Miracle-dz/UniFAR-FTUs huggingface dataset:
An unusual cause of foot ulcer in a patient with diabetes mellitus

A diabetic foot ulcer is the leading cause of nontraumatic amputation worldwide. The most important predisposing factor for diabetic foot ulcer is peripheral neuropathy. Rat bites are an uncommon but important cause of ulcer in patients with diabetes, especially in lower socioeconomic strata. A 56-year-old male from southern India, a known patient with type 2 diabetes for the past 15 years with severe peripheral neuropathy, presented to our center with multiple bite marks on bilateral feet and destroyed nails. He was initially managed with local measures and injection tetanus toxoid; however, he rapidly worsened over the next 5 days to develop bilateral cellulitis of the feet and right great toe osteomyelitis. His biochemistry showed uncontrolled diabetes (HbA1c: 9.9) and radiology confirmed right great toe osteomyelitis. He underwent transmetatarsal amputation of the right first toe along with intravenous antibiotics followed by oral antibiotics (amoxicillin with clavulanic acid) for a total duration of 6 weeks and optimization of glycemic control. He improved completely over the next 1 month. Rat bites are a rare but readily preventable cause of foot ulcer in diabetic patients. Primary care and family physician play a vital role in educating patients about preventive aspects such as avoidance of using vegetable oil as a moisturizer that may attract rodents and insects.
Personalized interactive gesture recognition assistive technology

Computing systems have the potential to contribute with interactive and low-cost solutions to support Augmentative and Alternative Communication (AAC) by applying different technologies to address different users' characteristics and needs. Computer Vision-based AAC systems can support users with motor difficulties by tracking and recognizing their remaining functional motions. To investigate possibilities for people with motor and speech impairments, this paper presents the PGCA: a Computer Vision system that allows the creation of a personalized gestural interaction as assistive technology for communication purposes. PGCA system takes into account the motor abilities and limitations of its users and the knowledge of caregivers in recognizing the gestures performed by the users. Results from interviews with special education professionals and from an experiment with the target audience suggest the use of personalized gestures is a common practice for AAC, and that creating custom datasets can be challenging, mainly due to the level of understanding of participants, the similarity between gestures, and variations in performing the same gestures. Improvements for the system were identified and described aiming to make the interface easier and more effective.
The effect of endometrial thickness and endometrial blood flow on pregnancy outcome in intrauterine insemination cycles

Objective: To investigate whether endometrial thickness and endometrial blood flow on the day of hCG administration is a predictor of intrauterine insemination (IUI) success. Method: A cross-sectional prospective clinical study with simple randomized sampling; Patient: 100 women experiencing the IUI cycle; Interventions: a comparison was made between pregnant and non-pregnant patients in terms of the endometrial thickness and pattern as well as the color Doppler flow on the day of hCG administration and also cycle parameters. Main outcome measures: endometrial thickness and patterns as well as the blood flow in color Doppler. Results: With the overall pregnancy rate being 38%, it was demonstrated that the endometrial blood flow was significantly greater in the cycle pregnancy obtained on the day of hCG administration, yet it was realized that the endometrial thickness and pattern of sonography did not have any predictive values for endometrial receptivity . In a multivariate analysis, the pregnancy rate was affected by the following variables: the duration of infertility, the women's age, the type number of IUI cycles, the number of injections to stimulate dominant follicles, and the sperm count. In the current study, the variability was realized to be of no predictive values for the IUI outcome, yet the endometrial flow in color Doppler was found to be positively connected with the pregnancy outcome.
Long-term safety follow-up of children from a randomized—controlled phase II b proof—of—concept efficacy study of the live, attenuated, tetravalent dengue vaccine (CYD—TDV) in Thailand

Objective: To investigate the long-term safety of a tetravalent dengue vaccine (CYD-TDV) in children in a phase Π b follow-up study in Thailand. Methods: In the phase Π b study, children aged 4-11 years were randomized (2:1) to receive three injections of CYD-TDV or serve as control at 6-month intervals, with 25 months’ active follow-up (active phase). This study was an additional four-year passive surveillance for hospitalized virologically-confirmed dengue (VCD; hospital phase). Cases of hospitalized VCD, severe hospitalized VCD, vaccine-related serious adverse events, and deaths were reported for the total population, with post-hoc analyses by enrollment age (<9 and years). Results: Of 3 997 participants receiving injection, 80.1% were recruited to the hospital phase [2 131 (CYD-TDV); 1 072 (control)]. Eighty-five hospitalized VCD cases were reported in the CYD-TDV group and 46 in the control group during the four-year hospital phase [relative risk (RR): 0.93, 95% confidence interval (CI): 0.64-1.36]. The RR over six years of follow-up was 0.77 (95% CI: 0.57-1.05). In those aged ≥9 years, the cumulative RRs in the active phase, hospital phase, and entire six years were 0.28 (95% CI: 0.08-0.81), 0.51 (95% CI: 0.25-1.05), and 0.42 (95% CI: 0.24-0.75), respectively. In the overall population, there were ten severe hospitalized VCD cases in the CYD-TDV group and five in the control group over six years (RR: 1.00, 95% CI: 0.31-3.75). Conclusions: Over six years of follow-up, in children aged ≥9 years, CYD-TDV administration is associated with a reduced risk of hospitalized VCD.
The Implementation of Flipped Classroom Assisted by Learning Management System for Numerical Method Courses

This study aims to describe the implementation of reversing classes assisted by the learning management system (LMS) for numerical method subjects. The research method used was a combination method (mix method). The mix method model used in the study is a concurrent triangulation model. The subjects of this study were 58 students of the Computer Science Education Study Program FKIP Lambung Mangkurat University who took numerical method courses, 29 from class A and 29 from class B. The research data collection used was tested instruments, observations, and questionnaires. The results show that the flipped classroom implementation in the numerical method can increase the activity of students. It also improves the mastery/ competency of students in solving problems, and it is known that class B who learns to use teaching materials in the form of text and video is more active and able to understand the material well than class A students who learn using text only. The average value of each class B pre-test and the formative test is better than class A, but the students in class A and class B are still less accustomed to independent learning by working on the practice questions that have been given. Keywords—flipped classroom; cooperative learning model; numerical methods
A Review of the Fossil Record of Nonbaenid Turtles of the Clade Paracryptodira

Abstract The fossil record of nonbaenid paracryptodires ranges from the Late Jurassic (Kimmeridgian) to the Paleocene of North America and Europe only. Earlier remains may be present as early as the Middle Jurassic (Bathonian). Only a single dispersal event is documented between the two continents after their breakup during the Cretaceous in the form of the appearance of the Compsemys lineage in the Paleocene of France. Nonbaenid paracryptodires were restricted to freshwater aquatic environments but display adaptations to diverse feeding strategies consistent with generalist, gape-and-suction, and hypercarnivorous feeding. Current phylogenies recognize two species-rich subclades within Paracryptodira, Baenidae and Pleurosternidae, which jointly form the clade Baenoidea. A taxonomic review of nonbaenid paracryptodires concludes that of 34 named taxa, 11 are nomina valida, 15 are nomina invalida, and 8 are nomina dubia.
Incidence of hypoglycemia and its risk factors among diabetics during Ramadan in Abha city, Aseer Region, KSA

Background and Aims: This study aims to explore the incidence of hypoglycemia and its risk factors among diabetic patients attending primary health care center during Ramadan Abha city, Aseer region, Saudi Arabia. Methods: This cross-sectional study was conducted among adult diabetic patients attending Primary health care centers (PHCCs) in Abha city, southwest of KSA. A questionnaire in Arabic language was used. It consisted of five parts that covered patients demographic and DM relevant profile, hypoglycemia attacks during Ramadan, compliance with drug, diet, exercise and glucose monitoring. Four PHCCs in Abha city were selected randomly to conduct this study. All diabetic patients who attended the selected PHCCs during the month of Shawwal 1439 (corresponding to June-July 2018) were interviewed by the investigators. Data were coded, entered and analyzed using SPSS version 22. Appropriate statistical tests were used accordingly and P value was considered as significant if it was less than 5%. Results: The total patients participated in this study was 378. The mean age was 45 years, males represents 51%, mean duration of DM was 12 years, type-1DM constitutes about one third. Most of type-1 DM patients used act rapid and long acting insulin (65%), while in type-2 DM, more than one third (38%) used OHA, 8% were on insulin alone. More than half of patients (52%) reported at least one attack of hypoglycemia during Ramadan, (29%) out of them had more than four attacks. About two third of attacks (67%) occurred in the morning and evening while less than one fourth have hypoglycemia at night (17%), (2%) visited ER or PHC and 1% were admitted to hospital for further management. Conclusion: This study revealed that the incidence of hypoglycemia among diabetics was high. Many Risk factors were identified; young age, type-1 DM, long duration of DM, insulin use. More attacks occurred during Ramadan day period and led to breaking the fasting among all affected patients. Most of patients were not given instructions regarding self-care immediately before or during Ramadan. Structured health education program for diabetics attending PHCC should be constructed and implemented before beginning of Ramadan in order to minimize the incidence of acute complications particularly hypoglycemia.
Certifiable disability in schizophrenia and its correlates: A cross-sectional study

Background: Disability associated with schizophrenia has an impact on various domains of life. Patients with >40% disability are entitled for getting benefits from the government. The study aimed at assessing the certifiable disability, severity of the disability, and its correlates in patients with schizophrenia. Materials and Methods: Tertiary hospital-based cross-sectional study comprised of 63 patients with schizophrenia fulfilling the selection criteria. The data included sociodemographic and illness variables. Positive and Negative Syndrome Scale, Medication Adherence Rating Scale, and Glasgow Antipsychotic Side-effects Scale were used to assess the symptom severity, treatment adherence, and side effects, respectively. The Indian Disability Evaluation Assessment Scale (IDEAS) was used to evaluate the disability. Data were analyzed using the Statistical Package for Social Sciences software. Results: Majority of the patients (53.7%) had certifiable disability. About 46% of patients had mild level of disability, while 39.7% had moderate level of disability, 1.6% had severe level of disability, and 12.7% had profound disability. The disability was observed to be more in the work, social relationships, and communication domain of IDEAS. There was a strong positive correlation between symptom severity, antipsychotic side effects, and disability. The disability was greater in patients who had a poor medication adherence. Conclusion: Patients with schizophrenia have a significant certifiable disability in all domains of life. Symptomatology, antipsychotic side effects, and medication adherence are important predictors of disability. Preventive and rehabilitative measures should be taken for controlling these modifiable factors which would help in limiting disability. Suitable guidance should be given to avail the disability benefits.
The privacy paradox in the context of online social networking: A self‐identity perspective

Drawing on identity theory and privacy research, this article argues that the need for self‐identity is a key factor affecting people's privacy behavior in social networking sites. I first unpack the mainstream, autonomy‐centric discourse of privacy, and then present a research model that illustrates a possible new theorization of the relationship between self‐identity and information privacy. An empirical study with Facebook users confirms the main hypotheses. In particular, the data show that the need for self‐identity is positively related to privacy management behaviors, which in turn result in increased self‐disclosure in online social networks. I subsequently argue that the so‐called “privacy paradox” is not a paradox per se in the context of online social networking; rather, privacy concerns reflect the ideology of an autonomous self, whereas social construction of self‐identity explains voluntary self‐disclosure.
Factors Affecting Nursing College Students’ Satisfaction with their Department

The purpose of this study was to provide basic information for the development of an educational program and a school adaptation program both of which aim to improve the nursing college students' satisfaction with their department. The participants were 235 nursing students at four different colleges located in B·U City. A questionnaire survey was conducted on those students to determine their ego-resiliency, view of the nursing profession, and satisfaction with the nursing department. The data were collected from October 16th to November 25th, 2015. The collected data were analyzed using a t-test and ANOVA in accordance with SPSS 18.0. A post-test was then conducted through a Scheff? test, Pearson's correlation coefficient, and the stepwise multiple regression. These findings can be summarized as follows. All factors affecting nursing the students' satisfaction with their department had an explanatory power of 25.3%. Of those factors, the view of the nursing profession was highest in the explanatory power, or 19.9%. That power increased to 24.4% when ego-resiliency was added as another factor. This also increased to 25.3% when peer relations were added. Based on the study results, this study suggests that it is necessary to develop and apply an educational strategy to improve the nursing profession for the nursing department.
Are women with recent live births aware of the benefits of folic acid

Each year, approximately 4,000 pregnancies result in spina bifida or anencephaly, serious and often fatal conditions for the newborn. The B vitamin folic acid can reduce the incidence of these conditions by 50%-70%. To examine folic acid awareness among women who had recently delivered a live-born infant, CDC analyzed Pregnancy Risk Assessment Monitoring System (PRAMS) data for 1995-1998. The question used to measure awareness was, "Have you ever heard or read that taking the vitamin folic acid can help prevent some birth defects? " During the study period, overall folic acid awareness increased 15%, from 64% in 1996 to 73% in 1998, although changes varied by state. Despite this increase, differences in folic acid awareness were observed among different groups of women. Women who obtained a high school education or less; who were black, Hispanic, or from other racial/ethnic groups; who entered prenatal care after the first trimester; and whose pregnancies were unintended were less aware of folic acid. This study indicates that gaps persist among women in low socioeconomic groups. Overall, PRAMS data indicated an increase in folic acid awareness among women with recent deliveries. However, this awareness might be too late for the pregnancy that has occurred, indicating a continued need to educate all reproductive-aged women regarding the need to take folic acid before they become pregnant.
The Myth of the "Biphasic" Hyaluronic Acid Filler.

BACKGROUND The terms "biphasic" and "monophasic" have been used frequently as a means of differentiating hyaluronic acid (HA) fillers. This type of categorization is based on misinterpretations of the term "phase" and provides no help to the practitioner when selecting the most appropriate product for each indication, patient, and injection technique. OBJECTIVE The purpose of this study was to analyze the properties of 2 HA filler families; Juvederm (JUV) (Allergan), often stated to be monophasic and Restylane (RES) (Galderma), often stated to be biphasic, and discuss what properties may have led to the use of the terms monophasic and biphasic. MATERIALS AND METHODS Three different methods were used for JUV and RES: determination of extractable HA; determination of water uptake; and microscopy. RESULTS The analyzed products were shown to contain both observable gel particles and extractable HA and have the ability to absorb added water. CONCLUSION The categorization of HA fillers as biphasic or monophasic was shown to be scientifically incorrect and should therefore be avoided. Further analytical measurement of the properties leading to this misinterpretation can provide information to discriminate and categorize HA fillers on a sounder scientific basis.
Knowledge components and methods for policy propagation in data flows

Data-oriented systems and applications are at the centre of current developments of the World Wide Web (WWW). On the Web of Data (WoD), information sources can be accessed and processed for many purposes. Users need to be aware of any licences or terms of use, which are associated with the data sources they want to use. Conversely, publishers need support in assigning the appropriate policies alongside the data they distribute. In this work, we tackle the problem of policy propagation in data flows - an expression that refers to the way data is consumed, manipulated and produced within processes. We pose the question of what kind of components are required, and how they can be acquired, managed, and deployed, to support users on deciding what policies propagate to the output of a data-intensive system from the ones associated with its input. We observe three scenarios: applications of the Semantic Web, workflow reuse in Open Science, and the exploitation of urban data in City Data Hubs. Starting from the analysis of Semantic Web applications, we propose a data-centric approach to semantically describe processes as data flows: the Datanode ontology, which comprises a hierarchy of the possible relations between data objects. By means of Policy Propagation Rules, it is possible to link data flow steps and policies derivable from semantic descriptions of data licences. We show how these components can be designed, how they can be effectively managed, and how to reason efficiently with them. In a second phase, the developed components are verified using a Smart City Data Hub as a case study, where we developed an end-to-end solution for policy propagation. Finally, we evaluate our approach and report on a user study aimed at assessing both the quality and the value of the proposed solution.
Image inpainting using Wasserstein Generative Adversarial Network

Recent advances in convolution neural networks have shown promising results for the challenging task of filling large missing regions in an image with semantically plausible and context aware details. These learning-based methods are significantly more effective in capturing high-level features than prior techniques, but often create distorted structures or blurry textures inconsistent with existing areas. This is mainly due to ineffectiveness of convolutional neural networks in explicitly borrowing or copying information from distant locations. Motivated by these observations, we use a convolution neural networks architecture with Atrous Spatial Pyramid Pooling module, which can obtain multi-scale objection information, to be our inpainting network. We also use global and local Wasserstein discriminators that are jointly trained to distinguish real images from completed ones. We evaluate our approach on four datasets including faces (CelebA) and natural images (Paris Streetview, COCO, ImageNet) and achieved state-of-the-art inpainting accuracy.
The Survey on the Influence of Clinical Nurse's Critical Thinking Disposition, Problem-solving Skill and Self-efficacy on Patients Safety Competencies

This study examined the relationships among patient safety competence, critical thinking disposition, problem-solving competence, and self-efficacy of clinical nurses to identify the factors influencing the patient safety competence. A convenience sample of 373 nurses working in 4 general hospitals in a Metropolitan area in Korea was selected. After obtaining IRB approval, data collection was done with a structured self-administered questionnaire from October 14th to November 4th, 2014. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis using the SPSS WIN 21.0 program. The participants showed a moderate level of patient safety competence (), of critical thinking disposition (), of problem solving competence (), and of self-efficacy (). The patient safety competence of the participants showed a significant correlation with the critical thinking disposition (r=.493, p, p, p=.005), critical thinking disposition (, p=.018), and having the experience of reporting patient safety accidents (, p=.002). The results suggest that educational programs to enhance the critical thinking disposition, problem-solving competence, and self-efficacy would develop the patient safety competence of clinical nurses. In addition, more effort should be placed into reinforcing the patient safety competence by activating the report of patient safety accidents.
Millennials’ Views and Expectations Regarding the Communicative and Relational Behaviors of Leaders: Exploring Young Adults’ Talk About Work

While research has started to debunk some millennial stereotypes, a gap between this cohort and their predecessors persists. In response, two studies were conducted with matriculating millennials to reveal the expectations they hold regarding typical leader behavior and leader-member relationships. The studies establish millennials’ views and communicative and relational expectations of leaders and also help to answer which leader communication behaviors are likely to be valued and potentially most effective with this cohort. This research puts millennial self-report data in conversation with extant research to offer new insight. Suggestions for instructors and managers are included.