Miracle-dz/UniFAR-FTUs huggingface dataset:
Patient Involvement in Decision-Making: An Important Parameter for Better Patient Experience—An Observational Study (STROBE Compliant)

Background and Aim: Preferences of service users is an important consideration for developing health-care services. This study aimed to assess the experiences of the patients with substance use disorders who were admitted to a tertiary health-care facility in India. Method: This cross-sectional sectional study recruited adult inpatients who stayed for a period of 7 days or more. The Picker Patient Experience questionnaire (PPE-15) was used to gather information about the views of the patients about the care received at the center. Results: Responses were available from 113 inpatients. Majority of the participants were males and were dependent on opioids. The experience was generally positive about being treated with respect and dignity and access to information. The participants were most satisfied with opportunity being given to discuss anxiety and fear about the condition or treatment (91.2% positive response) and least satisfied with differences in responses from doctors and nurses (43.4% positive response). Further attention seemed desired about communication with the staff and patients’ involvement in their own treatment-related decision-making. Conclusion: Efforts need to be made to involve patients in their own treatment-related decision-making and to improve communication with the treatment team. This might lead to better involvement in treatment process, which could enhance the treatment outcomes in this vulnerable population.
Evaluation of pulse rate measurement with a wrist worn device during different tasks and physical activity

The purpose of this study was to evaluate the wrist-worn device Mio FUSE, which estimates heart rate (HR) based on photo-plethysmography, 1) in a large study group during a standardised activity, 2) in a small group during a variety of activities and 3) to investigate factors affecting HR accuracy in a real-world setting. First, 53 male participants (20 ±1 years; 1.79 ±0.07 m; 76.1 ±10.5 kg) completed a 35-km march wearing the Equivital EQ-02 as a criterion measure. Second, 5 participants (whereof 3 female; 29 ±5 years; 1.74 ±0.07 m; 67.8 ±11.1 kg) independently performed 25 activities, categorised as sitting passive, sitting active, standing, cyclic and anti-cyclic activities with the Polar H7 as a criterion device. Equivalence testing and Bland-and-Altman analyses were undertaken to assess the accuracy to the criterion devices. Third, confounders affecting HR accuracy were investigated using multiple backwards regression analyses. The Mio FUSE was equivalent to the respective criterion measures with only small systematic biases of -3.5 bpm (-2.6%) and -1.7 bpm (-1.3%) with limits of agreements of ±10.1 bpm and ±10.8 bpm during the 35-km march and during different activities, respectively. Confounding factors negatively affecting the accuracy of the Mio FUSE were found to include larger wrist size and intensified arm and/or wrist movement. The wrist-worn Mio FUSE can be recommended to estimate overall HR accurately for different types of activities in healthy adults. However, during sporting activities involving intensified arm and/or wrist movement or for detailed continuous analysis, a chest strap is preferred to the Mio FUSE to optimise HR estimation accuracy.
Effect of micro irrigation on growth, yield and water-use efficiency of onion (Allium cepa) under western Maharashtra conditions

An experiment was conducted at Rajgurunagar, Pune during 2000-03 to study the feasibility of micro irrigation on growth, yield and yield-contributing characters of onion (Allium cepa L.) under western Maharashtra conditions. Both drip and micro sprinkler irrigation systems improved growth (66.9 cm), yield (39.6 tonnes/ha) and yield-contributing parameters of onion. Among the different irrigation methods and levels tested, the drip irrigation at 100% pan evaporation recorded the highest marketable bulb yield 39.6 tonnes/ha onion, followed by 33.9 tonnes/ha micro sprinkler irrigation at 100% pan evaporation. There was a saving of irrigation water of 37.8 % in drip and 32.5 % in sprinkler system under best treatment compared with the surface irrigation scheduled at 50 mm cumulative pan evaporation with 7 cm depth.
The ecological role of feeding disturbances of the Atlantic horseshoe crab, Limulus polyphemus

This study examined the influence of localized disturbances on the heterogeneity of ecological communities at multiple temporal and spatial scales. Foraging disturbances by the epibenthic predator, Atlantic Horseshoe Crab Limulus polyphemus, on the intertidal mudflats of Great Bay estuary, New Hampshire, USA were used as the study system. This study overcame methodological hurdles in the study of small localized disturbance over extensive areas of soft-sediments. Using a novel, low-cost technique to monitor Limulus foraging disturbances, Great Bay's tidal flats were found to be critical feeding habitats from late spring till fall. Foraging Limulus disturbed the benthos of Great Bay at high frequencies and intensities -disturbing 67-70% of the survey area more than once every four weeks over the intertidal foraging season. It was also found that Limulus disturbance within a single site exhibited a clustered spatial pattern over a spatial scale of 3 weeks and also over the entire intertidal foraging season. Infauna densities in individual Limulus feeding pits were significantly lower than in undisturbed sediment, and recovered to resemble the structure of undisturbed communities within 28 days. The role of Limulus disturbance on infaunal community structure was confirmed by long-term exclusion experiments in 2009 and 2010. Removal of Limulus disturbance resulted in significant increase in predatory polychaetes in both years, although there were no significant trends observed in abundance of total infauna or deposit feeding polychaetes and oligochaetes. On the other hand, bivalve, Macoma balthica, abundance and biomass were significantly higher within exclusions. On the scale of the estuary, Limulus disturbance was found to contribute between 24% to 91% of the variability of total infaunal abundance, and had similarly negative effects on the abundance of predatory and deposit feeding polychaetes across the estuary. However, Limulus disturbance patterns did not explain the variability of Macoma abundance and biomass across the estuary. Observational and experimental results revealed that Limulus is a critical factor structuring infaunal communities in Great Bay. However, the infaunal taxa that is most affected by Limulus foraging disturbance varies from the localized scale of individual disturbances to the landscape scale of the estuary.
Monitoring Red Imported Fire Ant (Hymenoptera: Formicidae) Foraging Behavior and Impact on Foliage-Dwelling Arthropods on Soybean Produced Under Three Ant Suppression Regimes

The red imported fire ant, Solenopsis invicta Buren, has been reported to contribute to the biological control of key arthropod pests in soybean, Glycine max (L.) Merrill, and other crops. Solenopsis invicta also has been implicated as a major disrupter of biological control and a direct crop pest associated with reduced yields. In 2000 and 2001, fire ant foraging, survival of sentinel lepidopteran eggs and pupae, seasonal abundance of common foliage-dwelling soybean arthropods, and crop yield were assessed under three different fire ant suppression treatments at two test sites in Tift Co., GA. The treatments included an untreated control, hydramethylnon ant bait, and hydramethylnon bait in combination with the broad spectrum insecticide chlorpyriphos. Fire ant foraging was reduced in the chemically-treated plots in comparison to the control, based on fire ant numbers on hot dog baits after a 1-h field exposure in the early morning. Survival of soybean looper, Pseudoplusia includens Walker, eggs in 2000 a.
Defining Dendritic Cells and Macrophages in Lymph Nodes and Gut Mucosa During Simian Immunodeficiency Virus Infection

The gut mucosa is an important site of virus replication and immune activation in individuals infected with human immunodeficiency virus (HIV), but the impact of infection on innate immune cells within the gut and gut-draining mesenteric lymph nodes (LN) is ill-defined. To address this gap in knowledge, we studied rhesus macaques infected with pathogenic simian immunodeficiency virus (SIV), which is a highly relevant model of HIV infection and AIDS. We analyzed macrophage, myeloid dendritic cell (mDC), and plasmacytoid dendritic cell (pDC) subsets in LN and terminal ileum samples taken from naive rhesus macaques and macaques infected with SIVmac251 with and without antiretroviral therapy (ART) to reduce virus load. CD163-CD68+ macrophages did not fluctuate with disease, while putative anti-inflammatory CD163+CD68+ macrophages were significantly increased in mesenteric and peripheral LN, which may be suggestive of the host’s attempt to repress inflammation. CD11c+ mDC and CD123+ pDC in peripheral LN exhibited a modest decrease during acute SIV infection and AIDS. Lastly, we determined the percentage of CD103+ DC, which have been shown to induce regulatory T cell (Treg) differentiation in mesenteric LN and imprint Treg with gut-homing markers. CD103 was expressed on 31% of mDC in mesenteric LN of healthy macaques and a similar proportion of mDC in SIV-infected animals receiving therapy, whereas CD103+ mDC were depleted in untreated SIV infection, suggesting a role for CD103+ mDC loss in altering Treg homeostasis. Our results highlight the complexity of the innate immune response to SIV in mucosal tissues and point to contributions of macrophages and DC in virus control and AIDS pathogenesis. These findings could lead to discoveries of novel innate immune therapeutic targets and therefore have significant public health value.
Influence of Job-seeking Stress on Perimenstrual Symptoms of Female College Students in Health and Non-health related Majors: Mediating Effects of Stress Coping Styles.

PURPOSE To determine effects of job-seeking stress on perimenstrual symptoms of female college students with health and non-health related majors and mediating effects of stress coping styles. METHODS Data were collected from 189 female college students who were juniors or seniors. This study was conducted using questionnaires on job-seeking stress, perimenstrual symptoms, and stress coping styles. Data analysis included descriptive statistics, Pearson correlation analysis, and multiple regression analysis using SPSS, version 23.0. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. RESULTS Job-seeking stress was significantly and positively correlated with perimenstrual symptoms in non-health college students. Passive stress coping styles demonstrated a complete mediating effect on the relationship between job-seeking stress and perimenstrual symptoms of those with non-health related majors (β=0.31, p=.002). Such effect was significant (Sobel test; Z=2.06, p=.039). CONCLUSION Effects of job-seeking stress on perimenstrual symptoms were mediated by passive stress coping styles of non-health related major students. Based on findings of this study, effective stress cope strategies should be developed considering characteristics of majors to manage perimenstrual symptoms of female college students with high job-seeking stress.
Hubungan Pola Makan dan Aktivitas Fisik dengan Kejadian Hipertensi di Kabupaten Tulang Bawang

Hipertensi adalah suatu keadaan dimana seseorang mengalami peningkatan tekanan darah di atas normal, dimana tekanan darah dikategorikan tinggi 140/90 mmhg. Penyakit hipertensi disebabkan karena pola makan yang buruk dan kurangnya aktivitas fisik. 25 dari 32 penderita hipertensi mempunyai kebiasaan pola makan buruk dan 23 dari 32 penderita hipertensi melakukan aktivitas fisik ringan <600 Mets-min/minggu. Tujuan dari penelitian ini adalah diketahui hubungan pola makan dan aktivitas fisik dengan kejadian hipertensi di Puskesmas Tulang Bawang I tahun 2017. Jenis penelitian adalah kuantitatif dengan metode pendekatan “restrospektif” populasi penelitian adalah penderita hipertensi sejumlah 267 responden. Teknik sampel yang digunakan simple random sampling analisa data menggunakan uji chi square. Hasil penelitian menunjukan distribusi frekuensi hipertensi 32 responden (50,0%) sebanyak 25 (86,2%) mempunyai pola makan buruk, sebanyak 23 (67,9%) melakukan aktivitas ringan <600 Mets-min/minggu. Hasil uji chi square diperoleh data hubungan pola makan dengan kejadian hipertensi dengan p-value=0,000 dan ada hubungan aktivitas fisik dengan kejadian hipertensi dengan p-value=0,005. Diharapkan pada pihak terkait khususnya Puskesmas Tulang Bawang I untuk menggalakan senam bersama bagi kelompok masyarakat beresiko hipertensi dan mengadakan penyuluhan tentang pentingnya pencegahan hipertensi dengan berbagai metode dan media.
Protein adaptation in extremophiles

Preface Enzyme Stability and Activity at High Temperatures Enzyme Function at Low Temperatures in Psychrophiles Halophilic Adaptations of Proteins Alkaline Adaptation of Proteins Thermoacidophiles and Their Protein Adaptation to Low pH and High Temperature Protein Adaptation to High- pressure Environments Organic Solvent-Stable Enzymes Index.
The Injection Technique Factor: What You Don’t Know or Teach Can Make a Difference

IN BRIEF To be consistently effective, insulin must be delivered into subcutaneous tissue. If insulin is delivered intramuscularly, its uptake and action become variably faster, leading to suboptimal, inconsistent glucose control. The best strategy to avoid intramuscular injection is to use the shortest needles available. Injection sites should be rotated systematically to prevent lipohypertrophy, which also substantially affects insulin uptake and action. New evidence-based insulin delivery recommendations are available, and awareness of them should lead to more effective use of insulin therapy, improved clinical outcomes, and considerable cost savings.
December

Bright crisp frost raises the spirits and sets the blood in healthy circulation by provoking exercise. And bright crisp frost we have a right to expect in December, although it is unfortunately true that we do not always get it. On the contrary, December is often characterised by damp, cold, ? ,nd drizzle, sometimes by snows and thaws, and especially towards the end of the month by easterly winds. Martial applies to December the epithet canus or hoary. "Great things now doeth the surpassing knowledge. Behold ! He saith
Diseases of the small intestine

PLEASE NOTE THAT A MORE RECENT EDITION OF THIS TITLE IS AVAILABLE IN THE LIBRARYDiseases of the small intestine (SI) are common in dogs and cats, and cause a range of signs including diarrhoea, vomiting and weight loss (or failure to thrive). The initial aim of diagnostic investigations is to exclude diseases of other organs or body systems; more specific diagnostic tests can then be used to obtain a definitive diagnosis. However, given the current limitations in testing, such a definitive diagnosis is sometimes difficult to achieve. In these circumstances treatment trials may provide more diagnostic information. This chapter explains Structure and function; Pathophysiology disease; Diagnosis; Treatment; and Disorders of the small intestine.
Current Trends in Glioblastoma Treatment

Glioblastoma (also called glioblastoma multiforme – GBM) is a primary brain neoplasm, representing about 55% of all gliomas. It is a very aggressive and infiltrative tumor. Glioblastoma is usually highly malignant, with more than 90% 5-year mortality and a median survival of about 14.6 months. Compared to other cancers, the survival rate has not greatly changed over time and no current treatment is curative for this disease. Because the tumor has a heterogeneous cell population containing several types of cells, the treatment for GBM is one of the most challenging in clinical oncology. This chapter will discuss the current approaches in glioblastoma treatment, including resection techniques, chemotherapy and radiation GBM, postoperative reactive changes and parenchymal damage as a result of surgery. Postoperative contrast-enhancing tumor mass is typically used to delineate residual GBM and completeness of removal. It is better to use volumetric analysis of the preopera tive and postoperative tumor to accurately measure EOR and residual volume (RV). Reactive postoperative changes can be seen as early as 18 hours on MRI, but usually does not appear in the first 3–4 days. The EOR was identified as a strong prognostic factor for survival in GBM, together with patient’s age and patient’s functional status. Surgical removal has a critical role in GBM management because the only potentially modifiable risk factor associated with survival is EOR. The gross-total resection is not always possible. Thus, several studies have been conducted to evaluate EOR threshold which may serve as minimum surgical goal to achieve. Other studies demonstrated that EOR is not an ideal indicator to the success of the surgery, because it is a percentage value, reported to initial volume of the tumor, which can vary widely. Contrast-enhancing RV is considered a more clinically relevant measure and a stronger predictor of survival than EOR, representing the tumor mass existing prior to starting medical therapy. Chaichana et al. in 2014 evaluated newly diagnosed GBM patients who
Phenotypic and Genetic Correlations Among Mating Traits in Three Species of Nasonia (Hymenoptera: Pteromalidae

Changes in male reproductive tactics are often associated with mate availability, which will lead to a correlation between the male’s mating strategy and a female’s willingness to mate. However, identifying such a correlation within a population with variable male behaviour may be impossible, so studying variation between populations or species becomes preferable. We tested whether this type of association exists between three species of the parasitoid wasp Nasonia, where females show variation in their frequency of mating inside the host puparium (called Within-host mating; WHM) versus outside it. We investigated male aggressive behaviour, site fidelity and dispersal in relation to WHM using six lines of Nasonia; 2 from each species. All observations were made during adult emergence from the host puparium. We found that male Nasonia vitripennis were highly aggressive and did not leave the area surrounding the host, and 95% of females emerged as virgins. In contrast, N. giraulti males showed little to no aggression and a high tendency to leave the area after emerging from the host, and 100% of females tested emerged having already mated. The third species, N. longicornis, was variable for
Speed of recovery in adult patients with community-acquired pneumonia; moxifloxacin versus levofloxacin.

INTRODUCTION To evaluate the speed of recovery in CAP-treated adults with Moxifloxacin versus levofloxacin. METHODOLOGY A retrospective multicenter study between January 14, 2010 - March 23, 2017. Patients' records with the diagnosis of community-acquired pneumonia (CAP), age ≥ 18 and ≤ 60 years old, susceptible bacteria to the prescribed fluoroquinolone, completed three days of antimicrobial therapy and who were switched from parenteral to the oral form for the same antimicrobial agent were included. RESULTS 701 charts were reviewed, 367 were excluded; not on respiratory fluoroquinolones (RFQ), age > 60 or < 18 years old, not enough data, prior antimicrobials, hospital-associated pneumonia, < 3 days of therapy, and one pregnant woman. 334 patients were Included; 167 levofloxacin and 167 moxifloxacin, with 68.5% males (P = 0.259), no significant difference in comorbidities (P > .05), but increased diabetes mellitus in moxifloxacin-treated patients (P = 0.012). No significant difference in Pneumonia Severity Index (PSI). Multivariate and univariate analysis demonstrated that day 3 rate of improvement; levofloxacin-treated patients 75.9% (95% CI, 69.9 to 81.8), and 84.0% (95% CI, 78.1 to 89.9) for Moxifloxacin (difference -8.1%, 95% CI, -16.5 - .003, P = 0.058). And day 5 rates of improvement in Levofloxacin-treated patients was 91.9%, (95% CI, 88.3 - 95.6), and 95.5% (95% CI, 91.8 - 99.2) for moxifloxacin (difference -3.5%, 95% CI, -8.7 - 1.7, P = 0.184). There was no significant difference for patients with radiological diagnoses for day 3 (P = 0.832) and 5 (P = 0.929). CONCLUSIONS Our uni-and-multivariate analyses demonstrated that moxifloxacin exhibited no significant differences in the rates of improvement on days 3 and 5.
Mid-term functional results of surgically treated acetabulum fractures -

The aim of the study was to evaluate the type of trauma, additional injury, age, additional diseases, need for ICU and blood transfusion, postoperative complications, mid-term patient satisfaction and hip functions of the patients who underwent surgical treatment for acetabulum fracture in our clinic. A total of 17 patients (15 males, 2 females, mean age 40,7 years ) who admitted to the emergency department between 2013 and 2016, and treated surgically due to acetabulum fractures were included in the study. According to Judet Letournel classification, 7 anterior wall fractures, 4 anterior column fractures, 3 posterior column fractures and 3 both column fractures were determined. Mean hospital stay was 14.5 days (range 3-45 days) and mean follow-up was 26 months (14 to 57 months). ICU needed in 3 (17.6%) cases, mean stay was 10.3 days (range 1-29 days). 6 (35.2%) patients required blood transfusion, mean amount was 4.1 units (range 2-6 units). Harris hip scores were excellent - good in 12 cases (70.5%) and 5 cases (29.5%) had moderate - poor results at 12th month. There was no statistically significant relationship between severity of trauma, type of injury, age, additional diseases, intensive care and blood transfusion requirements, postoperative complications and patient satisfaction (p> 0.05). In selected acetabular fracture cases with proper planning according to fracture type, in early period, surgery may lead to satisfactory results in terms of patient satisfaction and hip functions.
Nutrition of the domestic rabbit.

: Recent studies on the nutritional needs of the rabbit were reviewed. Emphasis was placed on fiber utilization by rabbits, digestibility of forage protein, and unique aspects of mineral and vitamin requirements. In spite of the herbivorous nature of rabbits, their ability to digest fiber is low. Indigestible fiber may have a role in preventing enteritis. While lacking the ability to efficiently digest fiber, rabbits do make efficient use of forage protein, in contrast to most other monogastric animals. Differences in serum calcium homeostasis and calcium excretion as compared with other animals were discussed. The interrelationship between vitamin E and selenium appears different in the rabbit compared with other species. The limited information available on rabbit nutrition suggests that rabbits are unusual in their metabolism of several nutrients; because of their wide use in biological research, more extensive information on nutritional and metabolic characteristics of rabbits is needed.