Miracle-dz/UniFAR-FTUs huggingface dataset:
Healthcare providers’ attitude and knowledge regarding medication use in breastfeeding women: a Jordanian national questionnaire study

Abstract Medication use among women who have recently given birth is unavoidable in some situations. The aim of this study was to assess the attitude and knowledge of healthcare providers (HCPs) in Jordan about the safe use of medications during breastfeeding. The data were collected from HCPs in maternal and children care centres and hospitals from April 2015 to January 2016, using a self-administered questionnaire. A total of 904 HCPs (79.3%) were enrolled in the study. Half of the participants followed the World Health Organisation’s and American Academy of Pediatrics’ recommendations. The awareness of HCPs regarding these recommendations was lower among nurses (OR 0.212, 95%CI 0.132–0.338, p < .001) and pharmacists (OR 0.476, 95%CI 0.297–0.763, p = .002) than physicians. The majority of participants (80%) had low level of knowledge and nurses were more likely to have low knowledge than physicians (OR 0.099, 95%CI 0.050–0.197, p < .001). Professional continuous education programmes were highly encouraged. Impact statement What is already known on this subject: Use of medications among women who have recently given birth is unavoidable in some situations and most of them are safe to be given during breastfeeding. What the results of this study add: Healthcare providers in Jordan have variable attitudes regarding the safety of medication use during breastfeeding. The majority of healthcare providers have a low level of knowledge regarding the safe use of medication during breastfeeding. Nurses are more likely to have low knowledge as compared to physicians. Implications for clinical practice: Healthcare providers should be encouraged to seek information regarding compatibility of medication use during breastfeeding from reliable sources. Professional continuing education programmes concerning the safety of medication use during breastfeeding period are needed to target all involved HCPs. More attention should be directed toward medical schools’ curricula to widen the knowledge of medication use and focus on practice-based clinical experience.
Mixture Markov regression model with application to mosquito surveillance data analysis

A mixture Markov regression model is proposed to analyze heterogeneous time series data. Mixture quasi‐likelihood is formulated to model time series with mixture components and exogenous variables. The parameters are estimated by quasi‐likelihood estimating equations. A modified EM algorithm is developed for the mixture time series model. The model and proposed algorithm are tested on simulated data and applied to mosquito surveillance data in Peel Region, Canada.
Type of Birth, Depression and Anxiety as Determinates of Breastfeeding Attitude among Nursing Mothers

This study examined Type of Birth, Depression and Anxiety as determinates of Breastfeeding attitude among Nursing Mothers in Edo and Kogi State Nigeria. A total of two hundred (200) currently Breastfeeding mothers participated in the study. This comprises of a hundred and twenty breastfeeding mother drawn from the General Hospital Auchi Edo State and eighty drawn from Ajaokuta Steel Medical Centre Kogi State. A questionnaire was used in collecting data. The questionnaire consisted of four sections. The demographic variables, Breastfeeding attitude scale, Depression and Anxiety sub-scales. Results of the study revealed that mothers who had normal delivery reported positive attitude towards breastfeeding than mothers who gave birth through caesarian section (t=3.38, df 198 P < 0.05). There were no significant differences in the reported attitude of mothers scoring high and low on the Zung depression inventory towards breastfeeding. Likewise there were no significant differences in the reported attitude of mothers scoring high or low towards breastfeeding. Results obtained also shows that there was an interaction effect between type of delivery and depression on breastfeeding attitude among nursing mothers. An interaction existed also between type of Delivery and anxiety; Depression and anxiety but surprisingly, type of delivery, depression and anxiety did not have an interaction effect on the prediction of breastfeeding attitude among nursing mothers. Based on the findings of this study, it was recommended that there is need for counseling and enlightenment campaign embarked upon by government, and non-governmental organization as well as all health professional concerned within Nigeria to eliminate this wrong attitude and belief about Caesarean section birth as well as campaign on the nutritional values of breastfeeding milk to children. The need for mothers who went through CS to be counseled on the need to believe in themselves as well as the benefit of breastfeeding to the child and mother is very important. DOI: http://dx.doi. org/10.11591/ijphs.v1i2. 1253
Characterizing cross‐subject spatial interaction patterns in functional magnetic resonance imaging studies: A two‐stage point‐process model

We develop a two‐stage spatial point process model that introduces new characterizations of activation patterns in multisubject functional Magnetic Resonance Imaging (fMRI) studies. Conventionally multisubject fMRI methods rely on combining information across subjects one voxel at a time in order to identify locations of peak activation in the brain. The two‐stage model that we develop here addresses shortcomings of standard methods by explicitly modeling the spatial structure of functional signals and recognizing that corresponding cross‐subject functional signals can be spatially misaligned. In our first stage analysis, we introduce a marked spatial point process model that captures the spatial features of the functional response and identifies a configuration of activation units for each subject. The locations of these activation units are used as input for the second stage model. The point process model of the second stage analysis is developed to characterize multisubject activation patterns by estimating the strength of cross‐subject interactions at different spatial ranges. The model uses spatial neighborhoods to account for the cross‐subject spatial misalignment in corresponding functional units. We applied our methods to an fMRI study of 21 individuals who performed an attention test. We identified four brain regions that are involved in the test and found that our model results agree well with our understanding of how these regions engage with the tasks performed during the attention test. Our results highlighted that cross‐subject interactions are stronger in brain areas that have a more specific function in performing the experimental tasks than in other areas.
A review of post-caesarean infectious morbidity: how to prevent and treat

Abstract Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the impact of maternal post caesarean infection, it is important for women’s health care providers to understand how to prevent these infections, as well as recognise and treat them.
Test‐compatible confidence intervals for adaptive two‐stage single‐arm designs with binary endpoint

Inference after two‐stage single‐arm designs with binary endpoint is challenging due to the nonunique ordering of the sampling space in multistage designs. We illustrate the problem of specifying test‐compatible confidence intervals for designs with nonconstant second‐stage sample size and present two approaches that guarantee confidence intervals consistent with the test decision. Firstly, we extend the well‐known Clopper–Pearson approach of inverting a family of two‐sided hypothesis tests from the group‐sequential case to designs with fully adaptive sample size. Test compatibility is achieved by using a sample space ordering that is derived from a test‐compatible estimator. The resulting confidence intervals tend to be conservative but assure the nominal coverage probability. In order to assess the possibility of further improving these confidence intervals, we pursue a direct optimization approach minimizing the mean width of the confidence intervals. While the latter approach produces more stable coverage probabilities, it is also slightly anti‐conservative and yields only negligible improvements in mean width. We conclude that the Clopper–Pearson‐type confidence intervals based on a test‐compatible estimator are the best choice if the nominal coverage probability is not to be undershot and compatibility of test decision and confidence interval is to be preserved.
Beyond self-monitored plasma glucose and HbA1c: the role of non-traditional glycaemic markers in gestational diabetes mellitus

Abstract Strict glycaemic management is the cornerstone of metabolic control in gestational diabetes mellitus (GDM). Current monitoring standards involve self-monitoring plasma glucose (SMBG) and haemoglobin A1c (HbA1c). However, both have important limitations. SMBG only reflects instantaneous blood glucose and the inconvenience of self-collecting blood frequently results in poor compliance. HbA1c provides information on blood glucose levels from the previous 2 to 3 months and it is influenced by iron-deficient states, common during pregnancy. There is an urgent need for new shorter-term glycaemic markers, as glycated albumin, fructosamine or 1,5-anhydroglucitol. Glycated albumin seems especially interesting as it provides information on blood glucose levels over the foregoing 2–3 weeks and it is not influenced by iron deficiency or the dilutional anaemia of pregnancy. Fructosamine has a precise and inexpensive measurement and it is not affected by haemoglobin characteristics. This review further discusses the potential value of these non-traditional indicators of glycaemic control in patients with GDM, outlining their possible future applications.
The Effects of Disaster Exposure and Post-Disaster Critical Incidents on Intrusions, Avoidance Reactions and Health Problems Among Firefighters: A Comparative Study

Firefighters are at risk to be confronted with critical incidents and disasters. This study focused on the predictive value of these variables and their interaction effect for intrusions, avoidance reactions, and health problems among firefighters 18 months post-disaster (N = 639). Furthermore, the course of intrusions, avoidance reactions, and health problems in the period 2–3 weeks to 18 months post-disaster was assessed. Health problems were compared with those of non-affected firefighters (N = 132). Results showed that only disaster exposure and critical incidents accounted for a significant but small proportion of the variance (R 2 < .07) of intrusions, avoidance reactions and health problems among the affected firefighters. Health problems among affected firefighters did not decline in the period 2–3 weeks–18 months post-disaster, in contrast to intrusions and avoidance reactions. Health problems of both groups were comparable at T2. Results suggest that resilience in firefighters is rather high.
Mental and Physical Health Outcomes in Parents of Children with Burn Injuries as Compared with Matched Controls

Pediatric burn injuries are common, and the stress of caring for them can affect caregivers' health. This study’s objective was to examine the rates of common mental and physical disorders of parents of burn-injured children (cases) compared with matched controls (controls). This is a population-based study linking the Regional Pediatric burn registry with administrative health information. Pediatric burn cases were matched 1:5 with control children from the general population based on age, sex, and geographical location then parents identified. One thousand and twenty-six parental cases and 4858 controls were identified. International Classification of Disease codes were used to identify diagnoses of common mental and physical disorders. Using rates of disease 2 years before and 2 years after the date of burn, the changes in the relative rates of health outcomes were compared between the cases and the controls. The cases had higher rates of postinjury mental and physical illness compared with the matches. However, it was found that controls also had increased rates postindex date and additionally cases had increased rates of preinjury illnesses. There was no difference in the relative rates of illnesses between the groups from pre- to post-index date. The higher rate of illness in cases postinjury could be explained by preinjury illness, and similar rate increases in the control cohort. Evaluation of the effect of a child's burn injury on parents should take into context the preexisting health of the parent. Socioeconomic factors associated with increased risk of burns may also be associated with adverse health outcomes.
The expanding telephone number Part 1: Keying briefly presented multiple-digit numbers

The aim of this study was to examine immediate memory performance for multiple digit numbers in a practical read-and-key or listen-and-key task, and to evaluate the most effective ways of presenting multiple digit numbers. Variables measured were list length (4-10 digits), presentation mode (visual simultaneously, auditory), grouping format (1+1, 2+2, 3+3) and presentation time (0.5 sec/digit, 1.0 sec/digit). A total of 144 subjects participated. Not surprisingly, list length is a vital factor in recall. A longer presentation time was advantageous for both modes, while an effect of mode was observed only for the ungrouped numbers, where the auditory condition was inferior. The serial position curves showed primacy and recency with auditory presentation, and primacy and a superior performance on the middle part of the list using visual presentation. Local serial position effects revealed that ungrouped numbers presented visually are subjectively grouped in twos. The results have broad implications in the human factors area.
Determinants of academic use of the Internet: A structural equation model

The last decade of the 20th century brought radical changes in information and communication technology. Internet usage is being widely researched in the business world. However, the use of the Internet in academic settings in general and in vocational and technical establishment in particular is a neglected area. Successful use of the Internet is largely dependent upon the user's behaviour that, in turn, affects their attitudes. Even when remarkable opportunities exist for the deployment of technology, adverse attitude can inhibit use. Keeping this in mind, a survey of 166 academics of four technical and vocational colleges was conducted to study the attitudes of academics toward the use of the Internet. This study develops a model and validates two specific attitudinal variables--perceived usefulness and perceived ease of use--which are hypothesized to be fundamental determinants of use of the Internet. Adding two more variables--such as task characteristics and computer exposure--test the parsimony of the model further. A structural equation modelling technique is used to validate the model. The study confirmed that 79% of academics are using the Internet. Computer experience, perceived usefulness and perceived ease of use remain to be fundamental determinants of attitude formation. No other variables have been found to be significant.
N-Acetylcysteine and High-Dose Atorvastatin Reduce Oxidative Stress in an Ischemia-Reperfusion Model in the Rat Kidney

G. Cusumano*, J. Romagnoli, G. Liuzzo, L.P. Ciavarella, A. Severino, G. Copponi, M. Manchi, S. Giubilato, G.F. Zannoni, E. Stigliano, M.E. Caristo, F. Crea, and F. Citterio Renal Transplantation Unit, Department of Surgical Science, Catholic University, Rome, Italy; Division of General Thoracic Surgery, Vittorio EmanueleePoliclinico Hospital, Catania, Italy; Department of Cardiovascular Medicine, Catholic University, Rome, Italy; Department of Cardiovascular Medicine, “Cannizzaro Hospital,” Catania, Italy; Department of Histopathology and Experimental Animal Care, Catholic University, Rome, Italy
Biomarkers of lung injury after one‐lung ventilation for lung resection

Background and objective: Acute lung injury contributes to the mortality of patients after lung resection and one‐lung ventilation (OLV). The objective of this study was to characterise the effect of lung resection and OLV on proposed biomarkers of lung injury in exhaled breath condensate (EBC) and plasma.
Social presence in distributed group environments: The role of social identity

This paper argues that to achieve social presence in a distributed environment, it is not necessary to emulate face-to-face conditions of increased cues to the interpersonal. Rather, it is argued, that a sense of belongingness to the group, or perceptual immersion in the group, can be realised through the creation of a shared social identity between group members. From this perspective, social presence is a function of the cognitive representation of the group by group members and not the interpersonal bonds between group members. Furthermore, specific design features and characteristics of the distributed learning environment can be utilised to achieve and maintain this shared group identity. This approach, encapsulated by the SIDE model, is discussed and supported by two case studies of distributed students, each consisting of 10 groups, collaborating for a period of 5 weeks on group projects.
Exploring the influence of gender on the web usage via partial least squares

A growing body of research related to the role of gender in human interactions with information technology has emerged in recent years. In this paper we analyse the web acceptance and usage between males and females, incorporating intrinsic human factors. Partial least-squares (PLS), a second-generation multivariate analysis technique, was used to estimate the parameters of the proposed models. First, the scale psychometric characteristics were tested (validity and reliability). Second, the structural model was tested. The empirical results provided strong support for the hypotheses, demonstrating how males and females differ in their ‘web acceptance and usage’ processes; and highlighting the roles of flow, ease of use and usefulness in determining the actual use of the web between males and females.
Lipoprotein Lipase Mutations, Plasma Lipids and Lipoproteins, and Risk of Ischemic Heart Disease A Meta-Analysis

Background —We assessed in meta-analyses the effect of the Gly188Glu, Asp9Asn, Asn291Ser, and Ser447Ter substitutions in lipoprotein lipase in the heterozygous state on lipid metabolism and risk of ischemic heart disease (same order used below). Methods and Results —In 29 separate studies, 20 903 white subjects were screened for ≥1 of these substitutions; each meta-analysis included only some of these individuals. In population-based studies, heterozygote frequencies ranged from 0.04% to 0.2%, 2% to 4%, 1% to 7%, and 17% to 22% for the respective substitutions. Postheparin plasma lipoprotein lipase activity decreased 53% (95% CI, 31% to 75%) (only 1 study), 30% (22% to 37%), and 22% (8% to 35%) and was unchanged at 4% (−10% to 19%), respectively. Plasma triglycerides increased 78% (95% CI, 64% to 92%), 20% (9% to 33%), and 31% (20% to 43%) and decreased 8% (4% to 11%), respectively. HDL cholesterol decreased 0.25 mmol/L (0.18 to 0.32), 0.08 mmol/L (0.04 to 0.12), and 0.12 mmol/L (0.10 to 0.15) and increased 0.04 mmol/L (0.02 to 0.06), respectively. Odds ratios for ischemic heart disease were 4.9 (95% CI, 1.2 to 20) (only 1 study), 1.4 (0.8 to 2.4), 1.2 (0.9 to 1.5), and 0.8 (0.7 to 1.0), respectively. Subgroup analysis indicated that women with the Asn291Ser substitution may have an increased risk of ischemic heart disease. Conclusions —These meta-analyses suggest that compared with noncarriers, carriers of the Gly188Glu, Asp9Asn, and Asn291Ser substitutions have an atherogenic lipoprotein profile, whereas carriers of the Ser447Ter substitution have a protective lipoprotein profile. Accordingly, risk of ischemic heart disease in heterozygous carriers is increased for Gly188Glu carriers; at most, the increase is borderline for Asp9Asn and Asn291Ser carriers; and risk is possibly decreased for Ser447Ter carriers.
Gender and Psychopathology

This book was originally intended to examine systematically and critically gender effects on the epidemiology, expression of symptoms, age at onset, sequelae, differential diagnosis, and treatment response of the major psychiatric diagnostic entities. "The original project," in the words of the editor, "proved to be unrealistic. " Although less ambitious, the present volume is a worthy contribution to a complex and important subject. The initial chapter, "Gender, Development, and Psychopathology," by psychiatrists Malkah Notman and Carol Nadelson, establishes the definitions and sets the tone. The authors define gender identity as the "internalized sense of maleness or femaleness and the knowledge of one's biological sex, including the associated psychological attributes. " Gender role, the "expectations, attitudes, and behaviors that are considered appropriate for each gender" in a particular culture, is noted as only one of the many diverse and complex factors that contribute to one's sense of gender identity. Although the etiology of
User acceptance of context-aware services: self-efficacy, user innovativeness and perceived sensitivity on contextual pressure

The aim of this paper is to empirically examine how individual characteristics affect user acceptance of context-aware services such as GPS-based telematics systems and location-based commerce, which together have become highly promising fields for mobile or ubiquitous e-commerce. To examine these individual characteristics, we applied a technology acceptance model to construct an amended model that focuses on three individual differences: self-efficacy, personal innovativeness and perceived sensitivity on contextual pressure. As a result, we discovered that the perceived sensitivity on contextual pressure, which is newly adopted as a construct in this paper, affects behavioural intention in using context-aware services.
A technological acceptance of e-learning tools used in practical and laboratory teaching, according to the European higher education area 1

The application of scientific tools to analyse the use of Internet-based e-learning tools in academic settings is in general an ignored area. E-learning tools are actually an emergent topic as a result of the new ideas introduced by the European Higher Education Area. Lifelong learning, or the promotion of student initiative, is the new paradigm of a learner-centred education. In this context, e-learning tools can represent an effective way of supporting this new trend in education. Assuming the premise that successful use of these web-based tools depends primarily on a user's behaviour, the objective of this research is to examine the technology acceptance model (TAM) of web-based e-learning tools used in practical and laboratory teaching. The research hypotheses derived from this model have empirically been validated using the responses to a survey on e-learning usage among 220 users. These responses have been examined through partial least square. The obtained results strongly support the extended TAM in predicting a student's intention to use e-learning and define a set of external variables with a significant influence in the original TAM variables. Surprisingly, perceived ease of use did not posit a significant impact on student attitude or intention towards e-learning tool usage. Therefore, early evaluation of e-learning material is considered essential to providing a framework for further improvements of the tool.