Miracle-dz/UniFAR-FTUs huggingface dataset:
Perinatal mortality of placenta previa: a 1-year retrospective study

Background: Antepartum haemorrhage is one of the important causes of perinatal mortality and morbidity in India. The increased risk of perinatal morbidity and mortality in placenta praevia is due to preterm birth, low birth weight, birth asphyxia and neonatal sepsis. This is a retrospective study done over a period of 5years to determine the incidence, demographic features, risk factors, obstetric management, maternal mortality and morbidity, and perinatal outcome in women presenting with placenta praevia.Methods: This was a retrospective study done at Nil Ratan Sircar Medical College and Hospital over a period of five years starting from January 2016 to December 2017. Antenatal women with more than 28 weeks of gestational age with a complaint of painless vaginal bleeding or those diagnosed as having placenta praevia on routine ultrasound examination were included in this study and hospitalised. Among them cases of placenta praevia were 21.Results: There were21 cases of placenta praevia registered amounting to 0.23% incidence. The various antenatal complications seen associated with placenta praevia were severe anaemia (14.28%), coexisting PIH (4.76%), IUD (4.76%), IUGR/Oligohydraminos (4.76%). All the patients in the study had undergone caesarean deliveries. Perinatal morbidity studied as percentage of new-borns requiring resuscitation followed by NICU admission was 33.3%. Among the delivered patients of placenta praevia incidence of perinatal mortality was 23.8%. Prematurity (42.85%) contributed to most cases of perinatal mortality, followed by RDS (14.28%) and asphyxia (14.28%). Conclusions: In this study placenta praevia is seen more commonly in 28-34 weeks of gestation and patients mainly presented with a bout of bleeding eventually had preterm deliveries. Although vaginal deliveries are appropriate in selected cases of placenta paevia liberal use of caesarean section in well-equipped hospitals with availability of blood transfusion services have helped to lower complications.
Current practice, perceived barriers, and perceived facilitators of Thai nurses on using the evidence-based practice on pain assessment and pain management in older adults

Background: As the number of older adults in Thailand continues to increase, along with increased incidence of surgical intervention that causes pain, the quality of pain care in older adults is needed. Nurses are primarily responsible for assessing and managing pain in older adults (Jose Closs, 2008; Prowse, 2007). The use of evidencebased practices (EBPs) improves quality of care and saves healthcare cost. However, in Thailand where empirical study of using EBP related to pain in older adults is limited, research to understand how Thai nurses use EBP acute pain in older adults is needed. Purpose: The purpose of this study is to describe current practices, perceived barriers and perceived facilitators of Thai nurses on using EBP for assessing and managing acute pain in postoperative older adults. Method: A descriptive exploratory survey was conducted in 8 mid and large-size hospitals in Thailand. The Acute Pain EBP Questionnaire (APEBPQ) (Suwanraj, 2009) was distributed to 240 Thai nurses. 236 questionnaires were returned with the response rate of 98.3 percent. Open-ended questions related to barriers and facilitators of using EBPs were coded to identify major themes. MANOVA was performed to explore the differences between years of nursing experience on perceived barriers and facilitators. Results: The majority of participants are female (96.8%) with mean age 35.5 years (range=23-54). Thai nurses reported using 51/53 recommendations from EBPG Acute Pain most of the time/always (95%). Using an equianalgesic table (1.80±1.16) and assessing MMSE in older adults with postoperative pain (1.74±1.15) were occasionally used. Research reports published in English was the greatest barriers. Nurses perceived greatest support from a Head ward than other colleagues. Nurses with 11-20 years of nursing experience had higher reported barriers than those with 1-10 years of nursing experience.
USING A WEB-BASED PEER AMENDMENT SYSTEM IN COMPUTER GRAPHIC INSTRUCTION: A case study

Using peer review as its framework, this study adopts a case study approach, recruiting students from department of Visual Communication and Design. It utilizes a self-developed web-based peer amendment system as a platform to observe students’ peer amendment behaviors and to further explore the influence of peer amendment on students’ design work and self-learning. The study also utilizes in-depth interviews with the students to investigate whether peer amendment activities can provide them with more ideas for later design work. The study results show that peer amendment activities can stimulate designers to experience more diverse performance with regards to creativity and can render their work more complete. The present study also finds that peer amendment is inspiring in the process of design, strengthening students’ decision-making abilities. If the power of peer learning can be efficiently utilized in design development stage, it can enhance creativity in each other’s design work.
Dystonias of the Neck: Clinico-Radiologic Correlations

Since the clinical description of the four basic dystonic head/neck movements in 1953 by Hassler3 there have been no publications concerning the further differentiation of these forms of CD. Also, it has not been attempted to define muscles affected by dystonia with the help of imaging procedures. A new book called “Imaging of Movement Disorders” does not contain a single image of dystonic muscles in its eleven chapters4.
Heart Disease Prediction and Classification Using Machine Learning Algorithms Optimized by Particle Swarm Optimization and Ant Colony Optimization

The prediction of heart disease is one of the areas where machine learning can be implemented. Optimization algorithms have the advantage of dealing with complex non-linear problems with a good flexibility and adaptability. In this paper, we exploited the Fast Correlation-Based Feature Selection (FCBF) method to filter redundant features in order to improve the quality of heart disease classification. Then, we perform a classification based on different classification algorithms such as K-Nearest Neighbour, Support Vector Machine, Naïve Bayes, Random Forest and a Multilayer Perception | Artificial Neural Network optimized by Particle Swarm Optimization (PSO) combined with Ant Colony Optimization (ACO) approaches. The proposed mixed approach is applied to heart disease dataset; the results demonstrate the efficacy and robustness of the proposed hybrid method in processing various types of data for heart disease classification. Therefore, this study examines the different machine learning algorithms and compares the results using different performance measures, i.e. accuracy, precision, recall, f1-score, etc. A maximum classification accuracy of 99.65% using the optimized model proposed by FCBF, PSO and ACO. The results show that the performance of the proposed system is superior to that of the classification technique presented above.
Review paper Hormonal contraception and risk of sexually transmitted disease acquisition

Worldwide, an increasing number of women are deciding to use hormonal contraception. This review presents the current knowledge of the effect of this contraceptive method on the risk of sexually transmitted disease acquisition. Several studies suggest that hormonal contraception users are at increased risk of sexually transmitted diseases. However, many other studies did not demonstrate it. It is proved that using hormonal contraception may have a protective effect on bacterial and trichomoniasis infection. Moreover, the risk of infection is positively associated with the composition of hormonal contraception and women's lifestyles.
Evolution of emergency medical services in Saudi Arabia

Aim: The purpose of this study was to provide an overview of the evolution of emergency medical services (EMS) in Saudi Arabia to describe its history, organisational service providers, governance, EMS statistics and the educational development of the field with the disparity of educational approaches. Background: The EMS is an important part of the healthcare system as it is often the first point of contact for medical emergencies. The EMS in Saudi Arabia has seen a number of positive changes over the past decade, some of which include the development of several university and college programs dedicated to teaching EMS, the evaluation of the profession from a post-employment first aid model into a pre-employment bachelor's degree model, the generous governmental scholarship grants overseas and the official accreditation of EMS as a profession. It has been approximately nine years since the first EMS bachelor's degree programs were developed in Saudi Arabia, some of which were directly adopted from univer.
The Place of E-Prints in the Publication Patterns of Physical Scientists

ABSTRACT E-prints, electronic equivalents of paper preprints used by scientists for rapid, informal communication of research, have recently proliferated. Empirical research on e-prints has not, however, been commensurate with increasing numbers of e-print servers, scientists authoring e-prints, or researchers accessing e-prints. This study examines a sample of e-prints randomly selected from three e-print servers to ascertain e-print authors' type and country of employment, level of collaboration, citation of other e-prints, level of publication in traditional, peer-reviewed or letters journals, and eventual transformation of e-prints into refereed publications.
Does Astronomy research become too dated for the public? Wikipedia citations to Astronomy and Astrophysics journal articles 1996-2014

La astronomia es una ciencia natural que atrae un importante interes del publico. A una escala humana, la mayoria de los objetos celestes individuales son esencialmente inmutables, pero ? ocurre lo mismo con el interes por la investigacion astronomica? Este articulo utiliza la popular enciclopedia online Wikipedia como un proxy del interes publico en la investigacion academica y evalua el grado en que se citan articulos de astronomia y astrofisica publicados entre 1996 y 2014. Se hicieron busquedas automaticas en Webometric Analyst a traves de Bing para contar el numero de citas a articulos de astronomia y astrofisica desde la Wikipedia. Los resultados muestran que los papers mas antiguos, de antes de 2008, tienen menos probabilidades de ser citados. Esto es cierto en general y en la mayoria de las principales versiones linguisticas de Wikipedia , aunque puede reflejar los intereses de los editores en lugar de los intereses del publico. Esto concuerda con una tendencia moderada hacia la obsolescencia en el interes publico en la investigacion, aunque es probable que el fenomeno este influido por las fechas en las que se creo la mayoria del contenido de Wikipedia sobre ese tema. Los articulos pueden llegar a ser obsoletos si presentan la evidencia de que mas tarde fueron sustituidos por otros con datos mejorados o si proponen un modelo que luego se reemplazo. Abstract Astronomy is a natural science attracting substantial public interest. On a human scale, most individual celestial objects are essentially unchanging but is the same true for interest in astronomy research? This article uses the popular online encyclopedia Wikipedia as a proxy for public interest in academic research and assesses the extent to which it cites astronomy and astrophysics articles published between 1996 and 2014. Automatic Bing searches in Webometric Analyst were used to count the number of citations to astronomy and astrophysics articles from Wikipedia . The results show that older papers from before 2008 are increasingly less likely to be cited. This is true overall and in most of the major language versions of Wikipedia , although it may reflect editors’ interests rather than the public’s interests. This is consistent with a moderate tendency towards obsolescence in public interest in research, although it is probably affected by the dates on which most Wikipedia content on the topic was created. Papers may become obsolete if they report evidence that are later superseded by improved data or if they propose a model that is later replaced.
A remote file system for heterogeneous network topologies

Achieving high performance in a distributed computing environment is a combination of efforts between the network, distributed operating systems, and the applications. All too often the focus of improvement excludes the opportunity for the application to make an impact on performance. In this study we provide a facility where the application characteristics can be employed in formulating a distributed solution. The specific problem being considered is remote file services, although the general ideas can be applied to other areas. Our file system permits the application to indicate the type of caching and transfer strategies most suitable for each remote file access instance: depending on the application will effect the load realized on the network. Earlier work provided techniques to characterize application behavior through simple profiles. This profile data can be employed in selecting what kind of caching and transfer strategies would be most suitable to minimize traffic on the network. We describe the architecture of our file system. We show how the system provides for efficient network performance by realization of reduced traffic on the network for each application. This application data approach will always provide better performance than any random based model design. <<ETX>>
Powers Of Horror An Essay On Abjection

Thank you for reading powers of horror an essay on abjection. As you may know, people have look numerous times for their favorite books like this powers of horror an essay on abjection, but end up in malicious downloads. Rather than reading a good book with a cup of coffee in the afternoon, instead they are facing with some infectious bugs inside their laptop. powers of horror an essay on abjection is available in our book collection an online access to it is set as public so you can get it instantly. Our book servers saves in multiple locations, allowing you to get the most less latency time to download any of our books like this one. Merely said, the powers of horror an essay on abjection is universally compatible with any devices to read.
Vulnerability of orphan caregivers vs. non-orphan caregivers in KwaZulu-Natal

Abstract Using data from a cohort of schoolgoing children, their households and caregivers (the Amajuba Child Health and Wellbeing Project, ACHWRP) in KwaZulu-Natal, South Africa, we compared demographic characteristics, care burden, health, physical function and social capital of caregivers of orphans (n = 300) with those of non-orphans (n = 298). This analysis presents cross-sectional findings from questions for caregivers that were added for the study's second round, conducted between September 2005 and June 2006. Caregivers of all children were overwhelmingly women (87%). Compared to non-orphan caregivers, caregivers of orphans were on average older (49.5 vs. 45.2 years, p = 0.0002), had fewer years of education (6.7 vs. 7.8 years, p = 0.0042) and were less likely to be married or cohabiting (29% vs. 46%; p < 0.0001). Caregivers of orphans reported caring for more children than those of non-orphans (4.8 vs. 3.8 children, p < 0.0001). A larger proportion of orphan caregivers reported having cared for an ill adult in the previous year (28% vs. 19%), and for that adult to have been a biological child (p = 0.0531). There was a high prevalence (55%) of self-reported poor health among all caregivers; caregivers of orphans were more likely to report poor general health and chronic illness. Although there was a high prevalence of functional impairment (self-reported inability to perform primary activity) among all caregivers (59%), there was no difference between groups. In terms of social capital, although similar proportions of orphan and non-orphan caregivers reported having friends outside the household, orphan caregivers were less likely to have a source of a small emergency loan [51% vs. 63%; adjusted odds ratio: 0.60 (0.41–0.88)]. Our results suggest that orphan caregivers are indeed more vulnerable, and that their particular limitations and needs must be considered when developing strategies for assisting vulnerable households to ensure better support for both caregivers and the children in their care.
Fibre dimensions : their effect on paper properties and required measuring accuracy

La dimension des fibres joue un role particulierement important dans le developpement des proprietes de surface et de resistance ainsi que des proprietes optiques du papier. Le potentiel des fibres de bois utilisees pour la fabrication du papier est d'abord dicte par l'epaisseur de la paroi cellulaire et la longueur des fibres, la largeur des fibres etant moins importante. On peut mesurer la longueur des fibres de facon sure a l'aide des analyseurs de fibres actuellement sur le marche. Pour ces applications, une resolution de 50 μm convient parfaitement. La mesure de la resolution a 1-μm de la dimension des fibres sens travers est necessaire.
HUBUNGAN ANTARA DERAJAT PENYAKIT GINJAL KRONIK DENGAN NILAI AGREGASI TROMBOSIT DI RSUP PROF. DR. R. D. KANDOU MANADO

Abstract: Chronic kidney disease has got a lot of attention and more widely studied despite reached end stage renal failure, patients still live a long life witha fairly good quality of life although the prevalence is increases throughout the year. one of the circumstances in chronic kidney disease is uremia which is a clinical and laboratory syndrome that occurs inorgans. In uremia interference with platelet function, the production ofprostacyclinin blood vesselswould increase, and excessurea levels in blood would be a potential vasodilator and platelet aggregation antagonist. Methods: An analytic observational cross-sectional study. Samples were patients that diagnosed with chronic kidney disease at the Hospital Clinic of Nephrology-Hypertension Prof. Dr.R. D.Kandou Manado in December toFebruary 2014. Criteria included were patients <80 years old and has been diagnosed with chronic kidney disease in this case had done a physical examination and investigations by doctors, using medical record of urea-creatinine and also a complete blood countand platelet aggregation in Prokita Laboratory Manado. Forstatistical analysisusedShapiro-Wilk testalsoPearsonCorrelationstest. Result: There were 20 patients with chronic kidney disease sampled in this study. It was found that there is a relationship between of urea-creatinine and aggregation results in trace ADP5(P=0.004) while the value ADP10 no significant correlation(P =0.399). Conclusion: In chronic kidney disease patients, urea-creatininewiththe value of platelet aggregation intrace ADP5had a relation ship while intrace ADP10 had not a relationship. Keywords: Chronic kidney disease, platelet aggregation.
Limb Body Wall Complex: A Rare Anomaly

Body stalk anomalies are a group of massively disfiguring abdominal wall defects in which the abdominal organs lie outside of the abdominal cavity in a sac of amnioperitoneum with absence of or very small umbilical cord. Various hypotheses proposed to explain the pathogenesis of limb body wall complex include early amnion disruptions, embryonic dysplasia, and vascular disruption in early pregnancy. Body stalk anomaly is an accepted fatal anomaly and, hence, its early diagnosis aids in proper management of the patient. We present a case of LBWC, exhibiting combined cranial, abdominal & limb features.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 56-58
The effect of starch on the properties of groundwood papers

L'amidon cationique ameliore la resistance a sec des papiers fins de pâte chimique blanchie, mais il a des effets differents sur les feuilles de pâte mecanique. Dans ce dernier cas, les avantages sont des ameliorations de la retention et des liaisons internes. La difference est due a la grande proportion de fines dans la pâte mecanique, a sa teneur en lignine et a la grande quantite de materiaux disperses et dissous charges negativement dans les suspensions de pâtes mecaniques
Reconsidering dragon carpet origins

Armenians have increasingly been eliminated from the weaving history of the Caucasus. Given that Armenians have lived there for millennia and are its only inhabitants attested in both ancient and medieval sources as having been weavers and dyers, it is surely curious they would have abandoned a craft for which they were renowned. Many regional rugs were originally attributed to Armenian weavers, but from the second quarter of the 20th century onwards were reclassified as being either of Turkish (Azeri) or Persian origin. This article reconsiders the available evidence and the way it has been interpreted to arrive at a balanced assessment of Armenians’ contribution to the production of Dragon carpets, the region’s earliest surviving design. Its findings challenge many of the assumptions upon which these conclusions were based, and thus revives the possibility the attributions of earlier authors were more accurate than those of their successors.
CYP2C19 loss-of-function alleles predicts clinical outcomes in East Asian patients with acute myocardial infarction undergoing percutaneous coronary intervention and stenting receiving clopidogrel

Background CYP2C19 loss-of-function (LOF) alleles reduce the effectiveness of clopidogrel and are associated with high rates of clinical events in patients undergoing percutaneous coronary intervention (PCI) and stenting in Northeast Asians. However, the prevalence and influence of CYP2C19 LOF alleles in Southeast Asians remain unclear. Objectives This study aims to retrospectively investigate the prevalence of CYP2C19 LOF alleles and clinical outcomes in East Asian patients taking clopidogrel and undergoing PCI. Methods Between June 2019 and June 2020, volunteer participants in a single medical center were consecutively selected. The genetic data of CYP2C19 were derived from the Taiwan Precision Medicine Initiative (TPMI). Patients receiving clopidogrel while undergoing PCI with stenting were retrospectively analyzed. Results A total of 999 patients (62.4 ± 11.1 years old, 83.7% men) were enrolled; 39.3% without the CYP2C19 LOF allele (normal metabolizers + rapid metabolizers, NM + RM); 44.9% with one LOF allele (intermediate metabolizers, IM); 15.7% with two LOF alleles (poor metabolizers, PM). The incidence of stroke was higher in the PM subgroup compared to the NM + RM subgroup or IM subgroup in patients presenting with acute myocardial infarction (AMI). The 1-year major adverse cardiac and cerebrovascular events (MACCE)-free survival rates in all participants were similar among the three groups. However, in the AMI group, the 1-year MACCE-free survival rates were significantly lower in the PM subgroup compared to the NM + RM subgroup or IM subgroup. Conclusion In East Asians presenting with AMI, CYP2C19 PM was associated with deleterious cardiovascular outcomes and stroke. Our results reinforce the crucial role of preemptive CYP2C19 genotyping in East Asian AMI patients receiving clopidogrel treatment.