Miracle-dz/UniFAR-FTUs huggingface dataset:
Predicting Attitudes Towards Telemental Health Therapy Among U.S. Military Veterans

The recent U.S. military conflicts have brought to light the destruction of war. The amount of stress involved in deployment and exposure to combat has been found to increase the risk of mental health disorders. Many veterans are at risk for mental health disorders such as depression, anxiety, alcoholism, post-traumatic stress disorder, and traumatic brain injuries. The purpose of this study was to examine age, education level, computer technology skills, personality, and barriers to seeking treatment to determine if these variables would predict attitudes towards the use of telemental health (TMH) treatment. Participants from student veterans’ organizations across the country were recruited to complete an online survey. Results from this study indicated that participants with high concrete barriers and distrust of caregivers were more likely to have favorable attitudes towards TMH compared to those without such attitudes. Participants with more favorable TMH attitudes also endorsed having a higher current need of help for mental health treatment than those with less favorable TMH attitudes.
Role of Vitamin D and Metformine on Pancreatic Tissue in an Experimental Model of Type II Diabetes Mellitus

Background: The study was done to evaluate the role of Vitamin D (Vit D) in an experimental model of type II DM and compare its effects with oral hypoglycemic drugs (Metformine). Methods: 30 male rats were divided; control group, Diabetic group via administration of high fat diet then injection of streptozotocin . Diabetic rats were then divided into Diabetic group, Diabetic + Metformine group(n=6), Diabetic +Vit D (n=6), Diabetic + Metformine +Vit D (n=6). Fasting glucose, insulin, HOMA IR, Cholesterol, Triglycerides, C-Reactive protein (CRP), Glucagon like peptide (GLP1), Cyclooxygenase 2 (COX2) and Superoxide dismutase (SOD) were measured, Real time PCR for pancreatic expression levels of Caspase 3, IKKβ and Western plot of Pancreatic protein kinase beta (Akt) and INGAP (islet neogensis associated protein), and histopathological, immunohistochemical for pancreatic tissue. Results: Increased glucose, fasting insulin, HOMA IR , cholesterol, triglycerides, CRP, COX2 and expression of levels of Caspase 3 and IK Kinase B and Akt in diabetic group in comparison to control. On the other hand, significant decreased levels of GLP1, SOD and INGAP in diabetic in comparison to control. On treatment with metformine or Vitamin D improved all parameters. In combined metformine and vitamin D therapy there was much improvement with no significant change from control. Conclusions: Vitamin D and metformine improved inflammatory, oxidative stress, apoptotic conditions in an experimental model of type II DM and combined therapy causes more improvement, so it is better to give combined therapy.
The Economic Impact of Central Bank Transparency.

During the last decades a lot of central banks have become more transparent about their monetary policy. The research question that is addressed in this book is whether central bank transparency is desirable from an economic viewpoint. It is shown that transparency increases have been beneficial. They have resulted in better anchored inflation expectations, lower inflation persistence, better aligned inflation perceptions, more trust in the central bank, and lower nominal interest rates. However, central banks would be wise to not strive for full transparency. A large amount of public information results in confusion or too much weight on the uncertainty surrounding forecasts, resulting in more persistent inflation. In short, the answer to the research question is "yes, but only up to a certain point".
Epidemiology, Pathophysiology, and Approaches to Prevention and Management

Along with nausea and vomiting, postanaesthetic shivering is one of the leading causes of discomfort for patients recovering from general anaesthesia. The distinguishing factor during electromyogram recordings between patients with postanaesthetic shivering and shivering in fully awake patients is the existence of clonus similar to that recorded in patients with spinal cord transection. Clonus coexists with the classic waxing and waning signals associated with cutaneous vasoconstriction (thermoregulatory shivering). The primary cause of postanaesthetic shivering is peroperative hypothermia, which sets in because of anaestheticinduced inhibition of thermoregulation. However, shivering associated with cutaneous vasodilatation (non-thermoregulatory shivering) also occurs, one of the origins of which is postoperative pain. Apart from causing discomfort and aggravation of pain, postanaesthetic shivering increases metabolic demand proportionally to the solicited muscle mass and the cardiac capacity of the patient. No link has been demonstrated between the occurence of shivering and an increase in cardiac morbidity, but it is preferable to avoid postanaesthetic shivering because it is oxygen draining. Prevention mainly entails preventing peroperative hypothermia by actively rewarming the patient. Postoperative skin surface rewarming is a rapid way of obtaining the threshold shivering temperature while raising the skin temperature
Percepcja mężczyzn wykonujących zawód pielęgniarza w społeczeństwie

Wstep. Zawod pielegniarki, szczegolnie w Polsce jest mocno sfeminizowany. Przyczyny tej sytuacji nalezy upatrywac w tradycyjnym postrzeganiu plci, silnie zakorzenionym w naszym kregu kulturowym. W ostatnich latach obserwuje sie wzrastający deficyt pielegniarek, czego przeslankami są przede wszystkim niskie zarobki, specyfika pracy oraz podtrzymywanie stereotypow. W dązeniach do poprawy tej sytuacji nalezy uwzglednic promocje profesji pielegniarskiej wśrod obu plci. Cel. Celem niniejszego opracowania bylo przedstawienie percepcji mezczyzn wykonujących zawod pielegniarza w spoleczenstwie, a takze określenie czynnikow, ktore mogą na nią wplywac. Material i metody. Do osiągniecia postawionego celu badaniu poddano 200 losowo wybranych respondentow. Badania przeprowadzono w okresie od października do grudnia 2012 roku. Zastosowano metode analizy piśmiennictwa i metode sondazu diagnostycznego z wykorzystaniem techniki ankietowej. Jako narzedzie badawcze zastosowano autorski kwestionariusz ankiety. Wyniki i wnioski. Analiza zgromadzonego materialu pozwolila na określenie glownych czynnikow spolecznego postrzegania pielegniarzy. Analiza statystyczna dowiodla, ze są nimi plec oraz wiek. Wykazano, ze mezczyźni oraz osoby starsze gorzej postrzegają mezczyzn wykonujących zawod pielegniarza. Wyniki wskazują, ze w opinii respondentow mezczyźni wykonujący zawod pielegniarza mają szanse na odniesienie sukcesu zawodowego. Wiekszośc ankietowanych wskazala, ze do zawodu pielegniarza predysponują indywidualne cechy charakteru. Zdaniem badanych pielegniarze powinni pracowac przede wszystkim na oddzialach psychiatrii, chirurgii oraz intensywnej terapii.
'A nothing disease?' : an interpretive phenomenological exploration of the lived experience of Systemic Lupus Erythematosus (SLE)

Copyright © and Moral Rights for this thesis are retained by the author and/or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This thesis cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.
Using MRI/ultrasound fusion biopsy to detect clinically significant prostate cancer in the African American population.

57 Background: African-American (AA) men are at greater risk for prostate cancer (CaP) and experience increased prostate cancer-specific mortality. We aimed to determine racial disparities in CaP incidence, pathology, and anatomy identified on MRI/US fusion biopsy. Methods: Patients who underwent MP-MRI with targeted MRI/US fusion biopsy at our institution between May 2007 and June 2013 were reviewed. AA patients undergoing fusion biopsy were matched by age and PSA with a Caucasian cohort at a 1:2 ratio. MRI and pathologic parameters including lesion location, number of lesions, and Gleason score. Bivariate comparisons were made with the Student’s t-test and Χ2 analysis. Results: 822 patients had MRI/US fusion biopsy. 127 AA men were paired with a matched cohort of 254 Caucasians. Mean age was 60.2 and 61.4 years and mean PSA was 11.6 and 10.7ng/ml in AAs and Caucasians, respectively. We identified significantly more AA with CaP (49.6% vs 37.4%, p=0.03; Table). AAs also had higher grade disease (Gleason 7.
Outcomes of transcatheter aortic valve implantation

The role of computed tomography in the development of transcatheter aortic valve implantation (TAVI)has been crucial. Post-TAVI computed tomography data has helped us to understand the underlying mechanisms of specific complications related to TAVI. The future of TAVI is promising in subgroups of patients that would intialy have been excluded from this procedure. In this future, the role of imaging is pivotal
Seroprevalence of Anti-HCV Antibody in Patients with Chronic Kidney Disease before Starting Dialysis Therapy

Background : Hepatitis C virus (HCV) infection and chronic kidney disease are common and potentially serious medical problems throughout the world. In recent years, it has become clear that these two conditions are linked in several important ways. Indeed, some forms of renal diseases are precipitated by HCV infection and patients with end-stage renal disease (ESRD) are at increased risk for acquiring HCV infection. Patients with chronic kidney disease typically show an impaired immune response compared with healthy individuals and also other risk factors related with treatment and management. CKD patients ultimately undergo end stage renal therapy like dialysis for their treatment and survival. Risk factors for the infections are more in dialysis period than in predialytic stages. Like other developing countries CKD patients with HCV infection are very common in our country. For this reason the CKD patients should be properly diagnosed knowing the infection status before dialysis which would help both the patient and doctor to choose their proper treatment approach. Objective : This cross-sectional study was done to know the prevalence of HCV infection in the CKD patients before starting dialysis therapy. Materials and Methods : A total of 197 patients with chronic kidney disease stage five (CKD-V) before starting dialysis therapy were included as subjects of this study. Among the CKD patients anti-HCV was detected to see prevalence of hepatitis C virus infection. The patients were also tested for HBsAg to assess co-infection. After collecting all the data of different test results analyses were done by SPSS version 15.0. Results : In this study 195 (99%) patients were anti-HCV negative and only two patients (1%) were found positive. Conclusion : HCV infection in CKD patients before dialysis should be taken into account so that HCV negative CKD patients would not get the infection during dialysis and standard screening procedures should be taken to prevent transmission of infection. J Enam Med Col 2017; 7(1): 20-24
PHYSICAL ACTIVITY LEVELS IN FEMALE STUDENTS OF TERNOPIL STATE MEDICAL UNIVERSITY

Background. Lifestyle is one of the major factors in the optimal development of systems and functions of human organism and health. The appropriate level of physical activity is the integral component of a healthy lifestyle. Objective. The study was aimed to investigate the level of physical activity of the female students of Medical University. Methods. We applied the International Physical Activity Questionnaire (IPAQ) in the long version as a research method. Results. The study was conducted among 333 female students of Medical University of the first, second and third year of study. Detailed International Physical Activity Questionnaire evaluating physical activity, such as work, housework, sport, and physical activity during leisure time, was completed. Conclusions. The examined female students of medical university are characterized by high level of total physical activity. Place of residence during the studies does not differentiate significantly the level of physical activity of female students.
The Health Workforce of the Russian Federation in the Context of the International Trends

Having one of the highest physician-population ratios in the world, Russia – paradoxically – also faces shortages of physicians. This paper explores the reasons for this paradox through examining the structural characteristics of the Russian health workforce and its development. In comparing Russia with mainstream European countries and in particular the ‘new” EU countries we argue that the shortage of physicians is determined mostly by the prevailing model of health workforce development with its enduring emphasis on quantitative rather than structural indicators. First, the traditional perception of physicians as inexpensive health resources determines the long-term growth of their jobs – irrespective of the new opportunities for substitution and other structural innovations. Second, there is a persistent distortion in the composition of physician supply, of which the most important is the very low share and narrow remit of primary health care providers in comparison to European standards. Third, the international trends in the division of labor between physicians, medical nurses and allied health personnel are not followed in Russia with the result of an inevitable overburden of physicians, the reproduction of a large supply of physicians, while also the paradoxical shortage. Fourth, the system of professional development of physicians does not match international standards. Although with a substantial delay, Russia has now started transition to a workforce model focused on structural characteristics of human resources and so, in the final part of the paper, these new initiatives of the Government are critically assessed.
Teaching spirituality and spiritual care in health sciences education : a systematic review

Teaching spirituality and spiritual care in health sciences education has been identified as a need to enhance holistic care. However, educators seemed to be unprepared and have insufficient knowledge about how to include spirituality in teaching. This review aimed to systematically review previous literature from 2000 to 2013 regarding the content knowledge and teaching strategies used to teach spirituality and spiritual care in health sciences education. Fifty-three studies met the inclusion criteria for the review and provided suggestions for teaching spirituality and spiritual care in health sciences education. The review was conducted using electronic databases: CINAHL, Educational Resources Information Centre (ERICA), and Science Direct in the Ebscohost search engine. The results suggest that the content knowledge may include concept analysis, self-awareness, cultural beliefs, diversity and social justice, ethics, spiritual competence, person-centred attributes and barriers, evidence-based practice, and possible areas where spirituality and spiritual care may be covered. Furthermore, learning objectives should involve knowledge-based, skills-based learning and attitudes-based learning. Teaching strategies should include educators' teaching strategies in the classroom, collaborative learning and practice learning. This systematic review provides a framework for designing and developing guidelines for integrating spirituality and spiritual care in health sciences education.
A COMPARATIVE STUDY ON CANINE PARVOVIRUS INFECTION OF DOG IN BANGLADESH AND INDIA

A comparative study on Canine Parvovirus (CPV) infection among the hospitalized dogs at Central Veterinary Hospital (CVH) in Bangladesh and Veterinary College and Research Institute-Madras Veterinary College (VCRI-MVC) in India was conducted during a period of January and July 2015. A total of 270 (80 at CVH and 190 at VCRI-MVC) hospitalized dogs of different breeds were clinically examined. The key clinical signs observed among the CPV infected dogs were bloody diarrhoea (90.4%), vomition (94.5%) and dehydration (severe 85.7%, moderate 10.0% and mild 7.6%). The overall prevalence of CPV infection was higher in VCRI-MVC (42.7%) than CVH (31.2%). The prevalence of CPV was varied significantly (P 6 months respectively) and 13.2% in vaccinated and 64.4% in non-vaccinated groups. Significant (P<0.05) variation in prevalence of CPV also observed in different breeds- indigenous (50.0%), Spitz (28.2%), Lhasa (18.1%), Doberman (40.0%) and German Shepherd (46.6%).
Evaluating the Role of Health Literacy in Communities: A Review of Community Health Needs Assessments of Georgia Hospitals

Evaluating the Role of Health Literacy in Communities: A Review of Community Health Needs Assessments of Georgia Hospitals By BRITTANY M. ROBINSON December 14, 2016 INTRODUCTION: Per the Patient Protection and Affordable Care Act (ACA), local public health departments, tax-exempt 501(c)(3) hospitals, and federally qualified health centers are all required to conduct community health needs assessments (CHNAs) every three years. Recently, hospitals under pressure from accrediting bodies have been strongly advised to attend to health literacy due to its major implications for poorer health status. Health literacy has been linked with many facets of population-level health, including behavioral health, sociodemographic factors and health disparities. OBJECTIVE: The broad purpose of the study was to evaluate the perceived importance of health literacy through review of prioritized health-related issues facing Georgia communities, as identified by community health needs assessments. METHODS: A secondary analysis of findings from the first 3-year assessment and strategic planning cycles (2011-2013) of non-profit Georgia hospitals and medical centers (N=11) was conducted for the study. Community health needs assessments and implementation plans were obtained via Google search. RESULTS: Of the assessments included in the review, 5 out of the 11 CHNAs mentioned health literacy, and only 1 acknowledged inadequate health literacy as a prioritized concern in the primary service area. DISCUSSION: After comprehensive review of the community health needs assessments and implementation plans, it is clear that the impact of health literacy on community health was not strongly considered. Thus, in correspondence with much of existing research, the benefits of adequate health literacy in communities is severely undervalued.
Prevalence and Impact of GBV-C among HIV-1 Infected Patients under HAART in Addis Ababa, Ethiopia

Hepatitis G virus or GB virus C (GBV-C) is a virus in the Flaviviridae family that does not cause any disease, but from various epidemiological observations was found to improve the clinical outcomes of HIV infection and treatment. It has the same mode of transmission with HIV. In Ethiopia, there has not been any study made on the prevalence or genotyping of GBV-C in circulation. Therefore no information is available. To fill this gap prevalence study was conducted on HIV patients under treatment. Eighty one serum samples were collected from patients on follow up study at the Addis Ababa Regional Laboratories and Research Institutes. RNA was extracted, reversed transcribed, and amplified by Real Time polymerase chain reaction (PCR), using primers for 5- untranslated region (5-UTR) of the GBV-C. Results showed 7 (8.6%) out of the 81 of HIV patients to be coinfected with GBV-C. Comparison of the mean CD4 count of the coinfected subject was found to be significantly different from the GBV-C negative patients at (P < 0.05). Further studies on clinical, immunological and genotypic analysis on larger samples are under investigation.
Effect of Different Sugar Free Flavoured Chewing Gums on Salivary pH- a Double Blinded, Parallel Arm Randomized Clinical Trial.

Aim: To evaluate and compare the effect of four different sugar free chewing-gums on salivary pH at 0, 10, 20, 30 minutes. Study Design: Double blinded, parallel arm Randomized Clinical Trial. Place and Duration of the Study: Department of Public Health Dentistry, College Of Dental Sciences, Davangere, India. Jan-Feb 2015. Methodology: Forty healthy dental students, aged 21 -25 years, mean age20.3 years were randomly allocated into 4 different study groups: Licorice group, Ginger group, Cinnamon group, and Xylitol group. Unstimulated saliva was collected from the participants at baseline, following which the participants were given respective gums to chew and the subsequent salivary samples were collected at intervals of 10, 20 & 30 minutes and pH was analyzed using pH meter. Statistical analysis was done using repeated measures ANOVA and One way ANOVA followed by Tukey’s post-hoc test. Original Research Article Mohammadi et al.; BJMMR, 13(3): 1-6, 2016; Article no.BJMMR. 23388 2 Results: Intergroup comparison showed, statistically significant difference between the groups at ten minutes (P=0.025), twenty minutes (P=0.004) and thirty minutes (P=0.001). At the end of thirty minutes, Ginger group showed maximum increase in salivary pH followed by Xylitol. When intragroup analysis was done, there was statistically significant difference in Licorice (P=0.033), Cinnamon (P=0.034) and Xylitol group (P=0.041) at different time intervals. Conclusion: The above results showed that, Ginger flavoured gum followed by Xylitol gum significantly increases salivary pH, as a means of caries prevention; it can be a good way to promote dental health. Hence, it can be suggested that the ginger flavoured gums can be advised in the subjects who are more susceptible to salivary pH fall and dental caries.
ASSESSMENT OF SOCIAL CONFIDENCE IN VETERAN ENTREPRENEURS IN ZANJAN PROVINCE IN 2014

Background: Social confidence is considered an important element in entrepreneurship. Objectives: Given the importance of employment and entrepreneurship of veterans, the present research aimed to determine the status of social confidence in veteran entrepreneurs of Zanjan Province. Methods: In this survey. the statistical sample included all veteran entrepreneurs of Zanjan Province with an entrepreneurship file in Zanjan Employment Department from November 2013 to January 2014. The required data were collected using a two part questionnaire including demographic charactristics and social confidence scale of Saffarnia. Social confidence scale of Saffarnia consists of 5 dimensions of trust-based behavior, cooperative tendencies, openness, honesty, and trust. Both questionnaires were filled out by the respondents in a self-reporting manner. The data were analyzed using descriptive and inferential statistics in SPSS-19. Results : The mean age of respondents was 38.7±8.5. The results showed that 95%, 65%, and 85% of respondents were male, had a high school diploma, and aged over 60, respectively. All respondents were living in urban areas, employed, and married. The mean score of total social confidence was 86.05±5.81 with a range of 74-99. Among the dimensions of social confidence, cooperative tendencies and honesty ranked first and last, respectively. Conclusion: Although the findings of the present study showed that the level of social confidence in veteran entrepreneurs of Zanjan Province is above the average, it seems that the development of entrepreneurial activities among this group of society needs more attention of officials to the provision of necessary conditions to promote social confidence.