Miracle-dz/UniFAR-FTUs huggingface dataset:
Axillary Breast: Contouring the Axilla

Commonest cause of disturbed axillary aesthetics is aberrant breast tissue. Our study presents 24 consecutive patients with axillary breast or lipomas, treated with liposuction alone or excision with limited liposuction of axillary folds and dog ears; between 2005 and 2015. Optimum aesthetic outcome was due to i) Pre-op marking in maximum abduction ii) Elliptical excision of apical, hairy skin in the direction of maximum laxity irrespective of location of axillary breast iii) Raising thick flaps to avoid tethering of the scar iv) Meticulous dissection to preserve nerves, axillary pad of fat and lymph nodes, v) Limited liposuction under vision to sculpt axillary folds and dog ears, vi) Suturing in position of maximum abduction, vi) Stretchable tape for dressing instead of pressure garment suitable for unique shape of axilla. First patient treated with liposuction alone required removal of residual mass whereas patients undergoing axillaplasty had no major complications, had acceptable scars and were happy to have reduction in hair bearing axillary skin. Thereafter only two more patients were treated with liposuction alone. (5 axillae) 21 patients (42 axillae) underwent excisional sculpting of axilla with limited liposuction. Complications were minor and axillary scars were imperceptible and acceptable. We prefer excisional axillaplasty with limited liposuction after the excision. Liposuction alone cannot address the problem satisfactorily and safely.
Substance Use Disorders Among Veterans in a Nationally Representative Sample: Prevalence and Associated Functioning and Treatment Utilization.

OBJECTIVE Several epidemiological studies have reported that veterans and nonveterans have comparable substance use disorder (SUD) prevalence and SUD treatment rates for SUD and treatments of several types. No studies have compared functioning among veterans with SUD to veterans without SUD or to nonveterans. METHOD We investigated the prevalence of past-year and lifetime SUD (based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), overall and by substance, and estimated the association with physical and mental health functioning and treatment utilization and need among veterans and nonveterans in a nationally representative sample. RESULTS Predicted prevalence of any past-year SUD, with and without tobacco use disorder (TUD), among veterans was 32.9% and 17.1%, and prevalence of any lifetime SUD, with and without TUD, was 52.5 and 38.7%, respectively. Veterans had higher prevalence of past-year and lifetime SUD for some substances (e.g., tobacco, alcohol) but not others (e.g., cannabis, opioid). Lower physical and mental health functioning was found among veterans, relative to nonveterans, and participants with SUD, relative to those without SUD, and veterans with SUD reported the lowest functioning across all domains. More veterans than nonveterans received any SUD treatment and SUD treatment in specific domains (e.g., self-help). About 70% of veterans with past-year SUD did not receive treatment, but only 5.4% reported needing and not receiving treatment. CONCLUSIONS Relative to nonveterans, veterans have higher prevalence of past-year TUD and lifetime alcohol use disorder or TUD and lower physical or mental health functioning. A minority of veterans receive SUD treatment, and few report unmet need for treatment.
Correlates of Attitudes toward Diversity among White College Students

Previous research illustrates numerous benefits of diversity, notably in college. Despite the benefits, not all students have positive attitudes toward diversity initiatives. Specifically, research suggests that White college students are less likely to engage in diversity-related experiences. Fostering positive diversity attitudes and general awareness about diversity-related constructs might enhance the benefits of a diverse campus. This study examined the relations of gender, year in school, openness to experience, diversity experiences, colorblind racial attitudes, and diversity attitudes. Participants were White undergraduate students from a small, private, liberal arts college. The main finding was that color-blindness negatively related to positive attitudes toward diversity. Results also showed that White women were more aware of racial issues than White men.
A Pharmacokinetic, Pharmacodynamic and Safety Study of Celecoxib in Subjects with Probable Alzheimer's Disease

Objectives: To evaluate the plasma and cerebrospinal fluid (CSF) of subjects with Alzheimer's disease (AD) to assess celecoxib pharmacokinetics (PK) and its effects on pharmacodynamic (PD) outcome measures, prostaglandin (PG) synthesis, inflammation processes, and protein markers for AD progression and cognition. Methods: This was a 4‐week, double‐blind, placebo‐controlled trial evaluating 3 dose levels of celecoxib (50, 200 and 400 mg BID), placebo, or 1 dose level of celecoxib 400 mg BID in age‐matched controls in concurrent panels of 5 subjects each. Results: 21 subjects with AD and 5 age‐matched controls were controlled. The mean concentration of celecoxib in CSF gradually increased and peaked at 4 hours post‐dose on Day 28 for all groups, and decreased to near or below the 30‐minute pre‐dose levels by 12 hours post‐dose. Mean peak celecoxib plasma concentration peaked at 2 hours post dose on Day 28 and was not dose dependent. PD analysis revealed that Prostaglandin E2 (PGE2) levels in the CSF indicated COX‐2 inhibition at Day 28, however other inflammatory markers (Interleukin‐6) and markers for disease progression (Aβ1–42 and tau protein) were unaffected by celecoxib treatment. Cognitive performance on the ADAS‐COG improved in all treatment groups except for 50 mg BID group. The mean MMSE (Mini‐Mental Status Exam) score improved in the 50 mg BID and 400 mg BID groups, worsened in the 200 mg BID and age‐matched control groups, and remained unchanged in placebo. Computerized Neuropsychological Test Battery (CNTB) scores showed a varied response by parameter. All reported AEs were mild or moderate in intensity. The most frequently reported AEs were headache, dizziness, back pain and abdominal pain. Conclusion: Celecoxib penetrates the blood brain barrier. The PK profile is similar in AD and age‐matched control subjects. The PD analysis was inconclusive. None of the markers tested represented a useful surrogate for any effect of celecoxib. Tests of cognitive ability did not show notable or consistent improvements during celecoxib administration. Oral doses of celecoxib 50, 200, 400 mg BID were well tolerated in patient with AD and the age‐matched control subjects.
Initial stages of two Neolithisation models in the Lower Volga basin

In this paper, two groups of ancient sites located in the Lower Volga River basin are analysed. The first group is linked to the emergence of the oldest pottery in this region, which is one of the most ancient in Europe. The presence of this feature of the ‘Neolithic package’ can be dated to the middle of the 7th millenium BC. A production economy is a particular feature of the second group of sites, which can be dated to the end of the 6th millenium BC. This is one of the earliest pieces of evidence of the existence of domesticated species in Eastern Europe. These two groups of sites show the initial stages of two Neolithisation models in the Lower Volga basin.
AUGMENTED AND VIRTUAL REALITY IN THE LANGUAGE CLASSROOM: PRACTICAL IDEAS

This article aims to provide teachers with a practical introduction to the capabilities of augmented and virtual reality (AR/VR) in foreign language education. We first provide an overview of recent developments in this field and review some of the affordances of the technologies. This is followed by detailed outlines of a number of activities that teachers can use in any ESL classroom with access to smartphones or AR/VR capable devices. The article concludes with consideration of privacy concerns, and practical issues of classroom implementation.
Application of a radar‐rainfall uncertainty model to the NWS multi‐sensor precipitation estimator products

Given the increasing interest in using radar‐based rainfall estimates in hydrologic studies, efforts are critically needed to assess the applicability of recently‐proposed methods that focus on quantitative modelling of radar‐rainfall uncertainties. The current study reports on the implementation and assessment of an empirically‐based approach (known as product‐error driven (PED) method) for modelling uncertainties in radar‐based rainfall products. In this study, the PED method is applied to a suite of operational radar‐based products produced by the U.S. National Weather Service (NWS) Multi‐Sensor Precipitation Estimator (MPE) algorithm. The tested MPE products range from a radar‐only product, to other products that include various degrees of mean‐field and local bias adjustments and gauge‐radar optimal merging procedures. Data from an independent dense rain gauge cluster located in south‐west Louisiana is used as a proxy for the unknown surface rainfall rates. The focus is on assessing the transferability of the PED across different radar‐rainfall products and geographical regions, and the generality of the distributional and parametric assumptions of the PED method. The study also provides insight on the critical issue of the sampling variability and data requirements that govern the implementation, interpretation and possible future enhancements of the radar‐error modelling methods.
Pediatric cerebral malaria: a scourge of Africa

Cerebral malaria, defined as an otherwise unexplained coma in a patient with Plasmodium falciparum parasitemia, affects up to 1 million people per year, the vast majority of them being children living in sub-Saharan Africa. Despite optimal treatment, this condition kills 15% of those affected and leaves 30% of survivors with neurologic sequelae. The clinical diagnosis is hampered by its poor specificity, but the presence or absence of a malarial retinopathy in cerebral malaria has proven to be important in the differentiation of underlying coma etiology. Both antimalarials and intense supportive care are necessary for optimal treatment. As of yet, clinical trials of adjunctive therapies have not improved the high rates of mortality and morbidity. Survivors are at high risk of neurologic sequelae including epilepsy, neurodisabilities and cognitive–behavioral problems. The neuroanatomic and functional bases of these sequelae are being elucidated. Although adjunctive therapy trials continue, the best hope fo.
OPTIMIZING STRUCTURE-BASED VIRTUAL SCREENING PROTOCOL TO IDENTIFY PHYTOCHEMICALS AS CYCLOOXYGENASE-2 INHIBITORS

By employing Databases of Useful Decoys (DUD) and its enhanced version (DUD-E), several attempts to construct validated Structure-based Virtual Screening (SBVS) protocols to identify cyclooxygenase-2 (COX-2) inhibitors have been performed. Both databases tagged active COX-2 inhibitors for compounds with IC 50 values < 1mM. In the search for phytochemicals as natural COX-2 inhibitors, however, most of their IC 50 values are in the micromolar range, which will likely be identified as non-inhibitors for COX-2 by the available SBVS protocols. In this article, validation of an SBVS protocol by adding marginal active COX-2 inhibitors from DUD-E as active compounds is presented. Binary quantitative-structure activity relationship analysis by using recursive partition and regression tree method was performed subsequently to optimize the predictive ability of the protocol. The enrichment factor and the F -measure values of the optimized protocol could reach 44.78 and 0.47, respectively. The optimized protocol could identify 1 out of 9 phytochemicals as COX-2 inhibitors.
Improving Patients\\\' Care through Electronic Medical Error Reporting System

Background and Objectives: Medical errors are unintentional acts that take place due to the negligence or lead to undesirable consequences in medical practice. It seems that in order to keep the hospitals as a safe and secure place, an orderly systematic error reporting system appropriate for the hospital must be in place. The purpose of this study was to design a conceptual model for medical error reporting system. Methods: This applied descriptive cross-sectional research employed Delphi method carried out from 2012 to 2013. The study population was medical and paramedical personnel of health workers and paramedical personnel of hospitals, deputy of treatment, faculty members of Kashan University of Medical Sciences (nursing, medicine, health and paramedical colleges) in addition to the internet and library resources. Sample size included 30 expert individuals in the field of medical errors. The one -stage stratified sampling procedure was used. The items with opposition ranging 0 to 25 were confirmed and those exceeding 50 were rejected whereas the items with the opposition 25 to 50 were reevaluated in the second session. This process continued for three times and the items that failed to be approved were eliminated in the model. Results: Based on the results of this research, repeated informing about and reporting operation at on-line bases that have access to the incidence of error detected on time, identifying cause and damage due to the incidence reported confidential and anonymously immediately after the occurrence is necessary. Analysis of data quantitatively and qualitatively by using computer software is needed. Classifying the errors reports based on feedback provision according to the cause of error is needed. In addition, confidential report and possible manual retrieval were suggested. Conclusion: It is essential to determine the means of reporting and items in the reporting form including time, cause and damage of medical error, media of reporting and method of recording and analysis.
Mortality and Cancer Incidence in Acromegaly: A Retrospective Cohort Study

Patients with acromegaly have a reduced life expectancy, with the accepted causes for premature death being vascular and respiratory disease. Increased mortality from malignant disease has also been reported. We, therefore, performed a multicenter retrospective cohort study of 1362 patients with acromegaly and investigated the relationships of mortality and cancer incidence with GH levels, duration of disease, and age at diagnosis. The overall cancer incidence rate [standardized incidence ratio, 0.76; 95% confidence interval (CI), 0.60–0.95] was lower than that in the general population of the United Kingdom, and there was no significant increase in site-specific cancer incidence rates. The overall cancer mortality rate was not increased, but the colon cancer mortality rate (standardized mortality ratio, 2.47; 95% CI, 1.31–4.22) was higher than expected. Mortality rates due to colon cancer, all malignant disease, cardiovascular disease and overall mortality were increased with higher posttreatment GH leve.
Comparative Analysis of Three National Primetime TV News Broadcasts (Preliminary Results)

Both MEXT and the EU Commission urge the fostering of media literacy. However in a globalized world, media literacy cannot be limited to one country. A link to intercultural communication is necessary. Awareness has to be raised of different communicative styles through which culture and values are transmitted. In an attempt to link these two aims, this study analyzes the news reports of the same event broadcast on the same day in three national primetime TV programs: Germany’s ARD Tagesschau, the British BBC News at Six and Japan’s NHK’s News7. Both the oral and visual parts of the news broadcasts show evidence of different communicative styles and their influence on the presentation of news.
Relationship factors and American Indian men's condom use intentions

Sexually transmitted infections (STIs) pose a major threat to the public health of the United States. American Indians are disproportionately affected by STIs, including chlamydia and human immunodeficiency virus (HIV). Roosevelt County, which lies within the Fort Peck Indian Reservation in northeastern Montana, has consistently reported chlamydia rates two to five times higher than national rates. Community leaders from the Fort Peck Indian Reservation partnered with researchers from Montana State University to address the reservation’s sexual and reproductive health needs. The purpose of this study was to investigate the heterosexual relationship factors that were associated with condom use intentions for STD and HIV prevention in a purposive sample of American Indian men, ages 18 to 24, living on the Fort Peck Indian Reservation. A community based participatory research (CBPR) approach was used for this study. A non-probability sample of American Indian men (n=122) were recruiting using consecutive and snowball sampling techniques. Study hypotheses were tested using Pearson’s chi-squared and one way analysis of variance (ANOVA) analysis for bivariate associations and multinomial logistic regression for multivariate associations. Variables examined for their association with condom use intentions included age, educational attainment, relationship type, relationship duration, relationship commitment, condom use communication, condom use decision making, control of condom use, and negative partner reaction to condom use. Results indicated that American Indian men were less likely to use condoms for disease prevention as their age and their relationship commitment increased. Factors resulting in an increased likelihood of future condom use included high participation in the condom use decision making process and female control over condom use. Culturally relevant sexual risk prevention programs that work towards changing the perception of condoms in committed relationships and that engage men in sexual health decision making could help reduce the disproportionate burden of sexually transmitted disease carried by young American Indians living on the Fort Peck Indian Reservation.
A study on knowledge, attitude and practice of rabies among residents in Addis Ababa, Ethiopia.

This study was conducted in Addis Ababa during the months of January and February, 2011 to assess the knowledge, attitudes and practices of the communities on rabies. A cross-sectional study design and multistage sampling procedures were employed to select households for this study. Kebeles were randomly selected using lottery method from list of kebeles in each sub city, followed by selection of 42 households from each kebeles using systematic random sampling method. The data were collected from 1260 households through face to face interview using pre tested and structured questionnaires. Eighty three percent of the respondents indicated that they had previously heard about rabies. The majority of the study participants 932(75.2%) had moderate level of knowledge and those with satisfactory level of attitude were 649(52.3%) and with intermediate level of appropriate practices were 831(67.0%). There was strong association between knowledge scores and sex; educational level; occupation and household size (p<0.05). However, statistically significant difference was observed only between attitude scores and: age, educational level and monthly income (p<0.05). In this study, higher scores in practices to prevent rabies were recorded in male respondents those who completed higher education (p <0.05). Moreover, there was a strong positive correlation between knowledge and practice; attitude and practice. In this study a moderate level of awareness was shown with regard to rabies among the residents of Addis Ababa. Additionally, inaccessibility to appropriate services was also considered as a major reason for the low level of community participation in rabies prevention and control activities. Key Words: Attitude, community, Knowledge, Practice, rabies
La réminiscence : concept, fonctions et mesures. Adaptation française de la Reminiscence Functions Scale

Cette recherche presente la validation d’une adaptation francaise de la Reminiscence Functions Scale/Echelle des Fonctions de la Reminiscence (EFR) aupres de 141 personnes âgees. Les correlations entre les fonctions de la reminiscence et certaines dimensions de la personnalite, l’actualisation de soi, et la disposition a l’ennui plaident en faveur de sa validite de construit. Les valeurs des coefficients alpha qui varient de . 62 a . 85 plaident en faveur de la fiabilite des scores a cette echelle. Toutefois, la validite de structure demeure problematique dans le sens ou les analyses factorielles realisees ne permettent pas de confirmer sa structure initiale. Ces resultats ont ete discutes a la lumiere de l’utilite du concept de reminiscence et de ses applications en psychogerontologie.
Continuous n-tuple classifier and its application to real-time face recognition

The continuous n-tuple classifier was recently proposed by the author as a new type of n-tuple classifier that is ideally suited to problems where the input is continuous or multi-level rather than binary. Results on a widely used face database show the continuous n-tuple classifier to be as accurate as any method reported in the literature, while having the advantages of speed and simplicity over other methods. The author summarises the previous work, provides new insight into how the system works and discusses its applicability to real-time face recognition.
A cadaveric study of coronary arteriesin Rayalaseema population of Andhra Pradesh

Introduction: Majority of the sudden cardiac deaths were due to anomalous origin and distribution of the coronary arteries. Aim: To study the arterial vascular pattern of the human heart by using dissection method in Rayalaseema population. Materials and Methods: A total of 80 human fresh heart specimens were obtained from the Department of Forensic Medicine, S.V. Medical College, Tirupati for the present study. Results: We have observed both the coronary arteries arising from single coronary ostia in 76 specimens whereas 4 heart specimens noted with coronary arteries originated from two ostia. Right and left dominance circulation was noted more in males than females. We have also observed double posterior interventricular branches arising from the right and left coronary arteries showing the balanced type of coronary circulation in 2 (Male-1; Female-1) hearts. Conclusion: Arterial pattern and its variations are important to prevent false interpretation of the arterial angiograms in management of coronary artery diseases.
INFORMATION & COMMUNICATIONS TECHNOLOGY IN EDUCATION | RESEARCH ARTICLE Counselling implications of teachers' digital competencies in the use of Social Networking Sites (SNSs) in the teaching-learning process in Calabar, Nigeria

1 * Abstract: The study investigated teachers' digital competencies in the use of Social Networking Sites (SNSs) in the teaching-learning process. It had five research questions and two hypotheses. Adopting a survey design, it used a sample of 250 teachers from 10 out of 16 secondary schools in Calabar Municipal Local Government. A researcher- developed instrument called Digital Competency Questionnaire (DCQ) was used in data gathering. The DCQ was validated by three experts, and its reliability was established to be 0.86. Findings of the study indicated that the levels of digital competencies of teach- ers in the use of SNSs and general usage of SNSs by teachers are moderate. It also revealed that the level of application of SNSs in the teaching-learning process is low. Results of the study also indicated significant differences in the level of digital compe- tencies in the use of SNSs based on gender; and in the level of application of SNSs in the teaching-learning process based on age category of teachers. Recommendations were made to the guidance counsellor to improve these levels and bridge the estab- lished gaps based on gender and age category of the teachers.