Miracle-dz/UniFAR-FTUs huggingface dataset:
Clinician’s choices of restorative materials for children in Abha city, Saudi Arabia

Background: It has been observed that at times dentists find it difficult to decide on the technique and materials to use for restoration of deciduous and permanent teeth in children. Aims: To determine the choice of materials and techniques used by dentists for restoration of deciduous and permanent teeth in children. Materials & Methods: Fifty (50) dentists selected at random from the government and private clinics were questioned in Abha the largest city in southern Saudi Arabia using a 10 item questionnaire. Results; A total of 50 dentists were questioned for the study. 24 dentists cited Glass ionomer cement as the most frequently used restorative material in children. 27 dentists chose Silver amalgam and glass ionomer cement as the material of choice for restoration of posterior and anterior teeth respectively. Cavity shape and size for posterior and esthetics for anterior teeth were the major factors for selection of materials. In deciduous teeth Glass Ionomer cement was used by 19 respondents as restorative material for deep caries without pulp exposure and by 23 dentists for restoration of proximal caries. 24 dentists used pit and fissure sealants for restoration of non-cavitated incipient lesions in primary teeth. 29 dentists used Atraumatic Restorative Technique (ART) in their day to day practice. Conclusion: The study concluded that G.I. C was the material of choice for restoration of teeth in children followed by composite and amalgam. Atraumatic restoration technique (ART) is practiced by over half of dentists and it encourages patient compliance.
Becoming Whole: Kari Martinsen’s Philosophy of Care – Selected Concepts and Impact on Clinical Nursing

There seems to be a schism between philosophical descriptions of care ethics and nurses’ concrete experiences with nurse-patient collaboration. The article uses the Norwegian doctor of philosophy Kari Martinsen’s phenomenological philosophy of care as a framework to reflect on and connect to the impact on nursing. Nursing as a relationship-based moral practice is understood in the light of the philosophy of connected relations, the source of morality, and the concrete practical situation. Love, trust and power reflect the ethical demand in the concrete and asymmetrical nurse-patient relationship. Becoming whole; nursing practice and a philosophy of care are to be understood as intertwined.
ANALISIS TINGKAT HEALTH LITERACY DAN PENGETAHUAN PASIEN HIPERTENSI DI PUSKESMAS KABUPATEN MALANG

Tingkat health literacy dan pengetahuan pasien hipertensi suatu wilayah sangat penting untuk diketahui, karena hal tersebut berbeda pada tiap wilayah. Hal ini dibutuhkan terutama dalam penentuan peningkatan layanan kesehatan yang dibutuhkan pasien. Oleh karena itu, dilakukan analisis tingkat health literacy dan pengetahuan pasien hipertensi di puskesmas Kabupaten Malang. Penelitian ini merupakan penelitian non eksperimantal yang dilaksanakan dengan metode cross sectional design (belah lintang) dengan menggunakan teknik pengumpulan data pengisian kuisioner REALM-R (the Rapid Estimate for Adult Literacy in Medicine-Revised) untuk mengetahui tingkat health literacy dan kuisioner pengetahuan tentang penyakit kronis (hipertensi) untuk mengetahui tingkat pengetahuan pasien hipertensi. Dari penelitian yang dilakukan, diperoleh hasil bahwa sekitar 34,65% pasien hipertensi di puskesmas Kabupaten Malang memiliki tingkat health literacy yang baik (Good Literacy), sedangkan sekitar 65,35% memiliki tingkat health literacy yang buruk (Poor Literacy). Dan sekitar 68,32% pasien hipertensi memiliki pengetahuan yang baik (Adequate), dan 31,68% pasien hipertensi memiliki pengetahuan yang cukup (Marginal), sedangkan tidak terdapat pasien yang memiliki pengetahuan yang buruk (Inadequate). Di puskesmas Kabupaten Malang, tingkat health literacy pasien hipertensi adalah buruk, sedangkan tingkat pengetahuan pasien hipertensi adalah baik.
Analysis of High Risk Hpv Subtypes Associated with Cervical Intraepithelial Neoplasia: A Single Centre Retrospective Study in the Mediterranean Region of Turkey / Servikal İntraepiteliyal Neoplazi ile İlişkili Yüksek Risk Hpv Alt Tiplerinin Analizi: Türkiye’nin Akdeniz Bölgesinde Tek Merkezli Retros

Various studies on the Human Papilloma Virus (HPV) types seen in our country have been conducted previously but they have been inadequate due to the insufficient number of patients as well as not representing a wide geographical area. Recently Dursun P. et al. conducted a multi-centered study on a large series of 6388 cases related to this issue and determined HPV positivity in 25% of the cases. In addition, this study investigated the incidence of HPV in patients with abnormal and normal cytology and the relationship between abnormal cytological findings and HPV types (1). HPV is known to play a role in precancerous and invasive lesions of the cervix and the incidence of these lesions is gradually increasing (2-6). We conducted an HPV subtype study in our region by investigating the presence of cervical precancerous lesions in cases examined for high-risk HPV DNA with the PCR method in the cervicovaginal cytology materials and found to be positive.
Group therapy for medically ill patients

Part I: Introduction. Spira, Understanding and Developing Psychotherapy Groups for Medically Ill Patients. Part II: Preventing Onset and Recurrence of Illness. Antoni, Cognitive-Behavioral Intervention for Persons with HIV. Thorensen, Bracke, Reducing Coronary Recurrences and Coronary-Prone Behavior: A Structured Group Technique. Part III: Coping With Life Threatening Illness. Fawzy et al, Brief, Coping-Oriented Therapy for Patients with Malignant Melanoma. Spira, Existential Group Psychotherapy for Advanced Breast Cancer and Other Life-Threatening Illnesses. Part IV: Treating Behaviors that Interfere with Health. Wilfley et al, Group Psychotherapy for the Treatment of Bulimia Nervosa and Binge Eating Disorder: Research and Clinical Methods. Matano et al, Interactive Group Therapy for Substance Abusers.
Maffucci's syndrome: functional and neoplastic significance. Case report and review of the literature.

Maffucci's syndrome is a congenital, non-hereditary mesodermal dysplasia manifested by multiple enchondromas and hemangiomas. It is associated with diverse secondary musculoskeletal deformities. Sarcomatous transformation has been recorded in sixteen of 105 cases in the literature. A case report, illustrating the variety of deformities occurring in the syndrome, is presented. It is the first documentation of the occurrence of multiple primary sarcomas, and the second incidence of a mesenchymal ovarian tumor developing in a patient with Maffucci's syndrome. Surgery appears to be the treatment of choice for functional and neoplastic complications of the disease.
Clinicomycological and epidemiological profile of dermatophytosis in a rural referral center

Dermatophytosis infections are of public health importance because of their transmissibility from human to human or from animal to human. In the present study we investigated the clinical pattern of dermatophytosis and species prevalence in a rural area of Haryana, India. Clinically suspected and untreated dermatophytosis cases (n=173) attending dermatology outpatient department over a period of one year (July 2007 to June 2008) included in the study irrespective of their age or gender. Specimens (skin scrapings, hair and nail) were collected from suspected patients (n=173) with dermatophytosis and examined for the presence of fungal elements, cultured, isolated and identified. Of the 173 clinically suspected cases of dermatophytosis, 127 (73.41%) were positive for fungal elements by KOH microscopy and 109 (63%) cases were culture positive. Out of the 109 culture positive cases, tineaunguium was prevalent among the majority of cases (46.78%). T. rubrum (58.82%) was the major causative species isolated. The age group most affected was 16-45 years (74.31%) followed by 46 -60 years (15.59%). Also maximum number of patients affected was males (66.05%) than females (33.94%), male to female ratio was 2:1.The isolation rates of dermatophytes (tineaunguium) have been observed to be much higher in this study. The present study also shows the significant difference in clinical pattern of dermatophytosis in Haryana from other parts of north India.
Statistical analysis of epidemiologic data, 3rd ed

S Selvin, Oxford University Press, £39.95, pp 492. ISBN 0-19-517280-9 This considerably updated edition contains common procedures and methods that are difficult to find in a single textbook. All the procedures are interestingly illustrated with one or more examples. The first chapter is dedicated to measures of risk (rate, risk, incidence, and prevalence). A difference with other similar textbooks is the inclusion in the chapter of basic measures in …
Intrauterine adhesions and fertility: results of hysteroscopic treatment

Objective To assess the efficacy of hysteroscopic surgery in infertile women presenting with uterine synechiae. Design A retrospctive audit of 52 patients. Setting University hospital. Subjects A total of 52 patients presenting with intrauterine adhesions in a context of reproductive dysfunction: infertility, 29 cases; recurrent abortions, 23 cases. Interventions Operative hysteroscopy including section with scissors, lesion division, and electrosection. Results There were 34 pregnancies in 28 patients, with 24 term deliveries and 10 abortions. Conclusion Operative hysteroscopy should be considered as the primary treatment for patients with intrauterine adhesions. Hysteroscopy allows selectivity, reproducibility with little morbidity, and preserves the surrounding endometrium. After several unsuccessful procedures, abdominal surgery could be proposed.
Familial Melanoma in Italy: A Review

Looking back to history, the first accredited description of melanoma appeared in the writings of Hippocrates (5th century, BC) as a “fatal black disease”; over the centuries, several other physicians have described pigmented malignant skin lesions, but only during the 1800s significant gains were obtained in the comprehension and treatment of melanoma. In 1820 William Norris suggested for the first time a genetic basis for the disease, reporting the development of a skin neoplasm in a father and his son, and in 1838 Carswell used the medical term “melanoma” to describe pigmented lesions. Cutaneous melanoma represents a malignant skin cancer, which arises from the neoplastic transformation of specialized pigment-producing cells, the melanocytes. Its aggressive features, in terms of tendency to develop metastasis and strong resistance to therapy, make melanoma one of the deadliest forms of cancer.
Historical trend in ice thickness on the Piscataquis River in central Maine.

We analyzed a long-term record of ice thickness on the Piscataquis River in central Maine to determine whether there were temporal trends that were associated with climate warming. Trends in ice thickness were compared and correlated with regional time series of winter air temperature, heating degree days (HDD) , date of river ice-out, seasonal center-of-volume date (SCVD) (date on which half of the stream runoff volume during the period 1 Jan and 31 May has occurred), water temperature, and lake ice-out date. All of these variables except lake ice-out date showed significant temporal trends during the 20 century. Average ice thickness around 28 Feb. decreased by about 23 cm from 1912 to 2001. Over the period 1900 to 1999, winter air temperature increased by 1.7 ̊C and HDD decreased by about 7.5%. Final ice-out date on the Piscataquis River occurred earlier (advanced), by 0.23 days yr over the period 1931 to 2002. The SCVD advanced by 0.11 days yr over the period 1903 to 2001. Ice thickness was significantly correlated with winter air temperature, HDD, river ice-out, and SCVD (P-value < 0.01). These systematic temporal trends in multiple hydrologic indicator variables indicate a coherent response to climate forcing.
Sonographic Evaluation of Neuroblastoma

Neuroblastoma is a malignancy arising from the sympathetic nervous system that accounts for approximately 7% of childhood cancers. Most occur between the ages of 2 months and 2 years. The majority arises in the adrenal medulla but may also occur in the neck, chest, or pelvis. Diagnostic medical sonography is a significant imaging tool that involves no radiation exposure for detecting neuroblastoma. Further imaging studies are needed so that the stage and spread of the disease can be determined. Factors including age, MYCN (v-myc myelocytomatosis viral-related oncogene) amplification, and stage are used to determine treatment and prognosis of a child with neuroblastoma. This case demonstrates the sonographic findings of an 8-month-old child with stage IV neuroblastoma.
The imaging of sterno-clavicular joints in SAPHO syndrome

Zespol SAPHO jest seronegatywną spondyloartropatią zapalną, w przebiegu ktorej zmianom skornym o typie krostkowicy dloni i podeszew lub trądzika towarzyszą zmiany zapalne kości i stawow. Badania obrazowe są przydatne w postawieniu rozpoznania zespolu SAPHO, jednak zmiany stwierdzane w tym badaniu nie są uwzgledniane w kryteriach rozpoznania choroby. Material i metody. Badaniami objeto 15 chorych (14 kobiet i 1 mezczyzne) z ustalonym rozpoznaniem zespolu SAPHO. U wszystkich chorych wykonano badanie scyntygraficzne koścca, rutynowe badanie radiologiczne (RTG) oraz tomografie komputerową (TK) stawow mostkowo-obojczykowych. Wyniki. W scyntygrafii koścca stwierdzono zmiany u 13 (87%) chorych, w tym w obrebie stawow mostkowo-obojczykowych u 9 (60%) chorych, w stawach krzyzowo-biodrowych i obwodowych po 4 (27%). U 2 (13%) chorych wynik badania scyntygraficznego byl prawidlowy. Badaniem RTG stawow mostkowo-obojczykowych zmiany stwierdzono u 4 (27%) chorych. Byly to powiekszenie obrysu obojczyka i zmiany sklerotyczne, ubytki kostne z odczynem osteosklerotycznym i zgrubieniem obrysu obojczyka, nieregularne ogniska przewapnienia w koncach mostkowych obojczykow i chrząstkach pierwszych zeber oraz nierowne powierzchnie koncow mostkowych obojczykow. Badaniem TK stawow mostkowo-obojczykowych zmiany stwierdzono u 6 (40%) chorych. Byly to geody, hiperostoza i nadzerki. Wszyscy chorzy, u ktorych stwierdzono zmiany w badaniu TK mieli rownocześnie nieprawidlowy obraz scyntygraficzny stawow mostkowo-obojczykowych. Tylko u 4 chorych ze zmianami stwierdzonymi badaniem TK, rownocześnie stwierdzono zmiany w rutynowym badaniu radiologicznym. Wnioski. U chorych na zespol SAPHO rutynowe badanie radiologiczne nie pozwala na dokladną ocene zmian kostnych w przebiegu choroby. Brak zmian w rutynowym badaniu radiologicznym u chorych z zespolem SAPHO wymaga uzupelnienia diagnostyki o badanie TK. Najczulszym badaniem, jednak niespecyficznym, o czym trzeba pamietac, jest scyntygrafia koścca, ktorą mozemy wykorzystywac do diagnostyki we wczesnym okresie choroby.
Sensory and nutritional evaluation of soy supplemented nutritious baked products

A sample of sixty male diabetic subjects (40–60 years) of MIG were selected from Punjab Agricultural University Hospital, Ludhiana and divided equally into three groups viz, E1, E2 and C. Spirulina supplementation was given daily in the form of SUNOVA capsules with two capsules (1 g) and four capsules (2 g) to E1 and E2 group, respectively for a period of two months and C group was not given any supplementation. The impact of spirulina supplementation was studied individually on blood glucose and lipid profile of subjects before and after the study. It was observed that the mean energy intake decreased significantly (p=0.01) in group E1 and E2 after the supplementation. A non-significant decrease was observed in C group. The mean carbohydrate and protein intake also decreased significantly (p=0.01) in group E2 while non-significantly in group E1 and C. The present study indicated that the mean fasting and PP blood glucose level decreased significantly (p=0.01) i.e. from 178.4 and 242.7 g/dl to 149.3 and 212.4 g/dl, respectively in group E1 and from 157.6 and 238.7 g/dl to 123.2 and 193.7 g/dl, respectively in group E2, after the supplementation. However non-significant change was observed in blood glucose levels of the subjects of group C. A significant decrease was observed in TC, TG, LDL-C and VLDL-C levels in the E groups. Hence it is suggested that 2 g of spirulina supplementation can prove to be effective tool in management of diabetes with more favourable results.
Traditional eating habits and level of homocysteine in the acute first-ever ischaemic stroke

Abstract Background: Meal with high-fat content represents a common and increasing habit in general population in the Macedonia. Contribution of homocysteine and meal with high-fat content in the acute phase of first-ever ischaemic stroke (AFIS) due to the different dietary habits remains unclear. Aim: Our aims/hypothesis was comparison of serum total homocysteine (tHcy) level and dietary habits in patients with AFIS and in controls due to non-consuming (non-users) or consuming (users) meat with high content of fats that can be regarded as traditional eating habits influenced by religion dietary restrictions from Lower Pollog populations. Materials and Methods: From initially 847 patients hospitalized from September 2008 to August 2010in neurology department, only 231 patients with diagnostic entity-AFIS and 194 healthy subjects were evaluated in this study. Serum tHcy was measured on admission and dietary history was noted. Results: In the overall pooled estimate, for all included study participants, serum tHcy level in the acute phase of disease and frequency of users are similar in patient with AFIS and in controls, but non-users mostly was dispose to AFIS and hyperhomocysteinemia. Conclusion: Meat with high-fat content is very often combined with tHcy-increasing effects at users. Because the regression coefficient of linear regression model with users as variable, adjusting for age, gender and serum tHcy of patients with AFIS was not confirmed the statistical significance of previous pretesting factors by cross tabulation model our research could not confirm that hyperhomocisteinemia and meat with high-fat content are the only reason for cause of AFIS.
Binge Britain: Alcohol and the National Response

In their introduction, the editors point out that much research and clinical attention is being directed at early diagnosis and treatment of the mild and moderate stages of the disease and, as a consequence, severe dementia is a relatively neglected area. A motivating factor behind this book was to redress this imbalance and bring together the key issues and current knowledge of severe dementia. The contributions of experts from a variety of backgrounds have succeeded in this. The early chapters of the book cover assessment, diagnosis, brain chemistry and molecular pathology. These chapters are not entirely specific to severe dementia, but do give an up-to-date account of current knowledge. Similarly, the section on clinical features includes material relevant to the earlier stages of the illness, but the chapters on staging and function in severe dementia include considerable detail and are rich with information. The final section covers the management of severe dementia and includes chapters on drug treatments, non-pharmacological interventions, palliative care and health economics. Those on drug treatments highlight the relative dearth of robust research in severe dementia, but the topics are comprehensively covered. Drug treatments for behavioural and psychological symptoms are well covered and are followed by a general overview of nonpharmacological treatments and then an interesting chapter detailing the behavioural and environmental interventions of the Seattle protocols. There follows a short chapter on ‘Care by families’ – research in this area is relatively scant but what there is, and the issues brought to the fore by the authors, are very pertinent. The remainder of the book is very much specific to severe dementia, with thought-provoking chapters on person-centred care, end-of-life issues and narrative ethics. The final chapter on health economics reminds the reader that the severe stages of dementia are the most costly, yet little is known about resource use and cost-effectiveness of interventions for the late-stage illness. In summary, this is an excellent book that truly brings some focus back onto the nature of, and issues associated with, severe dementia. It will be a valuable resource for specialist clinicians and those directly providing care to people with severe dementia, such as general practitioners and staff of nursing homes.
Young Adult Cancer Survivors' Experiences of Connectedness with Their Healthcare Providers

Indiana University-Purdue University Indianapolis (IUPUI)%%%%Adolescents and young adults with cancer have poorer treatment and survivorship outcomes than either younger or older cancer patients. These individuals also have psychosocial late effects and engage in lifestyle behaviors that increase their risk of subsequent cancer and other chronic illnesses. Thus, there is a need to identify protective factors during the diagnosis and treatment period to foster healthy lifestyle behaviors. Connectedness with healthcare providers is a potential protective factor that may diminish risk-taking behaviors and foster healthcare self-management in adolescents with cancer. However, little is known about connectedness with healthcare providers from adolescents with cancer perspectives. The purpose of this study was to describe young adult cancer survivors' experiences of connectedness with their healthcare providers as they negotiated the experience across the cancer continuum from diagnosis to survivorship during adolescence. A qualitative, empirical phenomenological method guided this research. The sample consisted of 9 young adult cancer survivors who had cancer as adolescents. A broad, data generating question was constructed to elicit rich, narrative descriptions of participants' experiences of connectedness with healthcare providers, which were audio-taped and transcribed. The narrative data were analyzed using Colaizzi's method, which involved a systematic process of extracting and analyzing significant statements for formulated meanings and themes. Seven theme categories were identified and then used to develop a narrative of the essential structure of the experience of connectedness. Connectedness with healthcare providers is a multi-faceted experience that encompasses instances of not only connectedness, but also unconnectedness and disconnectedness. Effective strategies that foster connectedness with adolescents were identified. Behaviors that foster disconnectedness relate to a lack of respect for the adolescent's personhood. Findings indicate that connectedness with healthcare providers may make adolescents more likely to engage in care partnerships and effective self-management during treatment and into survivorship. When there is no connectedness or a disconnection with healthcare providers, a door shuts: there are feelings of helplessness and vulnerability, anger and resentment, and reluctance to connect with healthcare providers for cancer prevention. Clinical implications for healthcare providers are discussed. Future research should focus on connectedness theory development, measures, and interventions that foster adolescent-provider connectedness.