Miracle-dz/UniFAR-FTUs huggingface dataset:
Diagnostic palpation in osteopathic medicine : a putative neurocognitive model of expertise

5 ACKNOWLEDGEMENTS . 7 PUBLICATIONS AND PRESENTATIONS.9 Published. 9 Conference presentations . 9 Oral presentations. 9 Poster presentations . 10 TABLE OF CONTENTS . 13 LIST OF TABLES.19 LIST OF FIGURES . 21 LIST OF ABBREVIATIONS.23 CHAPTER 1: INTRODUCTION.25 1.1 Background to the study. 25 1.2 Aims and hypotheses. 29 1.2.1 Aims and objectives. 29 1.2.2 The hypothesis under test. 30 CHAPTER 2: LITERATURE REVIEW: DIAGNOSTIC PALPATION, ANALYTICAL AND NON-ANALYTICAL PROCESSING IN OSTEOPATHIC AND MEDICAL CLINICAL DECISION MAKING . 33 2.1 Diagnostic expertise in osteopathic medicine – the role of analytical and nonanalytical processing. 34 2.1.1 Clinical reasoning in osteopathic medicine and the health professions . 36 Reasoning and problem solving . 37 Clinical reasoning: models and research approaches. 39 On the role of cognition. 40 On the role of knowledge . 46 On the role of metacognition . 56 On the role of analogical reasoning. 57 Dual-processing theory: Switching between analytical and non-analytical processing. 59 2.2 Reliability of palpation and clinical examination in osteopathic medicine and other manual medicine disciplines . 61
Staff Perception of Sustainable Procurement-A study of the University of Brighton

This study explores the staff views of the sustainable procurement strategy and the factors that drive and hinder the university in its effort to procure sustainably. An exploratory study was conducted using an internetbased survey of the staff members and semi-structured interviews with key members of the staff. Although there are more internal drivers identified in the university, it was observed that the external drivers had greater influence in the adoption of the strategy. The barriers recognized in this research were predominantly internal. Based on the results of this research, the staff perception is that the strategy will bring about the adoption of best practices that have the potential to influence changes in supplier and social behavior. The critical success factors identified in this study are finance-related factors with the potentials to disrupt the strategy and the effective communication required to engender participatory involvement.
Comparison of Nutritional Value of Fresh and Processed two Fish Species

Objectives: Two species of tune fishes (Auxis thazard and Thunnus tonggol) were selected for evaluation of nutritional values and some of physicochemical properties in before and after process. Methods: In this study, measuring the chemical composition of fresh and canned fish, were carried out with the methods AOAC and AOCS. Results: Results showed that fat amounts in all samples were increased after processing, but the ash and protein amounts were decreased (P<0.05). Moisture amount was decreased for A. thazard after canning and in storage during time (%51+0.19) but it was not changed in T. tonggol. The obtained results showed that energy value after 3 months storage was higher (293.4+5.2kcal/100g) in canned A. thazard than in canned T. tonggol. Fresh A. thazard oil had significantly (P<0.05) higher peroxide and acidic values and fresh T. tonggol oil had higher iodine value (P<0.05). Conclusion: It can be concluded that canned A. thazard oil after 3 months storage had significantly (P<0.05) the lowest iodine value (156.36+4.30gr I2/100gr) and the T. tonggol oil had highest iodine value (293.4+5.2gr I2/100gr) after 1-month storage.
Hospital Antibiogram: A Necessity in Monitoring Sensitivity of Isolates and Rationale Use of Antibiotics’

Background: The laid protocols by CDC (center for disease control) narrated the dire need of local anti-biograms. Therefore the current study had been planned to acquire the knowledge about sensitivity pattern of various isolates in different specimens. Objectives: To identify the local antibiotic sensitivity data against various isolates from different specimens. Materials and Methods: A descriptive cross sectional study was conducted at the Pathology Original Research Article Ahmend et al.; BMRJ, 13(3): 1-8, 2016; Article no.BMRJ. 23795 2 department of Al Nafees Medical College & Hospital, Islamabad, Pakistan. The duration of study was 04 months i.e 01st June to 01st Oct. 2015. Frequencies and percentages were the numerical variables extracted by using the SPSS version 16. Results: A total of 336 different specimens were received during study period. E. coli is commonest organism isolated from urine, high vaginal swabs (HVS) and Pus i.e. 60.60%, 100% and 25% respectively. Klebsiella species is the second most common organism (12.12%) followed by Pseudomonas (9.09%) isolated from urine. E. coli, Klebsiella, Pseudomonas and Staphylococcus aureus were isolated at same frequency (25%) from pus. Salmonella typhi was isolated from blood (100%). The drugs of choice for E. coli are quinolones and aminoglycosides by showing the sensitivity of about 75% each. For Klebsiella pneumoniae, the ideal antibiotics are aminoglycosides (85.1%) and 2 generation cephalosporins (85%). For Pseudomonas aeruginosa, extended spectrum penicillin, quinolones, 2 and 3 generation cephalosporins are the most suitable ones showing the sensitivity of 100% each. Conclusion: Quinolones, aminoglycosides, 2 and 3 generation cephalosporins are the drugs of choices for the treatment of many gram positive and gram negative infections.
International Journal of Social Sciences and Management

The main purpose of this research is to examine the effects of brand image on customer satisfaction and loyalty intention. It also examines the relationships between the brand image and customer satisfaction, brand image and loyalty intention as well as customer satisfaction and loyalty intention on the context of retail supermarket chain in UK. The hypotheses were formed on the basis of existing literatures and data was collected to test the hypotheses so it is deductive research. The survey strategy is used to collect information from the customers of the main six retailers based on London through structured closed ended questionnaires at a point of time and so it is cross-sectional research. A sample of 120 customers was selected through convenience sampling technique. The statistical and mathematical tools such as percentage analysis, correlation and regression analysis are used for data analysis through SPSS 20. This study asserts that the overall brand image has significant effects (P = 0.000 and β = 0.880) on customer satisfaction. Similarly, the overall brand image has significant effects (p = 0.000 and β = 0.780) on overall customer loyalty intention; and also customer satisfaction has significant positive effects (p = 0.000 and β = 0.859) on customer loyalty intention in an organisation. However, this study considered just five variables of brand image and five variables of customer satisfaction. There may have other important factors which may influence the findings. A small sample size of just 120 customers from just six stores of the main retailers may not represent the vision of all retail customers. Thus, it is recommended that a large scale research with more variables, large sample size with more stores from different parts of the UK to validate these findings.
Hepatitis B Vaccination Efficacy in Iranian Healthcare Workers: A Meta-Analysis Study

Context: Despite various studies, there is no overall estimation about the efficacy of Hepatitis B virus (HBV) vaccine among healthcare workers (including healthcare personnel and healthcare students). The present meta-analysis study was conducted to investigate the efficacy of HBV vaccine in healthcare workers in Iran. Evidence Acquisition: This study was performed according to the PRISMA guidelines for systematic review and meta-analysis studies. A comprehensive search was conducted using national and international databases including: Magiran, Iranmedex, IranDoc, SID, Medlib, Scopus, Pubmed, Science Direct, Cochrane, Embase, Web of Science, Springer, wiley online library, Trials Register, DOAJ, and Google Scholar search engine without time limit up to 2016. Just papers which were qualified according to inclusion criteria were examined. The data were analyzed using meta-analysis method in STATA software Ver.11. 1. Results: 1726 healthcare workers had been examined in 12 studies. The efficacy of HBV vaccine, 1 - 6 months after the injection of the third dose was determined to be 93.1% (95% CI: 90.3 - 97); this rate was 95.9% (95% CI: 93.1 - 98.6) for male and 91.3% (95% CI: 87.1% - 95.5%) for female participants. HBV vaccine efficacy was 90.9% (95% CI: 86.5-95.3) for 8 studies conducted on healthcare personnel and 97.3% (95% CI: 94.7-97.7) for 3 studies on healthcare students. Conclusions: Immunogenicity of HBV vaccine was 90 - 97 in healthcare workers. Hence, the complete course of vaccination is sufficient for prevention of HBV and there is no need for booster dose or dose re-administration.
Deduplication Techniques in Storage System

: Ever increasing volume of back up data in cloud storage may be a vital challenge. There is a need of data management as back up windows are shrinking due to growth of information. So, to make data management scalable deduplication concept is used. It is a technique of keeping only one unique instance of data copy by detecting identical data copies and eliminating those so that it could improve storage utilization, system performance of storage system. There are different schemes introduced by people. This paper surveys these different deduplication approaches.
-antitrypsin alleles in patients with pulmonary emphysema, detected by DNA amplification (PCR) and ollgonucleo,tlde probes

Alpha 1 -anlitrypsi11 alleles in patients with pulmonary emphysema, detected by DNA amplification (PCR) and oligonucleotide probes. K. Bruun-Petersen, G. BruwaPetersen, R. Daltl, B. Larsen, S. K~lvraa, J. Koch, L. Bolund, N. Gregersen. ABSTRACT: Alpha 1 -antltrypsln (AAT) deficiency Is a serious predisposing factor for the development of pulmonary emphysema. • Dept of Respiratory Diseases, University Hospital of Aarhus, Denmark. •• Dept of Clinical Genetics, Vejle Hospital, Vejle, Denmark. • Institute of Human Genetics, University of Aarhus, Aarhus, Denmark. " Molecular Genetic Laboratory, Department of Clinical Chemistry, University Hospital of Aarhus, Denmark. Twelve representative Danish families were studied. AAT typing was performed as a comparative study between the traditional protein typing by lsoelectrlcal focusing and the deoxyribonucleic add (DNA) technique of enzymatlc ampllflcation and subsequent typing with radioactively labelled oligonucleotide pa·obes. Correspondence: K. Bruun-Petersen Dept of Respiratory Diseases, University Hospital of Aarhus, DK-8000 Aarhus C, Denmark. On the basis of clinical and radiological signs of pulmonary emphysema, 25 patients were selected. AAT typing was performed by use of the two techniques In combination, In search for new point-mutations among the patients. Results obtained wltb the two techniques were discordant In one patient, suggesting an unknown variant.
A BRIEF STUDY ON SPEECH EMOTION RECOGNITION

— Speech Emotion Recognition is a current research topic because of its wide range of applications and it became a challenge in the field of speech processing too. In this paper, we have carried out a brief study on Speech Emotion Analysis along with Emotion Recognition. This paper includes the study of different types of emotions, features to identify those emotions and various classifiers to classify them properly. The first part of the paper is enriched with an introductory description. Second part covers the different features along with some popular extraction method. Third part includes various classifiers used in SER and finally the conclusion part puts an end to this paper.
Enhanced Rate-based Transmission control for TCP in ad hoc Networks

Summary This paper studies TCP performance over multi-hop wireless ad hoc networks that use the IEEE 802.11 protocol as the access method. The aim is to improve the TCP fairness while keeping the algorithm as simple as possible, since in previous works the algorithm designs were more complicated. We propose a simple approach to improve fairness based on scheduling (pacing) new packets according to the transmission interval formed from scaled round-trip time (RTT) and congestion window. Our simulation using static and mobile networks shows that, given specific scale parameter x , TCP achieves high fairness and throughput via improved spatial channel reuse, if it operates in certain range of the transmission interval.
First Detection of Resistance Genes Encoding Extended Spectrum β-Lactamase Producing Escherichia coli at Lomé, Togo

Background: Extended Spectrum β-lactamases (ESBLs) are enzymes produced by some bacteria that inactivate oxyimino-cephalosporins, a class of β-lactam antibiotics family. They are mainly encoded by the β-lactamase gene families TEM, SHV and CTX-M. The Enterobacteriaceae expressing these genes, in particular Escherichia coli are widely expanded in the world with different prevalence rate from one region to another. The objective of this study, carried out from strains isolated at the National Institute of Hygiene (INH) in Togo, was to (i) detect and characterize the genes involving in the production of β-lactamase among E. coli strains and (ii) evaluate their prevalence. Methodology: From May 2013 to July 2015, 91 E. coli strains resistant to third generation cephalosporins (C3G) were collected from several specimens and analyzed for the detection of β-lactamase resistance genes, blaTEM, blaSHV and blaCTX-M by simplex and multiplex PCR. Results: The E. coli strains resistant at least to one third generation cephalosporin, were isolated from urine 58/91 (63.74%), vaginal samples 17/91 (17.68%), wound swabs 7/91 (7.69%), 4/91 semen samples (4.40%), urethral curettage CU 2/91 (2.20%), sputum 1/91 (1.1%), stool 1/91 (1.1%) and joint fluid 1/91 (1.1%). Resistance to third generation cephalosporins was associated with a resistance to quinolone (96.67%), trimethoprim/sulfamethoxazole (94.44%), gentamicin (75.82%) and chloramphenicol (59.09%). ESBL genes were present in all E. coli strains with the following proportions: TEM/CTX-M1 52/91 (57.14%), TEM/SHV/CTX-M1 19/91 (20.88%), CTX-M 18/91 (19.78%), TEM 1/91 (1.10%) and TEM/SHV 1/91 (1.10%). Conclusion: The presence of ESBL producing E. coli is a reality in Togo and their wide dissemination compromises the treatment of classical infections such as urinary tract infection, bacterial pneumonia, sepsis or meningitis. The acquisition of molecular data on bacterial resistance to antibiotics is necessary for better therapeutic management of these infections. This is a first determination of the βlactamase genes in Togo.
J Gynecol 2017, 2(S2): 000S2-007

My interest in the epidemiology of the female breast diseases ranged from 1979 to 2016. This interest included adolescent masses, onchocerciasis, fibroadenoma, dysplasia versus malignancy, self-examination, regression, carcinosarcoma, role of family doctors, and comparison of its epidemiology in Sweden and Nigeria. Moreover, lymph node biopsy was used to confirm the success which has followed health education in the community. The historical element was the operation for massive lipoma by two eponymous giants; this was published in 1846. Apart from this multifaceted background, the current paper compares the ratio of medullary carcinoma of the breast (MCB) and of invasive ductal carcinoma (IDC) not only in the developed but also in the developing countries. Interestingly, both were found to be equal.
SCANNING ELECTRON MICROSCOPY (SEM) AND ENERGY DISPERSIVE SPECTROSCOPY (EDS) OF CYANOBACTERIA ISOLATED FROM CUDDALORE DISTRICT,TAMILNADU

Cyanobacteria, also known as blue green algae, blue green bacteria or cyanophyta, that obtain their energy through photosynthesis. The name cyanobacteria come from the color of the bacteria. They are a significant component of the nitrogen cycle and an important primary producer in many areas of the aquatic ecosystem. The chemical composition of phytoplankton samples used for their calibration, which has been conventionally determined by bulk analysis techniques (Behrendt, 1990). The estimation of elemental concentrations for the whole sample without separation into separate constituents, e.g., algae, detritus, small animals etc., inevitably. Such data on natural blooms of various microalgal species could contain errors due to the presence of other species and/or detritus particles in the analyzed samples. Therefore, in the present investigation, the elemental composition of certain blue green algaeis determined for individual species by X-ray microanalysis (XRMA) to avoid the above problem. XRMA has sufficient resolution to analyze single cyanobacterial cell within a mixed population (Liberton et al., 2006) and involves the simultaneous determination of a comprehensive assessment of nutrient status (Sigee et al., 1998; Baulina et al., 2004; Marquardt and Palinska, 2006). Cyanobacteria are abundant throughout the world and contribute significantly to global primary productivity from which pytoplanktonic terrestrial components account for a large proportion (Marine et al., 2004). The advent of the electron microscopy (McMullan, 1995) revealed that blue green algae were bacteria, presenting a well-defined submicroscopic organization with a lacking membrane-bound organelles. Previous cytological studies on blue-green algae, either with the light microscope or electron microscope, have established certainly that the cellular organization of these organisms is simpler and quite different from that of higher forms (Geitler, 1959). Kenyon et al. (1972) proposed that four types of fatty acid composition exist in cyanobacteria and demonstrated some correlations with morphological properties.
ESTABLISHMENT OF CALLUS AND CELL SUSPENSION CULTURES OF NIGELLA SATIVA L. FOR THYMOL PRODUCTION

Objective: Nigella sativa Linn. is a small elegant annual herb and is regarded as one of the greatest form of healing medicine available. Thymol, one of its pharmaceutically sound bioactive compound has been reported to possess anti inflammatory, antioxidant, anticancerous and anti-neoplastic effects. This study was done to investigate callusing response from different parts of the in vitro grown seedlings and production followed by qualitative determination of thymol through suspension culture initiated by the produced callus. Method: Callusing response of different parts (leaf, epicotyl, hypocotyl and root) of the in vitro grown seedling was determined on solid MS media with different growth hormones so as to generate inoculums for suspension culture. Suspension culture was initiated in liquid MS media supplemented with different hormones. Effect of these hormones on total terpenoid production was estimated followed by thymol estimation through thin layer chromatography. Results: Epicotyl region inoculated on MS media supplemented with Kn (2 mg/L) + NAA (1 mg/L) gave fast growing creamy and friable callus in comparison to different parts of the seedlings on different combinations used. Suspension cultures with Kn (2 mg/L) + NAA (1 mg/L) showed the maximum growth rate and biomass accumulation followed by BAP (2 mg/L) + IAA (1 mg/L). Variations in hormone combination and concentration showed an increased percentage of polar and non-polar terpenoid (11.5% non-polar and 4% polar) over the standard suspension culture. Further, thin layer chromatography of these cultures revealed the presence of thymol with a characteristic pink spot of Rf value 0.76 in cultures with Kn (2 mg/L) + NAA (1 mg/L) and BAP (2 mg/L) + IAA (1 mg/L). Conclusion: It could be concluded from the study that combination of Kn (2 mg/L) + NAA (1 mg/L) and BAP (2 mg/L) + IAA (1 mg/L) enhanced the N. sativa terpenoid production and also induced greater production of thymol in suspension culture.
Histopathological Effects of Foods Cooked in Microwave Oven on Pancreas of Albino Mice Embryos And The Role of Ginger to Reducing The Damages

This research aims to study the effect of microwaved food as well as the ability of ginger (Zingiber officinale) to treat the adverse effects of microwaved food on embryo's pancreas. Pregnant albino mice (Mus musculus) aged (10-14) weeks and weight (25±2) gm. , were included fifty pregnant mice were divided into ten groups each one consisted of five pregnant. Pregnant received ginger orally in form of aqueous extract with a single dose (1000mg\kg) body weight. The period of treatment was 18 days starting from the 1 day until 18 day of pregnancy which is the dissecting day. The embryos fixed by Bouin’s solution for 48 hr, cut as 5μ and stained with Ehrlich’s Haematoxylin & Eosin. Microscopic examination of pancreas showed presence of histopathological changes that increased with the increasing of duration of the exposure. Pancreatic acini were irregular with necrosis and coagulative necrosis the β-cells of langerhan’s islets and congestion of blood vessels with infiltration of inflammatory mononuclear cells, especially lymphocytes. In addition to hyperplasia of septa between the lobules. Groups which were treated with ginger extract showed efficient effect in reducing histological changes of the diet cooked by microwave oven in all periods of time that has been used in pancreas.
A Study on correlation between the drug resistance and biofilm production among the GNB isolated from blood

Introduction: Now days many drug resistant bacteria has been isolated from bacteraemia cases. And these bacteria threaten the patient’s life with associated biofilm production around the implants like Intravenous catheters, Venflons, etc. Aim: to identify the prevalence of drug resistance among GNB (Gram Negative Bacteria) isolated from blood culture and to check their ability to produce biofilm by invitro method. Materials and Methods: A total of 365 blood samples were collected and processed from clinically diagnosed septicaemia patients. These samples were processed to isolate the bacteria with ABST by using standard CLSI guidelines. Biofilm production was identified by Tube method, Congo red agar method and Tissue culture plate method. Result: Out of 365, 62 (17%) blood samples were isolated with gram negative bacilli. Out of 62 isolates, 17 (27.4%) were identified as Escherichia coli, 13 (21%) were identified to be Acinetobacter spp, 12 (19.3%) were Pseudomonas spp, 08 (13%) were Salmonella spp, 06 (9.6%) were isolated as Klebsiella spp. Citobacter spp and Enterobacter spp were isolated with 03 (4.8%) each. Among these 62 isolates, 28 (45.2%) were identified to be either ESBL or MDR isolates, 18 (29%) isolates produces biofilm by all three methods. Among the biofilm producers, (55.55%) were found to be the drug resistance bacteria. Conclusion: Result of this Blood culture reveals the increased rates of drug resistance bacteria which were due to improper use of antibiotics. And the major drug resistant bacteria are associated to produce Biofilm which makes the treatment to be more challenging.