Miracle-dz/UniFAR-FTUs huggingface dataset:
The Impact of Preoperative Depression on Patient Satisfaction With Spine Surgeons in the Outpatient Setting.

STUDY DESIGN Retrospective review. OBJECTIVE The aim of this study was to examine the association between preoperative depression and patient satisfaction in the outpatient spine clinic after lumbar surgery. SUMMARY OF BACKGROUND DATA The Clinician and Group Assessment of Healthcare Providers and Systems (CG-CAHPS) survey is used to measure patient experience in the outpatient setting. CG-CAHPS scores may be used by health systems in physician incentive programs and quality improvement initiatives or by prospective patients when selecting spine surgeons. Although preoperative depression has been shown to predict poor patient-reported outcomes and less satisfaction with the inpatient experience following lumbar surgery, its impact on patient experience with spine surgeons in the outpatient setting remains unclear. METHODS Patients who underwent lumbar surgery and completed the CG-CAHPS survey at postoperative follow-up with their spine surgeon between 2009 and 2017 were included. Data were collected on patient demographics, Patient Health Questionnaire 9 (PHQ-9) scores, and Patient-Reported Outcome Measurement Information System Global Health Physical Health (PROMIS-GPH) subscores. Patients with preoperative PHQ-9 scores ≥10 (moderate-to-severe depression) were included in the depressed cohort. The association between preoperative depression and top-box satisfaction ratings on several dimensions of the CG-CAHPS survey was examined. RESULTS Of the 419 patients included in this study, 72 met criteria for preoperative depression. Depressed patients were less likely to provide top-box satisfaction ratings on CG-CAHPS metrics pertaining to physician communication and overall provider rating (OPR). Even after controlling for patient-level covariates, our multivariate analysis revealed that depressed patients had lower odds of reporting top-box OPR (odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.06-0.63, P = 0.007), feeling that their spine surgeon provided understandable explanations (OR: 0.32, 95% CI: 0.11-0.91, P = 0.032), and feeling that their spine surgeon provided understandable responses to their questions or concerns (OR: 0.19, 95% CI: 0.06-0.63, P = 0.007). CONCLUSION Preoperative depression is independently associated with lower OPR and satisfaction with spine surgeon communication in the outpatient setting after lumbar surgery.Level of Evidence: 3.
A Foresight Study about the Skills and Competencies Needed for Quality Professionals in 2030: An Empirical Study of Saudi Arabia

−This paper presents the results of a foresight study examining the future knowledge, skills, and competencies required by quality professionals to meet the goals and objectives of the Saudi Vision 2030. The study aims to develop a methodology allowing the forecasting of skills and competency demands in the future. Data collection was conducted through the design of a web-based questionnaire that was distributed online to academic and quality management specialists in Saudi Arabia. The questionnaire consisted of four sections and forty items aiming to identify the necessary competencies that quality professionals should develop to deal with the changing business environments. The validity and reliability of the questionnaire were confirmed by Cronbach’s alpha and the data were analyzed using descriptive tests (mean and standard deviation). One-way ANOVA method was also used to test the significant differences in participants’ attitudes. The results of the study clearly emphasize on the emerging need for new effective skills to face this new era of the rapid pace of technological changes. The outcomes of this study may be used by policy-makers, local authorities, employers, academics, and researchers to set up future-oriented education and training policies to bridge the gap between skills demand and supply which arises out of labor market changes. Keywords-foresight; knowledge; skills; competencies; quality professionals; Saudi Vision 2030
Statistical Downscaling and Hydrological Modeling-Based Runoff Simulation in Trans-Boundary Mangla Watershed Pakistan

The economy of Pakistan relies on the agricultural sector which mainly depends on the irrigation water generating from the upper Indus river basin. Mangla watershed is a trans-boundary basin which shares borders of India and Pakistan, it comprises five major sub-basins, i.e., Jhelum, Poonch, Kanshi, Neelum and Kunhar. The runoff production of this basin is largely controlled by snowmelt in combination with the winter precipitation in the upper part of the basin and summer monsoon. The present study focusses on the application of a statistical downscaling method to generate future climatic scenarios of climatic trends (temperature and precipitation) in Mangla watershed. Statistical Downscaling Model (SDSM) was applied to downscale the Hadley Centre Coupled Model, version 3, Global Climate Model (HadCM3-GCM) predictions of the A2 and B2 emission scenarios. The surface water analyst tool (SWAT) hydrological model was used for the future projected streamflows based on developing climate change scenarios by SDSM. The results revealed an increasing trend of annual maximum temperature (A2) at the rates of 0.4, 0.7 and 1.2 °C for the periods of 2020s, 2050s and 2080s, respectively. However, a consistent decreasing trend of temperature was observed at the high-altitude region. Similarly, the annual minimum temperature exhibited an increasing pattern at the rates of 0.3, 0.5 and 0.9 °C for the periods of 2020s, 2050s and 2080s, respectively. Furthermore, similar increases were observed for annual precipitation at the rates of 6%, 10%, and 19% during 2020, 2050 and 2080, respectively, for the whole watershed. Significant increasing precipitation trends in the future (2080) were observed in Kunhar, Neelum, Poonch and Kanshi sub-basins at the rates of 16%, 11%, 13% and 59%, respectively. Consequently, increased annual streamflow in the future at the rate of 15% was observed attributing to an increased temperature for snow melting in Mangla watershed. The similar increasing streamflow trend is consistent with the seasonal trends in terms of winter (16%), spring (19%) and summer (20%); however, autumn exhibited decreasing trend for all periods.
Online Recommendation Systems: Factors Influencing Use in E-Commerce

The increasing use of artificial intelligence (AI) to understand purchasing behavior has led to the development of recommendation systems in e-commerce platforms used as an influential element in the purchase decision process. This paper intends to ascertain what factors affect consumers’ adoption and use of online purchases recommendation systems. In order to achieve this objective, the Unified Theory of Adoption and Use of Technology (UTAUT 2) is extended with two variables that act as an inhibiting or positive influence on intention to use: technology fear and trust. The structural model was assessed using partial least squares (PLS) with an adequate global adjustment on a sample of 448 users of online recommendation systems. Among the results, it’s highlighted the importance of the inhibiting role of technology fear and the importance that users attach to the level of perceived trust in the recommendation system are highlighted. The performance expectancy and hedonic motivations have the greatest influence on intention to use these systems. Based on the results, this work provides a relevant recommendation to companies for the design of their e-commerce platforms and the implementation of online purchase recommendation systems.
Valorisation of local almond genotypes regarding their biochemical and mineral compositions

The new tendency far intensification of almond plantations has induced a clear neglect of local ecotype and cultivars that have proved high performance and good adaptation to many biotic and abiotic stresses. Prospecting the main producing regions in Tunisia has demonstrated high genetic diversity. In addition, all of the pomological, biochemical and mineral characterizations have confirmed the clear superiority of the local genotypes in comparison to the newly introduced cultivars. The analysis of their content in sorne biochemical compounds such as antioxidant has furthermore shown that sorne landraces are highly rich in polyphenols, anthocyans and carotenoids. Our result showed that the mineral composition of the nut is dominated by phosphor, calcium, iron, sodium, zinc and copper. In comparison to sorne introduced cultivars such as 'Mazetto', 'Lauranne' and 'Supernova' many local ecotypes were more performing. In fact the genotype 'BF2' was highly rich in potassium and phosphor, 'TL7' in calcium . Additionally, the dominance of 'khoukhi', 'Dillou' and 'Blanco' far iron composition is a strong statement in favor of their better valorization and, as a consequence, better preservation.
A Mechanism of Crystallization of Cometary Silicates

We propose a new mechanism of crystallization of cometary sil icate. The crystallization is due to heat released by chemical reactions in the organic refractory mantle of Greenberg's model of cometary dust induced by moderate heating by solar radiation. It is shown that the strength of the crys talline feature observed in the comets can be reproduced by the present mecha nism of crystallization.
Voronoi-Based Multi-Robot Autonomous Exploration in Unknown Environments via Deep Reinforcement Learning

Autonomous exploration is an important application of multi-vehicle systems, where a team of networked robots are coordinated to explore an unknown environment collaboratively. This technique has earned significant research interest due to its usefulness in search and rescue, fault detection and monitoring, localization and mapping, etc. In this paper, a novel cooperative exploration strategy is proposed for multiple mobile robots, which reduces the overall task completion time and energy costs compared to conventional methods. To efficiently navigate the networked robots during the collaborative tasks, a hierarchical control architecture is designed which contains a high-level decision making layer and a low-level target tracking layer. The proposed cooperative exploration approach is developed using dynamic Voronoi partitions, which minimizes duplicated exploration areas by assigning different target locations to individual robots. To deal with sudden obstacles in the unknown environment, an integrated deep reinforcement learning based collision avoidance algorithm is then proposed, which enables the control policy to learn from human demonstration data and thus improve the learning speed and performance. Finally, simulation and experimental results are provided to demonstrate the effectiveness of the proposed scheme.
Old unsolved problems: when and how to treat silent ischaemia

Abstract Silent myocardial ischaemia (SMI) is defined as objective evidence of ischaemia without angina (or equivalent symptoms) in the presence of coronary artery disease, differing from silent coronary artery disease. Silent myocardial ischaemia represents the majority of episodes of myocardial ischaemia at Holter monitoring. During transient myocardial ischaemia, the symptoms appear after the contraction anomalies of the left ventricle and after the ECG changes. The cause of silent myocardial ischaemia is still not well established. The severity and duration of ischaemia have been theorized as important elements in the SMI mechanism. Another possible mechanism responsible for SMI is represented by changes in the perception of painful stimuli with an increased pain threshold. Finally, a neuronal dysfunction of the diabetic, in post-infarction or a cardiac neuronal ‘stunning’ could play a role in SMI. In the pre-stent era, the SMI was associated with a worse prognosis. In patients with diabetes mellitus, SMI seems to be more represented because autonomic dysfunction is present in this category of patients. In conclusion, SMI is more frequent than symptomatic ischaemia. However, despite the presence of countless studies on the subject, it is not clear today whether medical therapy has equalized the risk and what the real prognosis of SMI is.
Adaptability to a sudden transition to online learning during the COVID-19 pandemic: Understanding the challenges for students.

This cross-sectional study investigated the associations among adaptability to the pandemic, personality, and levels of learning experiences (affective, cognitive, and behavioral) among higher education students required to adapt to an abrupt transition to synchronous online learning due to the global COVID-19 pandemic A sample of 1,217 college students from Israel completed an online questionnaire after transitioning to synchronous online learning during the COVID-19 pandemic Comparisons of reactions to the online condition versus more typical face-to-face learning conditions confirmed that students had pervasive negative reactions to the online condition that became necessary due to the pandemic Moreover, adaptability to the pandemic was associated broadly with more positive reactions across multiple indicators Support was also found for an indirect associations model such that personality traits were associated with specific reactions to online learning via their associations with adaptability Supplemental analyses highlighted the more positive reactions and learning adaptability of students who reported greater feelings of belonging and mattering The current findings attest to the role of adaptability and the significant challenges experienced by college students who experienced changes in their learning and life conditions due to the need to rapidly adjust to the changes and uncertainty brought about by the COVID-19 pandemic (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Growth Performance, Caeca Microbial Population and Immune Response of Starter Broiler Chicks Fed Aqueous Extract of Balanites Aegyptiaca and Alchornea Cordifolia Stem Bark Mixture

A total of Two hundred and fifty (250), 1-day old (Cobb) broiler chicks with mixed sex were used to evaluate the the growth performance, caeca microbial population and immune response of starter broiler chicks fed aqueous extract of Balanites aegyptiaca and Alchornea cordifolia stem bark mixture (BACM). Birds were reared on a deep litter system and randomly divided into five treatment with five replicates consisting of 10 birds each in a completely randomized design. Treatment 1 (T1) were given basal diet + 0 % BACM, T2, T3, T4 and T5 were fed 20, 40, 60 and 80 ml/liter BACM respectively. The experiment lasted for 28 during which clean feed and water were offered ad libitum. The results obtained revealed that the average weight gain (AWG), feed conversion ratio (FCR) and mortality were influenced by the dietary treatments (P<0.05). Birds in T5 had the highest AWG and FCR (1159.3 g, 1.57) followed by T4 (1070.2 g, 1.70), T3 (1047.4 g, 1.74), T2 (981.1 g, 1.86) and T1 (850.7 g, 2.14) respectively. Activities of superoxide dismutase (SDA), glutathione peroxidase (GPx), catalase (CAT) ,malonyldialdehyde (MLA) and antibody titres against Newcastle and gumboro disease were significantly affected by BACM (P<0.05). Caeca microbial population of Escherichia coli and Lactobacilli were significantly different among the treatments (P<0.05). E. coli count in T1 were higher compared to other treatments (P<0.05), Lactobacilli population increased in T2, T3, T4 and T5 compared to T1. It was concluded that BACM can be fed to broiler chicks at 80 ml/litre without any negetive effect on the performance and immune response of birds.
Gambaran Distres Psikologis pada Petani Tembakau Di Kecamatan Kalisat Kabupaten Jember

Serious problems experienced by tobacco farmers are narrowing land area, decreasing land fertility, degradation of agricultural land, pest attacks, inappropriate fertilization to tobacco plants, weather and crop failure. Those problems posed the tobacco farmers at risk of psychological distress. This study aimed to analyze psychological distress in tobacco farmers in Kalisat, Jember. The design of this study was descriptive analysis with cluster sampling and proportional sampling techniques. The population of this study was tobacco farmers, as many as 91 (CI = 90%). The research instruments were the 42 Depression Anxiety and Stress Scale questionnaires (DASS 42) (Cronbach's Alpha 0.776; 0.931; 0.803). The results showed that tobacco farmers had the highest anxiety (73.6%), stress (26.4%), and depression (11%). Psychological distress in farmers is manifested in the form of worries and fears of work which is generally due to instability from the work of farmers.
A manifesto for shadow places: Re-imagining and co-producing connections for justice in an era of climate change

In this article, on behalf of The Shadow Places Network, we outline a working manifesto of politics and practice. We mobilise the format of the manifesto to speak to an uncertain and damaged future, to begin to imagine other possible worlds. For feminist philosopher Val Plumwood, whose thinking inspires this network, shadow places are the underside of the capitalist fantasy, ‘the multiple disregarded places of economic and ecological support’. In turning towards shadow places, and the unjust and unsustainable processes that produce them, we call for an environmental humanities that reaches beyond abstraction, fosters new responsibilities, considers the uncomfortable, and generates reparative possibilities and alternative futures. We aim to continue to trace out a world of shadow places. We acknowledge that these shadow places cannot be known in full, but through a willingness to engage in careful conversation with the beings and places harmed by (or strategically shielded from) processes of the Anthropocene, we can learn how to relate to each other and these places in more just ways. Recognising that shadow places are impermanent and contingent, this working manifesto does not look to predetermine or prescribe but rather invites conversation, encounter and exchange. In so doing we choose to contribute to making different worlds possible by pursuing new collaborations, new methods and new politics.
Measurement Invariance of the Satisfaction with Life Scale Across Gender and Time

Bu arastirmanin amaci, Yasam Doyumu Olcegi’nin Turkce versiyonunun, universite ogrenci ornekleminde cinsiyete ve zamana gore olcme degismezligine sahip olup olmadigini belirlemektir. Arastirmanin ilk calisma grubunu 500 universite ogrencisi (366 kadin, 134 erkek), ikinci calisma grubunu ise dort ay arayla uc kez uygulama yapilan 388 ogrenci (296 kadin, 92 erkek) olusturmaktadir. Cinsiyete gore ve boylamsal olcme degismezligi icin dogrulayici faktor analizi kullanilmistir. Cinsiyete gore olcme degismezligi sonuclarina gore, yasam doyumu olcegindeki tum maddelerin bicimsel, metrik ve olcek olcme degismezligine sahip oldugu bulunmustur. Bir baska deyisle kiz ve erkek gruplarin maddelere ayni sekilde yanit verdigi ve bu gruplardan elde edilen puanlarin karsilastirilabilir oldugu elde edilmistir. Zamana gore ise tam olcme degismezligine sahip oldugu elde edilmistir. Bu da universite ogrencileri icin dort aylik zaman araliklarinda faktor oruntulerinin esitligi, faktor yukleri, kesisimler ve artik varyansin ayni sekilde belirlendigi anlamina gelir. Yasam Doyumu Olcegi Turk universite ogrencileri icin boylamsal ortalama ve cinsiyet karsilastirmalari yapmak icin kullanilabilir.
Opinion and Usage Regarding Complementary and Alternative Therapies among Patients at a Tertiary Care Hospital in Lahore, Pakistan

Background: Complementary and alternative medicine (CAM) therapies are widely used among the population in Pakistan either separately or in conjunction with convention medical therapies. CAM therapies are used for varying reasons and result in complications as conventional treatment is often delayed resulting in increased morbidity and mortality. Objective of the study was to assess the opinions and usage regarding CAM therapies among patients in a tertiary care setup. Methods: Cross sectional study was conducted at Fatima Memorial Hospital, Lahore from April 2018 to June 2018. Sample size was calculated to be 186 which were equally divided between patients in OPD, ER and IPD. A structured questionnaire was administered. SPSS 20 was used for analysis. Results: In this study 112(60.2%) patients had used CAM for an illness whereas 74(39.8%) had never used CAM therapy. Most of the patients 165(88.7%) were able to differentiate between CAM and conventional therapies. Most frequent source of knowledge cited was family and friends 139(74.7%), previous users of CAM 83(44.6%) and media/internet 69(37.1%). Spiritual Healers (Pirs) were the most used modality of CAM at 64(34.4%) followed by hakeem and homeopathy. Most common reasons for using CAM were advice from family and friends, personal will and religious/spiritual reasons. Conclusion: Use of CAM therapies is widely prevalent in our study with more than half the respondents having used a modality of CAM. Users of CAM were found to be generally satisfied with the treatment.
Accounting for control of Italian culture in the Fascist Ethical State: the Alla Scala Opera House

PurposeThe study focusses on the complex interaction between ideological beliefs, culture and accounting by identifying during Benito Mussolini's time in power the contributions of accounting to the Italian Fascist repertoire of power in the cultural domain. It emphasises the importance of accounting in making the Alla Scala Opera House in Milan a vital institution in the creation of a Fascist national culture and identity which was meant to define the Fascist “Ethical State”. Design/methodology/approachThe study adopts the Foucauldian concept of discourse in analysing the accounting practices of the Alla Scala Opera House.FindingsFinancial statements and related commentaries prepared by the Alla Scala Opera House were not primarily for ensuring good management and the minimisation of public funding in contrast to the practices and expectations of accounting in liberal States. Instead, the dominant Fascist discourse shaped the content and use of accounting and ensured that accounting practices could be a means to construct the Opera House as a “moral individual” that was to serve wider national interests consistent with the priorities of the Fascist Ethical State.Research limitations/implicationsThe study identifies how accounting can be mobilised for ideological purposes in different ways which are not limited to supporting discourses inspired by logics of efficiency and profit. The paper also draws attention to the contributions of accounting discourses in shaping the identity of an organisation consistent with the priorities of those who hold the supreme authority in a society.Social implicationsThe analysis of how the Fascist State sought to reinforce its power by making cultural institutions a critical part of this process provides the means to understand and unmask the taken-for-granted way in which discourses are created to promote power relations and related interests such as in the rise of far-right movements, most especially in weaker and more vulnerable countries at present.Originality/valueUnlike most of the work on the relationship between culture and accounting which has emphasised liberal States, this study considers a non-liberal State and documents a use of accounting in the cultural domain which was not limited to promoting efficiency consistent with the priorities now recognised more recently of the New Public Management. It presents a micro-perspective on accounting as an ideological discourse by investigating the role of accounting in the exploitation of a cultural institution for political purposes.