Miracle-dz/UniFAR-FTUs huggingface dataset:
Age-Associated Changes in Value of the National Early Warning Score with the Japanese-Modified Glasgow Prognostic Score (NEWS-JmGPS) for Predicting In-Hospital Mortality of Elderly Patients Visiting the Emergency Department

Objective: The aim of this study is to evaluate the usefulness of the National Early Warning Score with the Japanese-modified Glasgow Prognostic Score (NEWS-JmGPS) for predicting in-hospital mortality of elderly patients. We also clarify the value of the NEWS-JmGPS for predicting in-hospital mortality of patients older than 75, 80, and 85 years. Methods: This is secondary analysis of a retrospective, single-centred observational study conducted in one year, at the Emergency Department (ED) of Jikei University Kashiwa Hospital. A total of 1,830 acute medical patients age 65 and older were included in this study. Discrimination was assessed by plotting the receiver operating characteristics (ROC) curve and calculating the area under the ROC curve (AUC). Results: The AUC of the NEWS-JmGPS was significantly higher than that of the NEWS for predicting in-hospital mortality (0.817 for the NEWSJmGPS, 0.797 for the NEWS) (p < 0.001). In the groups of older than 75 and 80 years, the AUC of NEWSJmGPS and NEWS for predicting in-hospital mortality were higher than those of the groups of younger than 75 and 80 years. On the other hand, in the group of older than 85 years, the AUC of NEWS-JmGPS and NEWS for predicting in-hospital mortality were lower than those of the group of younger than 85 years. Conclusion: Our study demonstrated the utility of the NEWS-JmGPS as a strong predictor of in-hospital mortality in elderly patients. However, in the oldest-old patients older than 85 years, the NEWS-JmGPS does not have strong power for predicting in-hospital mortality.
Immunochromatographic detection of Helicobacter pylori antibodies in paediatric patients in Asaba, Nigeria.

Background: Helicobacter pylori has been implicated as one of the aetiological agents of gastrointestinal infections in children in developing countries. Paediatric patients attending Federal Medical Centre (FM«) and General Hospital (GH) Asaba, Nigeria, were serologically assessed for the infection.Methodology: 100 blood samples were aseptically collected by venepuncture from subjects and controls, and screened for Helicobacter pylori antibodies, using an immunochromatographic assay method.Results: An overall high prevalence rate of 55% was recorded. At the FMC, 8(20%) and 2(20%) prevalence was recorded for subjects and controls respectively, while at the GH, 14(35%) and 4(40%) were seropositive for the subjects and controls respectively.Conclusion: A causal relationship between gastrointestinal complaints and Helicobacter infection as well as asymptomatic carriage of infection amongst children in the study area has been serologically demonstrated. There is urgent need for routine screening of paediatric patients presenting with abdominal pains.
Does CPAP therapy affect sleep time in patients with obstructive sleep apnea? A prospective study

Background: It is currently unknown whether and how treating obstructive sleep apnea (OSA) with continuous positive airway pressure (CPAP) affects habitual sleep time. Objectives: To investigate the effect of CPAP on habitual sleep time. Methods: Fifty-seven OSA patients (AHI >20) were prospectively enrolled and were evaluated before and after 3 mo of CPAP. Measurements included polysomnography, habitual sleep on 7 consecutive days assessed by actigraphy with sleep diary, Epworth Sleepiness Scale, and Pittsburgh Sleep Quality Index (PSQI). Results: Post-CPAP habitual night sleep time did not change compared to the baseline (pre 352 ± 65, post 351 ± 57 min, p = 0.94). The responses to CPAP varied among the participants; sleep time increased by 34 ± 25 min in 27 participants and decreased by 31 ± 29 min in 30. In the exploratory analysis comparing sleep time restorers with non-restorers, the former group was characterized by shorter habitual sleep time (328 ± 68 vs 372 ± 55 min, p = 0.01), more frequent daytime napping (79 vs 40%, p = 0.04), lower sleep efficiency (76.7 ± 10.8 vs 82.7 ± 5.8%, p = 0.01), and higher arousal index (43.5 ± 22.2 vs 34.0 ± 13.9, p = 0.06) in the baseline whereas the latter was associated with more frequent hypnotics use (11 vs 40%, p = 0.02). CPAP mainly improved daytime symptoms (reduced daytime sleepiness and napping) in the sleep time restorers whereas improvements in sleep quality (increased deep sleep and reduced PSQI) were noted in the non-restorers. Conclusions: CPAP therapy did not prolong habitual night sleep in OSA patients in the entire group. However, responses to CPAP differed among OSA patients with different clinical phenotypes.
Prevalence and Risk Factors of HCV Infection among Haemodialysis Patients at Dialysis Centers in Khartoum State - Sudan

Hepatitis C virus infection continues to be a major public health problem warranting high priority efforts for control and treatment. Hepatitis C virus infection is a major health problem among dialysis patients in developing countries. This study was conducted to measure the prevalence of HCV and to identify the possible risk factors associated with HCV infection among haemodialysis patients at dialysis centers in Khartoum State, Sudan. Methods: A crosssectional facility based study was conducted at ten dialysis centers. A total of 287 subjects were selected. A structured questionnaire was used to collect data on socio-demographic characteristics and risk factors. ELISA was used to test sera for anti-HC. For the analysis, Z-test and Chi-Square test were used. Results: Field workers interviewed ten dialysis centers with a total of 287 study subjects. Sixty out of 287 (20.9%) was found to be anti-HC reactive. The multivariate analysis indicated as risk factors associated to antiHCV positivity the number of blood transfusion received, duration of dialysis treatment, number of units of treatment, history of surgeries, multiple injections and using share razors. P values = (0.0001, 0.0031, 0.0001, 0.0018, 0.0005 and 0.0002) respectively. The study demonstrated the that, duration of dialysis, changing of units of treatment, blood transfusions received, history of surgeries, multiple injections and share razors were considered important risk factors for anti-HC positivity.
GAMBARAN KEPATUHAN DIET PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA RAWAT JALAN DI RSUD KAYEN KABUPATEN PATI TAHUN 2015 THE DESCRIPTION OF THE DIETARY PURSUANCE CRONICAL RENAL FAILURE PATIENTS UNDERGOING HEMODIALYSIS OUTP

Dietary therapy is one very important factor in the management of patients with chronic renal failure by hemodialysis. Compliance in implementing the diet be hope for hospital medical team. The study aims to describe dietary compliance of patients with chronic renal failure undergoing hemodialysis outpatients in hospitals Pati Kayen 2015. exploratory research using qualitative method by conducting in-depth interviews. The samples were all patients with chronic renal failure undergoing hemodialysis outpatients in 2015, amounting to 8 respondents. The survey results revealed that image data obtained demographic characteristics of the majority of respondents are male ( 62.5 % ) , respondents aged 45-50 years ( 75 % ) , final Education Junior High School ( 50 % ) , working as farm laborers ( 62.5 % ) , adherence to the diet ( 75 % ) and undergoing hemodialysis duration > 12 months ( 75 % ) . BMI calculation results obtained 5 people (62.5%) of respondents are in the category of malnutrition , results of laboratory data obtained six respondents or 75% levels ureumnya 40.1 to 100 mg / dl or above the normal range. And 4 respondents or 50% of blood creatinine levels of 5,1- 10 mg / dl or above the normal range. Especially for Dietician on the Nutrition Installation Kayen Pati Regency Hospital to provide the time and schedule for nutritional counseling for patients with chronic renal failure undergoing hemodialysis outpatients in order to maximize the expected results.
Is there an effect of policy-related uncertainty on inflation? evidence from the United States under Trump

ABSTRACT This study bridges the existing literature on the macroeconomic effects of policy-related uncertainty and the literature on inflation dynamics and provide fresh insights on the impacts of policy-related uncertainty under President Donald Trump -coming from unforeseen events and actions of decision makers- on unanticipated inflation changes. With the increasingly volatile environment, developing effective resilience plan and hedging practices against rising policy uncertainty become fundamental in designing sensible risk management strategies. This paper compares the inflation-hedging abilities of oil, renewable energy and major precious metals (gold, palladium, platinum and silver). Under Trump, both economic and monetary policy uncertainties seem important for the observed changes in inflation. In times of rising uncertainty, doubts rise about the ability and the commitment of policy makers to deliver on their promises. In other words, policy-related uncertainties distort the Federal Reserve’s monetary policy and harm its credibility. To reduce the costs of inflation surprises, an inflation-protecting asset allocation analysis is conducted. Gold and oil have proved to offer the most effective hedge against inflation under Trump and during periods of inflationary pressures.
Rabies menace and control - Knowledge, awareness, and practices among patients in a tertiary care hospital in West Bengal -

Background: India accounts for approximately one-third of all human rabies cases in the world, with an estimate of more than 20,000 human rabies fatalities reported annually. Administration of appropriate prophylactic method prevents deaths due to rabies. In prevention and control of rabies, knowledge and awareness in the community are very essential and crucial. Objectives: The objectives of the study were to assess the awareness regarding animal bite and to determine the practices regarding animal bite in patients attending a rabies clinic in a tertiary care hospital of West Bengal. Materials and Methods: The study was a cross-sectional, hospital-based study conducted in the rabies clinic of Murshidabad Medical College and Hospital. The duration of the study was from April to May 2016. As the study was undertaken in an outpatient clinic, consecutive sampling method was followed. During the above-said study period, a total of 200 sample size was achieved. Data were analyzed with SPSS IBM software version 21.0. Means and proportions were calculated. Results: Though 80.5% of the respondents heard the term rabies and 73% knows about the fatal nature of rabies, less than half (48%) were aware about the signs and symptoms of rabies. Majority (73%) washed the area with soap and water. Nearly 91% of the population were given antirabies vaccination but only 4.5% were administered rabies immunoglobulin. Almost half (45.5%) of the population started specific treatment after 24 h after bite. Conclusion: As majority of the victims were schoolgoing children, sensitization of the students with correct knowledge and practices has to be entertained. In addition, stringent guidelines have to be followed for treatment of all categories of animal bites.
Impact of Rooftop Solar on Distribution Network Planning

ii DECLARATION . iv ACKNOWLEDGEMENTS . v PREFACE . vi LIST OF FIGURES . x LIST OF TABLES . xii ABBREVIATIONS AND ACRONYMS . xiii CHAPTER 1 – INTRODUCTION . 1 1.1. Background. 1 1.2. Research Motivation . 4 1.3. Research Questions . 8 1.4. Research Hypothesis and Objectives . 8 1.5. Research Contributions . 9 1.6. Research Scope and Limitations. 10 1.7. Thesis Outline . 11 CHAPTER 2 – LITERATURE REVIEW . 12 2.1. Solar PV Uptake . 12 2.2. Advantages of Solar PV System Integrations . 13 2.3. Power Quality Issues with PV System Integrations . 16 2.4. LV Feeder Voltage Calculation Methods . 21 2.4. 1. Base Line Formulae . 22 2.4. 2. Load Diversity . 24 2.4. 3. Voltage Unbalance . 26 2.4. 4. Electricity supply industry practice . 29 2.4. 5. Feeder voltage estimation – Alternative techniques . 31 2.5. Research Gap . 34 CHAPTER 3 – PROBLEM ANALYSIS . 36 PART I – BACKGROUND . 36 3.1. Victorian Power Networks . 36 3.2. MV and LV Lines . 39 3.2.1. 400V Construction . 39 3.2.2. Modelling of Distribution Networks . 42 3.3. Transformer Construction . 44
Beta-Endorphin Concentration after Administration of Sucrose in Preterm Infants

Methods: We performed a prospective open-label study in preterm infants admitted to 2 tertiary neonatal intensive care units. Each infant received a single dose of 30% sucrose intraorally during a 1to 2-minute period. A blood sample was obtained using an indwelling arterial catheter to determine -endorphin concentration immediately before and 2 to 5 minutes after the commencement of sucrose administration.
Local Institutional Failures in Decentralized Indonesia: The Case of Batam

Batam's development began in 1970 by the Batam Authority (now called BP Batam) and was projected as an industrial area. In its time, Batam was transformed into a city with growth above the average national economic growth. Yet, the contrasting situation occurred after the implementation of regional autonomy in Batam. The presence of the Batam City Government as an executor of regional autonomy has a very strong legal and political position. Therefore, this paper focuses on institutional failures which have implications for the decline of the economy during the decentralized era. The methodology used in this research is descriptive exploratory by extracting information from primary and secondary data. Primary data was obtained using surveys and interviews with expert informants. The data was analyzed by the Delphi Method and Analytical Hierarchy Process (AHP). The results of the study stated that the problem faced was institutional dualism between the Batam City Government and BP Batam which had implications for legal uncertainty. The Delphi method produces recommendations including the Free Trade Zone (FTZ), Special Economic Zones (SEZ), and the application of special autonomy in Batam. Whereas based on the Analytical Hierarchy Process (AHP) method, it was found that special autonomy was the best policy choice. The concept of asymmetric decentralization based on economics is a possible model of special autonomy. However, in its implementation, further stages are needed to prepare a special law regarding the substance of specialization given to Batam. Keywords— Decentralization, Institutional Failures, Special
Seismic Dispersion and Attenuation in Fluid‐Saturated Carbonate Rocks: Effect of Microstructure and Pressure

The frequency dependence of seismic properties of fully saturated rocks can be related to wave‐induced fluid flows at different scales. The elastic dispersion and attenuation of four fluid‐saturated carbonate rocks, with different microstructures, have been measured over a broad frequency range in the laboratory. The selected rocks were a presalt coquina from offshore Congo, an Urgonian limestone from Provence (France), and an Indiana limestone either intact or thermally cracked. The selected samples present a variety of pore types characteristic of carbonates, and their link with potential squirt flow dispersion was investigated. To cover a broad frequency range, forced oscillations (0.004 to 100 Hz) and ultrasonic (1 MHz) measurement techniques were performed in a triaxial cell, at various differential pressures, on the samples saturated by fluids of different viscosity. Both hydrostatic and axial oscillations were applied in order to get the different dynamic moduli. For all our samples, the drained/undrained transition and the squirt flow mechanisms were characterized experimentally, in terms of amplitude of dispersion, amount of viscoelastic attenuation, and frequency ranges. Biot‐Gassmann's theory was found to apply mainly at seismic frequencies (10–100 Hz). A potential correlation between pore type and possible squirt flow dispersion was investigated. Intragranular microporosity, with either a rimmed or uniform distribution, does not seem to generate any substantial dispersion. On the other hand, cracked intergranular cement and uncemented grain contacts seem to generate substantial squirt flow dispersion, at respectively seismic and sonic log frequencies.
A preliminary study on identifying specific risk factors of post-partum depression

Background: Pregnancy and childbirth are important events in the life of a woman and also highly vulnerable period of various physiological and psychological illnesses. Several literatures propound that 22% young Indian mothers are showing depressive symptoms after delivery. The consequence of maternal depression is adverse both for mother and development of the child. Objective of this study was to examine the social and obstetric factors contributing post-partum depression.Methods: Women, 18-35 years of age, having four days to one-year postpartum period was taken from the tertiary care hospital settings. Terminal illness, still birth delivery and comorbid psychiatric illness was excluded. Screening and diagnosis of postpartum depression done based on international classification of diseases (ICD 10) using Edinburgh post-natal depression scale (EPDS). A comparative approach by the means of descriptive statistics was implied for data analysis where mothers with depressive symptoms are experimental group and non-depressed mothers were acted as the controls.Results: Study findings indicated a statistically significant association between postpartum depression and risk factors such as occupation and average social economic class, first time delivery.Conclusions: It is a preliminary study in a restricted geographical area, not covering the neurobiological risk factors of postpartum depression. Hence, the future study will focus on the large sample size in a multi areal population for assuring the accuracy of the result.
Carvedilol Increases Atrial Natriuretic Peptide Plasma Levels in Hypertensive Patients

Twenty five patients with moderate essential hypertension were studied for 30 days in order to evaluate the medium term effects of carvedilol on atrial natriuretic peptide (ANP) levels. This drug blocks the β1 and β2 adrenenergic receptors as well as α1 adrenergic receptors. In addition, it has strong antioxidative and antiproliferative properties. The drug was given orally at a dose of 12.5 mg b.i. d. Quantitative determination of human ANP was made by radioimmunoassay procedure (RIA). At the end of this clinical trial, mean plasma levels of ANP had risen during treatment by 21.18% (from 37.60 pg/ml to 45.83 pg/ml) while both systolic (SBP) and diastolic (DBP) blood pressure as well as diameters of the left cardiac cavities had decreased in a statistically significant way. The ratio ANP/SBP was also increased by 46.6% in a statistically significant way. These findings support the suggestion that the increase in plasma ANP following the administration of β-adrenergic blockers to hypertensive patients is a primary effect of beta blockade and not a mechanical one secondary to a negative inotropic action on the left ventricle and obviously contributes to the anti-hypertensive action.
Locating culture in experiences of therapy : accounts of Asian women

Prior research suggests that people from ethnic-minority groups, in the UK, are under-represented in their use of mainstream psychotherapy services. This finding includes women of south-Asian origin. Recent epidemiological studies have suggested that while Asian women’s use of psychotherapy services remains low, their incidence of self-harm and parasuicide behaviours, in the UK, are on the increase. This suggests that these women are not accessing help for psychological distress even though such distress is present. One prevalent idea for why this may be is that mainstream models of psychotherapy practice remain euro-centric and are therefore experienced as either irrelevant or incongruent with the values and experiences of Asian women. However, there has been little research to directly access the individual accounts of Asian women who have experienced therapy. Through the use of a grounded theory methodology this study elicits and analyses such accounts. It reports findings from six Asian women who were being seen for therapy. The aim of this study was to consider the potential role of self-described cultural identity within experiences of therapy. Participants highlighted the importance of culture in their understanding of their psychological distress, their routes into, and experiences of therapy. Accounts of the role of culture were both complex and diverse and this study does not offer simplistic conclusions for how models of therapy can become more inclusive. Rather, the findings are used to inform service development and to argue for broader approaches to culture within models of psychotherapy practice and research. Culture should be reflected upon in practice and be given more consideration than mainstream models may accord it, however these accounts emphasises that therapists should work from clients’ individual understandings, experiences and needs.
Experimental damage evaluation of prototype infill wall based on forced vibration test

This paper aims to investigate vibration frequency decrease (vibration period elongation) of reinforced concrete (RC) structure with unreinforced infill wall and reinforced infill wall exposed to progressively increased artificial earthquake load on shaking table. For this purpose, two shaking table experiments were selected as a case study. Shaking table experiments were carried on 1:1 scaled prototype one bay one storey RC structure with infill walls. The purpose of this shaking table experiment sequence is to assess local behavior and progressive collapse mechanism. Frequency decrease and eigen-vector evolution are directly related to in-plane and out-of-plane bearing capacities of infill wall enclosure with reinforced concrete frame. Firstly, frequency decrease-damage relationship was evaluated on the base of experiment results. Then, frequency decrease and stiffness degradation were evaluated with applied Peak Ground Acceleration (PGA) by considering strength deterioration. Lastly, eigenvector evolution-local damage and eigenvector evolution-frequency decrease relationship was investigated. Five modes were considered while evaluating damage and frequency decrease of the tested specimens. The relationship between frequency decrease, stiffness degradation and damage level were presented while comparing with Unreinforced Brick Infill (URB) and Reinforced Infill wall with Bed Joint Reinforcement (BJR) on the base of natural vibration frequency.