Miracle-dz/UniFAR-FTUs huggingface dataset:
Utilization patterns of end-of-life services by injection drug users who have died with HIV/AIDS

Rationale: The changing demographics of FflV/AIDS have implications for the future use of health care resources. Objective: To determine the location of death (hospital, community hospice, home) of HIV-infected injection drug users (IDU's) and type of care (intensive, acute, palliative) at time of death; and to examine demographic, behavioral, and other variables in order to identify factors associated with receiving palliative care. Methods: IDU's who died with HIV/AIDS in Vancouver between 1991 and 1996 were identified through seven sources, including hospital data bases and direct services workers. Data collection consisted of a retrospective review of client records from Vancouver hospitals, community hospices, community organizations, and the Drug Treatment Program of BC Centre for Excellence in HIV/AIDS. Results: There were 121 deaths documented that indicated that the individual was HTV positive and an IDU (92 were male, 24 were female, and 5 were transgendered). Median age at death was 35 years. Fifty-three percent were Aboriginal, and 61 percent lived in unstable housing. Sixty-one percent died in an acute care hospital setting, 27 percent died in a palliative care unit or in a community hospice, 11 percent died at home, and one percent on the street. Eleven of the thirteen home deaths were attributed to drug overdoses. AIDS was the most common cause of death (66%), followed by drug overdose (9%). Excluding deaths due to drug overdose, suicide or unknown causes, 71% of the IDU's died while receiving some form of palliative treatment. However, the median length of palliative treatment was only two days. Having an AIDS diagnosis was
Health care or Atom bombs? Interest profiles connected to a science career in Sweden

The ROSE survey explores which science topics 15-year-old students want to study. By carrying out a factor analysis on results from Sweden it was possible to describe ten interest profiles. The interest profile with the strongest connection to the students’ interest in school science consists of topics such as explosive chemicals, ABC weapons, electric shocks, atoms and molecules. Only a minority of the students has these interests, but it is this minority who appreciates school science and who chooses to study science at upper secondary school. The factor analysis also reveals large differences between genders and furthermore, that the students’ own interests govern their choice of study programme at upper secondary school.
LUX-Lung 6: A randomized, open-label, phase III study of afatinib (A) versus gemcitabine/cisplatin (GC) as first-line treatment for Asian patients (pts) with EGFR mutation-positive (EGFR M+) advanced adenocarcinoma of the lung.

8016 Background: A is an oral, irreversible, ErbB Family Blocker, blocking signaling from EGFR (ErbB1), HER2 (ErbB2) and ErbB4. A was superior to first-line pemetrexed/cisplatin in a global phase III trial (LUX-Lung 3) in EGFR M+ NSCLC. This study compared the safety and efficacy of first-line A with GC in EGFR M+ Asian pts. Methods: The trial was conducted in Asian countries. Following central testing for EGFR mutations (TheraScreen EGFR RGQ PCR kit), 364 pts (stage IIIB/IV, PS 0–1, chemo-naive) were randomized 2:1 (A: 242; GC: 122) to daily A 40 mg or IV GC (1,000 mg/m2 D1, 8 + 75 mg/m2q21 days up to 6 cycles). Primary endpoint was PFS by central independent review. Results: Baseline characteristics were balanced in both arms: Female (64.0 vs 68.0%), non-smoker (74.8 vs 81.1%), exon 19 deletion (51.2 vs 50.8%), L858R (38.0 vs 37.7%) in A and GC arms, respectively. PFS was significantly prolonged with A compared with GC by independent review (median PFS 11.0 vs 5.6 months, HR=0.28, p<0.0001); this findin.
Effectiveness of Self-Management in Breast Cancer Patients:A Systematic Review

Objective To systematically assess the effectiveness of self-management during adjuvant treatment for breast cancer.Methods rough formulating the inclusion and exclusion criteria and the search strategy,such databases as the Cochrane Library,PubMed(1966 to 2010),OVID,ELSEVIER,CINAHL,EMbase,CNKI(1980 to 2010),WanFang Data,VIP(1989 to 2010) and CBM(1978 to 2010) were searched to collect the randomized controlled trials(RCTs) about postoperative self-management in breast cancer.Two reviewers evaluated the quality of the included studies,Thextracted and crosschecked the data;the Review Manager 5.0 so ware was used to perform the test for heterogeneity,and the cu-mulative effect was calculated with either fixed or random e ects models.Results Among the included ten studies in English,three revealed that the program of self-management had no impact on the overall life quality of patients,three revealed that it could enhance the self-care ability of patients(P=0.004),three revealed that it could not reduce the anxiety level of patients,and two revealed that it had certain in uence on the depression level of patients.Conclusion e program of self-management can enhance the patients’ self-care ability,but its in uence on patients’ overall life quality as well as the level of anxiety and depression is still unde ned.
Deep embedment shear strenghtening of reinforced concrete continuous T-beams

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Estimating brown bear abundance in the Italian Alps with genetic-based CMR models

Brown bear (Ursus Arctos) is a flagship species for the conservation of biodiversity and its reintroduction in the Italian Alps represents a great challenge. Given the global decline of large carnivores, documenting the results of such attempts is crucial for future conservation management. Accurate estimates of abundance are extremely difficult to obtain for small populations of large and elusive carnivores, yet fundamental for their adaptive management. This thesis presents a method to estimate brown bear abundance in the Italian Alps based on the use of genetic capture-mark-recapture (CMR) models. Genetic data, obtained from systematic and opportunistic sampling in three consecutive years (2015, 2016 and 2017) by Trento Province, were used to obtain estimates of population abundance, population structure and growth rate. The analyses were conducted using Huggins models with the software RMark. Different combinations of models were tested, and a hierarchical model selection was operated. Results returned a population size of some 55-57 individuals in 2017, including 9-11 newborns. Adult sex ratio was: 54% females and 46% males. Analyses conducted by means of Jolly Seber models, including all years, showed a rapid growth of the population (10,70%). Lastly, the possibility of providing accurate estimations using opportunistic data only was tested, with positive results for Huggins closed population model. This result may allow for a simplification of future analyses, thus for the opportunity of money saving for institutions involved in monitoring, with positive effects on the conservation management measures of the brown bear Alpine population.
Strength and Durability of Hybrid Fibre Reinforced Binary Blend Geopolymer Concrete

This paper deals with an investigation on the influence of hybrid fibres on the strength and durability of binary blend geopolymer concrete. Geopolymer concrete was prepared using Fly ash and GGBS as source material and mix design was carried out as per the guidelines of Professor Rangan of Curtin University, Australia. Different fly ash-GGBS proportions namely 50-50%, 60-40%, 70-30%, 80-20% and 90-10% were considered. The tests on Geopolymer concrete reveal that the compressive strength increases as the percentage of GGBS increases up to 30%. Hence the combination of 70% fly ash and 30% GGBS was considered as a base material. In order to improve the engineering properties of the Geopolymer concrete, hybrid fibres which consist of metallic and non-metallic fibres were introduced in the base material. Metallic fibres considered was crimped steel fibres with different percentages of volume fraction viz. 0.5% and 1.0% and non-metallic fibres considered was basalt fibres with different percentages of volume fraction viz. 0.1%, 0.2% and 0.3%. Strength parameters such as compressive strength, split tensile strength, modulus of rupture and modulus of elasticity were obtained for various combinations of steel and basalt fibres. Similarly durability parameters which include permeability, water absorption, marine attack and sulphuric acid attack were also evaluated. The combination of fibres having 0.5% steel and 0.3% basalt gave better results with regard to both strength and durability of binary blend Geopolymer concrete.
Molecular Detection and Characterization of Avian Bornavirus

Molecular Detection and Characterization of Avian Bornavirus. (May 2011) Negin Mirhosseini, B.S., Kerman Shahid Bahonar University; M.S., Texas A&M University Chair of Advisory Committee: Dr. Susan Payne Proventricular dilatation disease (PDD) was first recognized during an outbreak among captive macaws in the late 1970s. The disease, also known as proventricular dilatation syndrome or macaw wasting disease can occur in any psittacine but the most commonly affected birds are macaws, cockatoos and conures. The disease causes inflammation of the central, peripheral and autonomic nervous systems, as well as weight loss associated with regurgitation and the passage of undigested food in the feces. Although a viral etiology for PDD has been suspected for almost 40 years, the etiologic agent of the disease was unknown until lately. Recently we cultured a novel bornavirus from brain tissue from birds clinically diagnosed with PDD. This finding supports data from other groups who, in 2008, identified bornavirus sequences among birds suffering from PDD. It was reported that more 60% of PDD affected birds were infected with the new virus, designated avian bornavirus (ABV). ABV is a negative sense, single stranded RNA virus related to Borna disease virus (BDV). ABV isolates differ dramatically from BDV isolates in their level of genetic variation. Using polymerase chain reaction (PCR) assays, we were able to detect ABV in feces and tissue of PDD birds. We also detected ABV shedding from clinically healthy birds housed in aviaries
The concept of competence in the development of vocational education and training in selected EU member states: a critical analysis

This contribution follows the descriptive review of Weigel, Mulder and Collins regarding the use of the competence concept in the development of vocational education and training in England, France, Germany and the Netherlands. The purpose of this contribution is to review the critical analyses brought forward by various authors in this field. This analysis also remarks on the most important theories and critiques on the use of the competence concept in the above‐mentioned states, The systems of vocational education within the four states covered in this study are: the National Vocational Qualifications in England, the approach to learning areas in Germany, the ETED and the bilan de compétences in France, and the implementation of competence‐based vocational education in the Netherlands, and these are the respective focal points for the critical assessments of the competence concept presented here. These critiques encompass such aspects as the lack of a coherent definition of the concept of competence, the lack of a one‐to‐one relationship between competence and performance, the misled notion that employing the concept of competence decreases the value of knowledge, the difficulties of designing competence‐based educational principles at the curriculum and instruction levels, the underestimation of the organizational consequences of competence‐based education, and the many problems in the field of competence assessment.
Coronary Heart Disease Risk Factors in the Determination of Nursing Students

AMAÇ: Bu çalışma, hemşirelik öğrencilerinde koroner kalp hastalığı risk faktörlerini belirlemek amacıyla planlandı. YÖNTEMLER: Tanımlayıcı tipteki bu araştırma, İstanbul’da bir üniversitenin hemşirelik yüksekokulu ve sağlık bilimleri fakültesi hemşirelik bölümünde 20092010 eğitim öğretim yılı, Şubat ayında toplandı. Koroner kalp hastalığı (KKH) risk faktörlerini içeren 26 sorudan oluşan bir anket formuyla toplandı. Veriler SPSS 10.0 programı ile, tanımlayıcı özellikler sayı, ortalama ve yüzdelik, parametrik olmayan değerler ki-kare testi ile değerlendirildi. BULGULAR: Yaş ortalaması 20.91±2.09 olan olguların %81’i kız öğrenci, %19’u erkek öğrenci, beden kitle indeksi ortalaması 21.57±3.33’ tür. Olguların %53.6’sının ailelerinde hipertansiyon, %30.1’inde KKH olduğu saptandı. Kız öğrencilerin kolesterol değerini daha fazla bildiği (p=.005), daha fazla balık (p=.03) ve meyve sebze tükettiği (p=.002), erkek öğrencilerin ise kırmızı eti daha çok tükettiği (p=.02) belirlendi. Kız öğrencilerin stres düzeylerinin daha yüksek olduğu saptandı (p=.008). SONUÇ: Hemşirelik öğrencilerinin KKH risk faktörleri incelendiğinde, büyük çoğunluğun ailesinde hipertansiyon olduğu, kız öğrencilerin erkek öğrencilerden daha stresli ve beslenmelerinin daha iyi olduğu belirlendi.
The Effect of Dynamic Vulcanization on the Mechanical and Thermal Properties of Stereocomplex PLLA/PDLA/rubber Blends

This study investigated the influence of dynamic vulcanization of sterecomplex PLA/PDLA (ST) containing various types of rubbers by using dicumyl peroxide (DCP) as a vulcanizing agent. In this work, natural rubber (NR), isoprene rubber (IR), silicone rubber (SI), acrylic rubber (AR), thermoplastic copolyester (TPE) and thermoplastic polyurethane (TPU) were selected. Here, 5 wt% of PDLA, 15 wt% of rubber and 2 wt% DCP as an initiator were melt-blended with PLA in an internal mixer at 180 0C and 50 rpm. It was found that the addition of DCP in (NR and IR) led to a significantly increase in the impact strength and % elongation at break. On the other hand, for the rubbers that do not have double bonds in the main chain (SI, AR, TPE and TPU), the addition of DCP led to a decrease in impact strength and % elongation at break compare to the case without DCP due to the lack of double bonds to react with DCP. For the effect of DCP on the rubber dispersion, it was found that the addition of DCP on the NR and IR could improve the interface compatibility of the rubber and PLA leading to smaller average rubber domain sizes than without DCP. For other types of rubbers, the average rubber domain sizes were bigger with poorer interface compatibility than without DCP. For the effect of DCP on the crystallinity, it was found that the addition of DCP could increase the crystal density and could consequently reduce the crystal sizes of the ST/rubber blends.
Properties and effects of dormant aggregates on concrete strength

Aggregates used for concrete are sometimes abandoned on sites for extended periods of time. These aggregates are left dormant and exposed to harsh weather conditions before utilization. This study investigates the effect of aggregate dormancy of both fine aggregate (river sand) and coarse aggregate (gravel) on quality of concrete produced and its strength. Data for the study was collected over a 3 years dormant period of the aggregates, to determine the efficiency of the aggregates and its quality on concrete production and its strength. Experimental procedures such as; silt content, water absorption, specific gravity, sieve analysis, and the compressive strength test were conducted on the dormant aggregates to analyse its quality and strength of concrete produced through it. The analysis of the performed experiment on the dormant aggregates was presented through tables and figures. The finding of the study shows that that the strength of the concrete increases yearly due to reduction of silt content, high specific gravity, and an increase in the water absorption of the dormant aggregates. Base on the finding of this study, it is concluded that the dormancy of aggregates (river sand and gravel) have no effect on the concrete quality and its strength.
Exploring Gender Roles and Gender Equality within the Evangelical Church

Date of Award Spring 5-18-2019 Document Type Dissertation Degree Name Doctor of Philosophy (PhD) Department Education First Advisor Kris DePedro Second Advisor Don Cardinal Third Advisor Gail Stearns Abstract This research aims to facilitate better understanding of perceptions of gender roles and gender equality among members of the Evangelical Church and to determine whether these perceptions differ by gender. The evangelical community’s ideologies and values have come to shape social and political dialogues within the United States. A key component of the faith is understanding the role each member plays within his or her family unit and community at large. The evangelical faith’s organizational structure and ideologies are informed by a patriarchal model that’s placed women at internal and structural odds, based on research exploring evangelically informed organizations. However, there is a gap in literature related to gender roles and equality within the faith, and how these perceptions may differ by gender and the influence a church’s organizational structure may have on these perceptions. This process involved the examination of perceptions of gender among evangelical Christians in a nationally representative sample. These findings informed a series of questions designed to explore, at greater depth on a regional level, the views of evangelicals regarding gender roles and gender equality within their organizations. The study provided a multidimensional construct of how the evangelical community defines themselves, understands gender roles and gender equality, and how these definitions affirm and conflict with definitions outside of the church as well as their own church’s leadership and organizational structure. Creative Commons License
Awareness and Knowledge of Micro Health Insurance: A Case Study of Sampoorna Suraksha Programme in Karnataka, India

Micro health insurance (MHI) is an innovative health financing mechanism that caters to the insurance need of the bottom of the pyramid in India to tackle the impoverishing effects of huge medical bills and mitigate iatrogenic poverty. This study was conducted to ascertain the knowledge and awareness on the scheme features of Sampoorna Suraksha Programme (SSP), a micro insurance programme initiated by SKDRDP (Sri Kshetra Dharmasthala Rural Development Project) in Karnataka, India. A descriptive study was conducted in three randomly selected districts namely Dakshina Kananda, Uttara Kannada and Gadag, in Karnataka. Primary data was collected using a questionnaire from the insured members of SSP adopting survey methodology. Our study affirms that insured members of SSP have different levels of knowledge and awareness on the various features of SSP. The results indicate that the degree of knowledge and awareness of the main features of SSP (benefits of package, excluded diseases and network hospitals) were more prevalent amongst members who have been renewing rather than the newly insured SSP members. We reiterate that such positive trends on knowledge and awareness were attributable to high income, educational level, and members living in more developed districts of Karnataka.
Characteristics of the sporadic sodium layers observed at 23 degree S

The mesospheric sodium data, obtained between 1975 and 1987 at Sao Jose dos Campos (23{degree}S,46{degree}W) with a laser radar, have been analyzed in order to identify the appearance of thin sporadic sodium layers. In this search, a total of 65 events were identified. The average height of the peaks is 95.0 km. The ratio of the maximum peak density to the average layer density is normally 2.5 to 3.0, but values as high as 7 have been observed in the most outstanding cases. The events last from a few minutes to several hours, although durations of 1-2 hours are more typical. The events occur more often during periods of large meteor showers, especially in August. The diurnal variation shows an increasing number of observed peaks from 1500 LT to midnight and remains almost constant from midnight to 0600 LT. In 52 out of 54 days for which sodium and ionsonde data are available there was an sporadic E layer nearly coincident with the sodium cloud. The coincidence is good for short-lived sporadic layers, but a substantial increase in sporadic E critical and blanketing frequencies normally precedes the long-lasting and broader ones. These results are compatible with the suggestion that themore » enhanced layers are produced by the wind shear distortion of sodium clouds originating in meteor deposition, but the authors cannot rule out the possibility of an ion conversion mechanism. « less
Diabetes in Saudi Arabia

La perte de sodium par natriurie osmotique et la faible consommation aqueuse limitant l'excretion aqueuse, sont responsables des observations et augmentent egalement l'hyperglycemie. La faible pression arterielle, le taux de cholesterol faibles et peut-etre les taux reduits d'insuline peripherique pourraient avoir un effet protecteur contre l'atherosclerose et la microangiopathie
A CROSS SECTIONAL STUDY OF KNOWLEDGE, ATTITUDE AND PRACTICE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS AT A TERTIARY CARE HOSPITAL

Diabetes mellitus is emerging as a major health problem in India; it is affecting all class of society with varied clinical manifestation. Increasing awareness about the disease is very important to prevent the epidemic manifestation of diabetes. METHODOLOGY: A cross sectional study with 120 respondents conducted over a period of 6 months to assess the knowledge, attitude and practice among type 2 diabetes mellitus patients. Structured questionnaire was used to collect data. RESULTS: The study revealed that the awareness of patients regarding the definition and the causation was poor. 61% patients were not aware of the common symptoms of the disease and less than 20% knew about the complications. Medications (73.33%) were the main method of control of diabetes followed by dietary changes (62.5%) and exercises (60.8%). Screening for complication was also very less; only 14.16% of the participants have ever undergone checkups to look for complications. CONCLUSION: Our study revealed that the knowledge among majority of the respondents was poor. The attitude and practices towards prevention and control of diabetes was not satisfactory. There is a need for regular conduct of awareness programmes to improve attitude and practices of diabetic patients to promote better compliance towards diet, exercise and
ANTIBIOTIC RESISTANCE IN MASTITIS BACTERIA

SUMMARY The Veterinary Laboratories Agency (VLA) has created a national antimicrobial database on which it is inte nded that the results of all sensitivity tests performed in England and Wales at VLA regional laboratories will be collected. Preliminary findings related to bacteria causing mastitis are presented in this paper and briefly discussed with reference to sel ected published findings from other countries; certain epidemiological aspects are also briefly discussed.