Miracle-dz/UniFAR-FTUs huggingface dataset:
Characterization of carbapenem non-susceptible Gram-negative Bacilli isolated from the feces of 10,000 inpatients in Southern China

Background: Carbapenem non-susceptible Gram-negative bacilli (CNS-GNB) were dominant pathogen causing clinical infections. The human intestine was important reservoir of gram-negative bacilli (GNB), but there were few studies to analysis the prevalence of fecal colonization with them.Methods: Fecal samples were collected from hosiptal screening test for GNB was conducted by using home-made MacConkey agar. Antimicrobial susceptibility was determined by the automatic microbiology analyzer and drug-resistant genes were characterized by polymerase chain reaction assays and DNA sequencing. The whole genome sequencing were used to analysis the characteristic of genetic structure of the isolates.Results: A total of 680 CNS-GNB were collected. Acinetobacter spp. were the dominant genus (33.8%, 230/680) of the 22 genera. Carbapenemase genes were identified in 307 isolates (45.1%, 307/680), including 206 (30.3%, 206/680) blaNDM; 51 (7.5%, 51/680) blaVIM-2, 48 (7.1%, 48/680) blaIMP, and seven (1.0%, 7/680) blaKPC-2. The blaNDM genes were first detected in three isolates, Providencia vermicola, Achromobacter spp. , and Cupriavidus gilardii. Co-existence of blaVIM and blaIMP genes was detected in five isolates; Achromobacter co-producing VIM and IMP has not been previously reported. The mcr-1 gene was identified in five strains of Acinetobacter and one strain of Klebsiella pneumoniae. In addition, we detected seven isolates harboring the blaAFM-1 gene, a novel metallo-β-lactamase gene. This was first genomic analysis of ST11 Klebsiella pneumoniae co-producing NDM-5 and mcr-1, which revealed that blaNDM-5 and mcr-1 are located on two different plasmids. The plasmid harboring blaNDM-5, which was composed of a typical IncX3-type backbone, and the mcr-1 gene, was located between an IS30-like element ISApl1 and a PAP2-like encoding gene in the IncHI2-type plasmid. Conclusions: the overall prevalence of fecal carriage of CNS-GNB in 10,000 stool samples was 7.45% (745/10000), and CNS-GNB producing carbapenemase were up to 45.1% (307/680). Most CNS-GNB cases were associated with infectious disease, multiple hospitalizations, or long-term care, and a high prevalence of underlying disease.
Role of Low Calorie Sweeteners in Maintaining Dental Health

3 Abstract: Low-calorie sweeteners (sometimes referred to as non-nutritive sweeteners, artificial sweeteners, or sugar substitutes) are ingredients added to foods and beverages to provide sweetness without adding a significant amount of calories. Their role in weight management is wiy known but their role in maintaining dental health is still hidden. The present article discusses about the well known artificial as well as natural sweeteners and their importance in maintaining dental health. Besides this microbes can also be used as a novel approach for the production of natural sweeteners.
Single-Gain Super-Twisting Algorithm Application to PMSM

In this article, by means of a parametrization leading to a single gain, a tuning method is proposed to simplify the implementation of the well-known super-twisting algorithm. Furthermore, inspired by ideas from the high-gain observer design, and using a Lyapunov approach, the stability analysis of the closed-loop system is presented. Thanks to a simple Lyapunov function, sufficient conditions are obtained to prove the finite-time convergence. Finally, the performances of the proposed strategy are illustrated experimentally on a permanent-magnet synchronous motor (PMSM) using an industrial benchmark for generating the desired trajectories to be tracked, in presence of external disturbances.
Effect of battle rope training on functional movements in young adults

Introduction and Aim: The battle rope exercise had obtained highest peak and mean VO2, highest energy expenditure and highest exercise heart rate than other exercises. There is no related evidence for Battle rope exercises by screening functional movement. The aim of the study was to determine the effect of battle rope training on functional movement screening. Methodology: According to inclusion and exclusion criteria 30 subjects were selected. They were explained about the safety and simplicity of the procedure and by the lottery system they were divided into two groups with 15 subjects in each group. Each subject has undergone pre-test and post-test measurement of functional movement screening (FMS). Group A participants did regular set of floor exercises like pelvic bridging, bird dog exercise, cat and camel exercise for 4 weeks. Group B participants did pelvic bridging, bird dog exercise, cat and camel exercise and battle rope training for 4 weeks. The data collected and tabulated, were statistically analysed. Functional movements: 7patterns of functional movements include deep squat, hurdle step, inline lunge, rotary stability, active straight leg raise, shoulder mobility, and trunk stability push-up. Results: The result of this study were statistically significant in FMS pretest and posttest with the p values (p 0.0001). Conclusion: This study concludes that battle rope training is better than traditional floor exercises in improving functional movements among young adults because of its simulation of functional movement patterns.
Digging Into the Channels of Bunching: Evidence from the Uruguayan Income Tax*

Based on detailed administrative tax records, we implement a bunching design to explore how individual taxpayers respond to personal income taxation in Uruguay. We estimate a very modest elasticity of taxable income at the first kink point (0.06) driven by a combination of gross labour income and deduction responses. Taxpayers use personal deductions more intensively close to the kink point and underreport income to the tax authority. Our results suggest that the efficiency costs of taxation are not necessarily large in contexts characterised by limited deduction opportunities. Policy efforts should be directed at broadening the tax base and improving enforcement capacity.
A Lightweight and Robust Lie Group-Convolutional Neural Networks Joint Representation for Remote Sensing Scene Classification

The existing convolutional neural network (CNN) models have shown excellent performance in remote sensing scene classification. However, the structure of such models is becoming more and more complex, and the learning of low-level features is difficult to interpret. To address this problem, in this study, we introduce lie group machine learning into the CNN model, try to combine both approaches to extract more distinguishing ability and effective features, and propose a novel network model, namely, the lie group regional influence network (LGRIN). First, manifold space samples of the lie group are obtained by mapping, and then, the features of the lie group are extracted after the operations of image decomposition and integral image calculation. Second, the multidilation pooling is integrated into the CNN architecture. At the same time, the image regional influence network module is designed to guide the attention of the classification model by using the regional-level supervision of the decomposition. Finally, the fusion features are classified, and the predicted results are obtained. Our model takes full advantage of regional influence, lie group kernel function, and lie group feature learning. Moreover, our model produces satisfactory performance on three public and challenging data sets: Aerial Image Dataset (AID), UC Merced, and NWPU-RESISC45. The experimental results verify that, compared with the state-of-the-art methods, this method is more explanatory and achieves higher accuracy.
Robotic lobectomy: how to teach thoracic residents

Robotic thoracic surgery emerged at the beginning of the 21st century and keep presenting the continuous development of its robotic systems, tools, and associated techniques. Strong clinical results including safety and oncological outcomes have fostered the dissemination of the robotic platform all over the world. However, there are still some safety concerns, especially regarding more elaborated procedures as lung resections, during the learning curve. In consequence, training programs for surgeons and surgery residents have been proposed to put into operation a strong and complete curriculum for robotic surgery and increase safety during the learning process. Also, the implementation of the training program makes the process complete and efficient. Lung lobectomies are complex procedures especially because of pulmonary arteries and pulmonary veins dissection, which demands quite accurate skills. Consequently, it is believed that specific training of thoracic surgery residents in robotic lobectomy is capital. The ideal curriculum must include technical content and broad psychomotor training using virtual reality models and also physical and animal models. Valid evaluation methods can be used from the first skill training to daily clinical practice. At the beginning as a console surgeon, the resident must initiate gradually with small procedures and progress to more complex surgeries before performing the whole lobectomy.
Different vantage points amongst different stakeholders in NATECH (NAtural hazard-triggered TECHnological) disasters: A case from the 2018 Mt. Anak Krakatau eruption and tsunami

Previous literature on natech (Natural hazard-triggered TECHnological) disasters argue prevailing difficulties in establishing collective response and sharing common knowledge amongst different and a variety of stakeholders. We aim to describe such challenges using a case study and examine the relationship amongst the actors. Our case study focused on the 2018 Mt. Anak Krakatau eruption and the tsunami triggered by it. In this disaster, one of the largest industrial zones in Indonesia was partially affected. Our study largely explains the results based on some series of discussions with private companies and representatives of the residents collected in 2019 (from February to July). We also referred to the publicly available information, which relevant agencies in the Government of Indonesia issued. Although there were no physical damages in the factories and no causalities, staff in many facilities were worried about the situation and the surrounding residents were also scared how things would be going. The residents were not able to behave in collectively organized manner, because they faced with a lack of the synthesized and coordinated information and instructions. The residents were fully aware of the risk of natech disaster, but such awareness was not necessarily connected with reasonable risk perception and organized behaviours. Relevant organizations complied with their own protocols, but it did not necessarily bring better consequences. The meteorological agency disseminated information in their limited capacity. The volcano monitoring agency paid the limited focus on the volcano and its adjacent sea area. The national and local disaster management agencies tried to integrate technical information, but it took time. The companies carefully gathered information, but their priorities initially went to their internal response, including taking care of the families of their employees. These findings indicate that efforts were done in the right course separately and it is hard to achieve harmonized response under great uncertainty during a crisis.
Human resources practices and job satisfaction on customer satisfaction: The mediating role of quality of customer interaction in online call center

The frequently discussed topic of job satisfaction is not new in the field of organizational behavior research. Job satisfaction is related to customer satisfaction; however, there is a scarcity of empirical evidence regarding this link. The current piece of research examines the said relationship in the context of the online call center. In addition, this study investigates the effect of human resources (HR) practices on job satisfaction within the online call center context. The sample of the study consists of 275 employees who were working as an online call center. SMARTPLS 3 was used to analyze the data. The findings of the study indicated a positive relationship between HR practices with job satisfaction. Furthermore, a positive impact of job satisfaction on customer satisfaction is observed. The mediation of customer interaction quality is also found to be significant in the relationship between job satisfaction and customer satisfaction.
Identification of high-risk and low-risk clusters and estimation of the relative risk of acute lymphoblastic leukemia in provinces of Iran during 2006–2014 period: A geo-epidemiological study

Background: The present study was conducted to determine the epidemiological status, identify high-risk and low-risk clusters, and estimate the relative risk (RR) of acute lymphoblastic leukemia (ALL) in provinces of Iran. Materials and Methods: This is an ecological study carried out using an Exploratory Multiple-Group design on 3769 children under 15 years of age with ALL from 2006 to 2014. Data analysis was performed using Mann–Whitney U, Global Moran's I and Kuldorff's purely spatial scan statistic tests at a significance level of 0.05. Results: The average annual incidence rate of ALL during 2006–2014 period was 2.25/100,000 children under 15 years of age. The most likely high-risk cluster with log-likelihood ratio (LLR) =327.47 is located in the southwestern part of Iran with a radius of 294.93 km and a centrality of 30.77 N and 50.83 E, which contained 1276 patients with a RR of 2.56. It includes Fars, Bushehr, Kohgiluyeh and Boyer-Ahmad, Khuzestan and Chahar Mahall and Bakhtiari provinces. On the other hand, the most likely low-risk cluster with 517 patients, and a RR 0.49 and LLR = 227.03 was identified in the northwestern part of Iran with a radius of 270.38 km and a centrality of 37.25 N and 49.49 E. It includes Zanjan, Qazvin, Gilan and East Azerbaijan, Ardabil, Alborz and Tehran provinces. Conclusion: High-risk clusters were observed in Southwestern, central, and eastern Iran, while low-risk clusters were identified in Northern and Western Iran.
Estimation of Deglaciation through Remote Sensing Techniques in Chandra-Bhaga Basin, Western Himalaya

Glaciers act as natural indicators of climate response and natural buffers of the hydrological cycle. Hence, continuous monitoring of glaciers is very crucial for which remote sensing techniques have emerged as a powerful tool to understand the micro-level variation and dynamics of glaciers. Unfortunately, a database involving complete basin-level approach and an extensive temporal range is not available for the entire Chandra-Bhaga (CB) sub-basin. Thus, the present investigation attempts to account for the extent of deglaciation in the CB basin showing that 16.7 percent of the glaciated area has been lost during 1989-2019. Moreover, the last three decades have witnessed a rapid rate of loss for small and medium-sized glaciers as compared to larger glaciers. Adding to it, the basin has also shown an upwards shift of mean elevation in this period. Over the last decade, an increasing temperature in the western Himalayas and Hindu Kush regions, as asserted by previous studies, have led to spatio-temporal changes in the glaciated area. The extent of deglaciation alongwith the glacier-climate behaviour and response can also provide a link to measure the topographical parameters.
Experiences among migrant parents with a disabled child when interacting with professionals: recognition as an inclusionary and exclusionary mechanism in Finnish public health and social services

Abstract This article examines migrant parents’ experiences with public health and social services in Finland, relying on data from interviews with 20 parents. We apply the theory of recognition as the theoretical framework for this research. Our focus is on the recognition of and services for disabled persons for two reasons. Firstly, research on disability in the migration context remains lacking. Secondly, whilst many theoretical discussions about recognition exist, empirical studies relying on theory have received less attention. Here, we aim to explore the practical forms of recognition to parents’ everyday lives. We rely on theory-guided content analysis as an analytical tool. Based on the results of this research, parents face multiple challenges when encountering public service professionals. This drained parents’ resources and hampered their integration into Finnish society. Regardless of problems related to services, parents employed different strategies to gain recognition based on their own resources. Points of interest This research examines in detail how the migrant parents of a disabled child related with Finnish public health and social service professionals. Most parents in this study experienced problems obtaining services, caused by the lack of a shared language and an unfamiliarity with the service system. All parents wanted professionals to recognise their concerns regarding their child’s disability, to take into account the parents’ views about their child’s treatment and treat parents with respect. When parents felt unrecognised, they refused to accept it in many ways. For example, they could resist professionals’ plan during meetings or consulted repeatedly emergency room service. This research demonstrates how a delayed or an inappropriate health and social service influenced parents’ every-day lives. Consequently, it created long-lasting stress and hampered their integration process into the new country.
Vegetation as a tool for thermal regulation of urban microclimate in arid regions

The city of Biskra is known by its hot and arid climate; its outdoor spaces know extremely high temperatures during the summer period, which affect thermal comfort, well-being, user’s satisfaction in public spaces, such as the "Revolution’s plaza" which known by considerable attendance and a particular design. This study, focuses on the role of the urban vegetation on the thermal regulation in the open space. The main purpose is to study the effect of vegetation on the urban microclimate of this space “Revolution plaza”, through a site investigation, in order to measure the local climate and compare the results with weather’s station data. After that, an improvement case is suggested by simulation by Envi-Met 4 software. The results show the significant effect of the trees and natural surfaces in decreasing the heat transfer and temperatures degrees; which provides a favorable microclimate in this open space.
Does Institutional Ownership Affect Accounting Conservatism in Portuguese Capital Market?

Ownership structures vary among entities. These different ownership structures can result in variation in governance structures, which would reflect the different rights associated with various types of owners. These governance structures in turn could lead a greater or lesser degree of influence over the financial reporting process by large owners and/or managers. In this sense, existing literature suggests that conservatism is related to institutional ownership. For a sample of 26 non-financial listed Portuguese firms-year from 2002 to 2017, we examine the association between accounting conservatism and institutional ownership. The study’s results show that the coefficient institutional ownership variable is positive but not statistically significant. Thus, it is not possible to conclude that monitoring institutions are an important class of investors that demands conservatism as a governance device.
Myocardial infarction with non-obstructive coronary artery disease, a retrospective cohort study: Are plaque disruption and other pathophysiological mechanisms the same disease?

Backgound/Aim: Myocardial infarction with non-obstructive coronary arteries (MINOCA) is an increasingly recognized entity. Recent studies have shown that MINOCA is not a benign syndrome, with younger MINOCA patients having outcomes comparable to their myocardial infarction with obstructive coronary artery disease (MI-CAD) counterparts. In this study, we will describe the demographic, clinical and angiographic characteristics of MINOCA patients in our hospital. Methods: In this retrospective cohort study, all patients who underwent coronary angiography with the diagnosis of acute coronary syndrome during September 2016-April 2019 were screened and those with MINOCA were detected. We described the demographic, clinical, and angiographic characteristics of MINOCA patients and compared the etiologic and pathophysiological mechanisms. Results: A total of 3855 patients with acute coronary syndrome were screened and 155 were diagnosed with MINOCA, with a total prevalence of 4.02%. Among them, 48.4% were female and the overall mean age was 55.04 (13.57) years. Plaque disruption was the most common cause of MINOCA (48.4%), which was followed by microvascular dysfunction and slow flow (9.7%). We compared plaque disruption and other causes to find that age (58.31 (13.76) vs 51.89 (12.68) P=0.003), hypertension (37 (48.7%) vs 25 (31.6%) P=0.034), prior coronary artery disease history (16 (21.1%) vs 2 (2.5%) P=0.001) and creatinine clearance (67.35 (IQR: 25.8) vs 74.0 (IQR: 28.58) P=0.009) were higher in patients with plaque disruption than those without. Conclusion: MINOCA is a diagnosis of exclusion with numerous potential causes. The etiological and pathophysiological mechanisms of plaque disruption are different from other causes of MINOCA and the correct treatment approach determines the prognosis.
Application of the noise annoyance equivalents model for aircraft, rail and road traffic noise to self-reported sleep disturbance

Sleep disturbances caused by noise exposure are the most relevant outcome measured in disability adjusted life years (DALYs). In analogy to the combined effects of noise from multiple sources on annoyance, these are also of interest for sleep disorders. The study “Overall Noise Assessment” Innsbruck examined data from 1031 personal interviews. Aircraft, rail and road noise were correlated. To choose participants combined exposures were clustered into small, medium and severely affected living situations. The effect of demographic features, noise sensitivity, access to a silent façade and other factors on self-reported sleep disturbances was investigated applying bivariate analyses. Exposure-response curves and their 95% confidence intervals with cut-off values of 72% for “highly disturbed sleep” were generated and the results were discussed in comparison to recently published curves. Using source-specific exposure-response relationships, an overall model for evaluating sleep disorders was developed based on the “annoyance equivalents model”. The “total sleep disturbance response” shows an accumulative outcome for each source measured. A protective effect of road traffic noise as background noise for air and railroad sources could not be proven. Both the “Total Sleep Disruption Assessment Model” and the “Dominant Source Model” have a Spearman-Rho of 0.3 and are therefore suitable for use in noise assessment.