Miracle-dz/UniFAR-FTUs huggingface dataset:
Mortality of severely injured patients after ICU discharge: An underestimated problem?

BackgroundMost trauma patients admitted to the hospital alive and die later on, decease during the initial care in the emergency department or the intensive care unit (ICU). However, a number of patients pass away after having been discharged from the ICU during the initial hospital stay. On first sight these cases could be seen as “failure to rescue” of potentially salvageable patients. A low rate of such patients might be a potential indicator of quality for trauma care on ICUs and surgical wards.MethodsRetrospective analysis of the TraumaRegister DGU® with data from 2015-2017. Patients that died during the initial ICU stay were compared to those who were discharged from the initial ICU stay for at least 24 hours but died later on.ResultsA total of 82,313 trauma patients were included in the TraumaRegister DGU®. In total, 6,576 patients (8.0%) died during their hospital stay. Out of those, 5,481 were admitted to the ICU alive and 972 patients (17.7%) were discharged from ICU and died later on. Those were older (mean age: 77 vs. 68 years), less severely injured (mean ISS: 23.1 vs. 30.0 points) and had a longer mean ICU length of stay (10 vs. 6 days). A limitation of life-sustaining therapy due to a documented living will was present in 46.1% of all patients who died during their initial ICU stay and in 59.9% of patients who died after discharge from their initial ICU stay.Conclusions17.7% of all non-surviving severely injured trauma patients died within the hospital after discharge from their initial ICU treatment. Their death can partially be explained by a limitation of therapy due to a living will. In conclusion, the rate of such late deaths may represent patients that died of potentially avoidable or treatable complications.
Genotoxicity of Two Nanoparticles: Titanium Dioxide and Zinc Oxide

Highlights • Cytotoxic/genotoxic potential of titanium dioxide and zinc oxide nanoparticles-NPs were examined. • Both NPs significantly increased the frequency of aberrant cells and chromosome aberration/cell. • NPs increased sister chromatid exchange and DNA damage. • NPs decreased mitotic index in some treatments. • Results revealed cytotoxic and genotoxic potential of TiO2 and ZnO NPs in human lymphocytes.
Access to Phylogeny from Voltammetric Fingerprints of Seeds: the Asparagus Case

A methodology for characterizing vegetal taxonomic groups from the voltammetric fingerprints of polyphenolic components of seeds is described. It is based on recording the voltammetric response of microparticulate films deposited on glassy carbon electrodes from seed extracts using different organic solvents. The obtained responses in contact with aqueous electrolytes provided characteristic voltammetric profiles at the level of genera/subgenera and/or families using bivariant and multivariant chemometric methods. The voltammograms of 14 species from 5 different families provided family-characteristic patterns. Analysis of voltammetric responses for a set of 20 species of the Asparagus genus from four continents permits to discriminate the genetic lines represented by the Asparagus, Protasparagus and Myrsiphyllum subgenera.
A Content Analysis of Advertising in Magazines Directed at United States and United Kingdom Seniors

A CONTENT ANALYSIS OF ADVERTISING IN MAGAZINES DIRECTED AT UNITED STATES AND UNITED KINGDOM SENIORS Ray Markham Smith Old Dominion University, 2000 Director, Earl D. Honeycutt, Jr. The seniors (55+) market is a growing, attractive market. While this market represents almost one-fourth o f the total population in the United States and is slightly higher in the United Kingdom today, this segment is projected to grow to approximately one-third o f the population over the next quarter century. Relative to their proportion o f the total population, seniors, and especially women, have historically been underrepresented as general advertising models. When seniors are portrayed, they are often used in supporting roles o r in a negatively stereotyped manner. W hile the aging process is associated with declines in mental and physical capabilities, and healthcare is a major concern o f the group, this is only one o f many areas o f interest to this diverse population segment. There is evidence that the portrayal o f seniors has improved; but advertising is still designed by persons with an average age o f 30, who are focused on the declining youth market and who do not, nor do they desire to, know the senior market. This research expands prior advertising studies by investigating advertising practices toward seniors. That is, only limited research has been conducted using magazine advertisements targeted towards seniors and no cross-national studies were found in the literature. The study investigates (1) how firms currently advertise to the senior market; (2) how practitioners communicate with seniors in comparison to published academic research; (3) the similarities and differences o f print advertisements for seniors from two similar countries; and (4) the support for standardization o f print advertisements directed towards the senior market based upon advertising practices in two similar cultures. R e p ro d u c e d with perm iss ion of th e copyright ow ner. F u r th e r reproduction prohibited without perm iss ion .
Compensated and Uncompensated Risks In Global Factor Investing

Global equity risk factors that are constructed by sorting stocks on firm characteristics associated with expected returns contain embedded region and sector exposures. We show that these positions lead to uncompensated volatility. Hedging out both region and sector exposures simultaneously increases the Sharpe ratio of the typical global factor by 50%. Hedged factors, individually or in a model, always subsume their non-hedged counterparts. Our results have implications for international asset pricing and portfolio management.
The effect of a Biofeedback Training Course and Transcranial Direct Current Stimulation (tDCS) on Balance, Proprioception, and Performance of Athletes 18 to 30 Years Old

Introduction: Balance is one of the basic required components for daily life activities, which is as one of the functional independent indicators. Proprioception plays a key role in maintaining balance and optimally doing exercise skills and preventing injury. In this research, the effect of biofeedback and TDCS was compared along with the promotion of balance, proprioception, and performance. Method: In the present experimental study, 36 athletes were randomly divided into three groups of biofeedback (12), TDCS (12), and control (12). Balance assessment was performed by force-plate, proprioception was done with digital photography, and the functional balance was determined by star testing before and after the intervention. Anova and T-stent pair tests were used at a significance level of 0.05 to analyze information. Results: The results show a significant difference in the absolute error rate of the reconstruction of the target angle following the biofeedback intervention at angles of 30° (P=0.01), 45° (P=0.03), and 90° P=0.002) as well as improving the balance in the biofeedback group after intervene in the anterior, external, external, posterior, posterior, and TDCS groups in the anterior, posterior, posterior, internal, and internal posterior directions. Conclusion: The findings showed that the use of biofeedback and TDCS along with proprioception exercises could be recommended to athletes to improve their proprioception and functional balance. Keywords: Electromyographic Biofeedback, Transcranial Direct Current Stimulation, proprioception, Balance, Functional Balance
CLINICAL STUDIES ON EQUINE COLIC

An attempt to diagnose the colic in equines on the basis of clinical symptoms having history of abdominal pain in clinic of Department of Clinical Veterinary Medicine, Ethics and Jurisprudence, CVAS, Bikaner; Veterinary Polyclinic, Gogagate, Bikaner; National Research Centre on Equine, Bikaner and in and around Bikaner region, which is located in northwestern semi arid part of Rajasthan, was carried out. In the present study, out of 132 equines, 17 equines were found colicky and compared with 10 apparently healthy equines. The overall prevalence of equine colic was observed as 12.87%. According to type of colic, the prevalence was found 29.41% in impactive colic and 70.59% in spasmodic colic. The mortality rate in equines was observed as 11.76%. There was great variation in duration and severity of clinical manifestation. However, loss of appetite and depression, repeatedly lying down and stretching out the body with legs, lip curling and pawing, looking back at flank region and kicking at the belly, disturbed urination pattern, rolling and severe sweating were observed in 100%, 74%, 60%, 47%, 40% and 27% of cases, respectively. Before treatment, the clinical parameters like pulse rate, respiration rate and capillary refill time was highly significant increase, however, temperature was nonsignificantly decreased in colicky equines. Hemoconcentration and dehydration were evident at severity of colic indicated by significant increase in Hb, TEC and highly significant increase in PCV but significant decrease in TLC, neutrophil, lymphocyte and highly significant decrease in total platelet were observed before treatment. Eosinophil and monocyte were non-significantly decreased. Biochemical parameters like total protein, blood glucose, blood urea nitrogen, blood lactate and alkaline phosphatase were highly significantly increased and serum creatinine was also significantly increased but within reference limits. These all clinical, hematological and biochemical parameters were within reference range after treatment and almost similar to healthy control group. All the colicky cases were divided into two groups (impactive colic and spasmodic colic) and the treatment were given as per requirement or according to type and severity of colic. As per result regarding symptomatic therapy which includes Xylazine hydrochloride, Hyoscine butylbromide, Pentazocine, Dicyclomine hydrochloride, Magnesium sulphate, Ranitidine, Neostigmine, Mineral oil, Penicillin and Fluid and electrolyte therapy were found highly effective treatment of equine colic. v’o esa isV nnZ dk ';fud v/;;u LukrdksÙkj 'kks/k xzUFk ';fud i'kqfpfdRlk vkS"k/k] uhfr'kkL= vkSj U;k;’kkL= foHkkx i'kqfpfdRlk ,ao i'kqfoKku egkfo/kky; jktLFkku i'kqfpfdRlk vkSj i'kqfoKku fo’ofo/kky;] chdkusj izLrqrdrkZ % uthj eksgEen izeq[k mins"Vk % Mkvfuy vkgqtk
The Credit Spread Puzzle - Evidence from a Quasi-Natural Experiment

Prior literature mostly finds bond yield spreads to be insufficiently explained by credit risk (the 'credit spread puzzle'). Recently, Feldhutter and Schaefer (2018) and Bai et al. (2020) revived this debate. We utilize the removal of sovereign guarantees for savings banks and state banks in Germany as a unique natural experiment allowing model-free identification of the credit risk component. During a transition period of over ten years, bonds of the same issuer with and without credit risk could be directly compared. Interestingly, less than 20% of the yield spread is due to credit risk for these bonds.
Factors that impact the adoption of clinical decision support systems (CDSS) in healthcare settings for evidence-based decision making

Background: Clinical decision support systems (CDSS) are designed to promote evidence-based patient care and shared-decision making in healthcare settings. Despite these benefits, adoption and long-term use of the systems remain limited. There is a need to identify different factors that influence CDSS adoption in healthcare settings.Objective: The Unified Theory of Acceptance and Use of Technology (UTAUT) model was applied to determine different factors that influence the adoption of CDSS in healthcare settings.Methods. A cross-sectional online survey examining clinicians’ perceptions about CDSS implementation in hospital and primary care settings in Australia was undertaken from June - October 2019. Multivariate logistic regression was used to examine the association of UTAUT moderators (age, gender and experience) and care settings (hospital and primary care) with perceived benefits, barriers and facilitators to CDSS adoption.Results: Access to information required for evidence-based decision making, and improvements in quality and safety of patient care were the most common perceived benefits of CDSS. Mapping of different barriers and facilitators to the UTAUT model indicated that ease of use (effort expectancy), perceived benefit (performance expectancy) and a facilitating environment greatly influence the adoption of CDSS. Respondents indicated that systems providing a better fit between relevance, content and timeliness greatly facilitates uptake. Adoption of CDSS also depends on the ability of an organisation to create a facilitating environment that can help address the lack of users’ trust in these systems. The type of healthcare setting was found to be a significant predictor of lack of confidence in the content within CDSS, threat to professional autonomy, and time constraints as barriers to CDSS implementation. Therefore, setting dynamics as well as user-specific requirements need to be considered to improve the acceptability and use of CDSS. Conclusion: Our study has explored different factors that may help address implementation challenges for CDSS. By combining internal factors of users’ inclination and perceptions about the system’s perceived benefits, coupled with external factors of system design requirements, training and support, and stakeholders’ consultations, our findings highlight the need for a holistic implementation framework to enable effective CDSS adoption.
Plasmonic Bi Metal Deposition and g-C3N4 Coating on Bi2WO6 Microspheres for Efficient Visible-Light Photocatalysis

A low-cost semiconductor-based photocatalyst using visible light energy has attracted increasing interest for energy generation and environmental remediation. Herein, plasmonic Bi metal was deposited in situ in g-C3N4@Bi2WO6 microspheres via a hydrothermal method. As an electron-conduction bridge, metallic Bi was inserted as the interlayer between g-C3N4 and the surface of Bi2WO6 microspheres to enhance visible light absorption due to the surface plasmon resonance (SPR) effect and facilitate efficient electron-carrier separation. Different characterization techniques, including XRD, SEM, TEM, UV–vis, XPS, photoluminescence, and photocurrent generation, were employed to investigate the morphology and optical properties of the as-prepared samples. The results indicated that the g-C3N4(20%)@Bi@Bi2WO6 microsphere sample exhibited an extraordinary enhanced photocatalytic activity, higher than those of the g-C3N4, Bi2WO6, and g-C3N4(20%)@Bi2WO6 samples. It implies that the heterostructured combination of g-C3N4.
Flexible and Highly Sensitive Pressure Sensors Based on Bionic Hierarchical Structures

The rational design of high‐performance flexible pressure sensors attracts attention because of the potential applications in wearable electronics and human–machine interfacing. For practical applications, pressure sensors with high sensitivity and low detection limit are desired. Here, ta simple process to fabricate high‐performance pressure sensors based on biomimetic hierarchical structures and highly conductive active membranes is presented. Aligned carbon nanotubes/graphene (ACNT/G) is used as the active material and microstructured polydimethylsiloxane (m‐PDMS) molded from natural leaves is used as the flexible matrix. The highly conductive ACNT/G films with unique coalescent structures, which are directly grown using chemical vapor deposition, can be conformably coated on the m‐PDMS films with hierarchical protuberances. Flexible ACNT/G pressure sensors are then constructed by putting two ACNT/G/PDMS films face to face with the orientation of the ACNTs in the two films perpendicular to each other. Due to the unique hierarchical structures of both the ACNT/G and m‐PDMS films, the obtained pressure sensors demonstrate high sensitivity (19.8 kPa−1, <0.3 kPa), low detection limit (0.6 Pa), fast response time (<16.7 ms), low operating voltage (0.03 V), and excellent stability for more than 35 000 loading–unloading cycles, thus promising potential applications in wearable electronics.
A 3-Week Dynamic Differences of Immunological Parameters in Severe and Non-severe COVID-19

Objective We aimed to compare the dynamic differences of immunological parameters in severe and non-severe COVID-19. Methods In this study, the cytokine profiles and lymphocyte subsets of 70 patients (31 severe COVID-19 and 39 non-severe COVID-19) were longitudinally analyzed. Results Compared with non-severe cases, severe cases had higher age (64 vs 36 years, p<0.001), more common comorbidities (74.2% vs 15.4%, p<0.001), and more frequently lymphopenia (0.7 vs 1.6×109/L, p<0.001). Severe cases had markedly higher levels of IL-6, IL-8, and IL-10 than non-severe cases from baseline to 3 weeks after admission (p<0.001). No significant differences were observed in the levels of IL-1β, IL-2, IL-4, IL-5, IL-12P70, IL-17, TNF-α, IFN-α, and IFN-γ between the two groups during the follow-up (p > 0.05). The absolute numbers of CD3+, CD4+, CD8+, and CD45+ T cells were markedly lower in severe cases compared with that in non-severe cases from baseline to 3 weeks after admission (p<0.001). The decrease of T lymphocyte subsets reached its peak from day 1 to 3 after admission, and gradually increased from day 4 to 21 in the non-severe group; however, reached its peak from day 4 to 7 after admission, and sustained at a low levels in the severe group. Conclusion The dynamic changes of cytokine profiles and T lymphocyte subsets are related with the disease severity of patients with COVID-19.
Effect of Nb and Cu on the crystallization behavior of under-stoichiometric Nd–Fe–B alloys

In this work, we present a complete study of the influence of Nb and Cu addition on the crystallization behavior of Nd-lean Nd–Fe–B melt-spun alloys. Alloys with compositions Nd10−x−yFe84B6NbxCuy (x = 1, y = 0 and x = 0.5, y = 0.5) were melt-spun at different wheel speeds (15–40 m s−1) to obtain samples in amorphous, highly disordered and nanocrystalline structures. The crystallization process, induced by different heat treatments, was studied by means of differential thermal analysis and x-ray powder thermodiffraction. Magnetic properties of as-made and heat-treated ribbons were measured by magnetometry. The as-made amorphous samples showed a crystallization to the 2:14:1 hard magnetic phase at T1 ~ 350 °C. Doping with Nb results in an increase of T1, and addition of Cu lowers T1. This behavior is explained in terms of an inhibition of grain growth by Nb and a nucleation enhancement by Cu additions. During the crystallization process, a secondary phase (identified as a bcc-Fe-rich phase) is formed. The amount of such a phase increases with the annealing temperature. Coercivity increases upon annealing reaching maxima at 700–750 °C. This can be explained in terms of competition between the two phases formed: the 2:14:1 hard phase and the soft bcc-Fe-rich phase. The highest coercivity of the Nd-lean samples is observed when the microstructure is appropriate and both phases are exchange-coupled.
Potentials and hazards associated with sewage irrigation in Haryana

In a survey conducted during 2001-2002, sewage effluents being disposed in different districts of Haryana were monitored periodically for their chemical and biological characteristics. Computations showed that the total volume of sewage disposed was 485 million litres/day that has a potential for supplemental irrigation to a land area of 16 000-32 000 ha/annum in peri-urban areas. In addition to a nutrient potential of 8 100, 1 200 and 11 000 tonnes in terms of N. P and K, it also contained micronutrients like Zn, Fe and Cu to the extent of 30.1, 178.8 and 4.3 tonnes. respectively. The sewage waters were slightly alkaline (pH 7.1-8.3) in reaction, with electrical conductivity 0.9-3.2 dS/m, sodium absorption ratio 1.4-6.2 (mmol/litre) 0 . 5 and residual sodium carbonate 0-8.6 meq/litre and the most of these were rated as suitable for irrigation purposes on the basis of these parameters. Nevertheless, these effluents had high BOD (averaging 244 mg/litre), COD (315 mg/litre), total dissolved solids (1.7 g/litre), NH 4 -N (39 mg/litre), Cd (76 μg/litre), Cr (244 μg/litre), Ni (294 μg/ litre) and E. coli (4 × 10 6 /100 ml) that limits their disposal in water bodies. The STPs effectively improved their quality in terms of lowering of BOD (below 100 mg/litre), COD and to some extent the pathogenic bacteria but the toxic and other ions continued to be similar to those in untreated effluent. Considerably higher values of chemical and biological parameters were monitored during summer. Use of these sewage effluents in agriculture offers an efficient way to conserve water, recycle nutrients and reduce pollution of surface waters but the associated health risks through pathogens and toxic ions may restrict their re-use, demanding innovative solutions to optimize benefits and minimize the negative health impacts.
Improved Pedagogical Practices Strengthens the Performance of Student Teachers by a Blended Learning Approach

This study is aimed at exploring the innovative teaching and learning approach called Blended Learning approach to improve the academic performance of student teachers, which also enhances the quality education. Blended learning approach is an integration of both face-to-face and online learning. It is designed as orientation of program, lesson plan, analyzing educational resources, determining educational objectives, assigning EDMODO platform for teaching learning process, designing teaching learning process and tools for teaching of science. The present study consisted of 53 student teachers. The innovative teaching and learning approach of Blended Learning was used in teaching the Experimental group which comprise 29 student teachers, while the Conventional method was used with the Control group which consists of 24 student teachers. The experiment lasted for eight weeks. The study findings revealed that there were significant differences at 0.05 level in the mean scores of the test in favor of the experimental group. The findings also pointed out that there were statistically significant differences at 0.05 level in the participants’ pedagogical performance level before and after implementing the Blended learning method of teaching in favor of the post application (Awad Soliman Keshta, 2013). This was endorsed to the Blended Learning Program in teaching of science program. In the light of the study results, it is suggested that education stakeholders should adopt the innovative teaching method as blended learning method in teaching and learning process at teacher education level and conduct workshops for teachers to enhance teaching learning process. This integration of technology tool creates effective learning environment and promote self -learning which in turn improves student teachers pedagogical performance level.