Miracle-dz/UniFAR-FTUs huggingface dataset:
A model of continuous professional development for registered pre-hospital practitioners in Ireland

Background: As in other countries, the Irish Regulator for Pre-Hospital practitioners, the Pre-Hospital Emergency Care Council (PHECC), will introduce a Continuous Professional Competence (CPC) framework for all Emergency Medical Technicians (EMTs), Paramedics and Advanced Paramedics (APs). This framework involves EMTs participating in regular and structured training to maintain professional competence and enable continuous professional developments. To inform the development of this framework, this study aimed to identify what EMTs consider the optimum educational outcomes and activity and their attitude towards CPC. Methods: All EMTs registered in Ireland (n = 925) were invited via email to complete an anonymous online survey. Survey questions were designed based on Continuous Professional Development (CPD) questionnaires used by other healthcare professions. Quantitative and qualitative analyses were performed. Results: Response rate was 43% (n = 399). 84% of participants had been registered in Ireland for less than 24 months, while 59% had been registered EMTs for more than one year. Outcomes were: evidence of CPC should be a condition for EMT registration in Ireland (95%), 78% believed that EMTs who do not maintain CPC should be denied the option to re-register. Although not required to do so at the time of survey, 69% maintained a professional portfolio and 24% had completed up to 20 hours of CPC activities in the prior 12 months. From a list of 22 proposed CPC activities, 97% stated that practical scenario-based exercises were most relevant to their role. E-learning curricula without practical components were considered irrelevant (32%), but the majority of participants (91%) welcomed access to e-learning when supplemented by related practical modules. Conclusion: EMTs are supportive of CPC as a key part of their professional development and registration. Blended learning, which involves clinical and practical skills and e-learning, is the optimum approach.
Engagement of Indigenous Clients in Mental Health Services: What Role do Cultural Differences Play?

Research studies on Indigenous groups in Australia and internationally continue to illustrate the negative impact of colonialisation on their mental health (Australian Institute of Health and Welfare, 2002, 2003). Despite this, a number of recent articles have argued that Indigenous people do not access mental health services at a level that is commensurate with this need (Dudgeon, Grogan et al., 1993; Garvey, 2000).
Identifying health care quality constituents: service providers’ perspective

In health care sector, quality of service is a critical issue. Identification of constituents of health care service quality is the key to design and development of a comprehensive, universal and accurate system for measurement of quality of service provided by hospitals and medical practitioners. A number of studies have been conducted to identify constituents and attributes of health care service quality on the basis of perceptions of the patients. However, a few studies have been conducted using health care service providers, who, apart from being providers of health care service, are its consumers as well. The present study attempts to identify constituents of health care quality by conducting focus group interviews with health care service providers (physicians, surgeons, and administrators). The present study identifies 70 health care quality constituents, which are relevant to health care service.
Volcano Trend in Electrocatalytic CO2 Reduction Activity over Atomically Dispersed Metal Sites on Nitrogen-Doped Carbon

The development of catalysts for electrochemical reduction of carbon dioxide (eCO2RR) with high activity and selectivity remains a grand challenge to render the technology useable. As promising candidates, metal–nitrogen–carbon (MNC) catalysts with metal atoms present as atomically dispersed metal–Nx moieties (MNx, M = Mn, Fe, Co, Ni, and Cu) were investigated as model catalysts. The distinct activity for CO formation observed along the series of catalysts is attributed to the nature of the transition metal in MNx moieties because of otherwise similar composition, structure, and morphology of the carbon matrix. We identify a volcano trend between their activity toward CO formation and the nature of the transition metal in MNx sites, with Fe and/or Co at the top of the volcano, depending on the electrochemical potential. Regarding selectivity, FeNC, NiNC, and MnNC had Faradaic efficiency for CO >80%. To correctly model the active sites in operando conditions, experimental operando X-ray absorption near edg.
Broadband ultra-thin acoustic metasurface absorber with coiled structure

We theoretically and experimentally propose two designs of broadband low-frequency acoustic metasurface coiled absorbers (Sample I/Sample II) for the frequency ranges of 460 Hz–972 Hz and 232 Hz–494 Hz (larger than 1 octave), with absorption larger than 0.8 (average is 0.87), and having the ultra-thin thickness of 4.5 cm and 9 cm respectively (λ/17 for the lowest working frequency and λ/8 for the highest frequency). The designed supercell consists of 16 different unit cells corresponding to 16 eigen frequencies for resonant absorptions. The coupling between multiple resonances leads to broadband absorption effect in the full range of the targeted frequency spectrum. In addition, the coiling structure lead to the ultra-thin thickness of the metasurface absorbers. Our conceived ultra-thin low-frequency broadband absorbers may lead to pragmatic implementations and applications in noise control field.
Variations in branching pattern of external carotid artery in a black Kenyan population

Knowledge of variations in branching of external carotid artery is important to minimise inadvertent injury and confusion in identification during neck and craniofacial surgery and interventional neuroradiology. These variations show ethnic differences. Procedures in head and neck are increasing but data on these variations among black populations are scarce. This study therefore examined the branching pattern of external carotid artery in a black Kenyan population. Two hundred and twenty-four common carotid arteries of 112 black adult Kenyans were exposed by cadaveric dissection at Department of Human Anatomy, University of Nairobi, Kenya. The sternocleidomastoid muscle and body of mandible were removed and the external carotid artery and its branches exposed. The conventional pattern of branching was observed in only 41.1% of cases. The variant patterns observed were trifurcation (26.8)%, bifurcation (17.9%) and quadrifurcation (8.9%). There were 20 (5.3%) cases of early division. Linguofacial trunk was observed in 44.7% cases. Frequency of variant branching pattern of external carotid artery in the population studied is high. Interventional radiologists, vascular, craniofacial and neck surgeons should be aware of these. Preoperative sonographic evaluation of the carotid arterial system is recommended. Keywords: External carotid artery, Variation, Trifurcation, Quadrifurcation, African
Experiments and modeling of a dual-mode, turbulent jet ignition engine

The dual-mode, turbulent jet ignition system is a promising combustion technology to achieve high diesel-like thermal efficiency at medium to high loads and potentially exceed diesel efficiency at low-load operating conditions. The dual-mode, turbulent jet ignition systems to date proved a high level of improvement in thermal efficiency compared to conventional internal combustion engines. However, some questions were still unanswered. The most frequent question regarded power requirements for delivering air to the pre-chamber of a dual-mode, turbulent jet ignition system. In addition, there was no study available to predict the expected efficiency of a dual-mode, turbulent jet ignition engine in a multi-cylinder configuration. This study, for the first time, predicts the ancillary work requirement to operate the dual-mode, turbulent jet ignition system. It also presents a novel, reduced order, and physics-based model of the dual-mode, turbulent jet ignition engine with a pre-chamber valve assembly. The developed model was calibrated based on experimental data from the Prototype II dual-mode, turbulent jet ignition engine. The simulation results were in good agreement with the experimental data. The validity of the model was observed based on the standard metric of the coefficient of determination as well as comparison plots for in-cylinder pressures. Numerical predictions were compared to experiments for three metrics of main chamber combustion: gross indicated mean effective pressure, main chamber peak pressure, and main chamber phasing for the peak pressure. Predictions were within 5% of experimental data, with one exception of 6%. In addition, the absolute root mean square errors of in-cylinder pressures for both pre- and main-combustion chambers were below 0.35. The calibrated model was further studied to introduce a predictive and generalized model for dual-mode, turbulent jet ignition engines. Such a model can project engine behavior in a multi-cylinder configuration over the entire engine fuel map.
Evaluation of effect of Trema guineensis extracts on serum concentrations of vitamins A, D and E during CCl 4 induced hepatotoxicity in rat

The present study investigated the preventive effect of Trema guineensis on serum concentrations of vitamins A, D and E during hepatotoxicity in rat. The leaves of Trema guineensis collected from Abobo in the district of Abidjan were used for the preparation of the aqueous extract by decoction and ethanolic extract by maceration. Then, healthy adult Wistar albino rats were used for the experimentation. The animals were pretreated with the extracts at the doses of 100 and 200 mg/kg of body weight by oral route one hour before CCl 4 intraperitoneal injection for seven days. The administration of CCl 4 resulted in a significant decrease of vitamins A, D and E rates in the serum while the pretreatment by the extracts increased the concentrations of these vitamins. The extracts of Trema guineensis would prevent vitamins A, D and E deficiency in serum due to hepatic injury.
involvement of furin and proprotein convertase 5 6 in proteolytic processing of factor viii albumin fusion protein

Proprotein Convertases (PCs) cleave protein precursors at specific basic amino acid residue to form the mature bioactive protein. The processing event leads to activation or sometimes inactivation of these proteins while trafficking through secretory pathway. Coagulation Factor VIII (FVIII) essential in blood hemostasis also undertakes proteolytic cleavages during biosynthesis, and its processing sites consist of Arg-X-X-Arg motif. We have screened nine mammalian PC family members for FVIII cleavage activity, by transfecting those into CHO cells that expressed a B-domain deleted FVIII-albumin fusion protein. Human Furin and PC5/6 proteins were found to process the FVIII-albumin fusion protein, suggesting their potential involvements in FVIII cleavages in vivo . We also found that there is no activity difference between Furin-treated or PC5/6-treated FVIII-Albumin and a processing-site-variant R1648I.
BEBEKLERİMİZİ NASIL BÜYÜTÜYORUZ

This cross-sectional research has been done in order to assess the knowledge and practice about infant feeding and carrying of the mothers who applied to Malatya Mother-Child Health and Family Planning Center. The researchers interviewed with 250 mothers who applied to the Center during June and July 1996 and who have children at the age of three or under; and after the questionnaire, the mothers were educated. Mean age of the mothers was 26 and 90.8d% were at least literate. Bringing their last children up, 67.8d/o of the mothers used their knowledge. Median first breastfeeding time was two hours. One hundred and fifty three babies over one year old were fed with other type of nutrition for median nine months (median). Exclusively breastfeeding rate was 3.2% in the frstsixmonths. Eighty percent of 153 one year old babies were swaddled during the f rst 12 months and 6.5% were swaddled with soil. The mothers were asked four questions about high fever and diarrhoea. The rate of the mothers who gave true answer for all was 67.6%. As WHO recommends, mothers should be encouraged to suckle as soon as they give birth, to exclusively breast feed for the f rst 7-6 months and to continue breastfeeding for 12 months. In order to bring healthy generations up, it is an important duty for health personnel to tell the people that the practice of swaddling with or without soil is wrong, and to give information about baby care to the people everywhere. Key words: Infant, Exclusively breastfeeding, weaning period.
Research Priorities in Forensic Occupational Therapy

National research priorities have been developed and published by the College of Occupational Therapists (Ilott and White 2001). Such an exercise, however, cannot provide the specific research priorities of a particular area of practice. A questionnaire survey was undertaken to ascertain the specific research priorities of forensic occupational therapists. The survey had three parts: determining research priorities, examining outcome measures and exploring the use of protocol-driven group work. Three specific research priorities were clearly defined by part one of the survey: the development of appropriate outcome measures, the development of rigorous and effective group-work programmes and the development of effective risk assessment tools. The nominal group technique was used in order to triangulate the data. The survey also examined the participants' use of outcome measures: a high number of the participants (62%, 44/71) stated that they used outcome measures in practice. The participants' responses to the third aspect of the survey, regarding the use of protocol-driven groups, were more varied. The majority of the groups reported by the participants were ‘home grown’, with little research base underpinning their implementation. The methodological weaknesses of undertaking such a survey are examined. The paper concludes that having identified clinicians' priorities in forensic occupational therapy research, the challenge is how best to gather robust evidence for practice.
Exploring convenience orientation as a food motivation for college students living in residence halls

The main objective of this paper is to study the concept of convenience orientation among young adults. A project was conducted among students living in residence halls, where information on their food motivation and behaviour was obtained. Data were collected using a self-administered questionnaire filled out by 319 students. Convenience ap-pears to be the most important food motivation followed by price, pleasure, health and concern about weight. Positive correlations were obtained between convenience and: deciding what to eat, having a varied diet and lack of time, all of which were considered to be difficulties associated with living in residence. Negative correlations were obtained between convenience and total time spent cooking per day and having learned to be autonomous in the kitchen. For male, the perception of eating well, having a varied diet, and maintaining weight were negatively correlated to convenience. For female, the correlation between convenience and the difficulty of eating enough was significant and positive. Negative correlations were obtained between convenience and fresh vegetables, potatoes, eggs, fresh meat, fresh fish and fresh poultry, herbal tea and alcohol. Positive correlations were obtained between convenience, frozen foods and foods brought from the parents’ home. Findings are discussed from both a health and a family perspective.
Validation of the Oswestry Low Back Pain Disability Questionnaire, its sensitivity as a measure of change following treatment and its relationship with other aspects of the chronic pain experience

Recently, there has been growing interest in the development of methods for recording disability as an outcome measure to monitor treatment effectiveness in chronic pain patients. Where these methods have relied on self-report, further information is needed about the validity and reliability of the results. Three such studies are reported on the Oswestry Low Back Pain Disability Questionnaire (ODQ. These involved comparing actual performance on lifting, sitting and walking tasks with reported limitation on the relevant subsections of the ODQ. The results were able to show encouraging validity and reliability. A factor-analytic study was also undertaken, which determined that there were two distinct factors of disability measured by this instrument. A small cohort of patients were followed up after a pain rehabilitation programme and reductions in disability were found to be reliably measured by the ODQ. The relationships between reported disability and the emotional and cognitive context in which the pain.
Ionic Liquid Analogs of AlCl3 with Urea Derivatives as Electrolytes for Aluminum Batteries

The ionic liquid analog, formed through the mixture of urea and AlCl3, has previously shown to serve as a low‐cost electrolyte for an aluminum‐graphite battery, while maintaining good performance and achieving high Coulombic efficiency. Undesirable are the relatively high viscosity and low conductivity of this electrolyte, when compared to chloroaluminate ionic liquids with organic cations. In this work, the fundamental changes to the electrolyte resulting from using derivatives of urea (N‐methyl urea and N‐ethyl urea), again mixed with AlCl3, are examined. These electrolytes are shown to have significantly lower viscosities (η = 45, 67, and 133 cP when using N‐ethyl urea, N‐methyl urea, and urea, respectively, at 25 °C). The associated batteries exhibit higher intrinsic discharge voltages (2.04 and 2.08 V for N‐methyl urea and N‐ethyl urea electrolytes, respectively, vs 1.95 V for urea system@100 mA g−1 specific current for ≈5 mg cm−2 loading), due to changes in concentrations of ionic species. Aluminum deposition is directly observed to primarily occur through reduction of Al2Cl7− when AlCl3 is present in excess, in contrast to previously suggested cationic Al‐containing species, via operando Raman spectroscopy performed during cyclic voltammetry.
Evaluation of workplaces heat stress for bakers in kashan city

Background: With respect to the heat stress-induced complications in environment with high temperature such as bakeries, we designed a study to detect heat stress on bakeries in Kashan city. Material and methods: For this descriptive study, 175 randomly selected bakers in 100 bakeries in Kashan were enrolled. To determine environment heat stress, we used WBGT instrument and WBGT indices. The measures were taken by standard ISO 7234 method in the hottest hours of summer. Variants such as baking technique, type of bakery, type of ventilation and bakery space were evaluated. Results: Of 100 bakeries, 51 used machinery technique and 49 had traditional technique bakeries. Of 175 bakers, 107 (61.1%) worked in heat stress situation. The rate of this stress was 54.2% and 45.8% in machinery and traditional bakeries, respectively. Exposed to heat in traditional bakeries were 3.3 fold more than machinery bakeries. Conclusions: We are worried about heat stress in bakeries of Kashan. This situation was more pronounced in traditional bakeries. We suggest changing traditional technique to modern bakeries.
Assessment of the SNAP-II Score and other Factors for Predicting the Fate of Admitted Neonates to the Neonatal Intensive Care Unit (NICU) of Imam Reza Hospital in Kermanshah

زرا ي با ي هد هرمن رازبا ي SNAP-II سررب لماوع و ي هدش رد پ ي ب ش ي ن ي پ ي دما نادازون رتسب ي رد هدش شخب و تبقارم ي ب هژ ي اضر ماما ناتسرام ) ع ( هاشنامرک رتكد امه ئاباب ي ۱ ، رتكد لع ي لاعرغصا ي روپ ۱ ، رتكد ل ي دارم لا ي هبند ارف ۲ ، رتكد اضر روصنم يي ۳ Homa_babaei@kums.ac. ir ناکدوک هورگ ،هاشنامرک يکشزپ مولع هاگشناد ،هاشنامرک :لووسم ي ه دنسيون تفايد : ۱۲ / ۱۰ / ۹۰ شريذپ : ۱۷ / ۷ / ۹۱
Comparison of C - reactive protein in normotensive & hypertensive type 2 diabetic patients

1,2,4 Department of Biochemistry, 3 Department of Gen. Medicine National Institute of Medical Sciences and Research, Jaipur *Corresponding Author Dr Suresh Babu Kondaveeti Associate Professor, Department of Biochemistry, National Institute of Medical Science & Research, NIMS University, Jaipur, Rajasthan Abstract Background: The present study was aimed to comparison the C-reactive protein with microalbuminuria among type 2 diabetic subjects in hypertension. Introduction: CRP production is part of the nonspecific acute-phase response to most forms of inflammation, infection and tissue damage. The association between CRP and hypertension could be related in part as follows: correlation between elevated CRP and arterial stiffness; association between CRP and metabolic syndrome, one of whose criteria is hypertension and the possibility that CRP may directly contribute to reduced nitric oxide synthesis in endothelial cells, leading to increased vascular resistance. Material & Methods: The present study includes of 500 type 2 diabetic subject & divided into two groups based on hypertension. Biochemical parameter such as C-reactive protein (CRP) was analysed in the department of biochemistry of NIMS medical college. Hypertension was taken according to definition of WHO; as systolic blood pressure (SBP) ≥140 mmHg and diastolic (DBP) ≥90 mmHg. Result: There was significant difference between the patient and control groups with regard to age, blood pressure, lipid profile, and CRP. The study also showed significant positive correlations between CRP, age and blood pressure. Conclusion: The levels of CRP were elevated in hypertensive individuals, which suggests the possibility of an inflammatory pathogenesis in hypertension.