Miracle-dz/UniFAR-FTUs huggingface dataset:
Actividad física en Medellín: desafío para la promoción de la salud Physical Activity in Medellín: a Challenge for Health Promotion

Objective: chronic diseases generate high economical and social costs to humankind. The lack of physical activity has been considered as a determinant factor in the epidemics of chronic diseases nowadays. It is mandatory to explore this kind of behavior in order to outline appropriate actions for prevention and health promotion. Method: a survey on 3.979 representative people of both sexes from Medellin, Colombia was carried out evaluating attitudes and practices related to physical activity and its associated factors. The analysis included the description of proportions with their respective tests of statistical significance and different crossings with sociodemographic variables. Results: only one out of five people (21.2%) performs enough physical activity in order to protect its health. Physical activity is higher among men and is positively associated to social-economic levels and education status. The sedentary behavior is usually adopted in early stages of youth and is kept throughout lifespan. Physical activity, on the contrary, is usually associated to a better balance in body composition. Conclusion: the high prevalence of sedentary behaviors in the population is probably becoming a signifi cant factor in the increase of chronic diseases. This condition should be included as a priority in the design of strategies for the intervention in public health; furthermore, the promotion of healthy lifestyles among people becomes a big challenge to health professionals who should face it with creativity and optimism.
Emotion Recognition using cvxEDA-Based Features

The MAHNOB-HCI database provides baselines for several modalities but not all. Up to now, there are no such baselines using EDA signal for valence and arousal recognitions. Because EDA is one of the important signals in affect recognition, it is necessary to have baseline accuracy using this signal. Applying cvxEDA, EDA tool analysis based on convex optimization, to GSR signals resulted phasic, tonic, and sudomotor neuron activity (SMNA) phasic driver. There were two sets of features extracted, i.e. features from stimulated stage only and ratio of features from stimulated to relaxation stages in addition to the former set. Using kNN to solve the 3-class problem, the best accuracies under subject-dependent scenario were 74.6 ± 3.8 and 77.3 ± 3.6 for valence and arousal respectively while subject-independent scenario resulted in 75.5 ± 7.7 and 77.8 ± 8.0 for valence and arousal correspondingly. Validation using LOO gave 75.2% and 77.7% for valence and arousal respectively. cvxEDA method looked promising to extract features from EDA as the results were even better than the best results in the original database baseline. Some future works are using other feature extraction method, enhancing the accuracies by employing supervised dimensionality reduction and using other classifiers.
Pial non-galenic arteriovenous fistulas

Abstract Pial nongalenic arteriovenous fistulas are rare vascular lesions of the brain. The recent decades have brought a new understanding of the origins and associations of these fistulas as well as improvements in diagnosis and treatment. Pediatric patients with nongalenic arteriovenous fistulas are increasingly likely to have good clinical outcomes except in the most complex cases. Recent advances and areas for further investigation will be reviewed.
A new tool for hazard analysis and force-field analysis: The Lovebug diagram

Background Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a number of structural weaknesses, including a unidirectional structure that only takes into account forces that promote an accident (ignoring those that make the accident less likely or less severe) and a means of displaying these forces that does not convey any difference in strength of influence. In a separate but related issue, many healthcare organizations suffer from a lack of change management expertise. Proposed solution To address these concerns, I present a novel technique, the Lovebug diagram, which draws from both Fishbone diagrams and force-field analysis (an approach to analyzing planned change). This new technique adds value to both its progenitor methods, while retaining their key strengths and ease of use. It can be used both prospectively, to assess planned changes, and retrospectively to assess unplanned (accidental) departures from the status quo. Discussion The Lovebug diagram is a more powerful analytical tool than its progenitor methods; however, overall adoption of systems-focused tools for root cause analysis remains suboptimal. Additional research is needed to determine how best to promote a truly systems-focused approach to healthcare root cause analysis. Beyond this retrospective use of the technique, it represents a simple tool to assist healthcare organizations with prospective change management.
PERIBAHASA: CERMINAN KEPRIBADIAN BUDAYA LOKAL DAN PENERAPANNYA DI MASA KINI

Indonesia is very rich with its culture as the result of the influence of its various ethnic culture. Culture itself is tightly related to language as a means of communication. As it is true that language is the mirror of a mind, and on the other hand, language is the symbolic guide to culture. Proverbs, as a form of language expression, are short, well-known, supposedly wise sayings, usually in simple language. Proverbs are expressions of culture that are passed from generation to generation. They are words of wisdom of culture- lessons that people of that culture want their children to learn and to live by. Javanese proverbs are considered rich with high philosophical and cultural values. This research is aimed to identify the functions of Javanese proverbs, to figure out the local cultural values implied in Javanese proverbs and to describe their application in Javanese society nowadays. It employed a descriptive-qualitative approach to analyze the data in the form of lingual units. Ethnoraphic content analysis was employed to draw valid conclusion from the data analysis based on the context of real social setting. The research findings show that Javanese proverbs function to advice, to admonish, and to satirize. Some of the local cultural values contained in Javanese proverbs are brotherhood, togetherness, patience, hard work, sincerity, politeness and peace. Nowadays, the local values implied in some Javanese proverbs are not relevant anymore because of the interference from other values resulted from the phenomena of multiculturism and modernism. Keywords: proverbs, local cultural values, Javanese language
Dynamic textures: modeling, learning, synthesis, animation, segmentation, and recognition

Dynamic textures are sequences of images of dynamic scenes that exhibit some temporal regularity properties, intended in a statistical sense; these include, for example, ocean waves, smoke, whirlwind, fire, foliage, but also moving objects with a “defined shape,” for instance flowers, or flags in wind etc. This work presents a characterization of this class of video sequences, and poses the problems of modeling, learning, synthesis, animation, recognition, and segmentation of dynamic textures. Since, in absence of any additional prior knowledge, the visual reconstruction problem from images alone is ill-posed, in this work we give up trying to infer the physical model that generated the images, and analyze sequences of images solely as visual signals. We do so by building a statistical framework, and draw on disciplines like time series analysis, system, control, and identification theory. We derive three generative models, the simplest possible, that are able to capture, respectively, the temporal second-order statistics, the spatio-temporal second-order statistics, and the higher-order temporal statistics of dynamic textures. We propose to learn model parameters in the maximum-likelihood sense, or minimum prediction error variance. We derive efficient closed-form inference procedures for learning the second-order statistics, and revert to non-linear optimization techniques for the higher-order ones. After learning a model, it can be used to extrapolate, or predict new image data both in the temporal and spatial domain. We analyze the meaning of the parameters of a model, and show how they can be manipulated to control, or animate the simulation. Using the geometry of subspaces, and statistical pattern recognition theory we derive a technique to discriminate between models, and assess the potential for building a recognition system. Finally, by combining these results with a variational framework, we design a region-based segmentation system able to partition a video sequence into regions characterized by different spatio-temporal statistics.
Human Patient Simulation: A Preliminary Report of an Innovative Training Tool for Physician Assistant Education

Purpose: The human patient simulator exhibits many clinical signs, including heart sounds, breath sounds, palpable pulses, chest excursion, and airway patency. The purpose of this study was to evaluate the effectiveness of simulation technology for training physician assistant (PA) students. Method: An intervention trial was designed to compare the human patient simulator to material presented in lecture format for training PA students. Results: Students who participated in human patient simulator training tended to score higher on written tests than students in the control group, who received information in the traditional lecture format. Conclusion: Test results suggest a higher level of cognition of material presented to the participants of the human patient simulator group compared to the control group. A high level of student satisfaction was also noted. Integration of additional human patient simulator training to the program is under way.
Work based learning

In the past medical students and doctors did much of their learning in lecture halls. They then sat an examination or some other type of formal assessment. Their learning had a specific end point, when they picked up a degree or certificate. Most doctors thought that this was “proper learning” and that all other learning was somehow not up to scratch. The problem with this type of learning is that it misses out a lot of informal learning. …
Students with Dual Diagnosis: Can School-Based Mental Health Services Play a Role?

ABSTRACT This article describes and investigates initial findings from the Esperanza Mental Health Services (EMHS) Program, which is an intensive outpatient program that provides individual and group mental health services for students with “dual diagnosis” or developmental disabilities and co-occurring mental health problems. Previous research substantiates that the mental health needs of this population are significant, yet often go unaddressed in school settings. Preliminary outcomes for a sample of 61 children ages 4–22 suggest improvements in important school indicators, such as suspensions and absences during the year of program implementation, as well as positive changes in parent-reported mental health functioning. Lastly, parent satisfaction regarding these services and supports was high. The implications of these results for a proposed school-based mental health service delivery model within a multi-tiered system of prevention and intervention are discussed.
Gender Differences in Reasons, Facilitators, and Barriers for Parental Presence in the NICU

Aim: The aim of this study was to explore gender differences in reasons, facilitators, and barriers for parental presence in the neonatal intensive care unit (NICU) based on statistical analyses of secondary data. Background: Factors that may influence parental presence should be taken into careful consideration by NICU staff. These factors are likely to differ between genders, as research studies demonstrated that mothers tend to spend more time with their preterm infants in the NICU than the fathers. Methods: The study was based on secondary data, which was obtained, corrected, and analysed with Fisher's exact test. Findings: For control reasons, a larger proportion of fathers are present at the NICU than mothers. A larger proportion of fathers, as compared to mothers, perceive difficult socio-economic situations as a barrier for parental presence. In contrast, mothers perceive good-quality treatment by hospital staff as a facilitator and poor treatments as a barrier for parental presence. Conclusion: Reasons, facilitators, and barriers for parental presence should be considered in order to increase parental presence in the NICU.
A community-based program for orphans and vulnerable children Luwero district Uganda: strategies for implementation.

The 1991 census showed that 1.48 million Ugandan children are orphans (the Ugandan government defines orphan as any child under age 18 with one missing parent) mainly due to AIDS and civil strife. A community-based approach that keeps children in their communities within extended families has been adopted. Since 1994 the Association Francois-Xavier Bagnoud (AFXB) has extended support to the African Medical and Research Foundation (AMREF) in designing and implementing a program in two subcounties (Semuto and Butuntumula) in Luwero district where 20.8% of children are orphaned. The community-based nature of the program was emphasized and labeling of the orphans avoided at sensitization community meetings. A needs assessment conducted among political leaders civil servants religious leaders guardians and orphans revealed the following needs in descending order of priority: 1) school fees; 2) scholastic materials; 3) food; 4) bedding; 5) clothing; 6) medical care; and 7) skills development for older orphans. The community-level political structures (Resistance Councils Level I) compiled a list of orphans (3160 in Butuntumula and 2200 in Semuto). No children were living completely without adult supervision; their number per household ranged from 1 to 17; and mothers were the most common guardians. A district steering committee and subcounty working committees met regularly and parish committees were formed to monitor program activities. Program strategies included: 1) primary level schooling; 2) assistance to guardian groups and individual guardians; 3) emergency humanitarian assistance; 4) ad hoc vocational training; and 5) counseling on the rights of children and widows. As of late 1995 16 primary schools in Semuto and 14 in Butuntumula had been assisted with materials and income-generating supplies and 1183 children had been admitted to school without fees for 2 years. 35 guardian groups caring for 717 orphans and 26 individual guardians caring for 278 orphans had been given assistance with income-generating projects. 35 orphans received ad hoc apprenticeship training and 127 received humanitarian assistance (food bedding medical care). There were three possible cases of misappropriation of supplies which were pursued by local groups. A list of lessons learned is given.
Glenoid and Coracoid Morphology are Ideally Matched for the Congruent-Arc Latarjet

Background The Congruent-Arc Latarjet is modification of the Latarjet open bony stabilisation for shoulder instability. It involves rotation of the coracoid so the curved under-surface lies congruent with the glenoid. The aim of this study was to define the relationship between the concave under surface of the coracoid and the glenoid. Methods An initial study of 210 cadaveric scapulae was performed followed by a study measuring the same curves using 3D CT reconstruction on 20 scapulae from living patients. Results Cadveric measurement revealed the glenoid's surface had a median radius of curvature of 30 mm and the coracoid had a median radius of curvature of 25 mm. The CT measurements revealed similar radii of curvature with the glenoid measuring 23.9 mm and the coracoid measuring 25.4 mm (p = 0.2488). Conclusion The curvature of the glenoid in the cadaveric specimens was slightly larger than the corresponding coracoid curvature. In life this difference may be minimised by articular cartilage, labrum and the attachment of capsule. The CT study revealed similar curves, although in contrast to the cadaveric specimens the coracoid curvature was slightly larger. Overall the curvature of the under surface of the coracoid is similar to the glenoid, which supports this modification of the Latarjet procedure.
Verspreiding van gebromeerde vlamvertragers

Gebromeerde vlamvertragers (BFR? s, Brominated Flame Retardants) zijn scheikundige stoffen die tijdens het productieproces toegevoegd worden aan kunststof voor gebruik in computers, televisietoestellen, textiel, isolatiemateriaal. Het is de bedoeling om de ontvlambaarheid van die producten te verminderen en de kunststofmaterialen niet te laten bijdragen aan de verdere ontwikkeling of verspreiding van een brand. We onderscheiden vier hoofdtypes: de inmiddels niet meer geproduceerde polygebromeerde bifenylen (PBB? s), polygebromeerde difenylethers (PBDE? s), tetrabromobisphenol-A (TBBP-A) & derivaten, en hexabromocyclododecaan (HBCD). Bij opname door mens en dier worden gebromeerde vlamvertragers opgeslagen in het vetweefsel en kunnen allerlei gezondheidseffecten veroorzaken. Gebromeerde vlamvertragers zijn potentieel hormoonverstorende stoffen. Het verwarmen en/of verbranden van producten, die PBB's, PBDE's of andere gebromeerde vlamvertragers bevatten, kan aanleiding geven tot de vorming van polygebromeerde dibenzo-p-dioxines en dibenzofuranen. Deze stoffen hebben gelijkaardige toxicologische effecten als gechloreerde dioxines (mogelijks kankerverwekkend, effecten op groei, reproductie en ontwikkeling van het afweersysteem). Studies illustreren verhoogde concentraties van gebromeerde vlamvertragers in het milieu sedert de jaren `70. De aanwezigheid van deze stoffen in eieren van de zilvermeeuw aan de Canadese meren verdubbelde om de 3 a 5 jaar in de periode 1981-2000. De concentratie in moedermelk in Zweden vertoont een exponentiele stijging van 1972 tot ca. 1998 (elke vijf jaar een verdubbeling). De meest recente data wijzen op een stabilisering en zelfs daling. Ook in Vlaanderen wijzen analyses van waterbodems en palingen uit oppervlaktewater op de aanwezigheid van gebromeerde vlamvertragers in sterk varierende concentraties
Vancomycin Utilization Evaluation: Are We Dosing Appropriately?

Background : Inappropriate use of vancomycin not only increase health care costs but also contribute to the emergence of resistant organisms. Higher trough serum vancomycin concentrations (>10mg/L) has been recommended for avoidance of development of resistance. We aim to compare the administered dose with recommended doses based on guideline-recommended weight-based dosing. Methods : In a cross sectional study, all patients who received vancomycin between July and October 2013, in infectious disease, internal medicine wards and emergency department of a teaching hospital in Tehran, Iran were entered to the study. Indication of vancomycin and necessary data for dose calculation including height and serum creatinine were recorded. Prescribed doses were compared with recommended doses in guidelines and calculated Glomerular filtration rate (GFR) for each patient. Results : One hundred and four patients (45 females and 59 males) recruited in the study. Our results indicated that, from all administered doses of vancomycin, 64.4% and 88.8% differs significantly (more than 20%) based on American Pharmacist Association (AphA) vancomycin monograph and guideline-recommended, weight-based vancomycin dosing (for adults), respectively. Conclusion : Underdosing of vancomycin is a major risk factor for developing resistance of gram positive organisms to this glycopeptide. Our results showed that more than half of patients receiving vancomycin are in the risk of low drug levels based on guidelines. So, having a comprehensive plan for the proper use of this drug especially designing effective internal guidelines can prevent emergence of resistance to vancomycin in future.
Kurt Hahn's schools & legacy : to discover you can be more and do more than you believed : the story of one of the 20th century's most innovative and inspiring educators

The impact that one of this century's most creative educators had on nearly 4 million girls and boys is chronicled here. For over 75 years up to this present day, Hahn's schools have enrolled students world-wide including such notables as England's Prince Charles and Prince Philip. Though it is his famous Outward Bound program that has received such international recognition, Hahn's tenets of teaching formulated so many years ago still are proving valid today. Surviving in the wilderness and surviving in a complex society requires similar basic character traits. The author, himself a Hahn's school alumnus, presents the life of his subject in an intriguing manner. The book will hopefully shed more light on a man about whom even many of his current students know so little. And Mr. Flavin can be even more illuminating via a telephone interview. His observations are insightful, witty and poignant in recalling the life of Kurt Hahn.
Comparison of distress in breast cancer survivors treated with different adjuvant endocrine therapies: a single-centre cross-sectional study

ABSTRACT AIM: To compare the depression and anxiety scores among breast cancer (BC) survivors who received different adjuvant endocrine therapies. PATIENTS AND METHOD: A total of 154 patients (with 6 months to 10 years follow-up) were recruited in this cross-sectional study. The patients were divided into three groups according to the type of endocrine therapy: selective oestrogen receptor modulator (tamoxifen), third-generation aromatase inhibitors (AIs; e.g. anastrozole and letrozole), and luteinizing hormone realizing hormone (LHRH) analogue with tamoxifen. Patients’ age, menopausal status at diagnosis, educational level, marital status, and disease characteristics including stage, treatment, and follow-up period since diagnosis were noted. Beck Depression Inventory, Beck Anxiety Inventory, and Duke-University of North Carolina Functional Social Support Questionnaire were used to assess the depression, anxiety, and functional social support, respectively. Statistical significance of the associations was analysed using Spearman correlation, Student’s t, Mann–Whitney u, and ANOVA tests. RESULTS: Patients’ mean age was 49.8 (28–77) years. Age and perceived social support which are patient-related factors affected anxiety and depression scores, while disease-related factors did not affect. Patients who received LHRH analogue with tamoxifen presented more anxiety scores. Patients who received tamoxifen had more depression scores than those who received AIs. This may have been due to the fact that the tamoxifen group is composed of young and pre-menopausal patients. CONCLUSION: Young age and lower social support are important determinants of higher anxiety and depression scores. The use of LHRH analogue is one of the risk factors for the development of anxiety in BC survivors.