Miracle-dz/UniFAR-FTUs huggingface dataset:
Nurse practitioners' perceptions of their role and value in UK general practice

This research explores the role and value of nurse practitioners to UK general practice from the perspective of nurses working in these advanced roles. Nursing has had a presence in general practice for decades, but it is only over the last twenty years that it has extended into a traditional medical domain of care and treatment. Research has understandably focused on the ability of nurses to substitute for doctors and there has been relatively little investigation of what nursing at an advanced level contributes.The study is located within a qualitative interpretive paradigm utilising a Social Constructionist (SC) approach which recognises that knowledge is not based solely on objective observations of the world, but is generated between individuals in the course of their everyday life. The theoretical perspective grounded in this epistemological paradigm is symbolic interactionism (SI). This emphasises the construction of the social world and meaning through the use of symbols, particularly language.Thematic Analysis (TA) is utilised deliberately as a research strategy guiding sampling, data generation, collection and analysis. A purposive sample of ten nurse practitioners was selected. Semi-structured interviews were conducted, digitally recorded, transcribed and the data analysed using Braun and Clarke's model.Four broad themes were identified from the narratives; the enactment and development of the nurse practitioner role, its value to the organisation and function of general practice, the impact of nurse consultation upon the patient experience and finally, how the role has integrated into the primary health care team.The findings demonstrate that rather than one generic nurse practitioner role in general practice there are multiple constructs, driven at macro level by political necessity, negotiated at micro level by the needs of individual general practices and framed within a professional vacuum of non-regulation. This has not been fully explained before. The research provides a clear and original understanding of what nurse practitioners can contribute to general practice through the diversification of their roles, not as substitute but as part of a diverse, fluid team working collaboratively to address the needs of the general practice population.
Trends in Underpricing of Private Equity Backed IPO at the Capital Market in Poland in the Years 2000–2018

The global economy is distinguished by the dynamic development of financial markets and with it creating a new specific segments of the market. One of them is the market for venture capital and private equity funds, which is developing very dynamically for more than 50 years. This article aims to analyze the level of underestimation of the IPO on the Warsaw Stock Exchange companies supplied by venture capital and private equity funds. Analyzing the rates of return of 54 companies supplied with VC funds and 453 companies which do not have the support of venture capital funds in the 2000–1018 period, it should be stated that traditional companies reached the lower level of underestimation. For companies a broad market level underestimation of the IPO was 9.99% and for companies with VC/PE support – 9.12%.
Review Of Management Of Common Poisoning In India.

Suicidal or homicidal poisoning with drugs overdosage is one of the common causes of morbidity and mortality in India. Patients generally presents with varying degree of signs and symptoms in emergency. On arrival of the patient assessment of the danger should be done followed by common procedures like gut decontamination using activated charcoal, maintenance of fluid balance and airway control. Gastric levage is an important procedure especially if done with in 60 minutes of poisoning but due consideration must be given to contraindication. In India generally two types of poisoning is seen as agriculture based and with pharmacological agents i.e. drugs. India is an agriculture-based country with over usage of pesticides. In emergency two types of pesticide poisoning is common as with organophosphates and with aluminium phosphide. The mortality rates are much lower if early treatment is started in both the case. Over dose with opioids is another important cause of mortality especially in addicts. The other poisons encountered are with paracetamol, aspirin, chloroquine, alcohol, theophylline and iron. The specific management with antidotes generally reverses the symptoms of poisoning saving the patients life. INCIDENCE Acute poisoning is a common problem worldwide. In the United Kingdom (UK) it accounts for an estimated 1020% of acute medical admissions and 5-10% of the workload of Accident and Emergency (A&E) departments. Episodes of self-poisoning continue to rise, with the rates being the highest in Europe 1 . The severity of poisoning has decreased over the past decade with the introduction of safer drugs, such as the selective serotonin reuptake inhibitors. However, in India the exact incidence cannot be defined as there is under reporting of cases of poisoning. Infact, there is no check on sale of poison and any body can purchase it over the counter. This paper will address common pitfalls in the management of poisoned patients where clinical management could be improved and medico legal problems can be avoided. MANAGEMENT
A Paris-Edinburgh Cell for High-Pressure and High-Temperature Structure Studies on Silicate Liquids Using Monochromatic Synchrotron Radiation

A Paris-Edinburgh press combined with a multi-channel collimator assembly has been commissioned at the GeoSoilEnviro Center for Advanced Radiation Sources (GSECARS) beamline for monochromatic X-ray scattering, with an emphasis on studying low-Z liquids, especially silicate liquids at high pressure. The Paris-Edinburgh press is mounted on a general-purpose diffractometer, with a pixel array detector mounted on the detector arm. The incident monochromatic undulator beam with energies up to 60 keV is focused both horizontally and vertically to a beam size about 30 × 30 µm. With this setup, background scattering from the surrounding pressure media is completely removed at 2θ angles above 10° for samples larger than 1.05 mm in diameter. Thirty minutes is typically sufficient to collect robust X-ray scattering signals from a 1.6 mm diameter amorphous silicate sample. Cell assemblies for the standard Paris-Edinburgh anvils have been developed and pressures and temperatures up to 7 GPa and 2300 K, respectively, have been maintained steadily over hours. We have also developed a cupped-toroidal Drickamer anvil to further increase pressure and temperature capabilities. The cupped-toroidal Drickamer anvil combines features of a modified Drickamer anvil and the traditional Paris-Edinburgh anvil. Pressures up to 12 GPa have been generated at temperatures up to 2100 K.
Application of Resistivity Method for Mining Tailings Site Selection in Karst Regions

Disposal of mining wastes (tailings) is one of the most severe issues related to groundwater contamination. Therefore, a properly selected disposal site helps to prevent the leakage of dissolved materials in the tailings to groundwater, especially in the karstic area. Where the karstic environment is one of the challenges facing groundwater environmental and engineering issues, for instance, groundwater exploration, vulnerability assessment, and hazard estimation. In this study, the resistivity method with a high-resolution surface data survey was carried out to investigate the pond location selection for mining tailings disposal at El Mochito mine site, northwest Honduras. The results of the two-dimensional (2-D) inversion for sixteen surveyed lines revealed that many low resistivity zones. These zones are related to water/clay-bearing zones that are structurally weak. From lines 8-12, the limestone underneath the surface is the most compact, and this is the best location in the survey area for tailings pond construction. The resistivity method has provided insight into the subsurface information and locating hydraulically conductive zones, so it can be useful for selecting the site of mining tailings.
AVAILABILITY OF SCHOOL HEALTH SERVICES AND PERCEIVED HEALTH STATUS OF STUDENTS IN PUBLIC BOARDING SCHOOLS IN THE FEDERAL CAPITAL TERRITORY (FCT) ABUJA

A THESES SUBMITTED TO THE POSTGRADUATE SCHOOL, AHMADU BELLO UNIVERSITY (A.B.U) ZARIA NIGERIA IN PARTIAL FULFILMENT FOR THE AWARD OF MASTER OF EDUCATION IN HEALTH EDUCATION DEPARTMENT OF PHYSCIAL AND HEALTH EDUCATION (PHE) AHMADU BELLO UNIVERSITY (A.B.U) ZAIRA NIGERIA JUNE,2011
Chemotaxis overrides Barotaxis during Directional Decision-Making in Dictyostelium discoideum

Neutrophils and dendritic cells have, besides their well characterised chemotactic movement responses, been shown to be able to detect and respond to local differences in hydraulic resistance (barotaxis). Furthermore, for neutrophils, it has been suggested that barotaxis overrides chemotaxis. Here, we investigate whether Dictyostelium cells also respond to hydraulic resistance or primarily to chemical gradients using an asymmetric bifurcating micro-channel. This channel design allows us to decouple hydraulic and chemical stimuli, by providing a choice between moving up a chemical gradient or down a chemical gradient into a channel with 100 times lower hydraulic resistance. Under these conditions chemotaxis always overrides barotaxis. Cells confronted by a microchannel bifurcation are observed to often partially split their leading edge and to start moving into both channels. Cells in steeper cAMP gradients, that move faster, split more readily. The decision to retract the pseudopod moving away from the cAMP source is made when the average velocity of the pseudopod moving up the cAMP gradient is 20% higher than the average velocity of the pseudopod moving down the gradient. Surprisingly, this decision threshold is independent of the steepness of the cAMP gradient and speed of movement. It indicates that a critical force imbalance threshold underlies the repolarisation decision. Significance Statement We investigate the directional ‘decision-making’ of Dictyostelium discoideum cells migrating within engineered micro-channels harbouring asymmetric bifurcations. Unlike neutrophils and immature dendritic cells, Dictyostelium cells strongly prioritise chemical over barotactic guidance cues. Cells in steeper cAMP gradients migrate at higher speeds, split their leading edges more readily when confronted with a bifurcation in the channel. The decision to retract a pseudopod pointing in an unfavourable direction occurs when a critical tension gradient between two competing pseudopods is surpassed. These experiments show that although barotaxis is not a major guidance cue, cellular mechanics plays a major role in leading edge dynamics, including front splitting and polarisation and retraction.
Ecology, Biology and Genetics of Millepora Hydrocorals on Coral Reefs

Coral reefs are one of the most productive and diverse ecosystems on Earth. However, climate warming is occurring at an unprecedented rate and has negatively affected coral reefs worldwide. Evaluating the life history of reef-building species carries important implications for coral reef conservation. This chapter examines the taxonomy, biogeography, ecology, symbiosis, morphology and reproductive biology of Millepora hydrocorals, an important but relatively unstudied component of coral reefs. An emphasis is also placed on the influence of variable reef environments on Millepora life history traits, providing a fascinating opportu-nity to study the interplay between ecology and evolution. Special attention is given to ecological and evolutionary benefits of asexual versus sexual reproduction in the maintenance of genetic and phenotypic diversity. Lastly, this chapter discusses whether life-history strategies of Millepora hydrocorals and tolerance to different stressors can influence their ability to adapt and survive to future climate change, and other natural and anthropogenic disturbances. heavily relies on asexual reproduction through fragmentation for local replenishment (80% of the colonies are clones), allowing population growth and the persistence of a genotype over time. M. cf. platyphylla population is sustained via a significant contribution from self-recruitment (8 – 36% of juveniles are self-recruits). Mosaicism and chimerism also contribute in creating novel genotypic diversity at the population and individual levels.
Increasing pulse energy of 5Hz rTMS improves its efficacy in inducing excitatory aftereffects

High frequency repetitive transcranial magnetic stimulation induces excitation when applied to the motor cortex as reflected by the increase MEP amplitudes after the stimulation. The effects differ according to pulse width, probably due to higher content of energy in the wider pulses and their ability to cause wider activation in comparison to shorter pulse shapes. Here we focus on the aftereffects generated with high frequency controllable pulse TMS (cTMS) with different pulse widths.To investigate the influence of pulse energy by using different stimulation intensities and pulse widths on the excitatory plastic aftereffects of high frequency (HF) rTMS.Using a controllable pulse stimulator TMS (cTMS), we stimulated the hand motor cortex with 5 Hz rTMS applying 1200 bidirectional pulses with the main component widths of 80, 100 and 120 microseconds. 14 healthy subjects were initially investigated for six randomized sessions first with 80% RMT for anterior-posterior (AP) and posterior-anterior (PA). Then three more sessions using same pulse widths were added for 90% RMT anterior-posterior (AP). 80% HF rTMS did not produce any significant excitation in either AP or PA direction. 90% RMT AP stimulation with 100 and 120 microsecond-wide pulses were more excitatory, when compared to the 80 microsecond-wide pulses. We also found a correlation between the individual pulse energy and the plastic outcome of each session.HF rTMS with wider pulses is more effective in producing excitatory aftereffects, an effect that correlated with the higher energy content of wider pulses and higher intensity.The findings here suggest that wider pulses are capable of inducing more excitation, a fact that could contribute to better results in future clinical studies performed with wider pulses.
The Effect of Internal Control, Individual Morality and Ethical Value on Accounting Fraud Tendency

In general, this study aims to determine the effect of Internal Control, Individual Morality, and ethical Value on Accounting Fraud Tendency in Start-Up Businesses. This study was conducted on Start-Up Businesses. One hundred eighty-eight respondents participated in this study. The result of this study showed that internal control has a significant negative effect on accounting fraud tendency. In other words, an increase in Internal Control will decrease the tendency of accounting fraud in a company. Individual morality also has a significant negative effect on accounting fraud tendency. An increase in individual morality, which could be done by implementing the right morals in daily activity will prevent the action of fraudulent behavior. Furthermore, ethical value also has a significant negative effect on accounting fraud tendency. A proper profession ethic codes will increase moral value in an individual's professionalism, which will minimize the action of fraudulent behavior. This research is done in the hope to contribute to the theory and practice. This study contributes to the subject related to internal control, individual morality, ethical value, and accounting fraud tendency. Furthermore, for Start-Up Businesses, research can be used to prevent accounting fraud
A regional atmosphere–ocean climate system model (CCLMv5.0clm7-NEMOv3.3-NEMOv3.6) over Europe including three marginal seas: on its stability and performance

Abstract. The frequency of extreme events has changed, having a direct impact on human lives. Regional climate models help us to predict these regional climate changes. This work presents an atmosphere–ocean coupled regional climate system model (RCSM; with the atmospheric component COSMO-CLM and the ocean component NEMO) over the European domain, including three marginal seas: the Mediterranean, North, and Baltic Sea. To test the model, we evaluate a simulation of more than 100 years (1900–2009) with a spatial grid resolution of about 25 km. The simulation was nested into a coupled global simulation with the model MPI-ESM in a low-resolution configuration, whose ocean temperature and salinity were nudged to the ocean–ice component of the MPI-ESM forced with the NOAA 20th Century Reanalysis (20CR). The evaluation shows the robustness of the RCSM and discusses the added value by the coupled marginal seas over an atmosphere-only simulation. The coupled system is stable for the complete 20th century and provides a better representation of extreme temperatures compared to the atmosphere-only model. The produced long-term dataset will help us to better understand the processes leading to meteorological and climate extremes.
Prevalence Of Fasciolosis And Dicroceliosis In Sheep Slaughtered In Kashmir Valley

Trematodes (Liver flukes) constitute a significant veterinary health problem. The present study was undertaken to determine the prevalence of Fasciolosis and Dicroceliosis among the sheep slaughtered in Kashmir valley. A total number of 412 sheep livers were examined for the presence of parasites during a 2 year study period from January 2017 to December 2018. Out of 412 sheep examined, 100 were found to be positive for parasitosis representing an overall prevalence rate of 24.27%. The prevalence rate was 23.54% for Fasciolosis and 6.31% for Dicroceliosis. The co-infection of Fasciola and Dicrocelium was reported in 5.58% cases.The epidemiological parameters like gender and breed did not show any significant association with the prevalence of parasites (p>0.05). However the age of sheep proved to be a significant factor associated with the prevalence of infection with lambs being highly infected than young ones and adults (p<0.05). Seasonal survey revealed that prevalence rate was highest in autumn season followed by summer and least during spring.
Board Independence and Firm Financial Performance: Context of Publicly Traded Manufacturing Companies in Bangladesh

This study strives to investigate the effects of board independence on financial performance of publicly held manufacturing companies in Bangladesh using both accounting (ROA) and market-based (Tobin’s Q) performance measures. Initially, we select 150 manufacturing companies but only 85 companies remain in the study sample after fulfilling the data availability criteria over a period from 2006-2017. The OLS regression model reveals that board independence has positive effects on both ROA and Tobin’s Q, which supports some prior studies (Pearce& Zahra, 1991; Zahra & Pearce, 1989; EzzamelW Hossain, Prevost R Choi, Park Y Joh& Jung, 2012), but the relationship between board independence and Tobin’s Q are not statistically significant. Bangladesh Securities and Exchange Commission (BSEC) has made it a mandatory requirement in the corporate governance guidelines to include1/5th of the total directors as independent directors into corporate boards for bringing transparency and accountability of its affairs without considering the underlying institutional differences. Though board independence is considered as an important mechanism of corporate board practices in most of the developed economies, it is still less appealing in emerging economies, especially in Bangladesh. Keywords: Independent directors; firm performance; effective function . DOI : 10.7176/EJBM/11-33-11 Publication date: November 30 th 2019
Efficient algorithms for solving nonlinear fractional programming problems

In this paper, an efficient algorithm based on the Pascoletti-Serafini scalarization (PS) approach is proposed to obtain almost uniform approximations of the entire Pareto front of bi-objective optimization problems. Five test problems with convex, non-convex, connected, and disconnected Pareto fronts are applied to evaluate the quality of approximations obtained by the proposed algorithm. Results are compared with results of some algorithms including the normal constraint (NC), weighted constraint (WC), Benson type, differential evolution (DE) with binomial crossover, non-dominated sorting genetic algorithm-II (NSGA-II), and S metric selection evolutionary multiobjective algorithm (SMS-EMOA). The results confirm the effectiveness of the presented bi-objective algorithm in terms of the quality of approximations of the Pareto front and CPU time. In addition, two algorithms are presented for approximately solving fractional programming (FP) problems. The first algorithm is based on an objective space cut and bound method for solving convex FP problems and the second algorithm is based on the proposed bi-objective algorithm for solving nonlinear FP problems. In addition, several examples are provided to demonstrate the performance of these suggested fractional algorithms.
Impact of rework on material waste in building construction projects

Abstract This study aims at identifying the relationship between material waste and rework in building construction projects in the northern region of the Kingdom of Saudi Arabia (KSA). To elicit the views of professionals in the construction industry of Saudi Arabia about rework factors, material waste factors and the relationship between rework and material waste, 82 questionnaires were distributed and 70 were returned. The study reveals that the main rework causes on construction sites are errors and omissions, lack of labour skills, non-conformance with specification requirements, inadequate supervision, and scope changes. While the study concludes that the top causes of material waste are using untrained labours, rework due to workers’ mistakes, frequent design changes, selecting the lowest bidder contractor/subcontractor, and design and construction detail errors. To develop regression models that describe the relationship between rework and material waste, data from 47 building projects were collected. The predictive models emanating from the current study indicate a significant relationship between rework and material waste on construction sites in Saudi Arabia. Equally, the nature of the relationship is directly proportional, i.e. the higher the rework cost the higher the material waste and conversely the lower the rework cost the lower material waste. Results of this study will draw attention to potential causes that contribute to material waste and rework on construction sites. It may also help construction practitioners in the derivation methods and strategies to minimize rework and material waste and hence, enable improvements of construction industry to be made. The recommendation of this study may also apply to other developing countries.