Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparative Study between Open V/S Laparoscopic Cholecystectomy -

Gall stones are one of the major causes of morbidity and mortality all over the world. Differences in primary outcomes like mortality and complication proportions (particularly bile duct injuries) are important reasons to choose one of the two operative techniques open or laproscopic Cholecystectomy. The study consists of 100 patients with a diagnosis of calculus cholecystitis that underwent Cholecystectomy. Laparoscopic cholecystectomy is a considerable advancement in the treatment of gall bladder disease . technically the dissection of the cystic artery and cystic duct is very precise and bleeding is easily controlled with less per operative blood loss.LC is associated with less chances of wound infection and there is no risk of wound dehiscence. The only disadvantage of the laparoscopic Cholecystectomy over the open procedure is the duration of operating time which is significantly longer. In cardiac patient or in those patient where general anesthesia’s contra indicated, open Cholecystectomy can be carried out in regional anesthesia and in such patient when duet o co2 inflation cardiac arrhythmia can be provoked open Cholecystectomy is better option.
Horatian Lyric and the Vergilian Golden Age

Recent scholarship has focused on the way in which Horace avoids speaking of a returning golden age in his later poetry, even though Vergil had done precisely this in the sixth book of his epic. I argue that Horace realized that the concept was a problematic one; the golden ages constructed by the earlier tradition had been marked by characteristics that could never be achieved in reality. Horace therefore avoids the problematic terminology, instead defining the Augustan new age on his own terms.
Effect of Withania somnifera on physical and cardiovascular performance induced by physical stress in healthy human volunteers

Background: Withania somnifera (WS) rejuvenates, increases vigour, vitality and immunity. The antistress effects of WS on physical performance and cardiovascular parameters during exercise were evaluated in healthy volunteers. Methods: Prospective, open label, randomized, placebo controlled, comparative, pilot study was designed in healthy adult volunteers. After Ethics committee approval 30 consented participants were randomly assigned into three equal groups to receive single capsule for 28 days containing maize starch (placebo group), WS aqueous extract 330mg (WS 330 gr) and 500mg (WS 500 gr). They were assessed at day 0, day 14, day 28 with physical stressors (six minute exercise test, YMCA Submaximal Test, Fixed workload exercise on cycle ergometer), Jammers' hand held dynamometer test and cold pressor test in each visit. Physical performance was evaluated as maximum distance, speed, oxygen consumption, hand grip strength. Cardiovascular response was assessed by heart rate and blood pressure measurements. Results: On day 28, both WS 330 and WS 500 groups showed significant increase in mean distance travelled and average speed compared to placebo (p<0.005). WS 330 and 500 groups showed significant decrease in mean systolic BP on fixed workload exercise, compared to placebo (p<0.05). Conclusions: WS increased physical performance when participants were subjected to physical stress but it did not increase the activity of sympathetic system thus contributing to its anti-stress activity.
Delay-sensitive branch predictors for future technologies

Accurate branch prediction is an essential component of a modern, deeply pipelined microprocessors. Because the branch predictor is on the critical path for fetching instructions, it must deliver a prediction in a single cycle. However, as feature sizes shrink and clock rates increase, access delay will significantly decrease the size and accuracy of branch predictors that can be accessed in a single cycle. Thus, there is a tradeoff between branch prediction accuracy and latency. Deeper pipelines improve overall performance by allowing more aggressive clock rates, but some performance is lost due to increased branch misprediction penalties. Ironically, with shorter clock periods, the branch predictor has less time to make a prediction and might have to be scaled back to make it faster, which decreases accuracy and reduces the advantage of higher clock rates. We propose several methods for breaking the tradeoff between accuracy and latency in branch predictors. Our methods fall into two broad categories: hierarchical predictors using purely hardware implementations, and cooperative predictors that off-load some prediction work to the compiler. We describe hierarchical organizations that extend traditional predictors. We then describe a highly accurate branch predictor based on a neural learning technique. Using a hierarchical organization, this complex multi-cycle predictor can be used as a component of a fast delay-sensitive predictor. We introduce a novel cooperative branch predictor that off-loads most of the prediction work to the compiler with profiling. The compiler communicates profiled information to the microprocessor using extensions to the instruction set. This Boolean formula predictor has a small and fast hardware implementation, and will work in less than one cycle in even the smallest technologies with the most aggressive projected clock rates. Finally, we present another cooperative technique, branch path re-aliasing, that moves complexity off of the critical path for making a prediction and into the compiler; this technique increases accuracy by reducing destructive aliasing during the less critical update stage.
Türkiye’de Özel Eğitim Alanında Yapılmış Lisansüstü Tezlerin Çeşitli Değişkenler Açısından İncelenmesi (2008-2013)

Bu arastirmanin amaci Turkiye’de ozel egitim alaninda yapilmis lisansustu tezlerin cesitli degiskenler acisindan incelenmesidir. Yuksek Ogretim Kurulu’nun (YOK) tez tarama merkezinde 72 tane ozel egitim alaninda lisansustu teze ulasilmistir. 72 lisansustu tezden 61 tanesi yuksek lisans,11 tanesi doktora tezidir. Arastirmanin sonucunda; engel gruplarina gore dagiliminin sayisal sonuclari incelendiginde en cok zihin engelliler alaninda yapildigi, YOK’un tez tarama merkezinde ulasilabilen 2008-2013 yillari arasindaki tezlerden en cok 2008 yilinda lisansustu tez yapildigi, YOK’un 2008-2013 yillari arasindaki ozel egitim alaninda yapilan lisansustu tez calismalarina ulasilmak istenildiginde 8 universitenin yaptigi calismalara ulasildigi, ozel egitim alaninda yapilan lisansustu tezlere en cok ozel egitim alanindaki lisansustu tezlerin yuksek lisans tez turunde agirlikli olarak calisildigi, doktora tez turundeki calismalarin ise yuksek lisans tezlerine oranlara daha az calisildigi, lisansustu tezlerde kullanilan yerli ve yabanci kaynak kullaniminin esit yuzdelerde ciktigi, yapilan calismalarda en fazla nicel yontemin tercih edildigi bulunmustur.
La percezione di autoefficacia nella comunicazione con il paziente : uno studio esplorativo tra i medici ospedalieri campani

Doctor’s self-efficacy perception in communication with patient: a survey among Campanian hospital doctors - Self-efficacy beliefs are an important basis for action: to analyze physicians’ and patients’ communicative self-efficacy perception is the first step to understand how they relate. However, in the literature, there aren’t specific studies on the subject. In light of this background a survey was conducted, which aims to explore specific issues within doctor-patient relationship, in the eyes of hospital doctors, with the aim of investigating their communicative self-efficacy beliefs and the role they attribute to communication. Twenty hospital doctors working in five public Campanian hospitals were interviewed. Through a computerassisted qualitative data analysis the contents of the transcripts of the interviews were analysed. The results of this study contribute to bring new conceptual topics to the research on the subject and to outline the methodological framework against which to build an instrument for assessing doctor’s communicative self-efficacy; finally, in a operational dimension, they will encourage the creation of targeted training Key words: doctor-patient communication, communication self-efficacy, hospital, interview, computer assisted qualitative data analysis Parole chiave: comunicazione m-p, percezioni di autoefficacia comunicativa, ospedale, intervista, analisi del testo software-assistita
THE ASSOCIATION OF PRIMARY OPEN ANGLE GLAUCOMA AND SYSTEMIC HYPERTENSION IN PATIENTS REFERRED TO FARABI EYE HOSPITAL

Purpose: To investigate the association of primary open angle glaucoma (POAG) and systemic hypertension in patients referred to Farabi Eye Hospital Methods: In this case-control study in Farabi Eye Hospital. One hundred patients were selected randomly from POAG patients of glaucoma clinic, Farabi Eye Hospital. Control group consists of 100 patients, candidates for cataract surgery. History of any anti-hypertensive agent consumption was recorded for all participants. A complete set of systemic and ophthalmologic examinations, including several blood pressure measurements, was performed for each subject. Systolic blood pressure above 140 mmHg, diastolic blood pressure above 90 mmHg and/or any history of antihypertensive usage in each group were considered as hypertensive status. Results: Diastolic blood pressure was significantly higher in POAG patients than control group (P=0.003). Systolic blood pressure was also higher in POAG patients than control group; however, the difference was only marginally significant (P=0.07). No association between POAG and hypertension was found. Conclusion: POAG was found to have a strong positive association with diastolic blood pressure in our patients.
Physical Activity, Fitness, and Health: Consensus Statement

Physical activity, fitness and health - the model and key concepts assessing the level and quality of evidence assessment of physical activity, fitness and health physical activity, fitness and health - status and determinants human adaptation to acute and chronic physical activity physical activity and fitness in disease physical activity and fitness across the life cycle risks of activity versus inactivity dose-response issues other considerations.
Optimization approaches for logistic problems: vehicle routing problem with time windows

of the Ph.D dissertation Author: Sándor Csiszár Title: Optimization approaches for logistic problems Our age is characterized by golbalization and worldwide economicfinancialand information systems and their further development can be prognosed. Although these attributes don’t describe our world sufficiently they are vitally important for the subject of this dissertation. These systems are sensitive for changes and disturbances coming from their magnitude and complexity. To manage these systems it is important not only from competitive advantages but from quality and reliability point of view. These questions have close relationship with system modelling, with the application of informationsimulationand intelligent systems. Very large and complex systems can not be operated efficiently without that. In the introduction a short summary can be found about the intelligent methods applied in manufacturing systems. This leads to the domain of logistics because the exact subject of this dissertation is the Vehicle Routing Problem with Time Windows having close relationship to logistics. Chapter 2 gives an overview about the development of logistics and its future trend underlining the research directions and applications of intelligent systems. Chapter 3 describes VRP variants, the most frequently used heuristics and algorithms from initial solutions to metaheuristics. Chapter 4 -the largest part of the studydescribes the developed solution for the Vehicle Routing Problem with Time Windows. Its first section gives methods for the sequential and parallel route construction -with a new object function for insertion heuristics and a probability function for seed selection. The first phase of the hybrid heuristic is a new competitive solution for route elimination, that gives the ever found best number of routes at all Solomon problem instances within shorter time than any solution published so far. The second phase is the tabu search contains also some new solutions (dynamic tabu list and a new tabu management). Chapter 5 is about the developed computer program, additionally visualize a computational run per problem type. The source code is on the attached CD ROM. The list of applied procedures can be seen in the appendix. Chapter 6 contains computational results, international comparison and outlines an adaptive memory programming algorithm for large scale problems as a future plan. The appendix -addition to described so farincludes the ever found best solutions. At the end of the study a bibliography can be found. Sándor Csiszár Budapest, July 2006.
Essential role of prehospital care in the optimal outcome from major trauma

Prehospital care for major trauma victims is a balance of timely delivery to definitive care and appropriate intervention to maximize probability of survival. In the development of advanced, organized prehospital care systems, the evidence for the benefit of individual interventions has been limited and contradictory. Leading controversies reviewed are: the place of advanced life support, the role of doctors compared with paramedics, the optimal advanced airway adjunct, the role of intravenous fluids in serious injury, and the value of prehospital cardiopulmonary resuscitation following traumatic cardiac arrest. International differences in trauma epidemiology are discussed. The identification of prehospital care as the weak link within a trauma system is highlighted.
HUBUNGAN KEKERABATAN PLASMA NUTFAH BAMBU KOLEKSI KEBUN RAYA PURWODADI BERDASARKAN KARAKTER MORFOLOGI

Bambu merupakan tumbuhan yang memiliki banyak kegunaan. Banyaknya spesies bambu di dunia merupakan sumber plasma nutfah yang perlu dipelajari dan dilestarikan. Karakterisasi tanaman bambu berperan dalam kegiatan konservasi plasma nutfah serta pemanfaatannya bagi masyarakat. Analisis hubungan kekerabatan berdasarkan karakter morfologi melalui kegiatan karakterisasi plasma nutfah bambu perlu dilakukan untuk mengetahui pengelompokan aksesi bambu menurut kerabat dekatnya baik sebagai data informasi, informasi umum kepada masyarakat maupun sebagai kegiatan awal untuk pemuliaan bambu selanjutnya. Penelitian ini bertujuan untuk mengetahui hubungan kekerabatan plasma nutfah bambu koleksi Kebun Raya Purwodadi berdasarkan karakter morfologi serta mengevaluasi ada atau tidaknya duplikasi spesies pada koleksi. Penelitian dilaksanakan pada bulan April sampai Mei 2015 di area koleksi bambu UPT Balai Konservasi Tumbuhan Kebun Raya Purwodadi-LIPI Kabupaten Pasuruan Provinsi Jawa Timur. Metode yang digunakan adalah metode deskriptif yaitu metode pengamatan langsung yang dilakukan dengan mengkarakterisasi semua jenis bambu berdasarkan lembar pengamatan yang telah dibuat. Data kualitatif hasil karakterisasi dianalisis klaster menggunakan software NTSYS pc 2.02 dan disajikan dalam bentuk dendrogram hubungan kekerabatan yang dilengkapi dengan koefisien kemiripan. Hasil analisis menunjukkan bahwa terdapat duplikasi spesies pada plasma nutfah bambu koleksi Kebun Raya Purwodadi berdasarkan karakter morfologi vegetatif. Hubungan kekerabatan 32 aksesi bambu berdasarkan karakter vegetatif memiliki rentang koefisien kemiripan 0,65-1,00 dan membentuk 2 klaster besar yaitu klaster A dan klaster B. Hubungan kekerabatan 6 aksesi bambu berdasarkan karakter vegetatif dan generatif memiliki koefisien kemiripan dengan rentang antara 0,66-0,93. Karakter-karakter pada percabangan, buluh dan pelepah buluh adalah karakter utama yang mempengaruhi hubungan kekerabatan bambu.
Child welfare workers' practice in cases involving domestic violence

This paper reports the findings of an exploratory and qualitative study of child welfare workers' practice in cases involving domestic violence. The research aimed to focus on child welfare workers' interventions with families experiencing domestic violence, elements influencing the child welfare workers' decisions, and the factors facilitating and creating obstacles for intervention. An analysis of the qualitative data showed that child welfare workers have different ways of intervening in cases involving domestic violence. Also, the interventions were especially centred on women victims of violence and they were held responsible for protecting their children. Finally, the dilemmas and difficulties which child welfare workers face in these cases are discussed. Copyright © 2008 John Wiley & Sons, Ltd.
Principles of Electric Circuits

1. Introductory Digital Concepts. Digital and Analog Quantities. Binary Digits, Logic Levels, and Digital Waveforms. Introduction to Logic Operations. Basic Overview of Logic Functions. Fixed-Function Integrated Circuits. Programmable Logic: Introduction. PLDs versus Fixed-Function Logic. Programming. VHDL Overview. Introduction to Test Instruments. 2. Number Systems, Operations, and Codes. Decimal Numbers. Binary Numbers. Decimal-to-Binary Conversion. Binary Arithmetic. 1s and 2s Complements of Binary Numbers. Signed Numbers. Arithmetic Operations with Signed Numbers. Hexadecimal Numbers. Octal Numbers. Binary Coded Decimal (BCD). Digital Codes and Parity. Numeric Values in VHDL. 3. Logic Gates. The Inverter. The AND Gate. The OR Gate. The NAND Gate. The NOR Gate. The Exclusive-OR and Exclusive-NOR Gates. Fixed-Function Logic: IC Gates. Troubleshooting. Programmable Logic: Basic Concepts. VHDL. 4. Boolean Algebra and Logic Simplification. Boolean Operations and Expressions. Laws and Rules of Boolean Algebra. DeMorgans Theorems. Boolean Analysis of Logic Circuits. Simplification Using Boolean Algebra. Standard Forms of Boolean Expressions. Boolean Expressions and Truth Tables. The Karnaugh Map. Karnaugh Map SOP Minimization. Karnaugh Map POS Minimization. Five-Variable Karnaugh Maps. Programmable Logic: PALs and GALs. Boolean Expressions with VHDL. Digital System Application. 5. Combinational Logic. Basic Combinational Logic Circuits. Implementing Combinational Logic. The Universal Property of NAND and NOR Gates. Combinational Logic Using NAND and NOR Gates. Operation with Pulse Waveforms. Troubleshooting. Programmable Logic: The CPLD. Combinational Logic Using VHDL. Digital System Application. 6. Functions of Combinational Logic. Basic Adders. Parallel Binary Adders. Comparators. Decoders. Encoders. Code Converters. Multiplexers (Data Selectors). Demultiplexers. Parity Generators/Checkers. Troubleshooting. Programmable Logic: The FPGA. Logic Functions with VHDL. Digital System Application. 7. Additional VHDL Topics and Applications. Data Types. Arithmetic and Relational Operators. Conditional Statements. Functions and Procedures. Libraries, Packages, and Package Bodies. Loops. VHDL Modeling. Programmable Logic: Device Programming. Digital System Application. 8. Flip-Flops and Related Devices. Latches. Edge-Triggered Flip-Flops. Master-Slave Flip-Flips. Flip-Flop Operating Characteristics. Flip-Flop Applications. One-Shots. The 555 Timer. Troubleshooting. Programmable Logic: Registered Operation. Latches and Flip-Flops Using VHDL. Digital System Application. 9. Counters. Asynchronous Counter Operation. Synchronous Counter Operation. Up/Down Synchronous Counters. Design of Synchronous Counters. Cascaded Counters. Counter Decoding. Counter Applications. Troubleshooting. Logic Symbols with Dependency Notation. Counters using VHDL. Digital System Application. 10.
Effects of isokinetic eccentric training on the human Achilles tendon

1Curso de Fisioterapia e Programa de Mestrado e Doutorado em Educação Física, Setor de Ciências Biológicas, Universidade Federal do Paraná, Curitiba, Paraná, Brasil, 2The George Institute for Global Health, Sydney, Australia, 3Sydney Medical School, The University of Sydney, 4Neuroscience Research Australia, 5Kolling Institute of Medical Research, Sydney Medical School, The University of Sydney, Sydney, Australia, 6Faculty of Health Sciences, The University of Sydney, Sydney, Australia
Análisis TG-ROC de pruebas de inmunofluorescencia en el diagnóstico de leishmaniasis visceral canina

OBJETIVO: Analizar la precision de diagnostico de dos protocolos de inmunofluorescencia indirecta para leishmaniasis visceral canina. METODOS: Canes provenientes de pesquisa seroepidemiologico realizado en area endemica en los municipios de Aracatuba y de Andradina, en la region noroeste del estado de Sao Paulo (Brasil), en 2003, y area no endemica de la region metropolitana de Sao Paulo, fueron utilizados para evaluar comparativamente dos protocolos de reaccion de inmunofluorescencia indirecta (RIFI) para leishmaniasis: uno utilizando antigeno heterologo Leishmania major (RIFI-BM) y otro utilizando antigeno homologo Leishmania chagasi (RIFI-CH). Para estimar precision se utilizo el analisis two-graph receiver operating characteristic (TG-ROC). El analisis TG-ROC comparo las lecturas de la dilucion 1:20 del antigeno homologo (RIFI-CH), consideradas como pruebas referencia, con las diluciones de la RIFI-BM (antigeno heterologo). RESULTADOS: La dilucion 1:20 de la prueba RIFI-CH presento mejor coeficiente de contingencia (0,755) y la mayor fuerza de asociacion entre las dos variables estudiadas (Chi-cuadrado=124,3), siendo considerada la dilucion-referencia de la prueba en las comparaciones con las diferentes diluciones de la prueba RIFI-BM. Los mejores resultados del RIFI-BM fueron obtenidos en la dilucion 1:40, con mejor coeficiente de contingencia (0,680) y mayor fuerza de asociacion (Chi-cuadrado= 80,8). Con el cambio del punto de corte sugerido en este analisis para la dilucion 1:40 de la RIFI-BM, el valor del parametro especificidad aumento de 57,5% a 97,7%, a pesar de que la dilucion 1:80 haya presentado la mejor estimativa para sensibilidad (80,2%) con el nuevo punto de corte. CONCLUSIONES: El analisis TG-ROC puede suministrar importantes informaciones sobre las pruebas de diagnostico, asi como presentar sugerencias sobre puntos de cortes que pueden mejorar las estimativas de sensibilidad y especificidad de la prueba, y evaluarlos a la luz del mejor costo-beneficio.
Pro-health education in the fight against obesity and its
complications in school-age children – 6-month programme
of cooperation with the child and parents

Introduction: The dynamic development of society affects the health of the population. We often address civilization-related diseases affecting increasingly younger people. The lack of both a balanced diet and physical activity leads to hypertension and obesity. These diseases have a number of serious consequences. The aim of the study was to demonstrate the influence of an educational programme on the arterial pressure and body weight status of children between 10 and 12 years of age. Material and methods: The study (education program) involved 60 primary school pupils in grades 4-6, including 40 boys and 20 girls whose BMI and arterial blood pressure values differed, higher from the standard norms. Anthropometric measurements were made, i.e., height, body weight, blood pressure and blood biochemical tests. Then, the pupils were taken care of by a dietician and a trainer. Results: The problem is the small number of fruits and vegetables in the children’s diet, which is far below the recommended standards. In the study group, nearly 12% of the children had elevated TSH levels. Physical activity of the participants was low and was mostly limited to compulsory physical education lessons. According to the surveys carried out the girls were physically active much less frequently than the boys. Conclusions: The increase in the BMI index results in increased systolic pressure in children. An increase in TSH increases the value of diastolic pressure in 10- to 12-year-olds. Children eat too few fruits and vegetables per week compared to the established standards. The implementation of an educational programme in nutrition and physical activity affects the reduction of BMI in children with excess body weight.