Miracle-dz/UniFAR-FTUs huggingface dataset:
The Anatomical Renaissance The Resurrection Of The Anatomical Projects Of The Ancients

Thank you for downloading the anatomical renaissance the resurrection of the anatomical projects of the ancients. As you may know, people have search numerous times for their favorite readings like this the anatomical renaissance the resurrection of the anatomical projects of the ancients, but end up in malicious downloads. Rather than enjoying a good book with a cup of coffee in the afternoon, instead they are facing with some infectious virus inside their laptop.
La leucémie myeloïde chronique quel avenir thérapeutique en Afrique noire

E Une analyse des problemes poses par le management de la Leucemie Myeloide Chronique est faite a travers une etude hospitaliere realisee au Centre Hospitalier et Universitaire de Brazzaville. Cette etude porte sur une serie limitee de 25 patients dont l'âge moyen est de 33, 28 ans, comprenant 16 malades de sexe masculin et 9 de sexe feminin hospitalises dans le service d'hematologie du Centre Hospitalier et Universitaire de Brazzaville entre janvier 1993 et decembre 1999. Les patients sont admis tardivement dans le service apres une periode longue de traitement inapproprie (13 en phase stable, 11 en phase acceleree et 1 en phase blastique). Le diagnostic repose uniquement sur des etudes cytologiques. Le traitement realise est pratiquement fait de chimiotherapie. Cette chimiotherapie comprend l'administration d'Hydroxyuree seule (10 patients), Hydroxyuree + Cytarabine (14 patients) et un seul patient a recu de l'Interferon Alpha. L'obtention d'une remission complete reelle est difficile a evaluer par absence de moyens diagnostiques consequents. Le taux de survie globale au dela de 5 ans est de 64%. Cette etude illustre les difficultes d'acces des patients a un traitement de fond de cette hemopathie en Afrique noire.
Oral Presentation Versus Role Playing in Medical Education: A Quasi-Experimental Study

Background It is claimed that role-playing is a teaching strategy that has several advantages for both the teacher and student. This study aimed to compare two educational methods (oral presentation, a traditional method that is known to be teacher-centered, versus role-playing which is a student-centered method). Methods This quasi-experimental study was performed between September 2013 and October 2014 in 95 medical students in Mashhad University of Medical Sciences. Role-playing and oral (plus Microsoft PowerPoint) presentation were done by one assistant professor. There were no changes in the educational content nor the classroom. Using random numbers, half of each group received one of the methods as the first class and vice versa. At the end of each session, the standard satisfaction evaluating questionnaire was filled by the students. Results During the one-year duration of this study, 95 students were evaluated, and 46 (60%) of them were female. The mean age was 22.5 ± 1 years, and 28 (87.5%) were single. Role-playing had a mean rank of 54.64, and oral presentation had 21.45 (P < 0.001). This difference was present based on gender as well (P < 0.001). The satisfaction score was significantly higher for role-playing (P < 0.001). Conclusions Role-playing can be much more helpful in education and needs to be incorporated into the lesson plans.
Cytophotometric investigation of the effects of melphalan on guinea pig peripheral lymphocytes

The effects of the anti-neoplastic agent, melphalan, upon the peripheral lymphocytes of the guinea pig were ex­ amined by computer analysis of the digitized images of their Feulgen stained nuclei. There were at least two subpopulations of cells, based on the relative numbers of darkly stained points in the nuclei, which responded differ­ ently to the drug. Features extracted from the cell images could be used by a supervised learning algorithm to dis­ criminate between T lymphocytes and B lymphocytes. The classification into T and B lymphocytes produced virtually the same two subpopulations as that based on the relative, numbers of darkly stained points. The melphalan showed a selective toxicity for the B lymphocytes. In an ancillary study, various aspects of the Feulgen stain were examined in a statistically controlled study.
Physical Activity, Fitness, and Affective Responses of Normal-Weight and Overweight Adolescents during Physical Education

This study investigated the enjoyment and perceived competence of normal-weight (n = 48) and overweight (n = 20) adolescents during physical education (PE) classes. Amount of PE time spent in moderate-to-vigorous (MVPA) and vigorous physical activity (VPA), as well as cardiorespiratory fitness (graded treadmill test) and body composition (body mass index) were also compared. Normal-weight students reported the greatest values for enjoyment (p = .008) and perceived competence (p = .005), though no differences in MVPA and VPA were observed. Cardiorespiratory fitness was highest among normal-weight students (p < .0001). In comparison with normal-weight adolescents, overweight youth might not be provided with optimal psychological experiences during PE classes.
Does Reactivity Exist in Children When Measuring Activity Levels with Pedometers

Reactivity is defined as a change in normal activity patterns when people are aware that their activity levels are being monitored. This study investigated reactivity in elementary school children. The step counts of forty-eight participants in second, fourth and sixth grades were monitored with sealed pedometers for eight days. A factorial repeated measures ANOVA revealed no significant differences among days for all participants (F(7,294) = 1.25, p = . 279) and no interactions among Sex, Grade, and Day. There is no reactivity in children monitored with a sealed pedometer. Intraclass correlations found that three to four days of monitoring are needed to determine habitual activity levels with a coefficient alpha level of . 70 and five days of monitoring are needed to obtain a . 80 coefficient alpha. This study demonstrates that there appears to be no reactivity period when sealed pedometers are used to measure physical activity.
Monitoring Obstetric Anesthesia Safety across Hospitals through Multilevel Modeling

Background:The rate of anesthesia-related adverse events (ARAEs) is recommended for monitoring patient safety across hospitals. To ensure comparability, it is adjusted for patients’ characteristics with logistic models (i.e., risk adjustment). The rate adjusted for patient-level characteristics and hospital affiliation through multilevel modeling is suggested as a better metric. This study aims to assess a multilevel model-based rate of ARAEs. Methods:Data were obtained from the State Inpatient Database for New York 2008–2011. Discharge records for labor and delivery and ARAEs were identified with International Classification of Diseases, Ninth Revision, Clinical Modification codes. The rate of ARAEs for each hospital during 2008–2009 was calculated using both the multilevel and the logistic modeling approaches. Performance of the two methods was assessed with (1) interhospital variability measured by the SD of the rates; (2) reclassification of hospitals; and (3) prediction of hospital performance in 2010–2011. Rankability of each hospital was assessed with the multilevel model. Results:The study involved 466,442 discharge records in 2008–2009 from 144 hospitals. The overall observed rate of ARAEs in 2008–2009 was 4.62 per 1,000 discharges [95% CI, 4.43 to 4.82]. Compared with risk adjustment, multilevel modeling decreased SD of ARAE rates from 4.7 to 1.3 across hospitals, reduced the proportion of hospitals classified as good performers from 18% to 10%, and performed similarly well in predicting future ARAE rates. Twenty-six hospitals (18%) were nonrankable due to inadequate reliability. Conclusion:The multilevel modeling approach could be used as an alternative to risk adjustment in monitoring obstetric anesthesia safety across hospitals.
Comparison of spontaneous labour with induced labour in nulliparous women using modified WHO partograph

Background: Childbirth is the period from the onset of regular uterine contraction until expulsion of placenta. The process by which this normally occurs is called labour. Induction of labour is the artificial initiation of uterine contraction prior to their spontaneous onset, leading to progressive dilatation and effacement of the cervix and delivery of the baby. Labour induction is indicated where the benefits to either the mother or the fetus outweighs the benefit of continuing pregnancy. The aim and objectives of the study was to study the progress of labour in nulliparous women who are having spontaneous labour and in those with induced labour in terms of augmentation of labour, mode of delivery, neonatal outcome and maternal complication. Methods: This was a randomized comparative study. The study was conducted in department of Obstetrics and Gynaecology at a tertiary care private centre during time period of May 2014 to May 2015 on 120 pregnant women divided into two groups i.e. A and B consisting of 60 women each. All women were nulliparous and ≥ 37 weeks of gestation age. Those women who had spontaneous onset of labour and reached ≥ 4cm cervical dilatation were included in group A and those who were induced with 25 mcg misoprostol vaginally and reached ≥ 4cm of cervical dilatation were included in group B. Progress of labour was monitored by Modified WHO partograph. Results: The mean duration of labour after 4cm of cervical dilation in spontaneous labour onset group was 5.43 hours and in the induced group was 5.41 hours with p value0.865, which was statistically not significant. In spontaneous labour onset group, 39.3% of patients required augmentation of labour with oxytocin compared to 69% of induced group (p value-0.001). More women had vaginal delivery in spontaneous onset labour group (73.3%) comparative to induced group (53.3%) with pvalue-0.023. There was less caesarean section among those in spontaneous labour than induced labour (20% versus 41.7%) (p=0.010). While most women of induced labour cases reached or crossed action line compared to spontaneous labour (35% versus 16.7%) p=0.022 ,there were more cases in spontaneous labour moving between alert and action line (23.3% versus 10%) p=0.049 . Neonatal outcome and maternal complications were similar in both the group . Conclusions: We conclude from this study that requirement of augmentation for progress of labour was more in induced group, rate of caesarean section was also high but it does not adversely affect the neonatal outcome and maternal complication if labour is monitored with Modified WHO partograph.
VIGNETTE Clopidogrel (Plavix)

J. Comin D. Kallmes SUMMARY: Clopidogrel is an inhibitor of platelet aggregation, indicated for the prevention of ischemic stroke and in-stent thrombosis. However, it has a number of drawbacks, including an increased risk of hemorrhage; a clinical effect that is slow in onset and irreversible; a genetically determined variability in its clinical potency; and interactions with other commonly administered drugs.
MRI Findings In Dengue Encephalitis

Neurological manifestations are rare in dengue fever. Two cases with encephalopathy and systemic features of dengue fever with abnormal CSF and MR imaging are reported. Striking MRI finding was bilateral symmetrical thalamic lesions similar to those reported in Japanese encephalitis. This report highlights that MRI findings can be similar in dengue and Japanese encephalitis.
How To Write A Better Thesis Or Report

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Castor Oil Safety and Effectiveness on Labour Induction and Neonatal Outcome

Background: Castor oil is one of the most popular methods for labour induction. The use of castor oil to induce labor is controversial. The irregular, painful contractions of castor oil-induced labor can be stressful on the mother and fetus. The use of castor oil may stimulate passage of meconium, and thus, neonatal respiratory distress that may result from meconium aspiration. So, the aim of this study was to assess safety and effectiveness of castor oil on labour induction and neonatal outcome. Subjects and Methods: a quasi-experimental design was used. The study was conducted in a private hospital at Makkah Al Mukaramah. One hundred pregnant women who attended the hospital for giving birth was selected from the previously mentioned setting. The sample was divided as follow: 50 women already took castor oil and 50 women didn't take castor oil at the time of birth. Results: there were a lot of maternal complications that had been occurred among castor oil group in comparison with control group such as fatigue (12.0%), nausea & vomiting (20.0%) and excessive uterine activity (12.0%) compared to (8.0%, 4.0% ,4.0%) from the control group respectively . About one fifth 18 % of castor oil group had amniotic fluid mixed with meconium. In addition, a highly statistical significant difference was found between the two groups at the first minute APGAR score (t=2.65 at p=0.009). Conclusion: It can be concluded that, the probability of labour initiation increases during the first 24 hours after using castor oil. In addition, taking castor oil increases the chances of meconium stained amniotic fluid. Most side effects caused by taking castor oil are fatigue, nausea, vomiting and diarrhea. Also, castor oil affected newborn's APGOR score at the first minute. Key words: Castor oil, labour induction, neonatal outcome
APRI as an indicator of advanced liver fibrosis in children with α 1 -antitrypsin deficiency Przydatność APRI w ocenie zaawansowanego włóknienia wątroby u dzieci z niedoborem α 1 -antytrypsyny

Introduction: Liver biopsy is regarded as a gold standard in assessment of liver fibrosis in children with α1-antitrypsin deficiency (ATD). Liver fibrosis due to viral infections and alco holic liver disease can also be assessed by a non-invasive marker – APRI (AST-to-platelet ratio index). As prognosis and progression of liver disease in ATD are variable, non-invasive evaluation of liver fibrosis would be helpful. Aim: To evaluate APRI as an indicator of advanced liver fibro sis in children with PiZZ phenotype of ATD. Material and methods: Liver biopsy was performed in 45 pa tients aged 0.25 years (0.17-0.67 years), median (Q1-Q3). In all subjects APRI and liver histology were analyzed and com pared. Liver fibrosis was assessed according to a 5-point scor ing system (0-4). Points 2-4 were regarded as advanced fibro sis. Liver cirrhosis was also described. The best sensitivity and specificity of APRI were calculated based on receiver operat ing characteristic (ROC) analysis and area under curve (AUROC) was assessed. Results: In the studied group APRI was 0.22 (0.12-0.39), medi an (Q1-Q3). In 21 children advanced fibrosis was recognized and in 6 patients liver cirrhosis was described. The optimal cut-off value for APRI for advanced fibrosis was 0.26, and for cirrhosis 0.33. Respectively for advanced fibrosis and cirrho sis, sensitivity was 0.60 (95% CI: 0.41-0.77), 0.83 (0.36-0.99); specificity was 0.87 (95% CI: 0.60-0.98), 0.31 (0.17-0.48); AUROC was 0.74 (95% CI: 0.58-0.89), 0.51 (95% CI: 0.28-0.74). Conclusions: AST-to-platelet ratio index appears to be a sen sitive but less specific indicator of cirrhosis in ATD and a valu able marker of advanced liver fibrosis.
Digital Access in Working-Age and Older Adults and Their Caregivers Attending Psychiatry Outpatient Clinics: Quantitative Survey

Background It has been suggested that improving access to mental health services, supporting self-management, and increasing clinical productivity can be achieved through the delivery of technology-enabled care by personal mobile-based and internet-based services. There is little evidence available about whether working-age and older adults with mental health problems or their caregivers have access to these technologies or their confidence with these technologies. Objective This study aimed to ascertain the prevalence and range of devices used to access the internet in patients and caregivers attending general and older adult psychiatry outpatient services and their confidence in using these technologies. Methods We conducted an anonymous survey of 77 patients and caregivers from a general psychiatry and old age psychiatry clinic to determine rates of internet access and device ownership, and attitudes to technology-enabled care. Results We found high levels of internet access and confidence in using the internet in working-age adults, their caregivers, and older adult caregivers but not in older adult patients. The smartphone usage predominated in working-age adults and their caregivers. Older adult caregivers were more likely to use desktop or laptop computers. In our sample, tablets were the least popular form factor. Conclusions Access rates and uptake of internet-based services have the potential to be high in working-age adults and their caregivers but are likely to be markedly lower among older adult patients attending psychiatry clinics. Applications designed for tablets are likely to have low uptake. All groups identified appointment reminders as likely to be beneficial.
One-staged anterolateral thoracotomy for bilateral lung hydatid cysts

Background: Hydatid cyst disease is still a health problem in many countries. Surgical removal is the treatment of choice for lung hydatid cysts. However, operating on bilateral lung hydatid cysts is still controversial. The aim of this retrospective study was to evaluate the results of surgical treatment in bilateral hydatid disease of the lung. Methods: In this retrospective study, we reviewed our experience in the surgical treatment of 22 patients with bilateral, and at least three, lung and liver hydatid cysts. These 22 patients (14 male, 8 female) with an average age of 22 years (range 5–50 years) underwent one-staged bilateral anterolateral thoracotomy. Results: Out of 316 patients with hydatid lung, 22 (5.55%) were managed surgically. In total, 48 lung cysts were removed from 22 patients who underwent one-staged bilateral anterolateral thoracotomy. The most frequent symptoms were cough, chest pain, and dyspnea. Most of the cysts (38.2%) were located in the right lower lobe. Three patients had cysts associated with hepatic hydatid cyst; they were treated through phlebotomy during thoracotomies. All cysts were evacuated with capitonnage and without lung resection. We observed some complications such as prolonged air leaks (n = 3), atelectasis (n = 2), pneumonia (n = 2), and empyema (n = 1). No further surgery was required for the management of complications. The mean hospital stay was 5 days (range 8–12 days). No deaths occurred in hospital stay. Oral albendazole was started on the 2nd postoperative day thoracotomy in the dose of 10 mg/kg and was continued for 3 months with a gap of 2 weeks after each 28 days. No recurrences occurred during the follow-up period. Conclusions: One-stage surgery is superior to a classic two-stage approach as it decreases the morbidity, hospital stay, and costs. MS is an excellent approach, but in some cases, video-assisted thoracic surgery mini-thoracotomies could be indicated. In our experience, one-staged bilateral anterolateral thoracotomy is an appropriate surgical option for bilateral pulmonary hydatid cysts because morbidity rates are minimal, and the hospital stay is acceptable for the treatment of bilateral pulmonary hydatid cysts in one-staged option.
PENGARUH KONSENTRASI DAN WAKTU PENGENDAPAN BIJI KELOR TERHADAP pH, KEKERUHAN DAN WARNA AIR WADUK KRENCENG

Kualitas air baku semakin hari semakin menurun, sehingga diperlukan suatu pengolahan untuk mendapatkan air bersih. Salah satu proses alami yang bisa dilakukan adalah proses koagulasi-flokulasi dengan biji kelor. Tujuan penelitian ini untuk mengetahui kondisi operasi yang tepat dalam mengoptimalkan kinerja biji kelor dalam menurunkan pH, turbiditas (kekeruhan) dan warna air. Prosedur penelitian ini terbagi menjadi dua, yaitu: Tahap pertama, persiapan biji kelor. Biji kelor tua dikupas kulitnya dan dihaluskan dengan blender, kemudian dikeringkan dalam oven pada suhu 105 o C selama 10 menit dan didinginkan dengan eksikator. Kemudian diayak dengan ayakan 60 mesh. Tahap kedua, Biji kelor (175, 200, 225 mg) dimasukkan ke dalam gelas piala 500 ml, kemudian ditambahkan 500 ml air waduk Krenceng yang telah diketahui nilai pH, turbiditas (kekeruhan) dan warnanya. Campuran tersebut diaduk dengan alat jar tes pada kecepatan 65 rpm selama 10 menit dan didiamkan dengan variasi 8, 10 dan 12 menit. Air bersih pada lapisan atas di analisa nilai pH, turbiditas (kekeruhan) dan warna. Hasil analisa menunjukkan bahwa kinerja optimum biji kelor terjadi pada konsentrasi 400 ppm dan waktu pengendapan 12 menit dengan penurunan pH 7,7% ; kekeruhan 66,3%, dan warna 63,2%.
The Kwäday dän Ts'ínchi discovery from a glacier in British Columbia

Au cours des dernieres decennies, les glaciers et les champs de glace d'Amerique du Nord ont graduellement fondu et se sont ainsi progressivement retires. Une des consequences de ce phenomene est l'apparition d'elements auparavant dissimules sous la glace qui attestent de l'utilisation par l'humain de zones de haute altitude. Cet article raconte la decouverte faite en aout 1999 des restes bien preserves d'un jeune homme ayant peri il y a plus de 550 ans dans un champ de glace situe au nord-ouest de la Colombie-Britannique. De plus, l'article presente des descriptions et des discussions preliminaires sur les artefacts associes au corps, sur la biologie humaine, sur les procedures de stabilisation et de preservation employees, ainsi que sur la datation des vestiges. Enfin, un apercu est donne des diverses etudes qui sont presentement en cours dans le but de comprendre qui etait cette personne et quelles sont les circonstances qui ont entoure sa mort.