Miracle-dz/UniFAR-FTUs huggingface dataset:
Implementation of shared decision making in anaesthesia and its influence on patient satisfaction

There is a lack of data about the implementation of shared decision making in anaesthesia. To assess patients' preference to be involved in medical decision making and its influence on patient satisfaction, we studied 197 matched pairs (patients and anaesthetists) using two previously validated questionnaires. Before surgery, patients had to decide between general vs regional anaesthesia and, where appropriate, between conventional postoperative pain therapy vs catheter techniques. One hundred and eighty‐six patients (94%) wished to be involved in shared decision making. One hundred and twenty‐two patients (62%) experienced the exact amount of shared decision making that they wanted; 44 (22%) were slightly more involved and 20 (10%) slightly less involved in shared decision making than they desired. Preferences regarding involvement in shared decision making were similar between patients and anaesthetists with mean (SD) points of 54.1 (16.2) vs 56.4 (27.6) (p = 0.244), respectively on a 0–100 scale; however, patients were found to have a stronger preference for a totally balanced shared decision‐making process (65% vs 32%). Overall patient satisfaction was high: 88% were very satisfied and 12% satisfied with a mean (SD) value of 96.1 (10.6) on a 0–100 scale. Shared decision making is important for providing high levels of patient satisfaction.
The Creative Process: The Effects of Group Memory on Individual Idea Generation

To compete in today's rapidly paced business environment, many companies are increasingly relying on their employees to generate creative solutions to business problems. Specifically, through the use of idea-generation techniques, business owners hope to promote creative idea generation by their employees. Several leading corporations (and, concomitantly, researchers) have become interested in the use of group support systems (GSS) to enhance idea generation. A key component of the GSS-based idea-generation process is group memory, a repository of ideas created by users of GSS. Group memory provides stimuli, in the form of ideas, to the individuals using the software. This study seeks to better understand the manner in which the contents of the group memory influence the type of ideas generated by individuals in the group. We report the results of a laboratory experiment that investigated whether the stimuli contained within a GSS group memory (i.e., ideas) systematically influenced the extent of paradigm shift represented in the ideas generated by individuals. A GSS simulator designed for this study was used to allow for the manipulation of the stimuli in the group memory. The results suggest that individuals tend to generate ideas that match the paradigm-relatedness of ideas provided to them as stimulation.
Financial dependence and growth since the crisis

One of the fundamental roles of the financial sector is the efficient allocation of savings and investment through the relocation of external funds towards firms with investment opportunities, but with less available internal funding possibilities. This focus section examines whether the financial and sovereign crisis have had a deeper impact on growth in the euro area's industries that are more dependent on external finance and, thereby, on financial sector development and banks' credit supply. Regression results show that more developed financial markets have, to some extent, helped cushion the impact of the crisis on the industries that are more dependent on external funds in the euro area. The balance sheet structure of monetary financial institutions (MFIs) also seems to have played an important role. These effects have been differentiated across industries (tradable vs. non-tradable/services sectors) and asymmetric across countries (core vs. periphery euro area economies). Although manufacturing is generally less dependent on external funds than services, the crisis effects on growth stemming from the interactions between external financial dependence and financial sector development or MFI balance sheets are essentially present in the manufacturing sector. Market service industries attracted most of the surge in credit in the euro area economies during the boom years but the impact of financial development or MFI balance sheet structure on growth in these industries does not seem to have changed since the crisis. The persistence of some of the estimated effects over the 2010-11 period also suggests that the changes in the supply of finance brought by the crisis have a lasting nature. Firms' access to finance appears to have been durably altered by the crisis and not to have been just temporarily impaired during the sharp recession of 2008-09. In particular, there are some indications that manufacturing industries that have moved funding sources away from bank loans towards bonds and equities have benefited from faster growth in 2010-11, while the MFIs balance sheet structure and leverage seem to have continued to have a strong negative impact on industrial growth long after the 2008-09 recession, in particular in the core euro area economies.
Comorbidity and its Impact in Adult Patients with Attention-Deficit/Hyperactivity Disorder: A Primary Care Perspective

Abstract The objective of this manuscript was to review the literature relevant to the primary care practitioner concerning comorbidity and its impact on diagnosis and treatment efficacy in adults with attention-deficit/hyperactivity disorder (ADHD). A MEDLINE literature review was performed using the keywords: attention-deficit/hyperactivity disorder; psychiatric comorbidity; bipolar disorder; major depressive disorder; oppositional defiant disorder; conduct disorder; and substance use disorder. The authors assessed and summarized literature identified as relevant to primary care practitioners. Results demonstrated high rates of psychiatric comorbidity in patients with ADHD. These comorbid disorders, coupled with the differing characteristics of ADHD symptoms in adults versus children, may complicate accurate diagnosis and treatment of ADHD. Controlled clinical trials indicate that the presence of comorbidity does not substantially alter the safety and efficacy of ADHD pharmacotherapy and that treatment of ADHD can sometimes improve symptoms of the comorbid disorder. Although rates of psychiatric comorbidity are high in adults with ADHD, available data suggest that the benefits of pharmacotherapy for ADHD are not compromised by the presence of psychiatric comorbidity.
An Empirical Study of the Impact of Intellectual Capital on the Financial Performance of Indian IT Sector

In the present scenario, intellectual capital has been established as an important corporate asset because conventional performance measurement techniques are incapable of measuring the intangible dimensions of corporate performance. It is a challenge, especially for knowledge driven firms, to measure the impact of intangibles on their financial performance. e main objective of this study is to show the impact of intellectual capital on the financial performance of the Indian IT sector. In order to conduct the study, the sample was drawn from the IT sector for which the sector index of BSE, namely the BSE IT,had been selected. In all,data from 51 companies from the Information Technology (IT) sector for the financial years ranging from 2006 to 2016 were taken. The data used in this study was extracted from the CMIE’s Prowess. The VAICTM was used to measure the intangibility of these firms. The results show thatonly the VAICTM had a significant positive association with profitability of the Indian IT sector, while it had an insignificant relationship with productivity and market valuation. The CEE had a significant positive relationship with productivity and profitability in the IT sector, while, in the case of market valuation, it had an insignificant impact. The HCE had aninsignificant impact on profitability and productivity, while, in the case of market valuation, it had a negative significant impact. The SCE had a significant positive association with market valuation only while it had an insignificant relationship with the productivity and profitability of the Indian IT sector.
IR-UWB Transmission in 40-GHz-Band using Optical Conversion by Cascaded Modulators

This paper investigates electrical to optical (E/O) up-conversion in the 40-GHz-band of an impulse-radio ultra wide band (IR-UWB) signal modulating a RF sub-carrier at 4 GHz. The performances of the system in terms of conversion loss (CL) are demonstrated. The wide bandwidth operation for this up-conversion of UWB signals at 40 GHz is successfully shown experimentally and validated by models.
Effect of heat stress on oxidative stress, lipid peroxidation and some stress parameters in broilers

1. This study was conducted to determine the effects of heat stress on fearfulness, leucocyte components, oxidative stress and lipid peroxidation in two commercial broiler strains, Cobb (C) and Ross (R). 2. At 36 and 37 d of age birds were exposed to 38 ± 1°C for 3 h. Rectal temperatures, duration of tonic immobility (TI), haematocrit values, proportions of leucocyte components (heterophil, lymphocyte, basophil, eosinophil, monocyte), malondialdehyde (MDA) concentrations and antioxidant enzyme activities (CAT, SOD, GPx) of all the birds were determined, before and after heat treatment. 3. Rectal temperatures increased and haematocrit values decreased in birds exposed to heat stress. Heat stress caused a significant increase in heterophil/lymphocyte and in basophil ratios. 4. Exposing birds to heat stress increased duration of TI, suggesting heat-stressed birds tended to be more fearful. 5. Heat stress resulted in a significant Genotype × Treatment interaction for MDA concentration. CAT, SOD and GPx activities; MDA concentrations in heat-stressed R strain birds were greater than in heat-stressed C strain birds.
Neuropathology of Central Nervous System Arterial Syndromes. Part I: The Supratentorial Circulation

The objective of this review is to illustrate the principal cerebrovascular arterial pathoanatomical syndromes using the unique collection of whole brain sections in the Raymond Escourolle Neuropathology Laboratory at Salpêtrière in Paris. The arterial supratentorial syndromes are presented in Part I; the infratentorial and spinal cord syndromes will be presented subsequently in Part II. No attempt is made to be all-inclusive in the review of the literature; rather, we cite only those bibliographic references that are historically noteworthy and with some exceptions that particularly emphasize the neuropathologic rather than radiographic/imaging aspects of the vascular syndromes. From these studies and our own archival material, we have synthesized the salient clinicopathologic aspects of the individual syndromes.
Marketing Behaviour of Vegetable Growers in East Sikkim

The diverse agro-ecological situations ranging from sub-tropical in the lower valleys to alpine at very high elevations present an extremely congenial environment for horticulture diversiication. The marketing behavior of a farmer is inluenced by numerous factors. The study was conducted purposively during 20162017 in Gangtok and Pakyong blocks of East district of Sikkim comprising of 10 vegetable growing villages to assess the marketing behaviour of vegetable growers. The data were collected with the help of pre-tested semistructured interview schedule, prepared on the basis of objectives of investigation and variables personally. The statistical tools of mean and percentage were used for analyzing the data. It was found that about 18 per cent respondents acquired market information from neighbours/ relatives and 43 per cent respondents had medium level of marketing knowledge about vegetables. The lack of proper local market yard facilities was the major problem (95%) while 100 percent respondent suggested the establishment of wholesale market within the state.
Closure of the Radial Forearm Donor Site Using a Local Hatchet Flap: Analysis of 45 Consecutive Cases

Background The radial forearm free flap (RFFF) is widely used in reconstructive surgery. Traditional donor-site closure by grafting may be associated with significant aesthetic and functional morbidity. We report our experience with primary closure using a local hatchet flap. Methods In all, 45 consecutive patients who underwent RFFF reconstruction in the head and neck during an 8-year period were retrospectively assessed with regards to their donor-site morbidity. Results The mean age of the patients was 54, with 23 being female. The mean RFFF area harvested was 37.7 cm2; mean width, 7.6 cm (5.5–11 cm); and mean length, 4.7 cm (3.5–6.5 cm). All patients had their donor site closed primarily utilizing a local hatchet flap. At the time of follow-up, there were 33 surviving patients, of which 31 patients were available for assessment. Conclusions We recommend this technique of primary closure of the RFFF donor site: it is well tolerated by the patient, with good cosmesis and is associated with no discernable functional morbidity.
Pengaruh kinerja keuangan terhadap harga saham pada perusahaan perbankan yang terdaftar di bursa efek indonesia

Tujuan penelitian ini adalah untuk menguji dan menganalisis pengaruh Capital Adequecy Ratio (CAR), Loan to Deposit Ratio (LDR), dan Return on Asset (ROA) terhadap harga saham. Objek penelitian ini adalah perusahaan perbankan yang terdaftar di Bursa Efek Indonesia pada tahun 2012-2016. Sampel adalah 7 perusahaan. Perusahaan yang akan menjadi objek penelitian adalah Bank Central Asia, Bank Negara Indonesia, Bank Tabungan Negara, Bank Danamon, Bank CiMB Niaga, Bank Maybank dan Bank Permata. Perusahaan itu adalah perusahaan yang memiliki aset lebih dari satu miliar rupiah. Pengujian dalam penelitian ini menggunakan asumsi klasik yang terdiri dari uji normalitas, uji multikolinieritas, uji heteroskedastisitas dan uji autokorelasi untuk mengetahui ketersediaan data sebagai objek penelitian. Teknik analisis yang digunakan dalam penelitian ini adalah regresi linier berganda untuk memprediksi nilai variabel Independendent terhadap variabel dependen sebagai persamaan. Dalam penelitian ini CAR, LDR dan ROA secara bersamaan memiliki dampak terhadap harga saham sebesar 68,4%. Secara parsial CAR dan ROA memiliki pengaruh positif dan signifikan terhadap harga saham sedangkan LDR memiliki pengaruh negatif dan signifikan terhadap harga saham.
Mutations in GRM6 cause autosomal recessive congenital stationary night blindness with a distinctive scotopic 15-Hz flicker electroretinogram.

PURPOSE Congenital stationary night blindness (CSNB) is a group of nonprogressive retinal disorders characterized by impaired night vision that occurs in autosomal dominant, autosomal recessive, or X-linked forms. Autosomal recessive (ar)CSNB seems to be very rare. Mice lacking the metabotropic glutamate receptor 6 (Grm6) have a defect in signal transmission from the photoreceptors to ON-bipolar cells. In the current study, the human orthologue (GRM6) was screened as a likely candidate for arCSNB. METHODS arCSNB individuals of five families were screened for mutations in GRM6. Subsequently, they were examined with standard and 15-Hz flicker electroretinography (ERG). These recordings were compared with those of patients with X-linked CSNB1. RESULTS Affected individuals in three of five families carried either compound heterozygous or homozygous mutations in GRM6. Strikingly, all of them displayed a distinctive abnormality of the rod pathway signals on scotopic 15-Hz flicker ERG. CONCLUSIONS The novel profile identified in this study suggests the existence of more than two rod pathways. The distinctive ERG feature was not observed in patients with X-linked CSNB1 and additional affected individuals with unknown molecular defect. These observations will help to discriminate autosomal recessive from X-linked recessive cases by ERG and molecular genetic analysis.
CHAPTER 11 . MECHANISTIC CONSIDERATIONS FOR AIR POLLUTION AND LUNG CANCER : GENOTOXICITY AND MOLECULAR BIOMARKER DATA FROM EXPERIMENTAL AND HUMAN STUDIES

It has long been postulated that lung cancer may result from long-term exposure to ambient air pollution; the actual excess risk has nevertheless been estimated to be considerably less than that associated with tobacco smoking (Higgins, 1976; Pershagen, 1990). In confirmation of the early studies, recent epidemiological investigations have observed an association between outdoor air pollution and lung cancer mortality. It appears that particulate matter (PM), a complex mixture of airborne solid particles and aerosols, is the component causing serious health effects, for example mortality due to cardiovascular diseases and lung cancer (Dockery et al., 1993; Hemminki and Pershagen, 1994; Beeson et al., 1998; Abbey et al., 1999; Cohen, 2000; Pope et al., 2002; Vineis et al., 2004). In particular, long-term exposure to ambient fine particles (aerodynamic diameter < 2.5 μm [PM2.5]) has been associated with lung cancer mortality (or incidence) in studies carried out in different parts of the world and among nonsmokers (Dockery et al., 1993; Beeson et al., 1998; McDonnell et al., 2000; Pope et al., 2002, 2004; Laden et al., 2006; Beelen et al., 2008; Katanoda et al., 2011; Turner et al., 2011; Raaschou-Nielsen et al., 2011). One extended follow-up study, the Harvard Six Cities Study from 1974–2009, demonstrated that the association between PM2.5 exposure and lung cancer mortality was statistically significant, with a linear concentration–response relationship without a threshold observed down to the PM2.5 level of 8 μm/m3 (Lepeule et al., 2012). In terms of lung cancer deaths, the annual contribution from ambient air pollution to lung cancer mortality has been estimated to be responsible for more than 60 000 deaths worldwide, while more than 700 000 deaths are attributable to cardiac and non-malignant respiratory diseases (Cohen, 2003). CHAPTER 11 . MECHANISTIC CONSIDERATIONS FOR AIR POLLUTION AND LUNG CANCER: GENOTOXICITY AND MOLECULAR BIOMARKER DATA FROM EXPERIMENTAL AND HUMAN STUDIES
Stakeholder communication as a strategic tool for firms offering complex products in dynamic environments

To compete successfully and satisfy the needs of customers, firms strive to position themselves strategically. The way to achieve a strategic position depends on several factors, such as industry characteristics, product characteristics and stakeholders to the firm. When an industry changes, the firms in that industry are faced with challenges in retaining or attaining a strong strategic position. If the products offered by a firm are complex, this further affects the options for strategic positioning. In this study it is argued that for firms offering complex products in dynamic environments, stakeholder management is an option for strategic positioning. More specifically, this study examines the use of stakeholder communication as a strategic tool for firms offering complex products in dynamic environments. To fulfill the purpose, a case study was conducted with one main case at RUAG Space and three smaller, contrasting cases at AstraZeneca, GKN Aerospace and Saab Group. The research resulted in findings from 14 interviews. These findings were combined with previous research and subsequently analyzed. In conclusion, the study shows that a dynamic industry forces established firms to adapt to the changing demands and simultaneously satisfy the demands that have remained the same. Furthermore, product complexity decreases the firm’s ability to radically change the products as a way to strategically position themselves, while encouraging incremental product improvements. The study further shows that the stakeholder groups government, the public and potential employees are elevated in importance for established firms offering complex products in a dynamic environment. The study emphasizes that communication by firms offering complex products significantly differs from communication by other firms. In general, the firms offering complex products are regulated in their communication. Moreover, the communication should be tailored according to the properties of the stakeholder groups and their technical comprehension, where techniques such as visualizations and simplifications can be used for the latter. Another factor impacting the success of the communication is the manner in which it is conducted. Digitalization enables a larger number of channels than before, as well as qualitative and quantitative analysis of feedback on communication activities. Communication is playing an increasingly large role in companies and represents a useful strategic tool for firms offering complex products to position themselves in dynamic industries. By increasing the knowledge regarding communication throughout the whole organization, firms offering complex products will be better equipped to face the challenges of a changing industry.
A numerical solution of two-dimensional fox-rabies dynamics of advection type

This article analyses a mode of two-dimensional fox-rabies dynamics with advection terms. The fox population is divided into two species: susceptible S and infective I. Finite-difference techniques are employed to compute the numerical solutions of this model. Iterative schemes with second-order accuracy are derived and their convergence is investigated by using the maximum principle analysis. An illustrative numerical example with graphical reis given to highlight the efficiency of the derived numerical schemes.
Innovation Management Model of World Heritage City Museum on Historical Park for Creative Tourism in the Lower Part of Northern Thailand

This research synthesized the relevancy between the service quality management in museum influences and the growth trend towards creative tourism subsidiaries to earning a competitive advantage and promoting cultural heritage. The benefits of it in the end will lead to higher income and differentiating from its competitors, including better of creative tourism sustainability. SERVQUAL model led to the creation of the HISTOQUAL model analysis revealed that higher practicing of subsidiary growth model for a long time related to achieved through both (a) a higher practicing of service quality management in museum influences founding and (b) to examine visitors perceptions and expectations. These results suggest that purpose of this research study to synthesize the HISTOQUAL model is modified to suit to measure the service quality in museum influences. This research results point to the importance of the HISTOQUAL model that influence able discussion on culminates in a new research model with practicing innovation management model of this research propositions.
The Evolutionarily Related β-Barrel Polypeptide Transporters from Pisum sativum and Nostoc PCC7120 Contain Two Distinct Functional Domains*

Several β-barrel-type channels are involved in the translocation or assembly of outer membrane proteins of bacteria or endosymbiotically derived organelles. Here we analyzed the functional units of the β-barrel polypeptide transporter Toc75 (translocon in outer envelope of chloroplasts) of the outer envelope of chloroplasts and of a protein, alr2269, from Nostoc PCC7120 with homology to Toc75, both proteins having a similar domain organization. We demonstrated that the N-terminal region functions as a recognition and complex assembly unit, whereas the C terminus forms the β-barrel-type pore. The pore region is, in turn, modulated by the N terminus of the proteins. The protein from Nostoc PCC7120, which shares a common ancestor with Toc75, is able to recognize precursor proteins destined for chloroplasts. In contrast, the recognition of peripheral translocon subunits by Toc75 is a novel feature acquired through evolution.