Miracle-dz/UniFAR-FTUs huggingface dataset:
The Outcome of Vaginal Birth After Caesarean Section (VBAC): A Descriptive Study

The study, conducted in the tertiary care hospital of Dhaka Bangladesh, describes the outcome of vaginal birth after caesarean section (VBAC) in women with a previous caesarean. A prospective study was carried out from 1st January 2007 to 31st December, 2007 on 126 women with one prior lower segment cesarean section (LSCS) for a nonrecurrent cause. All unbooked women and those with estimated fetal weight more than 3.5 kg, breech presentation, history of postoperative wound infection after previous LSCS, anemia (Hb < 10 gm%), pregnancy induced hypertension, diabetes, heart disease, renal disease, cephalopevic disproportion abnormal presentation and placenta praevia were excluded from the study. An informed consent was taken for allowing a trial of vaginal delivery. Spontaneous onset of labor was awaited up to 41 weeks. Induction of labor was considered only in highly selected cases. Labor was constantly supervised by competent staff and meticulously monitored by cardiotocography (CTG). Out of the 126 women enrolled for the study, 26 had to leave the station leaving a total of 100 patients; 72 patients underwent elective repeat C/S, 28 patients (28%) of these underwent trial of labour, among them 15 had successful vaginal delivery (53.57) but 13 patients failed the attempt and had to undergo emergency caesarean section. To assist in the 2nd stage of labour, 6 had ventouse application. In total 85 cases needed repeat caesarean section. Among the cases there was one case of scar dehiscence (6.6%), one case of cervical tear (6.6%), two cases of manual removal of placenta (13.3%), one case of post partum hemorrhage (6.6) and one case of puerperal pyrexia (6.6). Perinatal morbidity was comparable with the elective repeat C/S group. VBAC should be considered in cases of previous one cesarean delivery for nonrecurrent indication. DOI: http://dx.doi. org/10.3329/medtoday.v25i1. 15902 Medicine Today 2013 Vol.25(1): 14-17
Making the right (interactive) moves for knowledge-producing tasks in computer-mediated groups

Computer-mediated communication (CMC) has enabled relaxation of temporal and geographical boundaries surrounding group tasks. A question is whether this opening is appropriate mainly for information exchange or whether it is also conducive to the interactive moves necessary for group knowledge production. This study examines knowledge production via email in a technology standardization working group. It notes the occurrence of interactive moves and discusses how they are and can be affected for producing group knowledge.
The efficacy of muscle energy technique in the treatment of chronic mechanical neck pain

The purpose of this study was to determine the efficacy of muscle energy technique in the treatment of chronic mechanical neck pain. This was a randomized placebo controlled study. Two groups of thirty subjects from Durban and the surrounding areas were selected to participate in the study, which was carried out at the Technikon Natal Chiropractic Day Clinic. Subjects were diagnosed with the condition by the researcher. Each subject received six treatments within a period of three weeks. Group A received muscle energy technique and de-tuned laser therapy applied to joint fixations. Group B received de-tuned laser therapy applied to the fixated areas. Subjective assessment was by means of the Short-Form McGill Pain Questionnaire and the Numerical Pain Rating Scale-101. Objective assessment was by means of the digital algometer (The Commander\x99 Algometer by Jtech Medical Industries) and the Cervical Range of Motion Device. Both the subjective and objective readings were taken prior to the first treatment and a day following the final (sixth) treatment.
Seasonal variation in infant mortality : an approach with applications

La plupart des etudes de demographie historique relatives aux variations saisonnieres de la mortalite infantile s'en tiennent aux fluctuations mensuelles du nombre des deces. Ceci n'est pas satisfaisant, a cause de l'incidence potentielle du mouvement saisonnier des naissances. Pourtant, avec la reconstitution des familles, on peut evaluer les fluctuations saisonnieres en termes de risque actuel de mortalite (et non plus de nombre de deces), et eliminer ainsi completement l'influence du mouvement des naissances. On trouvera ici une maniere de proceder et des resultats, compares avec ceux tires du seul mouvement des deces. La divergence des deux series est maximale quand les variations saisonnieres des naissances sont fortes et celles des risques de mortalite infantile faibles. On a applique la methode a 14 villages allemands aux XVIIIe et XIXe siecles. Il apparait que la saisonnalite des risques a change beaucoup selon les epoques et les regions, probablement en fonction des pratiques d'allaitement.
A Case Study of Learner Interaction in Technology-Enhanced Language Learning Environments

One research perspective that has been overlooked in studies on technology in foreign language education is that offered by qualitative research. This study, focusing on learner interaction, aims to begin to fill that gap. The researchers spent four months observing and interviewing students in two third-semester language classrooms: one French and one Spanish. Data collection involved a variety of sources, such as participant interviews and in-class observations, as well as pertinent documents and materials both in and out of class. Several themes emerge from the data which characterize the phenomenon of learner interaction in technology-enhanced language learning environments. Through thick description of these environments and discussion of the emerging themes, we hope to provide a more contextualized picture of the implementation of technology in foreign language classes at a large research-oriented institution.
Computer Assisted Microscopy The Measurement And Analysis Of Images

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Yarning about Indigenous mental health: Translation of a recovery paradigm to practice

Abstract Mental health practitioners struggle to translate recovery paradigms into practice. Changing from a focus on remediation of symptoms to a focus on reclaiming life in the community and enhancing protective factors requires a new approach. One new approach that particularly challenges health providers is the equalising of traditional patient-service provider relationships. Given the additional issues of disempowerment and social disadvantage of Indigenous peoples in Australia, equalising relationships and embedding recovery values for Indigenous mental health clients especially require urgent attention. There is also a need to learn more about the meaning of recovery in the Indigenous context and the ways in which it differs from non Indigenous interpretations. The Aboriginal and Islander Mental health initiative (previously the Australian Integrated Mental health initiative) has developed resources and training which seek to address this gap. The resources support a culturally adapted strengths-based approach to assessment and early intervention and are increasing popular in mental health, alcohol and other drug and chronic disease settings. Indigenous people with mental illness are subject to additional complex and toxic combination of social disconnecting factors. Culturally adapted recovery approaches to Indigenous mental illness are thus an important component of closing the gap in Indigenous health.
Effect of antenatal administration of magnesium sulphate and milking of umbilical cord during delivery on the incidence of intraventricular haemorrhage in preterm infants

Background: Intraventricular hemorrhage (IVH) is commonly seen in preterm infants. The aim of this study was to look at the effect of antenatal magnesium sulphate administration and milking of umbilical cord during delivery in the incidence of IVH in preterm infants.Methods: A randomized controlled study was conducted in the year 2015 on 80 preterm infants born less than 33 weeks of gestation during the study period. Magnesium sulphate was administrated to 25 pregnant women who were at imminent risk for delivery. Fourteen infants underwent milking of umbilical cord. The primary outcome was IVH detected in cranial ultrasound of day 28.Results: The primary outcome showed only 1 infant who received magnesium sulphate developed IVH, whereas 3 infants with no intervention done developed IVH. None of the preterm infants who had undergone milking of umbilical cord developed IVH.Conclusions: It was found that both antenatal administration of magnesium sulphate and milking of umbilical cord during delivery in preterm infants resulted in a significant reduction in the incidence of IVH. Further studies using more number of samples are required to understand the role of the interventions for long-term implications.
Behavior Health And Environmental Stress

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Incidence of low birth weight infants born to mothers with multiple risk factors.

Low birth weight (LBW) is associated with a large number and variety of risk conditions during pregnancy. The number and types of risk conditions per pregnancy were determined in 1,864 white and 872 black mothers delivered at the University of Kansas Medical Center between 1975 and 1978. The incidence of LBW infants increased steadily among white and black mothers as the number of risk factors increased from none to three or four per pregnancy. Among pregnancies without spontaneous premature rupture of membranes (PROM), 51 percent of the LBW infants were born to mothers who had multiple risk factors associated with their pregnancies, even though only 18 percent of these pregnancies were associated with multiple risk factors. Among pregnancies with PROM, 72 percent were associated with multiple risk conditions, and 31 percent resulted in LBW infants. About 90 percent of LBW infants from PROM pregnancies had mothers with multiple risk factors. For all numbers of risk conditions, black mothers had a higher incidence of LBW infants than white mothers. Among black mothers without spontaneous premature rupture of membranes (PROM), the incidence of LBW infants increased from 3.2 percent (10/308) in low (zero)-risk condition pregnancies to 33 percent (16/49) among mothers with three or four risk conditions during the pregnancy. Among white mothers without PROM, the incidence of LBW infants increased from 1.7 percent (12/708) in low (zero)-risk condition pregnancies to 30 percent (19/64) in pregnancies with three or four risk conditions. (ABSTRACT TRUNCATED AT 250 WORDS)
Systematic Review on the Effectiveness of Compulsory Treatment Interventions in Addicts

Moghanibashi Mansourieh, A. Ph.D Student of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, E-mail: Amir.moghani@yahoo.com Fathi, F. Assistant Professor of Social Work, Allameh Tabataba'i University, Tehran, Iran Barati Sedeh, F. Assistant Professor, Department of Psychology, Quran and Hadith University, Qom, Iran Eslamian, A. Ph.D. Student of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Experiences in Making Drawings by Computer and by Hand

The authors discuss reasons for using a digital computer and plotter for making artistic drawings. An experimental approach was used since 1967 in developing computer programs for them. The artist-author’s handmade drawings serve as bases for establishing and modifying the programs. In turn, the experience gained from the computer output of drawings provides new insight and ideas for her handmade drawings.
The Vertical Scar Reduction Mammaplasty: a Review of 50 Cases Using Hall Findlay's Technique

Objectives: To present our experience in treating mammary hypertrophy using the vertical scar reduction mammaplasty with a superomedial pedicle (the Hall Findlay’s Technique). Methods: A total of 120 patients were treated at the Royal Rehabilitation Center for mammary hypertrophy during the period between January 2004 and November 2010, 50(41.7%) of these patients were treated using the vertical scar reduction technique. There medical records were reviewed regarding age, risk factors, reduction size, patient’s satisfaction and complications. All patients were followed for a mean period of 3 years. Result: The mean age of the patients was 37 years, six patients were smokers, two patients had a controlled hypertension, and none had diabetes mellitus. The mean amount of tissue removed per breast was 650g for the right breast and 710g for the left breast (with a range of 250g to 2400g) from each side, the procedure resulted in abatement of preoperative symptoms with a good overall patient satisfaction. Three patients (6%) had wound dehiscence, 5 patients (10%) had partial areolar sloughing, with no loss to the nipple areolar complex either partially or completely. Three patients (6 %) had minor asymmetry. Conclusion: This technique for vertical scar reduction mammaplasty has been applied to breast reductions of all sizes and has consistently produced a good breast shape and projection, leaving less scarring than standard breast reductions. The technique needs good preoperative planning but it is a straightforward procedure and easy to learn, it offers a safe, effective, and predictable way for treating mammary hypertrophy
Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders.

Over the past decade, research on the epidemiology, nature, and meaning of the comorbidity between trauma, posttraumatic stress disorder (PTSD), and substance abuse has burgeoned. Changes in the political and social climate of the United States during this time have brought with them new challenges. Changes in the definitions of both PTSD and substance abuse have been proposed by those involved with diagnosing and treating people with these issues; some of these changes are expected to be reflected in future diagnostic systems. Trauma and Substance Abuse: Causes, Consequences, and Treatment of Comorbid Disorders, Second Edition offers a broad overview of current trends in the field of co-occurring substance abuse and PTSD from both clinical and research perspectives. The goal of this volume, newly revised to include special settings, such as court systems and disasters, and special populations, such as veterans, is to clarify issues specific to trauma, PTSD, and substance abuse and to translate both quantitative and qualitative data into specific recommendations for clinicians, researchers, and administrators.
Immediate Ambulation after a First Metatarsophalangeal Joint Fusion using a Locking Plate: Technique and case reports

Purpose: Arthrodesis of the first metatarsophalangeal joint (MTPJ) is a predictable procedure to relieve pain and dysfunction of the first MTPJ. Many fixation techniques have been described. The authors present two cases in which a locking plate was successfully used for first MTPJ fusion. The patients began immediate weight-bearing post-operatively without a delay in union, hardware failure, or malalignment. Methods: A retrospective chart and radiographic review of a 53 year-old male and a 59 year-old female was performed. Serial radiograph was taken to assess fusion at the arthrodesis site. Procedures: Cartilage was resected from the head of the first metatarsal and base of the proximal phalanx preserving the curvature of the joint. The joint was placed in the desired position and interfragmental compression was obtained using a cannulated 4.0-millimeter partially threaded screw from proximal medial to distal lateral with all threads crossed the fusion site. A locking plate was then placed on the dorsal aspect of the joint and secured with locking screws proximal and distal. Results: The patients began ambulating immediately post-operatively with a post-operative shoe. Both patients had successful fusion by 8 weeks with good alignment and intact fixation. Patients returned to regular shoe gear once trabeculation was noted. Conclusion: These 2 case reports suggest excellent results and immediate ambulation with compression screws and locking plates. This clinical report shows promise in regards to early ambulation using locking plate fixation technique and further studies are encouraged.
Levels of Respite Care as a Family Support System

Respite care, which provides the primary caregiver with a break from caring for a disabled child, is an essential service for families with a handicapped member. A review of research shows that respite care can be provided directly (primary respite) or indirectly through early intervention or school programs (secondary respite). Recently the effectiveness of respite care in improving family functioning has been questioned. This paper proposes an expansion of primary respite care to include early intervention services and secondary respite care to include informal social supports for increasing the effectiveness of respite. The experiences of the Delaware FIRST Program, an HCEEP model demonstration project, are drawn upon in both descriptive and case study form, to illustrate one model for expanding respite care services.
Communication between Layers in Biological Transcriptional Networks

Chromatin-immunoprecipitation experiments in combination with microarrays (known as ChIP-chip) have recently allowed biologists to map where proteins bind in the yeast genome. The combinatorial binding of different proteins at or near a gene controls the transcription (copying) of a gene and the production of the functional RNA or protein that the gene encodes. Therefore, ChIP-chip data provides powerful insight on how genes and gene products (i.e., proteins, RNA) interact and regulate one another in the underlying network of the cell. Much of the current work in modeling yeast transcriptional networks focuses on the regulatory effect of a class of proteins known as transcription factors (TF). However, other sets of factors also influence transcription, including histone modifications and states (HS), histone modifiers (HM) and remodelers, nuclear processing (NP), and nuclear transport (NT) proteins. In order to gain a holistic understanding of the non-linear process of transcription, our work examines the communication between all five forementioned classes (or layers) of regulators. We use vastly available rich-media ChIP-chip data for various proteins within the five classes to model a multi-layered transcriptional network of the yeast species Saccharomyces cerevisiae. Following the introduction in Chapter 1, Chapter 2 describes the non-trivial process of incorporating the different sources of data into a coherent set and normalizing the heterogeneous data to improve biological accuracy. Using the normalized data, Chapter 3 finds biologically meaningful pairwise statistics between proteins, including filtered correlation coefficient, and mutual information p-values. It then combines the p-values of the two complementary approaches in order to increase the reliability of our predictions. Chapter 4 uncovers group-wise relationships between proteins using a novel semi-supervised clustering algorithm that preserves information about elements of a cluster in order to better capture group-wise dependencies. Throughout the theoretical analysis, we confirm various known biological processes and uncover several novel hypotheses. Based on the developed methodology, Chapter 5 builds a multi-layered transcriptional network and quantifies the communication between levels in biological transcriptional networks.
EMERGÊNCIA DO MARACUJAZEIRO-AMARELO SOB ESTRESSE SALINO EM DIFERENTES SUBSTRATOS / EMERGENCY OF YELLOW PASSION FRUIT UNDER SALT STRESS ON DIFFERENT SUBSTRATES

A salinidade constitui-se um dos principais problemas que afetam a produtividade das culturas em regioes aridas e semiaridas. Diante disso, objetivou-se com o presente estudo, avaliar os efeitos da salinidade da agua de irrigacao e de dois substratos na emergencia do maracujazeiro-amarelo. O experimento foi conduzido em condicoes de laboratorio e campo na regiao de Sobral-CE. Adotou-se o delineamento experimental em blocos casualizados, em esquema de analise fatorial 5 x 2, referente aos efeitos da salinidade da agua de irrigacao (0,27; 1,5; 2,5; 3,5; 4,5 dS m -1 ) em dois substratos: esterco bovino + areia (S 1 ) e somente esterco bovino (S 2 ) com quatro repeticoes, totalizando 40 parcelas experimentais. As variaveis analisadas foram: primeira contagem, percentagem de emergencia, indice de velocidade de emergencia e tempo medio de emergencia. De posse dos resultados, verificou-se que a emergencia das sementes de maracujazeiro-amarelo nao foi influenciada pelos substratos avaliados. As sementes de maracujazeiro-amarelo toleraram os sais apenas ate 1,5 dS m -1 .
They Do, but I Don’t: Relationships Among AIDS Stigma Gap, AIDS Knowledge, and Attitude Toward AIDS-Related Issues

This study examines whether there is a significant AIDS stigma gap among Korean people, and reveals causes and consequences of this perceptual gap. An analysis of the survey data collected to evaluate the impact of 2011 AIDS campaign in Korea revealed a perceptual gap between personal stigma and attributed stigma. AIDS knowledge was a significant factor in reducing this perceptual disparity. AIDS stigma gap significantly predicted public support on regulating prostitution but not on restricting same-sex marriage.
Cytological pattern of cervical pap smears

Background: Cervical cancer is one of the leading causes of morbidity and mortality. It can be preventable and diagnosed early with adequate and repetitive cytological screening by pap test. The conventional cervical cytological screening is the most common technique used throughout the world.Materials and Methods: The present study is a retrospective study, carried out at Kantipur Dental College, Lagankhel polyclinic, Nivarak polyclinic and Grande city clinic and hospital services. Total 1999 cases were screened in two years period from shrawan 2072 to shrawan 2074.Results: Out of 1999 smears, 56 cases (2.8%) were unsatisfactory/inadequate, 1884 (94.25%) smears were negative for intraepithelial lesion/malignancy, 115 (5.75%) smears showed epithelial cells abnormalities and 439(21.96%) smears were with reactive cellular changes associated with inflammation. Bacterial vaginosis (55.35%) was the most common etiology identified in 439 cases inflammatory smears. Total 310 (15.5%) cases showed moderate to severe atrophic changes in smear cytology. Among 18 follow up cases of carcinoma cervix, one case (0.2%) was identified as relapse case.Conclusion: Bethesda system classification 2001found to be very useful screening method for early detection of epithelial cells abnormalities of cervix in nepali population. As all the cases of epithelial cells abnormities were of age above 30 years, Pap smear examination should begin in women at least at the age of 30 years. Large studies are required to estimate the pattern of cervical cytological abnormalities along with Human papilloma virus (HPV) strain detection in Nepalese population.