Miracle-dz/UniFAR-FTUs huggingface dataset:
Protein intake and the use of levodopa in patients with Parkinson's disease

La levodopa es el principal tratamiento farmacologico para la enfermedad de Parkinson, sin embargo, la proteina de la dieta puede comprometer su eficacia. El objetivo de este estudio fue investigar la ingesta de proteinas y el uso de la levodopa en pacientes con enfermedad de Parkinson tratados en regimen ambulatorio, 34 pacientes fueron evaluados. Evaluacion de la ingesta de alimentos por los registros, tomas de 1762 kcal/dia, 70.9 g/dia, el 16,6% del total de energia y 1.1 g/kg/dia de energia y proteina, respectivamente, y que la ingesta de proteinas durante el dia era 70,4% del total de proteinas diario. Todos los pacientes estaban tomando levodopa y 47,1% consumian sus medicamentos con las comidas. Se concluyo que, segun las recomendaciones para la enfermedad de Parkinson, los pacientes estudiados consumian una dieta rica en proteinas y con una mayor concentracion de este nutriente durante el dia. Aproximadamente la mitad de la muestra ingiere los medicamentos con la comida, costumbre que puede afectar el tratamiento farmacologico de la enfermedad.
Notes on the Teaching and Learning of Old-Time Fiddle

T his essay is a field report of sorts, offered with considerable qualification-or more precisely, lack of qualifications: I am not an enthnologist, a musicologist, or an ethnomusicologist. Even so, those in the field may find some value in considering the experience of an amateur musician who brought to a complex cultural and musical encounter some diverse experiences and much curiosity, but few explicit ethnomusicological assumptions and even less background in the issues alive in this field. This report arises from that exercise in humility that was the week-long beginning fiddle class within the 1985 Augusta Heritage Arts Workshop in Elkins, West Virginia, a broad program devoted to the survival of traditional Appalachian music, crafts, and values. The encounter involved a traditional American fiddler teaching beginning students from a variety of largely cosmopolitan backgrounds; it was thus an encounter on the uncertain border between traditional music and a mass-mediated, music-saturated, consumption-driven capitalist society from which come students drawn without always sensing why to very different sounds and the alternative cultural values they may carry. These will be notes and observations on how we were taught and why, how the lessons were variously received, resisted, and digested, and what the interaction suggests about the music and the musicians.
Umbilical cord blood acid‐base values in uncomplicated termvaginal breech deliveries

Background. This prospective study was conducted to compare the umbilical cord blood acid-base values of uncomplicated, assisted, vaginal-breech-delivery term neonates with those of uncomplicated, cephalic-vaginal delivery term neonates and to determine whether a different metabolic status should be expected in neonates born by way of uncomplicated vaginal breech delivery. Methods. Umbilical cord artery and vein blood samples were obtained from 30 term neonates with frank or complete breech presentations who were born by uncomplicated assisted vaginal breech delivery. All these neonates had an Apgar score of >7 at 5 min and an uneventful neonatal course (study group). For each neonate in the study group the two consecutive term neonates who were delivered by uncomplicated cephalic spontaneous vaginal delivery, and had uneventful neonatal courses, served as controls (control group). Results. The umbilical cord artery blood pH and pO 2 were significantly lower (p<0.001 and <0.01, respectively) and the pCO 2 was significantly higher (p<0.001) in newborns of the study group, compared to the controls. The umbilical cord vein blood pH was significantly lower (p<0.01), and the pCO 2 significantly higher (p<0.01) in the study group. Conclusions. The umbilical cord blood acid-base values of uncomplicated, vaginal-breech-delivery term neonates differ significantly from those of uncomplicated, cephalic-vaginal delivery neonates. These differences may represent a greater degree of acute cord compression that reflects the different mechanisms of labor in vaginal breech delivery.
The general use of tying in phoneme-based HMM speech recognisers

A method of manipulating sets of hidden Markov models (HMMs) by applying various kinds of parameter tying operations is described, the aim being to synthesize compact and robust context dependent models. The method is illustrated via an experiment to build a set of generalized triphone models for the TIMIT database in which triphones are constructed by joining together left and right dependent biphones. Although simple, the method results in good performance and avoids the need to train large numbers of triphones. The use of tying to increase model robustness is also investigated. Tying the center states within triphones of the same phoneme class and tying variances within states is beneficial, but larger-scale tying of variances leads to degraded performance. <<ETX>>
'Corpus Linguistics and Translation Studies: Implications and Applications'

The rise of corpus linguistics has serious implications for any discipline in which language plays a major role. This paper explores the impact that the availability of corpora is likely to have on the study of translation as an empirical phenomenon. It argues that the techniques and methodology developed in the field of corpus linguistics will have a direct impact on the emerging discipline of translation studies, particularly with respect to its theoretical and descriptive branches. The nature of this impact is discussed in some detail and brief reference is made to some of the applications of corpus techniques in the applied branch of the dis­ cipline.
Energy efficient transmitter design with compact antenna for future wireless communication systems

This thesis explores a novel technique for transceiver design in future wireless systems, which is cloud radio access networks (CRANs) with single radio frequency (RF) chain antennas at each remote radio head (RRH). This thesis seeks to make three contributions. Firstly, it proposes a novel algorithm to solve the oscillatory/unstable behaviour of electronically steerable parasitic array radiators (ESPAR) when it provides multi-antenna functionality with a single RF chain. This thesis formulates an optimization problem and derives closedform expressions when calculating the configuration of an ESPAR antenna (EA) for arbitrary signals transmission. This results in simplified processing at the transmitter. The results illustrate that the EA transmitter, when utilizing novel closed-form expressions, shows significant improvement over the performance of the EA transmitter without any pre-processing. It performs at nearly the same symbol error rate (SER) as standard multiple antenna systems. Secondly, this thesis illustrates how a practical peak power constraint can be put into an EA transceiver design. In an EA, all the antenna elements are fed centrally by a single power amplifier. This makes it more probable that during use, the power amplifier reaches maximum power during transmission. Considering limited power availability, this thesis proposes a new algorithm to achieve stable signal transmission. Thirdly, this thesis shows that an energy efficiency (EE) optimization problem can be formulated and solved in CRANs that deploy single RF chain antennas at RRHs. The closed-form expressions of the precoder and power allocation schemes to transmit desired signals are obtained to maximise EE for both single-user and multi-user systems. The results show that the CRANs with single RF chain antennas provide superior EE performance compared to the standard multiple antenna based systems.
Factors Associated with Preferences for Safe Drinking Water among Outpatients at Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia

Food and water borne diseases are resulted from consuming unsafe drinking water. However, a few states in Malaysia including Kelantan were reported to have low accessibility to treated water. The aim of this study was to assess the preference for safe drinking water and its associated factors among Hospital Universiti Sains Malaysia (HUSM) outpatient clinic attendees. A cross-sectional study was conducted from 1 st February 2011 to 30 th April 2011. A convenient sampling was applied and face to face interview was conducted by using a structured questionnaire. Those 18 years and above and literate were included as subjects. Results show that the proportion towards safe drinking water preferences was 30.4% (95% CI: 0.22, 0.39). Two significant associated factors for safe drinking water preferences were current used of drinking water source and household income status. People who currently used municipal water has 14.32 times odds to prefer safe drinking water than person who used other sources (95% CI: 4.08, 50.30, p <0.001). Those at low and middle income level were 0.23 (95% CI: 0.06, 0.84, p=0.027) and 0.11 (95% CI: 0.03, 0.47, p=0.003) times odds to prefer safe drinking water than those below poverty line consecutively. In conclusion, the proportion of safe drinking water preference among HUSM outpatient clinic attendees was low and associated with current drinking water source and income level. An effective public awareness campaign is needed to convince public toward municipal water supply in order to help reducing the incidence of food and water borne diseases.
Characteristics and Outcomes of Kidney Transplant Recipients with a Functioning Graft for More than 25 Years

Background: Information regarding the clinical characteristics and outcomes of kidney transplant recipients (KTRs) with > 25 years of graft survival is limited. Methods: In this single-center observational study, we characterized KTRs transplanted between 1973 and 1992 with active follow-up as of July 31, 2017. Results: We identified 112 patients with > 25 years of allograft function. The mean posttransplantation follow-up was 29.8 ± 4.0 years. Glomerulonephritis was the most common cause of end-stage renal disease (ESRD) (52%). The majority received live donor transplants (66%), including 25 patients (22%) with human leukocyte antigen-matched kidneys. The incidence of biopsy-confirmed acute rejection was 21%, ranging from 0 to 26 years post transplantation. Donor-specific antibodies (DSA) were checked in 80% of patients at a mean of 28.4 ± 0.11 years post transplantation. Of these, only 15% were positive. The incidence of malignancy was 44%, with nonmelanoma skin cancers being most common. The incidence of infectious complications was 77%, mostly represented by urinary tract infections. At the time of last follow-up, 63% were on a calcineurin inhibitor (CNI)-free regimen, mean serum creatinine was 1.4 ± 0.6 mg/dL, and the prevalence of hypertension and dyslipidemia was 89 and 88%, respectively. Conclusion: The majority of patients with a long-term functioning graft had glomerulonephritis as cause of ESRD, had received a live donor kidney, were on a CNI-free regimen, and had a low incidence of DSA and opportunistic infections. These characteristics define a unique group of patients requiring specific posttransplantation monitoring and management.
EQUITY IN HEALTH SERVICES

It is demonstrated that the increase in the use of physician and hospital services between 1963 and 1970 . had no impact on health indicators as measured by disability days. It is often argued from results like these that a comprehensive national health insurance scheme would be a misallocation of resources in the public sector, if the objective is to improve health levels. Rather, it is argued, it would be a wiser policy to allocate fewer resources to a comprehensive curing system and more to programs designed to inculcate healthful life styles. Life styles do not lend themselves easily to manipulated change, at least in the short haul. Public opinion will dictate that the health services delivery system will have to cope with the deleterious effects of prevailing life styles somehow. I do not believe there will ever be a puritanic majority who are so healthy and ascetic that they can legislate against a minority who are hedonistic and unhealthy. Differentiating between life style saints and sinners is then not a tenable public policy. National health insurance will be designed therefore to serve both the prudent and the profligate, a policy I would regard as equitable.
Breast Cancer Screening in Women with Hereditary or Familial Risk

markdownabstract__Abstract__ We estimated influence of tumor size and number of positive lymph nodes at breast cancer detection on survival in the current era of new system (neo) adjuvant therapies. We showed that early breast cancer detection remains of great influence. Relative 5-year survival was 96%. Early breast cancer detection is accomplished by screening. For women with BRCA1/2 mutation or familial risk breast cancer screening is a widely used and generally accepted effective secondary preventive measure. However, what the most optimal screening strategy is; method and frequency of screening, and appropriate age group, is under discussion. Furthermore, whether earlier breast cancer detection by screening translates in actual survival benefit in these women is until now unknown for this specific group. The Dutch multicenter MRI Screening Study (MRISC), that ran from 1999-2007, screened women with a familial risk or BRCA1/2 mutation with annual mammography and MRI. With 10 years of follow-up we have shown that early detection by mammography and MRI screening improves breast cancer specific distant metastasis free survival significantly. However, for women with familial MRI screening was not cost-effective because of the lower breast cancer incidence rate in these women. MRI screening is cost-effective for BRCA1/2 mutation carriers and is advised by most guidelines from 25-60 years. Sensitivity of MRI is much higher than of mammography and mammography at young ages can induce breast cancer, therefore there are growing doubts about the additional value of mammography screening next to MRI. In an international meta-analyses we demonstrated that additional mammography screening adds little for BRCA1 mutation carrier, but may still have an important role in breast cancer detection in BRCA2 mutation carriers. Above the age of 60 years less intensive screening is advised for BRCA1/2 mutation carriers in some guidelines worldwide, amongst which the Dutch guidelines. We show that more than 70% of 60 year old BRCA1/2 mutation carriers still has one or both breasts at risk, i.e. had not undergone therapeutic or risk-reducing bilateral mastectomy, with still a 20-30% risk of breast cancer. With biennial mammography twice as much breast cancers were detected in unfavorable stage (53%) in comparison with annual mammography screening. Therefore continuation of annual breast cancer screening of BRCA1/2 mutation carriers ≥60 is worthwhile, when life expectancy is good. The MRISC was a non-randomized trial. Furthermore, effect of breast density, that increases risk of breast cancer and decreases mammography sensitivity, was not taken into consideration. We describe the study protocol of the Dutch Familial MRI Screening Study (FaMRIsc), a randomized controlled trial with 12 participating hospitals, in which mammography and MRI screening are compared and influence of breast density is assessed. Results are expected in 2017.
RESPIRATORY SYSTEM MEDICATIONS IN PREGNANT WOMEN

Pregnant women suffer the same respiratory illnesses as non-pregnant women, but these conditions are complicated by the physiological alterations of pregnancy and these changes must be considered when evaluating pregnant patients. Respiratory diseases are an important cause of morbidity and mortality in pregnant women. Some of these diseases are unique to this period, whereas others are pre-existing conditions that might worsen or exacerbate. Certain lung diseases, such as asthma, are common in women of childbearing age, often affecting pregnant women. Early diagnosis and prompt management of pregnancy-specific disorders or other chronic disorders in a pregnant patient is crucial for optimal maternal and fetal outcomes. Normal pregnancy is associated with an increase in ventilation, mainly due to deeper but not more frequent breathing. Respiratory disorders need to be differentiated from this normal physiological state. If at any time during pregnancy the health of the mother or fetus would be compromised by failure to perform a radiological examination, it should be performed and every care taken to shield the fetus from scatter radiation. This article reviews the usage of the respiratory medications among pregnant women, also several important respiratory
Physician Profiling and Risk Adjustment

Of course, from childhood to forever, we are always thought to love reading. It is not only reading the lesson book but also reading everything good is the choice of getting new inspirations. Religion, sciences, politics, social, literature, and fictions will enrich you for not only one aspect. Having more aspects to know and understand will lead you become someone more precious. Yea, becoming precious can be situated with the presentation of how your knowledge much.
Optimizing incremental state-saving and restoration

Computer simulation is a valuable tool for the design and analysis of complex systems. However, the simulation of large complex systems such as, telecommunication, traffic, manufacturing, combat, training, ecological, engineering, and computer systems, can require massive resources in terms of processing times and memory. The parallel execution of such discrete event simulations offers the potential of substantially reducing this processing time. Optimistic synchronization has been proposed to exploit the inherent parallelism within systems and has been shown to be capable of impressive speedup through parallel execution. Two serious problems with optimistic methods have yet to be adequately resolved. The first is the saving, or logging, of model state information during forward execution, so that rollback to a previous state can be accomplished. The second problem is to solve the first in a way which is transparent to the programmer, i.e. that doesn't substantially complicate model development. This thesis examines these two key related problems, efficient state logging and transparency. A compiler based design for an incremental state saving and restoration mechanism is presented that addresses both of these problems. This design was evaluated using a real world telecommunication simulation that was developed over an 18 month period by an 8 person team who had little experience in parallel discrete event simulation. State logging overheads were demonstrated to be less than 15% of the forward computation cost for this telecommunication benchmark. The mechanism is also completely transparent to the simulation programmer. It is further argued that the compiler design not only solves the transparency problem of logging state in optimistic parallel discrete event simulation, but is also applicable to more general computation that requires support for rollback. These more general applications include: editors, fault-tolerant systems, transaction based systems, playback debuggers, versioning systems, and logic programming systems.
Effectiveness of a generic transition-oriented patient education program in a multicenter, prospective and controlled study

Abstract Objectives For young people (YP) with a chronic condition growing up is a challenging process. This stage of life is associated with a higher risk for non-adherence, insufficient disease control, acute deteriorations and irregular consultations. Patient education programs can support YP cope with the independent disease management and the transition into adulthood. However, there is a lack of transition-oriented patient education programs for most chronic conditions. In this study, an existing generic transition-oriented education program was expanded by a module for parents and evaluated in a multicenter study all over Germany. Methods YP with chronic conditions and their parents were quasi-randomized into a control group (CG) and an intervention group (IG). The IG took part in the 1.5-day standardized education program ModuS-T while the CG received treatment as usual. The education program was designed as a compact workshop in a group setting for youth (15–24 years) and their parents. The education program contained youth specific topics such as the transfer to adult care, the influence of disease on the daily life of YP, and other important issues like detachment from parents, occupational career, intimate relationships and family planning. The parent module dealt with the topics transition from child-centered to adult health services, and supporting children to become adults. The program focused on improving competencies relevant for transition and self-management skills of the families. Satisfaction with the program, transition-specific knowledge, transition competencies, patient activation and health-related quality of life (HRQoL) were measured at baseline and after 4 weeks. Results A total of 300 YP (overall mean age 17.6 years; 47% female; IG = 166, CG = 134) with 12 different conditions and their parents participated in 37 transition programs. The participants were highly satisfied with the program. The program significantly affected transition-specific knowledge, transition competence and patient activation (p < 0.001). There were no effects on HRQoL. Conclusion The generic transition-oriented education program empowers YP with chronic conditions and their parents in the transition process. Due to a modular approach, the program is successful in a variety of chronic conditions.
Integrating tactical and operational decisions in fixed job scheduling

Two different problems are introduced in this article to handle capacity and scheduling decisions simultaneously in the fixed job scheduling framework. The combined fixed job scheduling (CFJS) problem integrates these decisions assuming fixed costs for the usage of identical parallel machines, whereas the working time determination (WTD) problem involves unit-time operating or rental costs. Mathematical models for both problems are presented along with the worst case time complexities. While an exact polynomial-time algorithm is proposed for the CFJS problem, a heuristic algorithm is developed for the WTD problem as it is shown to be strongly NP hard. Computational experiments are carried out for evaluating the performance of the algorithms. The results reveal that the solutions by the exact algorithm for the CFJS problem are much faster than a state-of-the-art commercial solver, particularly for large instances. For the WTD problem, the developed heuristic provides high-quality solutions in very short computation times.
Parental Satisfaction with Marshall University Summer Enrichment Program Evaluation: Completers vs. Non-Completers

The purpose of this program evaluation was to determine if completion of the Marshall University Summer Enrichment Program (MUSEP) of 2011 had an effect on parent satisfaction. Parents of the students who attended the program answered survey questions pertaining to their satisfaction with the program, services they participated in during the program and reasons why, if they failed to complete the program. The results revealed completion of the program had no effect on parental satisfaction. Further analysis of the data revealed several reasons why students did not complete the MUSEP. The two most significant reasons were prior obligations and vacations.