Miracle-dz/UniFAR-FTUs huggingface dataset:
ECTOPIC PREGNANCY IN NDUTH, OKOLOBIRI- 5 YEAR CASE RETROSPECTIVE REVIEW

Objective: To access the incidence of ectopic pregnancy, the risk factors, presentation in respect to maternal morbidity and mortality in NDUTH Okolobiri, Bayelsa State. Method: Retrospective review of patients with proper hospital records admitted and treated in our centre for ectopic pregnancy was carried out. The review was taken from January 2009 to December 2013.Analysis was carried out using Epi-info 2007 version 7.1. 4.0. Results: A total of 130 women were admitted with EP during the study period. The rate of ectopic pregnancy was 4.62% for a total of 2815 life deliveries, and 39.88% of all gynecological surgeries. No maternal death due to EP, risks factors found in 66.92% of the patients. The mean age of women was 29.2±5.7 year std. with the range of 17-45 years. Most of the ectopic pregnancies occurred in the age bracket of 24-34 years group (68.5%). There was one case of abdominal pregnancy. The commonest mode of diagnosis was through physical examination findings. The most common presenting symptom was abdominal pain 115(88.46%). A total of 113(87.60%) women presented with ruptured ectopic, 122(93.85%) women had blood transfusion, 86(67.72%) of the women where haemodynamically unstable on admission. Conclusively open abdominal surgery was performed in all the 130 cases, none of the patients benefited from less invasive laparosc opic surgery, conservative expectant management, or medical treatment of methotrexate.
Fatores individuais associados à utilização de consultas médicas por adultos

OBJETIVO: Identificar caracteristicas individuais associadas a maior probabilidade de consultar o medico e o fazer em excesso. METODOS: Estudo de base populacional com 3.100 adultos (>20 anos), moradores de Pelotas, Estado do Rio Grande do Sul, de outubro a dezembro de 2003. Foi utilizada amostragem por conglomerados em multiplos estagios. Foi realizada entrevista para obter dados socioeconomicos, demograficos e de saude, alem do numero de consultas no periodo de tres meses anteriores. A referencia de >4 consultas foi considerada superutilizacao. As analises multivariadas foram realizadas por regressao de Poisson baseadas em um modelo conceitual e apresentados em razoes de prevalencia e respectivos intervalos de confianca de 95%. RESULTADOS: A prevalencia de consulta ao medico foi de 55,1%. A maior probabilidade de consultar um medico esteve associada as mulheres, hospitalizacao no ano anterior, ex-tabagismo, diabetes e hipertensao arterial. Verificou-se tendencia de consultas conforme o avanco da idade (p<0,001) e piora da autopercepcao de saude (p<0,001). A prevalencia de superutilizacao de consultas foi de 9%, associada positivamente ao sexo feminino, hospitalizacao no ano anterior e historia de hipertensao. A tendencia de consultas em excesso esteve associada com aumento do indice de massa corporal (p=0,01), avanco da idade (p=0,006) e piora da autopercepcao de saude (p<0,001). CONCLUSOES: Estiveram associados a consulta e sua superutilizacao ser do sexo feminino, ser hipertenso e ter estado hospitalizado no ano anterior, alem do aumento de idade e piora da autopercepcao de saude.
Conhecimento e atitude de usuários do SUS sobre o HPV e as vacinas disponíveis no Brasil

OBJECTIVE : To investigate knowledge of HPV and HPV vaccines in men and women, users of the Brazilian Unified Health System, and the intention to get themselves and their teenage children vaccinated. METHODS : A descriptive, cross-sectional study with 286 women (18-49 years old) and 252 men (18-60 years old), users of five primary health units and two polyclinics in Campinas, SP, Southeastern Brazil, was carried out. Participants were interviewed in 2011 using a structured questionnaire. Bivariate and Poisson regression analysis were performed to identify variables associated with knowledge of HPV and HPV vaccines, and participants vaccination intentions. RESULTS : Almost 40.0% of the participants reported having heard of HPV and 28.9% mentioned adequate information. The main information source was the media (41.7%). Only 8.6% of the participants had heard of the HPV vaccines. Once the participants were informed of the existence of HPV vaccines about 94% of them said they would get vaccinated and/or vaccinate their teenage children, if the vaccines were available in the public health system. Schooling of over 8 years and being female were the variables independently associated with having heard of HPV, the vaccines and having adequate knowledge of the virus. Advanced age was associated with having heard of HPV vaccines. There were no variables associated with the vaccination intentions. CONCLUSIONS : These results reinforce the need for educational activities that provide the population with adequate information on HPV and preventive measures.
Efeito agudo da vibração sobre o desempenho do agachamento em alta velocidade e salto vertical

The objective of this study was to assess the acute effect of whole-body vibration (WBV) on power production of the lower limbs during squat exercise and on vertical jump height. The performance of 30 strength-trained subjects was assessed during high velocity squat exercise (HVS) and countermovement vertical jump (CMJ) before and after being submitted to four different vibration protocols in a counterbalanced random manner. The HVS and CMJ assessments were performed 3 min before and 6, 9 and 12 min after the WBV interventions, and 6 min before and 9 and 15 min after the interventions, respectively. The different WBV protocols did not change relative peak or average power production during HVS and CMJ. However, time exerted a main effect, with a decrease in CMJ height at 3 min (-2%) and 15 min (-3.1%) after treatment. These results suggest that the WBV protocols employed in this study do not induce acute improvement in performance. However, this finding does not rule out the application of WBV as a useful strategy for training or warm-up routines.
Comparação de modelos de assistência ao parto em hospitais públicos

OBJECTIVE To compare collaborative and traditional childbirth care models. METHODS Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used. RESULTS Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia. CONCLUSIONS The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.
Unusual presentation of Fibrocalculous pancreatic diabetes: A case report and brief review -

Introduction: Fibrocalculous pancreatic diabetes (FCPD) is a secondary form of diabetes. Patients present at an early age with abdominal pain and steatorrhoea. They often develop diabetes before the age of 30 years and later nephropathy. FCPD is still a condition rarely considered in everyday practice. However, it might be more common than generally thought. Case Report: We present a case of FCPD from Gujarat in west India, who presented with steatorrhea and abdominal pain. He also had unusual features of oral candidiasis and diabetic nephropathy at the time of diagnosis. He rapidly deteriorated and developed unexplained altered sensorium and succumbed to his illness within a few days of admission. Conclusion: Although the reported prevalence is low, the possibility of FCPD must be kept in mind while managing a case of diabetes as its therapy would include, in addition to control of diabetes, management of the pain of pancreatitis, long term pancreatic enzyme replacement and periodic screening for malignancy. We also observed a need for detailed research and treatment guidelines.
Comparison of Early Postoperative Axillary Morbidity Following the Sentinel Lymph Node Biopsy or Axillary Lymph Node Dissection

Purpose: Sentinel lymph node biopsy (SLNB) is a relatively accurate diagnostic method for determining the presence of axillary lymph node metastasis (ALND). SLNB reduces the need for axillary lymph node dissection, thereby decreasing the postoperative axillary morbidity. The present study compared the postoperative axillary morbidity rates during early postoperative days for patients undergoing either SLNB or conventional ALND. Methods: We conducted a prospective case-control study of breast cancer patients. The degree of axillary morbidity was compared between 28 SLNB patients (Group I) and 38 ALND patients (Group II). Results: The SLNB group showed decreased arm swelling and restriction of their shoulder motion in comparison with the conventional axillary dissection group (p<0.05). SLNB and additional lymph node sampling did not result in any additional morbidity. Conclusion: SLNB or lymph node sampling was associated with less axillary morbidity like arm edema, limitation of motion than was conventional ALND. The rate of postoperative axillary morbidity did not differ following lymph node sampling and SLNB. SLNB may be an effective method for diagnosing of axillary lymph node metastasis with decreasing the postoperative axillary morbidity. (J Breast Cancer 2007;10: 107-13)
Steroid Therapy During Septic Shock: A Second Birth?

ADVANCES IN SEPSIS Vol 1 No 3 2001 93 Use of steroids in the past Corticosteroids have been used for decades in the treatment of serious infections, despite continuing controversy regarding their efficacy. Numerous animal studies performed during experimental septic (endotoxic) shock or acute lung injury showed a highly significant reduction in both the intensity of shock, acute respiratory failure and mortality, provided the drug was used early enough (ideally before the insult) [1,2]. They were used in the past at very high doses (30 mg/kg per dose for a maximum of 24–48 h). The ability of these high doses to reduce complement activation and to inhibit leukocyte aggregability and adherence to endothelium was a logical rationale for their efficacy [3]. In humans, promising initial results were published [4]. However, in the early 1980s, two well-designed, large prospective, multicenter, randomized, double-blind studies did not demonstrate any ability of steroids to decrease mortality [5,6]. Conversely, some studies reported positive trends when looking at subgroups of infections, in particular those due to Gram-negative rods [5–7]. It has to be emphasized that, although these studies involved 300–400 patients, this is far smaller than current trials. Two recent meta-analyses confirmed that corticosteroids, at the dose of 30 mg/kg (one or two doses), were ineffective [7], or even harmful [8]. The design and the results of the nine randomized studies are detailed in Tables 1 and 2. Pooling the results from those patients with Gram-negative infections, as performed in the meta-analysis by Lefering and Neugebauer [7], yields a rate difference of –5.6 % (95% confidence interval [CI] –21.4 to 10.1) in favor of steroids, based on 413 patients. Patients with Gram-positive infections (n=306) experienced an overall effect of +1.8 % (95% CI –15.8 to 18.6). Most people stopped using steroids when these large trials were published.
HIGIENIZAÇÃO DAS MÃOS E A SEGURANÇA DO PACIENTE PEDIÁTRICO HAND WASHING AND SAFETY OF THE PEDIATRIC PATIENT LAVADO DE MANOS Y SEGURIDAD DEL PACIENTE PEDIÁTRICO

ABSTRACT Objective: To evaluate whether the hygienisation of hands held before the preparation and administration of medication and fluids by nursing professionals follows the guidelines established by the World Health Organization (WHO) and the National Health Surveillance Agency (ANVISA). Methods: This is an exploratory descriptive quantitative study conducted between August and November 2010, whose data collection was implemented through direct observation of hand washing procedure in a pediatric unit at a University Hospital in southem Brazil, during morning and afternoon shifts. Results: Low adherence to the practice of hand hygiene CIENCIA Y ENFERMERIA XIX (2): 99-109, 2013 ISSN 0717-2079 * Enfermeira. Membro do Grupo de Pesquisa GAPEFAM. Email: escoteiracia@hotmail.com ** Enfermeira. Membro do Grupo de Pesquisa GAPEFAM. Email: talitap2@hotmail.com *** Enfermeira. Docente da Graduacao e do Programa de Pos-graduacao do Departamento de Enfermagem da UFSC. Membro do Grupo de Pesquisa Clinica, Tecnologias e Informatica em Saude e Enfermagem - GIATE e pesquisadora colaboradora do GEPESCA. Email: pkrochaucip@gmail.com
THE NEUROANATOMY OF AMNESIA

P. 411, lines 36–43. Delete ‘Another way to make the task non-spatial. hippo-campal animals have no deficit’ and substitute : ‘Hippocampal lesions also produce severe deficits on spatial reversals but not object reversals. In the spatial reversal task, the animal is first rewarded for choosing the left one of two identical objects. After it learns to do this, the rewarded side is reversed and it must then learn to respond to the object on the right. This reversal is repeated several times. The object reversal is a non-spatial version of the same task. The procedure is the same except that two different objects are used and the animal is trained to respond first to one object, then to the other. On each trial, the side upon which the objects appears varies randomly. ‘Thus if the spatial aspect of these tasks is eliminated, hippocampal animals have no deficit . ’ The Author and Editors regret the error.
Traumatic brain injury in childhood: Intensive Care time series data and outcome

Age-specific norms are necessary to determine potential secondary brain insult after head injury in children. We describe and quantify the secondary physiological derangement recorded in children of different ages following traumatic brain injury, and relate it to outcome at 12 months post-injury. Prospective time-series data (including intracranial pressure, arterial blood pressure, cerebral perfusion pressure, oxygen saturation, temperature and heart rate) downloaded from ICU monitors, were examined to identify abnormal (i.e. outside normal age-specific limits) recordings lasting more than 5 min. Cumulated total duration of derangement was calculated for each parameter and as a percentage of the time that the ICP monitor was in situ. Univariate and multivariate logistic regression modelling was used to evaluate predictors of outcome. Age-specificity allows realistic comparisons of physiological data among children. Duration of age-specific derangement of CPP was found to predict outcome (dead v. alive: p = 0.003 and Glasgow Outcome Score 1–3 v. 4–5, i.e. poor v. independent outcome p = 0.004).
Facility Location Problem with Capacity Constraints: Algorithmic and Mechanism Design Perspectives

We consider the facility location problem in the one-dimensional setting where each facility can serve a limited number of agents from the algorithmic and mechanism design perspectives. From the algorithmic perspective, we prove that the corresponding optimization problem, where the goal is to locate facilities to minimize either the total cost to all agents or the maximum cost of any agent is NP-hard. However, we show that the problem is fixed-parameter tractable, and the optimal solution can be computed in polynomial time whenever the number of facilities is bounded, or when all facilities have identical capacities. We then consider the problem from a mechanism design perspective where the agents are strategic and need not reveal their true locations. We show that several natural mechanisms studied in the uncapacitated setting either lose strategyproofness or a bound on the solution quality %on the returned solution for the total or maximum cost objective. We then propose new mechanisms that are strategyproof and achieve approximation guarantees that almost match the lower bounds.
Learning Feature Interactions with Lorentzian Factorization Machine

Learning representations for feature interactions to model user behaviors is critical for recommendation system and click-trough rate (CTR) predictions. Recent advances in this area are empowered by deep learning methods which could learn sophisticated feature interactions and achieve the state-of-the-art result in an end-to-end manner. These approaches require large number of training parameters integrated with the low-level representations, and thus are memory and computational inefficient. In this paper, we propose a new model named “LorentzFM” that can learn feature interactions embedded in a hyperbolic space in which the violation of triangle inequality for Lorentz distances is available. To this end, the learned representation is benefited by the peculiar geometric properties of hyperbolic triangles, and result in a significant reduction in the number of parameters (20% to 80%) because all the top deep learning layers are not required. With such a lightweight architecture, LorentzFM achieves comparable and even materially better results than the deep learning methods such as DeepFM, xDeepFM and Deep & Cross in both recommendation and CTR prediction tasks.
Searching for further evidence for cloud–cloud collisions in L1188

In order to search for further observational evidence of cloud–cloud collisions in one of the promising candidates, L1188, we carried out observations of multiple molecular lines toward the intersection region of the two nearly orthogonal filamentary molecular clouds in L1188. Based on these observations, we find two parallel filamentary structures, both of which have at least two velocity components being connected with broad bridging features. We also found a spatially complementary distribution between the two molecular clouds, as well as enhanced 13CO emission and 12CO self-absorption toward their abutting regions. At the most blueshifted velocities, we unveil a 1 pc-long arc ubiquitously showing 12CO line wings. We discover two 22 GHz water masers, which are the first maser detections in L1188. An analysis of line ratios at a linear resolution of 0.2 pc suggests that L1188 is characterised by kinetic temperatures of 13–23 K and H2 number densities of 103–103.6 cm−3. On the basis of previous theoretical predictions and simulations, we suggest that these observational features can be naturally explained by the scenario of a cloud–cloud collision in L1188, although an additional contribution of stellar feedback from low-mass young stellar objects cannot be ruled out.
Effectiveness of Jacobson's Relaxation Technique in Hypertension

Study design: Randomized Controlled Trial. Objective: To find out the effectiveness of Jacobson’s relaxation technique in hypertension. Background: World health Organization has recommended non- pharmacological approaches as an adjunctive treatment for hypertension. However, little evidence exists to indicate the effectiveness of physiotherapeutic interventions like Jacobson’s relaxation technique. Methods and measures: The sample consisted of clinically diagnosed 56 subjects with hypertension. Subjects were randomly treated with medications along with Jacobson’s relaxation technique under supervision or only medications for three weeks. Their pre and post intervention blood pressure was measured in supine with digital blood pressure monitor for further analysis. Results: The average reduction in blood pressure was significantly greater in subjects treated with Jacobson’s relaxation technique along with medications as compared to only medications. Conclusion: Jacobson’s relaxation technique can be used as an adjunctive intervention in the treatment of hypertension.
Collectivised Pension Investment with Homogeneous Epstein-Zin Preferences.

In a collectivised pension fund, investors agree that any money remaining in the fund when they die can be shared among the survivors. We compute analytically the optimal investment-consumption strategy for a fund of $n$ identical investors with homogeneous Epstein--Zin preferences, investing in the Black--Scholes market in continuous time but consuming in discrete time. Our result holds for arbitrary mortality distributions. We also compute the optimal strategy for an infinite fund of investors, and prove the convergence of the optimal strategy as $n\to \infty$. The proof of convergence shows that effective strategies for inhomogeneous funds can be obtained using the optimal strategies found in this paper for homogeneous funds, using the results of [2]. We find that a constant consumption strategy is suboptimal even for infinite collectives investing in markets where assets provide no return so long as investors are "satisfaction risk-averse. " This suggests that annuities and defined benefit investments will always be suboptimal investments. We present numerical results examining the importance of the fund size, $n$, and the market parameters.
Construction of a Validated Virtual Embodiment Questionnaire

User embodiment is important for many virtual reality (VR) applications, for example, in the context of social interaction, therapy, training, or entertainment. However, there is no validated instrument to empirically measure the perception of embodiment, necessary to reliably evaluate this important quality of user experience (UX). To assess components of virtual embodiment in a valid, reliable, and consistent fashion, we develped a Virtual Embodiment Questionnaire (VEQ). We reviewed previous literature to identify applicable constructs and items, and performed a confirmatory factor analysis (CFA) on the data from three experiments (N = 196). Each experiment modified a distinct simulation property, namely, the level of immersion, the level of personalization, and the level of behavioral realism. The analysis confirmed three factors: (1) ownership of a virtual body, (2) agency over a virtual body, and (3) change in the perceived body schema. A fourth study (N = 22) further confirmed the reliability and validity of the scale and investigated the impacts of latency jitter of avatar movements presented in the simulation compared to linear latencies and a baseline. We present the final scale and further insights from the studies regarding related constructs.
Quantum empty Bianchi I spacetime with internal time

We discuss the question of time in a Bianchi I quantum cosmology in the framework of singularity avoidance. We show that time parameters fall into two distinct classes, that are such that the time development of the wave function either always leads to the appearance of a singularity (fast-gauge time) or that always prevents it from occurring (slow-gauge time). Furthermore, we find that, in the latter case, there exists an asymptotic regime, independent of the clock choice. This may point to a possible solution of the clock issue in quantum cosmology if there exists a suitable class of clocks all yielding identical relevant physical consequences.