Miracle-dz/UniFAR-FTUs huggingface dataset:
Nurse Migration to Canada

Many internationally educated nurses (IENs) find it difficult to reinstate themselves in their profession after migration. This article explores factors contributing to the success and failure of IENs to reestablish professional careers. The article discusses a study involving 39 IENs in 5 focus groups and 10 interviews. In all, 29 interviews are held with other stakeholders. IENs encounter obstacles at each stage of the migration process. New strategies are required to assist IENs to reenter the workforce. Given the consistent predictions of an extreme nurse shortage, it is important that the brain waste of immigrant nurses be minimized.
When Family Means More (or Less) Than Genetics

There is renewed interest in the use of family history to predict individual disease susceptibility, and as a result, standardized online family history tools are being developed and marketed as a “new genetic test. ” It is not known how cultural variations in definitions of family influence collection of these data or what is the best format to use. This is significant given that the populations who carry the greatest burden of the target diseases have not been considered in efforts to test these tools. A qualitative study with a convenience sample of 19 Japanese Americans and Samoan Americans, two groups at high risk for type 2 diabetes, was conducted to explore the process of collecting family history. A particularly strong finding was the high degree of acceptance experienced by the participants with the process and their pride in visualizing their family graphically displayed in pedigrees. It was also found that Samoans included those linked by nonbiological ties in their families, which reflects their cultural practices. Further research is needed to assess the most effective and efficient way to gather family history given the complexities surrounding the deceptively simple concept of family.
Intakes and major dietary sources of cholesterol and phytosterols in the British diet

Cholesterol intakes in Britain have been re-estimated by analysing Total Diet samples taken in 1991 and from 1993 National Food Survey records. The Total Diet samples contained only 284 mg/day compared with 319 mg/day in 1987 and 337 mg/day in 1981, while the National Food Survey showed intakes had fallen to 238 mg/day from 259 mg/day in 1990 and 405 mg/day in 1970-75. More details of the intakes by adults in 1986/87 are given, and compared with the results from the other methods. Daily intakes of eight phytosterols were also estimated, the main ones being β-sitosterol, campesterol, stigmasterol and 57-stigmastenol whose intakes were 104, 49, 10 and 4 mg/day, respectively, in 1991. These intakes had increased since 1981, reflecting the rising consumption of vegetable oils.
CLOCK-DWF: A Write-History-Aware Page Replacement Algorithm for Hybrid PCM and DRAM Memory Architectures

Phase change memory (PCM) has emerged as one of the most promising technologies to incorporate into the memory hierarchy of future computer systems. However, PCM has two critical weaknesses to substitute DRAM memory in its entirety. First, the number of write operations allowed to each PCM cell is limited. Second, write access time of PCM is about 6-10 times slower than that of DRAM. To cope with this situation, hybrid memory architectures that use a small amount of DRAM together with PCM have been suggested. In this paper, we present a new memory management technique for hybrid PCM and DRAM memory architecture that efficiently hides the slow write performance of PCM. Specifically, we aim to estimate future write references accurately and then absorb frequent memory writes into DRAM. To do this, we analyze the characteristics of memory write references and find two noticeable phenomena. First, using write history alone performs better than using both read and write history in estimating future write references. Second, the frequency characteristic is a better estimator than temporal locality in predicting future memory writes. Based on these two observations, we present a new page replacement algorithm called CLOCK-DWF (CLOCK with Dirty bits and Write Frequency) that significantly reduces the number of write operations that occur on PCM and also increases the lifespan of PCM memory.
An audit of prescribing errors in neonates and paediatrics

Aims An online system known as ‘Datix’ is utilised locally for the voluntary reporting of prescribing errors. The actual rate of prescribing errors in neonates and children is unknown. This re-audit aimed to investigate the incidence and nature of prescribing errors in this patient group. Drugs most commonly associated with prescribing errors were identified and the results compared to previous audit and national findings. The clinical significance of reported errors was determined. Standard 0% of prescriptions contain a prescribing/transcribing error Methods Data was collected prospectively by ward pharmacists over 2 weeks, on six paediatric wards and one neonatal ward. The prescribing errors were recorded using a validated list of paediatric prescribing error scenarios.1 Data were collated and analysed using Microsoft Excel. The clinical significance of reported errors was evaluated by members of the multidisciplinary team using a validated visual analogue scale of (0–10) where 0 represents an error with no potential effect and 10 an error that would result in patient death.2 Results 1411 new prescriptions were written and 500 transcribed. The audit did not meet its standard. 125 prescribing errors were identified, including 30 transcription errors. The prescribing error rate was 6.5% (125/1911). The overall prescribing error rate excluding transcription errors was 6.7% (95/1411). The error rates were compared between specialities. Paediatric neurology reported the highest error rate (14.3%), High rates were observed in critical care areas, high dependency (13.6%) and intensive care (10.5%). Medicines prescribed intravenously accounted for 39% of prescribing errors whilst 31% were in medicines prescribed via the oral route. Errors related to incorrect dosing accounted for 45% of those reported. The greatest number of errors were reported in children <4 years (45%). Drugs most commonly associated with prescribing errors were (n=125): paracetamol (14.4%); gentamicin (6.8%); morphine (6.8%) and tacrolimus (5.1%). 0 errors were reported on the ‘Datix’ system. The clinical significance was evaluated for 109 reported errors. 4.5% were found to have a mean clinical significance rating of >6/10, 59% had a mean rating of >3 and ≤6/10 and 33% had a mean rating of ≥0 and ≤3/10. Conclusions The reported error rates represent a 2.4% increase from the 2011 audit but is significantly lower than rates reported in the literature.3 4 The results obtained will be utilised to target drugs and specialities associated with the highest error rates and the most clinically significant errors. Further work is indicated to improve error reporting on ‘Datix’.
Mission Reliability, Cost and Time for Cold Standby Computing Systems with Periodic Backup

Life critical applications like space missions and flight controls require their computing systems to be equipped with some fault-tolerance mechanism to meet stringent reliability requirements by performing the intended function even in the case of element failures. Such benefit, however, cannot come without extra time as well as extra overhead and capital costs. This paper for the first time considers the modeling and evaluation of mission reliability, expected mission time and cost simultaneously for 1-out-of-N: G nonrepairable cold standby computing systems subject to periodic backup actions. Based on the suggested numerical evaluation method, the optimal backup frequency problems are formulated and solved, providing the optimal number of backup operations during the mission to maximize the system reliability or to minimize the mission cost or time. In the case of non-identical system elements, the optimal standby element sequencing problem arises as the order in which the system elements are initiated can impact the system reliability and mission cost and time greatly; such problems are formulated and solved for the 1-out-of-N: G cold standby computing systems with periodic backups. Furthermore, a combined optimization problem is considered, where a combination of the element initiation sequence and backup frequency providing the best combination of mission reliability, cost, and time is found. The proposed methodology can facilitate a reliability-cost-time tradeoff study in the practical design of cold standby systems, thus assist in making the optimal decision on the system's standby and backup policy. Examples are provided for illustrating the considered problems and suggested solution methodology.
Clinical Reasoning during Community Health Home Visits: Expert and Novice Differences

Very little is known about the differences between novice and expert clinical reasoning in community health practice. This article presents the findings of a study of the clinical reasoning of five expert and five novice community health occupational therapists (CHOTs) during the conducting of home visits. A head-mounted video camera was used to record the visits, followed by the participants reporting their clinical reasoning verbally using a video-assisted debriefing method. The transcripts from these verbal reports were analysed quantitatively and qualitatively. The quantitative results demonstrated many differences between experts and novices in terms of the amounts and types of clinical reasoning used. For example, the novices used more procedural reasoning whereas the experts used more conditional reasoning and mixes of different reasoning types. The qualitative results demonstrated that the experts used a free-flowing conversational approach when reasoning during home visits whereas the novices depended on external structures such as assessment forms to guide the process. Given their experience and familiarity with the process, the experts were confident and clear in their reasoning whereas the novices were more awkward and self-conscious. The experts handled sensitive issues whereas the novices seemed to avoid them. The study findings may provide insights for student and novice therapists concerning expert CHOTs' practice and promote reflection in general on the attainment of expertise in clinical practice.
The significance of women's pregnancy-related locus of control beliefs for adherence to recommended prenatal health regimens and pregnancy outcomes

Abstract This study examined the relationships among women's pregnancy-related health beliefs, compliance with prenatal health guidelines, and perinatal outcomes. The principal measures in this study were the Pregnancy Belief Scales which explore three factors: (1) pregnant women's degree of perceived control or internality wit h respect to their pregnancy and birth outcomes, (2) the extent to which pregnant women believe that ‘chance’ or (3) ‘powerful others’ affects their pregnancy and birth outcomes. Sixty-two (62) pregnant African-American and Caucasian lower- and middleclass women participated in this study. Measures of compliance with recommended prenatal health guidelines, and pregnancy and perinatal outcomes were also obtained. Results indicated that women's perceptions of their control of their pregnancy and perinatal outcomes was related to compliance with prenatal health regimens during pregnancy, which in turn, was related to actual pregnancy and birth outcomes. The implications of these findi.
Single Dose Preemptive Amitriptyline Reduces Postoperative Neuropathic Pain After Lumbar Laminectomy and Discectomy: A Randomized Placebo-controlled Clinical Trial

BackgroundOngoing neuropathic pain is a common problem in patients undergoing lumbar discectomy. Central sensitization is believed to be the main cause of maintained neuropathic pain after discectomies. Tricyclic antidepressants are known as the drug of choice for neuropathies; however their acute role is a matter of controversy. The aim of this study is to assess the acute role of amitriptyline to reduce postoperative pain and opioid consumption in single level lumbar discectomies. MethodsOver 1 year, patients with a decision for single level lumbar laminectomy and discectomy were randomly assigned into groups A and B, each received similar capsules containing amitriptyline or matching placebo 2 hours before surgery. Same anesthetic protocol was performed. Only patients with postoperative leg pain remained in the study. Visual analog scale and morphine consumption were recorded at 6 hours intervals up to 24 hours. The results were analyzed by SPSS V.13 and χ2 and t test were used as the statistical tests. Finally, the groups were revealed: “A” was amitriptyline and “B” was the placebo group. ResultsPain was significantly reduced in each group at each time intervals (P<0.001). The amitriptyline group had a significantly lower pain score by the end of 24 hours (P=0.047), whereas morphine consumption was not different statistically. ConclusionsPreemptive amitriptyline is effective to reduce remained neuropathic pain after lumbar discectomies. The treatment of neuropathic pain should be considered before the surgery.
Logo-Autobiography and Its Effectiveness on Depressed Korean Immigrant Women

This study aimed to explore the effectiveness of logo-autobiography (LA) as a therapeutic modality for Korean immigrant women suffering from depression and perceiving their lives as meaningless. A nonrandomized quasi-experimental study was conducted with pretest, posttest, and a 4-week follow-up test. Forty subjects—20 with antidepressants and 20 without—were divided quarterly and assigned to the experimental group and the control group. The experimental group reported a significant lower score on depressive symptoms (F = 6.832, p = .013; F = 19.800, p ≤ .001) and a higher score on meaning of life (F = 12.294, p = .001; F = 12.232, p = .001) than did the control group immediately after completing the LA and a 4-week follow-up. The LA was more effective for the subjects in the nonmedication group than in the medication group. In conclusion, LA is effective in reducing depressive symptoms and increasing a sense of meaning in life among Korean immigrant women suffering from depression.
Conditional Identity-Based Broadcast Proxy Re-Encryption and Its Application to Cloud Email

Recently, a number of extended Proxy Re-Encryptions (PRE), e.g. Conditional (CPRE), identity-based PRE (IPRE) and broadcast PRE (BPRE), have been proposed for flexible applications. By incorporating CPRE, IPRE and BPRE, this paper proposes a versatile primitive referred to as conditional identity-based broadcast PRE (CIBPRE) and formalizes its semantic security. CIBPRE allows a sender to encrypt a message to multiple receivers by specifying these receivers' identities, and the sender can delegate a re-encryption key to a proxy so that he can convert the initial ciphertext into a new one to a new set of intended receivers. Moreover, the re-encryption key can be associated with a condition such that only the matching ciphertexts can be re-encrypted, which allows the original sender to enforce access control over his remote ciphertexts in a fine-grained manner. We propose an efficient CIBPRE scheme with provable security. In the instantiated scheme, the initial ciphertext, the re-encrypted ciphertext and the re-encryption key are all in constant size, and the parameters to generate a re-encryption key are independent of the original receivers of any initial ciphertext. Finally, we show an application of our CIBPRE to secure cloud email system advantageous over existing secure email systems based on Pretty Good Privacy protocol or identity-based encryption.
sleep complaints, behavioral characteristics and vital exhaustion in myocardial infarction cases

Abstract Prodromal symptoms of vital exhaustion and sleep complaints are increasingly being recognized as important risk indicators for myocardial infarction (MI). In this study, the relationships between vital exhaustion, behavioral characteristics, and MI, and between several sleep complaints and MI were investigated. The subjects were 133 male cases with first MI, 192 male hospital controls, and 133 male neighborhood controls. The instruments used were the Maastricht Questionnaire (vital exhaustion), the Life Styles Questionnaire (sleep complaints, coffee consumption, and current smoking), and the Structured Interview (Type A behavior). All sleep complaints, vital exhaustion, Type A behavior, excessive coffee consumption, and current smoking occurred significantly more often in MI-cases. After controlling for these potential confounders, and age, most sleep complaints retained significant associations with MI, in particular often taking naps during the day and waking up in the morning feeling tired and.
DETERMINACIÓN DE COMPOSICIÓN CORPORAL MEDIANTE ANÁLISIS DE IMPEDANCIA SEGMENTADA: CONSIDERACIONES Y APLICACIONES PRÁCTICAS

Introduction: Bioelectrical impedance is a fast, inexpensive, easy, portable, and noninvasive method. A major innovation in the analysis of body composition is segmental bioelectrical impedance. Objectives: To assess the applicability of segmental bioelectrical impedance. Subjects and methods: The study was conducted on female subjects divided into two groups: Group I (n =8) consisted of healthy women and group II (n=25) of obese women with Polycystic Ovary Syndrome (PCOS). All subjects were submitted to examination by total and segmental bioelectrical impedance. Results and discussion: Anthropometric parameters (weight, BMI, total lean mass and total fat mass) showed significant differences between groups. There was a significant difference between groups I and II for all body segments evaluated, except for lean mass of the leg. Conclusion: Procedures of segmental bioelectrical impedance will be increasingly useful in the nutritional assessment of tissue masses, enabling assessment that is more sensitive and monitoring of nutritional care.
Allergy to rocuronium: from clinical suspicion to correct diagnosis

To cite this article: Leysen J, Bridts CH, De Clerck LS, Vercauteren M, Lambert J, Weyler JJ, Stevens WJ, Ebo DG. Allergy to rocuronium: from clinical suspicion to correct diagnosis. Allergy 2011; 66: 1014–1019.
Risk assessment and risk management among severely mentally ill patients requiring hospitalisation

Hospital admission is often precipitated by an increased risk to self or others and therefore it is practice to conduct an adequate assessment of risk in order to develop appropriate risk management plans. The aim of the study was to assess the prevalence of risk assessment and management among general psychiatric inpatients. To determine which risk factors are most likely to prompt a structured risk assessment. Data on risk assessment were collected from 202 inpatients. Two-thirds of inpatients were not assessed with a brief risk assessment (66%) or a structured risk assessment (67%). Of those brief and structured risk assessments which were done, 60% and 35% (respectively), were incomplete. Only 17% of the patients had a risk management plan. ‘Current behaviour suggesting there is a risk’ was the risk factor most likely to prompt a structured risk assessment. The majority of general psychiatric inpatients are neither being screened for violence nor are they receiving adequate risk management plans. Certain risk factors are more likely to prompt a structured risk assessment.
Laboratory Investigation:Automatic Identification of Gray Matter Structures from MRI to Improve the Segmentation of White Matter Lesions

The segmentation of MRI scans of patients with white matter lesions (WML) is difficult because the MRI characteristics of WML are similar to those of gray matter. Intensity-based statistical classification techniques misclassify some WML as gray matter and some gray matter as WML.We developed a fast elastic matching algorithm that warps a reference data set containing information about the location of the gray matter into the approximate shape of the patient's brain. The region of white matter was segmented after segmenting the cortex and deep gray matter structures. The cortex was identified by using a three-dimensional, region-growing algorithm that was constrained by anatomical, intensity gradient, and tissue class parameters. White matter and WML were then segmented without interference from gray matter by using a two-class minimum-distance classifier.Analysis of double-echo spin-echo MRI scans of 16 patients with clinically determined multiple sclerosis (MS) was carried out. The segmentation of the c.
Epothilones and new analogues of the microtubule modulators in taxane-resistant disease

Background: Microtubule-stabilising agents typified by the epothilone class of drug have demonstrated promising activity in Phase II and III clinical trials. Objective: Data supporting the efficacy of these agents are reviewed and their potential use in taxane-refractory disease assessed. Methods: Preclinical evidence assessing the role of the spindle assembly checkpoint in determining the cellular response to microtubule stabilization are presented together with clinical data documenting the efficacy of non-taxane microtubule modulators. Results/conclusions: Evidence suggests that microtubule-stabilising agents prolong activation of the spindle assembly checkpoint which may promote cancer cell death in mitosis or following mitotic exit. A weakened spindle assembly checkpoint is associated with altered sensitivity to agents targeting the microtubule and therefore pathways of drug resistance may be shared by these cytotoxic therapies. Preliminary clinical trial data do suggest modest activity of epothilones in truly taxane-resistant patient cohorts, indicating the potential niche for these agents in a molecularly undefined patient group, potentially implicating the role of P-glycoprotein in the acquisition of taxane-resistant disease. Trial data of these antimitotic agents will be presented together with their potential role in taxane-resistant disease and the implications for future clinical trial design.
Health Status Assessment and Failure Prediction for Hard Drives with Recurrent Neural Networks

Recently, in order to improve reactive fault tolerance techniques in large scale storage systems, researchers have proposed various statistical and machine learning methods based on SMART attributes. Most of these studies have focused on predicting failures of hard drives, i.e., labeling the status of a hard drive as “good” or not. However, in real-world storage systems, hard drives often deteriorate gradually rather than suddenly. Correspondingly, their SMART attributes change continuously towards failure. Inspired by this observation, we introduce a novel method based on Recurrent Neural Networks (RNN) to assess the health statuses of hard drives based on the gradually changing sequential SMART attributes. Compared to a simple failure prediction method, a health status assessment is more valuable in practice because it enables technicians to schedule the recovery of different hard drives according to the level of urgency. Experiments on real-world datasets for disks of different brands and scales demonstrate that our proposed method can not only achieve a reasonable accurate health status assessment, but also achieve better failure prediction performance than previous work.