Miracle-dz/UniFAR-FTUs huggingface dataset:
The National Database of Nursing Quality Indicators® (NDNQI®)

The National Database of Nursing Quality IndicatorsTM (NDNQI®) is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level. Linkages between nurse staffing levels and patient outcomes have already been demonstrated through the use of this database. Currently over 1100 facilities in the United States contribute to this growing database which can now be used to show the economic implications of various levels of nurse staffing. The purpose of this article is to describe the work and accomplishments related to the NDNQI as researchers utilize its nursing-sensitive outcomes measures to demonstrate the value of nurses in promoting quality patient care. After reviewing the history of evaluating nursing care quality, this article will explain the purpose of the NDNQI and describe how the database has been operationalized. Accomplishments and future plans of the NDNQI will also be discussed.
Incidence of the Third Head of Biceps Brachii in Western Indian Population

Backgrond: Biceps brachii is muscle of the flexure compartment of the arm. Anatomic variation of the biceps brachii muscle is one of the most variations in upper limb. The most common variation is a third head, but four, five or even seven heads have been reported. This variation may present as a group of accessory fascicles arising from the coracoids process, Pectoralis major tendon, proximal head of the humerus, articular capsule of the humerus or from humerus itself. Aim: to report the occurrence of the third head of biceps brachii in a sample Indian population along the western region of India, and to compare with other racial groups from previous study. Method: A prospective evaluation was conducted on cadavers at Govt. Medical College, Surat in Gujarat. The upper limbs of 32 cadavers were dissected and observed for variation in the origin and insertion of the biceps brachii muscle bilaterally. Result: A third head for the biceps brachii muscle were found in six arms. The variations were bilaterally. The short & long head were normal however third head was humeral origin and also arose from pectoralis major tendon and inserted into the conjoined tendon of the biceps brachii muscle as usual. The variant was present in three males (9.37%, n=32). Conclusion: Awareness of incidence of this variation is necessary to avoid complication during pre-operative procedure or surgeries in the upper limb. [ Varlkar P NJIRM 2011; 2(4) : 65-67]
Roy Adaptation Model

Assumptions • The person is a bio-psycho-social being. The person is in constant interaction with a changing environment. • To cope with a changing world, person uses both innate and acquired mechanisms which are biological, psychological and social in origin. • To respond positively to environmental changes, the person must adapt. • The person has 4 modes of adaptation: physiologic needs, self-concept, role function and interdependence .
Drought Occurrence Pattern in Tigray Region, Northern Ethiopia

Drought is characterized using parameters including duration, severity, intensity and spatial coverage. Drought frequency and trend can also be used as additional parameters to further characterize drought occurrences. In this study, drought occurrence was examined using Standard Precipitation and Evapotranspiration Index (SPEI) as an assessment tool. Based on the SPEI results, spatial and temporal patterns were inspected both at district and regional levels. In doing so, monthly climate data collected on selected stations, from the Dutch national weather service known as the Royal Netherlands Meteorological Institute (KNMI), was used to assess the drought trends and characterize the study area in terms of drought duration, severity, intensity, frequency, spatial extent as well as drought trend. The analysis results indicated that most districts in the southern and eastern zones experienced more intense droughts than the rest of the study area. It was also found that the average drought return period in the study area ranged between 2.02 at 3-month, 6-month and 24-month time scales to 2.13 years at 12-month time scale. A statistically significant increasing drought trend was also revealed at all-time scales. Generally, the study has revealed an increasing trend of drought occurrence and spatially variable drought duration, severity, intensity and frequency in the study area. The short return period and increasing drought trends indicate the need for urgent drought management intervention. Keywords : Drought characterization, Drought Intensity, Trend, Spatial Distribution,
Hospice Interdisciplinary Team Processes and Effectiveness

The purpose of this research was to test a causal model of interdisciplinary hospice processes and effectiveness. This research examined the impact of organization and team level structure constructs (organizational culture, team complexity, and team leadership) on hospice interdisciplinary team processes and subsequent influence on perceived team effectiveness. The relationships among perceived team effectiveness, team task satisfaction, and family satisfaction with hospice care were also examined. The sample consisted of 41 hospice interdisciplinary teams drawn from two hospice organizations in a southwestern city of the United States. Participants included 410 interdisciplinary team members and 32 hospice team leaders. Measures used in this research were adapted from instruments previously used in non-hospice settings. Data were collected through self-report surveys. Psychometric properties of all instruments were performed at the individual and group level. Psychometric properties of all but three scales (Hospice Organizational Culture: Group Culture, Hierarchical Culture, and Developmental Culture) exhibited reliability and evidence of validity as group measures. Four hypothesized relationships were supported, and six nonhypothesized relationships were significant in the model. All team processes except conflict management had positive direct effects on perceived team effectiveness. Perceived team effectiveness had a positive direct effect on team task satisfaction, and team task satisfaction was positively correlated with family satisfaction with hospice care in a limited sample. The proposed structural factors (hospice organizational culture, team complexity, and team leadership) did not impact hospice interdisciplinary team processes
Is Kava (Piper Methysticum) Safe and Effective for Reducing Anxiety in Adult Patients 18-65?

OBJECTIVE: The objective of this systematic review is to determine is Kava (piper methysticum) safe and effective for reducing anxiety in adult patients 18-65? STUDY DESIGN: Review of three English language primary randomized controlled studies published from 2005-2009. DATA SOURCES: Randomized, double blind, placebo-controlled trials comparing Kava and placebo were found using OVID, PubMed, and CINAHL and COCHRANE databases. OUTCOMES MEASURED: Each of the three trials assessed the adverse event of hepatotoxicity and clinical improvement in anxiety symptoms. Studies utilized to measure change in anxiety symptoms included State Trait Anxiety Inventory (STAI-state), Hamilton Anxiety Scale (HAMA), the Hospital Anxiety and Depression Scale (HADS), Sheehan Disability Inventory (SDI), and Beck Depression Inventory-II (BDI-II). RESULTS: Three double-blind randomized controlled trials were included in this review. Results from the Conner et al study indicate that Kava use is effective in reducing anxiety in individuals with low baseline anxiety, but there were no differences between Kava and placebo when HAMA scores were > 16 or > 18. The second study by Sarris et al concluded that the response rate after treatment with Kava was 62% with a remission rate of 35%. The third study by Jacobs et al showed a reduction in anxiety symtpoms, but not greater than that of placebo; however, the data was not statistically significant. All three trials demonstrated that kava use does not contribute to hepatotoxicity. CONCLUSIONS: All of the RCTs demonstrate that Kava use is safe and effective at reducing anxiety. However, it seems to be a less efficient option in the overall anxiety score reduction when compared to the current available treatment. In addition, the studies failed to demonstrate that Kava has an effect on hepatotoxicity.
Frontline-Treatment Of Acute Lymphoblastic Leukemia (ALL) In Older Adolescents and Young Adults (AYA) Using a Pediatric Regimen Is Feasible: Toxicity Results of the Prospective US Intergroup Trial C10403 (Alliance)

Background Several retrospective trials suggest a superior outcome for adolescents and young adults (AYA) with acute lymphoblastic leukemia (ALL) when they are treated with pediatric-inspired therapeutic regimens. C10403 is the largest prospective study to evaluate the feasibility of a pediatric regimen (Children’s Oncology Group (COG) AALL0232: COG0232) (Larsen et al. JCO 2011; 29(18) suppl: 3) in AYA ALL patients (pts) (16-39 yrs of age) treated by adult hematologist/ oncologists (HO). One objective was to identify age-related increases in specific treatment-related toxicities that may limit the applicability of these regimens. We describe here the adverse event (AE) profiles by age cohorts for pts enrolled on C10403 and compare them with data reported from the pediatric COG0232 trial in pts ≥ 16 yrs of age using the same regimen. In the COG study, AYA comprised 20% of enrolled pts, 66% were ages 16-21. Methods C10403 was a single arm study. All pts received treatment with the “PC” (prednisone/ ‘Capizzi’ methotrexate) Interim Maintenance (IM) arm from the AALL0232 regimen and were treated by adult HO. Descriptive statistics were used to summarize toxicities. For this report, we focused on Grade 3-5 events with at least a possible relationship to treatment. The comparison group from COG0232 included 159 pts randomized to the PC arm; however, in COG0232 slow responders received additional treatment compared to C10403 pts. Results Between Nov 2007 and Dec 2012, 318 pts in the United States 16-39 yrs of age were enrolled by 3 cooperative groups (CALGB, SWOG, ECOG). 61% were male; 74% white, 10% African American, and 16% Hispanic. The median age was 25 yrs, older than the COG0232 AYA pts. 14% were Conclusions These data indicate that treatment with a pediatric regimen (C10403) is feasible when administered by adult HOs to an AYA population up to 40 years of age. C10403 can be used as a foundation for the design of successor trials in this pt population. (1) Larsen E, Salzer W, Nachman J, et al. Blood, Nov 2011; 118: 1510. Disclosures: Stone: Amgen: Consultancy.
Determinants of smoking behavior among young males in rural Indonesia

Abstract Introduction A high prevalence of tobacco smoking has been reported among adolescents and young adults, especially men, in lower-middle-income countries such Indonesia. Understanding the extent and determinants of smoking within this population, particularly those living in rural areas where smoking rates are anecdotally higher than in city areas, is essential to inform development of targeted smoking prevention and reduction programs. This study analyzes the prevalence and determinants of smoking behavior among young men in rural Indonesia. Methods Secondary data analysis of the 2012 Indonesia Demographic and Health Survey: Adolescent Reproductive Health (IDHS ARH) were used. Data from 4811 rural males (15–24 years of age) were selected through two-stage stratified cluster sampling techniques. The chi-square (χ2) test and binary logistic regression were used to determine significant factors associated with tobacco smoking. Results More than half of this population in rural Indonesia were smokers. Significant factors associated with smoking were: age 20–24 years (odds ratio (OR) 2.8, 95% confidence interval (CI) 2.4–3.2), working status (OR = 2.24, 95% CI: 1.95–2.57), low education level (OR = 1.93, 95% CI: 1.52–2.45), access to magazines (OR = 0.78, 95% CI: 0.68–0.89) and access to the radio (OR = 1.28, 95% CI: 1.12–1.48) at least once a week. Conclusions A significant proportion of adolescents and young men in rural Indonesia smoke tobacco. Exposure to media with likely cigarette advertising (radio and magazines) and access to money via employment in the context of lower socio-economic and education levels elevate the risk of smoking. While Indonesian government campaigns targeting smoking are in place, further work is required to decrease smoking rates and prevent a future smoking-related health crisis for rural Indonesia’s young men.
Modeling Long Range Dependence in Wheat Food Price Returns

The present paper focuses on analyzing the volatility dynamics of wheat commodity based on the presence of long memory. The paper utilizes several econometric tests to identify the presence and magnitude of the fractional difference parameter. Fractional GARCH models, namely FIGARCH and FIEGARCH, are employed to examine the long memory property. Twenty years of wheat daily price data were used to study the long-range dependence. The results reveal that fractional integration is found in the daily wheat price return series. Overall, the FIGARCH model seems a better fit, in describing the time-varying volatility of the commodity adequately, compared to the FIEGARCH model. Food price shocks are likely to persist for a long time for wheat, resulting in higher market risk for producers and increased purchasing costs for consumers.
Cortical superficial siderosis and bleeding risk in cerebral amyloid angiopathy

Objective To assess the association of cortical superficial siderosis (cSS) presence and extent with future bleeding risk in cerebral amyloid angiopathy (CAA). Methods This was a meta-analysis of clinical cohorts of symptomatic patients with CAA who had T2*-MRI at baseline and clinical follow-up for future intracerebral hemorrhage (ICH). We pooled data in a 2-stage meta-analysis using random effects models. Covariate-adjusted hazard ratios (adjHR) from multivariable Cox proportional hazard models were used. Results We included data from 6 eligible studies (n = 1,239). cSS pooled prevalence was 34% (95% confidence interval [CI] 26%–41%; I2 87.94%; p < 0.001): focal cSS prevalence was 14% (95% CI 12%–16%; I2 6.75%; p = 0.37), and disseminated cSS prevalence was 20% (95% CI 13%–26%; I2 90.39%; p < 0.001). During a mean follow-up of 3.1 years (range 1–4 years), 162/1,239 patients experienced a symptomatic ICH-pooled incidence rate 6.9% per year (95% CI 3.9%–9.8% per year; I2 83%; p < 0.001). ICH incidence rates per year according to cSS status were 3.9% (95% CI 1.7%–6.1%; I2 70%; p = 0.018) for patients without cSS, 11.1% (95% CI 7%–15.2%; I2 56.8%; p = 0.074) for cSS presence, 9.1% (95% CI 5.5%–12.8%; I2 0%; p = 0.994) for focal cSS, and 12.5% (95% CI 5.3%–19.7%; I2 73.2%; p = 0.011) for disseminated cSS. In adjusted pooled analysis, any cSS presence was independently associated with increased future ICH risk (adjHR 2.14; 95% CI 1.19–3.85; p < 0.0001). Focal cSS was linked with ICH risk (adjHR 2.11; 95% CI 1.31–2.41; p = 0.002), while disseminated cSS conferred the strongest bleeding risk (adjHR 4.28; 95% CI 2.91–6.30; p < 0.0001). Conclusion In patients with CAA, cSS presence and extent are the most important MRI prognostic risk factors for future ICH, likely useful in treatment planning. Classification of evidence This study provides Class III evidence that in symptomatic CAA survivors with baseline T2*-MRI, cSS (particularly if disseminated, i.e., affecting >3 sulci) increases the risk of future ICH.
Neurobiology of Peripheral Nerve Regeneration

1. Introduction 2. The intact peripheral nerve tree 3. Injuries to peripheral nerves 4. Addressing nerve regeneration 5. Early regenerative events 6. Consolidation and maturation of regeneration 7. Regeneration and the vasa nervorum 8. Delayed reinnervation 9. Trophic factors and peripheral nerves 10. The nerve microenvironment.
Associations between different households arrangements for couples and satisfaction with life

This paper investigates the relationship between marital arrangements and well-being in Brazil using the Social Dimensions of Inequalities Survey. Initially, household arrangements with couples in Brazil were classified in seven different types: one for those married or in relationships indistinguishable from married; and six for consensual marriage. By doing so, the paper could empirically address the natural heterogeneity of marriage and cohabitation and well-being levels. The empirical strategy was the following. First, I estimated multinomial logistic models and a probit model with continuous endogenous regressors to analyze correlations between well-being and household arrangements. Then, I estimated standard linear models, multilevel models and IV models to address the reverse link. Finally, I estimated both models interactively, taking into account the circular causality between well-being and household arrangements. The results suggest that the link between well-being and some types of household arrangements was significant, whereas that between household arrangements and well-being was weaker, mostly non-significant. That is, it seems that married people are more satisfied with their life than those in some specific household arrangements because individuals more satisfied with their life in some arrangements show a greater propensity to marry. However, those in an informal union for less than 10 years in a 1a union without children significantly showed lower levels of well-being than married individuals due to two factors: individuals with higher well-being levels tend to marry in greater proportion; and those in this type of union show lower levels of well-being because of the idiosyncrasies of the union.
Vegetable consumption of the students of Khulna university in Bangladesh​

It is often uttered that the young aged persons, particularly the students, are much reluctant in consuming sufficient amount of vegetables for supporting sound body functioning. The students of Khulna university have not yet been assessed regarding this issue. The study was conducted mainly to determine the vegetable consumption behavior of the students of Agrotechnology Discipline of Khulna University, Khulna-9208, Bangladesh. Data were collected from randomly selected one hundred twenty students of four batches of four different sessions (admission years: 2015 to 2018) of Agrotechnology Discipline on selected nine characteristics of the students along with their vegetable consumption behavior, through personal interview using an interview schedule during July-August, 2018. The overall average vegetable consumption rate by the students was 128.15 g/day/student. Most (95%) of the respondents showed low vegetable consumption behavior, while a few (4.17%) and very few (0.83%) students consumed above standard (>235 g/day/student) and standard (235 g/day/student) amount of vegetables respectively. All (100%) of the male students consumed below standard quantity of vegetables while most (90%) of the female students consumed below standard quantity of vegetables. But a few (8.3%) and a very few (1.67%) of female students consumed above standard and standard amount of vegetables, respectively. Most (95%) of the students, residing both halls and outside of the university campus, consumed below standard amount of vegetables followed by above standard and standard amount of vegetables. Female students consumed more vegetables (166.24 g/day/student) than the males (90.04 g/day/student) which differed significantly (t=9.73549; p<0.01). The students who resided outside of the halls consumed more quantity of vegetables (133.87 g/day/student) than the students residing in the halls (121.93 g/day/student) which also differed significantly (t=1.14668; p<0.01). Among the 10 selected characteristics of the respondents, only farm size (p<0.05) and nutritional knowledge (p<0.01) showed positive significant relationship with their overall vegetable consumption behavior. On the other hand, the annual family income, participation in co-curricular activities related organization, participation in co-curricular activities showed a negative significant relationship (p<0.01) with their overall vegetable consumption behavior. The hall authority of the university as well as guardians should take necessary initiatives to supply more amounts of vegetables in the diet of the students to ensure adequate amount of vegetable consumption.
Polymicrobial respiratory tract infections in a hospital-based pediatric population, with particular emphasis on the role of human rhinoviruses

Pediatric acute respiratory tract infections (ARTIs) are a leading cause of morbidity and mortality. The objectives of this study were to describe the epidemiology of polymicrobial ARTI in a hospital-based pediatric population and to investigate the association of polymicrobial infection and severity of illness. We conducted a retrospective study of 559 archived respiratory specimens from 421 children under the age of 10 years collected from March 28, 2008 through June 30, 2009 and stored by the University of Iowa Hospital and Clinics Clinical Microbiology Laboratory. Specimens were tested by direct immunofluorescent assay and/or viral culture at the time of collection (influenza A and B, parainfluenza [PIV] 1-3, respiratory syncytial virus [RSV], adenovirus [Ad]) and uniformly by RT-PCR (human metapneumovirus [hMPV], rhinovirus [HRV], human bocavirus [HBoV]) and PCR (Ad) for the current study. Demographic and clinical data were abstracted from electronic medical records. Results from this study suggest that polymicrobial respiratory tract infections are common in this population. A virus was identified in 61.3% of 349 respiratory specimens from children with confirmed or suspected ARTI. HRV (27.5%), RSV (18.9%), HBoV (8.3%), hMPV (7.7%), and PIV (6.6%) were the most common viruses detected. A viral coinfection was identified in 21.5% of the 214 virus-positive specimens and was most often detected for Ad (53.3% of 15 Ad-positive specimens), HBoV (51.7% of 29 HBoV-positive specimens), PIV (43.5% of 23 PIV-positive specimens), HRV (35.4% of 96 HRV-positive specimens), and RSV (34.8% of 66 RSV-positive specimens). Among the 46 specimens with dual or triple viral coinfections detected, the most frequent virusvirus combination was HRV-RSV (n=12).
Perfiles lectores de profesores de escuelas públicas de la Araucanía, Chile

Los niveles de lectura en los estudiantes de educación básica en Chile y en la Araucanía son aún deficientes. Asimismo, las prácticas docentes de lectura son poco diversas. El objetivo de la investigación fue analizar las concepciones sobre la lectura de profesores de la región de la Araucanía. El diseño fue descriptivo y cualitativo; los participantes fueron 20 docentes de 18 escuelas públicas de las comunas más pobladas, a quienes se les aplicaron entrevistas semiestructuradas, analizadas desde la fenomenografía. Se identificó que los docentes presentan concepciones predominantemente reproductivas y epistémicas con énfasis en uno de ambos perfiles, y que esta relación es definida por el propósito de lectura. Los docentes con tendencias más reproductivas manifiestan fines pragmáticos y estrategias apegadas al texto, mientras que los más epistémicos vinculan esta actividad con el placer y su identidad y son más inclusivos.