Miracle-dz/UniFAR-FTUs huggingface dataset:
Oral Health Literacy and Related Factors among Pregnant Women Referring to Health Government Institute in Kerman, Iran

Objective: To evaluate oral health literacy among pregnant women in Kerman, Iran. Material and Methods: The present cross-sectional study was conducted on 169 pregnant women referring to government institute. Data were collected by demographic profile (including age, number of children, educational level, dental attendance before pregnancy and economic status), 17-item oral health literacy questionnaire consisting of four domains (including reading comprehension, numeracy, listening, and decision-making skills), self-assessment oral health status, DMFT index and oral health behavior. Data were analyzed by SPSS version 21 software using ANOVA and Chi-square tests at a significance level of 0.05 . Results: The mean age of participants was 27.92 ± 5.25 years, 38.2% of them had bachelor's degree, 35.8% had dental attendance before pregnancy and 29.1% brushed daily their teeth twice or more. Dentists were the most frequent source of oral health information. Moreover, 60.0% believed their oral health was to be moderate, and 59.4% had inadequate oral health literacy. There was also a significant correlation between educational level, monthly income and dental attendance before pregnancy . Conclusion: Our results showed inadequate oral health literacy among pregnant women, highlighting the necessity of dental consultation before pregnancy.
In Situ Digital Image Correlation Observations of Laser Forming

In this study experimental and modelling methods are used to examine the microstructural and bending responses of laser-formed commercially pure titanium grade 2. The in situ bending angle response is measured for different processing parameters utilizing 3D digital image correlation. The microstructural changes are observed using electron backscatter diffraction. Finite element modelling is used to analyse the heat transfer and temperature field inside the material. It has been proven that the laser bending process is not only controlled by processing parameters such as laser power and laser beam scanning speed, but also by surface absorption. Grain size appears to have no influence on the final bending angle, however, sandblasted samples showed a considerably higher final bending angle. Experimental and simulation results suggest that the laser power has a larger influence on the final bending angle than that of the laser transverse speed. The microstructure of the laser heat-affected zone consists of small refined grains at the top layer followed by large elongated grains. Deformation mechanisms such as slip and twinning were observed in the heat-affected zone, where their distribution depends on particular processing parameters.
Characterizing NWP Model Errors Using Doppler-Lidar Measurements of Recurrent Regional Diurnal Flows: Marine-Air Intrusions into the Columbia River Basin

Ground-based Doppler-lidar instrumentation provides atmospheric wind data at dramatically improved accuracies and spatial/temporal resolutions. These capabilities have provided new insights into atmospheric flow phenomena, but they also should have a strong role in NWP model improvement. Insight into the nature of model errors can be gained by studying recurrent atmospheric flows, here a regional summertime diurnal sea breeze and subsequent marine-air intrusion into the arid interior of Oregon–Washington, where these winds are an important wind-energy resource. These marine intrusions were sampled by three scanning Doppler lidars in the Columbia River basin as part of the Second Wind Forecast Improvement Project (WFIP2), using data from summer 2016. Lidar time–height cross sections of wind speed identified 8 days when the diurnal flow cycle (peak wind speeds at midnight, afternoon minima) was obvious and strong. The 8-day composite time–height cross sections of lidar wind speeds are used to validate those generated by the operational NCEP–HRRR model. HRRR simulated the diurnal wind cycle, but produced errors in the timing of onset and significant errors due to a premature nighttime demise of the intrusion flow, producing low-bias errors of 6 m s−1. Day-to-day and in the composite, whenever a marine intrusion occurred, HRRR made these same errors. The errors occurred under a range of gradient wind conditions indicating that they resulted from the misrepresentation of physical processes within a limited region around the measurement locations. Because of their generation within a limited geographical area, field measurement programs can be designed to find and address the sources of these NWP errors.
Study of histopathological spectrum of ovarian neoplasms: An experience at a tertiary care hospital

Background: In the present scenario, ovarian cancer is a leading cause of cancer incidence and mortality worldwide, proper categorization into exact morphological type will help the gynecologist for better diagnosis and management.Aim & Objective: The present study has mainly investigated the incidence, morphological, gross, histopathological pattern, and incidence of the age distribution of ovarian tumors attending a tertiary care hospital.Methodology: It is a prospective study carried out at Katuri Medical College and Hospital, Chinakondrupadu, Guntur district, Andhra Pradesh, India over a period of 2 yrs. i.e., from October 2017 to September 2019 in the department of Pathology. Sections were processed and stained with H&E, histomorphological patterns were noted. Wherever necessary, special stains such as PAS and Recticulin were used.Results: In the present study, age range from 15 to 65 years with a majority of cases included, among 36-45 years, 26 (52 %) cases. In the total study population, Out of 50 ovarian tumors included, 76% (38/50) were benign, 10% (5/50) were borderline and 14% (7/50) were malignant. Surface epithelial tumors were most common about 76% (38/50 cases) followed by germ cell tumors 16% (8/50 cases) and Sex cord-stromal tumors 8% (4/50 cases). On gross examination, among 50 cases, cystic 64% (32/50 cases), solid 16% (8/50 cases), and both cystic and solid areas 20 %. Conclusion: We conclude, ovarian cancer is the most predominant problem in the majority of women. The present study will provide valuable baseline information regarding the pattern of ovarian tumors in our region and also useful in proper management.
Diffusion of Methodological Innovation in Pharmacoepidemiology: Self-controlled Study Designs

Self-controlled designs are methodological innovations that complement traditional observational studies and are useful to control for time-invariant confounders. The use and diffusion of selfcontrolled case-control and cohort designs in pharmacoepidemiology was examined over time, and described using Rogers’ Diffusion of Innovations Theory and co-authorship network analysis (visualized in a supplementary graphics interchange format (GIF) image). Studies experienced a lag in diffusion, followed by a rapid uptake in use since 2000. Overall, the co-authorship network was comprised of 176 papers, 763 authors and 46 components; 31 components contained one paper (61% self-controlled case-control). The largest component of the network was interconnected and was comprised of 69% self-controlled cohort studies. Future work to develop and disseminate standardized language could target seminal authors and key opinion leaders identified in the network. Formal reporting guidelines are also encouraged, as the majority of applications did not follow recommendations on reporting, such as raw data display.
“Your Blood is Sweet”: The Illness Experience of Southeast Asian Refugees with Type 2 Diabetes

Abstract Purpose Research on Asian Americans’ health behavior has often cited socioeconomic status, race, language, cultural beliefs, acculturation, etc. as barriers to seeking health care services. Less is known about Southeast Asians refugees’ help-seeking process. In this exploratory study, we examine the illness experiences of Southeast Asian refugees with a Type 2 diabetes diagnosis, and consider the factors that contribute to their understanding and management of diabetes. Design/methodology/approach We used Pescosolido’s network episode model to frame our understanding of the ways in which Southeast Asians maneuver through their social support networks, face barriers in accessing health care services, and manage their diabetes. We interviewed a convenience sample of 16 adults. All interviews were digitally recorded, transcribed, and coded. Analysis was guided by the grounded theory approach. Findings Our findings revealed that Southeast Asians’ definition, acceptance, and management of their diabetes was largely influenced by various factors including: trauma and PTSD from their refugee experience, challenges of acculturation, illness experience, mental health, and access and barriers to health care services. The network episode model provides a blueprint for understanding the social and cultural challenges that Southeast Asian refugees face with regards to their diabetes. Research limitations/implications Research limitations include the small and convenience sample used for the study, which does not contribute to generalizability. However, our findings contribute to the limited but growing studies on Southeast Asian refugees in the United States, and emphasize the need for health care providers to consider the illness experience, health beliefs, and the social context of Southeast Asian refugees with diabetes. Although the adults in this study were not recent immigrants, their immigrant history and experiences influenced their understanding and management of their diabetes. Originality/value Few qualitative studies focus on the health of Southeast Asians in the United States (Hmong, Laotian, Cambodian, and Vietnamese). This study has potential value for clinicians, social workers, and community providers serving ethnic minority populations, specifically Southeast Asians. In this study, older immigrant adults faced generational challenges that impacted their chronic illness (Type 2 diabetes).
L’influence de la compétence collective sur la performance d’équipe : analyse du rôle modérateur du leadership partagé et du coaching

Cet article vise a mieux comprendre l’influence de la competence collective sur la performance d’equipe, en introduisant deux variables moderatrices originales : le leadership horizontal interne (leadership partage) et le leadership vertical externe (coaching). Pour mener a bien ce travail, nous avons eu recours a une etude quantitative conduite a partir d’une base de donnees constituee de 147 equipes de 5 etudiants de niveau Master (soit 735 individus), engages dans une simulation de gestion d’entreprise. Nos resultats montrent que le leadership partage et le coaching apparaissent comme des leviers d’action permettant d’accentuer l’impact positif de la competence collective sur la performance d’equipe.
Efficacy of oral ketamine and oral midazolam as premedicants in the paediatric population undergoing elective surgical procedures

Background and Aim: Oral ketamine produces predictable satisfactory sedation and anxiolysis without significant side effects like respiratory depression or emergence delirium in children. this study is being carried out to compare Oral ketamine with oral midazolam to know the efficacy of both the drugs as premedicants in the paediatric population undergoing elective surgical procedures and ascertain the minimum interval required between premedication and parental separation. Material and Methods: Present prospective, randomized study was conducted in 80 children in the age group of 4–12 years, of either sex or the American Society of Anesthesiologists (ASA) Physical status 1, posted for elective surgery. Patients were randomized by simple sealed envelope method into two groups of 40 each: Group A: received 0.5mg/kg midazolam and group B: received 5mg/kg ketamine orally. Before and after premedication sedation and anxiolysis score were assessed, after premedication it was assessed at 10, 20, and 30 minutes. Thirty five minutes after oral premedication, children were separated from parents. During parental separation, parent child separation score was assessed and recorded. Results: At 10 minutes of premedication, 28 (70%) and 35(87.5%) patients had unsuccessful and 12(30%) and 5(12.5%) had successful sedation scores in midazolam and ketamine group respectively. At 20 minutes of premedication, 9(22.5%) and 28(70%) patients had unsuccessful and 31(77.5%) and 12(12%) had successful sedation scores in midazolam and ketamine group respectively. While at 30 minutes of premedication, 4(10%) and 17(42.5%) patients had unsuccessful and 36(90%) and 23(58.7%) had successful sedation scores in midazolam and ketamine group respectively. These results were statistically significant ( P ≤ 0.05) Conclusion: Oral midazolam was superior to the ketamine for providing easy separation from parents and excellent mask acceptance in children. Oral midazolam had faster onset of sedation and provided higher sedation scores and lower anxiety scores as compared to ketamine.
Nutritional deficiencies among school children in urban areas of Hyderabad, Telangana, India

Background: The school age period is nutritionally significant because this is the prime time to build up body stores of nutrients in preparation for rapid growth of adolescence. Malnutrition remains the world’s most serious health problem and the single biggest contributor to child mortality, nearly one third of the children in the developing world are either underweight or stunted and more than 30% of the developing world’s population suffer from micronutrient deficiencies. However the data available from urban slums of Hyderabad in this age group is very sparse and hence an attempt has been made to study the same. The objectives were to determine the nutritional status of primary school children and study the factors associated with it. Methods: Study population: Primary school children (6 to 11 years). Study area: primary schools in urban slums of Hyderabad. Study design: a cross sectional study. Sample size: 412 children. Sampling methods: Simple random sampling Data collection: By using pre designed and pre tested and pre coded schedule (interview technique, observation, clinical examination). Analysis: By using Microsoft Excel 2007 and Epi Info 3.5. 3. Results: The prevalence of underweight was 28.9%, overweight was 9.2% and obesity was 4.4% . Prevalence of stunted height was found among 21.8%. 5.8% children were suffering from Vitamin’ A’ deficiency, 15.0% were suffering from Vitamin B deficiency, and 15.8% were found to be anemic . Conclusions: The prevalence of underweight, Nutritional deficiencies were found to be significantly higher in children of illiterate parents’ and similarly in unskilled worker fathers’ and unemployed mothers.
Exploring Farmers’ Management Practices and Values of Ecosystem Services in an Agroecosystem Context—A Case Study from the Eastern Cape, South Africa

Globally, farmers remain the key ecosystem managers responsible for increasing food production while simultaneously reducing the associated negative environmental impacts. However, research investigating how farmers’ agricultural management practices are influenced by the values they assign to ecosystem services is scarce in South Africa. To address this gap, a survey of farmers’ agricultural management practices and the values they assigned towards ecosystem services was conducted in the Eastern Cape, South Africa. Results from the survey show that farmers assign a high value on food provisioning ecosystem services compared to other ecosystem services. Irrigation and fertiliser decisions were mostly based on achieving maximum crop yields or good crop quality. The majority of farmers (86%) indicated a willingness to receive payments for ecosystem services (PES) to manage their farms in a more ecosystems-oriented manner. To encourage farmers to shift from managing ecosystems for single ecosystem services such as food provision to managing ecosystems for multiple ecosystem services, market-oriented plans such as PES may be employed. Effective measures for sustainable intensification of food production will depend on the inclusion of farmers in the development of land management strategies and practices as well as increasing farmers’ awareness and knowledge of the ecosystem services concept.
Community based study of reproductive tract infections among women of the reproductive age group in a rural community of Eastern India

Background: RTI/STIs have a profound impact on sexual and reproductive health worldwide, the symptoms of which often goes unnoticed and women suffers from devastating consequences. The present study was conducted to analyse the prevalence of RTIs based on a syndromic approach among women of 15 to 49 years age, supported by both laboratory and clinical diagnosis to measure the actual magnitude of morbidity associated with RTIs among the study population. The objective of the study were to study the prevalence of reproductive tract infection among the women of reproductive age group (15-49 years), to find out the etiological diagnosis and to assess the socio-demographic profile of the study population.Methods: A cross-sectional study was carried out among 312 women aged 15-44 years in a rural area in West Bengal, using the WHO-Syndromic Approach for diagnosis and management of RTIs/STIs.Results: The prevalence of RTIs among the reproductive age group women was 43.6% based on their symptoms of RTI, with majority having abnormal vaginal discharge. According to laboratory investigations the most common cause of RTI was bacterial vaginosis which was 67.4% (using Amsel’s criteria) and 31.7% (as per Nugent’s score), followed by Vulvovaginal candidiasis which was found in 12.4%. Conclusions: RTI among women of reproductive age is quite a common morbidity.It is the need of the hour to educate women about reproductive health issues and encourage them to seek treatment for their problems and wherever possible both clinical and laboratory findings should corroborate self reported morbidity to know the exact prevalence of any disease in the community.
Exploring changes in hydrogeological risk awareness and preparedness over time: a case study in northeastern Italy

ABSTRACT Hydrogeological hazards are increasingly causing damage worldwide due to climatic and socio-economic changes. Building resilient communities is crucial to reduce potential losses. To this end, one of the first steps is to understand how people perceive potential threats around them. This study aims at exploring how risk awareness of, and preparedness to, face hydrological hazards changes over time. A cohort study was carried out in two villages in the northeastern Italian Alps, Romagnano and Vermiglio, affected by debris flows in 2000 and 2002. Surveys were conducted in 2005 and 2018, and the results compared. The survey data show that both awareness and preparedness decreased over time. We attribute this change to the fact that no event had occurred in a long time and to a lack of proper risk communication strategies. The outcomes of this study contribute to socio-hydrological modelling by providing empirical data on human behaviour dynamics.
CONSUMER TRUST AND COGNITIVE DISSONANCE TOWARDS ONLINE REVIEWS IN SELECTED RESORTS: A PREFERENTIAL MODEL

The increasing trends of using online consumer reviews as bases before the actual purchase of a product or service are now substantial in the consumer decision-making process. Consumers nowadays want not only the core products or services, but other offerings as well, and they usually verify these with the online reviews. The resort industry is not exempted from these deviations. This study particularly investigated the determinants of consumer trust in online reviews, the assertions of cognitive dissonance as part of pre-purchase behavior, and their effects on customers’ purchase likelihood. The study sites were selected resorts in Region IV in the Philippines, while the perspective of 500 customers located in the Philippines specifically in Metro Manila, Metro Davao and Metro Cebu were utilized. Initial findings showed that argument quality (.785), source credibility (.812) and perceived quantity of reviews (.785) had greatly influence consumer trust. However, the assertions of pre-purchase cognitive dissonance were not influenced by the determinants. Moreover, results revealed that pre-purchase cognitive dissonance (with a value of -0.084) has a negative impact on the purchase likelihood whereas consumers’ trust (with a value of 0.522) has a positive impact on the purchase likelihood.
Value of FOXP3 expression in prediction of neoadjuvant chemotherapy effect in triple-negative breast cancer

Background Response of breast carcinoma to neoadjuvant chemotherapy (NAC) varies regarding many factors including hormonal receptor status. Breast cancer is a heterogenous disease with different outcomes, hence a need arises for new markers predicting the outcome of NAC especially for the triple-negative group when estrogen and progesterone receptors and HER-2/neu are negative. Forkhead box P3 (FOXP3) is a promising target with unclear role. Aim The aim was to examine the value of FOXP3 expression in locally advanced triple-negative breast cancer tumoral cells as well as tumor-infiltrating lymphocytes (TILs) and to elucidate its relation to the extent of NAC response. Materials and methods Forty-five cases of immunohistochemically confirmed triple-negative breast carcinoma were evaluated for NAC (doxorubicin; cyclophosphamide AC×four cycles+paclitaxel ×12 weeks; and patients with ejection fraction <60% received taxotere or cyclophosphamide, methotrexate, and fluorouracil). Response in both tumor and lymph nodes status was evaluated according to Miller and Payn’s and Sataloff’s systems. FOXP3 expression in tumor as well as TILs evaluated in the pretherapy biopsies was correlated with NAC response in breast tumor and lymph nodes as well as other clinicopathological factors. Results Breast tumor cells showed FOXP3+ cytoplasmic expression in 42% of cases. High FOXP3 expression percentage was detected in 47% of cases. High infiltration by FOXP3+ TILs was detected in 49% of cases. High FOXP3 expression was associated with negative lymph node metastasis. High FOXP3 expression percentage and high infiltration by FOXP3+ TILs were significantly associated with complete therapy response in axillary lymph nodes. High FOXP3 expression in tumor cells was associated with high infiltration by FOXP3+ TILs. Conclusion This result may provide evidence that FOXP3 marker is a good prognostic and predictive marker for triple-negative breast cancers (TNBCs) indicated for NAC and can be used for stratifications of TNBC cases indicated for NAC. Moreover, this study confirmed the fact that the tumor cells and the surrounding microenvironment interact with each other and the tumor microenvironment can influence the treatment outcomes of TNBC.
Complete chloroplast genome of medicinally important poisonous shrub Adenium obesum (Forssk.) Roem. & Schult. (Apocynaceae)

Abstract The complete chloroplast genome of medicinally important plant Adenium obseum (Forssk.) Roem. & Schult. (Apocynaceae) was sequenced. A total of 5,028,192,488 paired-end reads were obtained. One-hundred-and-twenty-seven unique coding genes including 96 protein-coding, 28 tRNA, and 3 rRNA genes were annotated. The length and GC content of the plastome were 154,437 bp (GenBank accession number MN765097) and 38.1%, respectively.