Miracle-dz/UniFAR-FTUs huggingface dataset:
Predictors of Patient Satisfaction; Quality Dimensions and Demographic Characteristics

Background: The healthcare industry is increasingly growing in a competitive atmosphere. One of the essential key issues for the survival of healthcare organizations is patient satisfaction. This study aimed to investigate the impact of health service quality and demographic characteristics on patient satisfaction with outpatient departments at teaching hospitals affiliated with Tehran University of Medical Sciences in Iran.Method: This cross-sectional study was conducted in 2018. A sample of 400 patientsreferring to outpatient departments at teaching hospitalswasrandomly selected. A valid and reliable questionnaire was used to collect data which were then analyzed by using SPSS 23. Results: The mean scores of service quality and patient satisfaction were 3.73 ± 0.51 and 3.61 ± 0.97 out of 5, respectively. Moreover, patients’ demographic characteristics; age, marital status, residence area, and service quality dimensions; admission process, physician consultation, service costs, accessibility, and appointment were identified as the most effectivefactors on patient satisfaction. Conclusion: In order to increase patient satisfaction, physicians and reception staff are advised to provide patients with useful information and cost-effective services. Nonetheless,it seems necessary for teaching hospitalsto establish plans which facilitate payment, appointment, and examination process.
Automation Monitoring With Sensors For Detecting Covid Using Backpropagation Algorithm

This article focuses on providing remedial solutions for COVID disease through the data collection process. Recently, In India, sudden human losses are happening due to the spread of infectious viruses. All people are not able to differentiate the number of affected people and their locations. Therefore, the proposed method integrates robotic technology for monitoring the health condition of different people. If any individual is affected by infectious disease, then data will be collected and within a short span of time, it will be reported to the control center. Once, the information is collected, then all individuals can access the same using an application platform. The application platform will be developed based on certain parametric values, where the location of each individual will be retained. For precise application development, the parametric values related to the identification process such as sub-interval points and intensity of detection should be established. Therefore, to check the effectiveness of the proposed robotic technology, an online monitoring system is employed where the output is realized using MATLAB. From simulated values, it is observed that the proposed method outperforms the existing method in terms of data quality with an observed percentage of 82. © 2021 KSII.
Water quality, instream habitat, and the distribution of suckers in the upper Lost River watershed of Oregon and California, summer 2018

Endangered Lost River ( Deltistes luxatus) and shortnose ( Chasmistes brevirostris ) suckers primarily use lotic habitats during the spring spawning season in the Upper Klamath Lake watershed. However, summer-time surveys of the upper Lost River watershed in 1972, 1975 and 1989–90 indicated that adults of both endangered species use tributaries of Clear Lake Reservoir (hereafter: Clear Lake) year-round. Adult shortnose suckers have also been documented to use tributar ies of Gerber Reservoir year-round. We surveyed the tributar ies of Clear Lake and Gerber Reservoir to provide up-to-date information on the timing, distribution, and habitat use within the upper Lost River drainage by these two endangered sucker species. the differences between suckers ( Catostomus snyderi ), therefore, morphology was used to separate these two species. Furthermore, the shortnose suckers and the Klamath largescale suckers documented in the upper Lost River drainage are more similar to Klamath largescale suckers than shortnose suckers that exist in the Upper Klamath Lake recovery unit. Therefore, the suckers we documented during our surveys were most likely Klamath largescale suckers.
Availability and Breeding Preferences of Aedes Mosquitoes in Fifteen High Altitude Localities, Maekel Region, Eritrea: A Cross-sectional Study

Background: Even-though dengue fever suspicion started to surface in the high altitude localities of Zoba Maekel, presence of the vector has not been studied. Therefore, the study aimed to identify the availability of Aedes mosquitoes, their breeding preferences, and level of infestation in fifteen localities of this region.Methods: Inspection of all water holding containers, in 740 systematically selected households of fifteen localities, was done identifying immature stages of Aedes mosquitoes. All immatures were then, classified, reared and identified using taxonomic keys. Breeding preferences ratio and infestation indices were calculated.Results: In this study Aedes Aegypti mosquito was found in four localities, whereas mosquito of other Aedes specie was identified in twelve localities. Out of all the households inspected 51 were positive for Aedes immature. All indoor containers studied were free of Aedes infestation, whilst 53 of 874 outdoor containers were infested by Aedes larvae and pupae. In this study, discarded tyres were found to have the highest breeding preference ratio (2.11) and pupal productivity (40%). Plastic barrels had the highest positivity (42%) and were the second most productive type of container (28%). The Household, Container and Breteau Indices of more than half of the localities were higher than the high transmission risk thresholds.Conclusion: The study indicated possibilities of local dengue fever transmission in the studied areas. Hence, in depth confirmative studies should be considered and strategic preventive actions should be commenced in regard to the most preferred sites such as discarded tyres.
EFFECT OF USING TREATED SEWAGE WATER ON THE YIELD OF SOME TREE SPECIES COMPARED WITH THOSE IRRIGATED BY FRESH WATER

The main objective of this study was to evaluate the impact of irrigating three types of wood trees (i.e. Cupressus sempervirens, Corymbia citriodora and Khaya senegalensis) by treated wastewater as compared with irrigating by fresh water on their biomass growth rate as well as accumulation of different elements in the soil sites. Two experimental field trials were conducted over two consecutive seasons 2018 and 2019 at the two sites. The first site was in the experimental field at the Serapium Forest Plantation in Ismailia governorate, which was dedicated to the safe disposal of treated sewage water, planted with various wooden trees, while the second farm is located at Groppy Nursery in Giza Governorate- West Bank of the Nile where the fresh water(Nil water) was used for irrigation. The study was conducted on the growth of the wood mass above the soil surface of the three tree species. The results showed highly significant growth differences between both locations. The use of treated sewage led to a superiority in the growth of the living mass for tree species compared to those irrigated with fresh water, as it achieved the stock of the wood mass of trees that irrigated with treated sewage (2.68375, 2.44200 And 1.71693 M3 per/ tree) for Khaya senegalensis, Corymbia citriodora and Cupressus sempervirens trees, respectively. The trees showed that Khaya senegalensis gave the highest . values among the three types. Regarding the presence of minerals and their accumulation of soil under trees, the Serapium Forest Plantation has achieved the highest values for the accumulation of macro and micro-nutrients, as well as the highest percentages for the accumulation of minerals at all studied depths compared to soil samples taken from areas irrigation of freshwater trees. Therefore, continuous monitoring for soil, water, and plants analysis is necessary.
Exploratory research on digitalization transformation practices within supply chain management context in developing countries specifically Egypt in the MENA region

Abstract With no doubt, the adoption of Artificial Intelligence applications in customer service reduces the time to market. Nevertheless, the question remains whether or not its adoption in production and logistics will transform the supply chain into a more agile one in developing countries context. Manufacturers are increasingly facing global competition to fulfil incoming orders within limited lead time, and in compliance with the international quality standards, also supporting a customised service. The emergence of industry 4.0 brought many promises to the leading firms. This research paper gives insight information for applying AI algorithms in production cycle then monitoring the production process and subsequently leading to strategic and tactical engineering decisions through the investigation of a number of case studies. The investigation demonstrates that incorporating AI technologies and machine learning opens up fresh perspectives on a variety of topics, including warehousing and logistics management, cooperation, and supply chain management. AI is embraced by business for productivity improvement, given the fact that the more AI adoption rate, the less employment rate and wages will be. Information & Communication Technology alignment model is endorsed in this paper in order to grant fostering of an environment that streamlines, incentivizes and supports AI expansion prior the implementation of any AI practices to ensure its successful and justified investments. The research concludes that the process is extremely challenging in the context of emerging economies which is restricted with low wages rate, inadequate labour skills and insufficient financial resources.
A Preliminary Study of Constructing Tissue Engineered Oral Mucosa

Background: Adipose derived stem cells (ADSCs) have a great potential for tissue-engineering purposes, and they may be introduced in oral mucosa tissue engineering for urethroplasty. This study was aim to develop a tissue-engineered oral mucosa through seeding oral keratinocytes (OKs) and adipose derived stem cells (ADSCs) on small intestine submucosa (SIS). Methods: SIS was obtained from porcine small intestine, and OKs and ADSCs were obtained from canine sources and were cultured and expanded in vitro. The two cell lines were seeded on the two surfaces of the SIS, and the cell-scaffold compound graft was cultured in an air fluid level for 1 week.Results: The SIS exhibited a porous membrane, and no cells were found through HE staining. The model cultured with OK-SIS only formed a thin and loose epithelium. Whereas the model cultured with OK-SIS-ADSC was much thicker and denser. Conclusion: The co-cultured of ADSC and OK grew well on the SIS in which the OKs formed a multilayer of epithelium. So it is feasible to construct a tissue-engineered oral mucosa graft with ADSCs, OKs and SIS. The ADSCs contribute to a thicker epithelium formation.
Identity Metamorphosis: The Teacher-Principal Transition of a Female Leader for Social Justice

: A growing body of research considers professional leadership identity to be a key element in the professional culture. More specifically, a leadership identity in school principals implies great changes and improvements in the educational outcomes of schools. The identity is unstable and changing. For this reason, the " teacher-principal " transition includes a series of identity changes in education professionals. In this case, we present a case study of a school principal who leads a school with a difficult performance. The findings reveal important changes in the professional identity of this principal and key elements in reference to her identity asymmetry (perceived and assumed).
Fish Assemblage of the Una Biological Reserve, Bahia, Brazil

The Biological Reserve of Una, located in the south of Bahia, is a region with v ery little information about the composition, diversity and spatial distribution of the species. The objective of the present study was to know the composition and structure of the fish assembly of the streams of Biological Reserve of Una – REBIO. Four sampl es were taken at sev en points distributed in six streams, one being outside the reserve limits, between February 2011 and March 2012. The specimens were captured with trawls of the picaré and puçá type. In the field, the specimens were anesthetized, fixed in 10% formaldehyde and placed in 70% alcohol. The species were identified with specialized bibliography. The specimens that remained in doubt were sent to specialists from the Federal University of Rio Grande do Sul (UFRGS) and Pontifical Catholic University of Rio Grande do Sul (PUCRS) for identification. Then the material was deposited in the scientific collection of the State University of Santa Cruz (UESC). The occurrence constancy index, Shannon Diversity Index, Margalef Wealth and the Pielou Equity index were applied. In the ecological indexes, the ABC curv es and the MDS ordering method were calculated. A similarity matrix was calculated from the Bray Curtis index. W statistic consisting of a numerical summary of the ABC curve was applied. The t - test was used to verify the lev el of significance at 9 5%. A total of 5549 individuals belonging to 4 orders, 9 families and 22 species were collected, of which 8 had indefinite taxonomic status, which confirms that the region is little explored from the point of view of the ichthyofauna. The results indicate the dominance of opportunistic species and demonstrate the influence of environmental conserv ation on the composition of the fish congregation. The lack of studies in the region and human occupation refl ect the presence of undescribed species and the risk of extinction and the creation of a conservation strategy.
Prevalence, Antimicrobial Susceptibility Pattern and Associated Risk Factors for Salmonella Species and Escherichia Coli from Raw Meat at butchery houses in Mekelle, Tigray, Northern Ethiopia

Background: Salmonella species and Escherichia coli (E. coli) are important foodborne pathogens affecting humans and animals. They are among the most important causes of infection that are associated with the consumption of contaminated food. This study was aimed to determine the prevalence, antimicrobial susceptibility patterns and associated risk factors for Salmonella species and E. coli in raw meat from butchery houses of Mekelle, Northern Ethiopia.MethodA cross-sectional study was conducted from January to December 2019. Socio-demographic data and risk factors were collected using a predesigned questionnaire. Meat samples were collected aseptically from the butchery houses and transported using icebox to Mekelle University, College of Veterinary Sciences for the isolation and identification of Salmonella species and E. coli. Antimicrobial susceptibility patterns were determined using Kirby disc diffusion method. Data obtained were cleaned and entered into Statistical Package for the Social Sciences version 22 and logistic regression models with odds ratio were calculated. P-value < 0.05 was considered as statistically significant.ResultsA total of 153 out of 384 (39.8%) of the meat specimens were found to be contaminated. The contamination of Salmonella species and E. coli were 15.6% (n=60) and 20.8%) (n=80), respectively. Mixed contamination (Salmonella species and E. coli) was observed in 13 (3.4 %) of the analyzed. Poor washing hands regularly (AOR = 8.37; 95% CI: 2.75-25.50) and not using gloves during meat handling (AOR=11. 28; 95% CI: (4.69‑27.10) were associated with an overall bacterial contamination About 95.5% of the tested isolates were sensitive to chloramphenicol and norfloxacin while the resistance of amoxyclav_amoxicillin and erythromycin were both isolated bacteria species. The overall multidrug resistance pattern for Salmonella and E. coli were 51.4% (n=19) and 31.8% (14), respectively.ConclusionOf the 153 (153/384) contaminated raw meat, 60 (15.6%) and 80 (20.8%) were contaminated by Salmonella species and E. coli, respectively. Poor handwashing practice and not using glove during meat handling showed significant association with bacterial contamination. Multidrug-resistant showed in Salmonella species and E. coli were 19 (51.4%) and 14 (31.8%), respectively.
Virtualizing project-based learning: An abrupt adaptation of active learning due to the COVID-19 pandemic with promising outcomes

Project-Based Learning (PBL) is renowned as an active-learning practice that promotes the application of knowledge buildup through real-world and often open-ended problems. PBL has been applied as a methodology at the Engineering School of Lorena, at the University of Sao Paulo, through different courses over the curriculum of a typical Industrial Engineering student. The first of which is taken during their first semester, in which students must develop solutions for a given single problem through the weekly class meetings. The observations of the evolution of the activities throughout the years demonstrate that the collaborative and group activities act as exercises that develop transversal skills an engineer should possess. These courses have been applied since 2013 under continuous improvements through feedback from the many shareholders the courses present, including the students, instructors, and guest evaluators. The projects are mostly related to the Sustainable Development Goals for 2030. In a matter of a few weeks of classes in 2020, the COVID-19 pandemic forced a quick virtualization of the learning process, posing an unprecedented scenario for the students and the instructors regarding in special this course, which is based primarily on presential discussions and activities. The first weeks of class following the abrupt virtualization of activities were encountered with misinformation and lack of clarity on the adaptation of the activities. Fortunately, through rapid iterations, the adjustment process resulted in time invested by the students and classes with active discussion using the tools made available by the University. In this sense, this work aims to present the forced abrupt changes applied to this first semester course, highlighting the challenges faced and the positive outcomes obtained and observed by both the students and the instructor, making a comparison with the evolution of the course over the past years. © 2021 University of Minho. All rights reserved.
Angiotensin II infusion and markers of organ function in invasively ventilated COVID-19 patients

Objective: The use of angiotensin II in invasively ventilated patients with coronavirus disease 2019 (COVID-19) is controversial. Its effect on organ function is unknown. Design: Prospective observational study. Setting: Intensive care unit (ICU) of a tertiary academic hospital in Milan, Italy. Participants: Adult patients receiving mechanical ventilation due to COVID-19. Interventions: Use angiotensin II either as rescue vasopressor agent or as low dose vasopressor support. Main outcome measures: Patients treated before angiotensin II was available or treated in an adjacent COVID-19 ICU served as controls. For data analysis, we applied Bayesian modelling as appropriate. We assessed the effects of angiotensin II on organ function. Results: We compared 46 patients receiving angiotensin II therapy with 53 controls. Compared with controls, angiotensin II increased the mean arterial pressure (median difference, 9.05 mmHg; 95% CI, 1.87–16.22; P = 0.013) and the PaO2/FiO2 ratio (median difference, 23.17; 95% CI, 3.46–42.88; P = 0.021), and decreased the odds ratio (OR) of liver dysfunction (OR, 0.32; 95% CI, 0.09–0.94). However, angiotensin II had no effect on lactate, urinary output, serum creatinine, C-reactive protein, platelet count, or thromboembolic complications. In patients with abnormal baseline serum creatinine, Bayesian modelling showed that angiotensin II carried a 95.7% probability of reducing the use of renal replacement therapy (RRT). Conclusions: In ventilated patients with COVID-19, angiotensin II therapy increased blood pressure and PaO2/FiO2 ratios, decreased the OR of liver dysfunction, and appeared to decrease the risk of RRT use in patients with abnormal baseline serum creatinine. However, all of these findings are hypothesis-generating only. Trial registration:ClinicalTrials.gov NCT04318366.
Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report

Background: Coronaviruses can affect multiple body systems and respiratory failure is the most common complication. Since the outbreak of coronavirus disease-2019 (COVID-19) in January 2020, the association between COVID-19 and Guillain-Barre syndrome (GBS) has been growing. GBS is known to be triggered by an antecedent infection, mostly viruses. Case Presentation: We present a case of GBS in an 83-year-old female patient with a confirmed COVID-19 infection. The patient initially presented with fever, cough, and fatigue. She was treated with intravenous fluid and symptomatic treatment and discharged home after stabilization. Several weeks after her initial encounter, she experienced bilateral paresthesias as well as numbness and tingling in her lower extremities. The patient's neurological symptoms were not alleviated with standard intravenous immune globulin (IVIG) therapy;however, her symptoms significantly improved with subsequent plasmapheresis therapy. Conclusion: Based on the emerging evidence of recent studies, there is a possible connection between COVID-19 and GBS. Clinicians should be aware of the neurological manifestations of COVID-19 infection. Early diagnosis and proper treatment of COVID-19 and its neurological symptoms are crucial to increase the chance of a successful recovery.
How do You Feel in Virtual Environments? The Role of Emotions and Openness Trait Over Creative Performance

Abstract In the Dynamic Creativity Framework creativity is defined as a context-embedded phenomenon requiring potential originality and effectiveness. This definition indicates that the environmental conditions embedding the creative process have fundamental impact on the process itself and its outcomes. In particular, Virtual environments (VEs) are emerging as everyday contexts for a large part of the world population, affecting behaviors and feelings. VEs have been demonstrated to affect creative performance in several ways, even if the psychological mechanisms at the basis of the different modifications in the creative behavior are far from being completely explained. The aim of this study was to explore the influence of different types of VEs on creative performance, with a specific focus on participants’ emotional reactions and on their individual differences in the Openness personality trait. A total of 22 participants were exposed to four different types of environments: a real room environment (RE), a control virtual environment (CVE) resembling the physical characteristics of the RE, a positive virtual environment (PVE) and a negative virtual environment (NVE). Participants were free to explore each environment for two minutes, then they were asked to perform an Alternative Uses Task for five minutes, to measure divergent thinking performance. Openness and affective reactions in each environment were measured in all participants. Results showed that Openness was associated with higher originality of responses and that this effect was particularly significant in PVE. Importantly, the type of environment interacted significantly with participants’ affective reactions in explaining their creative performance, revealing that an increase of ideas originality was associated with an increase of positive affect, emerging as a consequence of experiencing a PVE. Affective reactions to VEs, in combination with individual differences in term of Openness, thus emerge as one of the possible explicatory mechanisms of the impact of virtual reality on creative performance.