Miracle-dz/UniFAR-FTUs huggingface dataset:
Disputing Doctors: The Socio-legal Dynamics of Complaints about Medical Care

This book looks at the dynamics of doctor-patient disputes. Reflecting on fifteen years of empirical research in the NHS it considers the contexts in which these disputes arise, the different ways in which the parties construct disputing narratives and moral identities in the course of making and defending their claims, and the extent to which existing systems for resolving disputes are sensitive to their needs. This publication is timely. Since the 1970s there has been an increasing amount of concern about the rise in complaints and medical negligence claims made by patients and their relatives. Based on research with patients, relatives, doctors and NHS managers, the book analyses how they perceive these disputes and what they seek to achieve by holding each other to account. Disputing Doctors is valuable reading for all students, researchers and academics working in the fields of the sociology of health and illness, socio-legal studies, law and medicine, medical sociology, nursing and health policy.
Reflections on context-based science teaching: a case study of physics for students of physiotherapy

Secondary Science teaching around Australia has been undergoing radical changes over the past decade. As most states move towards a context-based secondary syllabus, there is a danger that tertiary science teaching will be left behind. I will report on an ongoing project to contextualise a first-year physics course for students of physiotherapy, experiences in implementing changes, and outcomes for both students and staff. Although there are drawbacks to contextual teaching in the tertiary environment (such as lack of preparation time, the breadth of physics concepts covered, and stretching the boundaries of one’s own understanding as a teacher), the benefits for students’ interest and motivation, as well as their learning outcomes are significant. Based on data from informal student feedback, assessment performance, and standard closed question course surveys, I will show that physics based in the context of physiotherapy challenges students to develop an understanding of the relationship between physics and their profession, and allows the scope to analyse real problems involving treatment modalities at a deeper level than traditional approaches. The focus on thinking and critical analysis means a reduced emphasis on definitional and mathematical rigour, but allows students with and without background in physics and mathematics to be challenged to learn at a deep level
A Pyramidal CNN-Based Gleason Grading System Using Digitized Prostate Biopsy Specimens

Prostate cancer (PC) is the most common cancer, a significant cause of morbidity, and is the second vital cancer that causes death in the US. Early PC detection is one of the major factors in decreasing mortality. We introduce a deep learning (DL) system for automated Gleason system grading (Gleason pattern (GP) and Gleason score (GS)) and grade groups (GG) using whole slide images (WSIs) of the digitized prostate biopsy specimens (PBSs). The DL is a pyramidal convolution neural network (CNN) approach consisting of progressively larger patch-sized shallow CNN to provide hierarchical information features. We used three patches sizes 100×100 (small), 150×150 (median), and 200×200 (large) pixels, so the pyramidal CNN affords us varying contextual features. The small patches give more local information, while the large patches provide global features. The patch-wise classification yields five probabilities representing the GP types from 1 to 5 at each pyramidal level. Then, we get the average for those three levels. We used three metrics to evaluate the GP classification diagnostic: recall, accuracy, and precision. The classification accuracy for the CNNL (large patches) is 0.77, the best among the three CNNs. The GG results are between 50% to 75% for recall. GG’s results are highlighted in our DL systems by comparing them with the current work.
Mental Health Street Triage

This paper explores the implementation of Cleveland Police’s pilot Street Triage service. The service aimed to reduce the number of section 136 detentions under the Mental Health Act and improve referral pathways for those presenting with mental health issues. The initiative was funded by Tees, Esk and Wear Valleys NHS Foundation Trust. Dedicated Street Triage mental health nurses accompanied police officers to incidents where it was suspected that mental health issues were a presenting concern. Semi-structured interviews were conducted with sixteen strategic and operational stakeholders to review whether the project was successful. Analysis was supplemented with secondary data from the Street Triage Team. We conclude that there were significantly fewer section 136 detentions, and identify continuing challenges.
GUIDER INDUCED CORONARY DISSECTION WITH RETROGRADE EXTENSION TO AORTA

43 years old male, current smoker, with a history ofdyslipedemia was admitted with unstable angina. Hisphysical examination was unremarkable.Electrocardiography demonstrated minor ST-Tchanges with Q waves in inferior leads. Medicallyrefractory angina developed after hospital admissionand he underwent cardiac catheterization three dayslater.
Effect of feed and health packages on the performance of village small ruminants in northern Ghana.

The objective of this study was to assess the productivity of small ruminant through the introduction of improved healthcare and feeding strategies into small ruminant production systems. The General Linear Model of SAS was used to compare means after fitting sources of variation to models. Growth rate of treatment animals was higher than that of control animals (P<0.05). Lambs grew about twice as fast as kids (P<0.05). Lower mortality rate was observed in treatment animals compared to control (P<0.05), partly contributing to higher birth rate observed in treatment animals (P<0.0001). A strong interaction was observed between community and type of animal (P<0.001). A net gain of US$5.65 was observed for each treatment animal compared to US $8.58/control animal (P<0.05). However, these profit margins were significantly affected (P<0.05) by the management practices of the farmers. The package resulted in increased birth rates so the concentrate feed could be tried on pregnant and lactating females.
Solar Flare Forecasting with Deep Learning-based Time Series Classifiers

Over the past two decades, machine learning and deep learning techniques for forecasting solar flares have generated great impact due to their ability to learn from a high dimensional data space. However, lack of high quality data from flaring phenomena becomes a constraining factor for such tasks. One of the methods to tackle this complex problem is utilizing trained classifiers with multivariate time series of magnetic field parameters. In this work, we compare the exceedingly popular multivariate time series classifiers applying deep learning techniques with commonly used machine learning classifiers (i.e., SVM). We intend to explore the role of data augmentation on time series oriented flare prediction techniques, specifically the deep learning-based ones. We utilize four time series data augmentation techniques and couple them with selected multivariate time series classifiers to understand how each of them affects the outcome. In the end, we show that the deep learning algorithms as well as augmentation techniques improve our classifiers performance. The resulting classifiers’ performance after augmentation outplayed the traditional flare forecasting techniques.
Keeping children safe:allegations concerning the abuse or neglect of children in care

For most looked after children and young people, foster and residential care provides a safe environment. This study has focused on the minority of children who do not always receive safe care and who, in some instances, experience abuse or neglect at the hands of those responsible for ensuring their wellbeing. Despite long-standing concerns about historic abuse in children's homes and about the implications of allegations for foster carers and their families, very little is known about the extent of these allegations. We know even less about the proportion of allegations that are substantiated, the nature of the abuse and neglect experienced by some children in care settings and the characteristics of the adults and children involved. The aim of this study was to investigate these important questions. It provides new UK evidence on: * the number of allegations against foster carers and residential social workers and the proportion of these that are substantiated * the extent and nature of confirmed abuse and neglect in foster and residential care * the characteristics of the children and adults concerned.
Freshmen and Physics teacher expectations in learning physics

Students’ beliefs and expectations in nature of science and learning science can affect their learning behaviors. In this paper, we investigated freshmen taking an introductory physics with calculus at Chiang Mai University, Thailand during 2010 academic year. The instrument was the Maryland Physics Expectations survey (MPEX), a 34-item Likert-scale (agree–disagree) survey that probes student attitudes, beliefs, and assumptions about physics. We report on the results administered the MPEX survey before (pre, N = 227) and after (post, N = 181) instruction only to the first year medical students. We also gave the survey to other courses—associated medical sciences (N = 206), engineering (N = 60) and agro-industry (N = 93) after the instruction only. The MPEX survey was administered to high school physics teachers attending a summer workshop at Chiang Mai University. A large gap between the expectations of experts and students was observed and a tendency for medical student expectations to deteriorate as a result of the introductory physics course.
Oncolytic Newcastle Disease Virus as treatment for pancreatic cancer

Abstract In this thesis, experiments are presented that were undertaken to develop oncolytic NDV for the treatment of pancreatic adenocarcinoma. Oncolytic viruses (OVs), reported first halfway the previous century, have undergone a tremendous evolution from anecdotal experimental and clinical efficacy to state-of-the-art clinical trials employing recombinant viruses in the last decade. With the advent of reverse engineering techniques, modifications attributing to efficacy and safety have marked the introduction of new generations of recombinant OVs.
Risky relationships: Victims' risk of revictimization of intimate partner violence

Foa, Cascardi, Zoellner and Feeny (2000) developed two models of women’s influence on intimate partner violence (IPV) which integrate victim-related variables associated with the cessation or continuation of partner violence (i.e., repeat IPV). One of the models focuses on psychological factors while the other centers on environmental factors. Central to both models are three key factors: partner violence; psychological difficulties; and resilience. Despite the appeal of these models, empirical, prospective research that specifically tests these models appears to be lacking. This article describes a systematic review of the available literature that examines the prospective link between the three key factors of the models and the risk of IPV revictimization. A synthesis of 15 studies reveals that Foa et al.’s models of revictimization are partly supported by prior prospective research. It is beyond doubt that the key factor partner violence (involving the severity and frequency of prior IPV) is a strong predictor for IPV revictimization; the evidence regarding victims’ psychological difficulties and resilience is more mixed. Findings are discussed in terms of implications for practice and research and might enable practitioners to help victims to take control of their situations and to contribute to their empowerment. The importance of future prospective research into dynamic, victim-related variables is emphasized, in order to further support Foa’s models of victims’ influence on IPV revictimization. 18 Systematic review of victims’ influence on IPV revictimization Chapter 2
Le don de sang des populations étrangères et d'origine étrangère à Marseille

La participation des populations d'origine maghrebine et africaine sub-saharienne au don de sang constitue, en raison du polymorphisme genetique, un imperatif de sante publique. Cependant, les caracteristiques generales des donneurs de sang - une meilleure integration socio-economique et un fort sentiment de citoyennete - semblent s'opposer a la participation de ces categories de population. Les resultats de l'enquete menee montrent que les donneurs d'origine maghrebine et africaine sub-saharienne ne sont pas mieux integres socio-economiquement que leurs homologues non donneurs. Par contre, quelle que soit leur origine, les donneurs se sentent significativement plus citoyens que les non donneurs. Ainsi, outre le fait de constituer une necessite biologique, la pratique du don de sang dans les populations d'origine maghrebine et africaine sub-saharienne peut egalement etre consideree comme un indicateur de l'expression active de la citoyennete.
Dental Profile of Special Needs Patients in a Pediatric Hospital of a Brazilian Public University

Objetivo: Tracar o perfil odontologico dos pacientes com necessidades especiais que sao assistidos no ambulatorio odontologico em um hospital pediatrico de uma universidade publica. Metodo: Foi realizado estudo descritivo e retrospectivo, pela analise de 186 prontuarios odontologicos dos pacientes com Necessidades Especiais, provenientes do Hospital de Pediatria Professor Heriberto Ferreira Bezerra, Natal/RN. Coletaram-se os dados relativos ao sexo, faixa etaria, habitos parafuncionais, forma de higiene oral, presenca de carie, mancha branca ativa, doenca periodontal, e uso de medicacao. Os dados foram analisados no programa SPSS por meio da estatistica descritiva e analitica. Resultados: Observou-se maior prevalencia do sexo masculino (55,9%) e da faixa etaria de nove a 11 anos (26,9%). Das necessidades especiais, as mais registradas foram as anomalias congenitas (54,3%) e doencas sistemicas cronicas (45,7%). Dentre eles, 53,8% usam medicamentos, sendo hormonio 15,6%, vitaminas 12,4%, antibiotico 9,1%, anti-hipertensivo 9,1% e anticonvulsivante 9,1%. Entre os habitos deleterios, destacaram-se a respiracao bucal (41,4%) e a onicofagia (31,2%). A higiene oral e realizada com escova e dentifricio em 96,8% dos pacientes, sendo que o dentifricio com fluor e usado por 78,5% da amostra. O uso do fio dental foi identificado em apenas 12,4% e a condicao de higiene oral foi insatisfatoria em 86% das PNEs. Constatou-se presenca de mancha branca ativa (14%), necessidade de selamento dentario (31,7%) e exodontia (57%). 87,1% dos pacientes apresentam lesoes cariosas, 35,5% gengivite, e 29,6% calculo dentario. Conclusoes: As necessidades especiais mais comuns foram fenda labial e/ou palatina, sindrome de Down, diabetes, epilepsia, doenca renal cronica e cardiopatia. A respiracao bucal e um habito deleterio recorrente. Apesar da utilizacao de escova dental regularmente e dentifricio fluoretado, a higiene oral e insatisfatoria e ha alta incidencia de carie, presenca de gengivite e necessidade de exodontias multiplas.
Differences in Social Skills and Personal Responsibility between Students of High and Youth Schools

Abstract The current study explored two constructs (social skills and personal responsibility) in the context of two different types of schools (high and youth schools), and strives to explain the differences in social skills and personal responsibility between students of high and youth schools. The sample comprised 408 students (203 males, 205 females). The mean age of the students was 16.72 years (SD = 0.96). Students completed measures of social skills (Riggio Social Skills Inventory) and personal responsibility (Personal Responsibility Scale (PRS)). Multivariate analysis of variance (MANOVA) was used to investigate how school type and gender affected social skills and dimensions of personal responsibility. Multivariate analysis showed the main effect of the school type and gender on social skills and personal responsibility in students. Univariate analysis indicated that students' social skills and personal responsibility were higher in high schools than in youth schools and in women than in men. Key words: high school; personal responsibility; social skills; students; youth school. --- Sažetak U ovome istraživanju ispitana su dva konstrukta (socijalne vjestine i osobna odgovornost) u kontekstu dviju razlicitih vrsta skola (srednje skole i skole za mladež) i pokusalo se odgovoriti na pitanje koje razlike postoje između ucenika srednjih skola i skola za mladež s obzirom na socijalne vjestine i osobnu odgovornost. Uzorak se sastojao od 408 ucenika (203 muskog i 205 ženskog spola). Prosjecna srednja dob ucenika bila je 16,72 godine (SD = 0,96). Ucenici su ispunili upitnike o socijalnim vjestinama (Riggijev Inventar socijalnih vjestina) i osobnoj odgovornosti (Skala osobne odgovornosti). Koristila se multivarijatna analiza varijance (MANOVA) kako bi se ispitalo kako vrsta srednje skole i spol utjecu na socijalne vjestine i dimenzije osobne odgovornosti. Mutivarijatna analiza pokazala je glavni utjecaj vrste skole i spola na socijalne vjestine i osobnu odgovornost kod ucenika. Univarijatna analiza pokazala je da su socijalne vjestine i osobna odgovornost veci kod ucenika u srednjim skolama nego kod ucenika u skolama za mladež, kao i da su veci kod žena nego kod muskaraca. Kljucne rijeci: srednja skola; osobna odgovornost; socijalne vjestine; ucenici; skola za mladež
OP25.10: Fetal biometrics, umbilical and uterine artery Doppler studies among malaria infected and not infected pregnant women

pregnancy outcomes. The current sensitivity and positive predictive value of this association has, however, not yet justified initiation of increased antenatal surveillance in these patients. This study was carried out to identify if 3D placental evaluation enhances the performance of this serum marker as a predictor of adverse pregnancy outcomes. Methods: 62 patients with PAPP-A levels lower than 0.4 multiples of median (MoM) were evaluated between 11 weeks to 13 weeks 6 days of gestation with 3D power Doppler studies in this prospective study. Placental volume, Vascularisation Index (VI), Flow Index and Vascularisation Flow Index (VFI) were computed with standardised equipment settings and correlated with pregnancy outcomes. Results: 38 patients had an uneventful pregnancy outcome. 29 of these had normal 3D placental parameters. Of the 24 patients with adverse outcomes 19 had a small volume placenta, impaired 3D placental vascularisation indices or both. Conclusions: 3D and 3D power Doppler evaluation of the placenta in the late first trimester improves the prediction of adverse outcomes in patients with low PAPP-A levels.
The Effect of Korean Medical Combination Treatment on 72 Cases of Herniated Intervertebral Lumbar Disc Patients: An Observational Study

Objectives : This study was designed to assess the general distribution and clinical effectiveness of Korean medical treatment on lumbar disc herniation. Methods : This is an observational study. 72 patients admitted to Daejeon Jaseng Hospital of Korean Medicine with a diagnosis of herniated intervertebral disc(HIVD) by lumbar-CT of lumbar-MRI were observed from July, 2014 to April, 2015. They were analyzed according to sex, age, the period of disease, causal factors, symptoms on admission, admission day, disc herniation type and treatment efficacy. All patients received a combination of treatments during hospitalization, including acupuncture, Chuna, herbal medicines and physical therapy. A zero to ten numerating rating scale(NRS) assessing pain, Oswestry disability index(ODI) and EuroQol-5 dimension(EQ-5D) was used before and after treatments. Results : Average admission duration was 28.00±12.85 days in lumbar disc patients. For lumbar patients, lower back pain NRS decreased from 5.89±2.00 to 3.42± 1.87(p<0.001) and radiating pain from 5.96±2.12 to 3.38±1.83(p<0.001). ODI decreased from 46.69±19.25 to 35.69±16.67 (p<0.001), and EQ-5D index increased from 0.63±0.26 to 0.71±0.20(p<0.05) after treatment in lumbar disc patients. Conclusions : Korean medical combination treatment might be effective in reducing pain and improving quality of life for patients with lumbar disc herniation. This study further confirmed the efficacy of Korean medical treatment on HIVD.
The Benefits and Costs of Newer Drugs: Evidence from the 1996 Medical Expenditure Panel Survey

The nation's spending for prescription drugs has grown dramatically in recent years. Previous studies have shown that the replacement of older drugs by newer, more expensive, drugs is the single most important reason for this increase, but they did not measure how much of the difference between new and old drug prices reflects changes in quality as better, newer drugs replace older, less effective medications. In this paper we analyze data from the 1996 Medical Expenditure Panel Survey (MEPS) to provide evidence about the effect of drug age on mortality, morbidity, and total medical expenditure, controlling for sex, age, education, race, income, insurance status, who paid for the drug, the condition for which the drug was prescribed, how long the person has had the condition, and the number of medical conditions reported by the person. The results provide strong support for the hypothesis that the replacement of older by newer drugs results in reductions in mortality, morbidity, and total medical expenditure. People consuming new drugs were significantly less likely to experience work-loss days and to die by the end of the survey than people consuming older drugs. The estimates indicate that reductions in drug age tend to reduce all types of non-drug medical expenditure, although the reduction in inpatient expenditure is by far the largest. Reducing the age of the drug results in a substantial net reduction in the total cost of treating the condition. Allowing people to use only generic drugs would increase total treatment costs, not reduce them, and would lead to worse outcomes.
Child protection and re‐referrals involving serious concerns: a follow‐up study of 400 referrals closed by Social Services Departments

In England and Wales, local authorities have a duty under the 1989 Children Act to protect children from significant harm. This study builds on a previous paper that considered patterns of re-referral in cases that were not allocated; it considers re-referrals involving serious concerns about a child. File studies were carried out on 400 consecutive referrals to three local authorities in London that were closed rather than being allocated for long-term work in early 2000. Information on the presence and nature of re-referrals involving concerns about actual or potential ‘significant harm’ in the 27 months after closure (i.e. up to 2002) was noted. Such re-referrals were rare (2.75%). The factors that were statistically associated with them were: previous involvement with Social Services, physical abuse and parental alcohol misuse in the closed referral. These factors were also identified in a descriptive analysis of the re-referrals, though in addition issues not present in the original referral were identified as important, namely parental mental illness and sexual abuse. The findings were encouraging about the effectiveness of initial child protection assessment processes at the time of referral closure. The potential for the factors identified in the analyses to be used in initial risk assessment and their applicability to current policy and practice is considered.