Miracle-dz/UniFAR-FTUs huggingface dataset:
Maternal vaginal flora during labor and its effect on gestational age and birthweight of neonates

Background: Identification of the abnormal colonization of the genital tract by a culture based approach has been recommended by the CDC 2000. This will definitely aid in the early recognition of mothers who need to be effectively treated which in turn will prevent newborn infections. Objectives were to study the pattern of maternal vaginal flora in labor and to study the outcome in the neonate. Methods: This study was conducted on 250 mothers in labor and their babies followed up till discharge in the departments of OBG and neonatology in a tertiary care medical college hospital, Deliveries by caesarean section were excluded. Results: Of the 250 babies, 70 were small for gestational age (SGA) and of these 60 (85.71%) were born to colonized mothers; whereas among the appropriate for gestation (AGA) babies, 110 (61.11%) were those born to non-colonised mothers. A statistically significant association was found between SGA babies and maternal colonization. Whereas relation between maternal colonization and gestational age did not show a statistically significant difference. Conclusions: This study shows us that maternal vaginal colonisation in labor significantly impacted the baby's weight with increase in small for gestational age babies being more among the colonised mothers. Hence, finding the organism in the maternal vaginal flora and treating it as per sensitivity might result in lesser incidence of SGA babies.
First Generation College Students’ Perceptions of an Academic Retention Program

This qualitative study examines the perceptions of students enrolled in a campus-based program designed to promote academic success and retention of first generation college students. Method: Twenty-five undergraduate students in the program participated in focus groups and interviews to share their perceptions and experiences. Research team members conducted a thematic analysis on the focus groups and interviews transcripts. Findings: Students reported program components that contributed to their academic success and retention including support, expectations, resources, and preparation. Students also described concerns about how students’ needs changed over time and how students in the program were perceived on campus.
Controversies on the Use of Steroids in Systemic Sclerosis

The use of corticosteroids in patients with systemic sclerosis (SSc) always requires caution (especially because corticosteroids are a risk factor for scleroderma renal crisis [SRC]), and is often controversial. This review focuses on the main area of controversy, that is whether corticosteroids should be prescribed in patients with early diffuse cutaneous SSc (dcSSc). The arguments for and against corticosteroids in this clinical situation are presented, along with two case histories to illustrate the clinical dilemma. In favour of corticosteroids, is that these might suppress the musculoskeletal manifestations and itch that are so disabling in early disease, the argument against is that patients with early dcSSc are those at highest risk of SRC. That current opinion is divided amongst clinicians is evidenced by a roughly even split between patients previously prescribed and those not prescribed corticosteroids in the recent European Scleroderma Observational Study of early dcSSc (43% of 326 patients were on corticosteroids at their baseline visit or had previously been prescribed these). Other clinical situations in which corticosteroids may be considered in patients with SSc (mainly overlap syndromes and pulmonary involvement) are briefly discussed. Finally, some additional concerns relating to corticosteroid use specifically in patients with SSc are highlighted.
Impact of Yoga on Blood Pressure and Quality of Life in Patients with Hypertension

Background: Medical treatment of hypertension is not always sufficient to achieve blood pressure control. Despite this, previous studies on supplementary therapies, such as yoga, are relatively few. The investigator evaluated the effects of yoga intervention on blood pressure and quality of life in patients in selected hospital diagnosed with hypertension. Methods: Adult patients (age 20–80 years) with diagnosed hypertension were identified at OPD of Meenakshi Medical College and Hospital. In total, 83 subjects with blood pressure values of 120–179/≤109 mmHg at baseline were enrolled. At baseline, the patients underwent standardized blood pressure measurement at the health care center and they completed a questionnaire on self-rated quality of life (WHOQOL). There were three groups: 1) Yoga class with investigator (n = 28); 2) Yoga at home (n = 28); and 3) a control group (n = 27). The participants were matched at the group level for systolic blood pressure. After 12 weeks of intervention, the assessments were performed again. At baseline a majority of the patients (92%) were on antihypertensive medication, and the patients were requested not to change their medication during the study. Results: The yoga class group showed improvement in blood pressure or self-rated quality of life, while in the yoga at home group there was a decline in diastolic blood pressure of 4.4 mmHg (p less tha 0.05) compared to the control group. Moreover, the yoga at home group showed significant improvement in self-rated quality of life compared to the control group (p less than 0.05). Conclusions: A short yoga program for the patient to practice at hospital seems to have an antihypertensive effect, as well as a positive effect on self-rated quality of life compared to controls. This implies that simple yoga exercises may be useful as a supplementary blood pressure therapy in addition to medical treatment.
Age as Moderator of the Relationship Between Self-efficacy and Effort in Occupational Teams

Demographic changes increase the age range in occupational teams, which has potential consequences for collaboration not only at the team level (age diversity) but also at the individual level regarding how much effort workers expend. By integrating a life span perspective into theories on effort expenditure in teams, we assumed that workers’ chronological age moderates the relationship between task-specific self-efficacy beliefs and effort expenditure in organizational teamwork. More specifically, we assumed that task-specific self-efficacy beliefs are more strongly related with effort for older as compared with younger team members. Hypotheses were tested in 2 online studies (N = 209 and 271 workers, respectively) using the event reconstruction method. Participants were instructed to reexperience specific work events from the last few days (Study 1: 2 teamwork events; Study 2: 1 teamwork event and 1 working-alone event) and to indicate their self-efficacy and effort expenditure in each event. Results of both studies showed the expected age moderation of the self-efficacy–effort link in team settings, whereas no such moderation was observed in working-alone settings in Study 2. Finally, Study 2 also showed a stronger age moderation effect in unfamiliar as compared with familiar tasks.
A Bio-Inspired Flapping Wing Rotor of Variant Frequency Driven by Ultrasonic Motor

By combining the flapping and rotary motion, a bio-inspired flapping wing rotor (FWR) is a unique kinematics of motion. It can produce a significantly greater aerodynamic lift and efficiency than mimicking the insect wings in a vertical take-off and landing (VTOL). To produce the same lift, the FWR’s flapping frequency, twist angle, and self-propelling rotational speed is significantly smaller than the insect-like flapping wings and rotors. Like its opponents, however, the effect of variant flapping frequency (VFF) of a FWR, during a flapping cycle on its aerodynamic characteristics and efficiency, remains to be evaluated. A FWR model is built to carry out experimental work. To be able to vary the flapping frequency rapidly during a stroke, an ultrasonic motor (USM) is used to drive the FWR. Experiment and numerical simulation using computational fluid dynamics (CFD) are performed in a VFF range versus the usual constant flapping frequency (CFF) cases. The measured lifting forces agree very well with the CFD results. Flapping frequency in an up-stroke is smaller than a down-stroke, and the negative lift and inertia forces can be reduced significantly. The average lift of the FWR where the motion in VFF is greater than the CFF, in the same input motor power or equivalent flapping frequency. In other words, the required power for a VFF case to produce a specified lift is less than a CFF case. For this FWR model, the optimal installation angle of the wings for high lift and efficiency is found to be 30° and the Strouhal number of the VFF cases is between 0.3–0.36.
A Case Study of Student Unrest in Himachal Pradesh University

The present study investigated student unrest in Himachal Pradesh University, its causes and suggestion for solving the problems. For the purpose of the study 82 students were selected by using purposive sampling techniques. Descriptive survey method was applied for collection of data and non parametric data analysis technique was applied for analysis of data. It was found that Major causes of students’ unrest were Behavior of employees and transparency, placement services, educational problem. Most of students were in favor of Students Union election however they were not in favor of interference of political parties in the University campus. Male students were more in favour of student union election than female students. At the end study draws some conclusion, discussion and educational implications of further improvement.
Pain and the unstable knee

Causes of knee pain in the unstable knee can be multifactorial and complex and often misdiagnosed. Commonly ligamentous injury, such as anterior cruciate ligament (ACL) tears can lead to knee pain that can be secondary to hemarthrosis, articular injuries, meniscal pathology and/or patellofemoral pain. Controversy exits regarding the role bone bruising plays in ACL injured and knee instability patients. Patient factors such as sex, age, BMI, and type of sport play a role as well. When ligamentous reconstruction is chosen, prehabilitation is essential to decrease the risk of arthrofibrosis which is a common cause of post-operative knee pain. Autograft donor site pain, as well as painful hardware, also is relevant. Post-operative therapies are critical as well. Posterior cruciate ligament (PCL) injury can lead to asymptomatic instability which also can be a cause of pain. As with the ACL, this instability can lead to further cartilage damage and osteoarthritis and subsequently to knee pain. Further, multi-ligamentous knee injuries are complex and causes of knee pain are even more numerous. Special attention must be paid to the vascular and neurologic status of the patient as conditions such as complex regional pain syndrome can be devastating. Commonly, injury and surgical complications, and arthrofibrosis can cause acute and chronic pain and no superior treatment scheme has been well established. The authors recommend an individualized approach with a thorough exam, appropriately indicated treatments, and post-operative care to prevent further injury and debilitating pain to allow the best outcomes.
Machine Learning and Data Analytic Techniques in Digital Water Metering: A Review

Digital or intelligent water meters are being rolled out globally as a crucial component in improving urban water management. This is because of their ability to frequently send water consumption information electronically and later utilise the information to generate insights or provide feedback to consumers. Recent advances in machine learning (ML) and data analytic (DA) technologies have provided the opportunity to more effectively utilise the vast amount of data generated by these meters. Several studies have been conducted to promote water conservation by analysing the data generated by digital meters and providing feedback to consumers and water utilities. The purpose of this review was to inform scholars and practitioners about the contributions and limitations of ML and DA techniques by critically analysing the relevant literature. We categorised studies into five main themes: (1) water demand forecasting; (2) socioeconomic analysis; (3) behaviour analysis; (4) water event categorisation; and (5) water-use feedback. The review identified significant research gaps in terms of the adoption of advanced ML and DA techniques, which could potentially lead to water savings and more efficient demand management. We concluded that further investigations are required into highly personalised feedback systems, such as recommender systems, to promote water-conscious behaviour. In addition, advanced data management solutions, effective user profiles, and the clustering of consumers based on their profiles require more attention to promote water-conscious behaviours.
Community mental health services in Al Ain Hospital, United Arab Emirates

This paper evaluates a model of community mental health service (CMHS) in Al Ain in the United Arab Emirates. The hospital records were reviewed and the total number of patient admissions and duration of in-patient care before and after enrolment in the CMHS were documented. Patient satisfaction with the CMHS was assessed using a questionnaire. The total number of admissions and the number of days that the patient spent in hospital per year were significantly reduced by the CMHS. Patients had high satisfaction rates with the information and advice they received, with their relationships with CMHS workers, with their access to mental health services and with their drug treatment.
A QoS Aware Multi-Cloud Service Composition Algorithm

Devices that are connected on the internet and are exchanging data with internet brokers to receive requested services are a significant part of internet users. In order to manage and account well to IoT requests maximum processing power, speed in data transfer, and proper combining services in minimum time is needed. Since there is a large number of IoT devices which have a large scale, we have to use the abilities and services of cloud environment in order to solve its problems. So, service composition in a cloud environment is paid attention recently. We want to suggest an algorithm with the approach in this research, of improving factors propounded in the service composition problem like the number of clouds involved in service, number of services examined before responding to users’ requests SP and load balance between clouds. In this paper, the factor, similarity measure, is introduced and used to find the best cloud and composition plan in each phase which in addition to improving QoS metrics propounded in previous papers, it caused improving QoS metric of load balancing between clouds, prevention of formation of a bottleneck in clouds entrance. These changes, besides the proper load balancing, have avoided the clouds stop working suddenly and satisfied the users by presenting the services faster.
Tele-operated android robot reminiscence group therapy and human coordinated RGT for older adults with dementia: A comparative study

Background/Purpose: Since being designated a super-aged society in 2007, Japan has faced a shortage of care givers working at nursing facilities. To address this problem, the government has been promoting research into robotics technology. However, social robots in current use have limited communicative ability. We examined the effectiveness of a tele-operated android robot in reminiscence group therapy (RGT) for persons with dementia (PWD), compared to RGT with a human coordinator. Method: Six PWD from a public facility for senior residents underwent RGT using a tele-operated android robot, Telenoid R3. Participants were divided into two groups: RGT with a human coordinator (condition 1), and RGT with the same coordinator, using Telenoid R3 (condition 2). After the first three sessions, the robot and the human coordinator were substituted in each group, and three more sessions were conducted. Linguistic data comprising the number of utterances, sentence-final particles, and N-gram was collected and analyzed. Results: Among participants, half (n = 3) showed a significantly higher average number of utterances and sentence-final particles in RGT with condition 1 (p ＜ .01, p ＜ .05, p ＜ .01), while one female participant showed a significantly higher number of sentence-final particles in RGT with the Telenoid R3 (p ＜ .05). There was no between-group difference in entropy of N-grams among subjects. Conclusion: These results suggest that RGT by tele-operated robot can promote communication in a way similar to that of human-facilitated RGT. We conclude that RGT using a tele-operated robot may increase communication opportunities for people who are unable to present to nursing facilities.
Prevalence of phytoplankton limitation by both nitrogen and phosphorus related to nutrient stoichiometry, land use, and primary producer biomass across the northeastern United States

ABSTRACT The limiting nutrient for freshwater phytoplankton productivity can vary within and between geographic regions. Understanding how local (i.e., lake and catchment) and regional (i.e., multiple catchment) factors shift the relative importance of nitrogen (N) and phosphorus (P) limitation presents a key research challenge for freshwater ecosystems and may enhance our understanding of how lakes could be managed to control eutrophication. Here, we used in situ microcosm incubations with factorial N and P amendments to determine the type of limitation in 16 lakes across the northeastern United States. Study lakes had similar climate but varied in geography, trophic status, and chemistry. Limitation by both N and P was most common (colimitation n = 5 and serial limitation n = 3); however, we also observed single nutrient N (n = 3) and P limitation (n = 4). The type of limitation was related to background phytoplankton biomass, longitude, and land use. The magnitude of response to combined nutrient enrichment was negatively related to background P concentrations. This multi-lake experiment suggests that both N and P often play a role in regulating productivity and that local and regional characteristics affect nutrient limitation patterns.
Coffee and controversy: How applied psychology can revitalize sexual harassment and racial discrimination training

Training has shown little effectiveness in altering harassing or discriminatory behavior. Limitations of prior intervention efforts may reflect poor conceptualization of the problems involved, poor training intervention design, approaches that engender cynicism, or misunderstanding psychological principles of attitude and behavior change. Interventions should capitalize on behavioral science models and tools at multiple levels from a broad array of disciplines to explain harassment and bias, and then to defeat these behaviors. Measures to ensure fair treatment should focus on leadership socialization, organizational culture and climate, increased professional competence, and integration with organizational approaches to corporate social responsibility and performance.
Angiographic and Clinical Assessment of Patients with Cerebral Arterio-Venous Malformations Treated with Microsurgery and Angioembolization

Introuction: Brain Arteriovenous malformations (AVMs) are the leading cause of intracerebral hemorrhage in the young population. We set out to determine angiographic features of AVMs in pre-operative setting as well as angiographic and neurological and clinical assessment of these AVMs after treatment with either microsurgical approach or angio-embolization. Materials and Methods: From February 2011 to January 2016, 25 patients with cerebral AVMs were admitted to Shohada Tajrish Hospital. Patients underwent angiographic evaluation for AVM grading based on Spetzler Martin grading system. Also, patient’s neurological status was recorded. Based on Spetzler Martin score and AVM size, patients underwent either microsurgical approach or angio-embolization. Post-operatively, early and long-term neurological examination was performed and obliteration rate was assessed by post-operative imaging study. Results: There were 18 male and 7 female patients with mean age of 42.2 years who presented with cerebral hemorrhage followed by isolated new-onset seizure, progressive new focal neurological deficit and severe new-onset headache in decreasing manner. Seizure was significantly higher in patients with unruptured AVMs (P value Based on AVM size, trend for operation type in small and medium sized AVMs was microsurgical approach followed by angio-embolization. On the other hand, most patients with large-sized AVMs underwent angio-embolization followed by microsurgical approach. Early post-operative examination revealed more new neurological deficit in angio-embolization than microsurgery treated patients (P value Conclusion: Although results of this study showed better results with microsurgical approach, choosing best treatment option for patients suffering from symptomatic AVMs depends on imaging studies, pre-operative grading and individual-based selection.
SKIN VERSUS SYSTEMIC DISEASES IN GERIATRIC POPULATION: A CROSS SECTIONAL STUDY

BACKGROUND: It is common to see physiological and pathological cutaneous changes in geriatric people. Systemic diseases may coexist with these cutaneous changes. AIM: To study the patterns of physiological and pathological conditions and associated systemic diseases in geriatric people and to analyse the data to ndout whether any association is there between the cutaneous and systemic conditions. METHODS AND MATERIALS: 200 patients of 60yrs and above were taken into the study. RESULTS: Pruritus was the most common complaint. Xerosis was the most common physiological condition and in pathological conditions infections were the most common. Hypertension is most common systemic disease associated. Signicant association is seen between some cutaneous and systemic diseases. CONCLUSION: Distribution of cutaneous conditions and systemic diseases and association between these conditions is studied.
Complete ablation rate of percutaneous radiofrequency ablation of hepatocellular carcinoma in favorable and unfavorable locations: using real time ultrasound guidance and expandable electrode needle

Objective To evaluate the success rate of percutaneous radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) by using real time ultrasound guidance and expandable electrode.Methods A retrospective study reviewed of CT and MRI fi ndings from August 2015 to October 2016of 91 HCCs. The patient’s data, RFA data, location of the HCC, complication after procedure andimaging success rate of complete ablation were analyzed. The size of tumor range 0.5-4.5 cm. Weperformed RFA by using real time ultrasound guidance and expandable electrode needle (LeVeen,Boston scienti fi c cooperation, USA) with stepwise method and double ablation method to reduceablation time and more ablative area. The unfavorable locations of tumor (exophytic appearance,near capsule, near gallbladder, near bowel, near vessels) were performed without arti fi cial ascites.Results Complete ablation was obtained in 91.2% (83/91) of all HCCs. The complete ablation ratein favorable location was 100% (12/12), while the complete ablation rate in unfavorable location was89.9% (71/79). Only one complication was found in 91 sessions of all HCCs.Conclusion Using expandable electrode catheter combined with real time ultrasound guidancehelp ablates tumor in high risk locations with high success rate, low complication and fast operationtime.