Miracle-dz/UniFAR-FTUs huggingface dataset:
Adolescent birth mothers after unintended pregnancy and infant open adoption

Indiana University-Purdue University Indianapolis (IUPUI)%%%%Birth mothers of open adoption are not well studied. This inquiry explored birth mothers’ experiences surrounding unintended pregnancy and infant open adoption placement. The focused objective was to describe adolescent birth mothers’ lives following pregnancy and adoption placement. This qualitative study used naturalistic inquiry, with participants giving 1 to 2 hour tape recorded telephone interviews. Verbatim transcripts were de-identified and systematically analyzed. Birth mother samples were at either 1 to 5 years or 5 to 15 years after infant open adoption placement. Overall both samples chronicled stories from preconception through current life. Birth mothers of both samples were unanimous in their support of open adoption. The sample of 10 birth mothers who were interviewed 1 to 5 years postplacement shared life descriptions from prepregnancy; pregnancy with the decision for open adoption placement and choice of adoptive family; birth in context with the adoptive parents and birth child; postpartum and discharge. Postplacing birth mother findings were presented using the acronym AFRESH: A–adoption accomplishments; F–fresh start; R–relationships; E–emotions; S–support; H–healing. Personal, social, and relational benefits of open adoption far outweighed pregnancy, birth, and emotional challenges. Even though the process and outcome were “hard,” and included personal obstacles, the open adoption placement was “best. ” Birth children were viewed as thriving, blossoming, and having a wonderful life. Adoptive families were cherished like those of extended family. Birth mothers thought health care providers should share the option, and then provide adoption friendly care. They also would advise pregnant teens to choose open adoption. Results from the 5 to 15 years postplacement sample of 5 birth mothers yielded themes of (1) satisfaction about decision for open adoption, choice of adoptive couple, and seeing a thriving birth child; (2) personal milestone accomplishments in education, finances, work, life, and relationships; (3) a sustaining sense of being a better person with an improved life; and (4) the essential need for support during and after the process.
Nursing team stress at the ready-service of a public hospital / Estresse da equipe de enfermagem no serviço de pronto-atendimento de um hospital público / Estrés del equipo de enfermería en el servicio..

Objetivo: i dentificar os fatores estressores da equipe de enfermagem do pronto atendimento de um hospital publico de medio porte. Metodologia: estudo descritivo e transversal quantitativo, realizado em um hospital publico no municipio de Picos-Piaui, no qual participaram da pesquisa oito enfermeiros e 19 tecnicos de enfermagem que atuam no servico de pronto atendimento adulto. Os dados obtidos foram organizados no Software Microsoft Office Excel 2010 e logo apos tabulados e analisados pelo mesmo programa. Resultados: a amostra foi constituida por 15 (55,5%) participantes do sexo feminino, com faixa etaria mais prevalente entre 20-30 anos (37,0%), atuando no setor da urgencia a mais de tres anos (59,2%). Em relacao as horas trabalhadas por dia, 26 (96,3%) relataram que trabalham de 12 a 24 horas por dia, somado a isso 16 (48,0%) afirmaram ter outro vinculo empregaticio. A grande demanda do setor e o fator que mais causa estresse no ambiente de trabalho, segundo os entrevistados, seguido pelo ambiente fisico e a sobrecarga do trabalho. Foram reportados como sintomas de estresse: cansaco, dor lombar e cefaleia. Conclusao: os fatores estressores identificados estao relacionados a dinâmica e processo de trabalho do enfermeiro, bem como o ambiente fisico onde as atividades ocorrem. Descritores : Enfermagem. Estresse Ocupacional. Equipe de Enfermagem.
Different level of exhaled nasal nitric oxide in patient diagnosed with primary dyskinesia

Abstract Background: Primary ciliary dyskinesia (PCD) is a genetic disease characterized by abnormally beating cilia. In these patients levels of nasal nitric oxide (nNO) are lower than those observed in healthy subjects. Objectives: We recorded the nNO levels in PCD patients in order to use those nNO measurements in the screening and identification of patients with symptoms suggestive of disease PCD disease.
Vertebrate phylogenomics and gene family evolution.

This thesis is about 2 topics; the evolution of gene families by the birth-death process of gene duplication and gene loss, and phylogenetic inference. It is a central theme that these two processes are intimately associated - the phylogenies of gene families (of any gene) are shaped by the processes of gene duplication and gene loss, as much as by the processes of speciation and extinction occurring among the species the gene is evolving in. This has two results. Firstly, that we need to know, or assume, something about the processes of gene duplication and loss to correctly understand the pattern of speciation, or cladogenesis, in a group of organisms. Secondly, that we need to know, or assume, something about this pattern if we are to fully appreciate the effect of gene duplication and loss on a gene family phylogeny.The main part of this thesis investigates the use of reconciled tree methods in unravelling species phylogeny and the evolution of gene families. Part of this investigation involves placing reconciled tree methods (and the use of these methods to infer species phylogeny, known as gene tree parsimony), in the context of some related methods: supertree methods and "simultaneous analysis" of combined data. Two empirical studies complete this part of the thesis - one attempting to infer the higher-level phylogeny of vertebrates using gene tree parsimony, and another focusing on a lower taxonomic level, on primate phylogeny. This chapter attempts an integrated study of gene duplication and species phylogeny, which uses information about gene duplication to help date evolutionary events.Despite the close relationship between gene duplication and speciation on phylogenies, it is possible to study gene duplication independently. If we restrict ourselves to genes sampled from a single genome, gene family trees represent gene duplications and gene losses occurring during the history of a single species, so the complication of speciation and extinction is eliminated. By realising that the processes of gene duplication and loss in these trees are analogous to the processes of speciation and extinction in species phylogenies, we can harness a toolkit of methods developed for more traditional phylogenies to study these molecular processes. Two such methods are models of cladistic tree shape and birth-death models, which allow the first estimates of the rate of gene loss.
Demographic Factors Associated with Condom Use in 18-24 Year Olds For Two States, 1998 and 2000/2001

Background: Despite knowledge about the transmission of HIV and other sexually transmitted diseases (STDs), young adults continue to participate in sexual risk behaviors such as unprotected sexual intercourse. This study examines factors that influence condom use in adults aged 18-24 years in the United States. Methods: Using secondary data from the 1998, 2000, and 2001 Behavioral Risk Factor Surveillance System (BRFSS), univariate and multivariate analyses were conducted to assess the factors influencing condom use stratified by gender and study year. A p-value of <0.05 and 95% confidence intervals were used to determine statistical significance throughout all analysis performed. Results: Univariate analysis found that increased age and being male were associated with increased odds of condom use. Multivariate analysis stratified by study year found that in 1998 increased age and unemployment was associated with increased odds of condom use. In 2000/2001, increased age was the only factor associated with increased odds of condom use. Being female was associated with decreased odds of condom use in that study year. When stratified by gender, only increased age was associated with increased condom use. Conclusions: The study results suggest that the factors influencing condom use vary between gender and year. Since different factors impact condom use for each gender, the interventions designed to increase condom use must be centered on those factors. Since age was one of the consistent factors positively associated with condom use, interventions must begin earlier to affect the decision-making processes of young adults. TABLE OF CONTENTS APPROVAL PAGE ii DEDICATION PAGE iii ACKNOWLEDGEMENTS iv CHAPTERS
Parameters derived from compound muscle action potential scan for discriminating amyotrophic lateral sclerosis‐related denervation

The objective of this study was to determine compound muscle action potential (CMAP) scan parameters and MScanFit motor unit number estimation (MUNE) in patients with amyotrophic lateral sclerosis (ALS) and to compare the results in the abductor pollicis brevis (APB) to those in the abductor digiti minimi (ADM).
Comparison of different teaching methods for tooth extraction

Amac: Dis hekimligi egitiminde oral cerrahinin yeri onemlidir ve dis hekimligi ogrencilerinin becerilerini gelistirmek icin pek cok yontem mevcuttur. Bu calismanin amaci dis hekimligi egitiminde oral cerrahide iki farkli ogretim yonteminin degerlendirilmesidir. Gerec ve Yontemler: Daha once oral cerrahi deneyimi olmayan toplam 84 ucuncu sinif ogrencisi iki gruba ayrildi. Grup 1’e 17 ve 37 nolu dislerin cekimi ile ilgili bir ders ve slayt sunumu yapildi. Grup 2’ye ders ve slayt sunumuna ek olarak kafatasi modeli uzerinde dis cekimi demonstrasyonu yapildi. Temel bilgi kazanimi 14 maddelik kontrol listesinden olusan bir anket kullanilarak olculdu. Veri analizi SPSS (Surum 15) istatistik yazilim paketi kullanilarak gerceklestirildi. Istatistiksel degerlendirme icin Kolmogorov Smirnov tek ornek testi ve Kruskal Wallis testi kullanildi. Bulgular: Grup 2’de istatistiksel olarak daha anlamli ogrenme skorlari gozlendi. Demonstrasyonun daha yuksek ogrenme skorlari ile iliskili oldugu belirlendi. Sonuclar: Bu calisma dis cekimi icin temel cerrahi becerilerin ogretilmesinde model uzerinde yapilan demonstrasyonun daha yararli oldugunu ortaya koymaktadir. Bu nedenle, ogretim yontemlerinin klinik oncesi egitim programlarinda demonstrasyon ile gerceklestirilmesi onerilmektedir.
Infection Prevalence of Intestinal Parasitic Protozoans in Atat Hospital, Gurage Zone, Ethiopia: A Retrospective Study

Intestinal parasitic protozoan infections remain as the major public health concerns in many developing countries like Ethiopia. A retrospective analysis was conducted to determine the prevalence of intestinal parasitic protozoan infection in patients admitted at Atat Hospital from September 2014 to August 2016. Stool samples collected from the patients were examined using direct wet mount and formal-Ether concentration techniques by experienced laboratory technologists of the hospital. Out of 15, 731 examined stool samples, 7062 (45%) were infected by intestinal protozoan parasites. Most of the infected individuals were infected by Entamoeba histolytica (60.0%) and the least was infected by Cryptosporidium parvum (3.6%). Higher infection was observed among males, 5-9 year age group, and during wet seasons. This study showed a yearly fluctuation of intestinal parasitic protozoan infections. Therefore, strategic, integrated and community participatory prevention and control program needs to be implemented in the study area.
Fighting the Battle of Recovery Together: A Content Analysis of Anonymous Posts in an Online Substance Use Forum

Abstract Background: The rates of use of substance have increased dramatically worldwide in the past several years. Approximately 10% of people who use illicit substances will develop a substance use disorder (SUD), which is a major health problem internationally. Recovery is a period of time when someone with an SUD is in remission or is not using substances. Little research has been done to examine views of patients with SUDs on recovery, particularly when that information is being shared anonymously. Objective: The purpose of the study is to gain an understanding of the experience of recovery from anonymous online postings in recovery support forums. Design: The study was conducted using a qualitative, descriptive, thematic content analysis approach to analyze 1,230 anonymous posts made to an International online recovery forum. Results: Themes identified from the online postings were that the experience of recovery included (a) the agony of withdrawal and screaming cravings, (b) a psychological roller coaster during withdrawal and recovery, and (c) use of coping skills and other strategies that help in recovery. Conclusions: These findings support current recommendations being given by healthcare providers on the use of coping skills and other recovery strategies. They also suggest that people with SUDs endure physical and psychological suffering and show a level of sophistication in managing their symptoms during recovery. Findings reveal that hope and feelings of self-satisfaction exist as a positive experience of recovery. Finally, we can interpret that there are clear benefits to online recovery communities and that healthcare providers have an important role to play as allies in the recovery experience.
Cardiovascular Magnetic Resonance Imaging Evidence of Edema in Chronic Chagasic Cardiomyopathy

The persistence of inflammatory processes in the myocardium in varying degrees of chronic Chagas heart disease has been poorly investigated. We hypothesized that edema could occur in patients with chronic chagasic cardiomyopathy and corresponds to the persistence of inflammatory processes in the myocardium. Eighty-two Chagas disease (CD) seropositive patients (64.6% females; age = 58.9 ± 9.9) without ischemic heart disease or conditions that cause myocardial fibrosis and dilation were considered. Late gadolinium enhancement (LGE) and T2-weighted magnetic resonance imaging of edema were obtained and represented using a 17-segment model. Patients were divided into three clinical groups according to the left ventricular (LV) ejection fraction (EF) as G1 (EF > 60%; n=37), G2 (35% > EF < 60%; n=33), and G3 (EF < 35%; n=12). Comparisons were performed by the Fisher or ANOVA tests. Bonferroni post hoc, Spearman correlation, and multiple correspondence analyses were also performed. Edema was observed in 8 (9.8%) patients; 2 (5.4%) of G1, 4 (12.1%) of G2, and 2 (16.7%) of G3. It was observed at the basal inferolateral segment in 7 (87.5%) cases. LGE was observed in 48 (58.5%) patients; 16 (43.2%) of G1, 21 (63.6%) of G2, and 11 (91.7%) of G3 (p < 0.05). It was observed in the basal inferior/inferolateral/anterolateral segments in 35 (72.9%) patients and in the apical anterior/inferior/lateral and apex segments in 21 (43.7%), with midwall (85.4%; n=41), subendocardial (56.3%; n=27), subepicardial (54.2%; n=26), transmural (31.2%; n=15), and RV (1.2%; n=1) distribution. Subendocardial lesions were observed only in patients with LVEF < 35%. There was no involvement of the mid-inferolateral/anterolateral segments with an LVEF > 35% (p < 0.05). Deteriorations of the LV and RV systolic functions were positively correlated (rs=0.69; p < 0.05) without evidence of LGE in the RV. Edema can be found in patients with chagasic cardiomyopathy in the chronic stage. In later stages of cardiac dilation with low LVEF, the LGE pattern involves subendocardium and mid locations. Deteriorations of RV and LV are positively correlated without evidence of fibrosis in the RV.
The Impact of the ACA Medicaid Expansion on Disability Program Applications

The Affordable Care Act (ACA) expanded the availability of public health insurance, decreasing the relative benefit of participating in disability programs but also lowering the cost of exiting the labor market to apply for disability benefits. In this paper, we explore the impact of expanded access to Medicaid through the ACA on applications to the Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs. Using the fact that the Supreme Court decision of June 2012 made the Medicaid expansion optional for the states, we compare changes in county-level SSI and SSDI caseloads in contiguous county pairs across a state border. We find no significant effects of the Medicaid expansion on applications or awards to either SSI or SSDI, and can reject economically meaningful impacts of Medicaid expansions on applications to disability programs.
Contributions of Vegetable Production to the Household Food Security: The Case of Kebeles Surroundig Holeta Town

Agriculture is the mainstay of the country's economy and the major source of foreign exchange earnings and domestic consumption. To improve the prevailing low level of production and productivity the use of yield improving inputs is of paramount important. In this study, an attempt was made to examine the contribution of vegetable production to household food security. The study was conducted at rural kebeles surrounding Holeta town. The survey data collected from rural kebeles surrounding Holeta town. The collected data considered two groups of farm households, vegetable producers and non-vegetable producer's households for comparison purpose. The study found out that vegetable production has a significant contribution to household food security via improving the income of producing household and improving the productivity of food crop production. Different types of vegetables are grown in the study area with different intensities in terms of land and other input allocation, purpose of production, and marketability. The most commonly grown vegetables in terms of the number of growers are potato, cabbage, tomato, carrot, onion, and green paper. The study found that, majority of vegetable producers households have been found to be more food secure than their nonproducing counterparts. Similarly, it was observed that income from vegetable was used to cover other expenditures such as education, health, and wage for laborers. Moreover the study found out that, weak extension support service, limited land holding, lack of access to credit, limited supply of improved seed, marketing and market information, outbreak of disease and pest are some of the most important problems. The drawbacks in the absence and quality of extension service were among the strong problems mentioned apart from the other challenges. Finally, the researcher recommends that in promoting vegetable producer households, continues assessment of contribution of vegetable production to household food security, intensified agricultural farming, problems related to extension service, credit service, market and marketing information, and provision of modern agricultural inputs should be addressed.
Adiponectin plasma concentration, type 2 diabetes mellitus, cardiovascular diseases and features of metabolic syndrome

Background. The aim of the study was to assess the relationship between adiponectin plasma concentration and anthropometric variables of obesity, type 2 diabetes mellitus (T2DM) as well as atherosclerotic-related cardiovascular diseases (CVD). Material and methods. 96 randomly selected subjects participated in the study, including 64 T2DM patients (aged 65.02 ± ± 13.5 years; 34 women and 30 men; mean HbA1c 7.9 ± ± 1.6%) and 32 without T2DM (aged 69.78 ± 10.36 years; 18 women and 14 men). Of 96 subjects, 37 diabetic patients and 19 non-diabetic subjects had documented CVD, defined as coronary heart disease, stroke or peripheral artery disease. Body mass index (BMI), waist circumference, waist to hip ratio (WHR) and blood pressure were determined. Plasma concentrations of adiponectin, glucose, insulin, total cholesterol and triglycerides were measured at fasting. Results. Circulating adiponectin level was significantly lower in T2DM patients than in non-diabetic subjects (7.26 ± 4.42 mg/ml vs. 13.76 ± 5.90 mg/ml; P < 0.001). Significant inverse correlations between adiponectin circulating level and WHR (r = –0.31; P < 0.05), total cholesterol (r = –0.26; P < 0.05), triglycerides (r = –0.35; P < 0.001) and HbA1c (r = –0.25; P < 0.05) were found in T2DM patients. In subjects without diabetes the correlation was found only between adiponectin and triglycerides levels (r = –0.40; P < 0.05). Adiponectin plasma concentration did not differ depending on the presence or absence of CVD neither in diabetic nor in non-diabetic subjects. Conclusions. Adiponectin level in T2DM patients correlated negatively with WHR, total cholesterol, triglycerides and HbA1c levels. No significant correlation between adiponectin level and atherosclerotic-related cardiovascular diseases was found both in T2DM patients and subjects without diabetes.
An Appreciative Inquiry into the Preparation of Undergraduate Education Studies Students to Value and Embrace Diversity

This study is a qualitative appreciative inquiry into how students of an undergraduate Ed. and Training programme are prepared for diversity. The setting for the study is the School of Education Studies at Dublin City University and the research involves a review of programmes and moudule intentions and qualitative data collected from final year students, academic staff and alumni of the programme. The study includes a literature review that examines the conceptualisation of diversity and looks at diversity as a consequence of a changing world. It then examines current policy and practice in relation to diversity and education in the EU and in ireland. The philosophical basis for the study is constructivism and aspects of an Appreciative Inquiry (AI)approach are used to give a structure and a focus to the gathering and analysing of data. The study further suggests how AI can be used as a model of course evaluation. Findings arise directly from the observations made by study participants and centre on the need for greater opportunities for students to experience diversity while on the programme,learn in more practical ways, engage with those dealing with diversity in the field, enhance skills in dealing with behavioural and pastoral issues in the workplace. Findings also suggest a need for diversity to become more explicit as a theme across the three years of the programme. The findings have implications for further research into how diversity training and other topics are delivered in the programme and in the School. Beyond this context, it has implications for how diversity learning happens in other educationalcontexts and the use of appreciative Inquiry as a tool for course evaluation and educational research.