Miracle-dz/UniFAR-FTUs huggingface dataset:
A Retrospective Study of the Dual-Main Surgeons’ Endoscopy-Assisted Insufflation Bilateral Nipple-Sparing Mastectomy with Immediate Implant Reconstruction

Background: Endoscopy-assisted breast surgery (EABS) is widely accepted, especially for young breast cancer women. But single-main surgeon’s EABS (SMS-EABS) has a long operation time and lots of blood loss during the surgery. Therefore, we advocate applying dual-main surgeons’ EABS (DMS-EABS) to improve surgical technique. Materials and Methods: This retrospective cohort study analyzed 34 patients with endoscopy-assisted insufflation bilateral nipple-sparing mastectomy with immediate implant reconstruction from March 2021 to December 2023 in The Sixth Affiliated Hospital of Sun Yat-sen University medical database and compared the blood loss, operation time, post-operation hospital stay, implant volume, operation costs, operation complications and breast-Q questionnaire between SMS-EABS and DMS-EABS with statistical analysis. Results: The blood loss (29.38 ml vs 51.67 ml, p<0.05) and operation time (4.38 h vs 5.56 h, p=0.01) in the DMS-EABS group are significantly better than SMS-EABS. There is no statistical difference in post-operation hospital stay, implant volume, operation costs, operation complications, and aesthetic evaluation between the two groups. Conclusion: DMS-EABS has the advantage of reducing blood loss and operation time and it also keeps its aesthetic advantages as same as SMS-EABS. Therefore, it can be widely applied.
Parkinson’s Disease and Photobiomodulation: Potential for Treatment

Parkinson’s disease is the second most common neurodegenerative disease and is increasing in incidence. The combination of motor and non-motor symptoms makes this a devastating disease for people with Parkinson’s disease and their care givers. Parkinson’s disease is characterised by mitochondrial dysfunction and neuronal death in the substantia nigra, a reduction in dopamine, accumulation of α-synuclein aggregates and neuroinflammation. The microbiome–gut–brain axis is also important in Parkinson’s disease, involved in the spread of inflammation and aggregated α-synuclein. The mainstay of Parkinson’s disease treatment is dopamine replacement therapy, which can reduce some of the motor signs. There is a need for additional treatment options to supplement available medications. Photobiomodulation (PBM) is a form of light therapy that has been shown to have multiple clinical benefits due to its enhancement of the mitochondrial electron transport chain and the subsequent increase in mitochondrial membrane potential and ATP production. PBM also modulates cellular signalling and has been shown to reduce inflammation. Clinically, PBM has been used for decades to improve wound healing, treat pain, reduce swelling and heal deep tissues. Pre-clinical experiments have indicated that PBM has the potential to improve the clinical signs of Parkinson’s disease and to provide neuroprotection. This effect is seen whether the PBM is directed to the head of the animal or to other parts of the body (remotely). A small number of clinical trials has given weight to the possibility that using PBM can improve both motor and non-motor clinical signs and symptoms of Parkinson’s disease and may potentially slow its progression.
Right‐hand polarized 4fce auroral roar emissions: 1. Observations

A receiving system installed at Sondrestrom, Greenland, was used to monitor all detectable auroral radio emissions at the fourth harmonic of the electron cyclotron frequency (called 4fce roar emissions) between May 2015 and March 2016. Of 88 events detected, 86 occurred during daylit conditions and were left‐hand polarized. Two occurred during darkness conditions and were right‐hand polarized. The left‐hand and right‐hand polarized events had entirely different frequency distributions. One of the right‐hand polarized 4fce emissions occurred at the same time as and at exactly twice the frequency of a second harmonic emission (2fce roar). The occurrence rate of 4fce emissions during premidnight hours under daylit conditions at Sondrestrom is 5%, comparable to previously reported occurrence rates of 2fce roar in darkness conditions at optimum latitudes of occurrence, but the occurrence rate of 4fce emissions during dark conditions is much lower, suggesting that if the right‐hand polarized events arise from coalescence of 2fce waves, only for a small fraction of nighttime 2fce roar emissions does such a process yield 4fce emissions detectable at ground level.
Safety, Efficacy, and Visual Performance of an Orthokeratology Lens with Increased Compression Factor

The aim was to evaluate the safety, efficacy, and visual performance of an orthokeratology lens with an increased compression factor (ICF) of 1.25 D in a 3-month follow-up. Thirty-six myopic patients (5 males and 31 females; 24.2 ± 5.8 years) were fitted with Alexa AR (Tiedra Farmacéutica S.L., Madrid, Spain) contact lenses (CLs) and twenty participants finished the follow-up. Visual acuity (VA), subjective refraction, primary spherical and primary coma aberrations, keratometry, central pachymetry, and ocular surface evaluation were performed at baseline and after 1 night, 1 week, 1 month, and 3 months of CL wear. The differences among visits were analyzed using a repeated-measures analysis of variance or the Friedman test. The spherical equivalent decreased (p ≤ 0.005), and the uncorrected VA improved (p < 0.001) until the first week. Corneal and ocular aberrations showed a significant increase (p ≤ 0.02). A significant decrease (p < 0.001) was found for keratometry values. No significant changes were observed in either central pachymetry or ocular surface parameters among study visits. In conclusion, an orthokeratology CL with an ICF of 1.25 D provides good safety, efficacy, and visual performance in a 3-month follow-up. Seven days of orthokeratology wear are enough to achieve the full myopic compensation, resulting in satisfactory VA.
Disclosure Concerns and the Correlation Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV Receiving Antiretroviral Therapy in Taiwan

Gay, bisexual, and other men who have sex with men (GBMSM) are associated with the widespread human immunodeficiency virus (HIV) transmission in Taiwan. Additionally, little is known about disclosure patterns and rates, as well as factors influencing disclosure, among GBMSM living with HIV in the country. HIV prevention for GBMSM is effective when HIV status is disclosed. For instance, GBMSM disclosing their HIV status can result in early pre-exposure prophylaxis with a serodiscordant partner. In this cross-sectional study of 200 GBMSM living with HIV conducted from June to November 2020, we assessed internalized homophobia (IHP Scale) and social support (Multidimensional Scale of Perceived Social Support), as well as self-reported disclosure and non-disclosure. Among the participants, 75.5% revealed their HIV status within 3 months of diagnosis. Younger age, occupation type, and number of sexual partners were some factors associated with disclosure. Those receiving more social support and who experienced less IHP were more likely to reveal their HIV status. On the contrary, older GBMSM and GBMSM living with HIV who worked in educational enterprises still experienced severe IHP. Policymakers and healthcare practitioners should be aware of the problems faced by GBMSM living with HIV and offer practical assistance to improve their mental health.
Incidence of Giardiasis Among Population at Wasit Province

Giardia lamblia, an intestinal flagellate parasite is widely prevalent in humans worldwide. A total of 100 stool samples from diarrhoeal patients during three months ( October, November , and December, 2011) were examined by direct smear and lugol’s iodine techniques to investigate Giardia lamblia parasite . The total human patients involved in this study were divided into five age groups . The overall prevalence of G.lamblia infection was 22%. The highest infection appeared the in age group (1-10) years old, and the lowest was in the age group (11-20) years old. Males were highly infected 26 % (13/50) than females 16% (9/50) in patient groups.
THE ROLE OF WORK MOTIVATION IN MEDIATING COMPENSATION AND TRANSFORMATIONAL LEADERSHIP ON TEACHER PERFORMANCE AT AL BAITUL AMIEN EDUCATIONAL INSTITUTION, JEMBER

This study aims to determine the effect of compensation and transformational leadership on teacher performance through motivation as an intervening variable at the Al Baitul Amien Education Institute, Jember. The population in this study were all teachers at the Al Baitul Amien educational institution, while the sample was taken by proportional sampling. The analytical method used is path analysis (Path Analysis) and also the Sobel test to see the role of the motivational variable as an intervening variable. The results of the study show that there is a direct effect of compensation and transformational leadership on teacher work motivation and performance. Work motivation affects performance.
Study of the histopathological and hematological changes due to dimtethoate toxicity in rabbis

The dimethoate is considered as one of most important organophosphorus pesticides that vastly used in agriculture in many countries especially in Iraq which caused different diseases in plants, animals and man. In present study we investigated the histopathological and hematological changes in rabbits resulting from chronic dimethoate intoxication. The treated groups (G2, G3 and G4) received dimethoate orally (10, 25 and 50 mg/kg of B.W.) respectively for two months while the control group (G1) was given water for the same period. The hematological results showed significant decrease in red blood cells counts and hemoglobin values (P< 0.05) in treated groups especially G3 and G4 compared to G1 control group. While the total W.B. Cs counts showed variables values without significant differences between treated groups and control group. The histopathological lesions in organs are dose concerning and include mild hepatocellular degeneration and hepatic necrosis ,hemorrhage with extensive periportal fibrosis, chronic inflammatory cells infiltrations mainly lymphocytes and macrophages in addition to liver fibrosis and cirrhosis and biliary hyperplasia with cholangitis occurred only with toxic doses of dimethoate especially G4, also there degenerative changes and necrosis in kidney and heart, hemosiderosis and hemorrhage with lymphoid depletion in spleen , In brain, there is extensive demyelination and perineruonal edema and perivascular leukocytes cuffing and extensive focal gliosis and the lungs showed congestion with thickened alveolar walls because of slight infiltrations of inflammatory cells mainly lymphocytes and macrophages also there is severe pulmonary hemorrhage and edema with severe emphysematous area and atelectasis in pulmonary tissue. It was concluded that dimethoate induces different histopathological lesions in different organs in rabbits especially in liver which causes hepatocellular degeneration, biliary hyperplasia and cholangitis with hepatic fibrosis and cirrhosis and causes significant decrease in red blood cells counts and hemoglobin values in treated groups compared to the control.
The Intergovernmental Panel on Climate Change (IPCC)

Recognizing the problem of a potential global climate change, the World Meteorological Organization ( WMO) and the United Nations Environment Programme ( UNEP) established the Intergovernmental Panel on Climate Change, IPCC, in 1988. The role of the IPCC is to assess the scientific, technical and socio-economic information relevant for the understanding of the risk of human-induced change. It does not carry out research nor does it monitor climate-related data or other relevant parameters. It bases its assessment mainly on peer-reviewed and published scientific and technical literature. The IPCC has three Working Groups and a Task Force: ♦ Working Group I assesses the scientific aspects of the climate system and climate change. ♦ Working Group II addresses the vulnerability of socio-economic and natural systems to climate change, the negative and positive consequences of climate change, and options for adapting to it. ♦ Working Group III assesses options for limiting greenhouse-gas emissions and otherwise mitigating climate change. ♦ The Task Force on National Greenhouse Gas Inventories is responsible for the IPCC National Greenhouse Gas Inventories Programme. The IPCC completed its First Assessment Report in 1990. The Report played an important role in the establishing of the Intergovernmental Negotiating Committee for a UN Framework Convention on Climate Change by the UN General Assembly. The Convention was adopted in Rio de Janeiro in 1992. The Second Assessment Report, Climate Change 1995, provided key input to the negotiations that led to the adoption of the Kyoto Protocol in 1997. The Third Assessment Report ( TAR) was adopted in September 2001. Some 2000 scientists representing a variety of disciplines the world over took part in this assessment, and the results were further reviewed both from the political and scientific aspect by representatives of the participating countries. This is the most all-embracing assessment of research that has ever been made. A Fourth Assessment Report is scheduled to be ready by 2007. The IPCC also prepares Special Reports and Technical Papers on topics where independent scientific information and advice is deemed necessary (see Publications, p.14). It also supports the climate convention through its work on methodologies for National Greenhouse Gas Inventories. The Intergovernmental Panel on Climate Change, IPCC
Human biomonitoring data collection from occupational exposure to pesticides

Human biomonitoring (HBM) as a tool for occupational exposure assessment has been reviewed, with a specific focus on pesticides. A systematic literature review (SLR) of available information on HBM of pesticides (or their metabolites) in occupational settings and from HBM studies/surveillance programmes has been carried out and the studies identified assessed for relevance and quality. HBM essentially involves the quantification of either a substance, one of its metabolites, or a surrogate marker of its effects in a biological sample obtained from a person who may have undergone an exposure. Thus, HBM is generally considered to be an estimate of exposure, rather than a measure of health. Over the past 10 to 20 years there has been an expansion in the use of HBM, especially into the field of environmental and consumer exposure analysis, and it is currently well-developed and widely used in both the occupational and environmental settings worldwide. As with any tool, HBM has its strengths and weaknesses and appreciation of these promotes the development of approaches to minimise their effects. Although HBM has been extensively used for monitoring worker exposure to a variety of pesticides, epidemiological studies of occupational pesticide use were seen to be limited by inadequate or retrospective exposure information. Very limited data was identified examining seasonal exposures and the impact of PPE, and many of the studies used HBM to assess only one or two specific compounds. A wide variety of exposure models are currently employed for health risk assessments and biomarkers are often used to evaluate exposure estimates predicted by a model. From the 178 publications identified to be of relevance, 41 individual studies included herbicides, 79 individual studies included insecticides, and 20 individual studies included fungicides. Remaining studies related to mixtures or non-specific biomarkers for groups of pesticides. Although a number of current limitations were identified, there is evidence within the literature for a potential role of HBM in occupational health and safety strategies, as both a tool for refined exposure assessment in epidemiology studies and to contribute to the evaluation of potential health risks from occupational exposure to pesticides. Some key issues were considered that would need to be overcome to enable implementation of HBM as part of the occupational health surveillance for pesticides in Europe. These included issues around priorities for the development of new specific and sensitive biomarkers, the derivation and adoption of health-based guidance values, development of QA schemes to validate inter-laboratory measurements, good practice in field work and questionnaire design, consideration of the extended use of biobanking and the use of HBM for post-approval monitoring of pesticide safety. © European Food Safety Authority, 2017
Seismicity of the Mid-Atlantic Ridge in the MoMAR area at a regional scale, observed by autonomous hydrophone arrays

Le principal avantage des reseaux d’AuH, pour la surveillance sismique des dorsales oceaniques, est leur faible seuil de detection. Cependant, les variations de seuil de detection entre les reseaux d’AuH deployes au voisinage de Acores, peuvent influencer le nombre de seismes enregistres. Ces variations doivent donc etre analysees avant interpretation de la sismicite. L’amplitude acoustique a la source (SL) d’un seisme depend surtout de l’efficacite de la conversion seismoacoustique mais aussi, dans une moindre mesure, des effets de propagation. Un autre avantage, la possibilite d’estimer l’erreur de localisation pour differentes geometries des reseaux et de topographie du fond, est presente pour touts les reseaux d’AuH deployes sur la Dorsale Medio Atlantique (MAR). L’analyse de la seismicite de la MAR montre que la sismicite enregistree par les AuH ressemble a celle enregistree par les reseaux a terre au cours des 40 annees passees. La distribution spatiale de cette sismicite est liee aux variations du regime thermique de la croute le long de la dorsale. Des essaims de seismes, enregistres par les AuH, sont lies a des tele-seismes et les sections ou ils se produisent sont les plus actives. A l’echelle du segment, les essaims se groupent en extremite et au voisinage de maxima de la MBA. L’analyse des distributions des SL et du taux de diminution du nombre des repliques indique que les failles de detachement produisent des essaims avec des diminutions plus rapides du nombre des repliques, que les failles normales. Cette observation serait associee a des contraintes plus faibles sur les failles de detachement et impliquerait un niveau de serpentinisation plus important.
Long-term toxicities after allogeneic hematopoietic stem cell transplantation with or without total body irradiation: a population-based study in Korea.

PURPOSE To compare long-term toxicity incidences, including secondary cancer (SC) with or without total body irradiation (TBI), in Asian patients receiving allogeneic hematopoietic stem cell transplantation (HSCT) using a nationwide database. MATERIALS AND METHODS We identified 4,554 patients receiving HSCT for leukemic disease from 2009 to 2016 using the healthcare bigdata system of Korea. Incidence rate ratios (IRRs) for SC, cataracts, hypothyroidism, chronic kidney disease (CKD), myocardial infarction, or strokes were compared, and standardized incidence ratios (SIR) of SC was also estimated. RESULTS TBI was conducted on 1,409 patients (30.9%). No overall survival differences based on TBI were observed. With a median follow-up duration of 58.2 months, 143 patients were diagnosed with subsequent SC (3.4%). Incidence rates per 1,000 person-year were 6.56 (95% confidence interval [CI], 4.8-8.8) and 7.23 (95% CI, 5.9-8.8) in the TBI and no-TBI groups, respectively (p = 0.594). Also, the SIR (95% CI) was not significantly increased by TBI (1.32 [0.86-1.94] vs. 1.39 [1.08-1.77] in the no-TBI group). In the young age group (0-19 years), SIRs were increased in both groups regardless of TBI (8.60 vs. 11.96). The IRRs of cataracts (1.60; 95% CI, 1.3-2.0), CKD (1.85; 95% CI, 1.3-2.6), and hypothyroidism (1.50; 95% CI, 1.1-2.1) were significantly increased after TBI. However, there were no significant differences in the occurrence of myocardial infarction and stroke according to TBI. CONCLUSION Our results suggest that modern TBI may not additionally increase the risk of SC after allogeneic HSCT, although increased risks of other diseases were noted. Physicians should carefully consider individualized risks and benefits of TBI, with a particular focus by age group.
How Did It Happen: Organizational Commitment and Work-Life Balance Affect Organizational Citizenship Behavior

Schools as educational institutions are expected to be able to produce quality human resources and are supported by high teacher competence, teachers must be reliable and must appear professional to be able to give birth to future generations who are intelligent and have character. This study aims to analyze the effect of Organizational Commitment and Work-Life Balance on Organizational Citi- zenship Behavior through Learning Organization mediation in elementary school teachers in West Jakarta. The sampling of 72 teachers was saturated, and the analysis was carried out quantitatively us- ing the questionnaire method and using the Structural Equation Model (SEM) with the Smart–PLS analysis method. The conclusion of the research Organizational Commitment and Work-Life Bal- ance has a significant positive effect on Organizational Citizenship Behavior, Organizational Com- mitment and Work-Life Balance have a significant positive effect on Learning Organization, Learn- ing Organizations have a significant positive effect on Organizational Citizenship Behavior. Learning Organization is not able to mediate the effect of Organizational Commitment on Organizational Citizenship Behavior as well as Learning Organization is not able to mediate the effect of Work-Life Balance on Organizational Citizenship Behavior.
Who pays to view wildflowers in South Africa?

This research identified viable target markets at two national parks in South Africa, using market segmentation based on demographic characteristics. We surveyed international, domestic and local wildflower-viewing visitors and labelled three distinct demographic clusters with appropriate flower names: Namaqualand Daisies, Gazanias and Wild Flaxes. Our results show that such clustering is a useful research tool for producing a clear visitor profile. It enabled us to provide strategic insights for managing wildflower viewing and similar natural events, according to the preferences of specific market segments.
Frequent Bee Stings May Promote More Severe Allergic Reactions in Children with Large Local Reactions

Objective: Risk of severe systemic reactions(SR) with subsequent hymenoptera stings for patients who had a large local reaction (LLR) or only cutaneous symptoms is considered to be negligible but recent studies report cases who have experienced more severe reactions. We aimed to evaluate the frequency of reactions that are more severe than previous ones after re-sting for children with hymenoptera venom hypersensitivity reactions. Materials and Methods: Children who had attended four pediatric allergy clinics for reactions due to hymenoptera sting were questioned for previous and subsequent stings by phone call. Number of stings, characteristics of reactions, type of bee were recorded. Whether they had a reaction more severe than the first reaction with subsequent stings was evaluated. Results: By phone call, 148 children who had LLR or SR were contacted. Of these 55 had a subsequent sting after LLR or SR and 49 had had reactions more than once. In 29 patients (59.1%), there was a more severe subsequent reaction. Twenty (52.6%) of 38 children with LLR had Grade II-III SR with subsequent stings. Age, gender, type of hymenoptera, living place, presence of concomitant allergic reaction in children and/or parents of patients who had or did not have a more severe reaction with subsequent stings were not different between two groups. Median number of hymenoptera stings and sequence of the subsequent sting causing the most severe reaction were higher among patients who had a more severe reaction (p<0.001, p<0.001 respectively). Conclusion: Our results show that we may be underestimating the risk of more severe reactions with subsequent stings for children.