Miracle-dz/UniFAR-FTUs huggingface dataset:
Percutaneous Repair Method and Achilles Tendon Rupture Rehabilitation

Background: Subcutaneous, spontaneous, complete ruptures of the Achilles tendon are usually caused indirectly by trauma associated with rapid movement. When minimally invasive Achilles tendon repair is performed, an active rehabilitation protocol can be implemented that allows for fast, measurable progress, reduced tissue atrophy, and an improved range of motion, thereby reducing pain and increasing patients’ overall physical well-being. However, overestimating the effectiveness of rehabilitative interventions can lead to arbitrary advancements in rehabilitation that significantly exceed the permitted levels of daily or professional activity. This issue can lead to various side effects and slow rehabilitation. The aim of the study was to evaluate the influence of adverse effects on objective outcomes after minimally invasive Achilles tendon repair.Methods: The study included 36 individuals with complete Achilles tendon rupture who underwent the percutaneous Ma-Griffith technique. The same rehabilitation protocol was used.Results: Five side effects were identified during rehabilitation: deformation of the repair construct (DRC), irritation of the sural nerve (SNI), morning ankle stiffness (MAS), edema of the soft tissue around the tendon (OST) and suture knots. DRC and MAS were associated with a longer time being required to achieve full ankle range of motion. SNI and OST were associated with a longer time being required to meet the criteria for dynamic training. None of the side effects were related to the isokinetic strength of the ankle plantar and dorsiflexors.Conclusions: The incidence of the assessed side effects in the postoperative period is not related to the type of activity, whether it is professional or amateur. Among the identified side effects, deformation of the regenerated shape of the heel tendon and MAS cause a delay in the recovery of full ankle range of motion. Calf nerve irritation and soft tissue swelling increase the time it takes to meet the criteria for starting dynamic training.Trial registration:The study was approved by the ethics committee of the Academy of Physical Education in Katowice (no. 13/2007)
Cultural Differences in Children’s Recommended Punishment of Moral Transgressions

The purpose of this research was to examine the severity of punishment recommended by children for moral transgressions. Using Hofstede’s (1980) distinction between individualism and collectivism, we examined the severity of punishment recommended by eight to twelve year old children for moral transgressions that violated a cultural value. Participants were children of various nationalities enrolled in a summer camp on the island of Mallorca, Spain. The children were classified as either individualist or collectivist using the Children’s Self-Construal Scale (Lewis et al. 2000). Each child reacted to nine moral transgressions, two of which were universal and seven of which reflected transgressions of either individualist or collectivist values. The results indicated that children classified as collectivists recommended harsher punishments for transgressions of collectivist values, whereas individualists did not vary in their recommended level of punishment for transgressions against both collectivist and individualist values.
The effect of web-based family-centered empowerment program in preventing the risk factors of substance abuse in students’ parents; application of the health promotion model

BACKGROUND: The age of onset of substance abuse among adolescents has recently decreased worldwide. Parents play an important role in preventing their children from drug abuse. This study aimed to investigate the effect of web-based family-centered empowerment program in preventing the risk factors of substance abuse in students’ parents, using the health promotion model (HPM). MATERIAL AND METHODS: This interventional study was based on 118 parents of high school students in Sabzevar, Iran (2019). Multi-stage random sampling was used to divide the participants into the experimental (n = 65) and control (n = 65) groups. The data were collected through a researcher-made questionnaire based on Pender's HPM. A website was designed to perform all stages of the study. The web-based educational intervention was performed for the experimental group. Both groups completed the questionnaires 2 months after the educational intervention. The data were analyzed using t-test, paired t-test, regression, correlation, and analysis of covariance. RESULTS: There was a significant difference between the scores of prior related behavior, perceived benefits of action, activity-related effect, situational influences, competitors, and commitment in the parents of the experimental group compared to the control group after the educational intervention (P-value < 0.05). Moreover, a significant difference was observed between preventive behaviors of substance abuse and the mean score of perceived barriers to action, perceived self-efficacy, interpersonal influences, and role model in the parents of the experimental group compared to the control group after the educational intervention (P-value < 0.05). CONCLUSION: Overall, designing an educational intervention based on the constructs of Pender's HPM could be an effective strategy for promoting preventive behaviors of substance abuse in parents.
Communicative pressures shape language during communication (not learning): Evidence from casemarking in artificial languages

Natural languages are designed for efficient communication. A classic example is Differential Case Marking, when nouns are marked for their grammatical role only if this information cannot be derived from world knowledge (e.g. only atypical objects need to be linguistically marked as objects). Fedzechkina et al. (2012) present experimental evidence from an artificial language learning paradigm suggesting that biases in learning favour Differential Case Marking: learners exposed to a language with optional casemarking restructure the input, using casemarkers more in situations where marking would reduce ambiguity, despite the fact that they never use the artificial language in a communicative task where ambiguity matters. This is surprising given previous studies suggesting that biases in learning favour simplicity and are agnostic with respect to communicative function. We present 3 experiments investigating whether biases for communicatively-efficient Differential Case Marking exist in learning. Contrary to Fedzechkina et al. (2012), we find no evidence for such a bias in learning: participants’ use of case is impervious to the ambiguity of unmarked objects, and modulated by statistical properties of their input, observations which are inconsistent with their hypothesis and better explained by biases early in learning favouring iconicity in the form-meaning mapping, e.g. whereby atypical meanings are associated with atypical forms. However, we find good evidence that participants’ behaviour in actual communicative interaction are driven by efficient communication considerations: in interaction participants exhibited the expected Differential Object Marking pattern. This suggests that languages adapt to communicative efficiency constraints as a result of being used in communication, rather than due to biases in human learning favouring communicatively-efficient languages.
New Start-ups and Firm In-migration - Evidence from the Swedish Wholesale Trade Industry

The purpose of this paper is to distinguish between the determinants of new start-ups and in-migration of firms using a data-set that covers 13,471 limited liability firms in the Swedish wholesale trade industries during the period 2000-2004. Our results indicate that the presence of a university more than doubles the expected number of entrants and increases the expected number of in-migrating firms with 30%. A large share of educated workers and a high local unemployment rate is also associated with more start-ups and firm in-migration.
Calculation of the expansion dynamics of evaporated tungsten under the action of a laser pulse

The paper is devoted to the numerical implementation of a model of the dynamics of the tungsten vapors flow evaporating from the sample surface. To calculate the speed and mass flow rate of the substance evaporating from the sample surface, a system of gas dynamics equations is numerically solved. The boundary conditions for the gas velocity and density on the heated surface have a great influence on the solution of the problem. Boundary conditions for temperature are obtained as a result of solving the two-phase Stefan problem in a cross-section of the sample. The aim of the study is to model the erosion of the sample surface and penetration of heat flow into the material.
Predictors of Short-Term Mortality after Heart Valve Surgery: A Single-Center Study; Retrospective analysis

Objective To investigate predictors of short-term mortality after valve surgery at our center. Methods The study cohort included 346 patients who underwent different types of valve surgery, excluding redo and Bentall operations. All operations were performed through a median sternotomy using cardiopulmonary bypass. Results Mean patient age was 51.6 ± 16.1 years, and 51% were male. Approximately 21% had diabetes, and 44.6% were hypertensive. Aortic valve replacement (AVR) was performed in 125 patients (37%), mitral valve replacement (MVR) in 95 (28%), combined AVR and MVR in 42 (13%), AVR plus coronary artery bypass grafting (CABG) in 19 (6%), and MVR plus CABG in 32 (10%). Operative mortality was 5.8% (n = 20). In the bivariate-level analysis, older age, operation type, hypertension, emergency surgery, use of a biological valve in the aortic or mitral position, pump time greater than 120 minutes, and aortic clamp time greater than 60 minutes were significant predictors of 30-day mortality. Use of angiotensin-converting enzyme inhibitors, digoxin, beta-blockers, statins, and loop diuretics was associated with mortality. Older age, emergency/salvage surgery, use of beta-blockers for less than 1 month preoperatively, and use of a biological valve in the aortic position were significant and independent predictors of 30-day mortality. Conclusion Older age, emergency valve surgery, use of a biological valve, and use of beta-blockers for less than 1 month before surgery were all found to be independent predictors of mortality in patients undergoing valve surgery.
Protonic conduction in an electrolyte for fuel cell: Gd-doped BaCeO3

This thesis deals with the study of protonic diffusion, and to a lesser extent anionic, inside Gd-doped BaCeO3, a possible electrolyte for fuel cell, using a multi-scale approach. First of all, first principles calculations have been performed to determine stable positions for protonic defects OH*O and oxygen vacancies V **O in the material. Then, using the same formalism of density functional theory, energy barriers for both kinds of defects have been computed between every pair of stable positions. Finally, these barrier heights have been used in a Kinetic Monte-Carlo algorithm to simulate trajectories of protons or oxygen vacancies. This method allows to access macroscopic values, that can be measured by experiments,such as the diffusion coefficient and its activation energy, using only atomic data coming from ab initio simulations. This work shows that the protonic energy surface is complex in orthorhombic perovskites. Although gadolinium attracts the protons, it constitutes only a shallow trap. There is a wide range of energy barriers and no specific mechanism appears to be rate-limiting. Some inter-octahedral protonic hoppings are favoured over intra-octahedral ones, and the barriers are systematically lowered close to dopants, while the opposite phenomenon is found for the oxygen vacancies. The effect of increasing the doping rate on the protonic diffusion coefficient is eventually non trivial.
Worldwide incidence and mortality of ovarian cancer and human development index: an ecology study in 2018

Background: Ovarian cancer is the seventh most common cancer among women, accounting for about 4% of all cancers associated with women.Method: This is a descriptive cross-sectional study based on extraction of cancer incidence data and cancer mortality rates from the Global Cancer Data in 2018. The incidence and mortality rates and ovarian cancer distribution maps were drawn for World countries. To analyze data, correlation test and regression tests were used to evaluate the correlation between its incidence and mortality with HDI.Results: The results showed that there was a positive and significant correlation between ovarian cancer incidence (R = 0.409, P <0.0001) and mortality (R = 0.193, P <0.05) with HDI. The results showed that there was a positive and significant correlation between incidence with GNI ,MYS ,LEB and EYS ( P <0.0001). The results also demonstrated that there was a positive and significant correlation between mortality and GNI, MYS, LEB and EYS ( P <0.05). The linear regression model showed that a higher MYS [B = 0.2, CI95%: (- 0.03,0.5)] significantly increased the incidence of ovarian cancer and increased MYS [B = 0.2, CI95% (0.03, 0.4)] increased mortality.Conclusion: Given the positive and significant correlation between ovarian cancer incidence and mortality with HDI, attention to risk factors in these countries can be effective in curbing its incidence and mortality.
Impact of obesity on short- and long-term mortality in patients with sepsis: A retrospective analysis of the large clinical database MIMIC-III

Background The purpose of our study was to explore the relationship between body weight and short- and long-term clinical outcomes in patients with sepsis. Methods We retrospectively analyzed 11,499 patients with sepsis at the Beth Israel Deaconess Medical Center (Boston, MA, USA) registered in the Medical Information Market Intensive Care (MIMIC-III) database from 2001 to 2012. Cox proportional hazards regression assessed the relationships between body mass index and 30-day and 1-year mortality. Results Patients were divided into four groups according to body mass index (underweight: 336 [6.0%]; normal weight: 1,752 [31.4%]; overweight: 1,563 [28.1%]; and obese: 1,920 [34.5%]), 30-day mortality (42.3%, 36.6%, 32.2%, and 29.6%; p<0.001), 1-year mortality, (64.6%, 56.8%, 52.5%, and 46.7%; p<0.001), and in-hospital mortality (35.4%, 34.3%, 31.6%, and 29.9%; p=0.018). In addition, obese patients had notably longer mechanical ventilation periods and intensive care unit and hospital lengths of stay. The Cox proportional hazards regression analysis confirmed that underweight patients had a 13% and 24% increased risk of death within 30 days and 1 year, respectively, compared with normal-weight patients. For overweight patients, these risks were 17% and 14% lower, respectively, than those reported for normal-weight patients. For obese patients, these risks were 22% and 21% lower than those observed in normal-weight patients. Conclusion This retrospective analysis showed that overweight or obese patients showed improved survival within 30 days and 1 year after admission to the intensive care unit.
Performance of cowpea varieties under zero tillage conditions in rice-wheat cropping system

The present experimentation was undertaken during pre-kharif season of 2013 and 2014 to study the varietal performance of cowpea in rice-wheat cropping system at Uttar Banga Krishi Viswavidyalaya, Pundibai, Cooch Behar, West Bengal after harvesting of wheat under zero tillage conditions and before rice sowing. Experiment was laid out in randomized block design with three replications by using eighteen varieties of cowpea. The result of pooled data revealed that all the growth, yield parameters and quality parameters varied significantly with respect to different varieties of cowpea. The longest and lowest vine length was noticed in Lafa Sundari Bangla (112.10 cm) and VU-5 (32.64 cm), minimum and maximum days for flowering, first harvesting and last harvesting was recorded in Kaberee and Pusa Phalguni Gold. Variety Girija and Deshi Lafa produced longest pod (45.40 cm), highest individual pod weight (14.29g). For number of pods per plant Triguna (31.07) was found highest which was statistically at par with Kanak (30.70), Kashi Kanchan (29.33). Maximum yield of 18.51 t/ha was obtained from Kashi Kanchan followed by Triguna (17.07 tonnes/ ha) and Kanak (16.69 tonnes/ha). Lafa Sundari Bangala recorded with highest beta carotene content (1037 IU/100g fresh pod), ascorbic acid content (20.17 mg/100g fresh pod) as well as highest protein content of 4.69 per cent. Hence, it is concluded that the cowpea variety Kashi Kanchan, Triguna and Kanak may be recommended for commercial cultivation in rice-wheat cropping system under terai zone of West Bengal as they produced higher yield (34.52 %, 24.06 % and 21.29 %, respectively) over the check variety Lafa Sundari Bangla.
Racial and ethnic patterns and differences in health care expenditures among Medicare beneficiaries with and without cognitive limitation or Alzheimer's disease and related dementias: a retrospective cohort study

Background: Numerous studies have documented racial and ethnic differences in the prevalence and incidence of Alzheimer's disease and related dementias (ADRD). Less is known, however, about racial and ethnic differences in health care expenditures among older adults at risk for ADRD (cognitive limitation without ADRD) or with ADRD. In particular, there is limited evidence that racial and ethnic differences in health care expenditures change over the trajectory of ADRD or differ by types of service.Methods: We examined racial and ethnic patterns and differences in health care expenditures (total health care expenditures, out-of-pocket expenditures, and six service-specific expenditures) among Medicare beneficiaries without cognitive limitation, those with cognitive limitation without ADRD, and those with ADRD. Using the 1996-2017 Medical Expenditure Panel Survey, we performed multivariable regression models to estimate expenditure differences among racial and ethnic groups without cognitive limitation, those with cognitive limitation without ADRD and those with ADRD. Models accounted for survey weights and adjusted for various demographic, socioeconomic, and health characteristics.Results: Asians, and Latinos without cognitive limitation had lower total health care expenditures than whites without cognitive limitation ($10236, $9497, $9597, and $11541, respectively), but there were no racial and ethnic differences in total health care expenditures among those with cognitive limitation without ADRD and those with ADRD. In all populations, however, blacks, Asians, and Latinos tended to have lower out-of-pocket expenditures than whites (except for Asians with cognitive limitation without ADRD). Furthermore, service-specific health care expenditures varied by racial and ethnic groups.Conclusions: Our findings may suggest that racial and ethnic minority groups did not experience limited access to care before and after ADRD diagnosis. Differences in out-of-pocket expenditures and service-specific expenditures may be attributable to racial and ethnic differences in care access and/or care preference based on family structure and cultural/economic factors. Particularly, heterogeneous patterns of service-specific expenditures by racial and ethnic groups underscore the importance of future research in identifying determinants leading to variations in service-specific expenditures among racial and ethnic groups.
“When will it be over?” U.S. children’s questions and parents’ responses about the COVID-19 pandemic

Parent-child conversations are important for children’s cognitive development, children’s ability to cope with stressful events, and can shape children’s beliefs about the causes of illness. In the context of a global pandemic, families have faced a multitude of challenges, including changes to their routines, that they need to convey to their children. Thus, parent-child conversations about the coronavirus pandemic might convey information about the causes of illness, but also about how and why it is necessary for children to modify their behaviors to comply with new social norms and medical guidance. The main goal of this study was to examine the questions children ask about the COVID-19 pandemic and how parents answer them. This survey included responses from a national sample of 349 predominantly white parents of children between the ages of 3 and 12 recruited through Amazon’s Mechanical Turk in United States. Parents reported that although children asked about COVID-19 and its causes (17.3%), children asked primarily about lifestyle changes that occurred as a result of the pandemic (24.0%) and safety (18.4%). Parents reported answering these questions by emphasizing that the purpose of different preventative measures was to protect the child (11.8%) or the family (42.7%) and providing reassurance (13.3%). Many parents discussed how it was their social responsibility to slow the spread of the virus (38.4%). Parents of younger children tended to shield them from information about COVID-19 (p = .038), while parents with more knowledge were more likely to provide explanations (p < .001). Our analysis shows that families not only discuss information about the virus but also information about changes to their lifestyle, preventative measures, and social norms.
Smoking and incidence of insomnia: a systematic review and meta-analysis of cohort studies.

OBJECTIVE This study investigated the impact of smoking on the incidence of insomnia. STUDY DESIGN Systematic review and meta-analysis of cohort studies. METHODS PubMed, EMBASE, Web of Science, Cochrane Library, and OVID were searched through March 2020. Cohort studies reporting the effect of smoking on the incidence of insomnia were included. We quantitatively analyzed the basic framework and study characteristics and then pooled estimate effects with 95% confidence intervals (CIs) of outcomes of each included study using fixed-effects meta-analyses. RESULTS This systematic review included six cohort studies involving 12,445 participants. Quantitatively summarized results suggested that smoking could significantly increase the incidence of insomnia (odds ratio [OR]: 1.07, 95% CI: 1.02, 1.13). Regular smoking was significantly associated with the incidence of insomnia (OR = 1.07, 95% CI: 1.01, 1.13). As for occasional smokers and ex-smokers, the pooled analysis did not indicate a significant association (occasional smoker: OR = 2.09, 95% CI: 0.44, 9.95; ex-smoker; OR = 1.02, 95% CI: 0.67, 1.54). Subgroup analysis by age, gender ratio, and region showed a statistically significant relationship between smoking and the incidence of insomnia in specific groups. CONCLUSIONS Integrated longitudinal observational evidence identified smoking as a significant risk factor of insomnia. Considering the limited amount of available studies, more high-quality and prospective cohort studies of large sample sizes are needed to explore details of this association.