Miracle-dz/UniFAR-FTUs huggingface dataset:
Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention

Breast cancer is the most common cancer in women worldwide, with increases in diagnoses at all ages. Due to several age-related factors, older breast cancer patients show particular difficulties in adjusting to breast cancer and its related treatments. One consistent indicator of vulnerability to long-term complications is emotional distress occurring within 3 months of diagnosis. Thus, it is critical to develop early interventions specifically aimed at mitigating distress and promoting emotional wellbeing in older breast cancer patients. By taking advantage of the opportunities of online interventions, the present study aimed to test the efficacy of a 2 weeks e-health stress inoculation training (SIT) intervention on emotion regulation and cancer-related well-being, compared with a control group without such intervention. Twenty-nine women with a diagnosis of breast cancer, who had received radical surgery and who were suitable candidates for adjuvant chemotherapy with anthracyclines and taxanes (mean age = 62.76; SD = 6.19) voluntarily took part in the current study after giving written informed consent. To test intervention efficacy, self-report questionnaires were administered to all participants at baseline, at the end of the 2 weeks intervention, and 3 months after the end of the intervention. Results showed that after 2 weeks of ehealth intervention, patients did not achieve significant change, however, they significantly reduced emotional suppression and increased cancer-related emotional well-being 3 months after the end of the intervention. Furthermore, by monitoring at a distance the emotional experience during the online intervention, we found an increase in relaxation and a reduction of anxiety. Finally, patients in the experimental group reported a good level of acceptance of the ehealth intervention. To conclude, designing and developing eHealth interventions as part of the regular care path for breast cancer patients of all ages represents both a challenge and an opportunity; in particular, online interventions can be an important step in universal psychosocial care within a tiered model of care.
Surgery of the Cervical Spine

Section I: Core Knowledge 1. Anatomy of the Cervical Spine 2. Cervical Spine Biomechanics 3. Surgical Approaches to the Cervical Spine 4. Anterior Cervical Reconstruction and Internal Fixation 5. Posterior Cervical Instrumentation Section II: Pediatric Disorders 6. Congenital and Pediatric Disorders of the Cervical Spine Section III: Degenerative Disorders of the Cervical Spine 7. Cervical Radiculopathy 8. Cervical Spondylotic Myelopathy and Cervical Kyphosis 9. Cervical Myelopathy with Ossification of the Posterior Longitudinal Ligament Section IV: Traumatic Injuries of the Cervical Spine 10. Spinal Cord Trauma: Pathophysiology and Medical Management 11. Fractures and Dislocations of the Upper Cervical Spine 12. Fractures and Dislocations of the Lower Cervical Spine and Cardiothoracic Junction Section V: Neoplasms of the Cervical Spine 13. Primary and Metastatic Bone Tumors of the Cervical Spine 14. Spinal Cord Tumors Section VI: Inflammatory Disorders 15. Rhuematoid Arthritis of the Cervical Spine 16. Cervical Spine in Ankylosing Spondylitis 17. Cervical Spine Infections Section VII: Postoperative Considerations 18. Surgical Complications
Comparison of the Clinical Outcomes of Buccal Advancement Flap Versus Platelet-Rich Fibrin Application for the Immediate Closure of Acute Oroantral Communications

Abstract The aim of this study was to compare the clinical outcomes of buccal advancement flap surgery to platelet-rich fibrin (PRF) application for the closure of acute oroantral communications (AOACs). In 36 patients, following the extractions of posterior maxillary teeth, AOACs which were larger than 3 mm diameter were detected. In group A, PRF clots were used in 21 patients and group B, classic buccal advancement flap was used in 15 patients. Baseline variables such as pain, the analgesic doses are taken, and swelling was assessed preoperatively. These were also examined on postoperative days 1, 2, 3, and 7, and patients were seen again in the 3rd week. In group A, statistically significant reduction was examined (P < 0.05) in pain and the analgesic doses are taken (sum of 1st, 2nd, 3rd, and 7th days on days 1 and 2) (PRF). The swelling was also significantly less in group A (P < 0.05). The mean duration did not differ between the groups (P > 0.05). In conclusion, both methods were successful for the immediate closure of AOACs. However, a lesser amount of pain and no swelling observed with the use of PRF clots for the immediate closure of AOACs compared to buccal advancement flap surgery.
Prevalence of self-reported computer vision syndrome symptoms and its associated factors among university students

Purpose: To determine the prevalence of symptoms of computer vision syndrome and to identify its associated factors. The secondary objective was to assess knowledge and practices related to preventing computer vision syndrome symptoms. Methods: The data for this cross-sectional study were collected through a self-administered questionnaire distributed to 713 female undergraduates studying business and medicine in Saudi Arabia. The questionnaire included computer vision syndrome validated symptoms and factors associated with computer vision syndrome development. Results: The most common symptom due to prolonged computer use was neck or shoulder pain, reported by 82.2% of the subjects. Overall, 66.5% of the subjects suffered from headache and 51.5% from dry eyes, in mild, moderate, or severe form. Business students were 1.6 times as likely as medical students to suffer from computer vision syndrome (odds ratio = 1.65; 95% confidence interval: 1.22, 2.24). The use of electronic devices for more than 5 h (odds ratio = 1.52; 95% confidence interval: 1.07, 2.16) was also associated with experiencing computer vision syndrome symptoms. Regarding computer vision syndrome prevention, factors such as hours of use, screen distance, screen brightness, and room illumination showed statistically significant difference between the two groups (p < 0.0001). Conclusion: The prevalence of computer vision syndrome symptoms was significantly higher among business students, who reported lower awareness and poor practice measures of computer use recommendations. Relevant awareness campaigns focusing on the appropriate use of computers are highly recommended.
Cyano-Bridged Cu-Ni Coordination Polymer Nanoflakes and Their Thermal Conversion to Mixed Cu-Ni Oxides

Herein, we demonstrate the bottom-up synthesis of 2D cyano-bridged Cu-Ni coordination polymer (CP) nanoflakes through a controlled crystallization process and their conversion to Cu-Ni mixed oxides via a thermal treatment in air. The chelating effect of citrate anions effectively prevents the rapid coordination reaction between Cu2+ and K2[Ni(CN)4], resulting in the deceleration of the crystallization process of CPs. Specifically, with addition of trisodium citrate dehydrate, the number of nuclei formed at the early stage of the reaction is decreased. Less nuclei undergo a crystal growth by interacting with [Ni(CN)4]2−, leading to the formation of larger Cu-Ni CP nanoflakes. Following heat treatment in air, the -CN- groups present within the CP nanoflakes are removed and nanoporous Cu-Ni mixed oxide nanoflakes are generated. When tested as an electrode material for supercapacitors using a three-electrode system, the optimum Cu-Ni mixed oxide sample shows a maximum specific capacitance of 158 F g−1 at a current density of 1 A g−1. It is expected that the proposed method will be useful for the preparation of other types of 2D and 3D CPs as precursors for the creation of various nanoporous metal oxides.
Deciphering the mechanisms of phonological therapy in jargon aphasia

Abstract Background Severe word production difficulties remain one of the most challenging clinical symptoms to treat in individuals with jargon aphasia. Clinically, it is important to determine why some individuals with jargon aphasia improve following therapy when others do not. We report a therapy study with AM, an individual with severe neologistic jargon aphasia, and provide a subsequent comparison with previous cases, with the purpose of informing both our theoretical and clinical understanding of jargon aphasia. Aims To investigate AM's locus of word production deficit and determine the effectiveness of phonological component analysis (PCA) therapy, a phonological cueing therapy, in the re‐learning and generalization of naming responses for words. In addition, AM's performance in therapy, linguistic profile and ability to engage with therapy/cues were compared in a retrospective analysis with the background linguistic and therapy data of two other individuals with jargon aphasia (P9 and FF), who responded differentially to PCA. This was undertake to explore possible prognostic indicators of phonological therapy for jargon aphasia. Methods & Procedures A battery of linguistic and neuropsychological tests was used to identify AM's word production deficit. A single‐subject multiple probe design across behaviours was employed to evaluate the effects of PCA therapy on the re‐learning and generalization of naming responses. In the retrospective analysis of AM, P9 and FF, we compared differences and similarities in performance on various linguistic tasks, the ability to engage in therapy (i.e., ability to generate and use the cues), as well as to retain and maintain cues. Outcomes & Results AM's locus of deficit was identified in the mapping between semantics and phonology. PCA was found to be effective in improving naming in two of the three treated word lists during the treatment phase; however, these gains were not maintained. Generalization to untreated picture names was not observed. Findings from the retrospective analysis illustrated that oral reading skills, the ability to segment phonological information from words and active engagement with provided cues are likely prerequisites for obtaining robust and long‐term gains. Conclusions & Implications We demonstrated that phonological therapy could be beneficial for the remediation of naming abilities at least in the re‐learning phase; however, maintenance and generalization of these gains were limited. This research helps to elucidate the considerations and evaluations necessary for the appropriateness of phonological therapy and candidacy of individuals with jargon aphasia for this treatment approach.
Polarimetric SAR data classification method using the self-organizing map

In this paper, we introduce a supervised classification method, which differentiates polarimetric SAR data into three categories using a self-organizing map (SOM) and a counter propagation learning approach after identifying the appropriate scattering classes. This classifier produces category maps corresponding to the Kohonen layers using training data for each scattering class. The SAR data are classified by inputting both like- and cross-polarization power elements into the learned SOM. In the experiment, PI-SAR data are employed since the resolution of aerial SAR data is higher than that of SAR data obtained from space. The proposed method yields higher-accuracy classifications than do conventional methods.
Lessons Learned from Using Global Outcome Measures to Assess Community Pharmacy Performance

INTRODUCTION: As value-based and alternative payment models proliferate, there is growing interest in measuring pharmacy performance. However, little research has explored the development and implementation of systems to measure pharmacy performance. Additionally, systems that currently exist rely on process and surrogate outcome measures that are not always relevant to patients and payers. PROGRAM DESCRIPTION: This article describes the process used to design and implement a performance measurement program for a group of enhanced services pharmacies in North Carolina. This program was successful in measuring quality based on medication adherence, hospitalizations, emergency department visits, and total cost of medical care for nearly all North Carolina pharmacies. Measures were scored and combined into a single 11-point composite pharmacy performance score. To demonstrate the measures, we compared performance scores for enhanced services pharmacies (n = 119) to other North Carolina pharmacies (n = 1,616) during the baseline measurement period (March 1, 2015-May 31, 2015). Adherence measure scores for enhanced services pharmacies exceeded those of other pharmacies (P values < 0.0001-0.003), but total scores were not significantly different, with enhanced services pharmacy mean total scores of 6.54 vs. 6.29 for all other pharmacies (P = 0.115). OBSERVATIONS: The program described provides an example of a composite performance measurement system that can be used to support alternative pharmacy payment models and shows that case-mix adjustment is possible for broad outcomes such as those used in this program. The measures used for the program depend on timely feeds of medical claims. Payers and pharmacy networks implementing a similar program may need to explore alternative structure or process measures. IMPLICATIONS: As pharmacy payment models evolve, there may be value in collaboration between academics, pharmacists, and payers to bring different areas of expertise and perspectives into the performance measurement process. This program demonstrates that global outcome measurement is possible over a broad set of pharmacies and invites additional research to explore the validity of this and other methods to measure pharmacy quality and performance.
Alcoholic and non-alcoholic fatty liver disease and associations with coronary artery calcification: evidence from the Kangbuk Samsung Health Study

Objective Recent evidence suggests that alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD) may differentially affect risk of cardiovascular mortality. To investigate whether early liver disease due to AFLD or NAFLD have similar or dissimilar effects on risk of early coronary artery atherosclerosis, we have investigated the associations between AFLD and NAFLD and coronary artery calcium (CAC). Design A cross-sectional study was performed in 105 328 Korean adults who attended a health check-up programme. CAC score was assessed using CT, daily alcohol intake was recorded as grams/day and liver fat by ultrasound. Logistic regression model was used to calculate ORs with 95% CIs for prevalent CAC. Results Both NAFLD and AFLD were positively associated with CAC score. After adjusting for potential confounders, multivariable-adjusted OR (95% CIs) for CAC >0 comparing NAFLD and AFLD to the reference (absence of both excessive alcohol use and fatty liver disease) were 1.10 (95% CI 1.05 to 1.16) and 1.20 (95% CI 1.11 to 1.30), respectively. In post hoc analysis, OR (95% CI) for detectable CAC comparing AFLD to NAFLD was 1.09 (95% CI 1.01 to 1.17). Associations of NAFLD and AFLD with CAC scores were similar in both non-obese and obese individuals without significant interaction by obesity (p for interaction=0.088). After adjusting for homeostasis model assessment of insulin resistance and high-sensitivity C reactive protein, the associations between fatty liver disease and CAC scores remained statistically significant. Conclusion In this large sample of young and middle-aged individuals, early liver disease due to NAFLD and AFLD were both significantly associated with the presence of coronary artery calcification.
Bi-Adversarial Auto-Encoder for Zero-Shot Learning

Existing generative Zero-Shot Learning (ZSL) methods only consider the unidirectional alignment from the class semantics to the visual features while ignoring the alignment from the visual features to the class semantics, which fails to construct the visual-semantic interactions well. In this paper, we propose to synthesize visual features based on an auto-encoder framework paired with bi-adversarial networks respectively for visual and semantic modalities to reinforce the visual-semantic interactions with a bi-directional alignment, which ensures the synthesized visual features to fit the real visual distribution and to be highly related to the semantics. The encoder aims at synthesizing real-like visual features while the decoder forces both the real and the synthesized visual features to be more related to the class semantics. To further capture the discriminative information of the synthesized visual features, both the real and synthesized visual features are forced to be classified into the correct classes via a classification network. Experimental results on four benchmark datasets show that the proposed approach is particularly competitive on both the traditional ZSL and the generalized ZSL tasks.
A Mentoring Model for Enhancing Success in Graduate Education

Mentoring has served as an effective mechanism to reduce the attrition rates of individuals who are entering graduate programs in the health science disciplines; however, both minorities and males continue to be underrepresented, particularly in the discipline of human communication sciences and disorders. In response to this rapidly growing shortage, several institutions have addressed the need for mentoring; few, however, have provided effective mentoring programs to reverse the shortage of these underrepresented popula- tions. Even fewer have focused on mentoring in graduate education. Given these facts, the purpose of this article is to present 2 models for use in graduate education: a Multiple Mentor Model and a Five-Tier Mentoring Program. Both are designed to reduce attrition rates and enhance student success in acquiring the skills necessary to transition into a professional career. The former is based on the premise that students can benefit from having multiple mentors with varied skills to facilitate their academic, professional, and personal development. The latter consists of 5 components that are essential for a successful mentoring program. The authors also provide recommendations regarding new directions in the field to improve mentoring efforts that will enhance the recruit- ment, retention, graduation, certification, and employ- ment of graduate students.
Phonon and heat transport control using pillar-based phononic crystals

ABSTRACT Phononic crystals have been studied for the past decades as a tool to control the propagation of acoustic and mechanical waves. Recently, researchers proposed that nanosized phononic crystals can also control heat conduction and improve the thermoelectric efficiency of silicon by phonon dispersion engineering. In this review, we focus on recent theoretical and experimental advances in phonon and thermal transport engineering using pillar-based phononic crystals. First, we explain the principles of the phonon dispersion engineering and summarize early proof-of-concept experiments. Next, we review recent simulations of thermal transport in pillar-based phononic crystals and seek to uncover the origin of the observed reduction in the thermal conductivity. Finally, we discuss first experimental attempts to observe the predicted thermal conductivity reduction and suggest the directions for future research. GRAPHICAL ABSTRACT
Cross-cultural comparative study of psychological distress between older Korean immigrants in the United States and older Koreans in South Korea

Abstract Objective: This study aims to answer questions about the similarities and differences in the prevalence and distribution of psychological distress across these populations. Methods: Survey data from older Koreans between the ages 60 and 79 from the two countries (n = 480) was analyzed descriptively and in hierarchical multiple regressions. The stress coping framework was used as a conceptual model Results: This study found significantly different prevalence of psychological distress in both countries. About 13% of older Korean immigrants(US) experienced ‘severe’ psychological distress versus 21% of their counterparts ( Korea). Health status and overall financial status were significantly associated with the experience of psychological distress in both countries, while income was not significantly associated with psychological distress. Hierarchical multiple regression revealed significant associations between family relationships and help-seeking behavior among older Korean immigrants in the United States while there were significant associations between social support, social networks and psychological distress among older Koreans in South Korea. Conclusion: This is the first time that a comparative study has been used to understand psychological distress among older Koreans in both countries. The findings build on prior research on social support and social networks as stress coping buffers, adding a much-needed understanding of how stressors and different types of resources influence psychological distress outcomes.
Role of Cross-training in Orthopaedic Injuries and Healthcare Burden in Masters Swimmers

Abstract We determined whether the incidence of injuries would increase with advancing age and whether the participation in cross-training would be related to a decreased rate of injuries and healthcare costs in Masters swimmers. A total of 499 swimmers (55±14 years of age) belonging to US Masters Swimming completed a comprehensive questionnaire that included questions regarding their medical history as well as their training history. In average, swimmers had been training for 13±12 years, and 35, 40, and 47% participated in running, cycling, and dryland resistance training, respectively. According to the logistic regression, prevalence of injuries increased significantly but modestly with advancing age (p<0.05). Linear regression analysis showed that for every 1 month increase in the length of injury, healthcare costs increased by 7.4% (p<0.05). Linear regression and logistic regression analyses determined that overall volume of swimming training was not related to age or incidence of injuries, respectively. Multinomial logistic regression analyses using age and sex as predictors demonstrated that the odds of reporting a swim-related injury were significantly lower for individuals who participated in any number of cross-training activities compared with those who do not cross-train (p<0.05). Regular participation in any cross-training modality was inversely related to age (p<0.05). We concluded that the diversification of the overall training program by incorporating cross-training may be an important strategy to reduce sport-specific injuries among Masters athletes.