Miracle-dz/UniFAR-FTUs huggingface dataset:
Utilization of ICTs for Accessing Health Information by Medical Professionals in Kenya: A Case Study of Kenyatta National Hospital

Background: The study was conceived with the aim of investigating the availability and utilization of information and communication technology for accessing health information by medical professionals in Kenya. The study started from the premise that access to relevant information and knowledge is critical to the delivery of effective healthcare services. Objectives: These were to: identify the information needs of the medical professionals; determine the sources and channels of information used by the medical professionals; identify the factors for which they require ICT support in accessing health information; establish the extent of the current usage and level of adoption of ICTs among the medical professionals; determine the potential challenges and prospects of utilization of ICTs in health information access; and suggest and recommend measures to be taken into account in the improvement, adoption and use of ICTs in health information access by the medical professionals. Design: Semi-structured qualitative interview study. Data were collected on individual occurrences of the phenomenon. Grounded theory approach was used as an analytical tool. Setting: The research was exploratory in nature and used Kenyatta National Hospital as a case study Results: Major themes that emerged from the data are highlighted. The key findings of the study were that: medical professionals needed information continuously in the course of their clinical work. Clinical governance, care of patients and professional updating on the current medical practices were the main reasons for needing and seeking information. When the medical professionals needed clinical information, they turned to colleagues. Text books and journals were also frequently used sources of information. However, there was a substantial preference for e-searching for information from the internet and e-journals. The findings revealed lack of library and information services, inadequate access and use of electronic information resources and inadequate ICT skills among the medical professionals. Conclusions: Many critical information needs of the medical professionals were not being met adequately. Improved usage of ICT was viewed as the only realistic strategy for enhancing information access and information sharing among the medical professionals at the hospital. Recommendations for enhancing access to health information at KNH include: establishment of a hospital library and information services; appointment of information professionals with skills and capabilities to conduct online information searches to assist in clinical decision-making and ability to train clinicians in ICT skills; formulation of ICT strategies and policy; capital investments in the form of internet and supporting ICT infrastructure; involvement of all stakeholders; and allocation of adequate financial resources for improved access to health information by the medical professionals. A framework for establishing an e-health library was proposed and presented.
Exploring ecological sustainability in the production chain of organic eggs

De visie van de biologische landbouw op duurzaamheid is verwoord door IFOAM in hun doelstelling en in de 4 beginselen van de biologische landbouw en is vertaald in diverse praktische regels voor biologische productie. In dit proefschrift noemen we deze visie het biologisch-ethisch kader. De hoofddoelstelling van dit proefschrift was het vaststellen van het effect van dit biologisch-ethisch kader op de integrale milieubelasting van biologische eierproductie in Nederland. Deze doelstelling werd benaderd vanuit 3 invalshoeken: 1) het vaststellen van het verschil in integrale milieubelasting van eierproductie met en zonder het biologisch-ethisch kader, 2) het identificeren van de belangrijkste milieuproblemen in het bestaande biologische eierproductiesysteem in Nederland en 3) het verkennen van mogelijkheden om de integrale milieubelasting van Nederlandse biologische eierproductie te verbeteren binnen de grenzen van het biologisch-ethisch kader.
Hubungan Antara Tingkat Pendidikan, Pengetahuan, Dan Usia Ibu Pus Dengan Pemilihan Jenis Kontrasepsi Di Desa Jetak Kecamatan Sidoharjo Kabupaten Sragen

Keluarga Berencana (KB) merupakan upaya untuk meningkatkan kualitas penduduk dalam mengatasi pertumbuhan penduduk dengan tujuan mencegah kehamilan. Salah satu masalah kesehatan masyarakat tersebut juga terjadi di negara berkembang seperti di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pendidikan, pengetahuan, dan usia ibu PUS dengan pemilihan jenis kontrasepsi di Desa Jetak Kecamatan Sidoharjo Kabupaten Sragen. Jenis penelitian ini adalah penelitian observasional dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh ibu PUS yang menggunakan alat kontrasepsi di Desa Jetak tahun 2014 sebanyak 1144 orang. Teknik pengambilan sampel dengan cara proportional stratified random sampling. Uji statistik yang digunakan untuk menganalisis data penelitian ini adalah uji Chi Square. Hasil penelitian ini menunjukkan ada hubungan antara pengetahuan (p= 0,000) dan usia (p= 0,004) ibu PUS dengan pemilihan jenis kontrasepsi. Sedangkan tidak ada hubungan antara tingkat pendidikan (p= 0,055) dengan pemilihan jenis kontrasepsi
The Effect of Medical Marijuana Laws on Marijuana, Alcohol, and Hard Drug Use

21 states and the District of Columbia currently have laws that permit marijuana use for medical purposes, often termed medical marijuana laws (MMLs). We tested the effects of MMLs adopted in seven states between 2004 and 2011 on adolescent and adult marijuana, alcohol, and hard drug use. We employed a restricted-access version of the National Survey on Drug Use and Health (NSDUH) micro-level data with geographic identifiers. For those 21 and older, we found that MMLs led to a relative increase in the probability of marijuana use of 16 percent, an increase in marijuana use frequency of 12-17 percent, and an increase in the probability of marijuana abuse/dependence of 15-27 percent. For those 12-20 years old, we found a relative increase in marijuana use initiation of 5-6 percent. Among those aged 21 or above, MMLs increased the frequency of binge drinking by 6-9 percent, but MMLs did not affect drinking behavior among those 12-20 years old. MMLs had no discernible impact on hard drug use in either age group. Taken together, MML implementation increases marijuana use mainly among those over 21, where there is also a spillover effect of increased binge drinking, but there is no evidence of spillovers to other substance use.
Risk assessment of Gibberella circinata for the EU territory and identification and evaluation of risk management options

The Panel on Plant Health was asked to provide a risk assessment for Gibberella circinata Nirenberg and O‟Donnell, for the EU territory, and to identify and evaluate effectiveness of risk management options in reducing the risk posed by the organism. G. circinata is presently not listed in Council Directive 2000/29/EC. Outbreaks of the organism have been reported in EU (in Spain, Italy, France and Portugal). The risk assessment indicates that, in parts of the European Union, there is risk of pitch canker affecting the host species (pine and Douglas-fir). Entry into and spread within the European Union are considered very likely. The organism has a very high potential for establishment. The following pathways for entry have been identified: contaminated seed and other propagation material, different forms of wood material, plant material for decorative purposes, soil and growing substrates, natural means (wind, wind-blown rain, insects and other animals carrying spores) and human activities. Based on host distribution and climatic conditions, the potentially endangered areas include wide areas of central and northern Portugal, northern and eastern Spain, south and coastal areas of France, coastal areas of Italy and parts of the coastal areas of Greece. In these areas, pine forests, including plantations and native forest, cover over 10 million hectares. Host species are also widely used as ornamentals. The potential consequences of pitch canker in the endangered areas are considered massive. At present there is no single means of controlling pitch canker. Consequently, an integrated disease management approach, which combines appropriate nursery and silvicultural practices, should be used to reduce the impact of the disease. The current legislation, including the provisional emergency measures (Commission Decision 2007/433/EC), is aimed at limiting the introduction of the organism but it may have only a limited effect on its spread.
Cystic Fibrosis-renewed hopes through research

Living healthy is all one wants, but the genetics behind creation of every human is different. As a curse or human agony, some are born with congenital defects in their menu of the genome. Just one has to live with that! The complexity of cystic fibrosis condition, which is rather a slow-killer, affects various organ systems of the human body complicating further with secondary infections. That's what makes the disease so puzzling for which scientists around the world are trying to understand better and to find a cure. Though they narrowed down to a single target gene, the tentacles of the disease reach many unknown corners of the human body. Decades of scientific research in the field of chronic illnesses like this one surely increased the level of life expectancy. This book is the compilation of interesting chapters contributed by eminent interdisciplinary scientists around the world trying to make the life of cystic fibrosis patients better.
Mentally disordered offenders' views of ‘their’ risk assessment and management plans

In Britain, there has been an increased emphasis on the use of risk assessments in mental health services over the past 20 years. Mentally disordered offenders subject to Section 41 of the Mental Health Act 1983 (England and Wales) are defined as posing a serious risk of harm to others. They are thus dealt with by forensic mental health services, which are often seen as specialists in risk assessments. This paper is based on original research in three mental health trusts in the South of England which was carried out between March 2009 and September 2011. The paper examines mentally disordered offenders’ awareness and attitude to formal risk assessments in relation to theories of governmentality. Service users subject to Section 41 of the Mental Health Act 1983 were aware that their level of risk was being assessed by professionals caring for them but were commonly unaware of the content of these assessments. These risk assessments were viewed by participants as a means through which professionals measured and monitored behaviour. Although participants often referred to levels of risk, they did not view risk screening schedules as objective, but rather emphasised the need to persuade staff that their risk had reduced. Despite showing a limited awareness of the content of these risk assessments, participants generally identified more risks, in relation to their vulnerability, than did the professional assessments. However, participants generally identified fewer risks in relation to the dangers they posed to others than did professional staff.
Structural Fetal Abnormalities: the Total Picture

This text presents a comprehensive and integrated approach to the detection and treatment of approximately 100 of the most common foetal anomalies. Anomalies of the gastrointestinal system, abnormal alphafoeta-protein, multisystem and chromosomal abnormalities are addressed. Coverage of each anomaly includes a description in outline form of diagnostic information, epidemiology, further testing, patient counselling, monitoring approaches and treatment. Each discussion is accompanied by illustrations, including sonograms, pathological specimens and line drawings.
Art Therapy with Incarcerated Women Who Have Experienced the Death of a Loved One

Although the number of women entering prison has continued to soar over the last 2 decades, little attention has been paid to them in health care research. Research with incarcerated women who are grieving has received even less attention. This pilot study was based on the results of previous studies as well as the authors' combined clinical experience in the prison setting and with art therapy. Individual 1-hour art therapy sessions were offered to 8 incarcerated bereaved women for a period of 8 weeks. A variety of materials were used with a specific purpose. The women were interviewed before and after the art therapy was implemented. Seven of the women described positive outcomes following the art therapy intervention and recommended that the program be continued and increased in length.
The colony number of Streptococcus mutans and Lactobacillus in saliva of dental caries and free caries children

Streptococcus mutans (S. mutans) are regarded as the main initiator microorganism of caries, with Lactobacilli participating on caries progression, due to its carcinogenic capacity. The purpose of this study was to examine the number of S. mutans and Lactobacillus sp in children with in children’s saliva with dental caries and free caries. Twenty children attending the Paediatric Dental Clinic in Airlangga University participated in our study. Their age ranged from 1–14 years old. Subject was divided into two groups, which were study group consisting of 10 children with 3–5 dmft/DMFT and control group with 10 caries free children. Subjects were examined and their caries number was recorded using WHO index. Stimulated saliva was collected from each subject for bacterial assessment. Colony counting of S. mutans and Lactobacillus sp count in each saliva sample group were done. The study showed that subject with 3–5 dmft/DMFT had higher number of S. mutans and Lactobacillus sp than caries free.
The Department of the Navy's Civilian Acquisition Workforce

Abstract : While workforce issues in general - human capital strategic planning efforts in particular-are important throughout the DoD, the AT&L workforce has received special attention. The strategic human capital plan for the AW, which is currently in its third revision (see DoD, Acquisition, Technology, and Logistics, 2007), emphasizes several critical workforce issues: the eventual loss of retirement-eligible personnel and their knowledge, understanding the differences in the workforce generations (aging baby-boomers compared with Generations X and Y, for example), and coping with the increasing demand for workers educated in science and engineering. In 2006, the Office of the Under Secretary of Defense for Acquisition, Technology and Logistics, Director of Human Capital Initiatives (OUSD(AT&L)/HCI)), asked RAND to analyze DoD AW data. RAND's findings for OUSD(AT&L/HCI) are presented in Gates er al. (2008). While that inquity was under way, the United States Navy asked RAND to under-take a complementary analyis focusing on the DoN's civilian AW. The DoN asked RAND to provide a descriptive overview of the DoN civilian AW and conduct preliminary analyses of data related to specific workforce management issues of retention, professional development, and leadership. This report summarizes what we learned about DoN's civilian AW and these workforce management issues.
Study of Profile of Deaths due to Poisoning in Bhavnagar Region

The present study was undertaken to evaluate the pattern of poisoning deaths in Bhavnagar region of Gujarat. The Paper presents the study of 143 cases of poisoning during the span of one year from 01/04/2008 to 31/03/2009. Out of 878 Post mortem examination done during the study period 143 cases were of poisoning. The cases were then analyzed on various parameters in the proforma prepared for this purpose. We concluded that majority of victims were married, Hindu, males from rural area and low socioeconomic group. The incidence of poisoning was more common during 21-30years of life. Suicidal cases were more common than accidental cases. No case of homicidal poisoning was detected in present study, chemical analysis of viscera done in 122 cases. Insecticide still topped the list as killer, while Aluminium phosphide & snake bite was second common fatal poisoning.
Türkiye’de Ailelerin Eğitim İhtiyaçları

Main purpose of this research is the determination of educational needs of the families. To this end, the topics in which families find themselves competent or incompetent, the topics in which they are eager or reluctant to take part in the training, the sources they use to obtain information, the methods via which they want to receive training and the factors preventing them from participating in the training were determined, and they were compared according to the variables such as gender, age and income level.
Experience and feasibility of patch testing in allergic contact dermatitis in rural population

Context: The true incidence of allergic contact dermatitis (ACD) in a society is very difficult to estimate since its diagnosis depends on several factors. Patch testing is a useful tool to detect the allergens and improve the quality of life. Aims: The study was undertaken to determine the clinical pattern of ACD and find the causative allergen using patch test at a Rural Tertiary Care Center. Settings and Design: A 1-year study of 60 patients suspected with ACD was carried out at the Department of Dermatology. Demographic variables, clinical history, and examination were carried out. Subjects and Methods: Patch testing was done after a week of subsidence of active eczema utilizing the Indian Standard Series containing 20 allergens. Results were read on 2 nd and 3 rd day. Grading of the reactions was done based on the International Contact Dermatitis Research Group guidelines. Statistical Analysis Used: Descriptive analysis was used. Results: Of 60 patients, 60% were males and 40% were females. The most common site affected was hand in 56.66% followed by head and neck in 33.33% and feet in 21.66%. Positive result to patch test was seen in 51.33% patients. The most common allergen was Parthenium in 23.33% patients followed by fragrance mix in 11.66% patients. Grade 1 positivity was seen in 73.91%, 17.39% showed grade 2, 7.24% showed grade 3, and only 1.44% showed grade 4 positive reaction. Conclusions: In this era of urbanization and cosmetics, it is very important to keep the provisional diagnosis of ACD in all suspected cases of eczema, and a patch testing should be recommended. It helps in saving healthcare resources and decreasing the financial burden. Such studies at a large scale will help in establishing the prevalence of particular allergen in that area and help in spreading awareness in the community.
ALL‐VEGETABLE PROTEIN MIXTURES FOR HUMAN FEEDING

SUMMARY Raw and lime-treated corn and raw and cooked beans were analyzed for nutrient content including essential amino acids. No major treatment changes were found. Eight different corn and bean combinations were tested isoproteically and isocalorically in both growing and protein-depleted adult rats. Corn protein alone gave better results than bean protein. Replacement of part of the lime-treated corn protein by cooked-bean protein improved growth up to the point where each dietary component contributed 50% of the total protein of the diet (72% corn and 28% beans by weight); thereafter growth was decreased with increasing amounts of bean protein in the diet. When the diets were supplemented with the limiting amino acids found to be deficient by comparing their amino acid pattern with that of the FAO Reference Protein, methionine proved to be the most limiting, particularly in those diets with a higher content of bean protein. The addition of lysine and methionine together improved protein efficiency further. Whenever adequate growth was obtained, higher amounts of fat were found in the liver.
Dimensions Of Mitral Valve Of Normal Human Hearts In Pakistani Subjects

Mitral valve has been extensively studied in the west but no data is available about its dimensions in Pakistan population. We have studied 29 human hearts of healthy subjects which included 23 males and 6 females. Various dimensions were noted in great details.The annulus was found to be “D” shaped with a mean circumference of 10.7 cm in males and 9.167 cm in females. The anterior leaflet had a basal length of 3.952 cm in males and 3.137 cm in females. The height of cusp was 2.517 cm in males and 2.133 in female. The posterior mitral leaflet was uniscalloped in 16 hearts, biscalloped in six and triscalloped in seven hearts. The mean basal length of uniscalloped post erior leaflet was 6.654 cm in males and 5.927 cm in females. The basal length of bicuspid end triscalloped posterior leaflets is different and so is their height. Neve rtheless the main scallope in these leaflets had dimensions which were comparable with those of uniscalloped posterior leaflet.
Aging fetal and juvenile skeletons from Roman Period Egypt using basiocciput osteometrics

This paper tests the use of basiocciput osteometrics against those of femoral diaphyseal length and dental development for aging fetal and juvenile skeletal remains. The study sample consists of 39 fetal and juvenile skeletons recovered from Kellis 2, a Roman Period cemetery in Dakhleh, Egypt. The results add to the corpus of data supporting the reliability of this method for use in both bioarchaeological and forensic contexts. Copyright © 2002 John Wiley & Sons, Ltd.
Bel Canto to Punk and Back: Lessons for the Vocal Cross-Training Singer and Teacher

ABSTRACT This study explores the idea of “vocal cross-training” in singing pedagogy. The concept of vocal cross-training is explored and given historical context within the larger frame of singing performance and teaching in Europe and the United States. Using qualitative interviews, this study investigates how vocal cross-training could fill a contemporary need in training particularly in university conservatories. The data suggests that institutions of higher learning should more fully recognize that students can be taught multiple singing styles healthily, enabling them to become more marketable performers and teachers.
EVALUATION OF QOS (QUALITY OF SERVICES) BY LOG FRAME ANALYSIS (LFA) AND OCULAR MORBIDITY IN SCHOOL CHILDREN OF CHANDIGARH

Objective: To evaluate the school vision health program being run by the Chandigarh administration for students, under National Program for Control of Blindness. - To assess the visual acuity disorders in them. Methods: The population based cross sectional study was done in fourteen schools of Chandigarh. Chandigarh was divided in four quarters. Sampling frame comprised of Government schools. The eye component of a school health program so run in government schools, by Chandigarh administration was evaluated by LFA. Data analysis was carried out using SPSS13 and Epi Info 2000. Results: A total of 5404 children were studied, out of which 2801(51.83%) were boys and 2603(48.16%) were girls. Girls in our study showed a higher prevalence of defective visual acuity among girls 322(5.95%). Female preponderance was observed in all age groups. Evaluation of school health program showed that 51(36%) subjects were of the opinion that all students were examined, 25 (17.86%) told that more than 20% of students were referred to GMCH-32 for further management. All the interviewers agreed that manpower in school health team was adequate. Conclusion: Low compliance with ocular morbidity was evident as less number of students contacted the eye health physician even after being referred. There is a need to spread awareness pertaining to eye health that can be using local media or by health care workers. More over emphasis has not only to be on therapeutic aspect but prevention too has to be given importance. Keywords: Log frame analysis, Ocular morbidity.