Miracle-dz/UniFAR-FTUs huggingface dataset:
Does antepartum perineal massage reduce intrapartum lacerations

Yes—to a point. Antepartum perineal massage reduces both the incidence of perineal trauma requiring suturing and the likelihood of episiotomy in women who have never given birth vaginally. It reduces the incidence of postpartum perineal pain in women who have given birth vaginally. Perineal massage doesn’t reduce the frequency of fi rstor seconddegree lacerations or thirdand fourthdegree perineal trauma. (Strength of recommendation [SOR]: A, systematic review of randomized controlled trials [RCTs].)
Isokinetic hamstring and quadriceps muscle strength profiles of elite South African football players

Football players are at risk of lower limb injuries, specifically hamstring muscle strains and ACL injuries due to muscle imbalances. This was a descriptive study assessing the isokinetic hamstring and quadriceps muscle strength and endurance in 28 elite, male, South African football players. Muscle strength was tested at 60 ◦ /s over 5 repetitions concentrically and eccentrically. Muscle endurance was tested at 180 ◦ /s over 15 repetitions. Peak torque to body weight ratio (PT/BW); reciprocal ratio (H/Q); dynamic control ratio (DCR), bilateral ratio and relative fatigue were calculated. Data were analyzed using a Levene‘s t-test. The concentric H/Q ratios (Dominant: 64.7 ± 9.3% and Non-dominant: 60.9 ± 11.1%) and eccentric ratios (Dominant: 69.0 ± 12.2% and Non-dominant: 67.0 ± 12.8%) at 60 o
Phenotypic spectrum of patients with congenital disorders of the hypothalamo-pituitary axis.

Mutations within the cascade of pituitary transcription factors that play a crucial role in its development and differentiation have improved our understanding of variable hypopituitarism in children. The diagnosis of hypopituitarism is problematic as it is dependent on a series of endocrine tests varying in sensitivity and specificity, compounded by evolving hormonal deficiencies. In order to test the hypothesis that human phenotypes are determined by the neuroanatomy which is further influenced by the position of the abnormal gene within the pituitary developmental cascade, clinical, biochemical, magnetic resonance MR imaging and molecular data were retrospectively analysed in subgroups from a cohort of 825 patients with variable hypothalamo-pituitary H-P abnormalities. The major aims were to determine abnormalities on MR imaging that help predict the spectrum of hypopituitarism, to assess if genotype determined phenotype and to ascertain the optimum test for diagnosis of hormone deficiency. Results showed good structure-function relationships within the H-P axis. Anterior pituitary hypoplasia and an undescended posterior pituitary were 6.7 and 33.1 times more prevalent in patients with hypopituitarism as compared with those without. These abnormalities were also significantly associated with endocrinopathies in patients with optic nerve hypoplasia. Within patients with hypopituitarism, midline forebrain defects MFD and pituitary stalk abnormalities were found to be significantly associated with combined pituitary hormone deficiency as opposed to isolated GH deficiency. GH was critical for early postnatal growth, which was also influenced by other pituitary hormones and MFD. Regular evaluation of serum thyroxine concentration best revealed TSH deficiency, as the TRH test was normal in 23% of patients with central hypothyroidism limiting its role as a diagnostic test. A combination of the short Synacthen test and 0800-hour serum Cortisol concentrations represented the optimal method of investigation for ACTH deficiency. The LHRH test in infancy needs careful interpretation, as responses were gender-specific with significantly exaggerated serum FSH concentrations in females. There was a poor genotype-phenotype correlation, particularly in patients with mutations in HESX1, PROP and SOX3, both within and between pedigrees, indicating a role for other genetic or environmental factors on phenotypic expression.
Survival of acute myelogenous leukemia patients requiring intubation/ventilatory support.

Nous avons effectue une analyse retrospective sur 5 ans (1987-1992) de la survie de patients atteints de leucemie granuleuse aigue ayant entraine une intubation/ventilation assistee aux soins intensifs. L'etude comprenaient 32 patients âges de 52±19 (14-82) ans. Sept patients avaient subi une greffe de moelle osseuse 2 semaines a 4 mois avant l'admission a l'hopital. Seize patients avaient recu de la chimiotherapie avant l'admission et 6 en recurent ou continuerent d'en recevoir aux soins intensifs, alors que 3 patients ne recurent aucune chimiotherapie. L'echelle Apache II au moment de l'admission aux soins intensifs etait de 32.5±8.8. La duree moyenne du sejour aux soins intensifs etait de 7.4 j. Vingt-neuf patients presentaient des infiltrats pulmonaires diffus, 2 des epanche patient etait en bronchospasme severe avec radiographie pulmonaire normale. La PaO 2 /FiO 2 moyenne apres stabilisation sous ventilation artificielle etait de 204±83. Parmi les 32 patients, 28 moururent aux soins intensifs et 3 peu de temps apres arret d'une therapie agressive etransfert a l'etage. Un seul patient a survecu a son hospitalisation mais mourut 4 mois apres a la maison. La mortalite observee aux soins intensifs fut largement superieure a la mortalite predite par la methode de Knaus, meme pour des patients ayant un score Apache II bas. Les patients porteurs de leucemie granuleuse aigue presentent un taux plus haut de mortalite que 2 autres populations de patients de soins intensifs, soit 1) 126 admissions consecutives aux soins intensifs, et 2) 53 patients porteurs de collagenoses. Ces 2 derniers groupes comprenaient seulement des patients necessitant une ventilation/intubation. Nous concluons que les patients atteints de leucemie granuleuse aigue necessitant une intubation pour detresse respiratoire aigue survivent rarement aux soins intensifs
ANALISIS DAMPAK PERCERAIAN ORANG TUA TERHADAP ANAK REMAJA

Perceraian tidak hanya berdampak bagi yang bersangkutan (suami-isteri), namun juga melibatkan anak khususnya yang memasuki usia remaja, perceraian merupakan beban tersendiri bagi anak sehingga berdampak pada psikis. Reaksi anak terhadap perceraian orangtuanya, sangat dipengaruhi oleh cara orang tua berperilaku sebelum, selama dan sesudah perceraian. Metode dalam penulisan artikel ini menggunakan studi literatur. Studi literatur yaitu data sekunder yang dilakukan dengan diawali mencari kajian kepustakaan dari berbagai literatur seperti buku, jurnal ilmiah, artikel, ataupun hasil penelitian sejenis yang telah dipublikasikan mengenai dampak perceraian orang tua terhadap anak remaja. Hingga saat ini dampak perceraian orang tua memang dapat memberikan dampak buruk bagi anak, baik fisik maupun psikologis anak. Sehingga perceraian memang perlu dipertimbangkan matang-matang, dan orang tua harus bisa memberikan pengertian yang baik kepada anak sehingga dapat mengurangi dan mengatasi dampak buruk pada anak pada saat perceraian terjadi. Tetapi fungsi keluarga untuk memberikan pengertian dan perhatian pada anak/remaja ternyata tidak berfungsi dalam kaitannya dengan kasus perceraian. Untuk mengatasi perlakuan salah tersebut, maka dalam praktik pekerjaan sosial, seorang pekerja sosial harus berupaya mewujudkan ketercapaian akan kesejahteraan bagi anak. Pekerja sosial dapat melakukan proses pertolongan sesuai dengan tahapan pertolongan pekerjaan sosial, pekerja sosial memberikan layanan konseling, serta pekerja sosial memberikan layanan konseling keluarga. Divorce is not only an impact to the concerned, but also involves children, especially those entering adolescence, divorce is an individual burden to the child so that it affects the psychic. The child's reaction to the divorce of its parents, is heavily influenced by the way parents behave before, during and after divorce. The method in writing this article uses literature studies. The study of literature is secondary data conducted by beginning to seek literature study from various literatures such as books, scientific journals, articles, or similar research results that have been published regarding the impact of divorce of parents To teenage children. Until now, the impact of parents ' divorce can adversely affect children, both physical and psychological. So the divorce does need to be considered mature, and parents should be able to give a good understanding to the child so as to reduce and overcome the adverse effects on the child at the time of divorce occurs. But the family function to provide understanding and attention in children/adolescents is not functioning in relation to divorce cases. To overcome such mistreatment, in the practice of social work, a social worker must strive to realize the welfare of the children. Social workers can do the relief process in accordance with the social job relief phases, social workers provide counseling services, as well as social workers to provide family counseling services.
Herbs and natural supplements: an evidence based guide

Herbs and natural supplements: an evidence based guide (2nd edition) presents evidence-based information on the 120 most popular herbs, nutrients and food supplements used across Australia and New Zealand. Organised alphabetically by common name, each herb or nutrient listed includes information such as daily intake, main actions/indications, adverse reactions, contraindications and precautions, safety in pregnancy, and more.
ANALISIS KEBUTUHAN PEMBELAJARAN BAHASA INGGRIS PADA MAHASISWA KELAS KARYAWAN

The purpose of this study was to analyze the needs of employee class for learning English to be used as a reference for curriculum development and making syllabus for English for Specific Purposes (ESP). This study identified students’ motivations, constraints faced by the students and the needs for learning English based on four basic language skills. This research uses descriptive analysis method with quantitative approach. Data was obtained through distributing questionnaires to 159 respondents from first semester students of the 2018/2019 academic year at one of the private university in the East Jakarta. They are generally aged 21-29 years with the last education of vocational schools and have jobs as private employees. The identification of their language skill shows that generally the respondents have English basic skill. Analysis of questionnaire data states that students' motivation in learning English is to improve academic grades and be able to speak English. While their main constraints are limited vocabulary and not understanding English grammar. The results of needs analysis concluded that students need English to understand texts and instructions along with to obtain information that is useful for their studies.
Dense U-net Based on Patch-Based Learning for Retinal Vessel Segmentation

Various retinal vessel segmentation methods based on convolutional neural networks were proposed recently, and Dense U-net as a new semantic segmentation network was successfully applied to scene segmentation. Retinal vessel is tiny, and the features of retinal vessel can be learned effectively by the patch-based learning strategy. In this study, we proposed a new retinal vessel segmentation framework based on Dense U-net and the patch-based learning strategy. In the process of training, training patches were obtained by random extraction strategy, Dense U-net was adopted as a training network, and random transformation was used as a data augmentation strategy. In the process of testing, test images were divided into image patches, test patches were predicted by training model, and the segmentation result can be reconstructed by overlapping-patches sequential reconstruction strategy. This proposed method was applied to public datasets DRIVE and STARE, and retinal vessel segmentation was performed. Sensitivity (Se), specificity (Sp), accuracy (Acc), and area under each curve (AUC) were adopted as evaluation metrics to verify the effectiveness of proposed method. Compared with state-of-the-art methods including the unsupervised, supervised, and convolutional neural network (CNN) methods, the result demonstrated that our approach is competitive in these evaluation metrics. This method can obtain a better segmentation result than specialists, and has clinical application value.
Knowledge, Attitude and Practice (KAP) of Family Planning among Married Women in Banteay Meanchey, Cambodia

Realizing the benefits of family planning, the government of Cambodia, along with other international organizations, has prioritized the family planning program since its introduction in 1991. However, only an approximate 7% of women were using modern contraceptive methods by 1997, and although this increased to 27% by 2005, Cambodia still has the lowest fi gures of all the Sub-Mekong region countries, which include Vietnam, Thailand, Laos, Myanmar and Cambodia. A survey was conducted to study the Knowledge, Attitude, and Practice (KAP) of family planning in a community located in Banteay Meanchey, where unmet contraceptive need is highest. Structured interviews were performed with 139 married women in rural Cambodia, selected through a simple random sampling method. The collected data were used to ascertain the KAP of family planning among the married women in the study area. In addition, the reasons for discouraging or encouraging women to practice family planning were defi ned. The results showed that knowledge of modern contraceptives among the respondents is universal, with 99% of women being aware of at least one modern method of contraceptive. The respondents and stakeholders showed a positive attitude in their support of family planning programs, and more than half of the respondents knew where to obtain contraceptive methods. Around 56% of the women were practicing family planning at the time the survey was conducted, with their main reasons being fertility desire despite the side effects of some methods, and to maintain their standard of living.
Breast cancer in the West Midlands : an evaluation of screening, treatment and survival

High quality population based data are essential to evaluate breast cancer. This study has improved data quality at the West Midlands Cancer Intelligence Unit through the development of a staging algorithm which significantly increased the proportion of cases with stage recorded. It has also demonstrated the benefits of combining cancer registry data with those from the NHS Breast Screening Programme (NHSBSP). This study identified stage as the most significant prognostic factor for breast cancer patients, and the favourable staging characteristics of screen detected cancers thus suggest that improved survival should result. The study also found that only 31.6% of cancers in eligible women were screen detected in the prevalent round. As 31% of breast cancers arose in women in the screening age range, only an estimated 10% of breast cancer patients benefit directly from screening. High interval cancer rates were identified, along with the need for clarification of the definitions used to identify interval cancers. This investigation identified changes in treatment over time across the region towards the King's Fund guidelines. However, treatment varied across the region and clear divergences from the guidelines were apparent. Furthermore, no association was identified between surgical caseload and survival, suggesting that the use of caseload as a proxy for specialist care may be questionable.
PENGARUH BEBAN PAJAK TANGGUHAN, PERENCANAAN PAJAK DAN AKTIVA PAJAK TANGGUHAN TERHADAP MANAJEMEN LABA

This study aimed to examine the effect of deferred tax expense, tax planning, and the deferred tax assets to earnings management. The independent variable of this research is deferred tax expense, tax planning and deferred tax assets, the dependent variable of this study is the disclosure of Earnings Management. The sample used in this research is manufacturing companies listed in Indonesia Stock Exchange (BEI) in 2013-2015 as many as 46 companies by using purposive sampling method. This study uses multiple methods of analysis using SPSS 23. These results indicate that in partial deferred tax expense, tax planning and deferred tax assets has positive influence on the disclosure of earnings management.
PCR detection and high risk typing of human papillomavirus DNA in cervical cancer in Iranian women

Summary Cervical cancer is the second common type of cancer among women, worldwide and it is the second cancerous cause of death, particularly in women aged 25-65. In order to progress a cancer from dysplasia to invasive carcinoma, a series of cellular changes should occur. Since genital HPV carries oncogenes involving in these essential changes, today HPV has been considered as the most significant risk factor of cervical cancer. It is believed that HPV can increase the rate of cancer progression when associating with other risk factors such as smoking, taking contraceptive drugs, immunosuppression and etc. Paraffin embedded cervical tissue of 70 patients with cervical cancer was analyzed by PCR method for presence of HPV. In addition, high risk typing of HPV positive samples was performed using HPV high risk typing PCR kit. Among total patients 49% were positive for HPV. HPV16 was the most common HPV type detected from HPV positive cases. Investigation of age classification showed that the highest number of HPV positive cases belonged to age-group 35-44.We could not find any meaningful relation between HPV infection and neither educational status nor sort of job (P> 0.05).
Calcipotriol betamethasone ointment in the treatment of psoriasis vulgaris: a randomized, double-blind, active-controlled, parallel group study.

Objective To assess the clinical efficacy and safety of calcipotriol betamethasone ointment （Daivobet ） in Chinese patients with stable psoriasis vulgaris. Methods In this double-blind, active-controlled, parallel group study, 320 patients were recruited from 4 clinical centers, and randomly divided into two groups to receive either calcipotriol betamethasone ointment once daily in the evening and placebo once daily in the morning or calcipotriol ointment twice daily. The safety and efficacy of the two regimens were evaluated on week 1, 2 and 4 after the first dosage. Results After 1 and 4 weeks of treatment, calcipotriol betamethasone-treated patients experienced a greater decrease in psoriasis area and severity index （PASI） compared with calcipotriol-treated patients （41.47%±18.21% vs 33.74% ± 16.94%, 79.23%±17.82% vs 70.43%±20.76%, respectively, both P 〈 0.001）. After 4 weeks of treatment, a 75 percent decrease in PASI was observed in 111 （73.03%） patients receiving combination therapy and 72 （48.32%） patients receiving monotherapy with significant difference between the two groups （P 〈 0.01 ）. A greater improvement was also seen in the individual score of redness, thickness, scaliness as well as area percentage of lesions at the end of week 1, 2 and 4 in patients receiving combination therapy than in patients receiving monotherapy （P 〈 0.05 or 0.01 ）. Of the 320 subjects, 58 （18.1%） reported adverse events and 42 （13.1%） reported drug-related adverse events. No statistical difference was observed in the incidence of adverse events （15.6% vs 20.6%, P 〉 0.05 ） or drug-related events （10.6% vs 15.6%, P 〉 0.05） between the two groups. Drug-related adverse events mainly included mild to moderate skin reactions, such as pruritus, folliculitis, erythema, etc. Conclusions Once daily calcipotriol betamethasone ointment is an effective, safe, convenient treatment with a rapid onset of action for stable psoriasis vulgaris in Chinese patients. Key words: Psoriasis; Calcipotriol; Betamethasone; Randomized controlled trials
Correlates of Structured and Unstructured Activity Among Sufficiently Active Youth and Adolescents: A New Approach to Understanding Physical Activity

The present study examines whether the correlates of physical activity relevant to sufficiently active youth and adolescents differed as a function of type (structured or unstructured) of physical activity. Participants completed measures of physical activity and activity correlates. The most frequently cited correlates were enjoyment, friends? participation, and friends? support. Significant differences were found across type of activity for enjoyment, perceived competence, parental support, coaches? support, and friends? participation. The results provide insight into the correlates of physical activity in this population and provide preliminary evidence that different correlates may be associated with different activities
The Contribution of Alcohol and Other Drugs Among Fatally Injured Drivers in Quebec: Final Results

The present invention provides a manufacturing method of a semiconductor device including the steps of: forming a silicon nitride film on a semiconductor substrate and forming a CVD silicon oxide film on the silicon nitride film, patterning the silicon nitride film and the CVD silicon oxide film using a resist mask, forming a trench by etching the semiconductor substrate by using the patterned silicon nitride film and the patterned CVD silicon oxide film as a mask after releasing the resist mask, and embedding an insulating material into the trench and flattening the embedded insulating material using the silicon nitride film as a stopper, in which the manufacturing method includes a step of annealing the semiconductor substrate after the step of forming the CVD silicon oxide film and before the step of etching the semiconductor substrate.
VET Providers, Associate and Bachelor Degrees, and Disadvantaged Learners: Report to the National VET Equity Advisory Council (NVEAC), Australia.

This report on VET Providers, Associate and Bachelor Degrees, and Disadvantaged Learners, is derived from research commissioned by the National VET Equity Advisory Council (NVEAC) and conducted by researchers at Deakin University and the University of Ballarat. It is particularly concerned with the impact for disadvantaged learners of associate and bachelor degrees offered by vocational education and training (VET) providers.
Distortion correction method of a zoom lens based on the vanishing point geometric constraint

In order to solve the problem that the distortion parameter of the zoom lens varies with focal length changes, a correction method for a zoom lens based on the minimum fitting error of a vanishing point geometric constraint is proposed. In light of a calibrated image with parallel line clusters without knowing the metric, the method can quickly correct the distortion of zoom lens in full focal length by the regression fitting of parameters. Firstly, based on the radial distortion division model, the functional relationship between the vanishing point and the radial distortion coefficient is established according to the geometric constraint of the vanishing point, and the first-order radial distortion coefficient of the camera is estimated by the Levenberg–Marquardt algorithm. And then, in terms of the principle of the deviation error minimization, the least squares can be used to fit the equation of straight line of the corrected points to optimize the center-of-distortion. Finally, the variation of distortion parameters with focal length is analyzed, the distortion parameter corresponding table between distortion parameters and focal length and the empirical formula of fitting are established. The results show that the root mean square error corrected by the fitting empirical formulas and the least squares support vector regression parameter corresponding table method for three different focal lengths are 1.16 pixels and 0.83 pixels, respectively. Moreover, those two ways are about 13% and 19% faster than Zhang’s method, respectively. By mapping this method to FPGA, the application effect of photographic UAV, security monitoring and other equipment requiring rapid response can be greatly improved.