Miracle-dz/UniFAR-FTUs huggingface dataset:
Assessing medication self-management challenges and self-efficacy during emergency department medication reconciliation: An evidence-based quality improvement project

Introduction Older adult patients (≥65) accessing emergency departments (ED) represent a significant demographic. Recidivism secondary to adverse drug events (ADE) ranges between 6-24% and levels of prescribed medication non-adherence is common among older adults. The ED pharmacist medication reconciliation workflow may mitigate self-management challenges in real time and reduce medication-related harm while potentially impacting recidivism, medication adherence, and patient self-efficacy. The purposes of this evidence-based project were to (1) evaluate the impact of a modified Medication Management for Deficiencies in the Elderly (MedMalDE) intervention on Self-Efficacy for Appropriate Medication Use (SEAMS) and 30-day return to care and (2) identify factors associated with medication self-management challenges (MedMalDE) in the participating institution. Methods As part of an evidence-based quality improvement (QI) effort to build an accredited geriatric emergency department (GED) and meet State legislated acute care medication history requirements, a new medication reconciliation workflow was deployed. To assess the intervention’s impact on self -efficacy in a pre/post design, 21 older adult patient’s underwent SEAMS assessment at two time points: the intervention and 7-14 days post-discharge from the emergency department. Baseline data and medication self-management challenges for an ED convenience sample of 167 older adult patients completed the MedMalDE. Descriptive statistics and a logistic regression model were used to evaluate the impact of the intervention and factors associated with medication management deficiencies. Wilcoxon Signed Rank was used for pre/post SEAMS score change. Results The self-efficacy (SEAMS) scores of 21-patients participating in the intervention were significantly improved from 19.88 to 21 (p=0.0077, p10%, included lack of knowledge regarding medication names, ease of opening or manipulating medications, ease of swallowing medications, and affordability. MedMalDE total scores were significantly associated with female gender (OR=
Diversity dynamics of the Triassic marine biota in the Western Caucasus (Russia) : A quantitative estimation and a comparison with the global patterns

Diversity dynamics of discovered Triassic marine biota in the Western Caucasus (Russia) have been studied quantitatively. The stratigraphic distribution of 422 species was taken into account. Foraminifers and brachiopods, followed by ammonoids, were the most diverse groups in comparison with bivalves, corals, algae and sponges. Total diversity, relatively low in the Early Triassic, strongly increased in the Anisian. Diversity decreased significantly in the Ladinian. Repopulation began in the Carnian, and the Norian is characterized by a new «explosion» of diversity. Weak diversification continued in the Early Rhaetian. The faunal diversity documented in the Western Caucasus generally reflected both the influences of the regional palaeoenvironmental changes and the global evolutionary patterns of the Triassic marine biota.
Assembly Sequence Planning for Rectangular Modular Robots with Accessibility Constraints

Product assembly is the final step in a manufacturing process where the individual components of a product are joined together. Assembly sequence planning (ASP) can be defined as the problem of finding a collision-free sequence of operations that allow the product assembly. Considering that during assembly individual modules cannot pass through a gap only as large as a module side, the ASP problem can be extended to modular robots, more specifically to rectangular modular robots. The main ASPs presented in the literature that are applicable to rectangular modules do not allow configurations with narrow corridors, i.e., corridors which are too narrow for a robot to transverse. Furthermore, these ASPs do not allow preassembled substructures or the free selection of the assembly starting point. Thus, the main goal of this work is to extend the classes of rectangular modular robot configurations that can be assembled without violating the accessibility condition. This paper introduces three novel ASP for constructing planar target structures composed of rectangular modular robots. Each ASP is adequate for a different scenario. Original implementation results and mathematical proofs for the three novel ASPs are also presented. To the best of the authors’ knowledge, this is the first work that presents, considering the accessibility condition, how to obtain centralized ASPs for assembling planar structures composed of rectangular modules with narrow corridors. Furthermore, the novel ASPs allow structures composed of subsets of preassembled modules and configurations with internal holes. They also allow the choice of the assembly starting point. Moreover, the third ASP proposed in this work allows achieving discontinuous assembly paths, i.e., wherever possible, the ASP allows a novel module to not connect to the latest added robot.
The June 2006 Canterbury Snowstorm

This paper documents the June 2006 snow storm and compares it to other significant snow storms in Canterbury. The large snow storm of 12 June 2006 delivered record snow depths to some parts of Canterbury and produced significant snow falls elsewhere, with considerable damage and disruption to electricity distribution, communication and transport systems in the greater Canterbury region. Insurers have estimated that insurance claims in the South Island from the snow storm will exceed $35 million. Shortly following the storm, point measurements from the manual rain gauge network and other sources of data were collected to determine snow depths across the Canterbury region and they were compared to published information on previous snow storms in Canterbury. In areas north of the Rakaia River snow depths from the June 12 storm had been equalled in previous storms. Snow depths in inland areas north of the Rakaia River were similar to the 1973 storm. However, the 2006 storm produced pockets of significantly deeper snow west of Darfield and towards the foothills, conditions more similar to the 1945 storm. In the coastal plains areas (north of the Rakaia) the snow was much deeper than the 1992, 1973 or 1967 snow storms, except in and close to Christchurch, where the 1992 snow storm was much more severe. Snow depths were extreme in areas south of the Rakaia River. In the mid and south Canterbury plains and foothills the 2006 storm produced greater snow depths than the 1973 and 1967 snow storms. Snow depths throughout this area were similar to the 1945 snow storm and in some areas much deeper. Ashburton had its greatest maximum snow depth on record: it has been estimated that the 2006 snow storm represented a 1-in-150 year event in Ashburton. Inland areas around Fairlie and Burkes Pass had snow depths similar to the 1973 storm, but areas further west in the Mackenzie Basin had significantly less snow than in most previous notable snow storms - only 50 cm were recorded at the Hermitage in 2006, as opposed to over 100 cm in 2002, 1973 and 1967.
Shocks and social protection in the Horn of Africa : analysis from the Productive Safety Net Programme in Ethiopia

Summary Using panel data from the Ethiopian Productive Safety Net Program, this paper explores the degree to which this social protection programme has been successful in protecting its beneficiaries against the various shocks that have affected the Horn of Africa in the recent past. The analysis suggests that although the PSNP has managed to improve households’ food security and wellbeing, the positive effects of the programme are not robust enough to shield recipients completely against the impacts of severe shocks.
A modeling study of the effect of wind on Changjiang (Yangtze) River Diluted Water in summer

A three-dimensional hydrodynamic model for Yangtze Estuary and the adjacent sea was developed within the framework of Environmental Fluid Dynamics Code(EFDC). This model was used to study the relationship between winds and Changjiang(Yangtze) River diluted water(CRDW) in summer.Simulated elevations,currents,temperatures and salinities are fairly consistent with observed data.Numerical experiments show that wind plays an important role in the expansion of CRDW.Wind induced Ekman transport would push CRDW to the right of wind direction.At a speed of 5 m/s,easterly,southeasterly,southerly and southwesterly wind push CRDW seaward significantly,while westerly,northwesterly,northerly and northeasterly wind confine CRDW to the coastal area.The Ekman transport is intensified with intensified wind,resulting that more CRDW will be transported to the right of wind direction.Due to stratified water,the turbulence is relatively weak in the axis of the low-salinity tongue.Weak turbulence consumes less wind energy.So the water in the axis of the tongue is accelerated more than water in other areas.Then,more diluted water is transported through the axis area of the low-salinity tongue.Eventually,the width of the tongue becomes smaller with stronger winds.Statistical analysis of observed data also verifies the numerical conclusions.
Diatoms as indicators of hydrologic and climatic changes in Laguna Potrok Aike, Patagonia (PASADO)

Les sediments lacustres constituent l'une des meilleures archives continentales a notre disposition pour etudier les changements climatiques et environnementaux a haute resolution. Lors du projet PASADO (Potrok Aike Maar Lake Sediment Archive Drilling Project), nous avons preleve une serie de carottes sedimentaires de Laguna Potrok Aike, un maar situe au Sud de la Patagonie. De facon a reconstruire les derniers changements climatiques et hydrologiques a Laguna Potrok Aike, plusieurs de ces carottes ont ete analysees en utilisant les diatomees comme principal proxy. Les resultats obtenus nous ont permis de mieux caracteriser l'evolution du climat et de l'environnement local pour les derniers 50 cal. ka BP. Grâce a sa resolution temporelle unique, nous avons pu comparer cet enregistrement a d'autres archives climatiques, comme les carottes de glaces de l'Antarctique, de facon a avoir une vision plus globale du changement climatique dans l'hemisphere Sud.
Evaluation of Blood Transfusion-Related Reactions of Blood Recipients in Hamadan Besat Hospital Patients during 2020- 2022

Background: Blood transfusion has some complications known as transfusion-related reactions. Accurate identification and recording of these reactions is more important for their management and prevention. This study aimed to evaluate blood transfusion-related reactions in blood recipients in patients in Hamadan Besat hospital during 2020-2022. Methods: In this cross-sectional study, the data of 400 patients who had complications after receiving blood and blood components were collected in terms of hemolytic and non-hemolytic blood transfusion reactions. Data were collected from patients’ medical records and standard blood transfusion checklists and analyzed by SPSS version 26 software using the chi-square test and Fisher’s exact test. Results: Red blood cell (RBC), 70.25%, random donor platelet (RDP), 10.3%, and fresh frozen plasma (FFP), 9.5%, were the most transfused blood components. Blood transfusion reactions were allergic reactions (53.5%), febrile non-hemolytic transfusion reaction (FNHTR) (24%), dyspnea (10.25%), hemolytic reactions (HR) (4.5%), hypotension (4.25%), transfusion-associated cardiovascular overload (TACO) (1.75%), and other reactions (2.75%). A significant relationship was also observed between receiving components containing RBC, including whole blood (WB0), RBC concentrate, and leukoreduced RBC, and the incidence of FNHTR (P=0.001). Conclusion: Based on the findings of the present study, allergic reaction and FNHTR were the most common complications after blood transfusions. Blood transfusion-related reactions could be predicted, managed, and possibly prevented by considering the relationship between the type of reaction and the type of transfused blood components.
Does citizen participation make public servants more satisfied with their jobs? It depends on whether they are Spectators or Participants

Is citizen participation in policymaking and implementation desirable? Numerous studies have explored its effects on policy outcomes and citizen attitudes. We, instead, examine its effects on public servants. Citizen participation changes public sector job characteristics and thus potentially job attitudes. Looking at job satisfaction, we argue that citizen participation negatively affects public servants who observe, but do not participate in citizen participation initiatives in their institution's decisions (“Spectators”), yet not public servants who are “Participants. ” “Participants” learn to appreciate the benefits of citizen participation while minimizing its cost. Survey data from public servants in one developing country, Bangladesh, provides empirical support.
Effects of primary production and other factors on the size and abundance of juvenile coho salmon in artificial off-channel habitat

In British Columbia and the Pacific Northwest, construction of off-channel habitat including artificial ponds and groundwater-fed channels, figures prominently in restoration efforts intended to benefit coho salmon (Oncorhynchus kisutch). To examine how juvenile coho production was effected by autotrophic productivity in these systems, I estimated the average size and abundance of juvenile coho during late summer and early spring over two years in three pairs of physically similar channels and one pair of ponds with one member of each pair having relatively high periphyton biomass and the other member having low periphyton biomass. Differences in total alkalinity between paired sites suggested that nutrient availability was a strong determinate of periphyton biomass on artificial substrate. However, periphyton biomass did not appear limited by phosphorus alone; phosphorus was relatively abundant in the groundwater channels, and as a result, nitrogen and possibly other nutrients were also important. Average coho fry size and biomass per unit area were greater by late summer in the periphyton-rich sites, but fry density was not. Physical habitat variability also failed to explain high variation in coho densities among the groundwater channels. Biomass and taxonomic composition of benthic invertebrates also appeared to be related to periphyton biomass, but a strong interaction between invertebrate abundance or distribution and current velocity was a confounding factor. In the subsequent spring, pre-smolt coho were still larger in the periphyton-rich site in the majority of cases. However, water temperature during the winter had a much greater effect on average pre-smolt size than growth rate the previous summer. In the
Financial Statement Ratios, Audit Quality and Long-Term Tax Avoidance

Taxes are a burden for companies, reducing their profits, so they engage in tax planning to minimize the amount of tax they must pay. Tax avoidance is a way for companies to reduce or minimize tax payment obligations, but it does not violate the provisions or government policies in taxation. The purpose of this study is to assess and analyze the effect of financial statement ratios and audit quality on Tax Avoidance both short-term and long-term. The study introduces a method of measuring corporate tax avoidance, namely long-term cash ETR. This study finds that there is various effect in Indonesia, Thailand, and Malaysia on corporate tax avoidance.
Diversity-Stability Relationships of an Alpine Plant Community under Simulated Environmental Change

We examined the relationship between plant community diversity (species richness, evenness) and stability in an alpine Dryas octopetala heath exposed to four years of warming (open top chambers) and nutrient addition at Finse, southern Norway. Furthermore, we examined if different functional types responded differently to the interaction between environmental change and initial community diversity. We used the temporal change in species composition, calculated as the sum of change in sample scores in detrended correspondence analyses, as a measure of variability (opposite of stability). Under ambient conditions, a high initial species richness was associated with less stability of the total species composition. Under experimental warming, initial high species richness and evenness were associated with a more stable subsequent vascular species composition. Vascular stability decreased, however, with higher species richness under nutrient addition. When warming and nutrient addition were combined, high initial evenness was associated with more stable bryophyte composition, whereas high species richness was associated with reduced lichen stability. Thus, the degree and direction of the diversity-stability relationship depended on the type of environmental perturbation, the responding functional type, and on the diversity parameter used. The large variation in diversity-stability relationships is likely an outcome of complex species interactions and environmental factors influencing community diversity.
Dominant flood generating mechanisms across the United States

River flooding can have severe societal, economic, and environmental consequences. However, limited understanding of the regional differences in flood‐generating mechanisms results in poorly understood historical flood trends and uncertain predictions of future flood conditions. Through systematic data analyses of 420 catchments we expose the primary drivers of flooding across the contiguous United States. This is achieved by exploring which flood‐generating processes control the seasonality and magnitude of maximum annual flows. The regional patterns of seasonality and interannual variabilities of maximum annual flows are, in general, poorly explained by rainfall characteristics alone. For most catchments soil moisture dependent precipitation excess, snowmelt, and rain‐on‐snow events are found to be much better predictors of the flooding responses. The continental‐scale classification of dominant flood‐generating processes we generate here emphasizes the disparity in timing and variability between extreme rainfall and flooding and can assist predictions of flooding and flood risk within the continental U.S.
Presentation of a Green Accounting Model in Integrated Reporting Using a Critical Approach: A Model to Replace Integrated Reporting

Background: One of the most important challenges in the business world is environmental performance and how to disclose it. Companies interested in disclosing environmental information try to present their information to users transparently comprehensibly. One of the most recent reports that can provide environmental information transparently and cover the criticisms of green accounting, which was presented as an independent report, is integrated reporting. Methods: In the present study, the green accounting model in integrated reporting is prepared with a critical approach. This model was developed qualitatively and the multi-grounded theory method was used. Results: Accordingly, among the selected texts and interviews with 20 experts in the field of accounting and auditing, the relevant concepts and categories were extracted and by categorizing and linking the categories, the desired model including causal conditions, contextual conditions, intervening conditions, core category or phenomenon, strategies and consequences were extracted. Conclusion: Based on the results of this study, it is recommended to the Accounting Standards Development Committee to hold meetings to assess the need for integrated reporting in the country and use the experiences of other countries using this report. It is also recommended for the auditing organization to assign a case in the headings of its review in companies under the title of the presence or absence of an integrated report. It can be a stimulus for companies to follow and become familiar with integrated reporting.
Fivefold‐Coordinated Silicon in MgSiO3 Melt Accommodates Viscous Flow up to Transition Zone Pressures

Fivefold‐coordinated silicon is assumed to be the transitional species that accommodates the structural relaxation needed for viscous flow of silicate melts, but so far robust insight at the atomic scale is missing. Furthermore, the role of fivefold‐coordinated silicon in melts at Earth's mantle pressures is unknown. Here we discuss the relative dynamic stabilities of four‐, five‐ and sixfold Si–O coordination polyhedra in MgSiO3 melt at pressures up to 40 GPa, obtained from ab initio molecular dynamics simulations and a novel concept based on a coordination auto‐correlation function. Successfully benchmarked against the relaxation time predicted by Maxwell's relation, our results show that fivefold‐coordinated silicon accommodates structural relaxation not only at ambient pressure, but at least up to the pressures of the mantle transition zone. These results shed new light on the interplay between structure and viscosity of silicate melts.
Modeling of solar energy potential in Africa using an artificial neural network

In this study, the feasibility of an artificial neural network (ANN) based model for the prediction of solar energy potential in Africa was investigated. Standard multilayered, feed-forward, backpropagation neural networks with different architecture were designed using NeuroSolutions. Geographical and meteorological data of 172 locations in Africa for the period of 22 years (19832005) were obtained from NASA geo-satellite database. The input data (geographical and meteorological parameters) to the network includes: latitude, longitude, altitude, month, mean sunshine duration, mean temperature, and relative humidity while the solar radiation intensity was used as the output of the network. The results showed that after sufficient training sessions, the predicted and the actual values of solar energy potential had Mean Square Errors (MSE) that ranged between 0.002 0.004, thus suggesting a high reliability of the model for evaluation of solar radiation in locations where solar radiation data are not available in Africa. The predicted and actual values of solar energy potential were given in form of monthly maps. The solar radiation potential (actual and ANN predicted) in northern Africa (region above the equator) and the southern Africa (region below the equator) for the period of April – September ranged respectively from 5.0 7.5 and 3.5 5.5 kW h/m/day while for the period of October – March ranged respectively from 2.5 – 5.5 and 5.5 7.5 kW h/m/day. This study has shown that ANNbased model can accurately predict solar radiation potential in Africa.