Miracle-dz/UniFAR-FTUs huggingface dataset:
Patients’ sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China

Objectives To evaluate patients’ sense of responsibility to healthcare providers and to determine its predictors using on a national sample in China. Methods We conducted a national cross-sectional survey in China with a stratified cluster sample of patients treated in 77 hospitals between July 2014 and April 2015. Patients’ sense of responsibility to healthcare providers was measured with four questions assessing patients’ perceptions regarding their responsibilities to respect doctors, respect nurses, coordinate with health professionals, and comply with hospital rules. Predictors included patient sociodemographic characteristics and their past hospitalization experience. Results Small proportions of respondents reported that they perceived having no responsibility to respect doctors (8.9%), respect nurses (7.9%), comply with hospital rules (6.7%), or coordinate with health professionals (6.3%). Multivariate regression analyses showed that the strongest predictor of patients’ sense of responsibility to healthcare providers was patinets’ trust in health professionals, followed by patients’ education level. Familiarity with healthcare professionals and past hospitalization frequency were inversely associated with patients’ sense of responsibility to healthcare providers. Conclusions Although only a small proportion of the patients reported feeling no or low sense of responsibility to healthcare providers, the lack of respect and collaboration from these patients can negatively affect patient-provider relationships. Healthcare administrators need to communicate clearly with the patients and the public about the role of patients and the limitations of medicine in order to instill a sense of patients’ responsibility.
EXAMINATION OF THE HEALTH-RELATED QUALITY OF LIFE OF PHYSICAL EDUCATION AND SPORTS STUDENTS

The present study aimed at examining theHealth-Related Quality of Life (HRQOL) of physical education and sports students in terms of educational variables.The sample group consisted of a total of 526 students studying at school of physical education and sport.The data of this study was collected via the Personal Information Form and SF-36 questionnaire. The evaluation of the data was performed by using ANOVA, the independent-samples t-test, and Pearson correlation coefficient.Study results suggested Recreation education program students at the scales of Vitality, Mental health, Social functioning and Pain had significant high scores compared to the other programs. The second grade (the years of education) students compared to the first grade students had significantly high score in General health. The mean scores of the Vitality, Mental health and General health scales for students who joined at sports club were significantly higher than those who do not. There was no significant relationship between the Academic success of the students and the HRQOL scales. The lesson content of the physical education and sports programmes could have an effect on the HRQOL of the students. In addition to university programmes of physical education and sport, Joining at a sport club could also improve the HRQOL.
Depressive symptoms in type II diabetics of a tertiary care hospital in southern India

Background: International diabetes federation has highlighted that “the diabetic epidemic is here and threatens to overwhelm health systems if unchecked’’. The global prevalence of diabetes among adults has risen from 4.7% in 1980 to 8.5% in 2014. India unfortunately tops the list of countries with the largest number of people living with diabetes. Diabetes and depression are independent risk factors for one another and both are associated with increased risk of cognitive decline. Prevalence of depression is doubled in Diabetes mellitus, and also appears to vary by type of Diabetes mellitus, race/ethnicity, and duration of diabetes and associated debilitating complications and co-morbidities. Various studies using different methodology have revealed varying prevalence of depression. Data on this association of Diabetes and depression is limited in Indian context. Methods: This is a cross sectional study conducted on type 2 Diabetics attending outpatient department of Victoria and Bowring and Lady Curzon Hospital. Data regarding duration and treatment of diabetes, HbA1c levels and associated comorbidities were collected along with basic particulars of the patient. Becks depression questionnaire were used for analyzing the depressive symptoms. Results: A total of 302 diabetic patients were included in the study, out of which Males were 156 and Females were 146. Severe depressive symptoms were found in 18.21% of diabetics, and moderate depressive symptoms were found in 39.74% of study population. It is also found that the significant predictors of these depressive symptoms are increasing age, longer duration of diabetes, treatment intensity. Conclusions: In conclusion depressive symptoms are more common in diabetic subjects compared to non-diabetic population. Especially this increases with duration of diabetes and uncontrolled sugars. Hence there is a need to screen all diabetes subjects for depression.
The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st May 2017 to 30th April 2018 at the Department of Pediatrics and OBG, IMS & SUM Medical college and Hospital, Bhubaneswar (Odisha), eastern India. Data of Patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 1619, out of which C-Sections were 574.The overall CS rate was 35.45%. Previous LSCS was the leading indication to the CS rate (29.96%) followed by arrest of labour (13.94%), CPD (11.84%), foetal distress (10.97%), breech presentation (5.74%), oligohydroaminous/IUGR (5.21%), failed induction of labour (5.21%), pregnancy induced hypertension(PIH) (4.87%) and multifetal gestation (3.84%), prematurity (3.31%). 12.01% patients had various complications mainly infection (6.27%) and hemorrhage (3.48%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.
Cross-talk mechanism between endothelial cells and hepatocellular carcinoma cells via growth factors and integrin pathway promotes tumor angiogenesis and cell migration

Tumor angiogenesis plays a central role in the development and metastasis of hepatocellular carcinoma. Cancer cells secrete angiogenic factors to recruit vascular endothelial cells and sustain tumor vascular networks, which facilitate the migration and invasion of cancer cells. Therefore, the cross-talk between vascular endothelial cells and cancer cells is vitally necessary, however, little is known about the cross-talk mechanism of these cells interaction. In the present study, the proliferation, migration, invasion and tube formation of vascular endothelial EA.hy926 cells and hepatocellular carcinoma HepG2 cells were studied by exchanging their culture medium. The time-dependent differences of integrins induced signaling pathway associated with cell migration were investigated. Our results showed that HepG2 cells markedly enhanced the proliferation and migration ability as well as the tube formation of EA.hy926 cells by releasing growth factors. Also, the EA.hy926 cells promoted the proliferation, migration and invasion ability of HepG2 cells. The further analysis demonstrated that the integrins-FAK-Rho GTPases signaling events in both of two cells was activated under conditioned medium, and the signaling molecules in two cell lines showed a different time-dependent expression within 1h. These findings reveal the cross-talk mechanism between the endothelial cells and hepatocellular carcinoma cells, which were expected to find out new ideas for the prevention and treatment of hepatocellular carcinoma.
Economics of managing acid soils in dryland mixed cropping systems: comparing gross margins with whole-farm analysis derived using a business process model

A 12-year experiment designed to show the benefits of applying lime to acid soils when growing annual pasture, perennial pasture, and annual crops in rotations with annual or perennial pastures, provides the context for comparing methods of economic analysis. In this study enterprise gross margins are compared with whole-farm cumulative monthly cash flows derived using a business process model. The current study gave gross margins comparable with those of a recently published study based on the first 12 years of the same field experiment at Book Book near Wagga Wagga in southern NSW (Li et al., 2010). Both gross margin analyses indicated positive results for all treatments. However, because key fixed and capital cost items were not taken into account in the gross margin analysis the financial benefits of the treatments were overstated. In the whole-farm analysis, a full set of accounts (including fixed and capital costs) was developed for the experimental combinations of prime lamb and dryland cropping enterprises and used to generate a monthly cash flow sequence for each treatment over the 12-year term of the experiment. This full financial analysis, where all costs are included, showed all mixed treatments (cropping and grazing) accumulated unsustainable losses over the period of the trial. The grazing-only treatments generated positive cash lows over the 12 year period, but 2 accumulated high levels of debt in the initial years. None of these outcomes were predicted by gross margins, which were consistently positive for all treatments. This paper concludes that the analysis of trial results benefits from interpretation in the context of whole-farm analysis, verified by district experience. Relying on gross margin analysis alone would have supported loss-making outcomes in this trial. This conclusion has important ramifications for analysis of all systems trials.
Implementing the ECOWAS common external tariff : challenges and opportunities for Nigeria

The common external tariff (CET) for Economic Community of West African States (ECOWAS) was adopted at a Heads of State Summit in October 2013 in Dakar. This paper assesses the potential impact on Nigeria of implementing the new ECOWAS CET. It uses the World Bank's tariff reform impact simulation tool (TRIST) to simulate three scenarios: (i) keeping in place current import bans and levies which are charged in addition to tariffs, while implementing the CET tariff rate on non-banned products, (ii) removing the import bans and implementing the CET rate on all products, but keeping the additional import levies in place, and (iii) fully implementing the CET on all products and completely removing import bans and levies. The paper suggests that implementing the CET will have significant and largely positive effects on Nigerian consumers and producers. This note is intended to enrich the debate by presenting projections on the likely effects of CET implementation. To the extent possible with the limited available data, it gives a comprehensive overview of the effects to be expected on government revenue, the welfare of consumers, and the performance of Nigerian firms. It also discusses new opportunities for Nigerian firms to benefit from the regional market that are likely to arise if the CET is implemented. The note is organized as follows: section one gives introduction. Section two describes Nigeria's current trade profile with a particular focus on trade with the ECOWAS region. Section three makes use of the World Bank's TRIST to analyze the impact of implementing the CET in Nigeria in terms of changes in the level of protection by industry, government revenue from taxes levied at the border, consumer welfare, and the competitiveness of Nigerian firms. Section four shifts the focus beyond Nigeria's borders to look at the regional market within ECOWAS.
The Effect of Foot Orthoses on Energy Consumption in Runners with Flat Feet

Introduction Foot orthosis is used as protective treatment in people with flatfoot. This study aimed at assessing the effects of Foot orthosis on energy consumption in 20 runners with flat feet. Methods: In this study a treadmill and a Quark b2 were used to measure oxygen consumption. For each patient, a pair of foot orthosis with the appropriate size was prepared. The maximum running Heart rate, vo2 max and vo2 of the subjects were measured and calculated with and without foot orthoses. The data were compared through paired T-test. Results: In this study, after using the foot orthoses, the mean VO2 (ML/M), theVO2 max (ML/M for each Kg of body weight) and the maximum heart rate respectively reduced from 4504.6 to 4488.3, from 63.6 to 63.4 and from 168.7 to 168.0, all of which indicating a significant observed reduction (P<0.05). Conclusion: Foot support devices (orthoses) result in realignment of lower extremity joints in patients with flat feet, thus length- tension relationship of muscles improve. This prevents muscle fatigue in long- distance running. Finally, when suitable foot orthoses was applied energy consumption during running decreased.
The Impact of Human Resource Management Practices on Impersonal Organizational Trust (With special reference to financial institutions in Sri Lanka)

The main purpose of this study was to identify whether there is a significant impact of identified strategic human resource management practices (learning and development, communications, performance evaluations and rewards, career opportunities, participation, job design) on impersonal organizational trust with the backing of Social Exchange Theory. This was a cross sectional field study of quantitative nature. Primary data were collected using a well-structured questionnaire. Sample consisted of 100 executive and above employees in the financial institutions in Western Province of Sri Lanka. Descriptive statistics, Pearson correlations and regression analysis were used to analyze data and make conclusions. Findings of the study revealed that there is a significant positive impact of HRM practices on impersonal organizational trust. It revealed that employee trust on the functioning of the entire organization depends on the perceptions of fairness and well-execution of the HRM practices.
EXPERIMENTAL DEVELOPMENT, TRADEOFF ANALYSIS AND DESIGN IMPLEMENTATION OF HIGH FORCE-TO-VOLUME DAMPING TECHNOLOGY

SUMMARY Supplemental dampers are a means of repeatedly dissipating energy without damage to the underlying structure, increasing life-safety and helping provide better serviceability of structures following a major earthquake. High performance (small size) lead dampers are designed and tested to characterise their force-displacement behaviour and produce trade-off curves relating device geometry to force capacity, to parameterise the design space to enable further devices to be designed for structural applications. Peak forces of 120-350 kN were obtained for devices that were all able to fit within standard structural connections. Results show that prestressing the working material is critical to obtain optimal energy dissipation. Although previously characterised as extrusion dampers it is shown that classical extrusion modelling formulations do not strictly work well for this class of damper. Instead a coulomb type of stress-based model is proposed, with relationships presented that are independent of device scale. Empirical reduction factor equations are applied to the New Zealand Structural Design Actions to enable lead extrusion devices to be incorporated into structural design analyses. The overall results indicate that repeatable, optimal energy dissipation can be obtained in a compact device to minimise damage to critical buildings and infrastructure.
Symmetry Properties of Spatial Distribution of Microfracturing in Rock

We measure quantitatively symmetry and entropy regarding symmetry of spatial distributions of acoustic emissions generated by microfracturings during creep before ultimate whole fracture of a rock specimen. In the measurement, symmetry properties of the two-dimensional discrete Walsh functions are utilized, and the two- dimensional discrete Walsh transform is applied to the spatial distributions. We find that the spatial distributions of acoustic emissions are rich in double symmetry. Moreover, it is found that the richness in double symmetry increases and the entropy decreases with the evolution of microfracturing process. This decrease of the entropy comes from the increase of the richness in double symmetry. Thus we conclude that the microfracturing process evolves under constraint of the increase of the richness in double symmetry.
Second malignancies in patients with early stage (I, IIa, IIb) seminoma treated with post-orchidectomy radiotherapy

Purpose . The evaluation of the risk of second non-germ cell malignancies after radiotherapy for early stage seminoma (I, IIa, IIb – according to Royal Marsden Hospital classification). Materials a nd m ethod s. A retrospective analysis of 164 patients with stage I, IIa, IIb seminoma who were treated between 1974 and 1990 with post-orchidectomy irradiation, was performed. 48% of patients had been treated with infradiaphragmatic radiotherapy only (IDRT), while in the remaining 52% prophylactic mediastinal and left supraclavicular irradiation (supradiaphragmatic radiotherapy SDRT) was performed additionally. Median follow-up was 12 years. The risk (O/E) of a second non-germ cell malignancies was estimated by the ratio of the observed number of second malignancies in the analysed group to the expected number of malignancies in the age-adjusted male population. Results . Overall 5-year and 10-year survival was 92% and 86%, respectively. Twelve patients (7%) developed 13 subsequent non-germ cell malignancies, with a mean interval of 10 years after radiotherapy. The relative risk of second malignancies was 3.55 (95%CI – 1.89-6.07) and was significantly increased. The risk of lung cancer (O/E – 5.55; 95%CI – 2.03-12.04), and rectal cancer (O/E – 11.76; 95%CI – 1.39-41,62) was significantly increased, as compared to the age-adjusted male population. Conclusions . The risk of second malignancies is significantly increased in patients with early stage seminoma treated with post-orchidectomy radiotherapy.
Numerical investigation of clocking in a two-stage gas turbine

Flow in the first two-stage of V 94.2 gas turbine is simulated numerically. In this turbine, the second stator is clocked relative to the first stator to different positions. Steady-state analysis was carried out by varying the circumferential relative position of the consecutive stator vanes to study the effects of the clocking on turbine performance. A density based compressible inviscid flow (Euler equations) solver is used for the flow simulation. The efficiency analysis and entropy generation investigation are performed and the appropriate position of the second stator is obtained. The attained efficiency improvement matches the results obtained by the entropy generation analysis.
Genetic Parameters for Residual Feed Intake, Feed Efficiency and Average Daily Gain in Landrace Pigs

Residual feed intake (RFI) is the difference between the actual feed intake (AFI) and the expected feed intake (EFI). RFI has become an increasingly important trait and is being considered as a more practical approach to evaluate feed efficiency (FE) in livestock. Data from 479 purebred Landrace pigs involved in a performance test were used in this study. Pigs were housed in an individual pen and fed ad libitum the same formula diet consisting of 2,950 kcal/kg of ME and 16% crude protein. Clean water was available to the pigs at all time. Pigs were weighed at the beginning and end of the test, backfat thickness (BF) was measured at the end of the test and feed intake was recorded. EFI was predicted using the model that included sex and common litter effects as well as covariates of average daily gain (ADG) and BF. Variance components were estimated using an animal model by the restricted maximum likelihood (REML) method. The heritability estimate for RFI was low (0.16  0.10), while the estimates for FE and ADG were moderate (0.33  0.15 and 0.38  0.17, respectively). The moderate favorable genetic correlation was estimated between RFI and FE (-0.55 + 0.27). The genetic correlations between RFI and ADG, and FE and ADG were not significantly different from zero (0.02 + 0.38 and 0.15 + 0.31 respectively). Considering heritabilities of FE and RFI, the results indicated that selections for improving FE were possible. Genetic correlation indicated that selection for reduced RFI would increase FE without adversely affecting ADG.
The Mediating Role of Psychosocial Benefits in the Satisfaction Formation Process

In this paper we investigate the mediating role of psychosocial benefits in the customer satisfaction/dissatisfaction formation process. Most research on this subject deals with the causality direction of psychosocial benefits and satisfaction, sometimes preceded by an overall functional benefit construct. We focus on the relationships of specific functional benefits and psychosocial benefits within a customer satisfaction framework. Knowledge of which functional benefit can control which psychosocial benefit directly enables the management of customer satisfaction and indirectly purchase intention. Using Partial Least Squares, we find interesting relationships in the restaurant business.
Effects of moderate alcohol intake on various lipid fractions

In this study, effect of moderate alcohol intake on various lipid and lipoproteins, which are risk factors for coronary heart disease , was investigated. Triglyceride and apo A-l levels of moderate drinkers were significantly increased, (p<0.01 for triglyceride and p<0.001 for apo A-l) total cholesterol, LDL-cholesterol and plasma cholinesterase levels were decreased (p<0.01 for both total cholesterol and LDL-cholesterol, p<0.05 for chalinesterase). There was no significant difference between phospholipids, HDL-cholesterol and its subtractions (HDL2 and HDL3) of both groups. Low levels of LDL-chole­ sterol was thought to result from low activity of cholinesterase. As a result, moderate alcohol intake was found to have no significant useful effect on the risk factors of CHD. Also, the changes found in lipid parameters was thought to result from other metabolic products of alcohol other than alcohol itself. Our findings are discussed in view of literature [Turk J Med Res 1994; 12(2): 108-112]