Miracle-dz/UniFAR-FTUs huggingface dataset:
Building trust and recovery capital: the professionals’ helpful practice

Purpose The possibility of recovery for persons with co-occurring addiction and mental health problems has been contested. Though, recent studies show that recovery might happen, but without connection to specific treatment interventions. The purpose of this paper is to analyse professionals’ perceptions of their contribution to improvement. Design/methodology/approach In all, 15 experienced professionals were interviewed. The interviews were analysed using thematic analysis. Findings Recovery processes were dependent of the persons’ access to different forms of recovery capital (RC). Lack of RC was often associated with lack of trust in one’s self and others (identity and personal capital). Professionals had to be accepted as trustful agents through co-creating changes in the person’s life. Trusting a professional might be a basis for trusting one’s self as an agent in one’s recovery process and develop a social network (identity and relationship capital). Other aspects stressed by the professionals were to manage their own fragmentized organisations and societal shortcomings (economic capital). Practical implications Recovery has been described as a profoundly individual journey. However, it is also deeply social, involving other persons and contextual factors. Focusing on just one level might counteract the complex work behind double recovery. Originality/value Improvement was described as dependent on the presence of personal, inter-personal, organisational and societal factors. The findings give a deep and concrete understanding of the process constituting the development of a working alliance and its dependence on factors outside the direct relation between the staff member and the person.
Changes in evidence-based practice beliefs and implementation after a postgraduate educational program: A before-and-after study over one year

Healthcare professionals are increasingly expected to use research evidence to improve healthcare outcomes. The aim of this study was to examine change in beliefs and implementation of evidence-based practice (EBP) one year after participation in a 15 ECTS postgraduate educational program in EBP. We conducted a before-and-after study among 158 healthcare professionals in a postgraduate program in EBP. Participants completed the Norwegian version of the EBP Beliefs Scale and the EBP Implementation Scale at baseline and one year after the program. Results indicated increased scores from pre-test to one year follow up on the EBP Beliefs Scale and the EBP Implementation Scale. Participants in evidence-based network groups reported higher scores on the EBP Implementation Scale than those who did not participate in these groups. Further research should examine other factors that may facilitate implementation of evidence-based practice.
The Effect of Key Audit Matters on Firms' Capital Cost: Evidence from Chinese Market

Cost of capital is one of the most essential concerns in corporate finance. Anecdotal evidences and academic researches imply recent disclosure of key audit matter (KAM) required by the new audit standard may have unexpected implications on companies' cost of capital. I utilize the policy experimentation in implementing the new audit standard to establish a natural experiment, through which I find the introduction of KAMs increased companies' capital costs in general. Moreover, I find the introduction of KAMs affects companies in different information environment asymmetrically. The companies in better information environment are less affected by the disclosure of KAMs. Also, I find capital cost of companies with shorter KAM paragraphs increase less than those with long KAM paragraphs, which implies the detail level of KAM paragraphs can be a moderator on the incremental effect.
Integrating Improved Geriatric Content Into a Nursing Curriculum: Enhancing the Competencies of Nursing Students in Gerontological Care

The United States is facing a critical shortage of health care professionals who are trained in geriatrics. Among the health care professions, nursing, with more than 3 million members, comprises the largest segment of the nation’s health care workforce. New nurses entering this workforce find themselves caring for an extraordinarily large number of older patients with complex health care needs, regardless of the care setting. Currently, 36 million Americans are aged 65 or older. By 2030, that number will double. Accordingly, the need is significantly greater for more gerontologically trained registered nurses to address the complex health care needs of the older population. Current content in nursing school curricula on the care of older adults is neither sufficient nor fully incorporated into the didactic and clinical education of nursing students. Nursing education must change to meet the health care demands of the aging population and the complexities of the current health care environment.
Evaluation of the Relationship Between Ghrelin Hormone Level and Some Anthropometric Variables in Women Referring to Imam Reza Hospital, Tehran, Iran

Background: Ghrelin is secreted by gastric cells to stimulate hunger. Objectives: Theaimof thisstudywastoinvestigatetherelationshipbetweentheserumconcentrationof ghrelinandsomeanthro-pometric variables. Methods: This descriptive cross-sectional study was performed on 90 healthy women. The serum ghrelin level was measured by ELISA method and data were statistically analyzed by Pearson analysis. Results: Therewasasigniﬁcantcorrelationbetweentheghrelinlevelandage(r=-0.3;P=0.000),bodyweight(r=-0.2;P=0.03),BMI (r = -0.4; P = 0.001), and height to wrist ratio (r = 0.3; p = 0.004). Nevertheless, there was no signiﬁcant correlation between ghrelin level and central obesity. Conclusions: It seems that serum ghrelin level is associated with height to wrist ratio in healthy women.
Evaluation of Microbial and Enzyme Activity of Rhizospheric Soils under Integrated Nutrient Management of Apricot

They are important in catalyzing several vital reactions necessary for the life process of microorganisms in soils and the stabilization of soil structure, the decomposition of organic The present study was conducted at Horticultural Research and Training Station and Krishi Vigyan Kendra (HRTS & KVK), Kandaghat, Solan, Himachal Pradesh, India. This study was done to evaluate the change in microbial and enzyme activity of rhizospheric soil by application of biofertilizers, organic and chemical fertilizers during the year 2017-18. The results showed that maximum azotobater, PSB and actinomycetes population was found significantly higher with 80% RDF (25% CN + 75% Urea) + 20% N (VC) + (Azotobacter + PSB @ 25g/tree) during both the years of study. However, minimum was found in 100% RDF (100% N through CN). Soil enzyme activities were also found significantly higher with biofertilizes in combination with organic and chemical fertilizers. Soil enzyme activities (Urease, dehydroginase and alkaline phosphotase) were observed maximum when chemical fertilizers are applied in combination with vermicompost and biofertilizers as compared to control (chemical fertilizers without vermicompost and biofertilizers). It can be concluded that application of chemical fertilizers along with organic and biofertilizers can enhance the biological properties soil. K e y w o r d s
Antimicrobial use and resistance in Nigeria: situation analysis and recommendations, 2017

Introduction : it is projected that by 2050, 40% of 10 million deaths from Antimicrobial Resistance (AMR) will occur in Africa. Understanding the AMR situation in Nigeria will provide an excellent case study of the challenges faced by low-income countries. Methods : the information was derived from review of reports, programmatic data and documents, literature search, key informant interviews and a series of systematic reviews. Data was entered into purpose-built templates and synthesized thematically. Results : in Nigeria, the ratio of licensed pharmacies to over-the-counter medicine stores was 15 to 1 in 2016. A systematic review determined that median prevalence of persons using antibiotics without prescription to be 46.8%. In animals, antibiotics such as tetracyclines constituted over 80% of antimicrobials sold or used in 2014 and 2015. Antibiotic resistance was documented in humans, to drugs recommended by the country’s treatment guidelines for commonly occurring infections such as cholera and cerebrospinal meningitis. Majority of the studies documented recovery E. coli, non-typhoidal Salmonella and antibiotic residues from livestock, pets and animal products, most commonly in poultry. The drivers of AMR included unregulated antibiotic sales, proliferation of unlicensed medicine stores, shortage of licensed prescribers, poor AMR awareness and use of antibiotics in animals without prescription. Conclusion : we recommend that the government enforce regulations on antibiotic sales of antibiotics to humans and animals and increase awareness on AMR in Nigerian communities. Identified gaps from the situation analysis were used to develop a National Action Plan for AMR.
Influence of Authentic Leadership on Unethical Pro-Organizational Behavior: The Intermediate Role of Work Engagement

Business ethics are an important part of corporate sustainability. Sustainability concerns not only the environment but also the well-being of employees, which includes work engagement. Authentic leadership has an impact on the work engagement and well-being of subordinates. The aim of the current research is to present the interdependencies between leadership, work engagement, and unethical pro-organizational behavior. A group of 623 employees from various organizations working in various positions in Central and Eastern Poland was surveyed. The relationships between the variables were analyzed using CB-SEM structural modeling methods. The estimation was completed on the basis of the highest probability method. The CB-SEM model was applied in order to verify the hypotheses that had been formulated. The current paper presents an intermediate role of work engagement between supervisors’ leadership and the unethical pro-organizational behavior of subordinates. The survey shows that authentic leadership induces subordinates to engage in unethical pro-organizational behavior. Practical implications were formulated, including company board greater integration of ethics into the core values of organizations and emphasis on learning business ethics in universities and MBA studies.
A 5-year audit of maternal mortality in Mansoura University Hospital, Egypt

Background: This 5-year audit aims to estimate maternal mortality ratio (MMR) and describe causes of deaths as well as demographic and obstetric characters of dead mothers in Mansoura University Hospital (MUH), Egypt. Methods: A hospital-based retrospective descriptive study was carried out during the period from 2011 to 2015. All obstetric records (case notes, records of labor room, emergency records, and ward admission files) were reviewed for maternal deaths. The following data were abstracted: age, residence, occupation, cause of deaths, gestational age, gravidity, and mode of termination of pregnancy. Causes of maternal deaths were classified as direct and indirect. Results: During the study period, 23,078 obstetric admissions, 22,323 live births, and 61 maternal deaths were recorded. The MMR declined from 380.8 in 2011 to 145.5/100,000 live births in 2015. Hemorrhage and hypertensive disorders with pregnancies were the two main direct causes of maternal deaths. Out of the total deaths, 83.6% were in the age group of 21 to 35 years. The majority of maternal deaths (72.1%) belonged to rural areas and 91.8% were non-working. Most of the women who died were primigravida (49.2%). Only 26.2% of the mothers who died received antenatal care. More than half (57.4%) of deaths occurred after 48 hours of admission. Conclusion: The MMR in MUH is higher than national and regional figures. Adequate antenatal care and early referral of mothers with complications could contribute to reduction of maternal mortality. It is important to establish an audit committee for maternal deaths to determine the trends, causes, quality of care provided, and preventability of the death.
Oral Clindamycin as Drug of Choice for Scabies Patients with Secondary Bacterial Infections in West Java, Indonesia

The aim of this study was to identify the causative secondary bacterial infection in scabies and its susceptibility against systemic antimicrobials. We performed a cross-sectional descriptive study of 34 scabies patients clinically diagnosed by investigators through consecutive sampling in one District Hospital in West Java, Indonesia from January to March 2017. The secondary bacterial infection was confirmed by Gram staining. Bacterial culture was derived from intact pustules, then identified using Vitek® 2 system, including its susceptibility against 30 systemic antimicrobials. The result of bacterial identification consisted of 48.89% Group A Beta-Hemolytic Streptococcus (GABHS), 44.44% Staphyloccocus aureus (S. aureus), 4.44% Staphylococcus epidermidis (S. epidermidis) and 2.22% Klebsiella pneumoniae (K. Pneumoniae). All bacterias were sensitive to carbapenem group, however resistant to cephradine and kanamycin. The overall percentages of GABHS sensitivity to the tested antibiotics were as follows: 95.45% for chloramphenicol and ceftriaxone, 90.91% for amoxicillin/clavulanate, 86.36% for clindamycin, cloxacillin, cefotaxime, 72.27% for ciprofloxacin and methicillin. Sensitivity of S. aureus to the antibiotics were as follows: 100.00% for methicillin, 95.00% for clindamycin and cloxacillin, 90.00% for ciprofloxacin and levofloxacin, 85.00% for cotrimoxazole and 75.00% for ceftriaxone. The sensitivity of S. epidermidis to clindamycin, amoxicillin/clavulanate and methicillin were 100.00%. All of K. pneumoniae (100.00%) were sensitive to ciprofloxacin, cotrimoxazole, ampicillin/sulbactam, cefazolin, ceftriaxone, ceftazidime and cefepime. The most common etiology of secondary infection in scabies were GABHS and S. aureus with varying sensitivity and oral clindamycin is a drug of choice which can be given to pediatric or adults patients.
Spatial epidemiology of indicators of male reproductive health in Scotland

Background In recent years there are a number of reports showing a deterioration in male reproductive health, i.e. diminished semen quality and increases in the incidence of testicular cancer and the congenital malformations cryptorchidism and hypospadias. It is hypothesised that these changes have been caused by increasing in utero exposure to environmental oestrogens and/or anti-androgens. Objectives (i) Describe the geographical distributions of three indicators of male reproductive health in Scotland (i.e. testicular cancer, cryptorchidism and hypospadias). (ii) Describe the conjoint geographical distribution of the three indicators specified in (i). (iii) Identify explanatory factors that might account for the geographical distribution of male reproductive health in Scotland. Methods An epidemiology study modelling the geographical distributions using routinely collected data of the three indicators. The primary assessment of the geographical distribution of the indicators was by means of the relative risks at postcode sector level. If geographically varying risk factors (environmental or not) are associated with these conditions then would expect to see clustering of relative risks. Bayesian methods were used to estimate the relative risks so as to account for their variability due to areas with small number of cases. These Bayesian models were developed further by including potential covariates to assess if these area specific factors explain the spatial variation of the three indicators. In addition, Bayesian modelling of individual data pertaining to the cryptorchidism cases was also carried out to explore whether the spatial variation in risk might also be explained by the nature of the cases within each postcode sector rather than area specific covariates. Finally, a Bayesian model which combined all three indicators was developed to examine the spatial relationships between the three disease/conditions.
Health condition and risk attitude in the Dutch population: an exploratory approach

Risk is a central aspect of health condition because attitudes towards risk may influence the inclination to adopt behaviours that can influence health condition. Taking preventive health care measures or purchasing a private health insurance are examples of decisions individuals make based on their preferences. This study analysed the relationship between health condition and behaviour under conditions of uncertainty and examined personal characteristics related to risk behaviour. Data was obtained from a survey on a representative sample of the Dutch adult population (n = 2,822) conducted between May and June of 2014. Risk attitude was assessed through a self-reported scale and risk behaviours through a simulated lottery game, both included in the same survey. The relationship between risk attitudes and behaviours was examined, as well as certain socio-economic variables, including health condition, demographic characteristics, social status, and confidence in government institutions. Surveyed participants perceived themselves as risk-avoiding. However, their behaviour tended to be risk-seeking when playing lottery games, even when they faced potential (but limited) economic losses. Participants with poorer mental health condition tended to be less risk-inclined, which was not the case for participants who reported poor general health status. Participants feeling a higher satisfaction with their lives were willing to take greater risks in the lottery games. These findings allow for understanding risk behaviour as the interaction between personal perception of risk attitude and the assessment of risk associated to a specific situation. This assessment may be directly modulated by one’s state of mind and not by physical health condition.
Older, wiser, safer : evaluation of the long-term impact of an adolescent sexual health intervention programme (MEMA kwa Vijana) in Mwanza, Tanzania

Background: The UNGASS target to reduce HIV prevalence by 25% among 15-25 year olds living in the most affected countries by 2005 has not been met. In the absence of a vaccine or cure, behavioural interventions are the main strategy for HIV control. The ability of specific behaviour change interventions to reduce HIV/STI incidence and unplanned pregnancies in young people remains unproven. Methods: Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in 10 randomly selected intervention communities in rural Tanzania, within a community randomised trial. The intervention consisted of teacher-led, peer-assisted in school education, youth-friendly health services, community activities and youth condom promotion and distribution. Process evaluation in 1999-2002 showed high intervention quality and coverage. From June 2007 to July 2008, in the specific research reported in this thesis, the long-term impact of the intervention was evaluated among 13,814 young people aged 17-27 years who had attended trial schools between 1999 and 2002. Findings: Prevalences of HIV and HSV2 were 1.8% and 25.9% in males and 4.0% and 41.4% in females, respectively. The intervention did not significantly reduce risk of HIV (males adjusted prevalence ratio(aPR)=0.91; 95%CI:0.50-1.65; females aPR=1.07; 95%CI:0.68-1.67) or HSV2 (males aPR=0.94;95%CI:0.77-1.15; females aPR=0.96; 95%CI:0.87-1.06). The intervention was associated with a reduction in number of lifetime sexual partners reported by males (aPR=0.87; 95%CI:0.78-0.97) and an increase in reported condom use at last sex with a non-regular partner among females (aPR=1.34; 95%CI:1.07-1.69). There was a clear and consistent beneficial impact on knowledge, but no significant impact on reported attitudes to sexual risk, reported pregnancies or other reported sexual behaviours. Interpretation: SRH knowledge can be improved and retained long-term, but this intervention had little effect on reported behaviour or HIV/STI prevalence. Youth interventions integrated within intensive, community-wide risk reduction programmes may be more successful and should be evaluated.
Genetic diversity and evolution of Hantaan virus in China and its neighbors

Backgroud Hantaan virus (HTNV), as one of the pathogenic hantaviruses of HFRS, has raised serious concerns in Eurasia. China and its neighbors, especially Russia and South Korea, are seriously suffered HTNV infections. Recent studies reported genetic diversity and phylogenetic features of HTNV in different parts of China, but the analyses from the holistic perspective are rare. Methodology and Principal Findings To better understand HTNV genetic diversity and dynamics, we analyzed all available complete sequences derived from the S and M segments with bio-informatic tools. Our study revealed 11 phylogroups and sequences showed obvious geographic clustering. We found 42 significant amino acid variants sites and 18 of them located in immune epitopes. Nine recombination events and seven reassortment isolates were deteced in our study. Sequences from Guizhou were highly genetic divergent, characterized by the emergence of multiple lineages, recombination and reassortment events. We found that HTNV probably emerged in Zhejiang about 1,000 years ago and the population size expanded from 1980s to 1990s. Bayesian stochastic search variable selection analysis revealed that Heilongjiang, Shaanxi and Guizhou played important roles in HTNV evolution and migration. Conclusions/Significance These findings reveal the original and evolution features of HTNV which might assist in understanding Hantavirus epidemics and would be useful for disease prevention and control. Author summary Hemorrhagic Fever with Renal Syndrome (HFRS) and Hantavirus Pulmonary Syndrome (HPS) are endemic zoonotic infectious diseases caused by hantaviruses that belong to the Family Bunyaviridae. Hantaviruses have gained worldwide attention as etiological agents of emerging zoonotic diseases, with fatality rates ranging from <10% up to 60%. However, our knowledge about the emergence and evolution of HTNV is limited. To get more information about HTNV genetic diversity and phylogenetic features in holistic perspective, we investigated the genetic diversity and spatial distribution of HTNV using all available whole genomic sequences of S and M segments. We also gain insights into the genetic diversity and spatial-temporal dynamics of HTNV. These data can augment traditional approach to infectious disease surveillance and control.