Miracle-dz/UniFAR-FTUs huggingface dataset:
Evaluating The Past , Present , And Future In Apparel Development And Merchandise : The Home Economics Perspective

In a society in which fashion and trends transforms virally than envisaged, the need for successful follow-up in apparel development and merchandising becomes challenging, though necessary. To develop apparel products successfully to meet up with the changing trends for today’s markets, facilitating creativity and innovation by removing organizational constraints is prerequisite for developers and merchandisers. Apparel development does not really end in the factory. Until it is merchandised and utilized by the final consumer its essence has not been meet and of course satisfaction must be ascertained for both the producer, merchandiser, and the final consumer. The satisfaction of the final consumer is the most important. It is vital that apparel developers take complete control over their product development process. In contemporary Nigeria, one will say it’s one of the few developing and still developing economies blessed with different natural and human resources that could give her a leading economy globally within two decades of her independence. Apparel also interchangeably called textile is a general term which refers to any material made of interlacing of fibers such as fabric, cloth, carpet, and belt among others and generally, it is a flexible woven material consisting of a network of natural or artificial fibers which are often referred to as thread or yarn. The world point of view as in the case of garment industry in Bangladesh, it has been expanded almost uninterruptedly since the late 1970s and the industry survived Abstract: The purpose of this study was to evaluate the past, present and future in apparel development and merchandise in Nigeria: the Home Economics perspective. This study adopts a mixed research design based on interviews, archival records, print and electronic media and the use of 30 copies of researcher administered questionnaire. Respondents were purposively recruited for the study. Data collection took about two weeks and data generated were analyzed and represented through descriptive statistics. The study indicates that Nigeria Apparel Development and Merchandising Industry (NADMI) over the years have been great especially before and during the early part of Nigeria independence. Over the years, Nigerian apparel development and merchandise has gained global recognition but its state today is not encouraging. However, there is hope for the future as the study findings of this research prescribes. Based on these findings, it was recommended among others that all tiers of government should invest in the Nigeria apparel industry like what the government of Prof. Ben Ayade of Cross River State did and patronage of Nigerians on Nigeria made apparels.
Evaluation Of A Simple Intervention To Increase Self-efficacy For Independent Exercise In Cardiac Rehabilitation Participants: 2381

Evaluation of a Simple Intervention to Increase Self-Efficacy for Independent Exercise in Cardiac Rehabilitation Participants Sherry A. Barkley April 1, 2008 Purpose: While benefits of exercise after a cardiac event are well documented, participation in and adherence to cardiac rehabilitation (CR) programs is often low. The purpose of this study was to test the effectiveness of a self-efficacy coaching intervention (SCI): a simple theory-based behavioral intervention to increase self-efficacy for independent exercise as well as independent exercise behavior in CR patients. It was hypothesized that persons receiving the SCI treatment (T) would have higher levels of self-efficacy for exercise and greater participation in independent exercise than participants in an attention control (C) group. Methods: People referred to a hospitalbased CR program by their physician were invited to participate in the study (N = 65). Participants were assigned to either T or C groups which had been randomly designated by class time. The SCI was administered approximately every two weeks by CR staff as a supplement to standard CR care. Patients in the T group received coaching about independent exercise, patients in the C group received coaching matched for time and technique but covering information about healthy eating. Self-efficacy for independent exercise was assessed at the beginning and end of the supervised CR program with an Exercise Self-Efficacy (ESE) scale and a Barriers Self-Efficacy (BARSE) scale.
Determinan Kejadian Komplikasi Persalinan Di Indonesia: Analisis Data Sekunder Riset Kesehatan Dasar 2010

Analisis lanjut data sekunder Riskedas 2010 mengidentifikasi determinan kejadian komplikasi persalinan di Indonesia. Tujuan dari analisis ini adalah untuk mengkaji determinan yang berhubungan dengan kejadian komplikasi persalinan 5 tahun terakhir di Indonesia. Penelitian ini merupakan studi analitik dengan menggunakan data Riskesdas 2010, yang menggunakan desain cross-sectional . Sampelnya semua perempuan pernah kawin usia 10-59 tahun yang pernah hamil dan melahirkan pada tahun 2005 s/d 2010 yang menjadi sampel Riskesdas 2010, yang dianalisis data dilakukan dalam tiga tahap, yaitu analiss univariat, bivariat dan multivariat. Hasil penelitian menunjukkan proporsi kejadian komplikasi persalinan di Indonesia antara kurun waktu tahun 2005-2010 sebanyak 47,8 persen. Hasil determinan kejadian komplikasi adalah: faktor status reproduksi yaitu paritas satu atau lebih sama dengan empat anak, jarak kelahiran dan adanya komplikasi kehamilan, faktor akses pelayanan kesehatan yaitu wilayah tempat tinggal dan informasi komplikasi kehamilan dan persalinan, faktor pemanfaatan pelayanan kesehatan yaitu kunjungan pemeriksaan antenatal minimal empat kali, pemilihan penolong persalinan pada tenaga kesehatan dan pemilihan tempat persalinan. Dan faktor yang paling dominan berhubungan dengan kejadian komplikasi persalinan adalah riwayat komplikasi kehamilan. Kata kunci : komplikasi, persalinan, kehamilan
Nursing Theorists and Their Work (6th edn)

I this latest edition of this well-known text, the largest to date, the editors have included more international work than previous editions.The 37 chapters are arranged in six units or sections entitled Evolution of Nursing Theories, Philosophies, Nursing Models, Nursing Theories, Middle Range Theories and The Future of Nursing Theory. Nine chapters from the previous edition are condensed into a single chapter to enable the inclusion of eight new nursing theory chapters, three new nursing philosophy chapters and a new nursing model chapter. Many of the theorists are still alive giving the book a sense of current relevance for the profession. The work of each theorist is presented using the same headings as previous editions – Credentials and background of the theorist; Theoretical sources; Major concepts and definitions; Use of empirical evidence; Major assumptions;Theoretical assertions; Logical Form; Acceptance by the nursing community; Further development; Critique; Summary; and Case study linked to critical thinking activities.The inclusion of a critique aids the novice reader in the analysis of any particular theory and continues to be a strength of this latest edition. A Middle Range Theory is a set of related concepts that focus on a limited dimension of the reality of nursing, and the seven interesting new theories presented include Kristen Swanson’s Theory of Caring. The major concepts of Swanson’s theory include knowing, being with, doing for, enabling and maintaining belief.This structure of caring is linked to the nurse’s philosophical attitudes, informed understandings, message conveyed, therapeutic actions and intended outcome of enhanced client well-being.The broad applicability of this and other Middle Range Theories ensures that this book will be of interest to general nurses, mental health nurses and midwives. This comprehensive book provides answers to those who question the role of nursing in the 21st century – those who suggest that a generic health worker is the way of the future. Academics and clinicians alike can use the models, philosophies and theories to analyse individual nursing practice and debate professional nursing issues.This book not only elucidates the historical development of modern nursing but also gives an insight into what it is that nurses do for the clients in their care and is an excellent updated resource about this important topic. R E V I E W E R
Astragalus blattneri (Fabaceae), a New Species from Iran

Iran, especially the northwestern part of the country, is the center of diversity of the genus Astragalus section Hymenostegis in the Old World. A new species A. blattneri Bagheri & Maassoumi of that section from East Azarbayjan Province in NW Iran is here described and illustrated based on morphology and nuclear ribosomal DNA internal transcribed spacer (ITS) and plastid ycf1 sequence data. It morphologically resembles A. chrysostachys and A. recognitus but differs from these species by DNA sequences and several morphological characters.
MicroRNAs in blood and cerebrospinal fluid as diagnostic biomarkers of multiple sclerosis and to monitor disease progression

Multiple sclerosis is a chronic autoimmune disease of the central nervous system. It is the main cause of non-traumatic neurological disability in young adults. Multiple sclerosis mostly affects people aged 20–50 years; however, it can occur in young children and much older adults. Factors identified in the distribution of MS include age, gender, genetics, environment, and ethnic background. Multiple sclerosis is usually associated with progressive degrees of disability. The disease involves demyelination of axons of the central nervous system and causes brain and spinal cord neuronal loss and atrophy. Diagnosing multiple sclerosis is based on a patient’s medical history including symptoms, physical examination, and various tests such as magnetic resonance imaging, cerebrospinal fluid and blood tests, and electrophysiology. The disease course of multiple sclerosis is not well correlated with the biomarkers presently used in clinical practice. Blood-derived biomarkers that can detect and distinguish the different phenotypes in multiple sclerosis may be advantageous in personalized treatment with disease-modifying drugs and to predict response to treatment. The studies reviewed have shown that the expression levels of a large number of miRNAs in peripheral blood, serum, exosomes isolated from serum, and cerebrospinal fluid are altered in multiple sclerosis and can distinguish the disease phenotypes from each other. Further studies are warranted to independently validate these findings so that individual or pairs of miRNAs in serum or cerebrospinal fluid can be used as potential diagnostic markers for adult and pediatric multiple sclerosis and for monitoring disease progression and response to therapy.
Improving survival with tuberculosis & HIV treatment integration: A mini-review

Tuberculosis (TB) is a leading cause of morbidity and mortality among HIV-infected patients while HIV remains a key risk factor for the development of active TB infection. Treatment integration is a key in reducing mortality in patients with HIV-TB co-infection. However, this opportunity to improve outcomes of both infections is often missed or poorly implemented. Challenges in TB-HIV treatment integration range from complexities involving clinical management of co-infected patients to obstacles in health service-organization and prioritization. This is evident in high prevalence settings such as in sub-Saharan Africa where TB-HIV co-infection rates reach up to 80 per cent. This review discusses published literature on clinical trials and cohort studies of strategies for TB-HIV treatment integration aimed at reducing co-infection mortality. Studies published since 2009, when several treatment guidelines recommended treatment integration, were included. A total of 43 articles were identified, of which a total of 23 observational studies and nine clinical trials were informative on TB-HIV treatment integration. The data show that the survival benefit of AIDS therapy in patients infected with TB can be maximized among patients with advanced immunosuppression by starting antiretroviral therapy (ART) soon after TB treatment initiation, i.e. in patients with CD4+ cell counts <50 cells/μl. However, patients with greater CD4+ cell counts should defer initiation of ART to no less than eight weeks after initiation of TB treatment to reduce the occurrence and extent of immune reconstitution disease and subsequent hospitalization. Addressing operational challenges in integrating TB-HIV care can significantly improve patient outcomes, generate substantial public health impact by decreasing morbidity and death in settings with a high burden of HIV and TB.
Relationship between thyroid nodule size and incidence of thyroid cancer

Objective The aim of this study was to study the size of thyroid nodule as a risk factor of thyroid malignancy. Background The nodular thyroid lesions are of interest to surgeons and patients since the major differential diagnosis is cancer. These thyroid lesions are present as solitary or multiple nodules. Patients and methods This study was carried out on 330 patients aged from 13 to 65 years, every patient included in the study were subjected to history taking, physical examination, preoperative investigations (thyroid function test and routine investigations and ultrasonography on thyroid gland to detect the size of lobes and size of nodules and their dimensions). According to the cases we performed they were classified as total, subtotal, or hemithyroidectomy. The specimens were sent for routine histopathology after the operation to detect the percentage of thyroid cancer related to the thyroid nodule size Results Our results showed that most of the studied patients with thyroid nodules were aged less than 45 years and most of them were women. About 81% of the patients had nodular sizes greater than or equal to 2 cm. The prevalence of cancer was 15.5% among the studied cases. The prevalence of cancer among female patients aged greater than or equal to 45 years, had bilateral nodules with normal function. The cases with a nodular size of 1.0–1.9 cm were more prevalent among cancer patients than in benign cases. After adjustment of confounding factors, the size of nodules (1.0–1.9 cm) and age were still predictors of cancer in the studied cases. Nodular size had 2.5 times prediction of cancer while age had about 0.5 times. Conclusion A larger nodule size increases malignancy risk by up to 2 cm but further growth beyond 2 cm no longer influences malignant risk.
Intranasal hyaluronic acid improves the audiological outcomes of children with otitis media with effusion

Background/Aim: We evaluated the efficacy and compliance of a therapeutic approach based on intranasally-administered hyaluronic acid (HA) in the treatment of chronic otitis media with effusion (OME) in pediatric patients. Materials and Methods: Forty-four pediatric patients were enrolled and randomized into two groups: the first one (Group A) received a treatment based on HA and Group B was treated with saline solution only. Both therapies were intranasally administered by compressed-air nebulizer and Rinowash, a nebulizer designed to treat the upper airway structures. Patients were evaluated by medical history, otoscopy, pure-tone audiometry, and impedentiometry at 0 (T0), 4 (T1), 12 (T2), and 16 (T3) weeks. Results: The analysis of tympanometric and audiometric data, such as the evaluation of otoscopic improvements, showed significant differences between the two groups. After just 1 month of therapy, (T1) tympanometric evaluation showed greater improvements in Group A. Data on the audiometric threshold improvements, measured at different stages of the treatment, showed a greater improvement of the mean/median value of the auditory thresholds in patients treated with HA than in patients of Group B. Conclusion: The absence of side effects and the results observed make this therapeutic approach a potential valid alternative in the difficult long-term management of OME.
Evaluation of biological behavior of odontogenic keratocyst and orthokeratinized odontogenic cyst using picrosirius red stain: A clinicopathological retrospective study

Background: Odontogenic keratocyst (OKC) and orthokeratinized odontogenic cyst (OOC) show considerable difference in biological behavior, and the study of the organization of collagen fibers may be helpful in understanding the nature of these variants. Aims: The purpose of this study is to determine the clinicopathological features and to analyze the birefringence of collagen fibers in OKC and OOC using picrosirius red stain to delineate its exact role in biological behavior. Materials and Methods: Clinical data were obtained from the case records of 71 patients, and for the analysis of birefringence, paraffin-embedded blocks of 10 cases each of OKC and OOC were retrieved from the archives of our department during the period of 2010–2018. Tissue sections were obtained and stained with picrosirius red stain to determine the birefringence of collagen fibers in both the variants. Statistical analysis was done by unpaired t-test. Results: Out of 71 cases, 61 were OKC and 10 were OOC. The clinicopathological data revealed that the most common affected age group was third decade with male predilection and the most common site noted was posterior mandible, and considerable difference in birefringence was noted in the collagen fibers of OKC and OOC. Conclusion: The study results analyzing the clinicopathological parameters of OKC and OOC could act as a viable record for the distribution of odontogenic lesions in the sample population. Significant differences in birefringence were demonstrated in OKC and OOC, suggesting that different collagen fibers may exist in the two lesions.
Intramedullary spinal tuberculosis in pregnancy: A rare case report

Tuberculosis (TB) is an infectious disease which has the pulmonary form as the most common presentation. The spinal column is involved in <1% of all cases of TB. Dissemination of the disease is common in immunocompromised patients, but immunodeficiency related to pregnancy severe enough to cause dissemination of the mycobacteria is rare to date; there has been conflicting evidence on the maternal and neonatal complications of TB in pregnancy. Intramedullary tuberculoma (IMT) is a rare form of spinal TB; spinal TB leading to paraplegia is uncommon in pregnancy and is a diagnostic and therapeutic challenge. Medical therapy is the mainstay of treatment for IMT though there are surgical options for selective patients. We report a case of tubercular paraplegia presenting at 34 weeks of gestation, which lead to paraplegia.
Efficacy of corticosteroid therapy in treating epileptic encephalopathies and refractory epilepsies other than West syndrome

Abstract To evaluate the efficacy of steroid therapy in epileptic encephalopathies and refractory epilepsies other than West syndrome. Retrospective analysis of treatment and outcome data of patients treated with steroids for epileptic encephalopathies. Outcome was analyzed in terms of the patient’s epileptic syndrome, age at seizure onset, duration of seizure disorder, age at treatment, abnormalities noted on neurological examination, developmental status and type of steroid. Fifty-eight consecutive patients from six pediatric neurology outpatient clinics were included in the study. The epileptic syndrome and types were as follows: myoclonic epilepsy (n = 16), epilepsy with continuous spike waves during slow-wave sleep (n = 12), partial epilepsy (n = 10), Landau-Kleffner syndrome (n = 6), generalized epilepsy with multiple epileptic seizure types (n = 5), Rasmussen’s encephalitis (n = 3), Lennox-Gastaut syndrome (n = 2), atypical absence (n = 2) and spasms (n = 2). Sixteen patients (27%) had received adrenocorticotrophic hormone (ACTH) and 42 (73%) had received prednisone (22 of the latter patients were given initial pulse methylprednisolone). Complete cessation of seizures as well as disappearance of epileptic discharges in electroencephalogram were achieved in 16 patients (28%); 15 other patients (26%) had improvement of > 50%. Of the 31 patients with > 50% improvement and follow-up of at least 1 year, 16 (52%) subsequently relapsed. ACTH was found to be significantly more efficacious than prednisone in controlling seizures and improving function. Initiation of treatment with high-dose methylprednisolone did not increase efficacy. ACTH may be more efficacious than prednisone in treating epileptic encephalopathies and refractory epilepsies other than West syndrome.
Study of lung ultrasonography as a diagnostic tool in childhood pneumonia

Objective The aim of this study was to compare chest ultrasonography with chest radiography (CXR) in the diagnosis of children with pneumonia. Background In Egypt, pneumonia and other acute respiratory infections were the causes of death in ∼19% of children younger than 5 years. According to current guidelines, pneumonia is diagnosed by clinical history, respiratory rate, fever, respiratory signs, and symptoms. Patients and methods A cross-sectional study was conducted on 60 patients with fever and signs of respiratory distress, and they were divided in two groups: group I with pneumonia, which included 45 patients who were finally diagnosed as having clinically evident pneumonia, and group II without pneumonia, which included 15 patients who did not have pneumonia. Full history taken, clinical examination, laboratory investigations, CXR, and chest ultrasonography were done. Results There was no statistically significant difference between the two groups regarding age, birth order, weight, residence, parent's education, and employment. C-reactive protein level was higher in pneumonia group than nonpneumonia group (P < 0.001). Lung ultrasonography could detect consolidation in more than one lobe than CXR, which was statistically significant (P = 0.048). Conclusion Chest ultrasonography offers an important contribution to the diagnostic procedures of pleuropulmonary disorders in children, such as pneumonia and pleural effusion, with higher sensitivity, specificity, and positive predictive index compared with CXR.
Right liver lobe diameter/serum albumin ratio in the prediction of esophageal varices in cirrhotic patients

Objective This study aimed to assess the role of right liver lobe diameter by ultrasound/albumin ratio in the prediction of esophageal varices (OV) in cirrhotic patients. Background OV often develop in cirrhotic patients. Varices rupture leading to variceal bleeding represents the most lethal complication of cirrhosis. Right liver lobe diameter/albumin (RLLD/Alb) ratio is a noninvasive method to predict the presence of OV. Patients and methods A case–control study was carried out on 200 cirrhotic patients (145 with OV and 55 without OV). Patients were subjected to complete blood picture, liver and kidney functions, viral markers, abdominal ultrasonography, upper gastrointestinal tract endoscopy, and calculation of the RLLD/Alb ratio and the platelet count/spleen diameter (PC/SD) ratio. Results The RLLD/Alb ratio was diagnostic for the prediction of OV with high significance (P ≤ 0.0001). At a cut-off point of 3.7, the sensitivity, specificity, and accuracy to predict OV were 95, 76.4, and 90%, respectively, with area under the curve = 0.88. A highly statistically significant difference was also noted in the PC/SD ratio with a sensitivity, specificity, and accuracy of 83.4, 70.3, and 80.9%, respectively, at a cut-off point of 605. A statistically significant positive correlation was found between both the RLLD/Alb ratio and the PC/SD ratio and grades of OV and the risk of bleeding from varices (P = 0.0001). Conclusion The RLLD/Alb ratio and the PC/SD ratio are useful as noninvasive predictors of OV in cirrhotic patients.