Miracle-dz/UniFAR-FTUs huggingface dataset:
Vascular function, exercise-induced hyperemia, and antioxidant supplementation in chronic heart failure patients and heart transplant recipients

The overall objective of this dissertation was to provide greater insight into changes in vascular function, blood flow regulation, and exercise-induced hyperemia associated with health, chronic heart failure (CHF), and heart transplantation (HTx). In the first study, we aimed to determine the central and peripheral contributions to movement-induced hyperemia in response to passive movement by comparing humans with a denervated heart (HTx) to intact controls. We observed a four-fold reduction in the transient increase in femoral blood volume entering the leg in response to passive limb movement in the HTx recipients compared to controls. These findings highlight the key role of the reflex increases in heart rate (HR) and the associated rise in cardiac output (CO) response as an important mechanism which contributes to movement-induced hyperemia in humans. The second study investigated the changes in vascular function and the role of oxidative stress from health to CHF, HTx, and beyond. Utilizing flowmediated vasodilation (FMD) we documented reduced vasodilatory capacity in CHF patients, which was normalized in early HTx recipients, and then an eventual decline in vascular function in the HTx recipients that were the furthest time from transplantation (>14 yrs post-HTx). The acute ingestion of the antioxidant cocktail (AOC) was able to significantly increase FMD by 55% in these >14 yrs post-HTx recipients suggesting that free radicals, and the associated decrease in nitric oxide bioavailability, are largely responsible for their endothelial dysfunction. The third study sought to better characterize the role of free radicals in regulating central and peripheral hemodynamics at rest and during exercise in patients with CHF using an oral AOC and dynamic handgrip exercise. The ingestion of the AOC had significant systemic hemodynamic effects which were only evident in the patients with CHF. Specifically, the AOC further reduced the patients already lower MAP (~5%), increased CO (~10%), and caused a fall in systemic vascular resistance (~12%). These data imply that systemic vascular resistance appears, at least in part, to be free radically-mediated. Collectively, this research has provided significant insight into the cardiovascular consequences of CHF and HTx in terms of oxidative stress, vascular function and hemodynamic regulation.
Anti-Mullerian Hormone and Follicle Stimulating Hormone as Markers of Ovarian Agingin a Sample of Iraqi Women

One-hundred and twenty Iraqi women (60 single women and 60 married women) with age ranges from (17-49) years have been involved in this study to estimate the levels of anti-mullerian hormone (AMH) and follicle stimulating hormone (FSH) as markers of ovarian aging. The descriptive data [age, body mass index (BMI), age at menarche, duration of menarche] have been recorded. Blood samples were collected from the studied women to determine the levels of AMH and FSH. The results revealed non-significant (p>0.05) differences in levels of AMH and FSH between single women and married women. A significant negative correlation was observed between AMH levels and age in single women (r=-0.519, p<0.05) and married women (r=-0.433, p<0.05). A non-significant correlation was found between AMH levels and BMI in single women, while a significantnegative correlation was found in married women (r=-0.311,p<0.05). A non-significant correlation was observed between AMH levels and age of menarche in the two groups, whilea significant negative correlation was observed between AMH levels and duration of menarche in single women (r= -0.520, p<0.05) and married women (r= -0.396, p<0.05). The results showed a significant positive correlation between FSH levels and age in single women (r= 0.525, p<0.05) and married women (r= 0.346, p<0.05),while asignificant positive correlation was found with BMI (r= 0.315, p<0.05) in single women only. Non-significant correlation was found with age at menarche in studied women, whilea significant positive correlation was noticed with duration of menarche in single women (r= 0.529, p>0.05) and married women (r= 0.339, p>0.05). The correlation between AMH and FSH levels in studied women revealed a significant negative correlation in single women (r=-0.429, p<0.05), while a non-significant correlation was found in married women. In single and married women, a significant (p<0.05) decrease was found in AMH levels; while a significant (p<0.05) increase was found in FSH levels in (≥40 years) age category compared with the other age categories. In single women, non-significant (p>0.05) differences were found in AMH levels among the BMI categories,while a significant (p<0.05) decrease was found in FSH levels in (18.5-24.9 kg/m 2 ) BMI category compared with other BMI categories. In married women, non-significant (p>0.05) differences were found in AMH and FSH levels between the BMI categories.In conclusion,this study demonstrated the importance of measurement of AMH and FSH as a good marker of ovarian aging in Iraqi women.
LOCAL FLANGE BENDING AND LOCAL WEB YIELDING LIMIT STATES IN STEEL MOMENT-RESISTING CONNECTIONS

Nine pull-plate experiments were conducted to examine the effect of column stiffening on the limit states of local flange bending and local web yielding. The results show that AISC provisions for these limit states are reasonable and slightly conservative. Weld fractures did not occur despite the fact that some of the specimens were significantly understiffened. The use of half-thickness continuity plates fillet welded to the column web and flanges was shown to be sufficient in comparison to fullthickness continuity plates with CJP welds.
Alergológica 2005. Methodological aspects and sample characteristics of the study.

■ Abstract Background: In this article we present the basic methodological aspects of the clinical epidemiologic study Alergologica-2005, a project launched by the Spanish Society of Allergology and Clinical Immunology replicating the objectives and methods of a similar study carried out in 1992. Objective: The aim of this nation-wide study was to describe the profi le of the patients treated in Spanish allergology departments, the normal clinical practice followed by the specialists in these departments, the social and healthcare repercussions of allergic diseases in Spain together with the additional objective of identifying any possible relevant changes that may have taken place regarding these factors during the decade since the original study was completed (1992-2005). Methods: An observational, descriptive, cross-sectional study was carried out over the year 2005 using a convenience sample of allergic patients (recruited consecutively from a different random date for each researcher participating in the study) who were treated in the departments, both private and public, of 340 specialists in allergology working in the Spanish healthcare system. The sample was stratifi ed geographically by autonomous region in a ratio proportional to the population of each geographical area. Results: Clinical, epidemiological, diagnostic, therapeutic, social and general healthcare data were collected from 4991 allergic patients presenting for the fi rst time in the departments of the researchers involved in the study. The results and conclusions will be presented classifi ed by disorder in the following research articles published in this issue. Conclusions: The methodological aspects described guarantee the accuracy of the estimates made in the current study and the comparability of the results with those of Alergologica– 92 project.
Music therapy programming at an aftercare center in cambodia for survivors of child sexual exploitation and rape and their caregivers

Child sexual exploitation, a form of human trafficking, is one of the most devastating crises facing our world today. In order to combat this issue, survivors of sex trafficking must be successfully rehabilitated and reintegrated into society. Creative arts therapies offer child victims of abuse alternative opportunities for healing and restoration. This article describes the work of two music therapists in Phnom Penh, Cambodia, with an aftercare center that provides immediate care to young girls rescued from commercial sexual exploitation and other situations of sexual violence. During this six-month project, the therapists provided training opportunities to the staff, including education regarding music therapy principles, instrument lessons, participation in group music activities, and one-on-one assistance leading large-group music activities with the survivors. The purpose of these experiences was to explore the role of music therapy programming in supporting care for the survivors and the staff. This article explores such programming and discusses recommendations for future projects. Copyright of Social Work & Christianity is the property of North American Association of Christians in Social Work. Keywords: Human trafficking Language: en
Invasive breast cancer version 1.2016

Breast cancer is the most common malignancy in women in the United States and is second only to lung cancer as a cause of cancer death. The overall management of breast cancer includes the treatment of local disease with surgery, radiation therapy, or both, and the treatment of systemic disease with cytotoxic chemotherapy, endocrine therapy, biologic therapy, or combinations of these. This article outlines the NCCN Guidelines specific to breast cancer that is locoregional (restricted to one region of the body), and discusses the management of clinical stage I, II, and IIIA (T3N1M0) tumors. For NCCN Guidelines on systemic adjuvant therapy after locoregional management of clinical stage I, II and IIIA (T3N1M0) and for management for other clinical stages of breast cancer, see the complete version of these guidelines at NCCN.org.
Changes of Cerebral Hemodynamics in Hypertensives During Physical Exercise

Background and Purpose. Previously, 30 untreated hyperten sive patients were investigated by transcranial Doppler (TCD) monitoring during physical exercise, and changes of hemodynamic parameters were compared with those of age matched healthy subjects. After 3‐year antihypertensive (AHT) treatment, these hypertensives were investigated again. The aim of this study was to compare the cerebral hemodynamic changes in the regularly treated and noncompliant (untreated) hypertensives during ergometer cycling. Methods. Nineteen of 30 previously untreated hypertensive patients could be investi gated again using the same method as before. Eleven were reg ularly treated (treated hypertensive [T‐HT] group), and 8 did not take their AHT medications due to lack of compliance (noncompliant hypertensive [NC‐HT] group). Blood pressure, heart rate, end‐tidal CO2 (etCO2; Capnogard capnograph), and bilateral middle cerebral artery mean blood flow velocity (MV) were continuously monitored during ergometer cycling according to the World Health Organization protocol. Values of 2‐minute loading were analyzed. Results. Median loading time did not differ significantly between the T‐HT and NC‐HT groups. After 2 minutes of cycling in treated patients, the ratio of MV and etCO changes (ΔMV/ΔetCO2) showed similar values as before therapy (P= .38), whereas in noncompliant patients, a further worsening of the ratio of ΔMV/ΔetCO2 could be observed (P= .04). Conclusion. The decrease of arteriolar vasodilation (ie, the ratio of ΔMV/ΔetCO2) could be demonstrated in the NC‐HT group after 3 years. TCD combined with ergometer cycling is a useful method for evaluation of cerebral hemodynamic changes after AHT therapy.
Options for Field Anesthesia in the Horse

Xylazine-ketamine anesthesia can be improved with the addition of diazepam to the regimen. Longer periods of anesthesia can be produced by inducing anesthesia with xylazine-diazepam-ketamine and infusing guaifenesin-xylazine-ketamine (triple drip) to maintain anesthesia. Author’s address: Dept. of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, 601 Tharp Street, Columbus, OH 43210. r 1999 AAEP.
GNOM-A MODULAR NETWORK ARCHITECTURE FOR ADAPTIVE PARALLEL / SEQUENTIAL PATTERN RECOGNITON

We propose a multi-layered Neural Network architecture which enables a knowledge based segmentation of a complex parallel input into a sequence of smaller scale parallel input segments representing known parts of the input to the system. The functional architecture described in this paper ensures selfregulation of relaxation and learning in a way the system can learn from experience by taking the known aspects out of an unknown input one by one.
Childbearing and the use of contraceptive methods among married adolescents in Bangladesh.

Objectives To investigate the socioeconomic determinants of childbearing and contraceptive use among married adolescents in Bangladesh. Methods The study used the Bangladesh Demographic and Health Survey 2007 data. Both bivariate and multivariate statistical analyses were used to examine the association between the socioeconomic factors and childbearing and contraceptive use among married female adolescents. Results Overall, 69% of the married adolescents initiated childbearing and 25% of the most recent pregnancies were unintended. The current contraceptive prevalence rate was 42%. The multivariate logistic regression yielded a signifi cantly increased risk of childbearing among adolescents with no formal education, those who were married-off before age 16, the poor and those who had ever used any contraceptive method. Inter-spousal communica- tion on family planning (FP) appeared as the most single signifi cant determinant of any contraceptive use. Number of living children, working status and visitations by FP workers are also important determinants of contraceptive use among the married female adolescents. Conclusions Early childbearing, lower use rate of contraceptive methods and unintended pregnancies are common among married adolescents in Bangladesh. Expanded schooling and reproductive health programmes in Bangladesh should promote increased communica- tion about FP within the couples in order to achieve successful contraception and better reproductive outcomes, particularly among adolescents.
Gastrointestinal opportunistic infections in human immunodeficiency virus disease.

Gastrointestinal (GI) opportunistic infections (OIs) are commonly encountered at various stages of human immunodeficiency virus (HIV) disease. In view of the suppressive nature of the virus and the direct contact with the environment, the GI tract is readily accessible and is a common site for clinical expression of HIV. The subject is presented based on information obtained by electronic searches of peer-reviewed articles in medical journals, Cochrane reviews and PubMed sources. The spectrum of GI OIs ranges from oral lesions of Candidiasis, various lesions of viral infections, hepatobiliary lesions, pancreatitis and anorectal lesions. The manifestations of the disease depend on the level of immunosuppression, as determined by the CD4 counts. The advent of highly active antiretroviral therapy has altered the pattern of presentation, resorting mainly to features of antimicrobial-associated colitis and side effects of antiretroviral drugs. The diagnosis of GI OIs in HIV/ acquired immunodeficiency syndrome patients is usually straightforward. However, subtle presentations require that the physicians should have a high index of suspicion when given the setting of HIV infection.
Robot-Assisted Laparoscopic Donor Nephrectomy vs Standard Laparoscopic Donor Nephrectomy: A Prospective Randomized Comparative Study.

OBJECTIVE The goal of this randomized controlled trial was to compare the outcomes of robot-assisted laparoscopic donor nephrectomy (RDN) with standard laparoscopic donor nephrectomy (LDN). MATERIALS AND METHODS Forty-five voluntary kidney donors (27 for right subgroup and 18 for left subgroup) who met inclusion and exclusion criteria were randomized into 2 groups, RDN and LDN in 1:2 ratio. Primary endpoints were visual analogue scale (VAS) pain scores, analgesic requirement, and hospital stay of donors. Secondary endpoints were donor's intraoperative and postoperative parameters, graft outcomes, and donor surgeon's difficulty scores. RESULTS All procedures were completed without any intraoperative complications. VAS pain scores at 6, 24, and 48 hours (p = 0.00), analgesic requirement (p = 0.00), and hospital stay (p = 0.00) were less in RDN than in LDN. Longer graft arterial length could be preserved with robotic approach on right side (p = 0.03) but not on left side (p = 0.77). The RDN group required more number of ports (p = 0.00), longer retrieval time (p = 0.00), and warm ischemia time (WIT) (p = 0.01). Total operative time (p = 0.14), hemoglobin drop (p = 0.97), postoperative donor complications (p = 0.97), and the recipient estimated glomerular filtration rate at 9 months (p = 0.64) were similar in both groups. Difficulty scores of console surgeon were less in most steps on right side but not on left side. Patient-side surgeon in RDN had higher difficulty scores for retrieval. CONCLUSION RDN is safe and is associated with better morbidity profile than LDN. Robotic approach provides technical ease and facilitates preservation of longer length of renal artery on right side. Left RDN is associated with longer WIT; however, this does not translate into poor graft outcome.
Consenso e diferenças em equipes do Programa Saúde da Família

OBJETIVO: Identificar tematicas que promovam consenso e divergencias entre medicos, enfermeiros e agentes que compoem a equipe do Programa Saude da Familia. METODOS: Estudo qualitativo que utiliza grupos focais como tecnica de pesquisa com agentes masculinos e femininos, medicos e enfermeiras da equipe do Programa Saude da Familia, em Teresina, PI. Foram realizadas sessoes com os grupos, conduzidas por monitor e participacao de observador, utilizando roteiro com as questoes: insercao no programa; processo de capacitacao; principios do programa; relacoes com a formacao e com o modelo assistencial predominante; relacoes entre membros da equipe e comunidade; servicos demandados e disponiveis; situacao trabalhista e condicoes de trabalho; e fatores positivos e negativos. RESULTADOS: Tematicas gerais como trabalho na comunidade, cuidados preventivos e trabalho em equipe geraram consenso entre as tres categorias de profissionais. Temas que reforcaram a divisao entre categorias foram salario, organizacao do processo de trabalho, relacoes com a comunidade, responsabilidades da equipe e estrategias de atendimento a demanda. Temas que promoveram o aparecimento de subgrupos em cada categoria foram: condicoes de trabalho, salario, relacoes com a comunidade e responsabilidades da equipe. CONCLUSOES: Temas que evidenciaram diferencas em maior grau reforcaram as caracteristicas corporativas de cada categoria, enquanto temas que promoveram o aparecimento de subgrupos foram discutidos a partir de referencias externas, implicando a necessidade de definir especificidades do processo de trabalho no programa. As estrategias para atendimento as demandas da comunidade representaram tematicas emergenciais ao grupo de agentes, pois a eles coube a solucao imediata para os problemas na relacao comunidade e servico.
A Survey on Differentially Private Machine Learning

Recent years have witnessed remarkable successes of machine learning in various applications. However, machine learning models suffer from a potential risk of leaking private information contained in training data, which have attracted increasing research attention. As one of the mainstream privacypreserving techniques, differential privacy provides a promising way to prevent the leaking of individual-level privacy in training data while preserving the quality of training data for model building. This work provides a comprehensive survey on the existing works that incorporate differential privacy with machine learning, so-called differentially private machine learning and categorizes them into two broad categories as per different differential privacy mechanisms: the Laplace/Gaussian/exponential mechanism and the output/objective perturbation mechanism. In the former, a calibrated amount of noise is added to the non-private model and in the latter, the output or the objective function is perturbed by random noise. Particularly, the survey covers the techniques of differentially private deep learning to alleviate the recent concerns about the privacy of big data contributors. In addition, the research challenges in terms of model utility, privacy level and applications are discussed. To tackle these challenges, several potential future research directions for differentially private machine learning are pointed out.
THIN BELLS IN L-SPACES AS JORDAN INVARIANTS FOR VON NEUMANN ALGEBRAS

Extending the main result in [10], we show that for any fixed p ∈ [1,∞] and any ε ∈ (0, 1], the metric space {S 1 p ∈ Lp+(M) : 1− ε ≤ ∥S 1 p ∥ ≤ 1} is a complete Jordan ∗-invariant for a von Neumann algebra M . Furthermore, in the case when p ∈ (1,∞), if M C and is a semifinite algebra with no type I2 summand (or is a hyperfinite algebra with no type I2 summand), then for any von Neumann algebra N and any metric preserving bijection Φ : {S ∈ Lp+(M) : 1− ε ≤ ∥S 1 p ∥ ≤ 1} → {T ∈ Lp+(N) : 1− ε ≤ ∥T 1 p ∥ ≤ 1}, there is a Jordan ∗-isomorphism Θ : N → M satisfying Φ(S 1 p ) = Θ∗(S) 1 p .
Relationship Between Student QoL With Irritable Bowel Syndrome and Related Factors at Ahvaz Jundishapur University of Medical Sciences

Background: Irritable bowel syndrome (IBS) is one of the most common functional disorders of the lower gastrointestinal tract characterized by abdominal pain and changes in bowel habits. This disorder changes the QoL (QoL) for patients. Objectives: This study examines the relationship between QoL for nursing students with other associated factors. Patients and Methods: These descriptive-analytic studies indicate a census for 57 senior nursing students of the School of NursingMidwifery, Ahvaz in 2013–2014. The data from the demographic questionnaire and QoL questionnaire (QOL-34) was collected. Data using ANOVA and t-tests with significance level of P 0.05). While for QoL and academic Grade Point Average (P = 0.048), ethnicity (P = 0.006), disease duration (P = 0.049), and disease severity (P = 0.030) were significantly related . Conclusions: It seems important to pay attention to health problems and to apply interventions that will influence QoL. Lifestyle changes and staying away from activities that are associated with tension stress can help to eliminate the symptoms and disease severity and improve the QoL for student.
Can spontaneous spinal epidural haematoma be managed safely without operation? a report of four cases

The presentation, investigation, and management of four patients with spontaneous spinal epidural haematoma is presented. In each case the diagnosis was made by MRI. At the time of diagnosis spontaneous recovery had started in each patient and therefore they were all treated conservatively. In each case follow up MRI confirmed rapid reduction in the size of the haematoma and no underlying cause was demonstrated. The presentation, diagnosis, and rationale for treatment are discussed. Conservative treatment is safe in some cases of spinal epidural haematoma if early neurological recovery has started.
PIH-confounding Situations, Management Dilemmas and Severe Consequences : Does Antenatal Care have A Role?

PIH more commonly affects women of less than 25 years of age. 2) Incidence of PIH can not be lessened by better standard of antenatal care. However, the severity and complications of the same can certainly be reduced by proper antenatal care. 3) Mode of presentation of severe PIH to be as follows