Miracle-dz/UniFAR-FTUs huggingface dataset:
Satisfaction of Rural Pregnant Women as Quality Indicator of Provided Antenatal Care

Providing good quality health care is of critical importance for the future economic and social well-being of any country. Patient satisfaction is considered an important indicator of health care. High quality antenatal care is a fundamental right for women to safeguard their health, help women maintain normal pregnancies and reduce the rate of maternal morbidity and mortality. The rural areas are characterized by shortage in physical and human resources such as physicians, nurses, and specialists. Pregnant women's satisfaction is one of the indicators of measuring quality of antenatal care. Aim of the study: is to assess the satisfaction of rural pregnant women with provided antenatal care. Methodology: An interview sheet to assess the pregnant women satisfaction was used containing five parts. A sample of (420) pregnant women who attended at least two visits for antenatal care were selected randomly from fourteen (14) rural health units at Tanta city. Results: Majority (94.3 % and 85 %) of the pregnant women were satisfied with the way nurses treated them and cleanliness of follow up room respectively. More than three quarters (76.4 %) of them were satisfied with working time in the unit and 72.1 % of them were satisfied with laboratory investigations. While 35.7%, 31.4%, 30.7%, and 26.4% of them were not satisfied with equipments and apparatus especially ultrasound, Waiting area, follow up services, and health services during pregnancy respectively. Conclusion: More than one half of the pregnant women had moderate satisfaction score with antenatal care services provided at rural health units. The majority of them did not attend health education session. Recommendations: Ministry of Health and Population should pay more attention to the rural health units in order to promote the antenatal care services through providing the necessary resources. Applying of health education sessions for all pregnant women is intensively recommended.
The Neuropsychologic Deficits of MELAS: Evidence of Global Impairment

ObjectiveTo examine the neuropsychologic profile of MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, and strokelike episodes) and relate it to neuropathologic findings. BackgroundMELAS is one of over 40 mitochondrial disorders. Symptoms include seizures, strokelike episodes, headaches, memory impairment, hemianopsia, hearing loss, short stature, diffuse limb weakness, exercise intolerance, nausea, and vomiting. Age of onset ranges from 2 to 40 years. A hallmark of MELAS is normal development until the first symptoms appear. MethodBecause information regarding the neuropsychologic functioning of these individuals is sparse, we report findings from detailed neuropsychologic evaluations for a 13-year-old white male and a 33-year-old African-American male with MELAS. ResultsResults revealed global patterns of deterioration in executive function, attention, language, memory, visuospatial, and motor functioning. In both patients, brain scans revealed posterior pathology in the absence of frontal pathology. ConclusionsWe compared our findings with other documented cases and concluded that MELAS is characterized by a pattern of global deterioration. This pattern differs from that observed in other mitochondrial disorders. The absence of identifiable frontal lobe pathology despite the presence of deficits in executive functioning may be related to the distribution patterns of deficient mitochondria and neuronal projection patterns.
Quantitative Study of Neurofibrillary Tangles in Subdivisions of the Hippocampus

The frequency of neurofibrillary tangles (NFTs) in relation to aging was examined in five regions of the hippocampus of 139 normal controls (60 to 106 years) and 14 patients with senile dementia of the Alzheimer type (SDAT). The regions were CA4, CA3, CA2 and CA1, the latter being subdivided into CA1a (the region near CA2) and CAlb (the region near the subiculum). Only CA2 showed no correlation of NFTs with normal aging. CA2 in SDAT was the site most vulnerable to NFT formation. Therefore, it is considered that CA2 is a special region in both normal aging and SDAT. CA1 was characterized by the early appearance of large amounts of NFT, and was the most reliable marker of senile change related to aging. Like CA1, both CA3 and CA4 showed an increase of NFTs with normal aging, but their aging process was far less marked. In addition, statistical analysis based on a “normal” distribution was considered to be unsuitable for quantitative study of senile change, because no histogram of NFTs in any subdivisions for any age showed such a distribution. Acta Pathol Jpn 41: 597‐603, 1991.
The Interaction of NOA and Accruals in the Mispricing of Balance Sheet Bloat

Consistent with US findings, this paper documents a negative relationship between future stock returns and each of accruals and net operating assets (NOA). While accruals and NOA convey unique information for future returns, NOA appears to have a moderating influence on the accruals effect. A significant accruals effect is observed amongst stocks with high NOA. In contrast, no accrual effect exists for stocks with low NOA. This finding suggests that, contrary to conventional belief, high levels of accruals per se are not bad news. An accrual effect only arises for firms that have a sustained track record of not converting accruals into cashflow. A regression-based version of the Mishkin rationality test finds that NOA and, to a lesser extent, accruals are overpriced. Importantly, inferences from these rationality tests are shown to be highly sensitive to econometric assumptions over the error term in the panel regression. JEL classification: G12, G14
Role of nonclinical factors in the receipt of high-quality systemic adjuvant breast cancer treatment.

description of the disclosure categories, or for more information about ASCO’s conflict of interest policy, please refer to the Author Disclosure Declaration and the Disclosures of Potential Conflicts of Interest section in Information for Contributors. Employment or Leadership Position: None Consultant or Advisory Role: Benjamin Solomon, AstraZeneca (C), Pfizer (C); Danny Rischin, Amgen (C) Stock Ownership: None Honoraria: Danny Rischin, GlaxoSmithKline Research Funding: Benjamin Solomon, Pfizer Expert Testimony: None Other Remuneration: None
The British pig health schemes: integrated systems for large-scale pig abattoir lesion monitoring

Pig health schemes based on abattoir inspections provide an integrated system to optimise the postmortem detection and the reporting of pathological lesions. In Great Britain, two initiatives have been implemented by the pig industry: Wholesome Pigs Scotland (WPS) and the BPEX Pig Health Scheme (BPHS). These schemes record the presence of a range of pathological lesions detected by means of detailed inspection of the pluck and the skin of the slaughtered pigs. The lesions are those associated with a reduction in performance traits or are indicators of animal welfare problems. This paper aims to provide an overview of the objectives behind the BPHS and their activities, outlining similarities and differences between WPS and BPHS on five main operational topics: the lesions monitored, the administration of the schemes, flow of the information, inspection strategies and the major idiosyncratic characteristics of the schemes. These initiatives inform individual producers and their veterinarians of the occurrence of pathological conditions affecting their pig herds. Additionally, they offer the added value of providing nationwide disease monitoring information and have the potential to be a useful surveillance tool for emerging and enzootic conditions.
Transurethral and Lower Tract Procedures Potassium-Titanyl-Phosphate Laser Photoselective Vaporization for Benign Prostatic Hyperplasia : 5-Year Follow-Up from a District General Hospital

Background and Purpose: The 80-W potassium-titanyl-phosphate (KTP) laser photoselective vaporization of the prostate (PVP) is a minimally invasive surgical option for patients with symptomatic benign prostatic hyperplasia, although evidence of long-term efficacy is limited. We present the long-term outcomes from a heterogeneous patient population. Patients and Methods: We prospectively collected data for all patients who underwent 80-W KTP laser PVP treatment between 2004 and 2005. Evaluation occurred pr-operatively, and then at 3, 6, 12, and 60 months postoperatively. This included International Prostate Symptom Score (IPSS), peak urinary flow rate (Qmax), postvoid residual (PVR) volume, serum prostate-specific antigen measurement, and transrectal ultrasonographyestimated prostate volume. Results: A total of 115 patients were eligible for analysis, with a mean age of 77 years and mean prostate volume of 55.8 cc. Of these, 74% were operated on for lower urinary tract symptoms, 23% for acute urinary retention, and 3% for chronic retention; 30% of patients were American Society of Anesthesiologists score ‡ 3, and 93% were treated as 23-hour stays. No patients needed blood transfusion, and there were no cases of transurethral resection syndrome. An initial trial-without catheter failed in 11 (9.6%), although 8 of these successfully voided after a further week. At 5-year follow-up, mean Qmax improved from 8.0 – 5.0 mL to 13.9 – 7.7 mL and mean IPSS improved from 22 – 5 to 9 – 7. There were no cases of urethral strictures, but there was a 3.3% rate of bladder neck stenosis and an overall re-treatment rate of 21% over 5 years. Conclusion: We confirm the long-term durability of the 80-W KTP laser PVP with minimal perioperative morbidity. It is therefore a safe option for high-risk patients with medical comorbidities, although its high reoperation rate may limit its use to this specific patient population.
Photoinhibition at low temperature in chilling-sensitive and -resistant plants.

Photoinhibition resulting from exposure at 7 degrees C to a moderate photon flux density (300 micromoles per square meter per second, 400-700 nanometers) for 20 hours was measured in leaves of annual crops differing widely in chilling tolerance. The incidence of photoinhibition, determined as the decrease in the ratio of induced to total chlorophyll fluorescence emission at 693 nanometers (F(v)/F(max)) measured at 77 Kelvin, was not confined to chilling-sensitive species. The extent of photoinhibition in leaves of all chilling-resistant plants tested (barley [Hordeum vulgare L.], broad bean [Vicia faba L.], pea [Pisum sativum L.], and wheat [Triticum aestivum L.]) was about half of that measured in chilling-sensitive plants (bean [Phaseolus vulgaris L.], cucumber [Cucumis sativus L.], lablab [Lablab purpureus L.], maize [Zea mays L.], pearl millet [Pennisetum typhoides (Burm. f.) Stapf & Hubbard], pigeon pea [Cajanus cajun (L.) Millsp. ], sesame [Sesamum indicum L. ], sorghum [Sorghum bicolor L. Moench], and tomato [Lycopersicon esculentum Mill. ]). Rice (Oryza sativa L.) leaves of the indica type were more susceptible to photoinhibition at 7 degrees C than leaves of the japonica type. Photoinhibition was dependent both on temperature and light, increasing nonlinearly with decreasing temperature and linearly with increasing light intensity. In contrast to photoinhibition during chilling, large differences, up to 166-fold, were found in the relative susceptibility of the different species to chilling injury in the dark. It was concluded that chilling temperatures increased the likelihood of photoinhibition in leaves of both chilling-sensitive and -resistant plants. Further, while the photoinhibition during chilling generally occurred more rapidly in chilling-sensitive plants, this was not related directly to chilling sensitivity.
Workstations uptime analysis framework to identify opportunity for forming ad-hoc computer clusters

Many solutions have been proposed to harness underutilized workstations to form ad-hoc and low-cost computer clusters. The success of forming ad-hoc computer clusters greatly depends on the usage characteristic of an organization. An organization with hundreds of workstations does not necessarily imply that it has the opportunity to form an ad-hoc computer cluster because different workstations may have different turned-on durations and these workstations may not be available at the same time depending on their users' usage. The objective of this work is to devise a framework to predict when and which workstations may be turned-on and for how long based on previously monitored uptime. 97 workstations have been selected from a real environment for 42 days to test the proposed framework. From the test results, it showed that there are indeed turned-on patterns on weekly basis. Some workstations have more consistent repetitive turned-on patterns while some do not, and this work created a framework to distinguish these workstations. The contribution of this work is the creation of a framework that allows administrators to identify potential workstations for forming ad-hoc computer clusters of their environment.
Treating Intractable Venous Stenosis: Present and Future Therapy

The widespread use of percutaneous angioplasty for venous stenoses has lengthened the functional life span of hemodialysis access, while preserving precious venous capital. A subset of dialysis patients with dysfunctional access sites will harbor stenoses which are intractable, in that they fail to respond to conventional balloon angioplasty or recur in the weeks following angioplasty. This editorial discusses various endovascular approaches to the management of intractable venous stenosis as well as promising future therapies.
Cross-Selling the Right Product to the Right Customer at the Right Time

Firms are challenged to improve the effectiveness of cross-selling campaigns. The authors propose a customer-response model that recognizes the evolvement of customer demand for various products; the possible multifaceted roles of cross-selling solicitations for promotion, advertising, and education; and customer heterogeneous preference for communication channels. They formulate cross-selling campaigns as solutions to a stochastic dynamic programming problem in which the firm's goal is to maximize the long-term profit of its existing customers while taking into account the development of customer demand over time and the multistage role of cross-selling promotion. The model yields optimal cross-selling strategies for how to introduce the right product to the right customer at the right time using the right communication channel. Applying the model to panel data with cross-selling solicitations provided by a national bank, the authors demonstrate that households have different preferences and responsiveness to cross-selling solicitations. In addition to generating immediate sales, cross-selling solicitations also help households move faster along the financial continuum (educational role) and build up goodwill (advertising role). A decomposition analysis shows that the educational effect (83%) largely dominates the advertising effect (15%) and instantaneous promotional effect (2%). The cross-selling solicitations resulting from the proposed framework are more customized and dynamic and improve immediate response rate by 56%, long-term response rate by 149%, and long-term profit by 177%.
Short-term outcomes after esophagectomy at 164 American College of Surgeons National Surgical Quality Improvement Program hospitals: effect of operative approach and hospital-level variation.

HYPOTHESIS When assessing the effect of operative approach on outcomes, it may be less relevant whether a transhiatal or an Ivor Lewis esophagectomy was performed and may be more important to focus on patient selection and the quality of the hospital performing the operation. DESIGN Observational study. SETTING Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program. PATIENTS Individuals undergoing esophagectomy were identified from January 1, 2005, to December 31, 2010. The following 4 groups were created based on operative approach: transhiatal, Ivor Lewis, 3-field, and any approach with an intestinal conduit. MAIN OUTCOME MEASURES Risk-adjusted 30-day outcomes and hospital-level variation in performance. RESULTS At 164 hospitals, 1738 patients underwent an esophageal resection: 710 (40.9%) were transhiatal, 497 (28.6%) were Ivor Lewis, 361 (20.8%) were 3-field, and 170 (9.8%) were intestinal conduits. Compared with the transhiatal approach, Ivor Lewis esophagectomy was not associated with increased risk for postoperative complications; however, 3-field esophagectomy was associated with increased likelihood of postoperative pneumonia (odds ratio [OR], 1.88; 95% CI, 1.28-2.77) and prolonged ventilation exceeding 48 hours (OR, 1.68; 95% CI, 1.16-2.42). Intestinal conduit use was associated with increased 30-day mortality (OR, 2.65; 95% CI, 1.08-6.47), prolonged ventilation exceeding 48 hours (OR, 1.61; 95% CI, 1.01-2.54), and return to the operating room for any indication (OR, 1.85; 95% CI, 1.16-2.96). Patient characteristics were the strongest predictive factors for 30-day mortality and serious morbidity. After case-mix adjustment, hospital performance varied by 161% for 30-day mortality and by 84% for serious morbidity. CONCLUSIONS Compared with transhiatal dissection, Ivor Lewis esophagectomy did not result in worse postoperative complications. After controlling for case-mix, hospital performance varied widely for all outcomes assessed, indicating that reductions in short-term outcomes will likely result from expanding other aspects of hospital quality beyond a focus on specific technical maneuvers.
Correlation Between Susceptibility to Bacteriophage PBS1 and Motility in Bacillus subtilis

Joys, Terence M. (University of Minnesota Medical School, Minneapolis). Correlation between susceptibility to bacteriophage PBS1 and motility in Bacillus subtilis. J. Bacteriol. 90:1575–1577. 1965. —A correlation is shown to exist in Bacillus subtilis between susceptibility to phage PBS1 and motility, indicating that the receptor site for this phage is located on the flagellum.
The impact of educational interventions on enhancing perceptions of patient safety culture among Jordanian senior nurses.

BACKGROUND The worldwide rate of medical errors and the subsequent patient harm triggered the healthcare organizations to find solutions to transform their punitive culture to safety culture. AIM The purpose of this study was to examine the impact of patient safety educational interventions among senior nurses on their perceptions of safety culture, and the rate of reported adverse events, pressure ulcers, and patients' falls. METHODS The design of the study was a quasi-experimental without control group. Fifty-seven senior nurses received the educational program. The Hospital Survey on Patient Safety Culture (HSPSC) was administered pre and 4 months post the educational program, and the rate of reported adverse events, pressure ulcers, and patients' falls were collected 4 months pre and 4 months post the educational program. RESULTS There were significant improvements of senior nurses' positive scores of two composites, "Frequency of event reporting" and "Non-punitive response to errors," and significant decline of the rate of adverse events. CLINICAL RELEVANCE The findings of the study suggested that patient safety educational interventions could be used by nursing administrators to enhance subcultures of patient safety such as "reporting" and "blame free," and to decrease the rate of adverse events.
Coeliac disease and aplastic anaemia: a specific entity?

ruggia, P., Giordano, P., Matarese, S.M. , Nardi, M. , Nobili, B. , Notarangelo, L.D. , Russo, G. , Vimercati, C. , Zecca, M. , De Mattia, D. & Ramenghi, U. (2009) Long-term follow-up analysis after rituximab therapy in children with refractory symptomatic ITP: identification of factors predictive of a sustained response. British Journal of Haematology, 144, 552–558. Quartier, P., Tournilhac, O. , Archimbaud, C. , Lazaro, L. , Chaleteix, C. , Millet, P., Peigue-Lafeuille, H. , Blanche, S. , Fischer, A. , Casanova, J.L. , Travade, P. & Tardieu, M. (2003) Enteroviral meningoencephalitis after anti-CD20 (rituximab) treatment. Clinical Infectious Diseases, 36, e47–49. Walker, A.R. , Kleiner, A. , Rich, L. , Conners, C. , Fisher, R.I. , Anolik, J. & Friedberg, J.W. (2008) Profound hypogammaglobulinemia 7 years after treatment for indolent lymphoma. Cancer Investigation, 26, 431–433.
Embedding and Reconfiguration of Spanning Trees in Faulty Hypercubes

The problem of tolerating faulty nodes in hypercubes has been studied by many researchers either by using spares or by reconfiguration. Algorithms for tolerating faulty nodes and links in hypercubes are presented. The algorithms are based on using general spanning trees (GST), complete unbalanced spanning trees (CUST), and balanced spanning trees (BST) for reconfiguring the hypercube to avoid faulty nodes and links. The algorithms contain two phases: the first phase involves the construction of the spanning tree and the second one is for reconfiguring the hypercube should a faulty node be detected. The reconfiguration process consists of two basic steps. First, the faulty node is disconnected from the spanning tree. Then, a new spanning tree is constructed by reconnecting the children of the faulty node to the spanning tree. One hundred percent single fault correction (avoidance) and almost 100 percent fault correction (avoidance) of double and triple faults are achieved by the proposed algorithms for hypercubes having a dimension of n/spl ges/6. Simulation results for the algorithm under more than three faults also are presented. For any k faulty nodes (1/spl les/k/spl les/2/sup n/-1), the reconfiguration algorithm may be applied k times to avoid these k faulty nodes as long as no combination of any two of the faults results in a blocking situation. The proposed reconfiguration algorithms tolerate all possible single-link faults. The reconfiguration algorithms are extended to tolerate (k/spl les/n-1) multiple faults, causing blocking situation, with a backtracking.