Miracle-dz/UniFAR-FTUs huggingface dataset:
A qualitative study exploring adolescents' experiences of peer relationships in an inpatient CAMHS setting

Aims: To explore the lived experiences of peer relationships within an adolescent psychiatric inpatient setting and investigate how adolescents perceive peer relationships to influence their psychological wellbeing. Background: During adolescence peer relationships play an integral role in development, where shifts occur in attachment from parents towards friendships. Complex and relational trauma are highly prevalent in the inpatient population, this influences the formation of relationships with peers which are intensified within the therapeutic milieu. It is well-known that peer relationships in adolescence can impact on mental health. Such relationships are likely to have a profound influence upon recovery, wellbeing and service outcomes. However, little is known about how these peer relationships are experienced by young people and their influence on psychological wellbeing within the inpatient setting. Methodology: A qualitative methodology was utilized within an interpretivist paradigm. The sample comprised 8 participants; 5 females and 3 males, recruited from a single psychiatric inpatient unit using purposive sampling. Data was gathered from semi-structured interviews and analysed using inductive thematic analysis. Results: Four main themes, each with a number of subthemes, emerged from the dataset. Peer relationships were fragile and jealousy and distrust were common, fuelled by fears of abandonment and rejection. Dilemmas and difficulties within peer relationships were acknowledged, with participants describing competition for staff attention, bullying and challenges with discharge and maintaining boundaries. For some the inpatient environment was experienced as unsafe and triggering, which influenced patients’ recovery and the formation of peer relationships. Relationships brought a number of benefits including normality, shared experience, acceptance and the sense of being cared for. Conclusion: Peer relationships are complex and may have positive and negative influences on psychological wellbeing. Findings are discussed in the context of psychological theory and existing literature. Clinical implications are outlined including staff management of relationships and utilization of peer support.
Measurement of Oral Health Literacy Level Among Bangladeshi Adults Seeking Dental Care and Its Relationship With Socio-demographic Characteristics

Background: The important role of socio-economical factors in oral health and disease has been identified. Oral health literacy is associated with inaccurate knowledge about preventive measures such as proper brushing, dental care visits and oral health-related quality of life. Like general health literacy, oral health literacy incorporates the capacity a person has to learn and use information about oral health in making decisions about their oral health. Objective: This analytic type of cross sectional study was conducted to measure the Oral Health literacy Level (OHLL) and its relationship with socio-demographic characteristics among Bangladeshi adults seeking dental care. Materials and Methods: A total 100 subjects attended at the out patient's Dental Department of Ibrahim General Hospital-Mirpur for routine dental checkup over a period of six months from August 2014 to January 2015 fulfilled the eligibility criteria were selected consecutively. Pre-tested semi structured interviewer administrated questionnaires were used to collect the information. Cross tabulations and associations were determined by using the Chi-square test where applicable. Results: The mean oral health literacy score was 15.51 out of 30 and SD ±4.806 with 7% of respondents had very poor OHLL, 49% had poor OHLL, 41% had fair and 3% had excellent oral health literacy level. Oral health literacy level found more in age group of 30-39 years. The majority of excellent oral health literacy level was from graduate and above group. In addition, patients' sex, marital status and occupation were significantly associated with oral health literacy level as the P-values were 0.008, 0.002 and 0.021 respectively. Conclusion: Patients with inadequate oral health literacy were consistently more likely to report poor oral health than patients with adequate literacy skills. Future studies are needed to determine whether this framework is supported by empirical data and leads to improvements in oral health and reductions in health disparities. Anwer Khan Modern Medical College Journal Vol. 7, No. 1: Jan 2016, P 34-39
Multilayer Feature Fusion Network for Scene Classification in Remote Sensing

The scene classification of high spatial resolution (HSR) images is a challenging task in the remote sensing community. How to construct a discriminative representation of the HSR scene is a key step to improve classification performance. In this letter, we propose a novel feature extraction method termed multilayer feature fusion network (MF2Net) for scene classification. At first, the transferred VGGNet-16 model is employed as a feature extractor to acquire multilayer convolutional features. Then, several layers including pooling, transformation, and fusion layers are designed to process hierarchical features in four branches, and the prediction probability can be obtained for classification. Finally, the proposed model is optimized by fine-tuning techniques, where a novel data augmentation approach is explored to improve generalization ability. As a result, MF2Net effectively applies useful information from multilayers to improve the accuracy of scene classification. The experimental results on AID and NWPU-RESISC45 data sets exhibit that the MF2Net method obtains quite competitive classification results compared with many state-of-the-art methods.
Dyadic Adjustment and Sense of Mastery of Pregnant Women Protect Against Prenatal Depression

This study explored protective factors against prenatal depression in pregnant women. One-hundred thirty-four (134) pregnant women were recruited from an obstetric clinic and public health center in Korea. Dyadic adjustment, sense of mastery, and prenatal depression were assessed using structured questionnaires. Prenatal depression was assessed with the Edinburgh Postnatal Depression Scale (EDPS). Binomial logistic analysis was used to identify predictors of prenatal depression. Of the participants, 40.3% screened as positive on the EPDS with a cut-off point of 9/10. Protective factors against prenatal depression were a history of childbirth, dyadic adjustment, and sense of mastery. We must consider these findings when developing interventions for pregnant women focusing on prevention and management of prenatal depression.
BELIEFS AND USAGE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE AMONG CANCER PATIENTS IN THE NORTHEASTERN REGION OF PENINSULAR MALAYSIA

ABSTRACT Background: A significant percentage of cancer patients use some form of complementary alternative medicine (CAM). Although most of them use CAM, what drives their values and beliefs is unclear. The aim of this study was to determine the beliefs and usage of CAM among cancer patients. Materials and Methods: A cross-sectional design using non-probability, purposive sampling was employed with 86 cancer patients. Data was collected from December 2015 to February 2016 using a self-administered questionnaire. Descriptive statistics was used to summarize socio-demographic and medical characteristics of the participants. Pearson Chi Square analyses were used to explore the association between socio-demographic data, medical data on belief and usage of CAM. Result: Majority of the participants in this study (65.1%, n=56) currently used CAM. Most of the CAM users used biological based therapies (53.6%, n-=30), while the others used mind-body therapy approach (46.4%, n=26). The findings showed no significant association between socio-demographic characteristics on beliefs and usage of CAM. However, this study found a significant association between medical characteristic (cancer types, current cancer treatment, and comorbidities) on beliefs and usage of CAM. Conclusion: This study revealed the beliefs and usage of CAM were prominent among cancer patients, thus highlighting a greater need for patient education regarding CAM therapies and their potential interactions with conventional treatments. Keywords: Beliefs, Usage, Complementary and Alternative Medicine, Cancer patients
Reflections on Future Directions for Including Students with Severe Disabilities

Little progress has been made in the last 20 years toward developing and sustaining effective inclusive programs for students with severe disabilities. An article by Agran and colleagues examines factors that contribute to this lack of progress and provides some initial discussion regarding alternatives for addressing this seemingly intractable problem. This article extends the discussion by Agran and colleagues by providing recommendations regarding the use of a positive deviance approach to systemic change and school improvement, and also recommends that advocacy efforts are needed to ensure that principals are well prepared to support these efforts.
The Eye and the Chikungunya Virus

Ocular involvement in chikungunya virus (CHIKV) infection can be present as mild and vision-threatening ocular complications with unilateral or bilateral compromise in both gender and all ages. Precise prevalence and incidence are unknown, but ocular involve‐ ment of CHIKV infection is uncommon. Anterior uveitis is the most common syndromic manifestation; nevertheless the infection could manifest posterior segment repercussion, such as retinitis which is the other most usual clinical manifestation. At the beginning of the systemic disease, main ophthalmologic symptoms are conjunctival injection, retro-oc‐ ular pain, and photophobia. Ocular pathogenesis of CHIKV infection is not totally clari‐ fied; however, findings related to an immune dysregulation and proinflammatory processes are the most accepted theories. The diagnosis of CHIKV is based on polymer‐ ase chain reaction, virus isolation, or detection of viral antigens which should be used be‐ fore the eighth day of systemic illness. After 8 days, chikungunya serologic tests such as IgM ELISA/rapid tests or IgG paired must be used. Actual management is focused ac‐ cording to the clinical context of each patient. While in most instances recovery of vision to normal occurs, CHIKV infection can result in blindness, the visual prognosis depends on various factors, but the common one is the early onset of corticosteroid treatment.
The framing of China on Spanish television

The media participates in the creation and reinforcement of mental models, through which people interpret social realities, especially those that are distant and unknown. News making involves the use of certain frames that highlight some aspects of the information and downplay or silence other elements. In this context, the objective of this article is to analyse how China is portrayed on the Spanish news, and identify the organising ideas and value judgments that are used in the frames used in this process. Based on the application of the content analysis technique, the results show that the portrayal of China, its institutions and citizens, on television is carried out through four main frames: “Capacity, potential, development;” “Gloom, shadow and darkness;” “Dangerous environment” and “Exotic organisation. ” From the Western perspective, Chinese economic growth is accepted, but at the same time China is presented as a problematic country in which natural disasters, accidents, and criminal acts abound, highlighting its systemic political deficiencies and systemic deficiencies. This mostly negative image of China does not correspond with its current and historical relationship with Spain, nor with the relevant position that this emerging power has reached on a global scale.
Knowledge sharing behaviors: A descriptive case study to explore the knowledge sharing behaviors of medical doctors in a community hospital located in the Northeastern United States

A descriptive single-case study using a qualitative design method was employed to explore the knowledge sharing behaviors of medical doctors in a community hospital located in the Northeastern United States. The topic was timely given that effective collaboration and coordination among healthcare providers was recognized as a vital component of quality patient care. Thus, the purpose of this study was to better understand the communication processes and knowledge flow among doctors and other healthcare professionals to gain insight into the nature of their social interactions. Habermas’ (1984) theory of communicative action provided a non-positivist approach in interpreting human interactions where the objective, subjective, and social worlds were integrated to attain intersubjective mutuality. The theory emphasized social pragmatics and rational reconstruction among individuals who engaged in dynamic interplay to co-construct their environment. Since the purpose of the study was to explore the dialogical exchange among doctors and other healthcare professionals, Habermas’ (1984) theory served as an appropriate lens to interpret the findings. A qualitative design using three data collection techniques (documentation, nonparticipatory observations, and semi-structured interviews) served as the strategy of inquiry and provided triangulation. Each phase was iterative and informed subsequent phase(s) of the study. A purposeful sample was employed to recruit participants. Thirty-two of 242 doctors were targeted, 14 of the 32 participated. The results from the data analysis identified four broad themes (collaboration and coordination emphasizing evidence-based medicine, verbal and electronic communication, transparent organizational culture, and reflective learning) which led to six key findings: doctors
The Effects of State Pharmacy Drug Product Selection Laws on Statin Patient Generic-To-Branded Drug Switch-Backs

Brand-to-generic drug therapeutic substitution effects on patient health is an important health policy issue. State pharmacy drug product selection (DPS) laws allow pharmacists to more easily switch prescriptions from brand-to-generic drugs. This research measures the effects of DPS laws on statin-patient generic-to-branded drug switch-backs, this being a potential indicator of clinical failure from the initial brand-to-generic substitution. Anonymized patient-level data from 2006–2008 were analyzed on statin drug utilization patterns for 397,111 U.S. patients. Logistic regression results on DPS and non-DPS variables show effects on switch-backs in a manner consistent with implications from a principal-agent framework in healthcare. DPS laws should be reviewed to ensure that drugs dispensed by pharmacists are those intended by physicians and in the best health interests of patients.
Culture in the Organization of Autobiographical Memory

This chapter outlines a cultural dynamic theory as the framework to understand and predict the effects of cultural variables on the organization of autobiographical memory. The theory posits that autobiographical memory takes place in the dynamic transaction between an active individual and his or her changing environment; it is situated in culturally conditioned time and space over a multitude of timescales; and it develops in the process of children acquiring cultural knowledge about the self and the purpose of the past through early socialization. The organization of autobiographical memory is discussed in terms of objective, subjective, and structural components and applies the theoretical model of the cultural dynamic theory to discuss the influence of culture on each of the components. To illustrate the overarching influence of culture on remembering, parallel findings of episodic memory as typically assessed in laboratory settings with non-personal materials (e.g., stories) are further discussed, and vicarious memory for events that happened to other people. Although these three types of memory vary in the degree of personal relevance or self-involvement, it is demonstrated that their organizational components are similarly and inevitably conditioned by cultural variables as the cultural dynamic theory predicts. Whereas this discussion focuses on extant findings involving the comparison between Westerners, especially European-Americans, and East Asians, the cultural dynamic theory should also apply to other cultural groups for the understanding of the dynamic impact of culture on remembering.
Staffing Temporary Teams: Understanding the Effects of Team Familiarity and Partner Variety

In the emergency department (ED), temporary teams of physicians and nurses work together to deliver patient care. We examine how team familiarity and partner variety affect the performance of ED teams and whether these effects vary depending on how long ago the experiences were accumulated. Addressing these questions are important for equipping managers with actionable recommendations, as the existing literature provides limited insight regarding the temporal nature of these effects. We use visit-level data from a hospital ED and leverage the ad hoc team assignment and the round-robin assignment of patients to these teams as our identification strategy. To measure team familiarity and partner variety, respectively, we vary the length of the lookback window from the past 1 to 12 months. We find that while there is a significant positive impact of team familiarity on performance, there is a significant negative impact of nurses’ partner variety on performance and there is no meaningful impact of physicians’ partner variety on performance. The magnitudes of these effects do not differ based on whether the experiences were accumulated longer ago as opposed to more recently, which suggests there is not a measurable forgetting effect. As such, ED managers should staff physician-nurse teams to maximize team familiarity, which will in turn minimize physicians’ and nurses’ partner variety. In addition, team familiarity should be measured using a relatively long lookback window. Using counterfactual analyses, we illustrate that doing so would allow the study ED to treat 7 percent more patients without increasing staffing levels.
Trade‐in for Cash or for Upgrade? Dynamic Pricing with Customer Choice

Trade‐in programs for electronics products, e.g., mobile phones, have been increasingly popular. These programs target at customers (we call them “bargainers”) who seek to salvage or upgrade their old devices. There are two widely adopted trade‐in options: trade‐in‐for‐upgrade and trade‐in‐for‐cash. In this study, we consider a firm who offers both trade‐in options, that is, a hybrid trade‐in program, to acquire old products, then refurbishes and resells them, together with new product over a finite selling horizon. The bargainers choose which option to trade in their products while new customers decide whether to buy a new product or a refurbished one. When the selling price of new product is exogenous, we derive the optimal trade‐in prices of old product and resale price of refurbished product. We show that the optimal trade‐in and resale policies are of a threshold‐type and trade‐in‐for‐upgrade should be offered with a premium refund (compared to trade‐in‐for‐cash) only in early periods of the selling horizon. We further consider two variants of the above base model. In the first extension, the new product has a fixed amount of initial inventory and is not replenishable during the selling horizon. In the second extension, the new product price can also be determined by the firm. Our numerical results demonstrate that the hybrid trade‐in program could generate significantly more profit than either upgrade‐only or cash‐only trade‐in program.
ACE inhibitor treatment after myocardial infarction

On the basis of data from controlled trials involving more than 100 000 patients, angiotensin-converting enzyme (ACE) inhibitors are indicated in the routine management of patients with acute myocardial infarction. An overview of trials in which ACE inhibitors were initiated within 24-36 hours in unselected patients showed that five deaths and six cases of progression to non-fatal heart failure could be prevented per 1000 patients treated, and that most of the survival benefit was obtained within the first week of treatment. Furthermore, long-term data from one trial suggest that this benefit is maintained for at least four years. Similarly, trials in which treatment in selected patients was started late after myocardial infarction suggest that 44 deaths and 20 reinfarctions can be prevented per 1000 patients treated. ACE inhibitor treatment should therefore be started within 24-36 hours of acute myocardial infarction in all patients with systolic blood pressure above 100 mmHg and without contraindications. Patients should be re-evaluated after a few weeks, and long-term treatment continued in patients with overt heart failure, extensive left ventricular damage or left ventricular dysfunction.
Analisis Pengaruh Intellectual Capital dan Profitabilitas Terhadap Nilai Perusahaan Pada Indeks Kompas100 di Bursa Efek Indonesia

Tujuan penelitian ini adalah untuk mengetahui pengaruh Intellectual Capital dan Profitabilitas terhadap Nilai Perusahaan pada perusahaan indeks Kompas100 periode Agustus 2018 – Januari 2019. Teknik analisis yang digunakan adalah uji asumsi klasik (uji normalitas, uji autokorelasi, uji multikolinearitas, uji heteroskedastisitas dan uji linieritas), uji regresi linier berganda, analisis koefisien korelasi berganda, analisis koefisien determinasi (R 2 ), uji pengaruh simultan (uji F) dan uji pengaruh parsial (uji t). Berdasarkan nilai R (korelasi) yang diperoleh sebesar 0,742. Hal ini berarti bahwa hubungan antara Value Added Intellectual Coeefficient , Return on A sset , Return on Equity , dan Net Profit Margin terhadap Nilai Perusahaan hubunganya kuat. Berdasarkan nilai koefisien determinasi (R 2 ) yang diperoleh sebesar 0,551. Hal ini berarti bahwa 55,1% pengaruh terhadap Nilai Perusahaan dapat dijelaskan oleh Value Added Intellectual Coeefficient , Return on A sset , Return on Equity , dan Net Profit Margin . Sedangkan sisanya yaitu sebesar 44,9% pengaruh Nilai Perusahaan dijelaskan oleh variabel-variabel lainnya yang tidak diteliti dalam penelitian ini. Berdasarkan nilai F diketahui bahwa secara bersama-sama Value Added Intellectual Coeefficient , Return on A sset , Return on Equity , dan Net Profit Margin berpengaruh signifikan terhadap Nilai Perusahaan. Hasil dari uji t (parsial) menunjukkan bahwa Return on Equity mempunyai pengaruh signifikan terhadap Nilai Perusahaan sedangkan Value Added Intellectual Coeefficient , Return on A sset , dan Net Profit Margin tidak mempunyai pengaruh signifikan terhadap Nilai Perusahaan.
Determining Extremes for Future Precipitation in South Korea Based on RCP Scenarios Using Non-Parametric SPI

Historical, downscaled and projected data for six cities in South Korea were collected and analyzed using non-parametric Standardized Precipitation Index (SPI) across the Representative Concentration Pathways (RCPs) RCP4.5 and RCP8.5. SPI results were utilized in further analyses: intensity, decadal frequency, and temporal shifts. Non-parametric SPI was used as it produces more reliable results in terms of their statistical, spatial and temporal characteristics. RCP4.5 was taken to represent concentrations under the current emissions trajectory, while RCP8.5 represents the high-end scenario. Findings suggest that extreme precipitation events are more likely to increase in number than extreme drought across all timescales and RCPs. Variability was observed to increase when comparing SPI obtained from actual, measured and gridded precipitation. More extreme droughts are expected under RCP8.5 forcing as are the occurrence of multiyear droughts and extreme wet events relative to RCP4.5. A seasonal shift in extreme precipitation of up to 3 months earlier was observed. Generally, the period between 2080 and 2100 holds the highest probability to host extremely rare and persistent events.