Miracle-dz/UniFAR-FTUs huggingface dataset:
THE IMPORTANCE OF EFFECTIVE DOCTOR-PATIENT COMMUNICATION IN ENHANCING QUALITY HEALTHCARE OUTCOMES: A STUDY ON CANCER PATIENTS IN INDIA

Background: Effective doctor-patient communication is crucial for quality healthcare, especially in cancer care. Patient-reported outcomes, expressive writing, and the EORTC quality of life scoring system improve patient well-being. However, QoL studies in Indian cancer patients are lacking, and this study aims to assess QoL scores in various parameters at a hospital in South India. Materials and Methods: Cancer patients attending the quarternary multispecialty hospital were recruited for the study, aged 18-80. Data collection and measurement tools-EORTC QLQ-C30 validated Tamil translated questionnaire was used as a patient self-reported tool. One hundred eighty-six patients were offered to fill out the questionnaire, and 150 consented and filled out the tool. Results: On the Global QoL front, the mean score of our study patients was 55; with increasing age, there was a fall in almost all the parameters of quality of life, except for Emotional function. Females comprised 56.6% of the study population. Females had better scores than males in almost all dimensions of QoL. Analysis of quality of life scores among cancer patients in India showed that although the functional scores were poorer than the EORTC study subjects, our study participants scored better in symptom scores with comparably better sleep patterns, fatigue scores, etc. Conclusion: The study found that Indian cancer patients had lower QoL scores but showed resilience, while women had higher functional scores but faced more pain, sleep disturbances, and fatigue.
Time-Domain Analysis of Temporally and Spatially Dispersive Metasurfaces in GSTC-FDTD Frameworks

In this paper, we propose two different methods for time-domain finite-difference analysis of uniform temporally and spatially dispersive metasurfaces using their zero-thickness sheet representations using the Generalized Sheet Transition Conditions (GSTCs). Metasurfaces are described here using their effective surface susceptibilities which are assumed to exhibit Lorentzian temporal dispersion characteristics. For both methods, the spatial dispersion of the surface susceptibilities (i.e., their dependence on the angle of incidence) are represented using the extended GSTCs presented in Rahmeier et al. (2023), Smy et al. (2023), and Dugan et al. (2023). However, the first method takes advantage of a polynomial expansion of the angle-dependent surface susceptibilities in terms of the transverse wavevector to implement spatial derivatives of the electric and magnetic polarization as well as the average field on the surface, leading to a coupled set of field equations encompassing the entire surface. Limitations for this method are presented in terms of poor conditioning for a coupled system of equations and an inconvenient extension to the higher-order expansion of the susceptibility terms. The second method lifts these limitations by solving the spatial dispersion problem in the spatial frequency domain at every time step. Both methods are validated for custom Lorentzian models and two canonical physical cells while comparing their transmission and reflection coefficients with analytical results.
ZKBoo on the GPU: Better soundness errors for a little extra (ZKBoo på GPU’en: Bedre sikkerhed for lidt ekstra)

We present ZKG, a parallel implementation of ZKBoo’s SHA-256 ( 2 , 3 ) -decomposition on the GPU using the Futhark Programming Language. ZKBoo builds on the MPC-in-the-head paradigm from Ishai et al. (IKOS construction) to produce Zero-Knowledge proofs from MPC protocols. Although ZKG is generally slower in reaching soundness error 2 − 80 than ZKBoo on the CPU, we achieve soundness error 2 − 584 significantly faster on the GPU. Experimental results show that ZKG is up to 40 times faster in achieving soundness error 2 − 584 , hence more secure against quantum computers.
Impact of Diabetes Mellitus in Arteriovenous Fistula Dysfunction Impact of Diabetes Mellitus in Arteriovenous Fistula Dysfunction in Patients on Regular Hemodialysis in Patients on Regular Hemodialysis

Background : Primary arteriovenous ﬁ stula (AVF) failure has been linked to the existence of diabetes mellitus in some individuals, but not in all. Aim of the work : The study ' s objective is to assess how diabetes mellitus affects individuals receiving regular hemodialysis (HD) who have AVF malfunction. Patient and methods : All the 90 participants in this research had end-stage renal disease (ESRD) and were being treated with regular HD. The patients were divided into three groups according to their age and sex. Group A had 20 nondiabetic patients enrolled as the control group without any diagnosis of liver disease; Group B had 35 patients who were diabetic but were controlled where Hb A1C ≤ 7; Group C had 35 patients who are diabetic but are uncontrolled where Hb A1C > 7. Results : This study showed the distribution of AVF failure in the three groups, where it failed in 4 (20%), 13 (37.1%), and 23 (65.7%) in groups A, B, and C, respectively. There was statistically substantial increase in AVF failure in groups B and C rather than group A, and in group C rather than group B. Conclusion : People with diabetes as a whole had more primary AVF failure than patients without the disease. In addition compared with diabetic individuals with HbA1c values < 7%, those with HbA1c values 3 7% had a greater incidence of primary AVF failure.
Climate Change 2007: Impacts, Adaptation and Vulnerability.

Impatti, adattamento e vulnerabilita Le cause e le responsabilita dei cambiamenti climatici sono state trattate sul numero di ottobre della rivista Cda. Approfondiamo l’argomento presentando il documento: “Cambiamenti climatici 2007: impatti, adattamento e vulnerabilita” votato ad aprile 2007 dal secondo gruppo di lavoro del Comitato Intergovernativo sui Cambiamenti Climatici (Intergovernmental Panel on Climate Change). Si tratta del secondo di tre documenti che compongono il quarto rapporto sui cambiamenti climatici.
A CADAVERIC STUDY ON THE COMPARISON OF HISTOMORPHOMETRIC PARAMETERS OF PRE-TRANSVERSE SEGMENT OF RIGHT AND LEFT VERTEBRAL ARTERIES

Background: The vertebral artery (VA) is unique amongst the head and neck vessels because of its smaller ratio of diameter in relation to its length, division into four parts and joining of the bilateral paired arteries into one in the form of basilar artery. It supplies hind brain centers that control cardiac, respiratory and equilibrium functions. The aim is to compare the histo-morphometric parameters such as length, outer diameter, inner diameter, width of tunica intima and tunica media of first part of right and left vertebral arteries. Materials and Methods: Pre-transverse segment of 40 right and left vertebral arteries was studied. Length of the segment on both sides was measured using Vernier callipers. Tissue obtained from the dissected vessel was histologically processed and stained with Hematoxylin and Eosin. Inner diameter, outer diameter, width of tunica intima and tunica media were measured using Motic Images Plus software. The observations were tabulated and compared using SPSS version 29. Result: The length of V1 segment on right side was 42.51±5.41 and on left side was 42.64±4.89. The outer diameter on right side was observed to be 2.84±0.60 and on left side, it was 3.21±0.63, the difference was statistically significant. Statistically significant differences were observed in inner diameter on right (2.63mm) and left side (2.
40Ar/39Ar isotopic dating of Etna volcanic succession

Since the 1970's, about 50 radio-isotopic ages have been determined on Etna volcanics using different techniques: Th-U and K/Ar.Unfortunately, these ages cannot be readily used to constrain the new stratigraphic setting of the volcano, because of the uncertainty in sample locations or, sometimes, the large errors affecting the calculated ages. For this reason a program of radio-isotopic dating applying the 40Ar/39Ar incremental heating technique to date the groundmass of basaltic samples has been carried out from 2002.Forty samples (22 of which are of new publication) were collected from key outcrops on Etna volcano, selected on the basis of their stratigraphic position, while one sample was collected from the Hyblean plateau volcanics. We have obtained reliable results from all volcanics analysed from 542 ka up to 10 ka with the MSWD's (Mean Square of Weighted Deviates) ranging from 0.03 up to 1.7 excluding IS sample (MSWD = 6.28). These new results allow us to: i) assign an age to 19 of the 25 lithostratigraphic units defined in the new geological map of Etna volcano; ii) clarify the uncertain stratigraphic position of isolated volcanic units; iii) constraint the temporal hiatus that matches the main unconformities; iv) outline the lapse of time between the end of the Hyblean volcanism and the beginning of eruptive activity in the Etna region.
COMPREHENSIVE ANALYSIS OF THYROID DISORDERS IN PREGNANCY: EXPLORING DISTRIBUTION, CLINICAL FEATURES, INVESTIGATIONS, AND TREATMENT

Background: Thyroid disorders are critical concerns during pregnancy, impacting maternal and fetal well-being. The primary objective of this study is to examine the occurrence of thyroid disorders among pregnant women in India, focusing on their clinical manifestations and treatment approaches. Materials and Methods: A cohort of 200 pregnant women was meticulously evaluated. Their thyroid hormone levels were assessed, and clinical symptoms were analyzed. The prevalence of hypothyroidism and hyperthyroidism, along with subclinical and overt forms, was determined. Result: Hypothyroidism was detected in 88.50% of cases, with subclinical hypothyroidism being the predominant subtype. Hyperthyroidism was identified in 11.50% of cases, primarily categorized as primary hyperthyroidism. The analysis highlights distinctive symptom profiles in hypothyroidism and hyperthyroidism during pregnancy. Hypothyroidism is marked by prevalent hairfall (67.79%) and irregular menses (15.26%), while hyperthyroidism shows prominent tremors (69.56%) and tachycardia (78.26%). Conclusion: This study contributes valuable insights into the prevalence and clinical presentation of thyroid disorders during pregnancy. The findings highlight the importance of timely diagnosis and appropriate management.
SERUM AST LEVEL IN METABOLIC SYNDROME PATIENTS WITH AND WITHOUT NAFLD

Background: This study was undertaken to evaluate the Serum AST level in MetS patients with and without NAFLD. The objective was to compare the change in serum AST level in those patients. Materials and Methods: The study was conducted in the Department of Biochemistry in association with Department of Medicine, National Institute of Medical Sciences and Hospital, Jaipur. At the same time adult diagnosed 150 MetS patients (75 with NAFLD & 75 without NAFLD) were taken. Anthropometric measurements were taken. AST was measured in serum in both groups. The data obtained was statistically analysed. Result: Serum AST was 50.03 ± 28.12 U/l in MetS with NAFLD while serum AST was 34.37 ± 8.39 U/l in without NAFLD. Conclusion: Increased AST level are highly significant (p value < 0.001) in MetS with NAFLD as compare to without NAFLD.
Facial Beauty and the Correlation of Associated Attributes: An Empirical Aesthetic Database Study

Background: The pursuit of understanding facial beauty has been the subject of scientific interest since time immemorial. How beauty is associated with other perceived attributes that affect human interaction remains elusive. This article aims to explore how facial attractiveness correlates with health, happiness, femininity, and perceived age. We review the existing literature and report an empirical study using expert raters. Methods: A peer-reviewed database of 2870 aesthetic female faces with a global ethnic distribution was created. Twenty-one raters were asked to score frontal images on the attributes of health, happiness, femininity, perceived age, and attractiveness, on a Likert scale of 0–100. Results: Pearson correlation coefficients (“r”) were calculated to correlate attributes, with multiple regression analyses and P values calculated. Strong positive correlation was found between attractiveness and health (r = 0.61, P < 0.05), attractiveness and femininity (r = 0.7, P < 0.05), and health and femininity (r = 0.57, P < 0.05); medium positive correlation between health and happiness (r = 0.31, P < 0.05); and small positive correlation between happiness and femininity (r = 0.21, P < 0.05). A neutral relationship was observed between perceived age and happiness (0.01, P = 0.75), and medium negative correlation between perceived age and attractiveness (−0.32, P < 0.05), health (−0.36, P < 0.05), and femininity (−0.31, P < 0.05). Conclusions: Our study illustrates a positive correlation between the positive attributes of health, happiness, femininity and attractiveness, with a negative correlation of all characteristics with increasing perceived age. This provides insight into the complexity of human interaction and provides a holistic view of attraction as being a gateway to the reflexive perception of other attributes. The implications encourage an aesthetic focus on facial reconstruction.
Men’s experiences and perspectives on their involvement in pregnancy: a qualitative approach study

Objective: To understand men’s experiences and perceptions of their involve - ment in pregnancy. Method: A descriptive, qualitative research approach was used. Information was collected through semi-structured interviews with ten male partners of postpartum women in a shared accommodation setting and subjected to thematic analysis. Results: Overall, men’s involvement in prenatal care in - cluded attending medical appointments, being present during examinations
TO EVALUATE THE HEMATOLOGICAL PROFILE IN COVID 19 PATIENTS IN A TERTIARY CARE HOSPITAL IN NORTH – EASTERN INDIA

Background: Severe acute respiratory syndrome (SARS) caused by the new corona virus infection have been classified by The World Health Organization (WHO) to be a global pandemic resulting worldwide morbidity and mortality. Since its initial outbreak in Wuhan, China in December 2019, the virus has afflicted over one million individuals globally. SARS-CoV-2 infection will manifest as a systemic disease with the involvement of multiple organ systems including gastrointestinal, neurological, immunological, cardiovascular, and hematopoietic systems. The study aims to evaluate the hematological parameters among COVID-19 patients in a tertiary care centre in Northeast India. Materials and Methods: A tertiary care based cross-sectional study was conducted among COVID-19 positive patients above 18 years age during January 2021 to October 2022 at Regional Institute of Medical Sciences, RIMS, Imphal. All hematological parameters including complete hemogram, prothrombin time, erythrocyte sedimentation rate (ESR), serum lactate dehydrogenase(LDH) and D-dimer were recorded in a predesigned proforma and data were analyzed using SPSS 21. Descriptive statistics were applied. Result: A total of 165 COVID-19 cases were included in the study with the mean age of 50.65 (±15.79) years and majority males 89 (53.94%). Most of the hematological parameters were deranged. The present study shows leucocytosis in 70 patients (42.4%) and neutrophilia was present in all patients (165). Majority of the study subjects had lymphocytosis (147,89.9%) ,high monocyte count (159,96.36%), normal eosinophil count (93,56.36%), normal basophil count (160,96.97%),normal RBC count (135,81.82%) and normal platelet count (120,72.73%) while thrombocytopenia was noticed in 10 patients only (6.06%). Most of the participants had elevated ESR (108,65.45%),normal PT (150,90.91%), normal INR (81,49.09%) and D– dimer was high in 71 subjects (43.04%). High serum LDH was found in majority patients (98,59.39%). Conclusion: Study concluded that almost all the hematological parameters were elevated in Covid-19 disease however, basophil count was not altered. Platelet count and prothrombin time were elevated in 1/5th and 1/10th of the patients respectively. Both D-Dimer and LDH were elevated in half of the patients suffering from Covid-19 disease. As pandemic is going on, early clinical knowledge and hematological parameters in COVID-19 disease will guide in the management and better outcome including reduction in severity at the earliest.
A CROSS SECTIONAL STUDY TO ASSESS THE AWARENESS OF RABIES AMONG DOG BITE VICTIMS ATTENDING PRIMARY HEALTH CENTER, TIRUPPUR

Background: Rabies is an acute infectious zoonotic disease of Central Nervous System. Dogs are the main reservoir of Rabies in India. Rabies is transmitted through the saliva of infected animals India is endemic for Rabies, and accounts for 36% of the world's Rabies deaths. Rabies deaths in human are 100% preventable through prompt and appropriate medical care. The objective is to assess the knowledge, attitude and practice about Rabies and wound management among the cases of dog bite. To find out the association between sociodemographic details with knowledge, attitude and practice about the study participants. Materials and Methods: A cross sectional study was conducted from January to February 2023 among 210 patients with dog bite who attended Perumanallur CHC and Pongalur CHC in Tiruppur district using a pretested, semi structured, self-administered questionnaire. Data were entered in Excel and analyzed using SPSS version 25. Result: Around 60% of participants had good knowledge, 68% had good attitude and 74% had good practice in relation to Rabies. There was a significant association of good knowledge with good attitude and good knowledge with good practice (p < 0.05). There was a significant association for good knowledge with age, educational qualification, occupation, monthly income and socioeconomic status. There was a significant association for good attitude with socioeconomic status and marital status. There was a significant association for good practice with age, educational qualification, occupation and socioeconomic status. Conclusion: Higher education levels and higher socioeconomic status had significantly higher proportion of good knowledge and practice. Health education and behavior change communication to general public especially those who are in lower socioeconomic status
Laboratory Parameters Predicting Brain Metastasis in Patients with Lung Cancer

OBJECTIVE Lung cancer (LC) is the leading cause of cancer death worldwide. Multiple studies have shown tumor progression and prognosis to be associated with immune status and nutritional condition. Alterations in blood lipid levels have been demonstrated to be a risk factor for LC. In the present study, we evaluate the effect of blood parameters on brain metastasis in LC
SURGICAL DILEMMA OF PILONIDAL SINUS DISEASE

Background: Pilonidal Sinus Disease (PSD) is a common Anorectal problem affecting the young population; The mainstay of management of PSD is surgical excision of the sinus tract and wound closure of the midline. The aim is to compare Keystone Perforator Island Flap (KIPF), Limberg Flap (LF) & Karydakis Flap (KF) [widely used in clinical practice to treat pilonidal sinus disease], in terms of early post-op complications. Materials and Methods: This prospective, multi-centric study was conducted between August 2020 and August 2021. A series of 60 patients were consecutively & randomly divided into 3 groups. 20 patients (Group I) underwent Karydakis Flap, 20 (Group II) underwent Elliptical Excision and Keystone Perforator Island Flap & 20 patients (Group III) underwent Rhomboid Excision and Limberg Flap, to cover the post-surgical raw area, and the post-op outcome compared in terms of Seroma, Hematoma, Flap Necrosis, Hospital Stay, Wound Dehiscence, Recurrence and Scar Characteristics. Result: This study revealed that operative time was significantly less in the KF group (47.5±5.50 Mins) compared to KIPF & LF group which were (82.00±15.68) & (92±22.79) minutes respectively whereas pain-free ambulation and hospital stay was lower in KIPF group which was statistically significant. Conclusion: The study revealed that KIPF has low hospital stay and early pain-free ambulation with good scar characteristics.
Original research Prevalence of knee osteoarthritis

Background: Knee OA is a highly prevalent chronic degenerative joint disease that causes significant disability. To the researcher's knowledge, local epidemiological studies of knee OA and patient characteristics of patients attending orthopedic outpatient clinics have not been carried out previously in Egypt. Purpose: The present hospital-based record trial aimed to determine how prevalent knee OA is (and its features) in Kasr ALAiny (in Cairo) and Qalubiya (in Qalubiya) hospitals in Egypt . Methods: The physical therapy records of patients referred to orthopaedic outpatient clinics at these hospitals were reviewed from 1/1/2019 to 31/12/2019. Results: It was found that the one-year prevalence of knee OA ranged from 6.6% (107/1633) to 9.25% (151/1633 cases), based on including combined cases, patellofemoral OA, and arthroplasties or not. The male-to-female ratio was approximately 1:4.2. Most cases were affected unilaterally (37.75%), with more on the right side (25.2%). Knee OA was commonly combined with medial meniscal injuries (59%). Knee OA mainly affects females unilaterally (right more than left) and is commonly combined with medial meniscal injury. Conclusion: Knee OA is prevalent among Egyptians. So, prophylactic measures should be taken by the stakeholders based on the determined features of knee OA.
COOPERATING TEACHERS’ AWARENESS ABOUT THEIR ROLE DURING THE TEACHING PRACTICE COURSE: THE TURKISH CONTEXT

The present study aims at investigating awareness of cooperating teachers (CTs) about their role during the practicum, which is carried out in the fourth year of teacher education programs in Turkey. The process has three dimensions: the trainees, the teacher trainers at the university, and the cooperating teachers at the practice school. In addition to their awareness about their roles, the current study investigates cooperating teachers‟ ideas about their involvement in the training process, and their cooperation with the teacher trainer. Data for the research was collected by a questionnaire and gathered from 72 cooperating teachers, in 38 practice schools. The results suggest that CTs have limited awareness on their roles during practicum. In addition, there is a considerable mismatch between how CT‟s view their contribution to the process and how much they actually contribute and also, there is disparity between their ideas about cooperation with the trainers and how much they actually cooperate with them.
Scale adaptation of MIS measures and their implications on MIS scholarship

Résumé : L’adaptation d’échelles fait référence au processus de changement d’un élément d’une échelle, tel que : modifier la formulation des phrases, revoir le type et le nombre de points d’ancrage, ou modifier la taille d’une échelle. L’adaptation des échelles est une pratique répandue en Systèmes d’Information (SI) depuis ses débuts et est particulièrement curant dans la recherche en SI en raison de la nécessité de maintenir un alignement étroit entre les concepts et leurs mesures, d’une part, et les contextes d’usage des SI qui évoluent rapidement. Dans cet article, nous remettons en question le présupposé méthodologique établi dans notre communauté SI, selon lequel l’adaptation d’échelles est une pratique inoffensive qui conduit finalement à l’amélioration des échelles existantes. Nous explorons les pratiques d’adaptation d’échelles dans la discipline SI, en examinant les échelles de mesure de la confiance, et nous contribuons à la conceptualisation de ces pratiques et nous avançons quelques recommandations concernant les pratiques identifiées.