Miracle-dz/UniFAR-FTUs huggingface dataset:
Emotional Branding and the Strategic Value of the Doppelgänger Brand Image

Emotional branding is widely heralded as a key to marketing success. However, little attention has been given to the risks posed by this strategy. This article argues that emotional-branding strategies are conducive to the emergence of a doppelgänger brand image, which is defined as a family of disparaging images and meanings about a brand that circulate throughout popular culture. This article's thesis is that a doppelgänger brand image can undermine the perceived authenticity of an emotional-branding story and, thus, the identity value that the brand provides to consumers. The authors discuss how the tenets of emotional branding paradoxically encourage the formation and propagation of doppelgänger brand imagery. This article develops the counterintuitive proposition that rather than merely being a threat to be managed, a doppelgänger brand image can actually benefit a brand by providing early warning signs that an emotional-branding story is beginning to lose its cultural resonance. This article demonstrates these ideas through an analysis of the doppelgänger brand image that is beginning to haunt a paragon of emotional branding—Starbucks. The authors conclude with a discussion of how marketing managers can proactively use the insights gained by analyzing a doppelgänger brand image.
The long term results of surgery of canine stifle disorders.

The case histories, treatment and post–operative progress of 297 dogs referred to this Department for investigation of stifle conditions between September 1968 and September 1972 are described with particular emphasis on the long term results of treatment. Resume. Les antecedents commemoratifs, le traitement et les progres postoperatoires de 297 chiens, remis a ce departement entre Septembre 1968 et Septembre 1972 pour investigation a l'egard de l'etat du grasset, ont ete decrits en mettant surtout l'emphase sur les resultats therapeutiques a long terme. Zusammenfassung. Nachdrucklich der langfristigen Behandlungsfolgen von Kniegelenke-Zustanden, sind Befunde, Behandlungen und postoperative Fortschritte der, von den zwischen September 1968 und September 1972 diesem Abteil zum Forschungszweck iiberreichten 297 Hunde, mit besonderem Hinweis auf Endergebnisse, dargestellt.
Acinetobacter infections: a growing threat for critically ill patients

SUMMARY There has been increasing concern regarding the rise of Acinetobacter infections in critically ill patients. We extracted information regarding the relative frequency of Acinetobacter pneumonia and bacteraemia in intensive-care-unit (ICU) patients and the antimicrobial resistance of Acinetobacter isolates from studies identified in electronic databases. Acinetobacter infections most frequently involve the respiratory tract of intubated patients and Acinetobacter pneumonia has been more common in critically ill patients in Asian (range 4–44%) and European (0–35%) hospitals than in United States hospitals (6–11%). There is also a gradient in Europe regarding the proportion of ICU-acquired pneumonias caused by Acinetobacter with low numbers in Scandinavia, and gradually rising in Central and Southern Europe. A higher proportion of Acinetobacter isolates were resistant to aminoglycosides and piperacillin/tazobactam in Asian and European countries than in the United States. The data suggest that Acinetobacter infections are a growing threat affecting a considerable proportion of critically ill patients, especially in Asia and Europe.
Additional predictive value of both left and right ventricular ejection fractions on long-term survival in idiopathic dilated cardiomyopathy.

BACKGROUND In idiopathic dilated cardiomyopathy, long-term outcome is poor and left ventricular ejection fraction is a major powerful predictor of survival. However, right ventricular function might also play an important role in the long-term prognosis of this disease. AIM The aim of this study was to determine the role of right ventricular parameters, mainly right ventricular ejection fraction, on survival in idiopathic cardiomyopathy. METHODS We prospectively assessed long-term follow-up and predictors of survival in 62 consecutive patients referred from 1990 to 1992 for evaluation of idiopathic dilated cardiomyopathy, including haemodynamic evaluation, thermodilution right ventricular ejection fraction and volume measurements. RESULTS At the time of catheterization, dyspnoea class III or IV was present in 60% of the patients, atrial fibrillation in 19% and complete left bundle branch block in 35%. Left ventricular ejection fraction was 30 +/- 10% and right ventricular ejection fraction was 30 +/- 16%. During follow-up (2.2 +/- 1.3 years), 15 patients (24%) had heart transplantation and nine (14%) died before cardiac transplantation. Cumulative survival rate without heart transplantation was 74% and 56% at 1 and 4 years, respectively. In univariate analysis, survival was related to: dyspnoea class I or II (P < 0.04), absence of complete left bundle branch block (P < 0.05), administration of lower doses of furosemide (P < 0.01), high left ventricular ejection fraction (P < 0.001), low pulmonary artery pressure (P < 0.002), high cardiac index (P < 0.006), and low right ventricular volumes (P < 0.001). Multivariate analysis showed only two independent predictors of survival: left ventricular ejection fraction (P < 0.001) and right ventricular ejection fraction (P < 0.004). CONCLUSION In addition to left ventricular ejection fraction, right ventricular ejection fraction appears to be a complementary predictor of survival in idiopathic dilated cardiomyopathy, suggesting the importance of assessing right ventricular function in this disease.
An Efficient Feature Selection Algorithm for Evolving Job Shop Scheduling Rules With Genetic Programming

Automated design of job shop scheduling rules using genetic programming as a hyper-heuristic is an emerging topic that has become more and more popular in recent years. For evolving dispatching rules, feature selection is an important issue for deciding the terminal set of genetic programming. There can be a large number of features, whose importance/relevance varies from one to another. It has been shown that using a promising feature subset can lead to a significant improvement over using all the features. However, the existing feature selection algorithm for job shop scheduling is too slow and inapplicable in practice. In this paper, we propose the first “practical” feature selection algorithm for job shop scheduling. Our contributions are twofold. First, we develop a Niching-based search framework for extracting a diverse set of good rules. Second, we reduce the complexity of fitness evaluation by using a surrogate model. As a result, the proposed feature selection algorithm is very efficient. The experimental studies show that it takes less than 10% of the training time of the standard genetic programming training process, and can obtain much better feature subsets than the entire feature set. Furthermore, it can find better feature subsets than the best-so-far feature subset.
A Comparative Study of Sexual Experiences

There has been little detailed study of the sexual outcome of women suffering from congenital adrenal hyperplasia, a condition which results in masculinization of the external genitalia and possible genital ambiguity at birth in chromosomal females. This study, combining qualitative and quantitative methods, reports the sexual outcome for a sample of women with congenital adrenal hyperplasia (CAH; N = 19), compared to that for an age-matched sample of women with early diagnosed diabetes (N =17). The results are given under the headings of sexual interest; sexual activity with partners; reasons for engaging in sexual behaviour; sexual activities; stimuli eliciting a sexual response; physical problems connected with sexual activities, and general issues. CAH women were found to be less sexually experienced in all areas, and reported higher levels of penetration difficulties, pain, and lubrication problems than the diabetic women. It is proposed that the contribution of psychological factors to these problems may be at least as great as that of medical/ surgical factors. Implications for management are considered.
Marginal bone loss adjacent to conventional and immediate loaded two implants supporting a ball-retained mandibular overdenture: a 3-year randomized clinical trial.

OBJECTIVES The aim of this study was to evaluate and compare marginal bone loss and clinical outcomes of conventionally and immediately loaded two implants supporting a ball-retained mandibular overdenture. MATERIALS AND METHODS Thirty six completely edentulous patients (22 males and 14 females) were randomly assigned into two groups. Each patient received two implants in the canine area of the mandible after a minimal flap reflection. Implants were loaded by mandibular overdentures either 3 months (conventional loading group) or the same day (immediate loading group) after implant placement. Ball attachments were used to retain all overdentures to the implants. Vertical and horizontal alveolar bone losses were evaluated in both groups 1 and 3 years after implant placement using multislice computed tomography, which allow evaluation of peri-implant buccal and lingual alveolar bone. Plaque scores, gingival scores, probing depths and periotest values (PTVs) were evaluated at 4 months (baseline), 1 and 3 years after implant placement. Clinical and radiographic evaluations were performed at distal, labial, mesial and lingual peri-implant sites. RESULTS After 3 years of follow-up period, the immediate loading group recorded significant vertical bone loss at distal and labial sites than the conventional loading group and no significant differences in horizontal bone loss between groups were observed. Probing depth at distal and labial sites in the immediate loading group were higher than the conventional loading group, while plaque scores, gingival scores and PTVs showed no significant differences between the two groups. A low level of positive correlation between plaque scores, gingival scores, probing depths and vertical bone loss was noted. CONCLUSION Immediately loaded two implants supporting a ball-retained mandibular overdenture are associated with more marginal bone resorption and increased probing depths when compared with conventionally loaded implants after 3 years. The bone resorption and probing depths at distal and labial sites are significantly higher than those at mesial and lingual sites. Clinical outcomes do not differ significantly between loading protocols.
An Oxidized Zr Ceramic Surfaced Femoral Component for Total Knee Arthroplasty

A ceramic surfaced oxidized Zr femoral component was used in total knee replacemdent. Prior mechanical testing had shown a decrease in adhesive and abrasive wear using this material as compared with CoCrMo suggesting its use in younger patients in whom long-term PE wear is a consideration. The alloy had no demonstrable Ni impurities and was applicable to patients with Ni or Co allergies. In a randomized prospective study comparing femoral components of the same design but fabricated either of cast CoCrMo or oxidized Zr, there was a more rapid return of flexion and regaining functional milestones in the oxidized Zr group. No adverse effects had been observed at the 2-year evaluation.
Waist circumference and BMI cut-off points to predict risk factors for metabolic syndrome among outpatients in a district hospital.

INTRODUCTION Metabolic syndrome (MS) is a cluster of risk factors that increases the risk of cardiovascular disease and type 2 diabetes mellitus (DM). Waist circumference (WC), a surrogate indicator of abdominal fat mass, is used to measure central obesity associated with increased risk of hypertension, insulin resistance and type 2 DM, whereas body mass index (BMI) is traditionally used to measure somatic obesity. This study aimed to identify the WC and BMI cut-off points to predict the metabolic risk factors for MS and to determine which is a better predictor. METHODS This was a cross-sectional study conducted over a period of six months. The study involved 355 subjects aged 13-91 years. Youden's index was used to identify the optimal cut-off points. RESULTS The optimal cut-off point of WC to predict individual metabolic risk in females was 84.5-91.0 cm. The BMI cut-off point to predict hypertension and raised fasting blood sugar was 23.7 kg/m², and that for low level high-density lipoprotein cholesterol was 22.9 kg/m². For males, the corresponding cut-off points were 86.5-91.0 cm for WC and 20.75-25.5 kg/m² for BMI, with corresponding sensitivities and specificities. Area under the curve and the odds of developing individual and ≥ 2 metabolic risk factors for MS were higher for WC than for BMI. CONCLUSION WC is a better predictor of metabolic risk factors for developing MS than BMI. Therefore, we propose that metabolic risk factors be screened when WC ≥ 80 cm is found in both genders regardless of BMI.
Discussion on fuzzy decision making based on fuzzy number and compositional rule of inference

This paper provides an improved decision making approach based on fuzzy number and compositional rule of inference by Yao and Yao (2001). They claimed to have created a new method that combines use of statistical method and fuzzy theory for medical diagnosis. Currently, numerous papers have cited the paper. In this study, we will show that if we follow their matrix multiplication operation approach is followed; the same result as the original method proposed by Klir and Yuan (1995) will be obtained. Owing to a well-known property of (row) stochastic matrices, if the multiplication is closed, then the fuzzy and defuzzy procedure of Yao and Yao (2001) is redundant. Therefore, we advise researchers to think twice before applying this approach to medical diagnosis.
Galectin-3 and CD1a-Positive Dendritic Cells Are Involved in the Development of an Invasive Phenotype in Vulvar Squamous Lesions

Summary: In this study, the expression patterns of Galectin-3 (Gal-3) and the frequency of infiltrating CD1a positive dendritic cells (DCs) were determined in 82 cases of vulvar tissues, consisting of normal squamous epithelia (NE, N = 10), vulvar condylomas (VC, N = 24), high grade vulvar intraepithelial neoplasias (HG-VIN, N = 26) of common type, and invasive keratinizing squamous cell carcinomas (SCC, N = 22) by a standard immunohistochemical method using monoclonal antibodies to investigate their differential expression in vulvar squamous dysplasia and infiltrating carcinomas with an emphasis on neoplastic transformation and progression. Gal-3 expression was cytoplasmic, nuclear or membranous in NE, VCs, and HG-VINs, with negative or weak and occasionally moderate reactivities. In SCCs, exclusively cytoplasmic staining patterns with moderate or strong reactivity in 59% of cases were observed (p < 0,0001, chi-square test); Gal-3 expression was not related with stage, grade, and recurrence. The frequency of CD1a positive DCs increased from NE and VCs to highest numbers in HG-VINs, was lowest in SCCs (p < 0,0001, ANOVA), and was not related with stage and grade, but with recurrence in SCCs (p = 0,048, t-test). This study indicates that qualitative and quantitative changes of Gal-3 immunoexpression and infiltration by CD1a positive DCs in vulvar NE, VCs, and HG-VIN lesions, respectively, compared with SCCs play a role in the development of an infiltrative phenotype, and may provide adjunctive criteria in the diagnosis of invasion of vulvar squamous epithelia.
Organo-clays and nanosponges for acquifer bioremediation: Adsorption and degradation of triclopyr

To avoid the problem of groundwater contamination, mitigation techniques have been proposed that consist of creating barriers made of suitable materials that can facilitate the adsorption and degradation of the pollutants. This study aims at evaluating the capacity of two organo-clays (Dellite 67 G and Dellite 43 B) and one nanosponge to adsorb the herbicide, triclopyr. Triclopyr was chosen because it is a good example of a moderately mobile, leacheable molecule. The rate of degradation of the molecule in the soil, both with and without the presence of the materials under examination, was also determined. Both the organo-clays adsorbed more than 90% of the herbicide. The nanosponge and the soil adsorbed less than 10% triclopyr. When the soil was added with the two organoclays, adsorption increased to 92%. When added to the soil, the materials accelerated the degradation of triclopyr. The half-life in soil was 30 days, whereas in soil with Dellite 67 G and Dellite 43 B it was 10 and 6 days respectively. The addition of the nanosponge to the soil decreased the half life by 50%. These results lead us to suggest that they be used in creating reactive barriers for the remediation of soils and aquifers.
Cytokines as biomarkers of Crimean‐Congo hemorrhagic fever

Crimean‐Congo hemorrhagic fever (CCHF) is a potentially severe disease caused by CCHF virus. As in other viral hemorrhagic fevers, it is considered that the course and outcome of the disease depend on the viral load and the balance among the immune response mediators, and that a fatal outcome is the result of a “cytokine storm. ” The level of 27 cytokines was measured in serum samples taken from 29 patients during the acute phase of the disease. Two cases were fatal. Among survivors, significant differences between severe and non‐severe cases were observed in the levels of IP‐10, and MCP‐1, while the levels of IL‐1b, IL‐5, IL‐6, IL‐8, IL‐9, IL‐10, IL‐15, IP‐10, MCP‐1, TNF‐α, and RANTES differed significantly between fatal and non‐fatal cases (P < 0.05). RANTES was negatively correlated with the outcome of the disease. A striking similarity with the cytokine patterns seen in Ebola virus disease was observed. A weak Th1 immune response was seen. The viral load was positively correlated with IL‐10, IP‐10, and MCP‐1 levels, and negatively correlated with the ratio IL‐12/IL‐10. Especially IP‐10 and MCP‐1 were significantly associated with the viral load, the severity and outcome of the disease, and they could act as biomarkers and, probably, as potential targets for treatment strategies design. J. Med. Virol. 88:21–27, 2016. © 2015 Wiley Periodicals, Inc.
Beginning Psychiatric Training Syndrome: A Cross-Cultural Prevalence Study *

higher levels of education (3); the treatment of emotionally ill physicians seems to be uniformly poor for a variety of reasons, and concern has been expressed regarding the high suicide rates in psychiatric residents and practising psychiatrists (2, 4, 10, 16); and the question as to whether emotionally ill psychiatrists can treat their patients effectively is currently under review (5). This study was designed to answer objectively six questions arising from this literature: does non-psychotic emotional illness occur in psychiatrist trainees or is the literature due to observer bias, psychiatrists describing normal emotional response to training in terms of psychopathology; what is the prevalence of emotional illness in psychiatric trainees; is emotional illness more common in psychiatric postgraduates than in other medical postgraduates; is prevalence greatest in the first year of training; is it higher in foreign medical graduates; and is it different in Canadian residents in comparison to British postgraduates?
Prediction of the static pressure generation for an electrohydrodynamic conduction pump

Steady-state 2-D electrohydrodynamic pumping through bipolar hetero-charge conduction phenomenon has been investigated numerically. In order to validate the presented numerical algorithm, the pump geometry was chosen to be identical to the device whose experimental data is available in the literature. The concentrations of the positive and negative ions and the electric field distribution of the pump were calculated. The resulting static pressure generation of the pump was predicted for the refrigerant R-123 at different applied voltages ranging between 2 to 20kV DC. The comparison between the predicted static pressure generation and the previous experimental results in the absence of fluid flow shows a good agreement with a maximum deviation of 12.5% at 20 kV applied voltage. In the present work, the electrical conductivity of R-123 was assumed to be the most recent proposed value of σ=7×10−11 S/m. Assuming this value of electrical conductivity, the numerical model predicts the hetrocharge layer thicknesses in the order of gap spacing even at low applied voltage and weak field regime. By increasing the applied voltage, above ∼15kV, the heterocharge layers of the opposite electrodes extend to the entire gap spacing and create an overlapping region. Assuming three orders of magnitude higher value of electrical conductivity for R-123 in the previous numerical studies, the thickness of the hetrocharge layer and pressure generation was underestimated by almost two orders of magnitude. Through extensive numerical experiments, the electrical conductivity of the working fluid was found to be an important parameter to determine the heterocharge layer thickness, electric body force, and predicted static pressure. The issues related to the scaling of the conduction pump when the heterocharge layers create an overlapping region in the reduced gap spacing are discussed.
A Randomized Controlled Clinical Trial of a Hypnosis-Based Treatment for Patients with Conversion Disorder, Motor Type

This study tested whether a hypnosis-based intervention showed promise as a treatment for patients with conversion disorder, motor type. Forty-four outpatients with conversion disorder, motor type, or somatization disorder with motor conversion symptoms, were randomly assigned to a hypnosis or a waiting-list condition. The hypnosis-condition patients were more improved relative to baseline and the waiting-list controls. Improvement was evident on an observational index of behavioral symptoms associated with the motor conversion and on an interview measure of extent of motor disability. No effect was obtained on a nonspecific measure of broad psychopathology immediately posttreatment. At 6-month follow-up, improvement was maintained across the behavioral and interview measures. The effect size of hypnotizability as a predictor of treatment outcome was comparable to that found for other individual patient
Patients with micro or other myocardial infarctions have equal long-term survival

Abstract Objectives. To investigate differences in prognosis after myocardial infarction (MI) in patients classified according to the old and new definitions of MI. Patients not fulfilling the old definitions were classified as having a micro MI. Design. Data on 1216 consecutive patients with a diagnosis of first MI (38.3% women) and who were discharged from or died in one hospital in the 5-year period from 2001 were included in the study. Surviving patients were followed for a mean of 8.2 years. Risk factors and death after MI were analysed according to MI classification. Results. Of the patients, 20.1% were classified as having a micro MI. During follow-up, 47.2% of all the patients died. Patients with micro MI were older and fewer were current smokers than patients with other MI. In multivariate Cox regression analysis for the total risk of mortality, age, diabetes mellitus, a positive smoking history, history of stroke and living alone were significantly related to long-term prognosis, and there was no difference in long-term survival between the two types of MI (p = 0.50). Conclusions. After adjustment for confounders, patients with micro MI had no significant difference in long-term survival compared with those with other MI.