Miracle-dz/UniFAR-FTUs huggingface dataset:
College, Interrupted: A Case Study Of The Mental Health Leave Process

xiii CHAPTER 1: INTRODUCTION . 2 Problem Statement . 4 Research Questions . 6 Significance. 6 Definition of Terms. 8 Mental health . 8 Transition . 8 The Mental Health Leave and Reenrollment Process . 9 Methodology . 10 Assumptions, Delimitations, and Limitations . 10 Overview of the Literature . 12 Summary . 13 CHAPTER 2: LITERATURE REVIEW . 14 College Students and Mental Health. 14 College Support Services . 16 v Counseling services . 17 Accessibility services . 19 Colleges and Liability . 20 The Virginia Tech Massacre legacy . 21 The Family Rights and Educational Privacy Law of 1974 (FERPA) and Suicide Liability . 22 The Mental Health Leave and Reenrollment Process . 24 Student Development and Transition. 28 Summary of the Literature . 32 CHAPTER 3: METHODOLOGY . 34 Research Design. 35 Case Study Research Questions . 36 Data Collection . 37 Site selection. 39 Participant sample and recruitment . 40 Interviews . 41 Data Management . 42 Ethical Considerations . 43 Data Analysis . 43 Coding . 44
Statistical Bias Correction of RegCM4 Output Data (Study Area: Indramayu Regency)

Climate data that has limitation on spatial and temporal scale becomes an obstacle in perform the climate-related research such us crop simulation, climate risk assessment and many others. Regional climate models such as RegCM4 can produce adequate outcomes of climate data in term of spatial and temporal sides. Output data from RegCM4 can be used for further research once it has been through correction process. On this study, statistical bias correction with three different transfer function (i.e. linear regression, second order polynomials and third order polynomials) were tested. The correction process that has been done on the RegCM4 rainfall data in Indramayu Regency by using third order polynomials-transfer function is able to produce climatology data with value close to observation data. Similarity between observation data and the corrected RegCM4 output data is indicated by similar temporal and spatial distributions. Based on the historical climate and projection of rainfall (1981-2065), it is known that annual rainfall will decrease by 0.84 mm/year.
The Tuberculosis-associated Immune Reconstitution Inflammatory Syndrome (TB-IRIS): recent advances in clinical and pathogenesis research

Purpose of the review: Anti-retroviral therapy (ART) is an essential, life-saving intervention for HIV infection. However, ART initiation is frequently complicated by the tuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) in TB endemic settings. Here, we summarise current understanding highlighting the recent evidence. Recent findings: The incidence of paradoxical TB-IRIS is estimated at 18% (95% CI 16-21%), higher than previously reported and may be over 50% in high-risk groups. Early ART initiation in TB patients increases TB-IRIS risk by greater than two-fold, but is critical in TB patients with CD4 counts <50 cells/µl because it improves survival. There remains no validated diagnostic test for TB-IRIS, and biomarkers recently proposed are not routinely used. Prednisone initiated alongside ART in selected patients with CD4 ≤100 cells/µl reduced the risk of paradoxical TB-IRIS by 30% in a recent randomised-controlled trial and were not associated with significant adverse effects. Effective also for treating paradoxical TB-IRIS, corticosteroids remain the only therapeutic intervention for TB-IRIS supported by randomised-controlled trial data. TB-IRIS pathogenesis studies implicate high antigen burden, innate immune cell cytotoxicity, inflammasome activation and dysregulated matrix metalloproteinases in the development of the condition. Summary: Specific biomarkers would aid in identifying high-risk patients for interventions and a diagnostic test is needed. Clinicians should consider prednisone for TB-IRIS prevention in selected patients. Future research should focus on improving diagnosis and investigating novel therapeutic interventions, especially for patients in whom corticosteroid therapy is contraindicated. Two meta-analyses of randomised-controlled trials (RCTs) on the optimal time to initiate ART following commencement of TB treatment in HIV-associated TB have reported combined relative risks of TB-IRIS of 2.19 (95% CI 1.77-2.70) and 2.31 (95% CI 1.87-2.86) for early (up to four weeks) vs late (8-12 weeks) ART initiation 6]. In patients with a CD4 count below 50 cells/mm 3 a mortality benefit was apparent with early ART, favouring ART initiation within 2 weeks following TB treatment in such patients. However, a relatively high incidence of TB-IRIS can be expected in these patients who commence ART at 2 weeks of anti-tuberculous therapy – the risk was elevated over two-fold with early ART.
Enhanced interfacial strength of plasma treated polyethylene and glass

Low-temperature plasma treatment represents an important technology to influence surface properties of polymers. Less financially demanding and environmentally friendly way leads to a significant enhancement of adhesion to another type of surfaces. The article describes the influence of plasma treatment time of polyethylene (PE) powder leading to the increase of interfacial strength to glass substrate. This strength was quantified by the tensile test and compared with the industrially used chemical products, maleic anhydride or silane. The maximum value of the interfacial strength was achieved by plasma treatment with an exposure time of 60 s and is at least by 150 % higher than in the case of the interphase created by silane. The results of the research, also proven by ESCA measurement, represent the potential of using plasma treatment of powder semi-products for the preparation of fibre-reinforced composites with a thermoplastic matrix processed only at atmospheric pressures.
Improvement of mechanical properties of mycelium/cotton stalk composites by water immersion

ABSTRACT A kind of novel sustainable mycelium/cotton stalk composite were prepared in laboratory by growing white rot fungus of Ganoderma lucidum on cotton stalk and stored in a block mold followed by hot-pressing process. To improve the mechanical properties, the composites were, respectively, subject to water immersion prior to hot-pressing at various water uptake (20%, 30%, 40% and 50%). The mechanical properties including flexural and internal bonding properties were tested. The results showed that with increasing water uptake, the mechanical properties of the composites increased at first after reaching the maximum at water uptake of 30 wt% in accordance with the saturation point of cotton stalk. Therefore, the water contributed to the good interface between mycelium and cotton stalk particles, where the flexural and internal bonding strength met the standard for non-load bearing particleboard listed in ANSI A208.1–2016. However, at water uptake higher than 30 wt%, no further improvement occurred due to the excessive water located in cell lumen rather than in the cell wall.
Side effects of medications in professional opera singers’ voice: survey findings

Background: Opera singers are classified under level I, as the elite vocal performers, being the quintessential representatives of this group. As the professional voice users, they meticulously observe any changes relevant to their health, therefore self-reported side effects should be taken under serious consideration. The aim of this study was to initiate the process of gathering general information about the most common side effects of medications taken by the opera singers. Methods: The study group consisted of 264 professional opera singers, treated in Claros Clinic in a 35 years period, who were asked to complete a questionnaire. The response rate was 62.1% (n=164) with a male-to-female ratio being 1.27:1 (72 men and 92 women). 46 cases of adverse effects of medicines were updated and analysed. All the responses were collected between February and April 2018. Results: The mean age of our study group was 38.3 for females and 49.95 for males, with the range between 18-83 years. The vocal categories were as follows: 39 tenors, 17 baritones, 14 basses, 64 sopranos, 23 mezzo-sopranos and 5 contraltos. Patients with chronic diseases and comorbidities represented the 39.1% of the study group. The most common adverse effect reported was dryness (15.2%). The most frequent voice side effects raised by singers were clearing the throat frequently (14.63%), hoarseness and coarse or scratchy sound (10.37%), and vocal fatigue (7.32%). Conclusions: We believe that exploring the subject of vocal side effects of medications in professional opera singers is extremely important.
A study on status of neonatal transport to a level III neonatal intensive care unit

Background: In the past decade, great advancements in Neonatal care contributed to a fall in IMR. A further fall in IMR can only be achieved by improving the neonatal transport facilities. Hence to assess the current status of neonatal transport we undertook this study. Methods: This is a cross-sectional study of 75 neonates transported to our NICU. For all the babies, data regarding the place of birth, mode of delivery, mode of transport, etc. were collected. On admission parameters like blood glucose, temperature, CRT, SPO2, the presence of cyanosis, shock was assessed. Results: In the present study 64% of neonates came to our NICU on their conveyance. 67% of referrals from PHCs did not utilize ambulance facility. 30% of neonates had hypothermia on arrival. 35%had hypoglycemia on arrival. 15% had a low oxygen saturation on arrival. 15% had prolonged CRT on arrival. Only 8% of neonates received prior treatment. 11% babies did not have any referral slip. Only a very few had complete and proper referral advice. Conclusions: To further reduce the neonatal mortality rate, the neonatal transport facilities should be upgraded. A standard protocol should be formulated for interfacility transport. A separate fleet of neonatal ambulances well equipped and manned by trained personnel is the need of the hour.
Revealing migration and reproductive habitat of invasive fish under an active population suppression program

Endemic species face a variety of threats including predation from non‐native invaders. In some cases, however, invasive species can be managed by directly suppressing populations, and tracking technologies that allow researchers to identify movement patterns and aggregations representative of the population can facilitate suppression activities. In Yellowstone Lake (Yellowstone National Park, Wyoming), invasive lake trout (Salvelinus namaycush) have been the target of a population suppression program for over two decades. For this form of management, the reproductive period is particularly important because fish migrate to and from spawning grounds. From 2011 to 2014, adult lake trout (n = 317) in Yellowstone Lake were tracked using acoustic biotelemetry. After controlling for spatial and temporal dependency in the data, total abundance of unique individuals was estimated where migratory trajectories occurred at confirmed spawning sites. Aggregations and migratory trajectories were further estimated at locations where spawning had not previously been observed. Across years, the greatest number of individuals was observed along a migration corridor in the southwestern area of the lake. Novel strategies for analyzing acoustic telemetry data provided insights into the behavior of an invasive fish species. By betraying the positions of conspecifics, tagged fish revealed potentially important reproductive habitats and migration corridors that warranted further investigation as possible sites for population suppression.
Moral Universalism and the Structure of Ideology

Throughout the Western world, people’s policy views are correlated across domains in a strikingly similar fashion. This paper proposes that what partly explains the structure of ideology is moral universalism: the extent to which people exhibit the same level of altruism and trust towards strangers as towards in-group members. In new large-scale multinational surveys, heterogeneity in universalism descriptively explains why some people support redistribution, health care, environmental protection, affirmative action and foreign aid, while others advocate for spending on the military, law enforcement and border protection. Universalism is a substantially stronger predictor of policy views and ideological constraint than variables such as income, wealth, education, religiosity, or beliefs about government efficiency. Consistent with the idea that universalism shapes policy views, we further document that the left-right divide on redistribution, environmental protection or foreign aid strongly attenuates or even reverses when people evaluate less universalist implementations of these policies.
Retrospective Analysis of Difficult Intubation

Objectives: We analyzed retrospectively incidence, management, and predictors of difficult intubation, which have been known through practical cases. Methods: A total of 217 cases of difficult intubation (DI) between 2010 and 2014 were investigated. Risk factors such as age, body mass index, Mallampati score, thyromental distance, degree of mouth opening and range of neck motion, Cormack-Lehane grade, intubation and airway management techniques were investigated. The cases of each department were analyzed and the airway management techniques according to simplified risk scores (SRS) were also investigated. Results: The average incidence of DI was 0.49%. Patients undergoing surgery in the departments of oro-maxillo-facial surgery (1.35%), ophthalmologic surgery (0.96%), urologic surgery (0.80%), and head and neck surgery of ear-nose-throat (0.62%) showed the higher incidence of DI. Difficult mask ventilation (10 of 217, 4.6%) was occurred with DI. Higher SRS were related to high rates of video laryngoscope use and fiberoptic guided intubation. There was a decrease in the use of McCoy blades after 2013, an increase in the use of video laryngoscope, and a consistent rate of fiberoptic intubation. Conclusion: It is not easy to check all the predictors of DI in a preanesthetic evaluation and the predictors are not accurate. The role of clinical preparation and practical management is important, and the most important thing is to establish a planned induction strategy. Multiple factors system, such as simplified risk factors should be used to evaluate patients to prepare for appropriate airway management techniques in case of DI. (Ewha Med J 2017;40(3):115-121) Received May 30, 2017 Revised July 4, 2017 Accepted July 7, 2017
Intangible Intensity and Stock Price Crash Risk

Abstract We evaluate the association between intangible intensity and stock price crash risk for U.S. listed firms from 1983 to 2017. The results show that intangible-intensive firms are associated with high crash risk. The decomposition of intangible intensity identifies goodwill as the driving force and documents its predictability for future impairment events. Moreover, intangible intensity affects stock price crash risk mainly through increased information asymmetry, and the positive association increases with stock price synchronicity, CEO risk-taking incentives, and shareholder litigation risk. Our findings demonstrate the fragility of intangible assets and provide implications for financial regulation and portfolio management.
An Educational Video Intervention to Increase Advance Care Planning Knowledge and Advance Directive Completion for Community-Dwelling Veterans

Advance Care Planning is the process by which patients with the healthcare provider and family establish values, goals, and preferences for future care. Advance Directives provide written documentation of patients wishes for future care following Advance Care Planning conversations. The problem exists that only 17% of adults have had Advance Care Planning discussions with a healthcare provider and 18-36% have completed an Advance Directive. Lack of knowledge and awareness regarding ACP is the most common reason people have not completed an Advance Directive. The purpose of this quasi-experimental Doctor of Nursing Practice pilot project was to determine if an educational video intervention increased Advance Care Planning knowledge and Advance Directive completion in 30 community-dwelling Veterans whom are members of American Legion or Veterans of Foreign War Posts. Videos from the Nous Foundation were utilized for this educational intervention. Veterans were administered a questionnaire before and after the educational video intervention. This study supported the use of an educational video intervention to increase Advance Care Planning knowledge and increase participants plan to complete an Advance Directive. The implementation of this pilot project benefits the physical, psychological, psychosocial, spiritual, and financial well-being of patients, families, providers, healthcare organizations, and society.
Evaluation of mental disorders’ symptoms in students of Golestan University of Medical Sciences by SCL-90-R questionnaire

Background&Objective: Nowadays epidemiologic paterns of the diseases are verifying rapidly; noncontagious diseases like mental disorders are replacing contagious one. Several people, unaware of their psychiatric problems seek medical advise and treating. College students are susceptible to mental disorders because of their conditions. This research was done to evaluate mental health state in students of Golestan University of Medical Sciences. Materials&Methods: 218 students of Golestan University took part in this research. SCL-90-R was the test for evaluation, after collecting the questionnaires and entering into SPSS-10 software, data were analyzed with chi-square and Fisher-exact test. Results: The momental prevalence was estimated 72%. 157 persons had disorder, at least in one dimension, and 16 persons (7.34%) had severe disorder at least in one. Marriage and psychosis, paranoid & anxiety had meaningful relations (P<0.05), residental site and paranoid had meaningful relations (P<0.05), higher levels of father’s education and interpersonal sensitivity had meaningful relation (P<0.05), Family history of mental disorders, moderate interest in education, field of study and phobia had meaningful relationships (P<0.05), females had higher scores in depression (P<0.05). Conclusion: According to this high prevelence of mental disorders it seems that mental health’s problem is critically high in this region, much more attention should be paid to prevent further complications.
Assessment of Thyroid Function in patients with β- Thalassaimia Major and Intermedia: A comparative Study

Background: Thalassemia is regarded as one of the most common hereditary disorders throughout the world. Endocrine disorders found among the commonest complications in thalassemic patients resulting from iron overload, especially thyroid. Objective: To investigate thyroid function and complications in patients with Beta thalassemia major and intermedia in Erbil city. Patients and Methods: This is prospective, cross sectional study (comparative study), the study was extended from September of 2018 till October of 2019 on 71 beta thalassemia major and 49 intermedia patients. The study was performed in the thalassemia center in Erbil city. Assay of thyroid hormones (thyroid function test) was performed by Roche Cobas E411 analyzer is fully automated immunoassay analyzer. Data were analyzed by using the statistical package for social science (SPSS) version22. Results: This retrospective cross sectional study was carried out on 196 subjects, from which 71 patients with thalasseamia major ,49 patients with thalassemia intermedia, and 78 case were control subject.in the thalassemia major 8 cases (11.3) % had hypothyroidism (TSH high and low T4) and 17 case (23.9) % were subclinical hypothyroidism (TSH high and T3 AND T4 normal), in intermedia group about 13 patients had subclinical hypothyroidism, in compared to control group about 3 (3.9) % subclinical. In both TI and TMthy, the proportion of hypothyroidism and subclinical hypothyroidism was significantly (P=0.037) higher in those 18 years old (38.9%) compared to the lower age group (20.8%). Conclusion: The thyroid function did not differ significantly by the other characteristics of the patients such as gender, therapy, splenectomy status, organomegllay, BMI. Serum ferritin was found to be positively, but non-significantly correlated with T3 (r=0.78, p=0.398), negatively and significant statistically correlated with T4 (r=-0.231, p=0.011) and positively and significant statistically correlated with TSH (r=253, p=0.005).
HIV/AIDS knowledge among adult male migrant factory workers of an industrial city in north India -

Method: It was a cross sectional survey conducted in 2011. Male migrant workers aged ≥18 years, who were born outside Haryana, who had moved to current location after 15 years of age, who had worked in current factory for at least one year were eligible for face-to-face interview using semi-structured questionnaire. Knowledge score was calculated by taking into account 22 variables. Total score range was 0 to 22 and was classified into three categories as ≥80% (comprehensive), 50% to 79% (moderate) and ≤49% (poor).
A location‐aware network virtualization and reconfiguration for 5G core network based on SDN and NFV

In 5G networks, mobile network and service functions run as software on general‐purpose servers that are distributed across remote sites. Dedicated networks, such as Internet of Things (IoT) network, disaster network, and immersive media network, are virtualized as software solutions on common hardware equipment. This means a new network can be easily provisioned by modifying the configurations of the network based on software‐defined networking (SDN) and network functions virtualization (NFV). Furthermore, the 5G core network architecture toward flat architecture with distributed cloud is a key solution for providing service flexibility and scalability in order to handle an explosive increase in mobile data traffic. To create heterogeneous networks and services on 5G networks, we propose a location‐aware network virtualization method that aims at minimizing the network load and resource cost by appropriately selecting the relevant cloud (including Virtual Machines (VMs), virtual network function [VNF] nodes, applications, and resources) and mobile core entities to provide the required virtual networking services that facilitate secure isolation of the virtual networks with automated resource convergence. In addition, we propose a selective mobility management scheme for service continuity in cases of user equipment (UE) handover. The numerical results show the trade‐off between the different cost factors, ie, network cost and service resources cost in terms of the number of deployed clouds on 5G core networks.