Miracle-dz/UniFAR-FTUs huggingface dataset:
Utility of single and double balloon endoscopy in patients with difficult colonoscopy: a randomized controlled trial.

AIM To compare the utility of single-balloon colonoscopy (SBC) or double-balloon colonoscopy (DBC) for difficult colonoscopies. METHODS Between August 2008 and June 2010, patients in whom total colonoscopy failed within 30 min of insertion were assigned randomly to undergo either SBC or DBC. No sedatives were used. After the endoscopy, all patients were asked to evaluate pain during the procedure on a 10-point analog scale (1 = no pain; 10 = worst imaginable pain) with a questionnaire. The study outcomes were the cecal intubation rate and time, endoscopic findings, complications, and pain score. RESULTS The SBC and DBC groups included 11 and 10 patients, respectively. All but one SBC patient achieved total colonoscopy successfully. The cecal intubation times were 18 min (range: 10-85 min) and 12.8 min (range: 9.5-42 min) in the SBC and DBC groups, respectively (P = 0.17). No difference was observed in the prevalence of colon polyps between the SBC and DBC groups (45% vs 30%, P = 0.66). SBC showed advanced colon cancer in the ascending colon, which was inaccessible using conventional colonoscopy. The respective pain scores were 5 (1-10) [median (range)] and 5 (1-6) in the SBC and DBC groups (P = 0.64). No complications were noted in any patient. CONCLUSION The utility of single- and double-balloon endoscopy for colonoscopy seems comparable in patients with incomplete colonoscopy using a conventional colonoscope.
Empathy training in medical students – a randomized controlled trial

Abstract Aim: Empathy is a core element in the doctor–patient relationship. This study examined whether empathy in medical students can be improved by specific training. Methods: 158 medical students were randomized into two groups. The intervention group participated in an empathy skills training with simulated patients (SPs). The control group participated in a history course. After the intervention, empathy was assessed by blinded SPs and experts in an Objective Structured Clinical Examination (OSCE). Students also filled out a self-assessment concerning their attitude on empathy (Jefferson Scale of Physician Empathy Student Version, JSPE-S-S). Results and Conclusions: Participants of the intervention group showed significantly higher levels of empathy when rated by SPs and experts than the control group. In contrast to that, no significant group differences were observed in self-rated empathy. The results underpin the value of empathy skills trainings in medical school study programs.
Fuel Cell Condition Monitoring Using Optimized Broadband Impedance Spectroscopy

Determining the state of health of fuel cell systems is essential to improving its performance and life expectancy. This paper presents the development of a new rapid online condition monitoring system using optimized broadband impedance spectroscopy (OBIS). The hardware was specifically designed to be low cost and scalable to meet the needs of single cell and stack level testing. It is shown how classic electrochemical impedance spectroscopy (EIS) is limited when testing under extreme nonlinear conditions. The design process of the broadband signal is tailored for polymer electrolyte membrane fuel cell diagnostics in order to minimize measurement time and system disturbance while maximizing accuracy. The long measurement time of standard EIS makes it impractical to use for rapid fault diagnosis, and it is shown how the OBIS system is able to deliver impedance measurements under conditions where EIS cannot be applied. The proposed system is tested for an array of possible operational phenomena and faults and the results compared with that obtained from a commercial frequency response analyzer to demonstrate performance.
The 4 th Corner Youth Café - An exploration of young people's experiences of participating in an open access Youth Café

Title The 4th Corner Youth Café – an exploration of young people’s experiences of participating in an open access youth café Author(s) Foley, Michelle Publication date 2014-04-28 Original citation Foley, M. (2014) The 4th Corner Youth Café – an exploration of young people’s experiences of participating in an open access youth café. Cork: Community-Academic Research Links, University College Cork. Type of publication Report Link to publisher's version https://www.ucc. ie/en/scishop/rr/ Access to the full text of the published version may require a subscription. Rights ©2014, Michelle Foley. Item downloaded from http://hdl.handle. net/10468/8725
Dividends and Subsequent Profitability: An Examination of a Dual Dividend Stock Market

This study examines the association between dual dividend changes and future profitability. A fundamental characteristic of dual dividend payouts is that both components, cash dividends and stock dividends, emit separate dividend signals for subsequent profitability. To analyze dividend signal theories, this study partitions the sample into three sub-samples according to the ratio of cash to stock dividends. Empirical evidence strongly indicates that dual dividend changes are positively associated with future profitability in the balanced dividend subsample. The results of this study are generally robust in terms of accommodating the factors of stock repurchases, investment growth opportunities, and business cycles.
Timing and Utility of Ultrasound in Diarrhea-Associated Hemolytic Uremic Syndrome: 7-Year Experience of a Large Tertiary Care Hospital

The authors reviewed the clinical, laboratory, and imaging data from cases of diarrhea-associated hemolytic uremic syndrome (HUS D+), diagnosed at our institution, from 2001 to 2008. The timing and utility of ultrasonographic features of HUS D+ were analyzed. The aim of the study was to determine factors that could aid in the early diagnosis of this disease. A total of 13 children with HUS D+ were identified out of 23 patients with HUS diagnosed during this time period. Evidence of Escherichia coli 0157:H7 was found in 9 cases (70%). Ultrasound studies were ordered in 10 patients (71%), all of which showed renal sonographic findings compatible with HUS. Ultrasound was performed at a mean of 13 days after onset of the diarrhea. Of note, 2 patients whose ultrasounds were performed at the beginning of their diarrheal illness manifested ultrasonographic features suggestive of HUS when there was only a mild increase in serum creatinine and no decrease in hemoglobin or platelets, suggesting that ultrasonography can identify renal involvement early in the course of the disease before other systemic signs appear. Early renal ultrasound may be a useful adjunct in the initial evaluation in children with bloody diarrhea. Evidence of increased renal echogenicity in a patient with bloody diarrhea could aid in early recognition of HUS when other diagnoses such as intussusceptions are being entertained, potentially allowing early intervention.
Isolation of Swine Infertility and Respiratory Syndrome Virus (Isolate ATCC VR-2332) in North America and Experimental Reproduction of the Disease in Gnotobiotic Pigs

A recent epizootic of swine infertility and respiratory syndrome (SIRS) in a Minnesota swine herd was investigated. Examination of a sow, neonatal piglets, and stillborn fetuses obtained during the epizootic from the affected herd revealed interstitial pneumonitis, lymphomononuclear encephalitis, and lymphomononuclear myocarditis in the piglets and focal vasculitis in the brain of the sow. Fetuses did not have microscopic lesions. No cause for the infertility and respiratory syndrome was determined. Therefore, attempts were made to experimentally reproduce the disease. Eleven 3-day-old gnotobiotic piglets exposed intranasally to tissue homogenates of piglets from the epizootic became inappetent and febrile by 2–4 days postexposure and had interstitial pneumonitis and encephalitis similar to that seen in the field outbreak. After 2 blind passages in gnotobiotic piglets, tissue homogenates were cultured on continuous cell line CL2621, and a cytopathic virus (ATCC VR-2332), provisionally named SIRS virus, was isolated. Gnotobiotic piglets exposed intranasally to the SIRS virus developed clinical signs and microscopic lesions that were the same as those in piglets exposed to the tissue homogenates, and the virus was reisolated from their lungs. This is the first isolate of SIRS virus in the United States that fulfills Koch's postulates in producing the respiratory form of the disease in gnotobiotic piglets and the first report of isolation and propagation of the virus on a continuous cell line (CL2621). The virus is designated as American Type Culture Collection VR-2332.
Sensory Processing in the Dorsolateral Striatum: The Contribution of Thalamostriatal Pathways

The dorsal striatum has two functionally-defined subdivisions: a dorsomedial striatum (DMS) region involved in mediating goal-directed behaviors that require conscious effort, and a dorsolateral striatum (DLS) region involved in the execution of habitual behaviors in a familiar sensory context. Consistent with its presumed role in forming stimulus-response (S-R) associations, neurons in DLS receive massive inputs from sensorimotor cortex and are responsive to both active and passive sensory stimulation. While several studies have established that corticostriatal inputs contribute to the stimulus-induced responses observed in the DLS, there is growing awareness that the thalamus has a significant role in conveying sensory-related information to DLS and other parts of the striatum. The thalamostriatal projections to DLS originate mainly from the caudal intralaminar region, which contains the parafascicular (Pf) nucleus, and from higher-order thalamic nuclei such as the medial part of the posterior (POm) nucleus. Based on recent findings, we hypothesize that the thalamostriatal projections from these two regions exert opposing influences on the expression of behavioral habits. This article reviews the subcortical circuits that regulate the transmission of sensory information through these thalamostriatal projection systems, and describes the evidence that indicates these circuits could be manipulated to ameliorate the symptoms of Parkinson’s disease (PD) and related neurological disorders.
Type-Specific Detection of Echovirus 30 Isolates Using Degenerate Reverse Transcriptase PCR Primers

ABSTRACT Following an approach used to specifically identify polioviruses and enterovirus 71, we have developed reverse transcriptase (RT) PCR primers containing mixed-base residues or deoxyinosine at positions of codon degeneracy. These primers permit specific RT-PCR amplification of echovirus 30 (E30) sequences by targeting sites that encode conserved amino acid motifs within the major capsid protein, VP1. All 221 E30 strains tested, isolated in 16 countries over a 44-year period, yielded the predicted 158-bp PCR product. No specific products were obtained by PCR assays containing templates from any of the other 63 EV serotypes. Inosine-containing degenerate primers may be widely applicable to the identification of echovirus serotypes by PCR.
Use of Nebivolol For the Treatment of Endothelial Dysfunction in Patients With Hypertension: The EDEN Registry

This aim of this study was to evaluate the presence of endothelial dysfunction in patients with primary hypertension and to determine the usefulness of nebivolol, a selective β-adrenoceptor blocking agent, as a potential treatment for endothelial dysfunction. Of 176 patients with stage I hypertension, 36 patients (20%), the majority of whom were overweight/obese, were found to have abnormal results with myocardial perfusion single-photon emission computed tomography (MP-SPECT) under cold pressor test conditions. These 36 patients were treated for 28 days with 5 mg/d nebivolol, after which only 3 (8.3%) still had abnormal MP-SPECT results. The mean ischemia score was consistent with moderate risk and decreased significantly after treatment with nebivolol. All hemodynamic variables measured (systolic and diastolic blood pressure and heart rate) were also reduced significantly by treatment with nebivolol. Endothelial dysfunction plays a key role in the pathogenesis of atherosclerosis and its reversal has considerable implications for clinical outcomes in affected patients. The cold pressor testing results of this study suggest that nebivolol may have beneficial anti-ischemic effects in the coronary arteries of patients with hypertension. However, these findings need to be confirmed in larger randomized controlled trials, ideally comparing nebivolol with other blood pressure lowering agents or NO synthase inhibitors.
Investigating the relations of ethnicity to female students’ perceptions and intention to major in engineering using social cognitive theory

This paper describes the first phase of a mixed-method study employing a social cognitive theoretical framework that emphasizes the interplay of person factors, environment and behavior. The purpose of the study was to investigate the relations of ethnicity to female students' perceptions and intention to major in engineering. An ethnically diverse sample of female engineering undergraduates (N = 160) at an urban research university completed an online survey, which was developed by adapting relevant measures from published instruments in the educational psychology and engineering education literature. Results indicated a significant difference in the way participants from different ethnic groups perceived the field of engineering. Additionally, significant differences in perceived social supports for achieving their engineering educational and career plans were found based on the number of generations in a participant's family born in the United States and enrolled in college. No significant differences in perceived supports, barriers, sense of belonging, or motivation were found based on ethnic group membership.
Multicenter Phase II Study of Sequential Radioembolization-Sorafenib Therapy for Inoperable Hepatocellular Carcinoma

Background The safety and tolerability of sequential radioembolization-sorafenib therapy is unknown. An open-label, single arm, investigator-initiated Phase II study (NCT0071279) was conducted at four Asia-Pacific centers to evaluate the safety and efficacy of sequential radioembolization-sorafenib in patients with hepatocellular carcinoma (HCC) not amenable to curative therapies. Methods Sorafenib (400 mg twice-daily) was initiated 14 days post-radioembolization with yttrium-90 (90Y) resin microspheres given as a single procedure. The primary endpoints were safety and tolerability and best overall response rate (ORR) using RECIST v1.0. Secondary endpoints included: disease control rate (complete [CR] plus partial responses [PR] and stable disease [SD]) and overall survival (OS). Results Twenty-nine patients with Barcelona Clinic Liver Cancer (BCLC) stage B (38%) or C (62%) HCC received a median of 3.0 GBq (interquartile range, 1.0) 90Y-microspheres followed by sorafenib (median dose/day, 600.0 mg; median duration, 4.1 months). Twenty eight patients experienced ≥1 toxicity; 15 (52%) grade ≥3. Best ORR was 25%, including 2 (7%) CR and 5 (18%) PR, and 15 (54%) SD. Disease control was 100% and 65% in BCLC stage B and C, respectively. Two patients (7%) had sufficient response to enable radical therapy. Median survivals for BCLC stage B and C were 20.3 and 8.6 months, respectively. Conclusions This study shows the potential efficacy and manageable toxicity of sequential radioembolization-sorafenib. Trial Registration ClinicalTrials.gov NCT00712790.
Limited relevance of the CHEK2 gene in hereditary breast cancer

To establish the importance of CHEK2 mutations for familial breast cancer incidence in the German population, we have screened all 14 of the coding exons in 516 families negative for mutations in both the BRCA1 and BRCA2 genes. We found 12 distinct variants in 30 unrelated patients (5.81%), including 5 that are novel and an additional 4 found for the first time in breast cancer. These aberrations were evaluated in 500 healthy women aged over 50 years and in the case of the 2 exon 10 mutations, 1100delC and 1214del4bp, in 1315 randomized healthy controls. According to our results, a statistically significant association for the exon 10 mutations was observed (p = 0.006). The prevalence of the 1100delC mutation in the German population, however, is significantly lower than those reported for other Caucasian populations both in familial breast cancer patients (1.6%) and controls (0.5%), and shows independent segregation with breast cancer in 2 of 4 families analyzed. The remaining 10 variants were more abundant in patients (21) compared to the controls (12) although the difference was not statistically significant. Interestingly, we found no increased breast cancer risk associated with the splice site mutation IVS2+1G→A or the most common missense mutation I157T, which account for more than half (12/21) of the variants observed in patients. The low prevalence and penetrance of the exon 10 deletion mutations together with no, or an uncertain elevation in risk for other CHEK2 mutations suggests a limited relevance for CHEK2 mutations in familial breast cancer. Further evaluation of the unique variants observed in breast cancer is required to determine if they may play a role in a polygenic model of familial breast cancer. Nevertheless, it seems premature to include CHEK2 screening in genetic testing. © 2004 Wiley‐Liss, Inc.
Three-dimensional evaluation of the relationship between jaw divergence and facial soft tissue dimensions.

OBJECTIVE To evaluate the relationship between mandibular divergence and vertical and transverse dimensions of the face. MATERIALS AND METHODS A sample was recruited from the orthodontic clinic of the University of Otago, New Zealand. The recruited participants (N = 60) were assigned to three different groups based on the mandibular plane angle (hyperdivergent, n = 20; normodivergent, n = 20; and hypodivergent, n = 20). The sample consisted of 31 females and 29 males, with a mean age of 21.1 years (SD ± 5.0). Facial scans were recorded for each participant using a three-dimensional (3D) white-light scanner and then merged to form a single 3D image of the face. Vertical and transverse measurements of the face were assessed from the 3D facial image. RESULTS The hyperdivergent sample had a significantly larger total and lower anterior facial height than the other two groups (P < .05), although no difference was found for the middle facial height (P > .05). Similarly, there were no significant differences in the transverse measurements of the three study groups (P > .05). Both gender and body mass index (BMI) had a greater influence on the transverse dimension. CONCLUSIONS Hyperdivergent facial types are associated with a long face but not necessarily a narrow face. Variations in facial soft tissue vertical and transversal dimensions are more likely to be due to gender. Body mass index has a role in mandibular width (GoGo) assessment.
Mass transfer ways of ultraviolet printing ink ingredients into foodstuffs

The case of isopropylthioxanthone (ITX) showed conclusively that the ingredients of ultraviolet printing inks may migrate into packaged foodstuffs. For multilayered materials like beverage cartons, the only way that mass transfer can occur is by the so-called set-off effect. In contrast, in the case of rigid plastics like yoghurt cups, two other methods of mass transfer, permeation and gas phase, have to be considered. In cooperation with producers of ink, plastic cups and yoghurt, a project was conducted in order to elucidate the mass transfer of ink ingredients. In addition, the influence of storage time and the age of ultraviolet lamps on the migration level was examined. The suitability of 50% ethanol as a simulant for yoghurt was also tested. ITX was chosen as a model migrant, as it is easily detectable. Furthermore, the migration of two other substances, the photo-initiator 2-methyl-4′-(methylthio)-2-morpholinopropiophenone (MTMP) and the amine synergist ethyl-4-(dimethylamino)benzoate (EDAB), which may be used in combination with ITX, was studied. Before being filled with yoghurt or 50% ethanol, the printed cups were stored under different contact conditions, with and without contact between the inner layer and the printed surfaces, in order to distinguish between the possible mass transfer ways. All analyses were performed by means of high performance liquid chromatography with diode array and fluorescence detection (HPLC-DAD/FLD). It was shown that contamination with ITX and EDAB occurs via set-off and that the degree of migration increases with lamp age and storage time of the unfilled cups. Migration of MTMP was not detectable. The results show that besides the careful selection of the appropriate raw materials for printing ink, a close monitoring of the process also plays a major role in migration control. In addition, the results proved that 50% ethanol is a suitable simulant for yoghurt.
Rh phenotype, allele and haplotype frequencies among 51,857 blood donors in North India.

BACKGROUND This study was performed to provide information on the frequencies of Rh antigens, alleles, phenotypes, and haplotypes from our region in India and to compare them with those from other races. MATERIALS AND METHODS This observational study was conducted on blood donors from March 2009 to August 2011 using a fully automated system for Rh typing of blood cells. The data were collected and calculations done to determine the antigen, phenotypes, allele and haplotype frequencies. The chi square test was used for comparisons between the results of our study and those of other studies. RESULTS A total of 51,857 donors were included in this study. The most common Rh antigen found was "e". DCCee was the most prevalent phenotype in our study with the phenotype distribution being significantly different between our study and other studies from different regions of the world. DISCUSSION We have determined the prevalence of Rh antigens and Rh phenotypes in the North Indian blood donor population and derived the allele and haplotype frequencies in the same population. The Rh blood group distribution in this population was different from that in other populations.
Using Spreadsheets to Enhance Learning in the Affective Domain for Undergraduate Statistics Students

The Association to Advance Collegiate Schools of Business (AACSB) requires that undergraduate and graduate students exhibit proficiency in “statistical data analysis and management science as they support decision-making processes throughout an organization” [AACSB. 2008. Accreditation standards. Accessed October 20, 2008, http://www.aacsb. edu/accreditation/standards.asp]. However, motivating business students to enjoy learning statistics has been a major challenge for decades in many American colleges and universities. This paper reports on the use of spreadsheets to teach an introductory statistics course with an emphasis on business applications. The results suggest that using spreadsheets as a teaching tool can effectively produce learning in the affective domain, which refers to the attitudes, beliefs, feelings, and motivations a student brings to a particular subject. This finding not only encourages business statistics instructors to continue to use spreadsheets in their classes, it also encourages.