Miracle-dz/UniFAR-FTUs huggingface dataset:
Factors Affecting the Utilization of Outpatient Health Services and Importance of Health Insurance

Background: Research on the utilization of health services provides an opportunity to identify and determine the quantity and quality of factors, which can facilitate or debilitate access to services. Policymakers believe that factors aﬀecting the use of health services should be quantiﬁed in order to allocate further resources to indicators, which can help reduce inequalities. This study aimedtoinvestigatefactorsaﬀectingtheutilizationof outpatientservicesandtodeterminetheeﬀectof healthinsuranceonﬁnan-cial support for individuals. Methods: The present study included all Iranian households, which had been recruited by the Statistical Center of Iran in 2012 -2013. The data were analyzed in 2 logit models and divided into urban and rural areas. Results: According to the results, basic and full insurance coverage was the main factor, inﬂuencing the utilization of outpatient healthservices. Furthermore,agecompositionof householdsaﬀectedtheirutilizationof theseservices. Moreprecisely,households withmoremembersaged< 5or> 65yearstendedtouseoutpatientservicesmorefrequently. Inaddition, householdswithfemale headsandthosefromhigherdecilegroupsweremorelikelytouseoutpatientservices. Onthecontrary,educationallevelandhouse-hold size had negative eﬀects on demand for outpatient health services. Conclusions: Based on the results, there was a signiﬁcant association between social and economic status and utilization of outpatient services. For decreasing the observed inequalities, policymakers should pay particular attention to households with low incomeandmembersaged< 5or> 65yearsandprovideaccesstohealthservicesforthesegroups(eg,accesstofamilyphysicians).
Multi-Objective Online Ride-Matching

We study the following multi-period multi-objective online ride-matching problem. A ride-sourcing platform needs to match passengers and drivers in real time without observing future information, considering multiple objectives such as platform revenue, pick-up distance, and service quality. We develop an efficient online matching policy that adaptively balances the trade-offs among multiple objectives in a dynamic setting, and provide theoretical performance guarantee for the policy. We prove that the proposed adaptive matching policy can achieve a “target-based optimal solution”, i.e., a solution that minimizes the Euclidean distance to any pre-determined multi-objective target. Specifically, the outcome under our policy converges to the “compromise solution” if we set the utopia point as the target. Through numerical experiments and industrial testing using real data from a ride-sourcing platform, we demonstrate that our approach indeed obtains solutions that are closest to the pre-determined targets under various settings, in comparison to existing approaches. The policy presents solutions with delicate balance among multiple objectives and brings value to all the stakeholders in the ride-sourcing ecosystem comparing to benchmark policies: (1) drivers with higher service scores are dispatched with more orders and receive higher incomes; (2) passengers are more likely to be served by drivers with higher service scores, and passengers with higher order revenues are served with higher answer rates, at the expense of a small increase in pick-up distance; (3) the platform obtains a higher total revenue.
EVALUATION OF HISTOPATHOLOGY AND BIOLOGIC MARKERS IN PREMENOPAUSAL (UNDER 40 YEARS) AND POSTMENOPAUSAL (OVER 60 YEARS) WOMEN WITH BREAST CANCER IN HAZRAT-E-RASOUL AND ATIEH HOSPITALS

Background & Aim: Breast carcinoma is the most common malignant tumor and the leading cause of carcinoma death in women.One of the factors which have been proposed in prognosis and treatment of breast carcinoma is hormonal status and hormonal receptors. In this study, we investigated histopathology(prognostic factors) and biologic markers(estrogen receptor ER, progesterone receptor PR, P53, HER2/neu and Ki-67) in premenopausal(under 40 years) and postmenopausal(over 60 years) patients with breast cancer who were admitted to Hazrat-e-Rasoul and Atieh hospitals in Tehran. Patients and Method: This analytical cross-sectional study involved 60 cases of premenopausal breast cancer and 57 cases of postmenopausal breast cancer. Immunohistochemistry (IHC) staining was done for ER, PR, P53, HER2/neu and Ki-67 and the results were evaluated by an expert pathologist. All histopathologic data were gathered. The results were analyzed by SPSS v.12 software, Students' t-test, and Chi-square test. Results : There were no significant differences between tumor size, lymph node, histologic grade, stage, ER, PR and HER2/neu in both groups. Ki-67 was high in premenopausal group, but not significant. P53 incidence was significantly higher in premenopausal group (Chi2 value=4.35, P=0.037). Conclusion : This study did not prove the differences in histopathologic factors between pre and post menopausal groups of breast cancer. Hormone dependency of this cancer did not show any significant difference between those two groups. HER2/neu is an independent prognostic factor in cancer outcome prediction. High incidence of Ki-67 and significantly high incidence of P53 in premenopausal patients with breast cancer may reflect some etiologic differences between early and late onset of breast cancer.
Commentary to ‘Could serum cytokines serve as predictors in outcome of thermal burn injuries’

de Bandt et al. measured the plasma levels of IL-1b, TNFa and IL-6 in 12 patients with burns from day 2 to day 21 post-burn. Il-6 levels were increased in all patients throughout the study period, peaking on day 4 and correlated with burn injury size (P < 0.01). TNFa was also elevated, being significantly higher on day 7 in patients who developed sepsis (P < 0.05), but did not correlate with the extent of burn injury. IL-1b was rarely detected in their study.
Efficacy of arthrocentesis with injection of hyaluronic acid in the treatment of internal derangement of temporomandibular joint

Background: Temporomandibular joint disorders refer to a group of heterogeneous pain and dysfunction conditions involving the masticatory system, reducing life quality of the sufferers. Arthrocentesis is simple and less invasive surgical procedure for the treatment of internal derangement than arthroscopy and better than other conservative procedures such as drugs, occlusal appliances and physiotherapy. The aim of the study was to evaluate the effect of arthrocentesis with injection of hyaluronic acid in the treatment of internal derangement of temporomandibular joint for the restoration of its function, reducing pain and preventing further deterioration of the temporomandibular joint dysfunction. Materials and methods: This study was performed in Al-Sheed Ghazi Al-Hariri Hospital, Department of Oral and Maxillofacial Surgery, from November 2012 to October 2013, included 60 patients, aged 18 to 45 years with symptoms of temporomandibular joint pain, clicking during function and limited mouth opening. Temporomandibular joint internal derangement was assessed with clinical examination and confirmed with computed tomography scan. Arthrocentesis was done with insertion of two 18 gauge needles in the upper joint compartment, lavaged with ringer’s lactate solution and at the end of the procedure 1ml of hyaluronic acid was injected. Intensity of temporomandibular joint pain was assessed using visual analog scale, maximum mouth opening was assessed with ruler scale and joint clicking was assessed clinically by stethoscope and manual palpation. All the parameters were measured before the procedure then 1 and 3 months later. Results: During 4 months follow-up, clinical examination and comparison of the results showed reduction in pain with success rate 95%, improvement in mouth opening with success rate 100% and clicking disappeared in 95% of patients. Conclusion: The technique of arthrocentesis using Sodium Hyaluronate injection, used in patients who presented with internal derangement, showed therapeutic benefits, simplicity, safety, patients acceptance of the technique and lack of significant side effects and complications.
Knowledge and Skills Needed by Instructional Designers in Higher Education

In this paper, we sought to address the following research question: What knowledge and skills are needed by instructional designers in higher education to be successful in their roles? We interviewed eight instructional designers from across the United States, all working for institutions of higher education. Using the constant comparative method, we analyzed our data to identify relevant themes. Our results suggest that instructional designers in higher education must have a solid foundation in instructional design and learning theory, possess soft skills and technical skills, and have a willingness to learn on the job. Most instructional designers felt their academic backgrounds assisted them with their job roles, and, in particular, valued their professional experiences. Instructional designers in higher education must also keep abreast of multiple emerging information and communication technologies. We provide a discussion to synthesize our findings. The findings are relevant to professionals, professional academic programs, and professional associations.
European Position Paper on Rhinosinusitis and Nasal Polyps 2020.

The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012. The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 such as paediatric CRS and sinus surgery. EPOS2020 also involves new stakeholders, including pharmacists and patients, and addresses new target users who have become more involved in the management and treatment of rhinosinusitis since the publication of the last EPOS document, including pharmacists, nurses, specialised care givers and indeed patients themselves, who employ increasing self-management of their condition using over the counter treatments. The document provides suggestions for future research in this area and offers updated guidance for definitions and outcome measurements in research in different settings. EPOS2020 contains chapters on definitions and classification where we have defined a large number of terms and indicated preferred terms. A new classification of CRS into primary and secondary CRS and further division into localized and diffuse disease, based on anatomic distribution is proposed. There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of facial pain, allergic rhinitis, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis and the relationship between upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are totally rewritten. All available evidence for the management of acute rhinosinusitis and chronic rhinosinusitis with or without nasal polyps in adults and children is systematically reviewed and integrated care pathways based on the evidence are proposed. Despite considerable increases in the amount of quality publications in recent years, a large number of practical clinical questions remain. It was agreed that the best way to address these was to conduct a Delphi exercise . The results have been integrated into the respective sections. Last but not least, advice for patients and pharmacists and a new list of research needs are included. The full document can be downloaded for free on the website of this journal: http://www.rhinologyjournal. com.
Contemporary solutions for managing Class III malocclusion

Although patients with Class III malocclusions constitute a small percentage of the average orthodontic practice, providing them with optimal treatment is a daunting task. The treatment approach is dependent upon the growth status of the individual and the severity of the skeletal dysplasia. For growing individuals, facemask therapy to protract the maxilla is ineffective because of its dependence on dental anchorage to bring forth skeletal correction. Orthodontic camouflage in nongrowing mild skeletal Class III individuals is met with limited success because of the anatomical boundaries and the conventional biomechanics. Orthognathic surgery to correct the maxillomandibular relations is time-consuming, and the facial esthetics is compromised during the orthodontic decompensation period. Contemporary solutions to overcome these limitations are now viable with the use of temporary anchorage devices and by performing surgery prior to orthodontic decompensation. The rationale for employing these contemporary approaches will be discussed in this study with illustrative cases.
Development of Meharry Medical College Prostate Cancer Research Program

Abstract : There is substantial urology, oncology, epidemiology, nutrition and other expertise at Meharry and Vanderbilt addressing issues related to prostate cancer (PCa) disparity among African-American (AA) men, and the six program new/junior minority investigators have maintained partnerships with VU mentors, and established viable community network ties. Dr. Ukoli has recruited 105 participants into the lycopene study, sent 192 stored plasma samples for lycopene analysis, and received a DHHS 2-year funding for prostate cancer education intervention among low-income AAs. Dr. Washington recruited 200 participants into the PCa health care seeking behavior study, is now analyzing the data, and preparing a full grant proposal. Dr. Stewart completed her pilot project, received independent funding to continue her PCa cell line studies, two of her students received pre-doctoral awards, and will apply for a CTSA grant for DNA extraction/genotyping to investigate genetic polymorphisms in PCa risk using 300 AA and Nigerians samples storedby Dr. Ukoli. Dr. Ogunkua's work continues to grow; he has now dosed/sacrificed 60 mice recording data at all time-points, and submitted one R21. Dr. Taher is revising his DOD career development grant that scored 2.5, presented two posters, and currently working on a manuscript with the PI.
Personality and Learning Styles of Final-Year Medical Students and the Impact of these Variables on Medical Specialty Choices

Objective: Medical student profile is changing on campuses today and there is a much greater variation in the range of personality type and learning style preferences to be considered. In this study it is aimed to determine the learning styles of medical school students at Gazi University and to find out whether there is any relationship between students’ personality types, learning style preferences and their medical specialty choices. Methods: The study was conducted on 170 final year students (96.6%) at the Gazi University School of Medicine in the 2011-2012 academic year . The authors used Myers-Briggs Type Indicator (MBTI) to determine the personality traits and Grasha Riechmann Student Learning Style Scale (GRSLSS) to establish the learning styles. Results: During the study, 91.8% of the students declared that they wanted to be a specialist and 4.1% wanted to be a general practitioner in the near future. Most preferred specialty appeared to be dermatology (11.2%) in whole group. Choices of female students who want to be a specialist were dermatology, ophthalmology and obstetrics and gynecology and their distributions were 22.8%, 13.0% and 9.8%, respectively (p<0.05). The most common personality type in all preferred specialty areas was Introverted Sensing Thinking Judging (ISTJ). The students with ISTJ personality type had a higher score on the collaborative and competitive learning style. Conclusion: Last-year medical students are characterized by a ISTJ personality type in most of the medical specialty preferences. Furthermore, these students have collaborative and competitive learning styles.
A study of executives' use of biometrics: an application of theory of planned behaviour

Biometrics has become an important alternative in user authentication to a system. The Brunei Government has embarked on various e-government projects. Some of these projects embed biometric mechanism for authentication. The acceptance of biometric security services appears to be affected by several factors, some of which may be the personal attitude of the users, influences of normality and context in which it is used. The study focuses on 155 executives from the 10 ministries of Brunei Darussalam to explore the behavioural intent of the executives towards biometrics through their attitudes. The theory of planned behaviour (TPB) was used as a reference framework, to understand the intention of using biometrics. The data analyses through Smart-PLS suggest that government officers’ attitudes towards biometrics is a predictor of behavioural intention, whereas, subjective norms is a predictor of attitude, perceived behavioural control, behavioural intention and behaviour, i.e. the use of the biometric technology. The implications of these findings are discussed and some conclusions are drawn.
Sleep-Wake Disturbance in Post-stroke Patients

Purpose: The purpose of the present study was to investigate the prevalence and related factors of sleep-wake disturbance (SWD) in Korean post-stroke patients. This study was the first to address post-stroke SWD in Korea using a structured questionnaire. Method: We investigated the prevalence of SWD and related factors including lesion location, stroke severity, presence of depression and fatigue. We assessed sleep-wake pattern including quality of sleep, sleep latency, wake episodes, wake time after sleep onset, daytime sleep episode and sleep time at daytime. Ninety stroke patients admitted to a university affiliated hospital in Seoul between the period September 2008 and January 2009 were included in the study. Result: Thirty five patients (38.9%) complained insomnia and 32 (35.6%) complained excessive daytime sleepiness (EDS). Quality of sleep (p=.000), sleep latency (p=.000) and total sleep time (p=.001) were significantly poorer in 16 patients with both insomnia and EDS than in the others. The related factors to insomnia were level of education (p=.030), depression (p=.007) and fatigue (p=.034), though related factors to EDS were stroke onset time (p=.049), stroke severity (p=.005), motor dysfunction (p=.035), dysphasia (p=.018), fatigue (p=.001) and lesion location (p=.019). Conclusion: Sleep-wake disturbance is a common problem in Korean stroke patients. Strategies to improve quality of sleep are urgently needed in the post-stroke patients.
Ultrasonographic Fetal Growth Charts: An Informatic Approach by Quantitative Analysis of the Impact of Ethnicity on Diagnoses Based on a Preliminary Report on Salentinian Population

Clear guidance on fetal growth assessment is important because of the strong links between growth restriction or macrosomia and adverse perinatal outcome in order to reduce associated morbidity and mortality. Fetal growth curves are extensively adopted to track fetal sizes from the early phases of pregnancy up to delivery. In the literature, a large variety of reference charts are reported but they are mostly up to five decades old. Furthermore, they do not address several variables and factors (e.g., ethnicity, foods, lifestyle, smoke, and physiological and pathological variables), which are very important for a correct evaluation of the fetal well-being. Therefore, currently adopted fetal growth charts are inadequate to support the melting pot of ethnic groups and lifestyles of our society. Customized fetal growth charts are needed to provide an accurate fetal assessment and to avoid unnecessary obstetric interventions at the time of delivery. Starting from the development of a growth chart purposely built for a specific population, in the paper, authors quantify and analyse the impact of the adoption of wrong growth charts on fetal diagnoses. These results come from a preliminary evaluation of a new open service developed to produce personalized growth charts for specific ethnicity, lifestyle, and other parameters.
Performance implications of task routing and task scheduling strategies for multiprocessor systems

In distributed task ready queue organizations, task routing refers to how ready tasks are assigned to processors in the system and task scheduling refers to how these tasks are scheduled on the assigned processor. In this paper, we consider the interaction between task routing and task scheduling strategies and their impact on the performance of the distributed task queue organization. We consider four task routing strategies two adaptive and two non-adaptive-and five task scheduling policies-two preemptive and three run-to-completion policies. We show that, when adaptive task routing is employed, the scheduling policy has only a marginal impact on performance and preemptive round robin policies tend to perform worse than the FCFS policy. <<ETX>>
Effect of Peer Tutoring Method on Students Academic Achievement in Home Economics

The study conducted to find out the effect of peer tutoring institutional method on the academic achievement in Home Economics among secondary school students in Dunukofia L.G. A of Anambra State. Quasi-experimental design was used. All the senior secondary school students in the local government area constituted the population of the study. Four secondary schools out of eight secondary schools was randomly selected, and all the 145 SS1 students offering Home Economics in these four schools were selected and assigned to experimental and control groups. One research question and one hypothesis guided the study. Data on student’s achievement was collected using Home Economics achievement test (HAT). The research question was answered using mean t-test statistics. The results indicated that students taught Home Economics using peer tutoring instructional methods achieved higher than those taught using lecture method, it was recommended that peer tutoring should be used in teaching Home Economics in secondary schools to enhance student’s achievement. DOI: 10.5901/ajis.2013. v2n5p193
Accelerating materials discovery and design: computational study of the structure and properties of materials

This thesis summarizes our efforts to study the structure and properties of materials computationally. The adaptive genetic algorithm (AGA) developed by us to predict crystal/surface/interface structures is presented. Applications of AGA to a variety of systems, such as non-rare earth magnetic materials, ultra-hard transition metal borides and SrTiO3 grain boundaries, are discussed. We demonstrated by AGA the capability of solving crystal structures with more than 100 atoms per unit cell and rapidly accessing the structures and phase stabilities of different compositions in multicomponent systems. We also introduced a motif-network scheme to study the complex crystal structures in silicate cathodes. In addition, we explored different computational methods for atomistic simulations of materials behavior, such as Monte Carlo modeling of the alnico magnets.
A Study on The Differentiation Levels of Middle School Students' Statistical Thinking

In this study, the statistical thinking levels of 6th , 7 th and 8 th grade primary school students were analyzed by using a statistical thinking model. A total of 90 students from 6th , 7 th and 8th grades participated in this study. In accordance with the statistical acqusitions of primary school education, open-ended and multiple choice questions were prepared by analyzing the questions in the literature and taking opinions of professionals. Analyzing the responses of students from different grades, the levels of students were searched within the framework of the statistical thinking model. According to the results, the thinking differences between levels were stated by qualitative data. Although the 6th , 7 th and 8th