Miracle-dz/UniFAR-FTUs huggingface dataset:
Understanding Physicians’ and Non-Physician Practitioners’ Recommending Practices, Knowledge, Attitudes, Beliefs and Expectations Regarding Music as a Cost-Effective Complementary and Alternative Medicine Approach

UNDERSTANDING PHYSICIANS’ AND NON-PHYSICIAN PRACTITIONERS’ RECOMMENDING PRACTICES, KNOWLEDGE, ATTITUDES, BELIEFS AND EXPECTATIONS REGARDING MUSIC AS A COST-EFFECTIVE COMPLEMENTARY AND ALTERNATIVE MEDICINE APPROACH Paul F. Franco Seton Hall University, 2016 Dissertation Chair: Dr. Deborah DeLuca, M.S., J.D. Background and Purpose of the Study: With the rise in healthcare costs, partly due to an aging demographic (of whom these care-receivers and their informal family member/friend caregivers are experiencing high stress and anxiety levels resulting in an increase in nursing home placement), a need exists for a cost-effective alternative to the traditional medical approach. Specifically, Music Therapy, a form of Complementary and Alternative Medicine (CAM) has been shown to decrease the severity of the problem by alleviating symptoms of an illness and improving overall well-being. The purpose of this study was to create a valid tool entitled “The Global Complementary/Alternative and Music Therapy Assessment (GCAMTA)” and then implement this tool in the population in order to help identify and understand the differences between physicians’ (MD, DO) and non-physician
Thunderstorm Efficiency Regimes in South America as Observed by STARNET and TRMM

Six years of cloud to ground lighting strokes from Sferics Timing And Ranging NETwork (STARNET) and rain estimates from Tropical Rainfall Measuring Mission (TRMM 3B42) gridded in a box of 1° × 1° of longitude by latitude have been combined to investigate how thunderstorm efficiency (rain yield − daily rain accumulations/daily number of strokes) varies spatially and seasonally over South America. Based on daily rain yields, 98% of the thunderstorms can be represented by four regimes: continental‐arid (106.5–107.5 kg per stroke), continental (107.5–108.5 kg per stroke), continental‐maritime (green‐ocean; 108.5–109.5 kg per stroke), and maritime (109.5–1010.5 kg per stroke). The continental‐arid regimes are found over the Andes Mountains while the continental regimes extend from southern to central northern South America. The continental‐maritime regime runs from the Amazon basin to northern South America, and the maritime regime is found over the ocean and along the coastline. Mean radar reflectivity profiles from coincident measurements of 2A25 TRMM‐Precipitation Radar obtained for each rain yield regimes show that (a) the continental regimes have a higher concentration of ice and supercooled water droplets above the 0 °C isotherm height; (b) maritime regimes have larger rain volumes in the warmer phase; (c) the continental‐arid regime shows the highest concentration of ice and supercooled water droplets at temperatures below −20 °C; (d) the continental‐maritime and maritime regimes are similar, but the continental‐maritime regime has slightly higher reflectivities (1–2 dBZ) and has greater 30‐dBZ height; and (e) the partition of ice and supercooled water droplets between 0 and −40 °C influences the lightning frequency.
Long-term Result of Nipple Reconstruction Using Skate Flap after Breast Reconstruction

Purpose: A number of flap for nipple reconstruction have been well described in the literature. However, most of these techniques do not permit the reconstruction of a projecting nipple and all are hampered to some extent by long-term loss of nipple projection. The objective of this study is to evaluate the long-term result and clinical efficacy of nipple reconstruction using skate flap technique after breast reconstruction. Methods: A retrospective chart review was carried out on 23 patients who underwent 25 nipple reconstructions. In those patients with greater than 10 mm nipple projection, reconstruction with skate flap and full-thickness skin graft and/or tattooing was performed. Maintenance of nipple projection was then carefully assessed over one-year follow-up. The following factors were analyzed: type of breast reconstruction, type of areola reconstruction, followup period, decrease in nipple projection, complication, and whether secondary nipple reconstruction was necessary and/or performed. Results: Breast reconstructions were performed in 17 patients with free transverse rectus abdominis musculocutaneous flap, 3 patients with extended latissimus dorsi musculocutaneous flap, and 3 patients with expander and implant. The mean follow-up after nipple reconstruction was 17 months. Mean loss of projection were , , and at 3, 6, 9 months and over one year, respectively. The greatest decrease in projection was noted in the first 3 months following surgery. Conclusion: These results indicated that nipple reconstruction with skate flap showed about 70 percent of the projection achieved over one year postoperation. Therefore, the skate flap may be a reliable method of nipple reconstruction in those patients with greater than 10 mm nipple projection.
Clinical Reasoning by Expert Bobath Instructors

Background: Clinical reasoning, a complex clinical skill, is central to professional accountability but currently invisible in the rehabilitation sciences evidence base with an associated under-development of underpinning theory. Understanding and minimizing movement problems is a focus of rehabilitation. Movement performance is a key aspect of Bobath clinical practice, the most widely used neuro-rehabilitation approach. To date there are no publications addressing the clinical reasoning process or the conceptualization of movement by Bobath therapists despite considerable investigation of the effectiveness of this rehabilitation
Keystones in East Gondwana breakup: provenance and palaeontology of sedimentary strata from East Indiaman Ridge, eastern Indian Ocean

In 2011 sedimentary rocks were recovered from submarine mountains in the deep eastern Indian Ocean, and are investigated here for the first time. Using integrated palaeontological and geochronological techniques, the rocks were determined to be of mid-Cretaceous age (~100 million years old) and contained a number of fossil species new to science, with strong biotic connections to other fossils around the Indian Ocean of a similar age. Also investigated was the origin of the sediments, and connections were found between the knolls and mountain-building events from the assembly of the supercontinent of Gondwana.
Clinical effect of mycophenolate mofetil and tripterygium glycosides on refractory nephrotic syndrome and the influence of renal function

Objective To observe the effect of mycophenolate mofetil and tripterygium glycosides on the renal function of refractory nephrotic syndrome.Methods From June 2010 lo August 2013,82 cases of refractory nephrotic syndrome patients were randomly divided into control group(40 cases) and observation group(42 cases). Control group were treated with mycophenolate mofetil therapy,patients in the observation group was treated with mycophenolate mofetil combined with tripterygium glycosides.Clinical therapeutic effect and renal function(24 h urinary protein,blood urea nitrogen,serum albumin,serum creatinine) changes were compared between the 2 groups.Results The total efficiency of the observation group was 73.8%(31/42),which was higher than that of the control group of 47.5%(19/40)(x~2=5.960,P 0.05);24 h urinary protein,blood urea nitrogen,serum albumin,serum creatinine were improved in both of the 2 groups than before treatment(t=9.440,t=17.750,t=5.710,t=2.803,t=11.473,t=13.823,t=9.685,t=4.671,P0.05),24 h urinary protein,Alb,SCr improved more obviously in observation group(t=3.427,t= 3.099,t =2.362,P 0.05);the recurrence rate was 0 in the observation group,which was lower than that in control group of 15.8%(3/19)(x~2 =5.207,P 0.05);no significant difference of adverse reactions were found between the 2 groups(21.4%vs.27.5%,x~2 =0.410,P 0.05). Conclusion Refractory nephrotic syndrome could be treated by mycophenolate mofetil combined with tripterygium glycosides,the clinical effects are significant,adverse reactions are slightly.
Behaviour of screw micropiles subjected to axial tensile and compressive loading

ABSTRACT Screw micropiles or “ground screws” (diameter less than 200 mm, length less than 5 m) consist of a steel tubular shaft with continuous spiral threads, and a threaded tapered segment; the installation is achieved by rotary driving. Although ground screws are useful in many applications as well as environment-friendly, research on their behaviour is limited. The paper presents an experimental study on the response of screw micropiles subjected to tensile and compressive axial loading. Twenty full-scale load tests were conducted on four types of screws, with diameter 66-114 mm and length 0.8-1.6 m, at a test site in Italy, characterized by the presence of predominantly clayey soils. The micropiles achieved tensile and compressive capacities of 23-60 kN and 20-75 kN respectively, with pile movements in the range 1-9 mm. The results were interpreted in the light of a recently developed method to compute bearing capacity of screw micropiles.
Comparison of three different surface plank exercises on core muscle activity

Objective: This study compared the muscle activities of the erector spinae (ES), the external oblique (EO), and the rectus abdominis (RA) on three different surfaces. The purpose of this study was to determine which surface induces the highest muscle activity during the plank exercises. The information from this study can be used to recommend plank exercises to athletes and patients with weak core muscles. Design: Cross-sectional study. Methods: The subjects include 20 adult males attending S University in Seoul. Participants completed each plank exercise on three different surfaces. To measure muscle activities, researchers used the values from electromyography. The measurement excluded the initial two and final two seconds and collected information on the RA, EO, and ES in each posture of each subject. Results: The left external oblique showed significant differences between the plank position on stable ground (ST) and the plank position using a suspension device (SL) (p
Distribusi Keganasan Nasofaring Berdasarkan Pemeriksaan Histopatologi pada Rumah Sakit di Kota Pekanbaru Tahun 2009-2013

ABSTRACT Nasopharyngeal carcinoma is a malignant tumor derived from epithelial cells in the nasopharynx. The rates of nasopharyngeal carcinoma has increased in the region of the head and neck. In 2010, nasopharyngeal carcinoma ranks 5th out of 10th. This study is descriptive with retrospective design that aimed to determine the distribution of nasopharyngeal carcinoma at hospitals in Pekanbaru from 2009-2013. The data collected from anatomical pathology laboratory center and hospitals in Pekanbaru, including: gender, age, histopathologic types and occupation. The result showed that there was 199 cases of nasopharyngeal carcinoma with the highest case found in 2013 were 92 (24,6%). The highest case found in Arifin Achmad Hospital were 92 (46,2%) and the lowest rates was in the Army hospital and Bhayangkara with 1 (0.5%) case. Nasopharyngeal carcinoma mostly infected male 130 (65,3%) cases than female 69 (34,7%) cases. The age range of 45-54 years had 56 (28.1%) cases. Most of histopathologic types had found in the type of undifferentiated carcinoma (WHO type III) as many as 136 (68,3%) cases. The most occupation is farmer and housewifes as many as 32 (16.1%) cases. Key words : nasopharyngeal carcinoma, distribution, histopathologic type.
Integrated Full-Scale Physical Experiments and Numerical Modeling of the Performance and Rehabilitation of Highway Embankments

Highway embankments consisting of highplasticity clays will soften with time to significantly lower strengths because of wetting-drying cycles. Knowledge of the time-dependent change in hydro-mechanical properties is still lacking, since it is influenced by many factors, including: climate, extreme weather events, vegetation-soil-water interaction, erosion, formation and deepening of cracks from desiccation, and soil clay size-fraction. Because these processes are not likely to occur at the same rate everywhere, there is also considerable spatial uncertainty. As a result, this study is focused on advancing the understanding on the effects of wetting-drying cycles on hydromechanical properties of the high plasticity soils that comprise earthen embankments. This study will mechanistically quantify the contribution of environment, and soil factors on compacted embankments over time, using field investigation of existing embankments, laboratory-scale physical models, and numerical modeling for calibration and validation.
Relevância da estrutura de dívida para os determinantes da estrutura de capital: um estudo com dados em painel

In general, the study of the determinants of capital structure has handled the third-party capitalas a homogeneous source of funds, despite this being often formed by a variety of fundraisinginstruments. This paper analyzes the relevance of heterogeneity of debt structure forunderstanding the capital structure. The results show that the firms' characteristics areassociated with resources taken by specific sources and the use of general measures of debt asthe dependent variable can effectively "hide" relevant factors for the composition of thecapital structure.
Productivity and Efficiency in Grassland-based Livestock Production in Latin America: The Cases of Uruguay and Paraguay

This study looks at the performance of livestock production in Uruguay and Paraguay, analyzing two situations with different implications for development: the displacement of livestock by soybean production as occurred in Uruguay and in the Eastern region of Paraguay, and the expansion of the agricultural frontier in western Paraguay through deforestation. In the case of Uruguay, and despite being displaced to lower-quality land, the livestock sector has seen a historical increase in output and productivity between 2002 and 2006 as the result of rapid growth in beef and milk production and a reduction of sheep stocks to historical lows. This growth was driven by changes in nutrition, mostly due to an increase in the area under cultivated pasture during the second half of the 1990s, the use of grain and supplements associated to dairy production, and more recently, by intensive fattening of cattle. Improved nutrition resulted in a reduction in the slaughter age of steers, an increase in the offtake rate and a larger contribution of dairy to total output. In the case of Paraguay, beef production more than doubled between 2005 and 2016, driven by productivity growth which increased by 70 percent during this period. The expansion of soybean production in the Eastern region after 2006 displaced livestock to the Western Region of Chaco. In this new environment, the adoption of high yielding varieties of tropical pastures together with improved animal genetics were the main factors behind increased productivity. Despite these positive developments, livestock sectors in Uruguay and Paraguay still face major challenges to sustain growth in the future. In the case of Uruguay, the challenge is to accelerate and sustain TFP growth, which stagnated again after 2006. For Paraguay, challenges for future development are those related to the environment, as future expansion of production will continue to take place into forest land in the Chaco region. Although the introduction of cultivated pastures has increased productivity and reduced emissions per unit of output both in Uruguay and Paraguay, in the case of Paraguay, increased production, a growing animal stock and deforestation will continue to increase GHG emissions and will require greater control in the use of natural resources and new technological developments to increase environmental efficiency of livestock production.
Tower yarder work time and productivity study in Rhodope Mountains.

Ground-based vehicle logging systems require a dense network of skid roads as the terrain gets steeper. In terrains where the slope is 40% and greater, cable yarding systems are expected to be most efficient and environmentally-sound than ground vehicle systems. Nowadays small cable yarding systems are used mainly for uphill yarding. The main reason is that uphill yarding systems are much easier and faster to rig. The most common timber harvest unit layouts are parallel or fan-shaped [17]. In Bulgaria approximately 60% of the forests are situated in mountainous areas with steep slopes and complex terrain shapes. The logging sites in Rhodope Mountains, South-Central Bulgaria are between 400 and 1200 meters above sea level. Typically, in Rhodopes Mountains the sloppy and smooth terrain predominate, which give an opportunity to uphill yarding. In Rhodope Mountains forests consist mostly of Norway spruce (Picea abies L.) and Scots pine (Pinus sylvestris L.). The aim of the present study is to improve the use and operational efficiency of the tractor-mounted cable yarder in coniferous stands and to determine the time and volume of logs transported per unit of the yarder. Knowledge of these parameters is useful for defining the operational efficiency of cable logging and improvement of cable yarder performance. The main results indicate that the productive time for the studied cable yarder was about 87% and operational and mechanical delays accounted respectively for 5.5% and 7.5% of the scheduled machine hour. The mean yarding productivity, excluding and including delays, estimates at 38.82 m per shift and 36.27 m per shift, respectively, i.e. close to the maximum for that type of cable yarders under given condition.
Using Soil Moisture Sensors for Automated Irrigation Scheduling in a Plum Crop

The growing scarcity and competition for water resources requires the urgent implementation of measures to ensure their rational use. Farmers need affordable irrigation tools that allow them to take advantage of scientific know-how to improve water use efficiency in their common irrigation practices. The aim of this study is to test under field conditions, and adjust where required, an automated irrigation system that allows the establishment of regulated deficit irrigation (RDI) strategies in a stone fruit orchard. For this, an automated device with an algorithm which combines water-balance-based irrigation scheduling with a feedback adjustment mechanism using 15 capacitive sensors for continuous soil moisture measurement was used. The tests were carried out in 2016 and 2017 in Vegas Bajas del Guadiana (Extremadura, Spain) on an experimental plot of ‘Red Beaut’, an early-maturing Japanese plum cultivar. Three irrigation treatments were established: control, RDI and automatic. The control treatment was scheduled to cover crop water needs, a postharvest deficit irrigation (40% crop evapotranspiration (ETc)) strategy was applied in the RDI treatment, while the Automatic treatment simulated the RDI but without human intervention. After two years of testing, the automated system was able to “simulate” the irrigation scheduling programmed by a human expert without the need for human intervention.
Impact of the North Atlantic sea surface temperature on the summer high temperature in northern China

This study investigates the relationship between the summer high temperature in northern China and the northern North Atlantic (NNA) sea surface temperature anomalies (SSTAs) in the previous winter and spring during the period 1981–2017. In northern China, mean maximum temperature (Tmax) above 31°C and high frequencies of hot days are concentrated in June–July. SSTAs in the NNA in the previous December–April have a significant positive relationship with the mean Tmax from the Yellow River Basin to the north of the Yangtze River in June–July, and this significant positive correlation still exists after removing the trends. Correlation and composition analysis suggests that the NNA SST and high temperature in northern China are connected by the mid‐latitude wave‐train circulation anomalies across the Atlantic and Europe. Warm SSTAs in the NNA in winter and spring favour anticyclonic circulations in the NNA, Western Europe and the south of Lake Baikal, and cyclonic circulations in the northeastern North Atlantic and the Ural Mountains. The positive height anomaly and anticyclonic circulation in the south of Lake Baikal tend to result in downward motion and high temperature in northern China. The linkage between winter–spring North Atlantic SST and high temperature can be used to facilitate seasonal prediction of extreme high temperature in China.
Minnesota Adults with Co-Occurring Substance Use and Mental Health Disorders

Approximately 16% of Minnesota adults were found with either a substance use disorder or a mental health disorder: 7.7% with substance use disorder only, 7.0% with mental health disorder only, and 1.4% with both of the disorders. Minnesota adults with co-morbidity are more likely to be unemployed and tend to have lower levels of education than those with either single disorder. Multiple drug users and those with drug disorder compared to those with alcohol disorder have higher odds of having co-morbidity. Minnesota adults with more severe alcohol disorder and mental health disorder are more likely to have co-morbidity: The higher the number of symptoms, the higher the odds of having co-morbidity. The majority of Minnesota adults with co-morbidity don’t receive the treatment they need: Only 11% received both mental and chemical health treatments and 62% received neither.