Miracle-dz/UniFAR-FTUs huggingface dataset:
The Relationship of Location and Educational Achievements to Vision Impairment in Asians

The Relationship of Location and Educational Achievements to Vision Impairment in Asians by Sonali Trivedi MBA, University of Phoenix, 2008 BS, City University of New York, 2005 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University August 2018 Abstract Increasing incidence of vision impairment in the United States reinforces the urgent need for research and public health awareness. Eye diseases are of common concern in Asian and other ethnic groups globally. Glaucoma, cataracts, macular degeneration, myopia, and retinitis are types of eye diseases and common causes of vision impairment in Asians. This study addressed the current gap in knowledge regarding vision impairmentIncreasing incidence of vision impairment in the United States reinforces the urgent need for research and public health awareness. Eye diseases are of common concern in Asian and other ethnic groups globally. Glaucoma, cataracts, macular degeneration, myopia, and retinitis are types of eye diseases and common causes of vision impairment in Asians. This study addressed the current gap in knowledge regarding vision impairment prevalence among Asian-Americans by geographical location and level of education. Socio-ecological theory was used as the theoretical foundation. A cross-sectional secondary dataset from U.S. Census Bureau included 3,916,947 participants’ survey responses from 2011 through 2015 which was analyzed using a logistic regression model. The model addressed the relationships between variables such as education level, geographic location, and vision impairment. The results in this study exhibited that educational level and geographic location were statistically significant, p < 0.001 and p = 0.004 respectively and they were determined as predictors of vision impairment among Asian-Americans. The statistical significance p < 0.001 for age and gender as confounders in the results exhibited that the variations in these confounders were responsible for vision impairment prevalence. The findings from this study have positive implications for social change among AsianAmerican communities. This can serve as a basis for exploring the relationships between vision impairment and other social or environmental factors which have not yet been assessed. The Relationship of Location and Educational Achievements to Vision Impairment in Asians by Sonali Trivedi MBA, University of Phoenix, 2008 BS, City University of New York, 2005 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy
Heart rate variability in mine-rescuers in conditions of a simulated emergency response

Short-term indices of Heart Rate Variability (HRV) recorded in mine-rescuers men (n=18, mean age 29±1.4 years ranged from 22 to 44 years) before and after the simulated emergency response, organized as a competition. Within two hours, mine-rescuers used special rescue equipment, administrated the first medical aid to the conditional victims and performed various tactical tasks. The study group was divided into three subgroups according to the Stress Index (SI) level. Analysis of time-domain and frequency-domain indices of HRV was conducted. The biological age, appropriate biological age and ageing rate were evaluated. It was found out, that the majority of the study group showed signs of neuro-emotional stress even before the competition. Emotional and physical loads caused by the simulated emergency response increased the strain of vegetative adjustment, which grew at the end of the competitions. Rescuers with average levels of SI demonstrated the most sufficient physiological response, while workers with low and high SI levels referred to the risk groups for disadaptation and cardiovascular diseases. Biological age significantly exceeded the population norm. SI and biological age can be recommended to use as additional parameters during medical examinations by the medical services of mine rescue brigades.
The first skeletal record of the enigmatic Cretaceous sawfish genus Ptychotrygon (Chondrichthyes, Batoidea) from the Turonian of Morocco

A new fossil batoid (ray) Ptychotrygon rostrispatula sp. nov. is described from five exceptionally well‐preserved, three‐dimensional skeletal remains from the Turonian (Late Cretaceous) of Morocco. These specimens represent the first known skeletal remains for the genus Ptychotrygon and allow an almost complete description of the genus, providing a new insight into its phylogenetic relations and validating its taxonomic status as a member of the Sclerorhynchoidei. Mechanical preparation of the fossil remains revealed a relatively large batoid species (estimated total length above 1 m). Overall the morphology resembles that of sclerorhynchoids, with a robust hypertrophied rostrum that lacks enlarged rostral denticles with enlarged paddle‐like pectoral proximal elements (propterygium, mesopterygium and metapterygium). Never before seen details of the branchial skeleton are presented (large second hypobranchial without anterior process, which was probably fused to the basibranchial and no evidence of articulation with other branchial element). To assess the phylogenetic relations of these specimens within the sclerorhynchoids a parsimonious analysis using TNT and PAUP was performed. These analyses included Asflapristis cristadentis and Ptychotrygon rostrispatula sp. nov., which were used as representatives of Ptychotrygonidae, and also includes six other genera of sclerorhynchoids with relatively good skeletal remains. Both analyses recovered two monophyletic groups within sclerorhynchoids: the first contains Ischyrhiza, Onchopristis and Schizorhiza, and a second that includes Micropristis, Sclerorhynchus, Libanopristis and Ptychotrygonidae.
Differences in carbonaceous aerosol of fine particles between haze and non-haze days, Beijing

In order to illustrate the factors dominating haze events over Beijing occurred in January, 2013, ambient fine particulate matter (PM2.5, particles with aerodynamic diameter less than or equal to 2.5 μm) samples were collected from January 16 to 31, 2013 at an urban area of Beijing. Daily meteorological parameters including atmospheric pressure, temperature, wind speed, and relative humidity (RH) were recorded. Carbonaceous aerosols in PM2.5 including elemental carbon, organic carbon, PAHs, n-alkanes and levoglucosan were determined to compare the concentration differences between haze days and non-haze days. Associations between PM2.5 carbonaceous aerosols and meteorological parameters were examined. Significant increases of carbonaceous aerosols are found in haze days than those in non-haze days, indicating primary emission sources play a role in haze events occurred in January, 2013. Meteorological parameters do not correlate with carbonaceous aerosols, supporting the regional transport is not dominant factor controlling haze formations. Our results show the primary emissions and meteorological conditions co-contribute the haze formation in Beijing during the sampling period of January, 2013.
Dietitians' Perception of Importance about Standards of Foodservice Management Associated with Long-Term Care Hospital Accreditation

The purpose of this study was to examine dietitians' perception of importance about standards of foodservice management associated with long-term care hospital accreditation. This study was carried out through a postal survey consisting of 500 questionnaires, and 157 returned questionnaires were used in the statistical analysis. The results were summarized as follows. Average scores of perception of importance were 4.54/5 points in foodservice production management domain, 4.56/5 points in foodservice facilities management domain, and 4.70/5 points in foodservice sanitation domain. The average scores of importance of long-term care hospitals without accreditation were significantly (P<0.05) lower than those of hospitals with accreditation in items of ‘establishment of ventilation equipment in kitchen’, ‘establishment of hand-washstand in toilet (warm-water, soap)’, ‘setup of sterilizing foothold in entrance of kitchen and toilet’, ‘division and use of knife, chopping board, gloves, and utensils before and after cook’, ‘establishment of cleaning plan and cyclic practice’, and ‘recording of receiving diary’. Results indicate that there is a need to supplement a casebook of regulations by suggesting detailed and critical limits in the case of below average points of importance. A manual, including HACCP standards for foodservice management of long-term care hospitals, is needed, along with education and webpage for comparing notes on accreditation of long-term care hospitals.
Provenance of Bengal Shelf Sediments: 2. Petrology and Geochemistry of Sand

The Bangladesh lowlands are traversed by the largest sediment flux on the planet. Detritus generated mostly in Himalayan highlands and conveyed through the Ganga–Brahmaputra rivers and Meghna estuary reaches the Bay of Bengal, where it forms a composite deltaic system. This study integrates the vast existing database on Ganga–Brahmaputra sediments of all grain sizes from clay to sand with new petrographic, mineralogical, and geochemical data on estuarine and shallow-marine sands. A large spectrum of compositional signatures was used to: (i) assess the relative supply of the Ganga and Brahmaputra rivers to estuarine and shelfal sediments; (ii) define the compositional variability of estuarine sediments and the impact exerted by hydraulic sorting and climate-related chemical weathering on provenance signals; (iii) define the compositional variability of shelf sediments and the potential hydrodynamic segregation of fast-settling heavy minerals in coastal environments and of slow-settling platy micas on low-energy outer-shelf floors; (iv) consider the potential additional mud supply from the western subaerial part of the delta formerly built by the Ganga River; and (v) draw a preliminary mineralogical comparison between fluvio-deltaic sediments and turbidites of the Bengal–Nicobar deep-sea fan, thus tracing sediment dispersal across the huge sedimentary system extending from Tibet to the equatorial Indian Ocean. All investigated mineralogical and geochemical parameters, as well as Sr and Nd isotope ratios and clay–mineral assemblages, showed a clear prevalence in sediment supply from the Brahmaputra (60–70%) over the Ganga (30–40%). Heavy-mineral suites and Sr and Nd isotope fingerprints of Bengal shelf sediments are nearly identical to those of the Brahmaputra River and Meghna estuary, also because the Brahmaputra carries almost twice as many Ca-plagioclase grains and heavy minerals including epidote than the Ganga, and these minerals control the large majority of the Sr and Nd budgets. The experience gained in modern settings can be directly extrapolated only to the recent past, because sediments older than the late Pleistocene and buried more than a few hundred meters begin to lose less durable ferromagnesian minerals by selective chemical dissolution, which makes quantitative estimates progressively less robust in more deeply buried older strata.
The Umeå ageing and health research programme (U-Age): Exploring person-centred care and health-promoting living conditions for an ageing population

The aim of this article is to describe the Umeå ageing and health research programme that explores person-centred care and health-promoting living conditions for an ageing population in Sweden, and to place this research programme in a national and international context of available research evidence and trends in aged care policy and practice. Contemporary trends in aged care policy includes facilitating ageing in place and providing person-centred care across home and aged care settings, despite limited evidence on how person-centred care can be operationalised in home care services and sheltered housing accommodation for older people. The Umeå ageing and health research programme consists of four research projects employing controlled, cross-sectional and longitudinal designs across ageing in place, sheltered housing, and nursing homes. The research programme is expected to provide translational knowledge on the structure, content and outcomes of person-centred care and health-promoting living conditions in home care, sheltered housing models, and nursing homes for older people and people with dementia.
Beyond Backslip: Improvement of Earthquake Simulators from New Hybrid Loading Conditions

A standard approach to loading earthquake simulators involving complex fault system geometries is the backslip method, by which fault‐slip rates are specified and stressing rates giving the specified slip rates are calculated and imposed on the system. This often results in singularities in stressing rate at fault boundaries, and unrealistic hypocenters of events associated with these singularities. We present a new generalized hybrid loading method that combines the ability to drive faults at desired slip rates while loading with more regularized stressing rates, allowing faults to slip in a more natural way. The resulting behavior shows improvement in the depth dependence of seismicity, the distribution of sizes of events, and the depth dependence of slip. We discuss as well the physical implications of the new type of loading.
Different Responses and Links of N:P Ratio Among Ecosystem Components Under Nutrient Addition in a Temperate Forest

Nitrogen (N) and phosphorus (P) deposition have increased rapidly during the past decades, which likely changes soil N and P availability. These soil resource variations will further affect N, P concentration and N:P ratio in different ecosystem pools (i.e., soil, leaf, litter, root, and microbe). Various pools may show different stoichiometric responses to nutrient enrichment, with a further influence on ecosystem nutrient cycling. However, few studies have been conducted to fully examine the stoichiometric responses of different pools and their nutrient relationships in a given ecosystem. Here we established a 2‐year experiment of N (10 g m−2 year−1), P (10 g m−2 year−1), and combined N + P addition in a temperate forest of Changbai Mountain. We found significantly different N:P stoichiometric responses among various ecosystem components under P addition, with the leaves showing a higher response than litter and root while microbe behaving the lowest response. The responses of N:P ratio to N + P addition were similar with those under P addition in all pools. In most cases, N addition did not significantly affect N:P ratio. These results indicate that N:P ratio response was mainly determined by changes in P rather than N concentration in this temperate forest ecosystem. Moreover, we found tighter N:P stoichiometric correlations than elements among diverse ecosystem components under nutrient addition. Overall, our research reveals different responses and tight links of element stoichiometric variations among various ecosystem components in face of nutrient enrichment. It calls our attention to considering stoichiometric changes in the whole ecosystem beyond individual plant organ or microbial component.
Clinical Observation of Huanglian Wendan Decoction in Treating Metabolic Syndrome

Objective:To observe the clinical effect of Huanglian Wendan decoction in treating metabolic syndrome.Methods:68 clinic patients were divided randomly into the test group and the control group.36 patients in the test group were treated with the method of regulating qi-flowing for strengthening spleen,dispelling dampness and eliminating phlegm,activating blood circulation and removing toxins.32 patients in the control group took Metformin Hydrochloride for 8 weeks as well as in the test group.Results:The index of TG,SBP,DSP,FBG were decreased and HDL-C increased in both groups,but the test group better than the control group in TG,SBP,DSP and HDL-C.Conclusions:The effect of Huanglian Wendan decoction was the same as Metformin Hydrochloride in reducing body weight,blood sugar,but better in decreasing blood lipids,blood pressure.
Volcanic Gas Emissions Along the Colombian Arc Segment of the Northern Volcanic Zone (CAS‐NVZ): Implications for volcano monitoring and volatile budget of the Andean Volcanic Belt

Studying spatial and temporal trends in volcanic gas compositions and fluxes is crucial both to volcano monitoring and to constrain the origin and recycling efficiency of volatiles at active convergent margins. New volcanic gas compositions and volatile fluxes are here reported for Nevado del Ruiz, Galeras, and Purace, three of the most persistently degassing volcanoes located in the Colombian Arc Segment of the Northern Volcanic Zone. At Nevado del Ruiz, from 2014 to 2017, plume emissions showed an average molar CO2/ST ratio of 3.9 ± 1.6 (ST is total sulfur, S). Contemporary, fumarolic chemistry at Galeras progressively shifted toward low‐temperature, S‐depleted fumarolic gas discharges with an average CO2/ST ratio in excess of 10 (6.0–46.0, 2014–2017). This shift in volcanic gas compositions was accompanied by a concurrent decrease in SO2 emissions, confirmed on 21 March 2017 by high‐resolution ultraviolet camera‐based SO2 fluxes of ~2.5 kg/s (~213 t/day). For comparison, SO2 emissions remained high at Nevado del Ruiz (weighted average of 8 kg/s) between 2014 and 2017, while Puracé maintained rather low emission levels (<1 kg/s of SO2, CO2/SO2 ≈ 14). We here estimate carbon dioxide fluxes for Nevado del Ruiz, Galeras, and Puracé of ~23, 30, and 1 kg/s, respectively. These, combined with recent CO2 flux estimates for Nevado del Huila of ~10 kg/s (~860 t/day), imply that this arc segment contributes about 50% to the total subaerial CO2 budget of the Andean Volcanic Belt. Furthermore, our work highlights the northward increase in carbon‐rich sediment input into the mantle wedge via slab fluids and melts that is reflected in magmatic CO2/ST values far higher than those reported for Southern Volcanic Zone and Central Volcanic Zone volcanoes. We estimate that about 20% (~1.3 Mt C/year) of the C being subducted (~6.19 Mt C/year) gets resurfaced through subaerial volcanic gas emissions in Colombia (Nevado del Ruiz ~0.7 Mt C/year). As global volcanic volatile fluxes continue to be quantified and refined, the contribution from this arc segment should not be underestimated.
EVIDENCE-BASED RESEARCH AND PRACTICE IN

While a definition for evidence-based clinical neuropsychological practice (EBCNP) has yet to emerge, it is likely to integrate the same core features as evidence-based medicine; namely, best research evidence, clinical expertise, and individual patient needs. Given the nascent stage of EBCNP, suggestions are made to advance evidence-based approaches in both research and practice. The common elements are: recognition that clinical outcomes are recorded at the level of the individual; and to be useful, outcomes research must be presented in a way that can be directly applied on a case-by-case basis. Tracking the outcomes of our clinical services in an evidence-based manner that is publicly verifiable will demonstrate the value of neuropsychological services to our patients, our referral sources, and ultimately to payers.
Duration of snow cover and its variability in the Polish part of the Sudetes Mts. and their foreland

Zarys treści. Artykuł zawiera charakterystykę pokrywy śnieżnej w profilu pionowym polskiej części Sudetów i na ich przedpolu w sezonach 1965/66-2007/08. Podstawą charakterystyki były daty początku i końca pokrywy śnieżnej, rzeczywisty i potencjalny okres jej występowania oraz jej trwałość w poszczególnych latach (sezonach zimowych) na 20 stacjach IMGW. Wyznaczono pionowy profil analizowanych wskaźników w odniesieniu do wszystkich analizowanych stacji. Przedstawione w pracy równania regresji mają charakter ogólny, nie uwzględniają specyfiki warunków lokalnych. Określono także zmienność zalegania pokrywy śnieżnej w różnych strefach hipsometrycznych w sezonach 1951/52-2007/08 na 4 reprezentatywnych stacjach. Uzyskane wyniki stanowią ważny element regionalnej oceny współczesnego klimatu Polski. Mogą posłużyć do oceny warunków śniegowych w opracowaniach z zakresu ochrony środowiska, leśnictwa, turystyki, gospodarki przestrzennej, etc. Słowa kluczowe: pokrywa śnieżna, Sudety, równanie regresji, tendencje zmian, projekt „KLIMAT”.
Impact of an Evidence-Based Practice Intervention on Knowledge and Clinical Practice Behaviors Among Registered Dietitians

Implementation of evidence-based practice in clinical practice is essential for safety, quality, cost, and reimbursement of dietetics services. This prospective randomized controlled trial aimed to measure changes in knowledge and practice behaviors of evidence-based practice after an educational intervention. The ability to interpret statistical results improved significantly in the intervention group. When motivation to change was controlled for over time, a higher total knowledge score was demonstrated in the intervention group. This finding suggests that motivation to change was an important factor for the adoption of evidence-based practice knowledge into clinical practice among registered dietitians.
Combination of endoscopic mucosal resection and chemoradiotherapy as a nonsurgical treatments for patients with clinical stage I esophageal squamous cell carcinoma

4529 Background: Endoscopic mucosal resection (EMR) has become the standard treatment for mucosal cancer. For the other clinical stage I esophageal squamous cell carcinoma (ESCC), radical surgery is standard and chemoradiotherapy (CRT) is optional but has high locoreginoal failure. If EMR and CRT are combined efficiently, these may improve outcomes with less invasion. A retrospective analysis was conducted to evaluate the efficacy of these combined nonsurgical modalities. Methods: Recruitment criteria were histologically proven SCC, clinically estimated as stage I except for the candidates of the standard EMR, age ≤ 75, PS ≤ 2, no prior therapy, no serious complication and no other active malignancy. Primary EMR was indicated if a tumor was within the focal submucosal (SM) invasion and a width of less than two-thirds of its circumference. EMR was followed by prophylactic CRT (5-FU + cisplatin + RT; 40Gy) for latent node metastasis when SM invasion was present pathologically. The remaining patients (pts) u.
Polymyositis Mediated by T Lymphocytes That Express the γ/δ Receptor

Abstract Background. The invasion and destruction of nonnecrotic muscle fibers by CD8+ cytotoxic T cells is considered a hallmark of polymyositis. In the cases of polymyositis reported so far, the autoinvasive CD8+ T cells expressed the common form of T-cell receptor for the recognition of antigen, the so-called α/β T-cell receptor. We describe a 69-year-old man with polymyositis mediated by CD4—, CD8— T cells expressing the recently discovered, uncommon γ/δ T-cell receptor. Methods. We used immunofluorescence or immunoperoxidase techniques to study frozen sections of muscle from our patient, who had mild weakness of cervical and proximal limb muscles, and from control patients with polymyositis, inclusion-body myositis, dermatomyositis, or granulomatous myopathy with monoclonal antibodies against T-cell-related antigens (CD2, CD3, CD4, CD8, and γ/δ T-cell receptor), B cells (CD22), major histocompatibility complex (MHC) and MHC-related antigens (MHC Class I, CD1a, CD1b, and CD1c), and the 65-kd heat-shoc.