Miracle-dz/UniFAR-FTUs huggingface dataset:
Effect of Comprehensive Nursing Approach in Perioperative Stage of Patients with Hepatocellular Carcinoma Interventional Therapy

Objective To examine the efficacy of a complete nursing strategy during the perioperative phase for patients undergoing interventional treatment for hepatocellular cancer. Methods Sixty patients who were diagnosed with liver cancer and underwent interventional therapy in our hospital between February 2019 and December 2021 were recruited in this trial. All study subjects were numbered according to the time when the patients first came to our hospital, and were equally divided into a comprehensive group and a conventional group based on the odd and even number of the last number, with 30 cases in each group. Those in the conventional group received conventional nursing care, whereas patients in the comprehensive group received comprehensive nursing care. Before and after the nursing intervention, the quality of life, pain, and patient satisfaction in both groups were compared. Results The quality of survival scores, including physical, emotional, role, social, and cognitive function scores of patients in the comprehensive group, were significantly higher than those in the conventional group (P < 0.05); there was no statistically significant difference in numeric rating scales (NRS) scores between the two groups compared before treatment (P > 0.05). After treatment, the NRS scores of patients in the study group were significantly lower than those of patients in the control group (P < 0.05); before the intervention, the difference between the emotional state scores of patients in the two groups was not significant and not statistically significant (P > 0.05), while the emotional state of patients in both groups improved after the intervention, and the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) scores of patients in the comprehensive group were lower than those in the conventional group (P < 0.05); the total incidence of adverse reactions in the comprehensive group (10.00%) was significantly lower than that in the conventional group (46.67%) (P < 0.05); and the total satisfaction of patients in the comprehensive group (93.33%) was significantly higher than that of patients in the conventional group (73.33%) (P < 0.05). Conclusion The intervention of a comprehensive nursing approach in the perioperative period for patients with liver cancer is remarkable as it can relieve patients' psychological burden and pain, ensure a smooth operation, improve patients' postoperative quality of life, and also help to reduce the risk of postoperative adverse reactions, effectively enhancing patients' satisfaction, and thus deserves to be promoted in clinical practice.
Delta wave formation and vacuum state in vanishing pressure limit for system of conservation laws to relativistic fluid dynamics

The Riemann solutions to the system of conservation laws to relativistic fluid dynamics with a scaled pressure are shown. Using the method of vanishing pressure limit, it is rigorously proved that the Riemann solution involving two shocks and possibly one contact discontinuity to the system of relativistic fluid dynamics tends to a delta wave solution of pressureless relativistic Euler equations. The intermediate density between the two shocks tends to a weighted δ‐measure which forms the delta wave. While the Riemann solution containing two rarefaction waves and perhaps one contact discontinuity tends to a double‐contact‐discontinuity solution to pressureless relativistic Euler equations. The intermediate state between the two contact discontinuities is a vacuum state.
Effectiveness of Early Radical Cystectomy for High-Risk Non-Muscle Invasive Bladder Cancer

Simple Summary There is currently contradictory evidence available regarding the use of early radical cystectomy for high-risk non-muscle-invasive bladder cancer that can be performed either upfront or in a delayed setting after BCG failure. Thus, we aimed to compare the perioperative and oncological outcomes between patients who underwent upfront vs. delayed early radical cystectomy. Our results suggest similar perioperative outcomes between the two treatment groups, with an increased risk of pathological upstaging after upfront early radical cystectomy that did not impact survival, as compared to delayed early radical cystectomy. However, further studies are needed to determine whether a subgroup of patients might still benefit from upfront early radical cystectomy, given the highly heterogeneous prognosis of this population. This supports the initial use of intravesical instillations of BCG for patients with high-risk non-muscle-invasive bladder cancer, but further studies are needed to determine if any specific subgroup could still benefit from upfront early radical cystectomy. Abstract Purpose: The purpose of this study is to compare perioperative and oncological outcomes of upfront vs. delayed early radical cystectomy (eRC) for high-risk non-muscle-invasive bladder cancer (HR-NMIBC). Methods: All consecutive HR-NMIBC patients who underwent eRC between 2001 and 2020 were retrospectively included and divided into upfront and delayed groups, according to the receipt or not of BCG. Perioperative outcomes were evaluated and the impact of upfront vs. delayed eRC on pathological upstaging, defined as ≥pT2N0 disease at final pathology, was assessed using multivariable logistic regression. Recurrence-free (RFS), cancer-specific (CSS) and overall survival (OS) were compared between upfront and delayed eRC groups using inverse probability of treatment weighting (IPTW)-adjusted Cox model. Results: Overall, 184 patients received either upfront (n = 87; 47%) or delayed (n = 97; 53%) eRC. No difference was observed in perioperative outcomes between the two treatment groups (all p > 0.05). Pathological upstaging occurred in 55 (30%) patients and upfront eRC was an independent predictor (HR = 2.65; 95% CI = (1.23–5.67); p = 0.012). In the IPTW-adjusted Cox analysis, there was no significant difference between upfront and delayed eRC in terms of RFS (HR = 1.31; 95% CI = (0.72–2.39); p = 0.38), CSS (HR = 1.09; 95% CI = (0.51–2.34); p = 0.82) and OS (HR = 1.19; 95% CI = (0.62–2.78); p = 0.60). Conclusion: our results suggest similar perioperative outcomes between upfront and delayed eRC, with an increased risk of upstaging after upfront eRC that did impact survival, as compared to delayed eRC.
Assess Barriers to Knowledge Management According to Ahrnjany - Tripartite Ramifications Model in South Pars Gas Complex

We now live in an age where it can truly be called knowledge era. Nowadays, knowledge is the best value in organizations. Company’s success in the 21st century, according to markets which are becoming more competitive every day is depending on use of the knowledge that companies need to it in their important processes. Here, organizations that have a high degree of creativity and work performance manage their knowledge effectiveness. Most of private companies recognize importance of knowledge and manage it in order to gain a competitive advantage and survival in a competitive field. Experience has shown that knowledge management issue does not lose its importance, but its value is increased day-to- day according to rapid changes in the environment. In this article, barriers of establishment Knowledge Management System in South Pars Gas Complex has were studied and recognized. Results show that the main obstacles to the establishment of knowledge management system include: existence rapport and trust between managers and employees, existence mechanisms to encourage people to share knowledge, use of appropriate and new technologies.
A Whole Child Approach: Amplifying Students' Voices in a Full-Service Community High School

The Whole Child Approach (WCA) provides a framework for advancing the social, emotional, physical, and cognitive development and well-being of students by ensur-ing they are supported, healthy, safe, and academically challenged (Slade & Griffith, 2013). Full-service community schools (FSCSs) are focused on creating educational environments that holistically respond to students’ needs. These schools are characterized by four pillars of practice—extended learning opportunities, integrated service provision, family and community partnerships, and collaborative leadership and decision making (Oakes et al., 2017). Thus, FSCSs embody the WCA and have the potential to transform the education of poor students, especially poor students of color. Several studies have investigated the perceptions and experiences of a variety of key stakeholders involved in the These stakeholders include principals community school coordinators (CSCs) Hochbein, teachers Sanders 2020; 2018); and district and community leaders Medina & However, no studies to date have examined students’ perceptions of FSCSs and the impact of this reform strategy on their educational experiences.
The duplicitous effect of organizational identification: applying social identity theory to identify joint relations with workplace social courage and unethical pro-organizational behaviors

ABSTRACT The value of courage has been discussed for over two millennia; however, courage remains understudied in empirical research relative to its potential workplace influence. The current article applies social identity theory (SIT) to hypothesize that antecedents of social courage do not only relate to overtly beneficial outcomes. Specifically, we hypothesize that organizational identification and moral identity not only relate to social courage, but also to unethical pro-organizational behaviors. We also use SIT to hypothesize that moral identity moderates these relations. Our study supports each of these proposals, with the exception of the moderating influence of moral identity on the relation of organizational identification and workplace social courage. The results demonstrate that SIT is a viable lens to understand courage, broadening the theoretical scope surrounding the construct. We also demonstrate that some antecedents of courage may produce duplicitous effects, and practitioners should not assume that courage’s antecedents are always beneficial.
Tanshinone IIA improves diabetes‐induced renal fibrosis by regulating the miR‐34‐5p/Notch1 axis

Abstract The purpose of this study was to evaluate the improvement of tanshinone in renal fibrosis in vitro and in vivo study. It used streptozotocin to model diabetic nephropathy (DN) mice, and treated with different Tanshinone IIA concentrations. The pathology of kidney tissues was evaluated by hematoxylin and eosin (H&E) and Masson's staining; the ultrastructure and apoptosis cell number of kidney tissues were evaluated by transmission electron microscopy (TEM) and TUNEL assay. Relative gene and protein expression was evaluated by reverse transcription‐quantitative polymerase chain reaction (RT‐qPCR), immunohistochemical (IHC) analysis, or western blot (WB) assay. In vitro study, using high‐glucose stimulated HK‐2 cell to model DN cell model, measuring cell proliferation, apoptosis rate, relative gene and protein expression, and LC 3B and P62 proteins expression by Cell Counting Kit‐8 (CCK‐8), flow cytometry, RT‐qPCR, WB, and cell immunofluorescence. Analysis correlation between Notch1 and miRNA‐34a‐5p was carried out by dual‐luciferase reporter. Fibrosis area and apoptosis cell rate were significantly up‐regulated (p < .001), with Tanshinone IIA supplement. The fibrosis area and apoptosis cell rate were also significantly improved in a dose‐dependent manner (p < .05). With si‐miRNA‐34a‐5p transfection, the Tanshinone IIA's treatment effects were significantly depressed. By dual‐luciferase reporter, miRNA‐34a‐5p could target Notch1 in the HK‐2 cell line. Tanshinone IIA improved DN‐induced renal fibrosis by regulating miRNA‐34a‐5p in vitro and in vivo study.
Corporate Governance and Firm Financial Performance: Empirical Evidence from Pakistan Stock Exchange

The aim of this article is to investigate the effect of companies act 2017 on governance parameter in Pakistan, especially in non-financial companies measures the qualities of a firm's financial performance (FFP). This article analysis the secondary data from the company’s annual reports of a sample of 120 non-financial companies from 11 different sectors. The non-financial companies are listed in Pakistan Stock Exchange (PSX), and time frame are selected from 2013 to 2018. The findings showed that Board Independence (BI), Audit Committee Independence (ACI), and the Women Directors (WD) on the board has a substantial and beneficial influence on FFP. However, interestingly, the Separate Leadership Structure (SLS) exerted a significant and negative effect on FFP. The study enriches the literature, policy, and practice especially after the introduction of the recent CG code 2017 in Pakistan. The findings suggest that the nomination of independent directors to the board and audit committee along with increasing the number of women directors on the board augment the independence of the board that has positive impacts on FFP.
Comparative study of volatile substances and ellagitannins released into wine by Quercus pyrenaica, Quercus petraea and Quercus alba barrels

The aim of this work was to study the cooperage potential of the oak species Quercus pyrenaica, which is widespread throughout the Iberian Peninsula. A red wine of 2016 vintage was aged in new barrels made from Quercus pyrenaica, Quercus petraea and Quercus alba for 12 months. This process was repeated with a similar red wine from the subsequent vintage using the same barrels in order to compare the performances of the new Q. pyrenaica barrels and Q. pyrenaica barrels that had been used for one year with equivalent Q. petraea and Q. alba barrels. The results indicate that Q. pyrenaica releases levels of β-methyl-γ-octalactone similar to those released by Q. alba and clearly higher than Q. petraea, whereas it releases levels of ellagitannins similar to Q. petraea and clearly higher than Q. alba. These data indicate that Q. pyrenaica is more similar to American oak from an aromatic point of view, since it provides mainly coconut notes, but is more similar to French oak in terms of wine structuration. Moreover, based on the preferences of a trained panel, the wines aged in the Q. pyrenaica barrels were ranked in second position, just behind the wines aged in the Q. petraea barrels and ahead of those aged in the Q. alba barrels. Consequently, Q. pyrenaica seems to have characteristics midway between the two most commonly used oak species for cooperage, confirming its high potential in this regard.
Elementary school students' conceptions of engineers: A drawing analysis study in Taiwan

This study investigated elementary school students’ conceptions of engineers by conducting the Chinese-version of theDraw-an-Engineer Test (CDET) in classrooms. A mixed methods research methodology was adopted for achieving theresearch objective. In the quantitative part of this study, a content analysis method was used for analyzing students’drawing contents; in the qualitative part, a phenomenology approach was employed for collecting interview data. A totalof 750 Taiwanese students voluntarily participated in the study. Quantitative findings showed the presence of genderstereotypes of engineers, specific types of engineers, and major conceptions of engineers in the drawings. Qualitativefindings indicated that family members and mass media strongly influenced students’ conceptions. Overall, most findingswere supported by previous research results. However, the information on the proportion of stereotypes, types, andconceptions of engineers was unique to the current study.
Measurement Accuracy of Ultrasound Viscoelastic Creep Imaging in Measuring the Viscoelastic Properties of Heterogeneous Materials

Ultrasound viscoelastic creep imaging (UVCI) is a newly developed technology aiming to measure the viscoelastic properties of materials. The purpose of this study is to investigate the accuracy of UVCI in measuring the viscoelastic properties of heterogeneous materials that mimic pathological lesions and normal tissues. The finite element simulation is used to investigate the measurement accuracy of UVCI on three material models, including a homogeneous material, a single-inclusion phantom, and a three-layer structure. The measurement accuracy for a viscoelastic property is determined by the difference between the simulated measurement result of that viscoelastic property and its true value defined during the simulation process. The results show that UVCI in general cannot accurately measure the true values of the viscoelastic properties of a heterogeneous material, demonstrating the need to further improve the theories and technologies relevant to UVCI to improve its measurement accuracy on tissue-like heterogeneous materials.
Investigating Direct Speaking Strategies of Non-English-majored Students at a University in Dong Nai Province

English communication skills are now considered a passport-like requirement for students seeking a secure profession with a higher wage. Additionally, English proficiency is thought to be one of the variables affecting the success of foreign businesses investing in Vietnam, as well as Vietnamese businesses looking to collaborate internationally to develop their brands into new markets abroad. The integration of various linguistic skills demonstrates the value of speaking. The main objective of this study was to investigate the frequency and importance of using direct speaking strategies by non-English-majored students at Dong Nai Technology University. The study involved 90 students who are second-year undergraduate students at Dong Nai Technology University in Bien Hoa city, Dong Nai province. At the time of the study, the participants were aged 18-19, and they had already attained elementary level. This research uses questionnaires and interviews by applying the SPSS application to analyze the main points relating to the research questions. According to research, direct speaking strategies significantly affect the English speaking skills of Dong Nai Technology University students. At the same time, the difficulties and orientations when learning speaking skills using direct speaking strategies were revealed in the conclusion of the study. To maximize direct speaking strategies and advance the field of study, recommendations have been made for non-English-majored students.
Knowledge, preferences, practices, and attitudes about breastfeeding among postnatal mothers in Uttarakhand, India: a cross-sectional study

Background: Breastmilk is the natural and safest first food for the newborn. It has nutritional, immunological, behavioural, and offers mother-infant bonding. Objective: The objective of the study was to explore the knowledge, practice, and attitudes of mothers towards breastfeeding. Material & Methods: A cross-sectional study was conducted among conveniently selected 950 postnatal mothers attending the immunization clinic and paediatric OPD with their children for vaccination and treatment of other minor illnesses from April 2018 to November 2019 in selected hospitals of Rishikesh, Uttarakhand. Mothers were face-to-face interviewed using structured knowledge, preference, practices, and attitude questionnaires about newborn breastfeeding. Tools were validated and tested for reliability. Results: The average knowledge scores (11.72±1.78) indicated that mothers have good knowledge about breastfeeding. Most mothers (81.45%) fed their babies with colostrum, and 82% were exclusively breastfeeding. It was also reported about top feeds like honey, coconut water, grape water, ghuttee, lactogen among about 20% of the participants. The average score of the Iowa Infant Feeding Attitude Scale (IIFAS) (58.11±6.44) lay in the range of neutral attitudes related to breastfeeding practices among the mothers. Conclusion: Breastfeeding practices were adequate among many mothers, but there were practices of throwing colostrum, topfeed baby and early initiation of weaning. Thus, it is necessary to create awareness among the mothers and their families about the correct practices of feeding the newborn baby; eventually, the attitude will change.
Impact of nutritional protein supplements on liver and kidney functions among athletes attending gym

Whey protein is best recognized as a nutritional supplement that has been increasingly popular among gym users as the primary sports nutrition product used by athletes to improve exercise performance, body composition, and muscle growth. The types of supplements utilized can have a big impact on how athletes are treated medically. Two goals guide this work. To begin with, assess athletes' protein consumption. Second, we want to see if whey protein supplements alter the function of athletes' livers and kidneys. This is an analytical cross-sectional study conducted on 105 healthy male gym attendants in Al Nasiriyah city, Thi-Qar, Provence, south of Iraq, from June to November 2021. They were divided into two groups of athletes: group 1 (non-protein group) and group 2 (protein supplements group) with age of Mean ±SD of (27.56 ±8.31 years) and (29.26 ±7.35 years) respectively. The results indicate that athletes consume protein at a higher rate than the RDA for the general population, whether or not they utilize supplements. In terms of liver and renal function biomarkers, the results demonstrate no significant difference between the protein supplement group and the non-protein supplement group.
Special Diets in Infants and Children and Impact on Gut Microbioma

Gut microbiota is a complex system that starts to take shape early in life. Several factors influence the rise of microbial gut colonization, such as term and mode of delivery, exposure to antibiotics, maternal diet, presence of siblings and family members, pets, genetics, local environment, and geographical location. Breastfeeding, complementary feeding, and later dietary patterns during infancy and toddlerhood are major players in the proper development of microbial communities. Nonetheless, if dysbiosis occurs, gut microbiota may remain impaired throughout life, leading to deleterious consequences, such as greater predisposition to non-communicable diseases, more susceptible immune system and altered gut–brain axis. Children with specific diseases (i.e., food allergies, inborn errors of metabolism, celiac disease) need a special formula and later a special diet, excluding certain foods or nutrients. We searched on PubMed/Medline, Scopus and Embase for relevant pediatric studies published over the last twenty years on gut microbiota dietary patterns and excluded case reports or series and letters. The aim of this review is to highlight the changes in the gut microbiota in infants and children fed with special formula or diets for therapeutic requirements and, its potential health implications, with respect to gut microbiota under standard diets.
Guiding employees through the COVID‐19 pandemic: An exploration of the impact of transparent communication and change appraisals

Abstract Against the backdrop of the COVID‐19 pandemic and drawing on literature from change management, internal communication and cognitive appraisal theory, this study provided accounts of how transparent communication during organizational change affects employees' cognitive appraisals of the change, behavioural reactions to the change, and subsequently, turnover intentions. Our findings of 414 full‐time US employees revealed that transparent internal communication is positively related to employees' challenge appraisal of the change, which, in turn, is related to change compliance and championing. In addition, transparent communication is negatively associated with threat appraisal of the change, which in turn is connected to lower change compliance. Further, employees' turnover intention was negatively associated with their compliance and championing for the change. This study has made several contributions to internal communication scholarship, appraisal theory and change management literature. We also offer several suggestions to improve communication during organizational change periods.