Miracle-dz/UniFAR-FTUs huggingface dataset:
Employing the patient-centered collaborative care approach: a case study ofcomplex geriatric patient with psychopathalogy of treatment resistantdepression and primary hyperparathyroidism.

Introduction: Primary hyperparathyroidism is a relatively common endocrine disease with many nonspecific physical symptoms as well as potentially serious psychiatric effects. The incidence of the illness, severity of symptoms, and poorer outcomes are all positively correlated with increasing patient age. The Patient Centered Collaborative Care Approach is a demonstrable method of coordinating patient care, reducing the burden on patient advocates, and improving patient outcomes. The use of the Patient Centered Collaborative Care Approach has not previously been well described in treatment of psychiatric manifestations of primary hyperparathyroidism. Methods: Using the example of an elderly woman admitted with complex psychopathology and a diagnosis of primary hyperparathyroidism, this case will illustrate the value of the Patient-Centered Collaborative Care Approach in (1) establishing accurate diagnoses, (2) reducing harm from comorbidities, (3) improving patient outcomes, (4) potentially reducing overall hospital costs. Results: The case exemplifies the potential benefits of implementing the Patient-Centered Collaborative Care Approach in the treatment of a medically complex patient hospitalized for psychiatric complaints. Conclusion: A diagnosis of Primary hyperparathyroidism (PHPT) was not immediately made due to variables confounding initial lab values to include significant dehydration and malnourishment prior to admission. A multidisciplinary team was employed in the treatment for this patient utilizing the Patient centered Collaborative Care Approach. This included the psychiatric treatment team, internal medicine, endocrine surgery, as well as significant family involvement. Parathyroid adenoma was confirmed mass was successfully removed surgically. The patient made a rapid and dramatic improvement and her depressive symptoms remitted. The critical importance of clinical flexibility, questioning available data, and a collaborative team approach to the evolution of a diagnosis is discussed.
A Viewpoint on : Ideal Negative Measurements in Quantum Walks Disprove Theories Based on Classical Trajectories

Everyday experience tells us that big objects—eggs and humans—do not appear to exist in a superposition of states like that possible for more quantum objects, such as electrons. Does this mean quantum physics fundamentally doesn’t apply to objects beyond a certain size? A new experiment that allows the motion of a large atom in an optical lattice to be tracked could help in the search for a size cutoff. Using this setup, Carsten Robens at the University of Bonn, Germany, and his colleagues demonstrated that a cesium atom travels in a truly nonclassical fashion, moving as a quantum superposition of states and thus occupying more than one distinct location at a time [1]. Larger objects have been observed to have such inherently quantum properties, but the observation of Robens et al. is based on a stringent test considered to be the gold standard for confirming that a superposition exists. As such, their experiment constrains theories of physics that aim to replace quantum mechanics. Their technique could also be used to test superpositions on even more macroscopic scales, such as with larger atoms or molecules.
Home range, movements, and habitat use of the European pond turtle (Emys orbicularis) in the Rhône-Alpes region, France

The European pond turtle (Emys orbicularis) is considered as an umbrella species for nature conservation. Its biological cycle requires the conservation of both aquatic and terrestrial habitats. In order to design efficient management actions for an endangered species a solid knowledge of the biological and ecological requirements is needed. To achieve this objective, the population parameters, movement pattern and home range size were estimated for a wild population in the French department Isere, inhabiting areas of mixed natural and agricultural habitat. We monitored 10 males and 10 females using radiotelemetry. We also trapped turtles to obtain additional data on population structure (450 capture events in 2000 and 2001). We present evidence of a seasonal pattern in the habitat use of the European pond turtle (overwintering, growth, foraging and nesting sites) in the study area and underline the importance of determining habitat types. Our results highlight the importance of large-scale protection of mixed habitats for Central European pond turtle populations. Linking aquatic habitats and nesting sites is crucial for the survival of populations under human environmental pressure.
Becoming a Carer for an Elderly Person after Discharge from an Acute Hospital Admission

Objective: To describe the perceptions of people taking on a new or expanded caring role for an elderly patient recently hospitalised with a new or intensified health problem. Design: Observational study collecting qualitative data monthly for six months following patients’ discharge from hospital and attempted return to independent living in the community. Setting: Four South Australian acute hospitals (one metropolitan, three country). Subjects: 34 unpaid carers were nominated by 100 patients. 24 carers participated (17 elderly spouses, 3 younger family members, 4 neighbours and/ or friends). Results: The study highlighted carers’ perceptions of being unprepared for their new tasks, and their frustrations at the long-term and frequently significant changes to their lives brought about by assuming a caring role. Many carers felt their role had been imposed upon them without real choice, and that their own physical and emotional fitness for their new role had not been considered during discharge planning. Carers claimed to have been provided with little information about how to care for the patient, particularly when community services were seldom provided in the first week after discharge. Stresses developed in many of the carerpatient relationships, and patient and carer morale was often low for months post-discharge. Discussion: Carers indicated that their tasks could have been made easier by more timely, targeted education about their patient’s condition and their role in managing it. They would have liked greater inclusion in discharge planning processes whilst the patient was in hospital, and more timely and appropriate provision of post-discharg e services that were patient- and carer-focused, and which addressed their ability to live independently in the community. Conclusion: Discharge planning systems should take greater account of the motivation and needs of carers, especially when this role is new or becoming expanded, and of the barriers they face in undertaking their role.
An elastohydrodynamic coupled problem between a piezoviscous Reynolds equation and a hinged plate model

Le contact elastohydrodynamique dans un palier avec coussinet mince et elastique est un probleme couple qui n'est pas tres bien connu dans la theorie de la lubrification. Ce travail traite de l'existence de solution d'un modele mathematique du mouvement d'un film mince de fluide piezovisqueux qui se deplace entre le coussinet elastique et l'axe rigide. La pression hydrodynamique du fluide verifie l'equation de Reynolds avec un modele de frontiere libre du type Elrod-Adams pour la cavitation et la loi de piezoviscosite de Barus. La deformation est prise en compte par une equation biharmonique des plaques (hinged plate model) ou la pression du fluide represente une force exterieure. Ces deformations modifient l'epaisseur du film d'une facon directe et alors il faut ajouter une nouvelle non-linearite a celles dues a la piezoviscosite et a la frontiere libre. Finalement, un algorithme iteratif qui decouple les parties hydrodynamiques et elastiques du probleme est propose. La methode utilise des techniques decentrees et des approximations d'elements finis pour la discretisation du probleme de depart.
Towards a Better Specification of the Store Environment Stimulus: An Augmented Stimulus-Organism-Response (SOR) Model That Captures Brand Expressiveness

This paper proposes an augmented SOR model which facilitates design/architect practitioners when they review store concepts. The paper contributes to the knowledge base of designers/architects when making deliberate brand expressions in development of the store environment. The global nature of the SOR model, it is argued, does not allow for discrimination between consumer interpretations of store brands; nor does it propose a realistic means of engaging design-architect practitioners at the concept proofing stage of development. This conceptual paper argues that retail branding studies benefit from inclusion of more flexible frameworks founded on separable and integral design-architecture and brand communicative elements.
Does Grit Influence Sport-Specific Engagement and Perceptual-Cognitive Expertise in Elite Youth Soccer?

We examined whether soccer players who score low and high on the personality trait grit can be differentiated based on their sport-specific engagement and perceptual-cognitive expertise. Findings revealed that grittier players accumulated significantly more time in sport-specific activities including competition, training, play, and indirect involvement. Moreover, there was a significant main effect for performance on the perceptual-cognitive skills tests across groups, with grittier players performing better than less gritty players on the assessments of decision making and situational probability. The findings are the first to demonstrate a potential link between grit, sport-specific engagement, and perceptual-cognitive expertise.
Self-reported prevalence of heart attacks and strokes in Jamaica: a cross-sectional study. The Jamaica Health and Lifestyle Survey 2007–2008

Correspondence: Trevor s Ferguson epidemiology Research Unit, Tropical Medicine Research institute, The University of the West indies, Mona, Kingston, Jamaica Tel +1 876 9272471 Fax +1 876 9272984 email trevor.ferguson02@uwimona.edu. jm Purpose: Although heart attacks and strokes are among the three leading causes of death in Jamaica, their prevalence among Jamaican adults is not known. This study aims to estimate the prevalence of these conditions and their association with known cardiovascular disease (CVD) risk factors, including age, hypertension, diabetes, overweight/obesity, and hypercholesterolemia. Participants and methods: A national survey of 2848 Jamaicans aged 15–74 years was performed between 2007 and 2008. An interviewer-administered questionnaire was used to collect data on demographic characteristics, educational achievement, medication history, and social habits, including smoking and alcohol use. Participants were specifically asked whether they had been diagnosed with a heart attack or stroke. Blood pressure, anthropometry, fasting glucose, and total cholesterol were measured by the trained interviewers. Heart attack and stoke prevalence estimates were adjusted for the complex survey design and the age and sex distribution of the Jamaican population. Results: The estimated prevalence of heart attacks was 0.7% (95% confidence interval [CI] 0.4%–1.2%) (0.9% for men; 0.4% for women) and of strokes was 1.4% (CI 1.0%–1.9%) (1.2% for men; 1.5% for women) with no significant sex differences. The prevalence of reported heart attacks increased with age and was more common in those with hypercholesterolemia. The prevalence of strokes was highest among people aged 55–74 years; those with primary education only; those with hypertension, diabetes, or hypercholesterolemia; former smokers; and former drinkers. In multivariable logistic regression models adjusted for age, sex, and body mass index (BMI), reported heart attacks were higher in men, older participants, and those with secondary education and lower in current drinkers. In similar models, strokes were positively associated with diabetes, hypercholesterolemia, and past alcohol use, after adjusting for age, sex, and BMI. Conclusion: The overall prevalence of self-reported heart attacks and strokes is low in Jamaica but higher among people with CVD risk factors.
Effect of Spice Treatment on the Quality of Solar Dried African Catfish, Clarias Gariepinus (Burchell, 1822) In Sokoto, Nigeria

An experiment was conducted to determine the efficiency of garlic and ginger spice mixtures at 0%, 1%, 2%, and3% levels (per gram of fish) in retarding lipid oxidation on the proximate composition, Total Volatile Bases Nitrogen, Microbial level and organoleptic quality of solar dried catfish ( Clarias gariepinus) in Sokoto, Nigeria. Fresh fish samples were purchased and washed thoroughly to remove sand and slime; they were humanely killed and eviscerated. Muscles of bigger fish were silt and dipped in 15% brine for 10 minutes. They were then divided into four batches S0 S1, S2, and S3 (replicated three times) representing un-spiced, 1% spiced, 2% spiced, and 3% spiced respectively then Solar dried at 45 °C for 6 days, cooled, stored at room temperature (26°C -32°C) for 5 weeks and used for proximate analysis, Total Volatile Bases Nitrogen, microbial and sensory evaluation analysis. Untreated samples served as control treatment. The results of this research indicated that samples treated with garlic and ginger mixtures (1:1 ratio) were microbiologically more stable than the control samples as these had longer shelf-life and were not covered by visible mouldy mass of mycelium during the five week storage period. The anti-oxidant activity of garlic, or garlic and ginger spice mixtures was evident from lower Total Volatile Bases Nitrogen (TVBN) values of treated samples relative to untreated (control) samples. Results of sensory evaluation showed a general preference for spice-treated samples. In conclusion, ginger and garlic, two abundant spices in this geographical zone, when combined, as paste, in solar dried Clarias gariepinus exhibit anti-oxidant and anti-fungal properties especially at 3% (per weight of fish). It is therefore recommended that in preservation of fish, 3 percent ginger and garlic mixture in addition to salting should be used to prevent fish spoilage.
Macroeconomic Policies and Poverty Reduction in Malawi: Can we Infer from Panel Data

Malawi is one of the early adopters of structural adjustment reforms in which various macroeconomic policies have been implemented since 1981. In spite of the many reforms Malawi remains one of the poorest nations and about 65 percent of the population live below the poverty line. This study exploits recent household panel data between 1998 and 2002 to infer macroeconomic policies that can effectively reduce poverty. The results reveal that macroeconomic policies that facilitate the redistribution of land, creation of salaried employment opportunities and accumulation of assets have the greatest potential in reducing poverty in rural Malawi. Although, trade policies have been actively pursued in Malawi, the rural poor have not benefited from trade liberalisation and falling agricultural prices reduced the probability of the poor to escape poverty.
Projecting the release of carbon from permafrost soils using a perturbed parameter ensemble modelling approach

Abstract. The soils of the northern hemispheric permafrost region are estimated to contain 1100 to 1500 Pg of carbon. A substantial fraction of this carbon has been frozen and therefore protected from microbial decay for millennia. As anthropogenic climate warming progresses much of this permafrost is expected to thaw. Here we conduct perturbed model experiments on a climate model of intermediate complexity, with an improved permafrost carbon module, to estimate with formal uncertainty bounds the release of carbon from permafrost soils by the year 2100 and 2300 CE. We estimate that by year 2100 the permafrost region may release between 56 (13 to 118) Pg C under Representative Concentration Pathway (RCP) 2.6 and 102 (27 to 199) Pg C under RCP 8.5, with substantially more to be released under each scenario by the year 2300. Our analysis suggests that the two parameters that contribute most to the uncertainty in the release of carbon from permafrost soils are the size of the non-passive fraction of the permafrost carbon pool and the equilibrium climate sensitivity. A subset of 25 model variants are integrated 8000 years into the future under continued RCP forcing. Under the moderate RCP 4.5 forcing a remnant near-surface permafrost region persists in the high Arctic, eventually developing a new permafrost carbon pool. Overall our simulations suggest that the permafrost carbon cycle feedback to climate change will make a significant contribution to climate change over the next centuries and millennia, releasing a quantity of carbon 3 to 54 % of the cumulative anthropogenic total.
Preparation of pellets containing highly soluble drug by extrusion/spheronisation and coating with Kollicoat® SR 30D

The aim of this study was to prepare and evaluate the pellets, containing a highly soluble drug (ascorbic acid), by the extrusion-spheronization process and coated with a release controlling polymer. The coating (undertaken in a fluid bed) was applied to three batches of the pellets with a dispersion of Kollicoat® SR 30 D, with each batch of pellets receiving a different level of polymer (5.07; 8.26 and 10.35%). The coated pellets were evaluated for sphericity by imaging analysis and comparative dissolution profile with a product commercially available in Brazil. All of the evaluated samples presented adequate physical properties and the dissolution profile of those coated with 5.07% of polymer proved to be similar to that of the commercially available brand name.
'Lean' as an Antidote to Labour Cost Escalation on Complex Mechanical and Electrical Projects

This paper represents “work-in-progress” as part of a collaborative research project being undertaken at the Centre for Innovative Construction Engineering for an Engineering Doctorate at Loughborough University, UK. The programme is funded by the EPSRC and is sponsored by a major UK mechanical and electrical contractor (the company). The project will have specific objectives, which will be capable of making a significant contribution to the performance of the company. That is, the tasks will benefit the company whether or not the Engineering Doctorate was being undertaken. It will not be a “student” project, which has only been selected to keep the research engineer busy, nor will the tasks be at the margin of the company’s interest. In the mechanical and electrical (M&E) sector in the UK, labour cost is one of the largest variables which can have a direct influence on the financial outcome of a project. Actual labour cost incurred has a dependency upon the productivity achieved on site, which in turn is dependant upon the conditions that prevail on that site. For a major UK M&E contractor, labour cost has escalated to such an extent that margin slippage has occurred. Margin slippage can be defined as the negative variation between the expected margin (gross profit) for a project when acquired, and the final margin when the project is finished. Consequentially, the company, as part of a performance improvement initiative, have the objective of developing lean techniques to overcome the causes of the cost escalation—poor productivity, and see this research project and implementing lean as a result of it, as a vehicle to deliver the improvement. This paper will propose that lean techniques, when imposed upon a project, can be an antidote to the causes of poor productivity, and therefore prevent labour cost escalation, along with its impact on the project’s final profitability. These lean techniques, known as “interventions”, are applied to a case study project with positive results in terms final labour cost and margin.
Heterogeneity of the Link between Depression and Self-Esteem Based on Race

Article type: Original Article Background: Although the association between major depressive disorder (MDD) and low self-esteem is well established, we do not know if race and ethnicity modify the magnitude of this link. Objectives: Using a nationally representative sample of adults in the United States, we explored whether or not race alters the association between MDD and self-esteem. Materials and Methods: Data came from the National Survey of American Life (NSAL), a nationally representative household survey with 3,570 African Americans (Blacks) and 891 Non-Hispanic Whites. Low self-esteem (Rosenberg Self-Esteem Scale) was the dependent variable, MDD (Composite International Diagnostic Interview) was the independent variables, gender, age and educational level were controls, and race was the focal moderator. Logistic regressions were used for data analysis. Results: In the pooled sample, MDD and low self-esteem showed reciprocal associations, above and beyond all covariates. Our model showed significant interaction between race and MDD, suggesting a stronger association between MDD and self-esteem among Blacks compared to Whites. We could find such interactions among men but not women. Conclusion: Depression and low self-esteem are more strongly linked among Blacks than Whites, particularly among men. It is not clear whether depression leaves a larger scar on self-esteem for Blacks or that Blacks are more vulnerable to the effect of low self-esteem on depression.
Long-term observation of the atmospheric exchange of CO 2 with a temperate deciduous forest in southern Ontario , Canada

This paper reports the results of the analysis of eddy covariance CO2 data obtained at a successional forest of maple and aspen at Camp Borden in southern Ontario, Canada, between July 1995 and December 1997. Main findings are (1) The Michaelis-Menton model explains . 50–65% of the observed variance of the daytime net ecosystem carbon exchange (NEE) during the growing season; leaf wetness appears to be an important variable contributing to the remaining variance. (2) The whole-ecosystem respiration rate as a function of the 5-cm soil temperature shows a seasonal “hysteresis” (higher rate in the later part of the year), suggesting a nonnegligible contribution by deep soil/roots and the influence of litter age. (3) There is evidence of photosynthetic activities immediately after the spring snowmelt/soil warming, but the daily NEE did not switch sign till about 40 days later; our best estimates of the annual net carbon uptake by the ecosystem (net ecosystem production (NEP)) are 21.0, 21.2, and 22.8 t C ha yr for the periods July 19, 1995, to July 18, 1996, January 1 to December 31, 1996, and January 1 to December 31, 1997, respectively, with an uncertainty of 60.4 t C ha yr. (4) The higher NEP value in 1997 than in 1996 was caused by lower growing season soil temperature, cooler spring and fall transitional periods, and higher photon flux in 1997; possible enhancement in canopy photosynthetic capacity may also have played a role. In addition, three main sources of uncertainties, data gap, fetch, and mass flow, are discussed. It is suggested that collective use of the methods available for assessing the whole-ecosystem respiration (friction velocity threshold, mass flow theory, and dark respiration from the forest light response) may increase the confidence level of NEP estimates.