that reported an effective role for manometry in diagnosis and planning the type of treatment in constipated children. and is a useful physiologic tool for measuring anorectal complex function.
Building a method for the study of the Mesolithic Neolithic transition in Portugal

This paper focuses on the agricultural transition in Portugal and on demography across this transition, concentrating on two key skeletal samples, the Mesolithic shell midden of Cabeco da Arruda and the Neolithic burial cave of Casa da Moura. It extends our previous work on the demography of the transition and the methodology surrounding its determination. We explain our method for determination of the number of individuals in samples where whole skeletons cannot be used. We then concentrate on the estimation of fertility, placing it within limits of biological feasibility, sample inadequacies, and vagaries of age assessment. From our analysis, which includes an examination of historical issues with the sites, we argue for regional population continuity between 8000 and 6000 cal BP, and suggest that Neolithic life-ways slowly intensified, founded on important elements deriving from the late Mesolithic, with changes that included increased fertility through shortening of the birth interval
Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial

OBJECTIVE. We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity. METHOD. In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2.2) received either mCIMT (n = 17) or BIM (n = 16). Both interventions included home programs encouraging the use of the affected hand during daily 1-hr play sessions for 8 wk. Outcome measures were administered pre- and posttreatment and included the Mini-Assisting Hand Assessment for babies and the Functional Inventory. At baseline, parents also filled out the Dimensions of Mastery Questionnaire. RESULTS. Both groups demonstrated a significantly large and equal improvement in hand and gross motor function posttreatment (p < .001) and high treatment compliance. CONCLUSION. mCIMT and BIM are equally effective methods for treating infants with hemiplegia.
Is there any somatosensory amplification in patients with irritable bowel syndrome

1 Önder Tuğal1, Yarkın Özenli1, Cengiz Cengisiz2, Kenan Topal3, Burçak Taşdoğan4, Banu Kara4, Ceyhun Can1 1Department of Psychiatry, Adana Numune Training and Research Hospital, 2Kozan State Hospital, 3Department of Family Medicine, Adana Numune Training and Research Hospital, 4Department of Gastroenterology, Adana Numune Training and Research Hospital, Adana, Turkey Ibs and somatosensory amplification Is there any somatosensory amplification in patients with irritable bowel syndrome?
O estatuto contemporâneo da parentalidade

espanolEste estudio teorico pretende discutir el estatuto contemporaneo de la relacion parental partir de la relacion existente entre la interdiccion del incesto y la creciente valoracion de la satisfaccion como base de la formacion de la familia en la actualidad. Comprendemos el referido estatuto como las diferentes formas de ejercer el cuidado de los hijos, las cuales se encuentran tanto marcadas por una fuerte tradicion historica como tambien traspasadas por actualizaciones y demandas contemporaneas. Buscamos explicitar el modo en el cual las relaciones de parentesco fueron establecidas a lo largo de las transformaciones de la familia, tomando como hilo conductor la interdiccion del incesto. Abordamos las formas de relacion parental en el escenario familiar contemporaneo, el cual incluye inumeros arreglos familiares y esta anclado en la satisfaccion intima y sexual que determina el tiempo y la estabilidad de los vinculos. EnglishThis theoretical study intends to discuss the contemporary statute of parenthood from the existing relation between incest prohibition and the increasing recognition of satisfaction as the foundation for family formation nowadays. We understand this statute to becom prised by different forms of exercising childcare, which are marked both by a strong historical tradition and by contemporary updates and demands. We seek to clarify the way kinship was established throughout family transformations, using incest prohibition as a study guideline. We examine different forms of parenthood in contemporary families, which includes several family settings stating that intimate and sexual satisfactions determine the duration and stability of bonds. portuguesEste estudo teorico pretende discutir o estatuto contemporâneo da parentalidade, a partir da relacao existente entre a interdicao do incesto e a valorizacao crescente da satisfacao como base da formacao da familia nos dias de hoje. Compreende-se o referido estatuto como as diferentes formas de exercer o cuidado com os filhos, as quais se encontram tanto marcadas por uma forte tradicao historica quanto atravessadas por atualizacoes e demandas contemporâneas. Busca-se explicitar o modo como as relacoes de parentesco foram estabelecidas ao longo das transformacoes da familia, tomando como fio condutor a interdicao do incesto. Abordam-se as formas de parentalidade no cenario familiar contemporâneo, que inclui diversos arranjos familiares, ancorados na satisfacao intima e sexual que determinam o tempo e a estabilidade dos vinculos.
Modélisation stochastique des marchés financiers et optimisation de portefeuille

Cette these presente trois contributions independantes. La premiere partie se concentre sur la modelisation de la moyenne conditionnelle des rendements du marche actions : le rendement espere du marche. Ce dernier est souvent modelise a l'aide d'un processus AR(1). Cependant, des etudes montrent que lors de mauvaises periodes economiques la predictibilite des rendements est plus elevee. Etant donne que le modele AR(1) exclut par construction cette propriete, nous proposons d'utiliser un modele CIR. Les implications sont etudiees dans le cadre d'un modele espace-etat bayesien. La deuxieme partie est dediee a la modelisation de la volatilite des actions et des volumes de transaction. La relation entre ces deux quantites a ete justifiee par l'hypothese de melange de distribution (MDH). Cependant, cette derniere ne capture pas la persistance de la variance, a la difference des specifications GARCH. Nous proposons un modele a deux facteurs combinant les deux approches, afin de dissocier les variations de volatilite court terme et long terme. Le modele revele plusieurs regularites importantes sur la relation volume-volatilite. La troisieme partie s'interesse a l'analyse des strategies d'investissement optimales sous contrainte «drawdown ». Le probleme etudie est celui de la maximisation d'utilite a horizon fini pour differentes fonctions d'utilite. Nous calculons les strategies optimales en resolvant numeriquement l'equation de Hamilton-Jacobi-Bellman, qui caracterise le principe de programmation dynamique correspondant. En se basant sur un large panel d'experimentations numeriques, nous analysons les divergences des allocations optimales
Bilan nutritif de la transformation du sorgho en bière : préparation, composition, consommation d'une bière du Togo

On pense généralement que les Egyptiens ont découvert les possibilités d'emploi des graines de céréales pour produire une boisson fermentée. D'après MAURIZIO (8) la bière aurait été faite en Mésopotamie avant de l'être en Egypte et l'on aurait des preuves que le mil servait à préparer un breuvage plus de 4000 ans avant J.-C. De nos jours la bière de mil est couramment utilisée en Afrique noire : Dolo en A.O. F. , Tala en Abyssinie, Kafir beer en Afrique du Sud. En France même, pendant la grande guerre, le sorgho a été utili& en brasserie avec de bons résultats (4). Au Togo? la bière de mil7 préparée à partir du Sorghum vulgare, est consommée essentiellement par , les groupes ethniques du Nord. Dans ces régions, les céréales et plus particulièrement le sorgho et le pennisetum sont l'aliment de base de la ration (12); mais leur récolte, généralement insuffisante, ne permet pas d'assurer une couverture correcte du besoin énergétique et protidique d'où des difficultés alimentaires en période de soudure. Malgré ces difficultés une part importante des réserves de sorgho est utilisée à la fabrication de la bière de mil. Il nous a donc paru intéressant J. P. 931059. 1
Vitamin D Insufficiency is a Frequent Finding in Pediatric and Adult Patients with Sickle Cell Disease and Correlates with Markers of Cell Turnover

Vitamin D insufficiency affects 33%-78% of children and 60-100% of adults with sickle cell disease (SCD). There are no previous reports demonstrating a correlation between vitamin D insufficiency and cell turnover in patients with SCD. We hypothesized that vitamin D insufficiency was prevalent in our SCD population (ages 0-60 years) and would correlate with reticulocyte counts in these patients. We performed a retrospective cross-sectional review of the medical records of 194 patients (ages up to 60 years) with SCD to evaluate their 25-hydroxyvitamin D levels as a function of red blood cell turnover, patient’s age, number of pain crises, SCD genotype, and Hydroxyurea therapy. Vitamin D insufficiency was present in 88% of children and 96% of adults in our patient cohort. Serum 25-OH vitamin D levels correlated significantly with both age and reticulocyte counts in multiple regression analysis. Furthermore, pediatric HbSS patients had significantly lower 25-OH vitamin D levels than HbSC patients. No significant correlation was found between vitamin D levels and number of pain crises. Based on these findings, vitamin D insufficiency is a function of overall disease severity as manifested by the correlation with reticulocytosis.
Collaborative Writing in Classroom Instruction: A Synthesis of Recent Research

This study aims to present how collaborative writing as a pedagogical practice has developed over the last decade. We conducted a synthesis of published research that has investigated collaborative writing from a variety of perspectives, in first and second languages, and in diverse contexts internationally including students in primary, secondary schools, and universities. Three general claims, supported by evidence, emerged from our analyses of 68 empirical studies published in refereed journals from 2006-2016: (1) technology has facilitated collaborative writing tasks; (2) most students are motivated by an improvement in their writing competencies in collaborative writing tasks; and (3) collaborative writing is effective in improving accuracy of student writing and critical thinking. Pedagogical implications will be briefly discussed.
Energy and thermal management of CMPs by dynamic cache reconfiguration

Ever increasing demand of processing speed and parallelism, along with the modern shrunk transistors, motivates the architects to increase the number of cores on a single chip leading to Chip Multi-Processors (CMPs). To commensurate the data demand of these high number of cores, large on-chip Last Level Caches (LLCs) are integrated. After studying a plethora of prior works, it has been concluded that, LLCs play a vital role in maintaining system performance by accumulating more data on-chip. But large sized LLCs are accounted for their significant leakage energy consumption, which has a circular dependency on the effective temperature of the chip-circuitry. In addition to curtailing the circuit’s reliability, this increased chip temperature (caused due to heavy power consumption) has enough potential to damage the on-chip circuitry permanently, and to exacerbate the battery life in embedded systems. Towards leakage minimised on-chip cache design, with due consideration to the Locality of Reference, we propose a set of performance constrained Dynamic Cache Resizing techniques to reduce leakage in LLCs. The resizing is done by turning off/on some cache banks which can be implemented by power gating at circuit level. The cache resizing decision is triggered based upon the dynamic (cache) usage and change in system performance. We get 65% savings in leakage energy consumption. In the next contribution, apart from bank level granularity, we proposed cache resizing at way-level granularity, where performance degradation is handled by incorporating DAM (Dynamic Associativity Management) techniques. In this policy, we obtain 70% improvement in the leakage energy. Both of these techniques outperform a prior state preserving leakage reduction technique called, Drowsy cache; both in terms of leakage savings and EDP gains. All of these techniques are evaluated for tiled CMP having a multi-banked shared L2 cache as its on-chip LLC. From the thermal efficiency perspective, it has been noticed that, larger caches fabricated in smaller technology nodes are the potential candidates for generating hotspots similar to the CPU cores. The increased power density at heavily used cache zones can heated them up faster, whereas the lightly used cache portions unnecessarily consume high leakage, which has a circular dependency with chip temperature. To mitigate these issues, our proposal selectively turns off LLC banks to reduce temperature by reducing their power consumption. Moreover, these turned off cache portions are utilised as on-chip thermal buffers that reduce
THE EFFECT OF GEOGEBRA ON STUDENTS’ MISCONCEPTIONS OF LIMIT FUNCTION TOPIC

A quasi-experiment was conducted to determine the effects of using the GeoGebra software as a teaching aid to reduce misconceptions of limit function among Form Two students. The experimental study was conducted on 284 Form Two students. A total of 138 students were grouped in the treatment group, while another 146 students were grouped in the control group. Data were analyzed using Anates 4 software and SPSS 23.0. The findings of the study showed that there were no significant differences in the misconceptions of students based on the type of group. The results showed that the use of the GeoGebra software as a teaching aid could reduce misconceptions of limit function better than the traditional method. Moreover, learning mathematics with the help of GeoGebra software allows an active interaction between teachers and students. Such interaction cannot be fully realized in traditional learning settings.
基礎講座 English for nursing

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A study of presentation and complications among the malaria death cases from three municipal corporation hospitals and civil hospital of Ahmedabad during the year 2007

Context: Characterization of severe malaria cases on arrival to hospital may lead to early recognition and improved management. Understanding of symptoms, signs, and laboratory parameters which are associated with high case-fatality rate (CFR) can help in appropriate and early management of cases. Aims: To study the profile, symptoms, signs, and laboratory parameters of malaria death cases. Materials and Methods: Information about deaths due to malaria, as reported to malaria Department of Ahmedabad Municipal Corporation by three municipal corporation hospitals and civil hospital Ahmedabad between January 2007 and December 2007, was used to locate details of those deaths in respective hospitals. Indoor case papers and death reports of those cases were obtained from Medical Record Section of respective hospitals and were analyzed by using appropriate statistical software. Results: A total of 57 malaria deaths occurred in the abovementioned four hospitals. Overall CFR was 3.03% for indoor malaria cases. Complete information could be obtained for about 42 cases. Mean age of cases was 36.50 years. There were 45.23% of patients falling in the age group >=40 years. There were 57.1% males and 42.9% females. Fifty-five cases were positive for Plasmodium falciparum , one case for Plasmodium vivax, and one case was having mixed infection. Average duration of hospital stay was 2.87 days and average total duration of illness was 6.82 days. The most common presenting symptom was intermittent fever with vomiting and altered sensorium in 38.88% of cases. Acute renal failure was the most common complication seen in 45.2% of the cases. Paired t -test was applied on the investigations carried out on the day of admission and those carried out on the day or before a day of death and found significant for the levels of hemoglobin, blood urea, and serum bilirubin. Conclusions: Malaria still remains one of the important causes of admission and mortality. In view of changes in antimalarial drug policy artemisinin combination therapy and accurate, rapid diagnostic tools are necessary to target treatment to people in need.
Diversity of Neuromyelitis Optica: Inner City Hospital Experience and Review of Literature

Neuromyelitis Optica (NMO) is a potentially devastating, complex autoimmune disease of the central nervous system that differs clinically and pathologically from the more common Multiple Sclerosis (MS). In this paper, we briefly describe our clinical experience with NMO patients treated in an inner city hospital in central Brooklyn, New York, and offer a an up-to-date discussion of diagnosis, treatment, and prognosis of this rare condition.
Perceptions on male nurse among health care workers in Hospital Tengku Ampuan Afzan (HTAA)

The entering of men into nursing is widely spread in around the world; Malaysia is not excluded from this scenario. The former dominated profession by female now will become free-gender occupation. As the productions of male nurse keep increasing into health care institution, the researcher feels the need to know the other health care workers’ perception on male nurse. The study had done in HTAA to find out the health care workers namely are from the nurses, doctors, medical assistants, and hospital attendants’ perception on male nurse. This cross-sectional study was conducted in form of questionnaire and all the data obtained were analyzed. There were 226 respondents participated in this study which revealed that majority strongly accept the upcoming of male nurse into health care sector. This study also found out that there is no significant between age and gender of health care workers with the degree of acceptance on male nurse. Whereas, the occupation of health care workers and experienced working with male nurse showed the significant relationship. Moreover, majority of the respondents agreed that patient had gender preference of health care workers and disagreed that the gender issues arise in health care institution. In short, the findings of this study reflect that the health care workers were aware with the upcoming of male nurse in the health care setting.
Pattern of Adult Admissions into Medical Wards of King Khalid University Hospital, Riyadh (1986-1990)

The records of 15 243 admissions over a 5-year period (1986- 1990) were retrieved from the computer storage system of the King Khalid University Hospital to describe the general pattern of causes of admission into the medical wards. The results of the descriptive analysis showed an overall male preponderance over female admissions (55.4% vs 44.7%), but the proportion of female admissions in the younger age-group up to 30 years was higher than that of their male counterparts. Diseases of the circulatory, respiratory, and endocrine systems, metabolic disorders, digestive system and neoplasms accounted for more than 60% of all causes of admission. Infectious diseases were responsible for only 6.7% of all admissions
Determinants of managerial risk perceptions and intentions

This study has been undertaken as an attempt to address two questions surrounding managerial risk. From a manager's perspective, what factors make a given situation risky, and what factors actually determine whether managers will seek risk? Managerial risk perceptions and risk intentions were tested among 149 junior- to senior-level managers from a variety of industries. A risk-assessment instrument (Williams & Wong, 1999) consisting of systematically varied business scenarios was used to measure the managerial risk assessments of outcome uncertainty, possible gains/losses, personal consequences, and situational framing. Managerial risk willingness and control beliefs were measured as well. Multivariate analyses revealed that managers perceived greater risk when they believed there were higher amounts of outcome uncertainty, greater potential losses, more personal consequences, situations were framed negatively, and when risk willingness decreased. However, perceived riskiness did not influence risk intentions. Managerial likelihood to seek risk was only determined by assessments of the magnitude of likely potential gains and when situations were positively framed (e.g., favorable conditions).