Miracle-dz/UniFAR-FTUs huggingface dataset:
Impact of cognitive-behavioral-therapy (CBT) on levels of anxiety, depression and distress in cancer patients (pts)

Abstract Background Oncological pts usually experience symptoms that include anxiety, depression and distress. The aim of this preliminary study was to explore the effect of Cognitive-Behavioral-Therapy (CBT) in cancer pts. Methods An open trial evaluated the treatment effects of CBT in breast and lung pts referring to a clinical psychology health service specialized in psycho-oncology. Levels of anxiety and depression were assessed using the validated self-report questionnaires Hospital Anxiety and Depression Scale (HADS), while the distress was evaluated with the Distress Thermometer (DT). The statistical analysis includes the Wilcoxon-Mann-Whitney and the Spearman rank tests. Results At a median follow-up of 6 months, data from 43 pts (88% breast and 12% lung cancer) were prospectively collected (median age: 49 years). At baseline, 62.8% and 44.2% of pts were borderline abnormal for anxiety and depression, while 34.9% and 30.2% reported abnormal levels. All pts presented high levels of distress. A significant correlation between anxiety and depression was observed (rs=0.55; p Conclusions These results highlight the importance of the introduction in clinical routine of validated psychological screening for anxiety, depression and distress as well as psychological intervention, carried out by trained psycho-oncology. Legal entity responsible for the study University of Verona. Funding Has not received any funding. Disclosure E. Bria: Honoraria (self): MSD, AstraZeneca, Celgene, Pfizer, Helsinn, Eli Lilly, BMS, Novartis, and Roche. ; Research grant / Funding (self): AIRC-IG 20583. M. Milella: Honoraria (self): Pfizer, EUSA Pharma, AstraZeneca. S. Pilotto: Honoraria (self): AstraZeneca, Eli Lilly, BMS, Boehringer Ingelheim, Roche, MSD and Istituto Gentili. ; Research grant / Funding (self): AIRC-IG 20583. All other authors have declared no conflicts of interest.
Serum Zinc and Copper in Children with Febrile Seizures in Basrah,Iraq

Background:Trace elements are essential micronutrients that exist in very low concentrations in the body. They play an important role in various physiological processes and are crucial for proper functioning of the immune system. Many studies have shown that some micronutrients may have a role in febrile seizure such as selenium, zinc and copper. objectives :To determine the level of serum zinc and copper in children with febrile seizures and explore their relation to selected patients' variables. Methods: The study included 66 infants and children with simple febrile seizures with two control groups;a febrile control group which includes (62) children with febrile illnesses who were admitted to emergency department at Basrah Maternity and Children Hospital and Basrah General Hospital from the 1st of March to the end of October 2013, and ahealthy control group which includes ( 58) children. Serum zinc and copper ere measured for all infants and children enrolled in the study. Results: Patients with febrile seizure had a significantly lower mean serum zinc level (8.85 ±3.26) in comparison to febrile patients and healthy children (14.98 ±2.20), (13.33 ±1.99) respectively. There is no significant association between the level of serum zinc and selected variables.S erum copper level did not show a significant difference between patients with febrile seizures and control groups. Conclusion: Zinc supplementation may be considered in children who are at risk of recurrent febrile seizure .
Nontraumatic Splenic Rupture due to Infectious Mononucleosis

A 19-year-old otherwise healthy male presented to the Emergency Department with left upper quadrant abdominal pain having felt a “pop” in his abdomen which was followed by nausea and lightheadedness. There was no evidence of trauma but 3 weeks earlier he began with symptoms of a sore throat and nasal congestion without cough. On subsequent investigation, given the patient’s acute abdominal pain, abnormal vitals and a non-diagnostic computed tomography scan, an emergent exploratory laparotomy was performed. There was 600 mL of blood evacuated from the abdomen. A 643-gram inflamed and ruptured spleen was identified and removed, and follow-up lab work was positive for heterophile antibody. This report describes spontaneous splenic rupture caused by infectious mononucleosis and compares characteristics of traumatic versus non-traumatic cases.
Knowledge Development in Nursing: Theory and Process

Tentative Table of Contents Chapter 1: Nursing's Fundamental Patterns of Knowing Chapter 2: Nursing's Knowledge Development Pathways Chapter 3: Emancipatory Knowledge: Knowing for Praxis Chapter 4: Ethical Knowledge Development Chapter 5: Personal Knowing Chapter 6: Aesthetic Knowledge Development Chapter 7: Empiric Knowledge Development: Explaining and Structuring Chapter 8: Description and Critical Reflection of Empiric theory Chapter 9: Confirming and Validating Empiric Knowledge Using Research Chapter 10: Confirming and Validating Empiric Knowledge in Practice Glossary Index
Drama performance assessment in senior secondary years : a study of six Australian schools

X CHAPTER 1: INTRODUCTION 1 1.1 The starting point 1 1.2 Background and rationale for the study 2 1.3 Purpose of the research 4 1.4 The research questions 4 1.5 Significance of the research 5 1.6 Overview of the context of the research 6 1.6. 1 Personal context 6 1.6. 2 Curriculum context 8 1.7 Assumptions 11 1.8 Definitions 11 1.9 Organisation of the thesis 12 1.10 Reflections 14 CHAPTER 2: LITERATURE REVIEW 15 2.
Enhanced Recovery Pathway Benefits Patients Undergoing Nonelective Colorectal Surgery.

MINI: Most published enhanced recovery pathways exclude patients undergoing urgent or emergent surgeries. This study found that nonelective colorectal surgery patients benefit significantly from the implementation of an enhanced recovery pathway, suggesting opportunities for improved outcomes in this high-risk population. OBJECTIVE The aim of our study was to determine if an enhanced recovery pathway (ERP) can successfully be applied in nonelective colorectal surgery. BACKGROUND ERPs have been shown to reduce hospital length of stay (LOS), complications, and costs after elective colorectal surgery. Yet, little data exist regarding the benefits of ERPs in patients undergoing nonelective colorectal surgery. We hypothesized that ERP implementation in a nonelective colorectal surgery population is associated with decreased postoperative LOS. METHODS A prospectively-maintained database was used to identify consecutive patients undergoing colorectal surgery after emergency room (ER) or hospital transfer admissions over a period from 2 years before until 1 year after implementation of a comprehensive ERP. The primary endpoint was LOS. Secondary endpoints included total LOS [TLOS = postoperative LOS + LOS of readmission(s)], readmission rates, complication rates, 30-day mortality, and hospital costs. Univariate and multivariate analyses were performed to assess the relationship between ERP implementation and LOS. RESULTS We identified 269 pre-ERP and 135 ERP patients fulfilling the inclusion criteria. Admit source (ER 43.4% vs transfers 56.7%), Charlson comorbidity index, American Society of Anesthesiologists (ASA) status, diagnosis (inflammatory bowel disease 45.8%, malignancy 19.6%, benign intestinal obstructions 10.4%, diverticulitis 9.4%, others 10.4%), and blood loss were comparable (P > 0.05) between the cohorts. Pre-ERP patients had a higher number of previous abdominal surgeries, whereas post-ERP patients had more laparoscopy and more compliance with ERP elements. ERP patients had a shorter postoperative LOS [6 (4, 10) vs 7 (5, 12) days; P = 0.0007]. Hospital costs were 13.4% lower (P = 0.004). Postoperative 30-day morbidity, mortality, and readmissions were comparable, although reoperation rate was higher in the ERP group. On multivariate analysis, ERP implementation and laparoscopy were the only modifiable variables independently associated with shorter LOS, whereas longer operative times and higher ASA classification were associated with longer LOS. CONCLUSIONS Patients undergoing nonelective colorectal surgery after ER or hospital transfer admission benefit from the use of an ERP, demonstrating decreased LOS and costs without an increase in complications.
The role of PhD-prepared, hospital-based nurses: an inter-Nordic study

Background Little is known about PhD-prepared nurses employed at Nordic university hospitals, how they are organised, what their practices look like or what career pathway they have chosen. Aims The purpose was to investigate and compare the prevalence of PhD-prepared nurses employed at university hospitals in the Nordic countries, to investigate what functions they fulfil and what research activities they undertake and to document how they describe their ideal work life. Methods A descriptive cross-sectional study. An electronic questionnaire was sent to 245 PhD-prepared nurses working at a university hospital in one of six Nordic countries and 166 responses were achieved (response rate 67%). Descriptive analyses were performed using SPSS Statistics. Results The study found notable differences among PhD-prepared nurses employed at university hospitals with respect to work function; organisational structure; satisfaction about time split between research and practice; and the mean scores of time spend on research, clinical practice and teaching, supervision and administration. Conclusions In order to succeed with capacity building among the nursing workforce, collaboration and networking with other researchers and close contact to clinical practice is important. The role of the hospital-based, PhD-prepared nurse needs to be better described and defined to ensure that evidence-based care is provided.
Determinants of pre-lacteal feeding among mothers of newborn: Evidence from a Hospital based cross- sectional at district Mahendragarh, Haryana

Background: Despite mass media campaign about the importance of exclusive breast feeding and colos- trum, pre lacteal feeding is still the common social norms across different parts of India. There are sev- eral factors which hinders early initiation and exclusive breastfeeding. Present study examined the factors associated with pre-lacteal feeding among mothers of newborn living in a district of Haryana, India. Material & Methods: A cross sectional study was conducted in 3 hospitals of Haryana district for the duration of six months in the year 2013. Data from 576 mother- new born pair was collected. Multivariate logistic regression analyses were used to examine factors associated with pre-lacteal feeding. Results: During the first 24 hours after birth, 209 (36.9%) of the newborns were given pre-lacteal feeding in various form. Most common type of pre-lacteal feed was animal milk (56.9 %) followed by holy water (22.5 %). Factors increasing the odds of pre-lacteal feeding included delivery by caesarean section, living in joint family, first time mothers and delivering a male child. Conclusions: Reducing the prevalence of pre-lacteal feed- ing can be achieved by improving knowledge and confidence of mothers and family members through appropriate counseling and support.
‘Body work—regulation of a swimmer body’: an autoethnography from an Australian elite swimmer

This paper contributes to studies on sociology and the body by exploring my bodily experiences as an Australian elite swimmer in an autoethnographic framework. More specifically, it focuses on the relationship between the regulatory practices of others on my body and my development of self-regulatory practices. The stories in this paper reveal evidence of regulatory practices occurring from four different domains within the Australian elite swimming culture—the coach, the mother, the peers and the self. I have named the regulatory physiological practices as ‘ethnophysiological’ as they were triggered in the social context of Australian swimming and were legitimated through ‘values packaged in a scientific wrapping’. Autoethnography, an ‘autobiographical genre of writing’ has been utilised as it enables the reader to vicariously share my bodily experiences, bestowing a voice of authority to my body to reveal personal experiences, voices and feelings. Within this paper, I will re-tell my stories of being an elite swimmer. I will detail stories of enaction, coach and peer regulation and self-regulation occurring within the elite culture persisting my career over a nine-year period. I use Sparkes' question in regard to embodiment to reflexively shape my analysis; ‘what do my memories reveal about the socialisation of my body’ and draw on literature relevant to sociology and the body.
Comparison of Efficacy of FAST and CT Scan in Patients with Blunt Abdominal Trauma

Background: Trauma is a major source of morbidity and mortality in modern era. Imaging and screening of trauma patients is vital in identifying the life-threatening injuries at the earliest, so appropriate therapeutic measurements can be taken immediately. The use of FAST and CT scan has replaced conventional methods in identification of intra-abdominal injuries. Objective: The objective of this study was to compare effectiveness of FAST and CT scan in blunt abdominal trauma patients. Study Design: Prospective study. Settings: Allied Hospital Faisalabad. Duration: 2 years from in 2016 to Dec 2017. Methodology: Patients who had come to our hospital with blunt abdominal trauma and who were stable enough to undergo both USG and CT scans were included into the study. Apart from routine tests, both USG and CT scans were performed for all the patients. Results: Road traffic accidents are the most common cause of trauma (58.9%), followed by fall from heights (32.1%). Liver (73.2%), spleen (51.8%), kidneys (46.4%) and pancreas (12.5%) were found to be most commonly injured intra-abdominal organs. CT scan was able to detect presence of hemoperitoneum in 100% of the patients while FAST was only able to detect it in 83.9% of patients. Conclusions: CT scan is a superior imaging tool for the detection of Blunt abdominal trauma compared to FAST. However, the patient needs to be hemodynamically stable for CT to be performed.
Local Culture Individual Counseling towards Behavioral Smoking at SMAN 09 Maros South Sulawesi, Indonesia

The health condition of the people due to smoking habits can be categorized as a "global public emergency". World tobacco consumption was found to kill one person every second, and there are 1.3 billion smokers in the world, one third comes from the global population aged 15 years and above. Each year, tobacco causes about 8.8% of deaths (4.9 million) and about 4.1% causes the disease (59.1%). If this trend is not turned around, then these figures will rise to 10 million deaths per year from 2020 or in early 2030 with 70% of deaths occur in developing countries. World No Tobacco Day May 31, 2012, the State Indonesia tops the list with the highest number of teen smokers in the world, namely 82.4%. Data of heath department there are 15,000 to 18,000 teenagers die each year in Indonesia is due to smoking and drugs abused. This study aims to know the culture of individual counseling toward the smoking behavior on students. The sampling technique is purposive sampling, 30 students smokers, study design "quasy experiment" with "one group pretest-posttest design" with statistics test, t-test (α = 0.05). The results of pre-test to post-test, it was found there was an increase in knowledge, after being given counseling in groups with the provision of material and playback method video. There is a local culture that is meaningful in counseling individuals, compared with group counseling, namely there are 10 students who smoked (100%) have the desire to quit smoking after being given counseling per person, compared with group counseling to 30 students, only 2 students claiming to want to quit smoking. Of the 30 students who smoke, there were 29 who started smoking at grade 5 elementary school and one junior high school students who start smoking In conclusions, the majority of students had smoked since elementary school, and 10 (100%) students have a desire to quit smoking after being given individual counseling.
Use of contemporary protease inhibitors and risk of incident chronic kidney disease in HIV-positive persons; the D:A:D Study.

BACKGROUND It is unclear if use of contemporary protease inhibitors (PIs) pose a similar chronic kidney disease (CKD) risk as older PIs. METHODS D:A:D participants were followed to CKD, last visit or 2016. Adjusted Poisson regression assessed associations between CKD and boosted atazanavir (ATV/r) and darunavir (DRV/r). RESULTS CKD incidence (10.0/1000 PYFU [95%CI 9.5-10.4]) increased gradually with increasing exposure to ATV/r, but less clearly for DRV/r. After adjustment, only exposure to ATV/r (1.4 [1.2-1.6]), but not DRV/r (1.0 [0.8-1.3]) remained significantly associated with CKD. CONCLUSION While DRV/r use was not significantly associated with CKD an increasing incidence with longer ATV/r use was confirmed.
The Apert and Crouzon syndromes: General and dental aspects

Background: Craniofacial malformations, as seen in Apert and Crouzon syndromes, may have an immense impact not only on function and esthetics, but also on the psychosocial well-being of the person affected. Aims: To provide insight on the social life aspects of persons with Crouzon syndrome in Sweden, during the transition from childhood to adulthood and as young adults. Furthermore, to study the main facial and intraoral characteristics of persons with Apert or Crouzon syndrome, the clinical manifestations that may be present in addition to the main syndromic features, and the cranio-maxillofacial surgical treatment protocols followed. Finally, to investigate dental agenesis and dental agenesis patterns of permanent teeth in persons with these syndromes. Material and Methods: Firstly, interviews according to the qualitative method of Grounded Theory were carried out. Eight persons with Crouzon syndrome participated. Then, 23 patients with Apert syndrome and 28 patients with Crouzon syndrome were evaluated for general aspects, craniofacial aspects, dentoalveolar traits before and after the final orthognathic surgery, types and timing of cranio-maxillofacial surgical operations. Finally, dental agenesis and dental agenesis patterns were studied in 26 persons with Crouzon syndrome and in 23 individuals with Apert syndrome by evaluation of serial panoramic radiographs. Results and Conclusions: The analysis of the interviews revealed that persons with Crouzon syndrome had to face different obstacles when developing their self-image during the transition from childhood to adulthood. Young adults with Crouzon syndrome tried to make the best of their situation. Already from childhood, they developed various strategies that helped them to cope with their lives. Mental disability, associated additional malformations, cleft palate, and extensive lateral palatal swellings were more common in children with Apert syndrome. In both syndromes, clinical findings included concave profile, negative overjet, posterior crossbites, anterior openbite, and dental midline deviation, which were significantly improved in almost all instances after the final combined orthodontic and orthognathic surgical treatment. The only exception was the posterior crossbites, which were persisting in about half of the cases. Cranial vault decompression and/or reshaping, midfacial and orbital advancement procedures, often in conjunction with a mandibular set-back, were the most frequent cranio-maxillofacial operations performed in both of the syndromes investigated. The prevalence of agenesis for at least one tooth was 42.3% for the patients with Crouzon syndrome. The dental agenesis patterns showed a remarkable variability. The prevalence of agenesis for at least a tooth was 34.8% for the patients with Apert syndrome. Symmetrical and repetitive dental agenesis patterns were identified.
Professional perpetrators: sex offenders who use their employment to target and sexually abuse the children with whom they work

Professionals who use their work as a cover for targeting and sexually abusing children have become the focus of public, media and legislative concerns in recent years. In the past 15 years, scandal after scandal has led to review investigations and public inquiries. These in turn have led to legislative changes to help improve childcare practices and prevent perpetrators from gaining access to children through institutions and organizations. This paper explores the literature and research studies which examine institutional abuse and professional perpetrators. Copyright © 2002 John Wiley & Sons, Ltd.
Prevalence of HIV, HCV, HBV and Syphilis in Blood donors among the Dakshina Kannada District, India

Blood is one of the integral components of body constituents, which flows throughout body and becomes a reason for survival. Blood transfusion is a life saving procedure for needy patients. Providing safe and adequate blood is supposed to be an integral part of every country s national health care policy and infrastructure. WHO suggests that all activities associated to blood collection, testing, processing, storage and distribution be matched at the national level through effective organization and a national blood policy. This is now supported by appropriate legislation to promote even implementation of standards and consistency in the quality and safety of blood and blood products. WHO recommends that all blood donations should be screened for infection prior to use. Screening should be mandatory for hepatitis B virus (HBV), hepatitis C virus ISSN: 2319-7706 Volume 2 Number 10 (2013) pp. 249-252 http://www.ijcmas. com
The Implications of Paraspinal Muscle Atrophy in Low Back Pain, Thoracolumbar Pathology, and Clinical Outcomes After Spine Surgery: A Review of the Literature

Study Design: Literature review. Objectives: Paraspinal muscle integrity is believed to play a critical role in low back pain (LBP) and numerous spinal deformity diseases and other pain pathologies. The influence of paraspinal muscle atrophy (PMA) on the clinical and radiographic success of spinal surgery has not been established. We aim to survey the literature in order to evaluate the impact of paraspinal muscle atrophy on low back pain, spine pathologies, and postoperative outcomes of spinal surgery. Methods: A review of the literature was conducted using a total of 267 articles identified from a search of the PubMed database and additional resources. A full-text review was conducted of 180 articles, which were assessed based on criteria that included an objective assessment of PMA in addition to measuring its relationship to LBP, thoracolumbar pathology, or surgical outcomes. Results: A total of 34 studies were included in this review. The literature on PMA illustrates an association between LBP and both decreased cross-sectional area and increased fatty infiltration of paraspinal musculature. Atrophy of the erector spinae and psoas muscles have been associated with spinal stenosis, isthmic spondylolisthesis, facet arthropathy, degenerative lumbar kyphosis. A number of studies have also demonstrated an association between PMA and worse postoperative outcomes. Conclusions: PMA is linked to several spinal pathologies and some studies demonstrate an association with worse postoperative outcomes following spinal surgery. There is a need for further research to establish a relationship between preoperative paraspinal muscle integrity and postoperative success, with the potential for guiding surgical decision making.