Miracle-dz/UniFAR-FTUs huggingface dataset:
A Comparative Study Of Role Of Ritodrine Versus Magnesium Sulphate In Preterm Labour

Introduction : Preterm delivery which accounts for over 75% of all cases of perinatal mortality and morbidity is the most important obstetric problem of world today.The present study was conducted in the department of obstetrics and gynecology at Kamla Raja Hospital Gwalior. This study is an attempt to study the efficacy of two most commonly used tocolytic agents ritodrine versus magnesium sulphate in controlling preterm labour Methods: The material for the present study comprised of 100 patients who were in preterm labour out of which 50 were given Ritodrine infusion and 50 were given magnesium sulphate.Both the groups were compared for tocolytic efficacy and effect of preterm labour on neonatal . mortality and morbidity. Result: In the present study >2 days were gained in 28%in Ritodrine group and 26% in magnesium sulphate group.3-6 days gained in 42% cases in Ritodrine group and 46% in magnesium sulphate group.It was observed that maimum time gained in both the groups in majority of cases was up to 6 days. Conclusion: The primary tocolytic agent chosen should be efficient with minimum side effects to mother and fetus. Ritodrine group and magnesium sulphate appears to fulfill these requirements. Magnesium sulphate is found to be comparable to Ritodrine in terms of efficacy and safety. Magnesium sulphate appears cheaper as compare to Ritodrine.
Phase I dose-escalation study of pasireotide LAR in patients with advanced neuroendocrine tumors.

e15126 Background: Somastatin analogs (SSA), including octreotide and lanreotide, bind predominantly to somatostatin receptor (SSTR) 2 and form the foundation of treatment for symptomatic neuroendocrine tumors (NET). Pasireotide, a novel SSA with a broad binding affinity (SSTR 1-3 and 5), is being explored for treatment of NET. A phase 1 dose-escalation study (NCT01364415) of pasireotide long-acting release (LAR; starting dose of 80 mg) was designed to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) and to characterize safety, tolerability, pharmacokinetics, and efficacy in pts with advanced NET. Methods: Pts with advanced, well- or moderately differentiated NET received pasireotide LAR beginning at a dose of 80 mg q28d. Successive cohorts will receive doses (up to 220 mg) guided by a Bayesian logistic regression model until MTD/RP2D is reached. Results: To date, 15 pts have been treated at 80 mg (n=6) and 120 mg (n=9). Median age is 59 (44-76) years. Primary tumor sites incl.
Emergent non-Fermi-liquid phenomena in multipolar quantum impurity systems

Discovery of novel spin-orbital entangled quantum ground states paves an important avenue for controllable quantum materials via unique couplings to the lattice and other external perturbations. In this work, motivated by recent experiments on cubic heavy fermion materials with multipolar local moments, we theoretically investigate strongly-interacting spin-orbital entangled quantum ground states in multipolar quantum impurity systems. Here itinerant electrons are interacting with the local moments carrying quadrupolar and octupolar moments, in contrast to the conventional Kondo problem with dipolar local moment. Using perturbative renormalization group methods, we uncover a number of non-Fermi liquid ground states, which are characterized by an absence of well-defined quasiparticles and singular power-law behaviours in physical properties. We show that the non-Fermi liquid states found here are outside the known categories of non-Fermi liquid states in the conventional multi-channel Kondo problem. This work lays a novel ground for the identification of unexpected non-Fermi liquid phases in many strongly spin-orbital-coupled quantum materials.
Family Communication Concerning End-of-Life Care Preferences

Communication concerning the care one wishes to receive at the end of life (EOL) is central to ensuring that wishes are honored. Many studies have examined doctor-patient or doctor-family EOL communication. However, relatively few studies have focused on the occurrence of EOL care discussions among family members. This is an important topic, as research suggests that advance directives (ADs) are ineffective if patients have not involved surrogate decision-makers, most of whom are family members. This study examined EOL care discussions among family members. It used quantitative and qualitative data from a diverse sample of older adults from West Central Florida collected for the purpose of this examination. The quantitative and qualitative data were analyzed separately and together. This study employed the Transtheoretical Model, which proposes that individuals are in varying behavioral “stages of change” and that bringing about a behavioral change requires understanding their particular stage and adapting interventions appropriately. Statistical analysis of the quantitative data (N=364) using multinomial logistic regression showed that participants were in distinct stages that were associated with several factors, including family involvement with health care decision-making and communications with doctors. Racial and ethnic differences were not found in controlled analysis, though Hispanics were less likely to be in more advanced EOL care discussion stages in unadjusted analyses. Several themes were found in qualitative analysis of focus groups (n=36) drawn from the larger sample. Findings suggested that those who engaged in family EOL care discussions were more careful planners overall, more accepting of death, and able to manage complex family dynamics. They also had greater knowledge of EOL matters, largely related to knowledge of loved ones EOL wishes. The quantitative-qualitative (mixed-methods) study reinforced the role of family relationships in general in whether EOL care discussions occurred. It also highlighted the role of being proactive and having EOL care knowledge. All three studies – the quantitative, qualitative, and mixed methods showed the potential for doctors and other health professionals to help families with EOL care discussions and ACP overall.
Pancreatic Neuroendocrine Tumors: A Focus on the Current Classification and Molecular Targeted Therapy

AB S TRA C T Although their incidence has been rising over the last decades, pancreatic neuroendocrine tumors (PNETs) are relatively uncommon, accounting for less than 5% of all primary pancreatic malignancies. They are classified based on morphological and biological characteristics. The World Health Organization (WHO) classification from 2000 subcategorizes gastroenteropancreatic neuroendocrine tumors into welldifferentiated tumors, well-differentiated carcinomas, and poorly differentiated carcinomas; the TNM staging system from 2006 considers three ‘‘G’’ groups based on the Ki-67 level and three ‘‘T’’ groups related to the size. Retrospective analyses confirmed the prognostic relevance of both WHO and TNM staging systems for PNETs. As for treatment, chemotherapy, somatostatin analogs, interferon, and peptide radioreceptor therapy can have a role in PNETs. Over the last decade several molecular targeted agents have been studied. Among them sunitinib and everolimus are in the most advanced phase of clinical investigation. This is a literature review, based on a Medline search for pancreatic neuroendocrine tumor and carcinoma, which will focus on the clinical importance of classifications and the advances of molecular targeted therapies in PNETs.
Adolescent Parent Communication Concerning Sexual and Reproductive Health Issues Among Sendafa High School and Preparatory Students

Globally, adolescents constitute about one billion of the world’s population, with majority living in developing nations. Adolescent parent communication is among several strategies that improves sexual and reproductive health issues. The aim of this study was to determine adolescent-parent communication on sexual and reproductive health issues among Sendafa high school students. Cross-sectional descriptive study was conducted from May to July, 2016 G. C. , at Sendafa high school and preparatory students. All unmarried and aged 13-24, who are attending school during the data collection were included in the study. Study participants were interviewed about their socio demographic characteristics and level of communication with their parents using structured questionnaire. Data were checked for completeness and entered into EPI Info and transferred for analysis to SPSS version 20 software. A total of 304 sendafa high school students were assessed for adolescent parent communication regarding sexual and reproductive health issues during study period. The mean age of the respondents was 16.77±1.78SD, with a range of 13- 24 years. 190 (62.5%) of students were agreed on the importance of adolescent parent communication on sexual and reproductive health issues. 163 (55.9%) and 161 (53.2%) of study participants were discussed with their parents on contraceptive method and STI/HIV/AIDS respectively. 155 (50.9%) of respondents reported that they choices their friends, while 62 (20.4%) and 45 (14.8%) of the study participants choices their sister and mother respectively. According to the finding of the present study the parent adolescent communication about sexual and reproductive health issues were low. Therefore, training and education to improve the adolescent-parent communication is recommended for the both.
The structure of European development — Community detection in inter-industry and external trade networks∗

Current debates on the future of the European Monetary Union (EMU, hereinafter) — as well as that of the European Union (EU27, hereinafter) — are mostly based on financial and aggregate parameters describing its constituent members, no reference being made to the disaggregated and interdependent productive features of the EMU/EU27 economies. The aim of the present paper is to analyse the clustering of industries within the EMU/EU27 and the characterisation of trade flows among its members, in order to unfold some structural features of European development. Thanks to the recent Supply, Use and Input-Output tables database for the EMU/EU27 areas provided by EUROSTAT (2011), it is possible to analyse their respective flow structures as integrated networks of inter-industry relations, as opposed to the pattern of bilateral trade flows among EMU/EU27 countries (see EUROSTAT 2006), whether for total trade as well as for commodity-specific trade matrices. In particular, we considered the application of a spectral bisection algorithm for community detection, and analysed the resulting clustering of industries (by means of EMU/EU27 intermediate consumption networks) and countries (by means of intra-EU external trade matrices). By exploiting the interplay between dependence and independence, hierarchy and circularity (as emphasised by Leontief 1963 [1986], p. 166) an analysis of the internal structure of the EMU/EU27 can be advanced, in order to assess the potentialities of European economic integration in productive structures, effective demand and income generation patterns.
The Impact of Stock Characteristics on Its Market Price in Jordanian Commercial Banks

The study aims at identifying the impact of stock characteristics represented by (Earnings Per Share (EPS), Book Value Ratio (BVR), Dividends Per Share (DPS), Dividends Payout Ratio (DPR), Market to Book Ratio (MBR), Price Earnings Ratio (PER), and Yield Per Share (YPE)) on the market stock price in the 13 commercial banks in Jordan during the period from 2005 to 2018. Multiple Linear Regression has been used to illustrate the impact of the independent variables and the controlling variables on the dependent variable. The study has found that there is a significant impact of stock characteristics on its market price at the Jordanian commercial banks. The study also found a statistically significant impact for each book value ratio, dividends per share, market to book ratio, price-earnings ratio, and yield per share on the market price at the Jordanian commercial banks. However, there was no statistically significant effect for each of the earnings per share and dividend’s payout ratio on the market price at the Jordanian commercial banks. The study recommends that investors, analysts, and decision-makers use the characteristics of stocks when carrying out analyses before making important investment decisions that can affect their wealth in the future through forecasting stock prices.
Community Understanding Of The Environmental And Socio-Economic Consequences Of Petroleum Exploitation In Ogoni , Rivers State , Nigeria

The aim of this paper was to examine the community understanding of the environmental and socio-economic consequences of petroleum exploitation in Ogoni, Rivers State. To achieve this aim, the objectives were to determine the level of community awareness to environmental issues and how these communities understand the consequences of pollution on their environment. The survey design method was employed. Purposive sampling technique was used to select 21 oil bearing communities from the four Local Government Areas of Ogoniland. The data were collected using unstructured interviews, focus group discussions, oral testimonies and questionnaires. Transcriptions, rewriting and coding were employed in data analysis, except for the questionnaires which adopted descriptive statistical methods. Results showed that the level of community awareness to environmental issues is very high, as they accessed vital information about their environment through different sources on a regular basis. The results further revealed that majority of the respondents are very knowledgeable on the environmental consequences of pollution to their environment and health; but decided to stay in it and fight for freedom. The resultant effect is that the Ogoni environment has become tense and hot with a lot of bitterness and violence like a lifestyle. It is therefore recommended that with the increasing level of environmental pollution in Ogoniland; the necessary laws on environmental protection should be adequately enforced against further pollution of the environment, and immediate environmental remediation should be carried where pollution has occurred.
Factors Related to the Quality of Life in the Context of Deaf Sign Language Users in Brazil

Introduction: Deaf sign language users population often has been facing linguistic difficulties regarding to interacting with people who are not aware, who have not learnt about using sign language, such difficulties may have been revealing serious consequences to their social, emotional and also cognitive development. Objective: This study has aimed to analyze the factors which may be associated with the best scoring of Quality of Life (QOL) in a group of deaf Brazilian sign language (Libras) users. Methods: It is a quantitative study, whose data collection has been assessing using the WHOQOL-BREF scale and a sample profile questionnaire as well. Sixty (60) deaf Libras users, who has been living in Southern region of Brazil have participated. Statistical analysis was used by means of descriptive statistical methods and inference methods, considering the significance level of 0.05 (5%). Results: Results have evidenced that total mean scoring in the WHOQOL-BREF was 43.3%. The domain with the highest scoring was Social Relationships (64.31%), and the lowest-scoring was Environment
Identifying the affecting factors in adolescents who attempt suicide

DOI: 10.4328/JCAM.6140 Received: 21.12. 2018 Accepted: 02.03. 2019 Published Online: 05.03. 2019 Printed: 01.01. 2020 Ann Clin Anal Med 2020;11(1):43-49 Corresponding Author:Ayfer Acikgoz, Department of Child Health and Disease Nursing, Faculty of Health Sciences, Meselik Campus, 26480, Eskisehir, Turkey. T. : +9
Douglas PUD Staff Biologist Analysis Rationale for Proposed Changes to the District’s Dock Policy Docks, piers, and floats are expected to affect predation on ESA-listed and non-listed salmonids

Docks, piers, and floats are expected to affect predation on ESA-listed and non-listed salmonids by providing foraging habitat (shade, overhead cover, simple structure, and velocity refuge) for structurally-oriented ambush predators, specifically bass. Due to their life history strategies, smallmouth bass (Micropterus dolomieui) and largemouth bass (M. salmoides) are the predators most likely to benefit from shoreline development, but northern pikeminnow (Ptychocheilus oregonensis) may also benefit. To make the most of the discussion on this topic, it would be useful to have a general understanding of predator-prey interactions.
Prevalence and Associated Risk Factor of Intestinal Parasitic Infection Between Marginalized and Non- marginalized People In AL-Turbah City. Taiz Governorate, Yemen.

The infection of individuals due to their behavior and extent of health education. In marginalized people often live in crowded conditions, limited sanitation, and personal hygiene is lack. they suffer a lack of health education and low income. Aim: This study was carried out to determine the prevalence of intestinal parasites at marginalized people (Al-akhdam-The neglected group) and other people in different areas in Al Turbah city, and the relationship between parasites infection and race, age, sex, Family size, educational level, water source and type of job. Methods: The study was carried out from areas in Al-Turbah city, during March to December 2016.
An Analysis of the Association between Emotional Intelligence, Leadership Flairs & Leadership Efficacy

Employee turnover can straightforwardly affect a company’s bottom line; it has now turned into major concerns of senior leadership of the organizations. Organizations are continuously searching for techniques and strategies to strengthen leadership abilities in the organization. Management and researchers often intrigue with the idea whether Transformational leaders have the ability to stimulate other leaders, colleagues, and followers to embrace new organizational perspectives, support the vision or mission of the organization, and achieve higher levels of performance. This research work encompasses the analysis of the association between Emotional Intelligence, Leadership Flairs &Leadership Efficacy. IndexTerms— Emotional Intelligence, Leadership, Efficacy, Transformational, Transactional Leadership.
ANATOMICAL STUDY OF INFERIOR THYROID ARTERY AND THE VARIATION IN THE RELATIONSHIP BETWEEN RECURRENT LARYNGEAL NERVE AND INFERIOR THYROID ARTERY IN SRI LANKAN POPULATION

Corresponding Author: Dr. Romini Niranjan, Department of Anatomy, Faculty of Medicine, University of Jaffna, Sri Lanka. E-Mail: rominiranjan@yahoo.com Introduction: Terminal branches of inferior thyroid artery (ITA) supplies thyroid and parathyroids. Recurrent laryngeal nerve (RLN) is related to ITA at lower pole of thyroid and RLN may lie either posterior, anterior or intermingled with terminal branches of ITA. RLN is a vulnerable structure that gets damaged during thyroid surgeries. Aim: Present study aims to determine variation in relationship between ITA and RLN, entering pattern of ITA into thyroid and number of terminal branches of ITA in Sri Lankan population. Materials and methods: A total of 312 sides (Male:204, Female:108) of thyroid together with intact neurovascular structures were selected for study of relationship, entrance pattern and number of terminal branches of ITA. The RLN may lie either posterior (Type A) or anterior (Type B) to ITA or its branches. Sometimes RLN may intermingle with terminal branches of ITA (Type C). Results: A total sample of 65.2% in male (M) and 60.9% in female (F) were Type A, samples of 10.35%(M) and 22.22%(F) were Type B and 24.5%(M) and 17.59%(F) were type C. Type A was more predominant in left side of both genders and in the right side there are 50% of chances for Type A in both genders. Comparatively Type B was more in female and Type C was more in male. A total of 63.7%(M) and 69.44%(F) ITA entered into middle 1/3rd, 36.27%(M) and 30.55%(F) into lower 1/3rd of the thyroid lobe and entering pattern was more or less similar in both genders. ITA commonly entered thyroid just above junction of middle and lower third of thyroid lobe. ITA divided into two branches in 52.45%9(M) and 56.48%(F), three in 44.6%(M) and 41.66%(F) and four in 2.94%(M) and 1.85%(F) of studied samples. Conclusions: Knowledge of anatomical variation of ITA and RLN is mandatory to avoid injury to RLN in thyroid surgeries. Understanding the entrance pattern and terminal branches of ITA are essential for thyroid and parathyroid surgeries.
Outcomes of renal transplantation from extended criteria donors in therapy with everolimus, cyclosporine and steroids versus enteric coated micophenolate sodium, cyclosporine and steroids

Introduction: Few studies have tested which is the best immunosuppressive regimen for marginal kidneys. The aim of this study is to compare graft outcomes, renal function and rate of complications between a group of recipients of a kidney graft from marginal donor receiving everolimus, cyclosporine and steroids (group RAD) versus a group receiving cyclosporine, enteric coated micophenolate mofetil (group ECMPS) and steroids.
Review on Sub-Acute Rumen Acidosis in Dairy Cattle and Nutritional Approaches

Different studies revealed that, Sub-acute ruminal acidosis (SARA) is one of the most important metabolic diseases in modern dairy industry that impairs cow performance and health even well managed and high yielding dairy cows. It is characterized by repeated bouts of depressed rumen pH between 5.2 and 5.6. SARA in dairy cattle causes a disorder of ruminal fermentation caused by the ingestion of large amounts of concentrates and inadequate amounts of fibre administered in order to increase the milk production in early lactation. Furthermore, it has concern of animal welfare reasons due to lameness and laminitis impact significantly on cow comfort and general well-being. Cows in the early lactation, primiparous cows, as well as cows grazing or fed with rapidly fermentable low fibre grass are in particular exposed to high risk to develop SARA. The SARA has diverse and complex consequences, which include feed intake depression, fluctuations in feed intake, reduced diet digestibility, reduced milk yield, reduced milk fat percent, gastrointestinal damage, liver abscesses, and lameness. The suitable approach to prevent SARA is formulating adequate fibre in the diets, preparing diets with adequate particle size distribution and moisture content to reducing sorting. Feeding supplements such as yeast and exogenous buffer can be considered to stabilize rumen pH. The risk of developing SARA can be reduced by adopting a feeding regime, which balances ruminal buffering with the production of volatile fatty acids from fermentation of carbohydrates. Recommendations made for effective characterization, important management factors and good management practices of SARA in dairy cattle are further highlighted.