Miracle-dz/UniFAR-FTUs huggingface dataset:
Effect of Training on the Knowledge and Use of the Partograph for Low Risk Pregnancies among Health Workers in a Tertiary Hospital in Lagos State, Nigeria

Background: Partogram use is important for early recognition of deviations in labour. This study assessed the effect of training on the knowledge and use of the partogram in low-risk pregnancy (LRP). Methods: This is an analytical before and after study at the Lagos University Teaching Hospital. Fifty-two health personnel who conduct deliveries in the labour ward were assessed before and after a training on the proper utilization of the partogram which used WHO recommendations on the integrated management of pregnancy and child birth. Comparison of knowledge and utilization of the partogram before and after the training was estimated using the chi square test. The level of significance was p<0.05. Results: Thirty-two (61.5%) of the respondents were resident doctors while 38.5% were midwives. Only 27% of them had had any formal training on partogram use in the three years preceding the intervention. Training significantly improved knowledge of the partogram by improving standard records for cervical dilatation, uterine contraction and fetal descent; reducing substandard records for uterine contraction and fetal descent and no records, (p=0.0001). Training only significantly affected the utilization of the partogram in reference to blood pressure readings. There was a significant increase in substandard records and a reduction in standard records, (p=0.001) Conclusion: Training improved knowledge, but not the use of the partogram by health workers. Greater emphasis should be placed on the use of the partogram in monitoring labour progress in women with low risk pregnancies. Correspondence to: Dr Osemen E. Okojie Department of Obstetrics and Gynaecology Lagos University Teaching Hospital, Idi-Araba, Lagos Email: dr.oeokojie@gmail.com Telephone: +2348023465743
THE LAW OF PEAK-HOUR EXPRESSWAY CONGESTION

This paper examines peak-hour traffic congestion and the nature of its relationship to traffic equilibrium theory as supported by Down's Law of Peak-Hour Traffic Congestion. This Law states that on urban commuter expressways, peak-hour traffic congestion rises to meet maximum capacity. A complex set of forces lie behind this Law, which are analyzed by presentation of a model of commuter decision-making and its underlying set of assumptions. Traffic equilibrium is further discussed and illustrated through 3 commuting scenarios or cases: 1) a city with automobile-driving commuters only; 2) a city with both automobile-driving and bus-riding commuters; and 3) a city with segregated track public transit and automobile-driving commuters.
Arthroscopic treatment for a chronic isolated avulsion fracture of the lesser tuberosity of the humerus: a case report

The patient was a 47-year-old man who worked as a sales representative. He presented with a history of falling down stairs two years previously, at which time he sustained trauma to the right shoulder. Since then, he had experienced pain and functional impairment, which he described as being unable to perform intimate hygiene or grab a wallet from his back trouser pocket and difficulty in using his arm when above shoulder height. The patient did not seek medical assistance at the time of the trauma because he did not have medical insurance and did not want to be treated in the public healthcare sector. Our initial physical examination showed a normal but painful range of movement; with positive tests for evaluate subscapularis tendon injury (e.g., bear-hug, Gerber, abdominal compression and lift-off tests). His DASH (Disabilities of the Arm, Shoulder and Hand) score was 60, his UCLA (University of California at Los Angeles) Shoulder Score was 16, his SF-36 (Short Form Health Survey) Score was 32.7 and his visual analog scale (VAS) score was 10. Shoulder x-rays revealed an avulsion fracture of the lesser tuberosity of the proximal humerus (Figure 1). Magnetic resonance imaging was done to support this, which confirmed the diagnosis of an isolated displaced fracture of the lesser tuberosity (Figure 2). Volume 2 Issue 1 2018
Low Level of HIV-2 Replication in Patients on Long-Term Antiretroviral Therapy in Togo

In West Africa, where HIV-2 infects up to 1-2 million people [1], antiretroviral therapy (ART) is becoming increasingly available and ART “scaling-up” programs proliferate. Significant numbers of HIV-2-infected individuals will have access to and will be treated with antiretroviral (ARV) drugs developed against HIV-1 infection [2]. However, HIV-2 is intrinsically resistant to the non-nucleoside reverse transcriptase inhibitors and to enfuvirtide, and reports suggest that HIV-2 may be partially resistant to some protease inhibitors (PIs) and has a low genetic barrier to nucleoside reverse-transcriptase inhibitor (NRTI) resistance [3-6].
Influence of Parental Feeding Attitude, Style and Environmental Factors on BMI among School Children

Obesity prevalence in Malaysia shown drastically increase from 15.1% in 2011 to 17.7% in 2015 with the population of Malaysian is 3.1 million. Many factors can lead to overweight and obesity among school children. The objective of this study is to examine the parental feeding attitude, style and environment factor influence on body mass index among overweight and obese school children. A cross-sectional study design was conducted. The result proved that majority of the overweight and obese children because of the negative attitude and poor practice by parents and poor environment surrounding them.
Intrigues of immunogenetics in tuberculosis pathology and management-focused researches that could impact outcomes in Nigerian populations

Tuberculosis remains one of the major global causes of mortality, accounting for about three million deaths per year [1] and regarded as the world’s worst killer infectious disease [2]. The disease outlook is further worsened by an increasing prevalence of multidrug-resistant strains of Mycobacterium tuberculosis, the global pandemic of HIV/AIDS (which increases susceptibility to tuberculosis) and the long period of chemotherapy required combined they make tuberculosis control to be very difficult to achieve. Global targets and milestones for reductions in the burden of TB disease in the period 2016-2035 have been set as part of the Sustainable Development Goals (SDGs) and WHO’s End TB Strategy. The first milestones of the End TB Strategy, set for 2020, are a 35% reduction in the absolute number of TB deaths and a 20% reduction in the TB incidence rate, compared with levels in 2015. To reach these milestones, the TB incidence rate needs to be falling by 4-5% per year globally by 2020 and the proportion of people with TB who die from the disease (the case fatality ratio or CFR) needs to be reduced to 10% globally by 2020.
Does WoW Change Everything?

Rather than simply identifying “emergence” as a prime property of massively multiplayer online game life, a better understanding of the complex nature of player-produced culture is needed. Life in game worlds is not exempt from forms of player-based regulation and control. Drawing on ethnographic and interview work within World of Warcraft, the author undertakes initial inquiries on this subject by looking at three areas: nationalism, age, and surveillance. This case study shows systems of stratification and control can arise from the bottom up and be implemented in not only everyday play culture but even player-produced modifications to the game system itself. Due to the ways these systems may simultaneously facilitate play, there is often an ambivalent dynamic at work. This piece also prompts some methodological considerations. By discussing field site choice, the author argues that context is of utmost importance and needs to be more thoughtfully foregrounded within game studies.
Resistance and aerobic training in the treatment of type 2 diabetes mellitus

Submit Manuscript | http://medcraveonline.com Abbreviations: 1RM: 1-Repetition Maximum; AE: Aerobic Training; ATP: Adenosine Triphosphate; CAT: Catalase; CB: Combined Training; DM: Diabetes Mellitus; DM2: Type 2 Diabetes Mellitus; FLI: Fatty Liver Index; FMD: Flow-Mediated Dilatation; GLUT4: Glucose Transporter Type 4; HbA1C: Glycated Hemoglobin; HDL-c: High Density Lipoprotein Cholesterol; HI: High intensity; HOMA-IR: Homeostatic Model Assessment of Insulin Resistance; HRMAX: Maximum Heart Rate; HRR: Heart Rate Reserve; IL6: Interleukin 6; INT: Interval training; LDL-c: Low Density Lipoprotein Cholesterol; LW: Low Intensity; NNOS: Neuronal Nitric Oxide Synthase; OGTT: Oral Glucose Tolerance Test; RT: Resistance Training; REHIT: Reduced-Exertion High-Intensity Interval training; SOD: Superoxide Dismutase; TNF-α: Tumor Necrosis Factor Alpha; TSH: Thyroid-Stimulating Hormone; VAI: Visceral Adiposity Index; VO2MAX: Maximum Oxygen Consumption; VO2PEAK: Peak Oxygen Consumption Introduction
The Mediating Role of Web User Satisfaction on Information Quality, Service Quality and the Effectiveness of Web-based Information System

Web-Based Management Information System (WBMIS) is mainly concerned with supporting management functions including decision making, performance management and cost reduction in order to provide an effective management for organizations at different levels. For this reason the assessment of WBMIS is highly needed to justify the IT investment in terms of its impacts on performance, and especially on the employee performance. It is important to highlight that a very little research has been conducted to assess the influence of the two critical factors including information and service quality on the employee performance. For this purpose, this study focuses on the assessment of the mediation effects of satisfaction on the relationship between quality factors and performance. A sample of a total of 128 respondents was gathered in a reasonable scale study in order to test the validity and reliability of the adapted instrument as well as test the significance of the mediation effect of user satisfaction. The results of multiple regression showed that there are significant relationships between study factors (information quality, service quality, user satisfaction and task performance). Furthermore, hierarchical regression test indicated that user satisfaction has a high significant mediation role between information, service quality and effectiveness in terms of performance (Sig. < 0.01). Therefore, as the quality of information and e-services increased, the satisfaction with WBMIS increased which in turn leads to increase in the employee performance.
Complicated Malaria - A Randomized Control Study Comparing the Efficacy of Quinine and Artesunate in Its Management in Western Rajasthan, India

Malarial infection, reported as early as 1570 BC from Egypt, still poses a diagnostic and therapeutic challenge in this modern antimicrobial era. It is one of the most important parasitic diseases of humans, affecting more than 1 billion people worldwide, causing more than 1 to 3 million deaths every year with prevalence in 103 countries [1]. India shares a large burden of this disease, especially drug resistant malaria [2].
Die Wertigkeit des gemeinsamen Faches Orthopädie-Unfallchirurgie im 2. Staatsexamen – Vergleich der schriftlichen 2. Staatsexamina mit dem Nationalen Kompetenzbasierten Lernzielkatalog Chirurgie

Zusammenfassung Hintergrund Der Nationale Kompetenzbasierte Lernzielkatalog Chirurgie (NKLC) definiert für jedes seiner 230 Lernziele eine Kompetenzebene von „Kompetenzebene 1: Faktenwissen“ bis zu „Kompetenzebene 3: selbstständiges Handeln“. Trotz des erwiesenen Einflusses von summativen Prüfungen auf das Lernverhalten von Studierenden bilden diese Lernziele nicht die Grundlage für das 2. Staatsexamen. Die vorliegende Studie untersucht, inwiefern die Prüfungsfragen des 2. Staatsexamens bereits die orthopädisch-unfallchirurgischen Lernziele des NKLC adressieren und welche thematische Schwerpunktsetzung hierbei erfolgt. Material und Methoden Es erfolgte eine retrospektive Analyse basierend auf den Examensfragen von Herbst (H) 2009 bis Herbst 2014 (n = 11). Zunächst wurden im NKLC durch 5 Ober- und Fachärzte die Lernziele aus den Bereichen Orthopädie und Unfallchirurgie identifiziert. Nachfolgend wurden aus den 11 untersuchten Staatsexamina die Fragen definiert, die sich auf die orthopädisch-unfallchirurgischen Lernziele bezogen. Analysiert wurden die Gesamtzahl der Fragen, die Anzahl der Fragen pro Examen sowie pro Lernziel und Kompetenzebene. Ergebnisse Insgesamt konnten 113 Lernziele des NKLC (entspricht 49,1% aller Lernziele des NKLC) dem Fach Orthopädie und Unfallchirurgie zugeordnet werden. Im Studienzeitraum adressierten 543 Fragen diese 113 Lernziele (entspricht 15,6% aller 3480 Fragen). Pro Examen konnten durchschnittlich 49,36 ± 14,1 (Min. 30; Max. 80) Fragen mit Bezug zu Orthopädie und Unfallchirurgie identifiziert werden. Insgesamt wurden 13,45 ± 6,39 (Min. 6; Max. 24) Fragen zu Lernzielen (LZ) der Kompetenzebene 3a und b, 21,45 ± 9,94 (Min. 9; Max. 39) Fragen zu LZ der Kompetenzebene 2 und 14,45 ± 6,36 (Min. 6; Max. 25) Fragen zu LZ der Kompetenzebene 1 gestellt. Die Mehrheit der Fragen adressierten „Erkrankungen des rheumatischen Formenkreises“ (n = 16 im Herbst 2009). Schlussfolgerung Die Anzahl der Fragen mit unfallchirurgisch-orthopädischem Schwerpunkt im 2. Staatsexamen erscheint in Relation zur Gesamtzahl aller gestellten Fragen ausreichend hoch. Allerdings liegt eine thematische Imbalance vor, und gerade klinisch wichtige Lernziele mit hoher Kompetenzebene werden nicht ausreichend häufig geprüft. Eine bessere Abstimmung der Staatsprüfung mit den Lernzielkatalogen ist erforderlich.
On the interplay of architecture and collaboration on software evolutjion and maintenance

With the growing popularity of globally distributed teams in software development, software architectures must be designed and maintained with an organizational perspective in mind. Software architects often decompose systems into modules that are intended to be developed and maintained independently and in parallel. However, prevailing techniques for modularizing software designs often rely on intuition and experience, leading to modules that are not guaranteed to be independent tasks. Even when a design is well modularized at the beginning, the software can evolve in ways that deviate from the designed modular structure—making tasks that are initially designed to be independent, not actually independent. We lack the theories, models, and tools to address these issues, and support the parallel development and maintenance of software. Therefore, our research objectives are to develop design-centric theories and models to: (1) facilitate modularity assessment in terms of task parallelism, and (2) to identify design problems that harm task parallelism. To reach these objectives, in this thesis, we contribute a design-centric framework for maximizing concurrent work in software development and maintenance. Specifically, we contribute: (1) a scalable formal model of generalized software dependencies, (2) a model for automatically identifying tasks that can be assigned for parallel development, (3) an approach for identifying and prioritizing modularity violations that degrade task parallelism, and (4) a theory that takes the temporal dimension of revision history into consideration for better supporting software modularity analysis in the context of software evolution.
Neonatal Ventilator-Associated Pneumonia: An Underdiagnosed Problem in the Neonatal Intensive Care Units

Ventilator-associated pneumonia (VAP) is a common and serious problem among mechanically ventilated neonates. It is the second most common hospital-acquired infection among pediatric and NICU patients [1]. The Centers for Disease Control and Prevention (CDC) defines ventilator-associated pneumonia (VAP) as an episode of pneumonia in a patient who requires a device to assist or control respiration through a tracheostomy or endotracheal tube within 48 hours before the onset of the infection [2]. It is associated with longer durations of ICU stay and high rates of morbidity and mortality. Unfortunately, few studies have focused on neonates, particularly those with a low or very low birth weight. The incidence of neonatal VAP is difficult to be correctly determined, because it is difficult to differentiate between new or progressive radiographic infiltrates due to neonatal pneumonia or due to exacerbation of bronchopulmonary dysplasia and frequent episodes of atelectasis.
Visualizing research: Crowd sourcing technology for global understanding

This research details the results of two pilot projects that explored the use of Image-based research and a new method of collecting visual data online. With visual culture and literacy as the pretext, new understandings of the visual-textual relationship in a global context were studied. Using Mechanical Turk, a crowdsourcing technology, requests for drawings and video analysis were submitted to a database where members selected and completed them. The results suggest a homogenizing effect on local and cultural interpretations of imagery could be taking place globally and further maintain that Image-based research should be the primary method for investigating and informing visual, media and digital literacies.
Effect and economic feasibility of preharvest spray of Calcium nitrate, Boric acid and Zinc sulphate on yield attributing characters of Nagpur mandarin (Citrus reticulata Blanco.)

Nagpur Mandarin (Citrus reticulata Blanco.) which occupies the first position among the citrus in India with respect to area and production. It is considered one of the most important loose skinned oranges being commercially grown in Nagpur region of Maharashtra, Mandsaur district of Madhya Pradesh and Jhalawar District of Rajasthan State. In India, citrus fruits occupies a prominent place and extensively grown as tropical and subtropical fruits after mango and banana. The Fruit of Nagpur Santra are subglobose, with average weight 110-125g, rind medium thick, fairly loosely adherent, surface is relatively smooth, segment 10-15 number and seeds 1-2 per segment, peel colour pale orange fruits quality good. The total production of mandarin in India is 34.31 lakh tonnes from an area of 330.0 thousand hectares with the productivity of 10.4 MT/ha. In Rajasthan mandarin covers 11.20 thousand hectares area producing 229.90 thousand MT with the productivity of 20.5 MT/ha.1 The mineral nutrients play an important role in the development and growth of new cells in plant metabolism. The Calcium salts are known to be involved in a number of physiological processes concerning membrane structure, function and enzymatic activity. The calcium, like that of all minerals, is still obscure, but it is important for cell division and cell wall development.2 Zinc (Zn) is an essential micro element for plants, being involved in many enzymatic reactions and is necessary for their good growth and development. Zinc improves the auxins content and it also acts as catalyst in oxidation-reduction processes.3 Boron is also a heavy metal micronutrient. It is absorbed by plant in the form of boric acid (H3BO3). It is essential for translocation of sugar; involved in reproduction of plants and germination of pollen grains.4 Since the demand of fruit is increasing in the market, thereby to achieve higher yield of good quality fruit become the priority. The application of mineral nutrients like calcium nitrate, boric acid and zinc sulphate are known to play a crucial role in growth, development of fruits. The present study will contribute to ascertain the physical and biochemical status of Nagpur mandarin fruits at harvest as influenced by preharvest spray of mineral nutrients, which may help in increasing the yield Nagpur mandarin. Hence, the present studies were undertaken under Rajasthan conditions especially in Jhalawar with the followings objectives: To study the effect of pre harvest spray of calcium nitrate, boric acid and zinc sulphate on yield attributing characters and to work out economic feasibility of Nagpur mandarin.
Interdisciplinary care for children with rare diseases

Children with chronic diseases require in many cases not only a continued care in health centers and hospitals, but also a particular attention in their schools. Then, in the different stages of education, teachers could have in their classrooms, at some point of their professional career, students with chronic diseases, which may be a rare diseases (RD). In general, illnesses tend to cause in children, among other consequences, school absenteeism, academic delays and the need to seek educational compensation mechanisms [1-3].
Mandibular Repositioning Appliance in the Treatment of Obstructive Sleep Apnea Syndrome-Mini Review

Submit Manuscript | http://medcraveonline.com airways simultaneously with respiratory effort during sleep leading to intermittent hypoxia and awakenings [1]. It is a chronic disease, progressive and incapacitating, responsible for high mortality rate and cardiovascular morbidity. Highly prevalent it affects about 30% of the adult population, being considered a public health problem [2,3]. Once the diagnosis is adequate and the presence of OSAS is confirmed, treatment should be started as soon as possible, seeking to restore the health and quality of life of this individual. Dentistry integrates the multidisciplinary team of treatment of the sleep disturbances through the mandibular repositioning appliance (MRA). This is a conservative, reversible and cost-effective treatment mode that is quite attractive to the patient. When properly indicated and well executed, MRA provides a treatment that can be considered effective, physiological and comfortable. The good acceptability and good results obtained with its use has attracted the attention of sleep specialists, and it has propelled the dentistry to develop not only an ideal apparatus but the capacity to act in an integral way in the treatment of OSAS. Therefore, it is important that the dentist who is a member of a multi-professional team focused on their treatment, has knowledge about differential diagnosis, pathophysiology of these disorders, possible treatment options, as well as understanding the mechanisms of action that should guide the indication of MRA. Obstructive Sleep Apnea Syndrome (OSAS)
AN EXPERIMENTAL STUDY ON HYPOTHYROID USING ROTATION FOREST

This paper majorly focuses on hypothyroid medical diseases caused by underactive thyroid glands. The dataset used for the study on hypothyroid is taken from UCI repository. Classification of this thyroid disease is a considerable task. An experimental study is carried out using rotation forest using features selection methods to achieve better accuracy. An important step to gain good accuracy is a pre- processing step, thus here two feature selection techniques are used. A filter method, Correlation features subset selection and wrappers method has helped in removing irrelevant as well as useless features from the data set. Fourteen different machine learning algorithms were tested on hypothyroid data set using rotation forest which successfully turned out giving positively improved results.