Miracle-dz/UniFAR-FTUs huggingface dataset:
Effectiveness of Education Program on Nursing Knowledge and Attitude toward Pain Management

Objective: Nurses have an integral role in pain assessment and management. Adequate knowledge and positive attitudes toward pain management are essential to provide high-quality nursing care for cancer pain. The purposes of this study are to evaluate nurses' knowledge and attitude toward cancer-related pain and to assess the effectiveness of a pain management education program on nurses' knowledge and attitude toward pain. Methods: A quantitative, experimental design was used. Results: The total number of participants who were surveyed at three measurement points was 131, with a completion rate of 87.3%. Findings revealed that the score of knowledge and attitude toward cancer-related pain ranged from 14 to 35, with a mean of 23.6 (standard deviation [SD] = 4.38). The mean scores of the intervention group and the control group at two measurement points regarding knowledge and attitude toward cancer-related pain were 32.7 (SD = 2.8) and 32.8 (SD = 4.3) and 23 (SD = 5.5) and 22.2 (SD = 3.8), respectively. There were significant differences at three measurement points among the intervention group (F = 114.3, P < 0.0005). There were no differences in the three measurement points among the control group (F = 3.4, P = 0.055). Conclusions: Nurses have essential roles in cancer pain. A pain management education program can improve nurses' knowledge and attitude toward cancer-related pain.
The breeding biologies of the Petrels Pterodroma macroptera, P. brevirostris and P. mollis at Marion Island

The Great-winged Petrel Pterodroma macroptera, Kerguelen Petrel P. brevirostris and Soft-plumaged Petrel P. mollis breed in different habitats at different times of the year at Marion Island. P. macroptera breeds in inland slopes during winter, brevirostris breeds in flat marshy areas during early summer and mollis breeds during late summer in coastal slopes. Nesting-burrows of macroptera and rnollis have a similar simple design but burrows of brevirostris have a drainage system to cope with their waterlogged breeding habitat. Incubation periods are similar (56, 49 and 50 days in macroptera, brevirostris and mollis respectively), but fledging periods are very different (61 days in brevirostris and 91 days in mollis). The species rear chicks at different times, presumably to help reduce interspecific competition for food. In all species, the chicks are fed mostly squid, but meals of brevirostris chicks contain most crustaceans and fish. Differences in quality of meals in part explain the faster growth of brevirostris compared to macroptera or mollis. The timing of breeding influences the vulnerability of each species to predators, which is reflected in differences in breeding success (53%, 7% and 0% in brevirostris, mollis and macroptera respectively).
Autonomic Tone and Baroreflex Sensitivity during 70° Head-up Tilt in Yoga Practitioners

Introduction: The intervention of yoga was shown to improve the autonomic conditioning in humans evident from the enhancement of parasympathetic activity and baroreflex sensitivity (BRS). From the documented health benefits of yoga, we hypothesized that the experience of yoga may result in adaptation to the orthostatic stress due to enhanced BRS. Aim: To decipher the effects of yoga in the modulation of autonomic function during orthostatic challenge. Materials and Methods: This was a comparative study design conducted in autonomic function test lab, of the Department of Physiology, All India Institute of Medical Sciences, New Delhi, India. Heart rate variability (HRV), blood pressure variability, and BRS were analyzed on forty naïve to yoga (NY) subjects and forty yoga practitioners with an average age of 31.08 ± 7.31 years and 29.93 ± 7.57 years, respectively. All participants were healthy. Seventy degrees head up tilt (HUT) was used as an intervention to evaluate the cardiovascular variability during orthostatic challenge. Results: During HUT, the R-R interval (P = 0.042), root mean square of succesive R-R interval differences (RMSSD) (P = 0.039), standard deviation of instantaneous beat-to-beat R-R interval variability (SD1) (P = 0.039) of HRV, and sequence BRS (P = 0.017) and α low frequency of spectral BRS (P = 0.002) were higher in the yoga group. The delta decrease in RRI (P = 0.033) and BRS (P < 0.01) was higher in the yoga group than the NY group. Conclusion: The efferent vagal activity and BRS were higher in yoga practitioners. The delta change (decrease) in parasympathetic activity and BRS was higher, with relatively stable systolic blood pressure indicating an adaptive response to orthostatic challenge by the yoga practitioners compared to the NY group.
Sudarshan Kriya Yoga Program in Posttraumatic Stress Disorder: A Feasibility Study

Background: Sudarshan Kriya Yoga (SKY), a breath-based yoga intervention, has demonstrated safety and efficacy in posttraumatic stress disorder (PTSD) patients subsequent to natural disaster or war, but has not been explored in civilians with PTSD from a wider range of trauma. We hypothesized that it would be feasible to conduct a clinical trial of SKY in PTSD resulting from a wide range of trauma. Methods: Outcomes were feasibility measures including rates of enrollment and retention, adherence to study protocol; as well as changes in PTSD symptoms, other mood symptoms, and physiological measures. Male and female participants aged 18–75 years were enrolled in a feasibility trial. They attended a 6-day learning phase of SKY followed by 7 sessions over 11 weeks as an adjunct to their usual treatment. Results: Forty-seven participants were screened and 32 were enrolled over 9 months. Consistent with retention rates of other PTSD trials, 13 withdrew from the study prior to week 12. Twenty-one participants met intervention attendance requirements, completed 95% of planned study assessments and were included in final analyses. Participants experienced clinically significant decrease in PTSD symptoms on the posttraumatic stress disorder checklist (PCL-5) scores at week 12 mean difference, Mdiff (standard deviation [SD]) = −10.68 (14.03), P = 0.004; Cohen's d = 0.58, which was sustained at week 24 Mdiff (SD) = −16.11 (15.20), P < 0.001; Cohen's d = 0.91. Conclusions: It is possible to conduct a clinical trial of SKY in a routine psychiatry clinic serving patients with PTSD due to a wide range of trauma. Future studies should include an RCT design.
REVIEW Current and near-market intervention strategies for reducing Shiga Toxin-Producing Escherichia coli (STEC) shedding in cattle

Cattle can naturally contain foodborne pathogenic bacteria such as Shiga Toxin-Producing E. coli (STEC). These foodborne pathogenic bacteria are a threat to public health through contamination of foods and water supplies. In order to reduce human exposures and resultant illnesses, research has focused in recent years on the development of live animal intervention strategies that can be applied to reduce the burden of STEC entering the food chain. This review addresses the application of interventions that have been proposed or implemented to reduce STEC in live cattle. Recent years have seen increasing development of new interventions (e.g., vaccination, DFM, chlorate, phages) and into understanding what effect diet and the microbial population have on the microbial populations of the gut of cattle. This research has resulted in several novel interventions and potential dietary additions or changes that can reduce STEC in cattle, and many of them are in, or very near to entering, the marketplace. The live animal interventions must be designed in a coherent, complementary context as part of a multiple-hurdle scheme to reduce pathogens entry into the food supply.
Accuracy of Ultrasonography in the Evaluation of Abdominal Masses in Children in Nigeria

Introduction: Abdominal masses in children constitute a spectrum of lesions of diverse origin, nature and significance. In a low-income setting with limited investigative facilities, accurate diagnosis of abdominal masses can be very challenging. However, ultrasound has been used preferentially as a diagnostic tool in evaluating abdominal masses in children. This study aimed to determine the accuracy of ultrasound evaluation of abdominal masses in children. Materials and Methods: This was a prospective descriptive study of 135 consecutive children presenting with palpable and/or suspected abdominal masses over a 1-year period at a tertiary hospital. Data analyses were done using SPSS version 17 software and level of significance was set at P < 0.05. Results: Abdominal mass was located in the kidney in 40 (32.3%) patients. Definitive diagnoses of abdominal masses were confirmed intraoperatively in 33 (24.4%) and by histopathological examination in 102 (75.6%) cases. Abdominal masses were detected in 124/135 (91.9%) of the participants. Ultrasound (US) correctly identified 109/124 (87.9%) of the pathologies. The sensitivity and specificity of USS were 87.9% and 81.8%, respectively. Positive predictive value (PPV) and negative predictive value (NPV) were 97.2%–98.2% and 37.5%–45.7%, respectively. The overall US diagnostic accuracy was 87.4%. The predictive value of US for intussusceptions, Wilms' tumour and hydronephrosis was high (sensitivity was 92.0%, 95.8% and 81.1% and PPV was 90.0%, 83.0% and 93.8%, respectively). On the other hand, the sensitivity indices for appendiceal mass/abscess, lymphoma and neuroblastoma were low (28.6%, 66.7% and 57.1%, respectively), while their PPV was low too (66.7%, 42.9% and 77.7%, respectively). The PPV was especially poor for lymphoma. The specificity and NPV indices for these six disease conditions were good. Conclusion: Ultrasound is a reliable tool in the evaluation of abdominal masses in children in this setting.
Orthodontic smile: A new categorization of the perfect smile

Background and Aim: There is a shortage of empirical studies that combine the problem of malocclusion to the importance of the self-perception of the mouth/smile in the mental representation of the self-image of the face, which is the aim of the present qualitative and exploratory study. Subjects and Methods: The convenience sample consisted of 151 children and youngsters of both genders, aged 8–24 years, who used an orthodontic appliance for 6 months to 1 year, and were invited to draw two portraits of their mouth/smile before (M1) and after (M2) the use of an orthodontic appliance. Results: The main reasons that underpin the use of an orthodontic appliance are defined by the crooked teeth correction, malocclusion correction, and interdental spaces categories, in which having the perfect smile was only relevant to preteens. Discussion and Conclusions: In the present study, we have identified the orthodontic smile as a new categorization of a perfect smile associated with the social display of a look with perfect teeth.
Humanoid robots in higher education: Evaluating the acceptance of Pepper in the context of an academic writing course using the UTAUT

This study investigates the acceptance of social robots by higher education students in the social sciences. Pepper, a humanoid social robot from SoftBank Robotics, provided a sample of its capabilities during a first semester, large-scale, university course, ? Introduction to academic writing. From this course, 462 freshmen participated in our survey. The unified theory of acceptance and use of technology (UTAUT) acts as the conceptual framework, and partial least squares structural equation modelling (PLS-SEM) as the method for data analysis. The four perceived characteristics? trustworthiness, adaptiveness, social presence and appearance? all predict the intention to use the robot for learning purposes; anxiety regarding making mistakes in handling the robot and about privacy issues are not significant predictors. An importance-performance map analysis indicated adaptiveness as the robot? s most important characteristic for predicting student behavioural intention. Overall, however, the study shows that students do not have the intention to rely on social robots for learning purposes at the current level of state-of-the-art technology: behavioural intention reaches only 36.6% of the theoretical maximum.
Exploring Different Methods for Solving Analogies with Portuguese Word Embeddings

A common way of assessing static word embeddings is to use them for solving analogies of the kind “ what is to king as man is to woman? ”. For this purpose, the vector oﬀset method ( king − man + woman = queen ), also known as 3CosAdd, has been eﬀectively used for solving analogies and assessing diﬀerent models of word embeddings in diﬀerent languages. However, some researchers pointed out that this method is not the most eﬀective for this purpose. Following this, we tested alternative analogy solving methods (3CosMul, 3CosAvg, LRCos) in Portuguese word embeddings and conﬁrmed the previous statement. Speciﬁcally, those methods are used to answer the Portuguese version of the Google Analogy Test, dubbed LX-4WAnalogies, which covers syntactic and semantic analogies of diﬀerent kinds. We discuss the accuracy of diﬀerent methods applied to diﬀerent models of embeddings and take some conclusions. Indeed, all methods outperform 3CosAdd, and the best performance is consistently achieved with LRCos, in GloVe.
Species Relationships and Adaptations for Sympatry in the Avian Genus Vireo

This paper reviews species relationships within the New World avian genus Vireo and draws some inferences on the origin of sympatry among members of the group. It is presumed that the present-day distribution, habitat ecology, and external morphology of these species might offer some information relating to the evolutionary history of the genus. Although species of vireos are well known to American bird systematists, little attention has been directed to the genus as such. It is hoped that the present report will serve as an outline to the numerous biological problems that are unresolved for this group, and that it will encourage others to use the approach of comparative systematics in the study of subgeneric affinities. Specifically, this paper examines the following topics about the genus Vireo: (a) the distribution of species-specific characters of the external morphology, habitat preference, and foraging ecology throughout the several subdivisions of the genus, and the bearing of these data on the delimitation of subgenera and species groups; (b) the factors which may be responsible for the degree to which isolates or species have diverged from parental stocks while in allopatry; and (c) the manifested adaptations, presumably acquired in isolation, whereby the species can avoid competition and thus attain high degrees of sympatry. I have also used the apparent relationships in the genus Vireo as a point of departure for theorizing about the formation of species-specific characters and the development of sympatry. In consideration of the latter topic, it was found particularly useful to compare affinities in Vireo with those in the titmouse genus Parus; the papers of Hinde (1952), Gibb (1954), Snow (1954), and Dixon (1961) have been consulted especially concerning adaptation in the latter genus. I have already reported on trends of intraspecific variation for the widely distributed species of Vireo (Hamilton, 1958). That information will not be duplicated here except as it relates to the general problem of adaptation and divergence of members of the genus.
STUDY OF CLINICAL AND ETIOPATHOLOGICAL PROFILE OF LIVER ABSCESS

BACKGROUND: Liver abscess is a common problem in lower socio-economic group in India. Both types (Amoebic and pyogenic) of liver abscesses are important cause of morbidity and mortality in India. AIM: To observe the clinical features, biochemical and radiological abnormality, microbiological etiologies, and management outcomes in patients with liver abscess. MATERIALS AND METHODS: An open prospective study was conducted in the Department of Medicine, GR Medical College and JA Group of Hospitals, Gwalior from November 2009 to October 2011.The patients presenting with Liver abscess on ultrasonography (USG) were included. A detailed history, clinical examination, and laboratory profile of the patients were recorded. Radiological examination was also done to observe any pulmonary complication along with USG to observe size, site, number, echogenicity and other abnormalities. Effects of antibiotic and surgical intervention (USG guided aspiration or pigtail insertion) were also studied. RESULTS: A total of 104 patients were included in the study, out of which 52 were males. Most of them were from lower socioeconomic class (61.19%) and alcoholic (68.62%). Most patients presented with fever and abdominal pain. Most of the patients in amoebic liver abscess (ALA) group were of <40 years of age and in pyogenic liver abscess (PLA) >40 years of age. Liver abscess was mostly present in right lobe (65.67%) and single (59.70%). Etiology of abscess was 58.2% amoebic, 41.8% pyogenic. Diabetes mellitus and cholelithiasis were main inclining factors in case of liver abscess. Most common laboratory finding was abnormal alkaline phosphatase. All patients with ALA & 26 out of 29 patients with PLA improved with medical therapy. CONCLUSIONS: The most common presentation for liver abscess was male, alcoholic of low socioeconomic class having right lobe single abscess.
Antrodia cinnamomea Extraction Waste Supplementation Promotes Thermal Stress Tolerance and Tissue Regeneration Ability of Zebrafish

Antrodia cinnamomea (AC) has been shown to have anti-inflammatory, anti-tumor, and immunomodulation activities. It is estimated that hundreds of metric tons of AC extraction waste (ACEW) are produced per year in Taiwan. This study aims to assess the feasibility of applying ACEW as feed supplement in the aquaculture industry. ACEW significantly inhibited the growth of microorganisms in the water tank, by around 39.4% reduction on the fifth day with feed supplemented of 10% ACEW. The feed conversion efficiency of zebrafish with 10% ACEW supplementation for 30 days was 1.22-fold compared to that of the control. ACEW dramatically improved the tolerances of zebrafish under the heat and cold stresses. When at water temperature extremes of 38 °C or 11 °C, compared to the 100% mortality rate in the control group, the 10% ACEW diet group still had 91.7% and 83.3% survival rates, respectively. In a caudal fin amputation test, the fin recovery of zebrafish was increased from 68.4% to 93% with 10% ACEW diet after 3-week regeneration. ACEW effectively down-regulated the gene expression of TNF-α, IL-1β, IL-6, and IL-10, and up-regulated the gene expression of IL-4/13A. Additionally, the supplement of ACEW in the feed can maintain and prevent the fish’s body weight from dropping too much under enteritis. Taken together, ACEW has beneficial potential in aquaculture.
Suitability of a Cellulose-Based Nanomaterial for the Remediation of Heavy Metal Contaminated Freshwaters: A Case-Study Showing the Recovery of Cadmium Induced DNA Integrity Loss, Cell Proliferation Increase, Nuclear Morphology and Chromosomal Alterations on Dreissena polymorpha

The contamination of freshwaters by heavy metals represents a great problem, posing a threat for human and environmental health. Cadmium is classified as carcinogen to humans and its mechanism of carcinogenicity includes genotoxic events. In this study a recently developed eco-friendly cellulose-based nanosponge (CNS) was investigated as a candidate in freshwater nano-remediation process. For this purpose, CdCl2 (0.05 mg L−1) contaminated artificial freshwater (AFW) was treated with CNS (1.25 g L−1 for 2 h), and cellular responses were analyzed before and after CNS treatment in Dreissena polymorpha hemocytes. A control group (AFW) and a negative control group (CNS in AFW) were also tested. DNA primary damage was evaluated by Comet assay while chromosomal damage and cell proliferation were assessed by Cytome assay. AFW exposed to CNS did not cause any genotoxic effect in zebra mussel hemocytes. Moreover, DNA damage and cell proliferation induced by Cd(II) turned down to control level after 2 days when CNS were used. A reduction of Cd(II)-induced micronuclei and nuclear abnormalities was also observed. CNS was thus found to be a safe and effective candidate in cadmium remediation process being efficient in metal sequestering, restoring cellular damage exerted by Cd(II) exposure, without altering cellular physiological activity.
Adapting an Outpatient Psychiatric Clinic to Telehealth During the COVID-19 Pandemic: A Practice Perspective

As the demand for telepsychiatry increases during the COVID-19 pandemic, the strengths and challenges of telepsychiatry implementation must be articulated to improve clinical practices in the long term. Currently, observations within US contexts are lacking; therefore, we report on the rapid implementation of telepsychiatry and workflow experiences in a psychiatric practice based within a large health care system in southeast Texas with a national catchment area. We discuss the logistics of the implementation, including modes of communication, scheduling, coordination, and capacity; the psychological effects of web-based services, including both the loss of the physical therapeutic environment and the unique interpersonal dynamics experienced in the virtual environment; and postadoption patterns of engagement with our services and with other clinical functions affected by the rapid adaptation to telemedicine. Our art therapy group programming serves as an applied case study, demonstrating the value of a well-managed web-based program (eg, patients were receptive and well-engaged, and they appreciated the continuity of accessible service) as well as the challenges (eg, the need for backup plans and technological fallbacks, managing interruptions and telecommunication learning curves, and working around the difference in resources for art and music therapy between a well-stocked clinical setting versus clients’ home spaces). We conclude from our experience that the overall strengths of telepsychiatry include receptive and well-engaged responses from patients as well as the expansion of boundaries, which provides a directly contextualized view into patients’ home lives. Challenges and corresponding recommendations include the need for more careful safety planning for high-risk patients; maintaining professional boundaries in the newly informal virtual setting; designing the physical space to both frame the patient encounter and maintain work-life balance for the therapist; allowing for delays and interruptions (including an initial acclimation session); and preserving interprofessional care team collaboration when the physical locations that normally facilitate such encounters are not accessible. We believe that careful observations of the strengths and challenges of telepsychiatry during this pandemic will better inform practices that are considering telepsychiatry adoption both within pandemic contexts and more broadly thereafter.