Miracle-dz/UniFAR-FTUs huggingface dataset:
Internet Use in Management of Patients by Medical Doctors: A Survey of Private Hospitals/Clinics in Jos Metropolis

This research investigated the internet use by medical doctors in the management of patients in privately owned hospitals/clinics in Jos metropolis. The entire population of 153 medical doctors from 41 privately owned hospitals were adopted in the research. Survey research design was the research method adopted for this investigation. The instrument used for data collection was questionnaire. Descriptive statistics such as frequency counts and percentages were used to analyse the data generated. The findings of this research revealed among others that most 54 (59.34%) of the medical doctors working in private hospitals in Jos metropolis had good internet competencies; majority 47 (51.65%) of the doctors accessed the internet in their consulting rooms; the medical doctors did not know how to refine their searches using search engines, hence majority 59 (64.85%) of them restricted their searches to Google search; and the major challenges the doctors faced in the use of the internet were slow internet network connection and frequent electricity power failure. It was therefore, recommended among others that the Nigerian Medical Association (NMA) which is the umbrella association of medical doctors in Nigeria, should organise workshops for their members in Jos metropolis. The workshop should be centred on the internet use and more emphasis should be on the use of search engines; owners of private hospitals in Jos metropolis should acquire generators to ease the problem of constant power failure. The research therefore, concludes that even though more than half of the medical doctors working in private hospitals/clinics in Jos metropolis know how to use the internet to manage their patients, there is still need to train the medical doctors on internet use. This will refine/ improve their searches and reduce the frustration normally associated with managing large quantity of down loads/hits produced when searching for information.
Opinion Mining from Multi-domain User Reviews Using Sentiment Analysis

: The key aspect of sentiment analysis is to identify opinion or sentiment words in reviews. Important solutions of sentiments are sentiment lexicons that are the words present in review dataset called as opinion or sentiment words. These words are helps to identify positive or negative opinion or sentiments. There are huge number of opinion reviews are available online. Opinion mining focus on these to generate differentiate between positive, negative and neutral. Today movie reviews and micro blogging website are very popular like IMDB and twitter on which user post their views, opinion etc. The information is generated either through computer or mobile by one user and many can view them. Sentiment analysis is challenging task for this we focus on two methods of machine learning techniques are used in sentiment analysis such as Naïve Bayes and SVM. Sentiment analysis refers to predicting or telling the document or sentence text holds positive, negative or neutral opinion on some target. The aim of this paper is to develop a new system which a lexicon based approach and compare the accuracy on different domain of dataset using sentiment analysis.
Sleeve video-assisted thoracic surgery resections

Lung resections with bronchoplastic techniques play an important role in the preservation of lung function, in patients with centrally located tumors. Several studies reported oncological outcomes after sleeve resections comparable to pneumonectomy, with lower postoperative mortality and morbidity. Sleeve lobectomy is now considered the procedure of choice for anatomically suitable lesions, regardless of pulmonary function, but is still considered a challenging and technically demanding procedure, especially when carried out by video-assisted thoracic surgery (VATS) approach. The aim of this review article is to describe indications, technical aspects and outcomes of VATS sleeve resections.
Severance Pay Schemes in South-Eastern Europe

The paper provides an overview of severance pay regulation in the South-Eastern Europe (SEE) countries, thereby complementing empirical analysis of severance pay programs with findings on the SEE countries. We found that in general severance pay schemes are very similar among the SEE countries, but vary significantly in their modalities. The results of the empirical analysis show that generous severance pay is negatively associated with GDP per capita, labor productivity and employment. These results reinforce previous findings on this topic and lead to the conclusion that traditional severance pay schemes need to be reformed. However, the inventory among the SEE countries shows that until now no serious debate on the issue took place.
Bargaining Shocks and Aggregate Fluctuations

Abstract We argue that social and political risk causes significant aggregate fluctuations by changing workers’ bargaining power. Using a Bayesian proxy-VAR estimated with U.S. data, we show how distribution shocks trigger output and unemployment movements. To quantify the aggregate importance of these distribution shocks, we extend an otherwise standard neoclassical growth economy. We model distribution shocks as exogenous changes in workers’ bargaining power in a labor market with search and matching. We calibrate our economy to the U.S. corporate non-financial business sector, and we back out the evolution of workers’ bargaining power. We show how the estimated shocks agree with the historical narrative evidence. We document that bargaining shocks account for 28% of aggregate fluctuations and have a welfare cost of 2.4% in consumption units.
The Effect of Intracoronary Infusion of Autologous Bone Marrow-Derived Lineage-Negative Stem/Progenitor Cells on Remodeling of Post-Infarcted Heart in Patient with Acute Myocardial Infarction

Introduction: Regenerative capacity of the heart is limited, and the post-infarct left ventricle (LV) dysfunction is associated with poor prognosis. Administration of stem/progenitor cells (SPCs) is a promising approach for cardiac regeneration. Objectives: In the study, we assessed LV function and post-infarcted remodeling in patients with ST-elevated myocardial infarct (STEMI) who received autologous lineage-negative (LIN-) SPCs. Patients and methods: Patients with STEMI and one-vessel coronary artery disease treated with percutaneous revascularisation were divided into study group (LIN- group, 15 patients) that received standard therapy and autologous BM-derived LIN- SPCs and control group (standard therapy group, 19 patients). The cells were administered intracoronary 24 hours after STEMI. The follow-up was 12 months with subsequent non-invasive tests and laboratory parameter evaluation on days 1st, 3rd, and 7th as well as at 1st, 3rd, 6th and 12th month after STEMI. Results: All procedures related to SPCs administration were well tolerated by the patients. In 12-month follow-up, there were no major adverse cardiac events connected with LIN- SPCs administration. During 12-month follow-up, 9 patients from LIN- group (Responders) achieved an improvement in LV ejection fraction (>10% after 12 months) with no signs of unfavorable LV remodeling. Laboratory parameters analysis showed that Troponin T levels were significantly lower until day 7th in the Responders group, while brain natriuretic peptide (BNP) level remained significantly lower from day 3rd to 12th month respectively. Conclusions: Intracoronary infusion of autologous BM-derived LIN- stem/progenitor cells is feasible and safe for patient. Improvement in LV function and prevention of unfavorable remodeling in the 60% of study group seems relatively promising. Stem cell-based therapy for cardiac regeneration still needs more accurate and extensive investigations to estimate and improve their efficacy.
INTERNATIONAL SOCIETY FOR SOIL MECHANICS AND GEOTECHNICAL ENGINEERING

Discontinuities such as fault planes, joints and bedding planes have a great influence on the shear strength of a rock mass. These discontinuities may be filled with different types of sediments that are either transported or appear as a result of weathering or joint shearing. The degree to which the infill has been saturated is a governing parameter of the strength of the filled joint, and can vary considerably depending on the climate and groundwater transport patterns. Due to the lack of experimental data quantifying the strength of a joint when partially saturated, it is impossible to predict the shear strength in such instances. A series of laboratory undrainedtriaxial tests on idealised model joints were carried out at constant moisture contents. The experimental results indicate a variation in shear strength for ratios of different infill thickness to asperity height of the filled joint when the infill saturation varied from dry to almost saturated conditions.
Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

Background: Skin diseases are common and cause a huge disease burden globally. Different class of drugs and combinational products are available in dermatology for treatment. Periodic prescription analysis in the form of drug utilization study can improve the quality of prescription and curb the menace of irrational prescribing. Aim and objective of the study were to study the prescribing pattern and drug utilization trends in Dermatology outpatient department at a tertiary care hospital in Navi Mumbai. Methods: A cross-sectional, observational study was conducted over a period of three months in dermatology department of a tertiary care teaching hospital, Navi-Mumbai. A total of 102 adult patients visiting dermatology OPD were included and their prescriptions were analyzed with WHO prescribing indicators and additional indices. Results: Analysis showed that the average number of drugs per prescription was 3.27. Percentage of drugs prescribed by generic name was 31.1%. Percentage of drugs prescribed from National Essential drug list (NEDL) was 44.2%. The commonest prescribed drugs were antihistaminics followed by antifungals. Oral tablets were the commonest prescribed dosage form. Conclusions: Antihistaminics and antifungals dominated the prescribing pattern in this study with restraint on polypharmacy, but showed ample scope for improvement to prescribe generic and selection of essential drugs.
Daytime modelling of VLF radio waves over land and sea, comparison with data from DEMETER Satellite

Very Low Frequency (VLF) radio waves propagate with little attenuation within the Earth-ionosphere waveguide. Perturbations of the lower ionosphere produce a modification of the geometry of the waveguide, resulting in a disruption of the VLF propagation conditions. A model based on the Wait's mode theory is developed to investigate temporal and spatial changes in ionospheric conditions. As VLF waves propagating from a transmitter reflect off the lower ionosphere, a portion of the energy leaks up into space leaving a 'fingerprint' of the modal structure of the fields at the reflection height. Simulations are compared to averaged data taken over a year from the DEMETER satellite over the NWC transmitter in North-West Australia to test the validity of the model.
Why have pill testing when most ecstasy deaths are from normal doses of MDMA? Eight central issues for Australian Parliamentarians

Background: Recent deaths of young Australian music festival attendees from ‘party-drug’ overdoses have sparked debate about the effectiveness of drug policies. Australia is widely lauded for its harm minimisation approach to drugs, and yet, over the last 30 years, it can be argued its policies have been fragmented, sometimes inconsistent and contradictory. The present article examines the root of this inconsistency, using it as a foundation to advocate for drug policy reform. In keeping with the goals of the National Drug Strategy to promote policy innovation, there is an opportunity to learn from international studies which have shown promising findings in the reduction of party-drug use and its harms through application of pill testing. Method: This paper evaluates Australia’s National Drug Strategy and pill testing through a lens of pragmatism, to determine whether there is space for testing practices in contemporary policy. Specifically, the paper analyses current drug policy literature and research studies, examining a range of key drug use indicators, social and political debate and research evidence. Results: The need for policy reform, attitudinal and cultural shifts and development of stronger cross-sectoral partnerships is highlighted, to ensure a rational and logical approach that genuinely tackles drug policymaking and strategy from a broad public health perspective. Conclusions: Using a theoretical frame of pragmatism and drawing from national and international research evidence, this paper recommends the integration of pill testing into Australia’s harm minimisation strategy. While this paper has been used in Australia as evidence of pill testing’s success, a closer look at its evidence shows only surveys of opinions and attitudes, rather than real objective scientific results. From the start, the review admits that there are no controlled studies to evaluate the effectiveness of European pill testing. It states that: Like most debates about policy reform, a key question in the rationale for pill testing is whether it ‘works’. The literature is complicated and, to date, no studies have fully tested in a controlled way, whether pill testing reduces harms. Like much of the harm reduction ‘science’ for many other interventions, studies to date are about subjective views and opinions. The review goes on to state that: Most evaluations concern attitudinal change (e.g. what people would do [20]), legal issues and the integrity of various analytic procedures, with others describing program features or contextually relevant praxis [76], so although not within the scope of this paper, a large, multi-site systematic review of testing practices is needed. What this review tells us is that there is almost nothing to answer the question, “Does pill testing work? ” but that there are plenty of self-report,
Assessment of livestock feed availability, conservation mechanism and utilization practices in South Western Ethiopia

The study was conducted in south-western Ethiopia aiming to understand the current status of feeds through collecting up to date information on feed availability, feeding strategies and conservation mechanisms and guide appropriate research interventions that can improve livestock productivity in the area. Using a stratified sampling technique, six districts (3 from each zone) were selected based on representativeness of agro-ecologies and a total of 342 respondents were interviewed to generate the data. Collected data were analyzed using descriptive statistics, GLM, ANOVA and LSD. The result showed as feed availability varies over different seasons. Crop residues (38.9%) were found the major feed source in dry season which is followed by natural pasture (30.4%), fodder trees (25.1%) and crop aftermath (5.6%). Whereas in wet season majority of the respondents (95.6%) use natural pasture as a major source of feed which is highly supported by tinned cereal crops like maize and weed materials. No chemical crop residue treatment practice was reported (100%) in the area but (40.1%) of the respondents use moistening and salting. Forage cultivation was not practiced by majority (68.4%) of the respondents. Almost all (99.1%) the respondents do not have access to industrial by-product feeds. Forage conservation practice was not in a place (100%). The major constraints reported includes shortage of grazing land (39.6), shortage of feed and feed related technologies (33.4%), animal health care problem (18.5%), lack of water (3.5%) and lack of improved breed of animals (3%). Development and demonstration of improved forages that can be integrated with the dominant farming system, efficient conservation and utilization of crop residue via different treatment options and maximizing the productivity of available individual and communal grazing pasture land using proven improved technologies needs attention.
Review of structured guides for deprescribing

Avoiding inappropriate polypharmacy has become increasingly recognised as a safety imperative for older patient care. Deprescribing is an active process of reviewing all medications being used by individual patients that prompts clinicians to consider which medications have unfavourable risk–benefit trade-offs in the context of illness severity, advanced age, multi-morbidity, physical and emotional capacity, life expectancy, care goals and personal preferences. Structured guides to deprescribing include algorithms, flow charts or tables which are patient-directed and aim to guide the clinician through sequential steps in deciding which medications should be targeted for discontinuation. In this narrative review, we describe seven structured deprescribing guides whose stated purpose included the reduction of polypharmacy, their use was not restricted to a single drug or drug class and they had undergone some form of efficacy testing. There was considerable heterogeneity in guide design and content, with some guides constituting little more than a set of principles while others entail detailed processes and sub-steps which addressed multiple determinants of drug appropriateness. Evidence of effectiveness for each guide was limited in that none have been evaluated in randomised controlled trials, that pilot or feasibility studies have involved relatively small patient samples, that intra-rater and inter-rater reliabilities have not been determined and that most have been studied in hospital settings. Which is most useful to clinicians is unknown in the absence of head-to-head comparisons. While most guides have face validity, more research is needed for determining effectiveness and ease of use in routine clinical practice, especially in primary care settings.
The effect of Involvement with Job Crafting in Perceived Self-efficacy in Career

The aim of the study was to investigate whether the Cypriot employees engage in proactive behaviors that help them develop high beliefs of self-efficacy, enjoy high levels of prosperity and performance, changing their attitude towards their work and personal life in general. More specifically, it was investigated whether Job Crafting is helping the Cypriot employees to develop self-efficacy in order to cope with various issues related to their career, and to empower their ability to organize their cognitive, relational and behavioral skills in a single path of action to achieve the targets of their career. The variables used were the three types of Job Crafting (tasks, cognitive and relational changes) and the four factors of Perceived Self-efficacy in Career (career management, career skills, flexibility and creativity at work). The sample consisted of 227 Cypriot employees of the public and private sectors, residents of all provinces of Cyprus, over the age of 25, who electronically completed the Job Crafting Questionnaire (JCQ) (Slemp & Vella-Brodrick, 2013), translated in Greek, the scale of Perceived Selfefficacy in Career (Sidiropoulou-Dimakakou, Mylonas & Argyropoulou, 2015) and their demographic elements. The results of the survey are optimistic, since they have shown that Cypriot workers are engaged in proactive behaviors that help them take an active role in their jobs and gain satisfaction and personal meaning. Of particular interest are the findings that Freelancers and Private Employees are more self-effective and are more concerned with modifying their jobs compared to civil servants, as well as, that employees in managerial positions are more involved with Job Crafting in relation to employees in executive jobs. There was also, a connection between the factors of the two scales.
Overall survival (OS) analysis of a phase II study using a pox viral-based vaccine, PSA-TRICOM, in the treatment of metastatic, castrate-resistant prostate cancer (mCRPC): Implications for clinical trial design

3005 Background: Vaccine strategies represent a novel therapeutic approach for mCRPC. PSA-TRICOM is a pox viral-based vaccine that contains the transgene for PSA and 3 co-stimulatory molecules required for T-cell activation. The vaccine employs a prime/boost strategy; after an initial vaccinia-based vaccine, all subsequent vaccinations utilize a fowlpox-based vaccine. PSA-TRICOM was well tolerated in a phase I study. Methods: 32 chemotherapy naive patients (pts) with mCRPC were treated with PSA-TRICOM subcutaneously monthly with or without adjuvant GM-CSF in this phase II study with 4 cohorts. Pts were re-staged every 3 months (mos) with CT and bone scans. Elispot assay pre and post treatment was done to evaluate PSA-specific T cell response. An OS analysis has been performed on these pts; we also compared actual to predicted OS based on the Halabi Score (HS) and compared OS stratified according to T-cell responses. Results: On study median age=65.6 years, median Gleason Score=8 (range 6–10), median PSA=7.
1. MODIFIED K-WIRE PIN ENTRY POINT PLACEMENT METHOD IN DISPLACED PEDIATRIC DISTAL FOREARM FRACTURES

In completely displaced pediatric distal metaphyseal forearm fractures, achieving satisfactory re-duction with closed manipulation and maintenance of reduction with casting is difficult. Therefore, the majority of these fractures requires closed or open reduction of the fracture and osteosynthesis of the radius or radius and ulna. There are mainly two established methods for closed reduction and Kwire fixation of these fractures, which basically both derive from the technique used in adult displaced distal radial fractures: the Willenegger and the Kapandji technique. 23 pediatric patients with displaced distal metaphyseal forearm fractures in children 6 to 14 years old were treated with closed reduction and K wire fixation with modified radial entry points. In all patients 2 radial Kirschner wires were used for osteosynthesis of the radius. Postop¬erative immobilization was enforced for 3 to 6 weeks with a short arm plaster of Paris cast, after which time the K-wires were removed. Patients were followed for a mini¬mum of 3 months. Mean patient age was 9.5 years. Near-anatomical reduction was achieved in all fractures. On follow-up, there was no loss of reduction; remanipulation was not performed in any case. There was 1 pin-related complica¬tion, where the pins were left outside the skin. In 11 cases the pins were left over the skin, in 12 cases the pins where buried under the skin. All fractures healed, and full function of the wrist and forearm was achieved in every case.