Miracle-dz/UniFAR-FTUs huggingface dataset:
Building community capacity for end of life: an investigation of community capacity and its implications for health-promoting palliative care in the Australian Capital Territory

This study identified and examined community-based activities around death, dying and end-of-life care which might reflect a health-promoting palliative care (HPPC) philosophy. This approach is argued to restore community ownership of, and agency in, dying and death through the building of community capacity. However, the enactment of the HPPC approach has not been extensively examined in Australia. Current understandings of community capacity-building relating to end of life are orientated toward service provision. A qualitative interpretive approach was used to engage with local community groups in the Australian Capital Territory with an interest in death, dying and end-of-life care. Data were collected from ten in-depth, semi-structured interviews and thematically analysed. The themes of Practical Support, Respect and Responsiveness and Connection and Empowerment were identified, reflecting community activities initiated in response to the experience of life-limiting illness. Building community capacity offers to restore community agency in end-of-life concerns, while potentially enhancing health service provision through collaborative partnerships. This study indicates an existing community capacity, demonstrated by activities that promote socialisation, peer support and normalisation of death and dying. However, as these activities occur primarily in response to illness, proactive and preparatory interventions in HPPC are a priority.
Managing dyspnea in pregnancy-an errand uphill: an experience from the critical care obstetric unit of a tertiary care facility in India

Dyspnea or shortness of breath or difficult, labored, consciousness about taking breath is a common symptom during pregnancy that makes even simple everyday activities a major challenge. Around 50% of gravidas, even without history of cardiac or pulmonary disease, experience it sometime during their gestation. These symptoms may be related to physiological changes in cardio-pulmonary, hematopoietic system, increase in ABSTRACT
Østerild: A natural laboratory for atmospheric turbulence

Understanding atmospheric turbulence is without a doubt one of the most complex subjects in meteorology. However, its behavior can be more easily investigated by analysis of high-quality measurements of the velocity and temperature fluctuations. Here, we show that at the large test station of wind turbines in Osterild, northern Denmark, measurements from a 250-m lightning mast provide unique insights into the behavior of atmospheric turbulence within the range of heights where modern large wind turbines operate. We illustrate that for the predominant westerly winds at the site, the flow can be assumed to be close to homogeneous. This allows the analysis of the behavior with atmospheric stability and height of the wind speed and direction and of different turbulence measures, i.a. , velocity variances and covariances, as well as turbulence spectra and their characteristics. It is shown, e.g., that for a wide range of atmospheric stability conditions, turbulence parameters up to 241 m are directly related to mean flow characteristics, which will aid in improving the simulation of turbulence in, i.a. , aeroelastic simulations. These measurements can be used for the evaluation of a wide range of models describing the meteorological conditions and the atmospheric flow and its turbulent behavior.Understanding atmospheric turbulence is without a doubt one of the most complex subjects in meteorology. However, its behavior can be more easily investigated by analysis of high-quality measurements of the velocity and temperature fluctuations. Here, we show that at the large test station of wind turbines in Osterild, northern Denmark, measurements from a 250-m lightning mast provide unique insights into the behavior of atmospheric turbulence within the range of heights where modern large wind turbines operate. We illustrate that for the predominant westerly winds at the site, the flow can be assumed to be close to homogeneous. This allows the analysis of the behavior with atmospheric stability and height of the wind speed and direction and of different turbulence measures, i.a. , velocity variances and covariances, as well as turbulence spectra and their characteristics. It is shown, e.g., that for a wide range of atmospheric stability conditions, turbulence parameters up to 241 m are directly related to.
HIV Sero-status Disclosure and Sexual Behaviour among HIV Positive Patients who are on Antiretroviral Treatment (ART) in Mpumalanga, South Africa

Abstract The aim of this study was to assess with a narrative interview HIV sero-status disclosure and sexual behaviour pattern among 90 purposeful selected antiretroviral treatment (ART) patients in a public hospital in Mpumalanga province, South Africa. Results indicate that participants were either in sero-concordant (21%), sero-discordant (13%) or in relationships with a partner of unknown HIV status (53%). A conceptual framework on HIV disclosure and sexual behaviour found that among sero-concordant and sero-discordant partners, the motivation for HIV disclosure included poor health, pregnancy, death and sero-sorting. Actions taken were categorized into (1) condom use, (2) partner testing or (3) abstinence. Challenges to HIV disclosing included (1) partner separation, (2) partner togetherness and (3) sero-sorting. As a conclusion, HIV disclosure was found to be complex and needing supportive counselling, and a great deal of HIV risk sexual behaviour was observed needing HIV risk reduction interventions.
The Association between Hand Grip Strength and Health-Related Quality of Life in Korean Adults

We investigated the association between hand grip strength (HGS) and health-related quality of life (HRQOL). A total number of 9,211 participants from the sixth Korean National Health and Nutrition Examination Survey (2014− 2015) were included. HRQOL was measured by EuroQol-5 dimension (EQ-5D) and EQ-5D index score. Participants were classified as normal HRQOL group or impaired HRQOL group according to the EQ-5D responses and the EQ-5D index scores. HGS was measured using Takei dynamometer. Impaired HRQOL group represented lower mean HGS than that of normal HRQOL group. According to the quintile groups of HGS, group with the lowest HGS showed the lowest mean EQ-5D index score in both sexes. And the more HGS increases, the more EQ-5D index score increases also (p-value for trend <0.001). Men and women with lower grip strength were more likely to report ‘some’ or ‘extreme problem’ in EQ-5D domains (except anxiety/depression and pain/discomfort domain in men), and also more likely to belong to the lowest 20% level group in EQ-5D index score according to logistic analyses. Our findings suggest that HGS is associated HRQOL. Low HGS is associated with impaired status of HRQOL by EQ-5D and EQ-5D index score in Korean men and women. More research is needed to evaluate the specific plausibility between HGS and HRQOL.
Sensemaking support system (S3) for manufacturing process improvement

Production management teams often face unfamiliar situations where each team member must understand new phenomena individually before the team can make mutually understandable and acceptable decisions. Contradicting subjective judgments can distort the group’s decision-making process because team members understand situations differently and are generally prone to behavioural biases. This paper presents the development of a sensemaking support system (S3,S cube) for selecting improvement projects in a complex,small-volume batch production system of a premium car manufacturer. All phases of the sensemaking process are facilitated by making various sources of information available to a team of managers and experts to reduce conflicts regarding the selection of improvement projects. S3 is based on a lens model which combines judgments of the management team with discrete event simulation and provides visual representations of the differences and misjudgements related to various improvement options. The results – that can easily be generalised to many similar settings – indicate different understanding and lack of coherence within the management team which prevents them from defining mutually acceptable actions. This is countered with the creation of an action proposal,summarising and visualising causal relationships,and connecting them to improvement options to improve performance of the production system.
Diabetic foot ulcers: a review of current management

Diabetic foot ulcers are a serious complication of diabetes mellitus which increases the patient morbidity and also have significant socioeconomic impact. The present review aims to summarize the causes and pathogenesis leading to diabetic foot ulcers, various classification systems and to focus on the current management of this significant and preventable health condition.
Evaluation of Multi-axial Active Suspension to Reduce Whole Body Vibration Exposures and Associated Biomechanical Loading in Mining Heavy Equipment Vehicle Operators

The purpose of this study was to evaluate the efficacy of multi-axial (lateral + vertical) active suspension in reducing multi-axial WBV exposures and related biomechanical loading in the neck and low back as compared to an industry standard single-axial (vertical) passive suspension seat. In a repeated-measures laboratory study with 13 subjects, while recreating field-measure vehicle vibration on a 6-degree-of-freedom motion platform, we measured WBV [weighted average vibration: A(8) and vibration dose values: VDV(8)], net joint torque in the low back (L5/S1) and neck, muscle activity in low back (erector spinae) and neck muscle (splenius capitis). The results showed that the multi-axial active suspension seat was more effective in reducing vertical (Z-axis) WBV [A(8) and VDV(8)] as compared to the single-axial passive suspension seats (p < 0.001), while little difference between two suspension seats were found in lateral (Y) axis. The peak low back moment with respect to the sagittal (Y) axis was significantly lower on the multi-axial active suspension seat compared to the single-axial passive suspension seat (p=0.01). Despite lack of statistical significance, the low back and neck muscle activity tended to be lower on the multi-axial active suspension compared to the single-axial passive suspension. These results indicate that the multi-axial suspension may have potential to reduce biomechanical loading in the low back.
Study of under nutrition among under six years children in Kasturwadi village of disrtict Jalna, Maharashtra

Growth and development of any country is reflected by the growth and development of its children. Children constitute a major bulk of the population in our country, according to 2011 census 13.1% of the population in India is between 0-6 years of age. The preschoolers (1 6 years) are at the greatest risk of malnutrition because of the fact that growing period demands high intake of proteins and calories. Under nutrition is identified as a major health and nutrition problem in India. It is not only important cause of childhood morbidity and mortality, but leads also to permanent impairment of physical and possibly, of mental growth of those who survive. It is particularly prevalent in developing countries, where it affects one out of every three pre-school child. Malnutrition is a silent emergency. It makes the child more susceptible to infection, recovery is slower and mortality Is higher. Undernourished children do not grow to their full potential of physical and mental abilities. Scarcity of suitable foods, lack of purchasing power of the family as ABSTRACT
Miskonsepsi Konsep Gerak Satu dan Dua Dimensi Siswa SMA

Abstract: Aim of this study is to explore Senior High School student’s concepts understanding on one and two dimensional motion. This study is quantitave non-experiment using survey. The instrument was multiple choice test contains concepts understanding on one and two dimensional motion. Sample of this study are 113 students from grade XI and XII SMA Negeri in Bojonegoro. Result shows, conceptual understanding of students on one and two dimensional motion is low and misconception are found.Abstrak: Penelitian ini bertujuan mengeksplorasi penguasaan konsep gerak satu dan dua dimensi siswa SMA. Penelitian menggunakan pendekatan kuantitatif non-eksperimen dengan metode survei. Instrumen pengukuran berupa soal tes penguasaan konsep berbentuk pilihan ganda. Tes diberikan pada 113 siswa yang terdiri dari kelas XI dan XII SMA di Bojonegoro. Hasil penelitian didapatkan penguasaan konsep gerak satu dan dua dimensi siswa rendah dan ditemukan kesalahan konsep.
Development of a self-directed orientation manual for novice registered nurses in long-term care

Background: Newfoundland and Labrador (NL) has a rapidly aging demographic requiring increasingly advanced levels of nursing care in long-term care (LTC) facilities. There continues to be many challenges around the recruitment and retention of registered nurses (RNs) in this setting. This has been attributed to the broad range of roles and responsibilities, as well a lack of a clear definition of the RN role in the context of LTC, which can be challenging for the novice RN. Purpose: The purpose of this practicum project was to develop an orientation resource manual for novice RNs in LTC. Using self-directed learning, the manual can supplement the current clinical orientation for RNs at St. Luke’s Homes (SLHs) and improve resident health outcomes by increasing the RN’s knowledge and confidence around geriatric nursing care. Methods: Following the completion of the informal needs assessment at SLHs, it was determined that there was an educational need among the novice RN group for an improved comprehensive orientation program. An integrated literature review and consultations with several key stakeholders experienced in geriatrics were conducted. Results: Based on the findings from the literary review and consultations, and using theoretical foundations from Knowles’ Adult Learning Theory and Benner’s Novice to Expert Model, an orientation resource manual was developed. The manual was divided into seven chapters detailing geriatric and leadership content for the RN to access. Conclusion: For the purpose of this practicum project, while the resource has not been implemented or formally evaluated, “test your knowledge” questions and case-studies were included at the end of each chapter in the manual for the orientee to test their knowledge. Plans for a qualitative review to examine if the manual assisted with increasing the confidence levels and eased the transition of novice RNs at SLHs have been discussed.
Comparison of post operative analgesia supraclavicular brachial plexus block in children 5 to 10 years of age

Background: Regional anesthesia is a recommended technique for upper limb surgeries with better postoperative profile.However paediatric regional anaesthesia for upper limb surgeries was till now difficult due to various problems like moving child ,inability to elicit parasthesia and likely injury to brachial plexeus. With the advent of nerve stimulators and ultrasound guided blocks ,we can now overcome the above problems . We evaluated the effect of ultrasound guided bupivacaine for quality and duration of post op analgesia. Methodology: Sixty paediatric patients posted for elective and emergency upper limb surgeries were enrolled for a prospective, randomized, study . Patients were divided into two groups, the control group A and the study group B.In group A (n =30) patients were given general anaesthesia for the surgery and at the end of it, conventional analgesics were given and In group B (n = 30),after GA , 10 ml of 0.325% bupivacaine + normal saline were given ultrasound guided supraclavicular brachial plexus block. Quality and duration of post op analgesia and time to first rescue analgesia were recorded. Results. The onset times for pain was significantly shorter in A than B group (p < 0.05). The duration of analgesia (DOA) was significantly longer in B group than A group (p < 0.0001). Heart rate levels in group B were significantly lower 15 min after block (p< 0.001). SBP and DBP levels in B group were significantly lower than in A (p < 0.001). No major adverse effects were observed in either of the groups except for sedation 8 and respiratory depression in 6 patients of group A. Conclusion: Supraclavicular brachial plexus block significantly lengthens the onset time of pain and prolongs the duration of post op analgesia. Patients in group B had good quality analgesia with no adverse effects.
A Randomized Controlled Trial of Telemonitoring for Older Adults with Heart Failure Receiving Home Health Care

by REBECCA S. BOXER, MD Home telemonitoring can augment home health care (HHC) services during a heart failure patient’s transition from hospital to home. HHC agencies in Ohio participated in a randomized trial of telemonitoring versus usual HHC. Rehospitalization, emergency department and urgent care visits were the combined outcome. Kansas City Cardiomyopathy Questionnaire (KCCQ) measured health status at admission and at discharge from HHC. Results showed that the study patients’ degree of comorbidity and heart failure severity were typical of a HHC population. There was no difference in rehospitalizations, emergency department and urgent care visits but an improvement in KCCQ scores for those who received telemonitoring versus usual care. The improvement in health status persisted with regression modeling. In conclusion, telemonitoring may not reduce rehospitalizations, emergency department or urgent care visits but health status is improved. For older adults with heart failure telemonitoring may be an important adjunct to HHC services to improve health status.
Developing dementia health promotion materials for Indigenous people in an urban Northern Ontario community

This thesis considers health promotion materials on dementia for Indigenous people using health literacy and cultural safety as guiding frameworks. The author examined the question “How can we develop health promotion materials about dementia to meet the needs of Indigenous peoples living in urban Northern Ontario? ” using two decolonized approaches to community-based participatory action research. Two-eyed seeing combines biomedical information with Indigenous knowledge to develop fact sheets. An understanding of local tribal teachings guided the research locally. Methods involved qualitative data analysis of two focus groups and five one-on-one interviews exploring the fact sheets’ appropriateness. Results suggest the need for a shared understanding of Indigenous and Western cultures; improved cross-cultural communication; the importance of grounding health promotion materials in culture; and, strategies for dementia awareness in Indigenous health literacy. These research findings can be translated to inform policy and practice through key recommendations regarding the development of health promotional materials.
Arthroscopic 360 degrees capsular release for treatment of adhesive capsulitis– A study of 40 cases

Introduction: Adhesive capsulitis, better known as frozen shoulder is a common disabling musculoskeletal disease, characterized classically by pain and restriction in range of motion. Management of this condition is controversial, ranging from non-operative to operative interventions, all intending to decrease pain and restore joint function. Arthroscopic capsular release has emerged as an effective surgical procedure for treating adhesive capsulitis. The aim of this study was to evaluate the results of arthroscopic capsular release for adhesive capsulitis Methods: Between February 2013 and May 2015, 40 patients underwent arthroscopic capsular release non responsive to conservative management. Patients having rotator cuff disease, osteoarthritis, history of fracture upper end humerus and bilateral adhesive capsulitis were excluded from the study. Patients were followed up for a minimum period of 11 months. Results were evaluated using Constant score, UCLA (University of California Los Angeles) and VAS (Visual Analog Scale) scoring system. Results: The mean age of the patients was 57.1 years, with 13 male (32.5%) and 27 female (67.5.5%) patients. The right and left shoulder were affected in 31 patients (77.5%) and 9 patients (22.5%) respectively. 21 patients were diabetic (52.5%), 6 patients had a history of trauma (15%) whereas 13 patients had primary idiopathic adhesive capsulitis (42.5%). Post-operatively, the mean time to achieve maximum pain relief was 1.7 months, whereas the mean time to achieve maximum gain in range of motion was 2 months. Mean preoperative range of motion (Anterior Elevation/ Abduction/ External Rotation/ Internal Rotation) was 98.20/36.30/21.10/13.80 whereas post-operatively it increased to 178.50/166.80/55.70/48.10. The average VAS, Constant and UCLA score was 8.7, 27.5 & 12.8, which improved to 2.3, 88.8 & 31.3 respectively. Conclusion: The results of arthroscopic capsular release for adhesive capsulitis are encouraging and provide an effective treatment modality to provide pain relief restore joint function in cases resistant to conservative management
Undetected pancreatic carcinoma: retrospective analysis of missed findings at computed tomography

Purpose Our purpose was to retrospectively investigate whether prediagnostic CT scan may show suggestive findings of early pancreatic cancer. Material and Methods We searched our radiology and surgery database to identify all patients who had a CT diagnosis of PDA at our institution in a three-year span, and reviewed our PACS system to search whether any of these patients had CT or MR examinations performed before the diagnosis of pancreatic cancer was made. We therefore looked for the presence of pancreatic duct dilatation and/or interruption, distal parenchymal atrophy, contour abnormality and focal hypodense lesion in the prediagnostic CT scans. Results Three patients had performed previous imaging examinations showing findings suspicious for pancreatic cancer 1-6 months earlier that diagnostic CT. A focal attenuation difference, followed by contour abnormality and upstream pancreatic duct dilatation were the most encountered findings, while upstream pancreatic parenchymal atrophy was encountered just in one patient. Conclusions Prediagnostic CT can detect findings suggestive of incident early pancreatic cancers. The most common suggestive findings are focal hypodense lesion and pancreatic duct dilatation and/or interruption.
Factors Influencing Malaysian Consumers’ Intention to Use Quick Response (QR) Mobile Payment

In the past decade, conventional payment methods of using cash is progressively replaced with electronic payments. Recently, QR mobile payment begins to receive more attention from many countries including Malaysia. Nevertheless, QR mobile payment is a relatively green area in which very limited literature exists on this subject matter pertaining to consumer acceptance and characteristics of adopter segments of this technology. Therefore, by applying the Technology Acceptance Model (TAM) as the main theoretical framework, the aim of the present study is to investigate the factors influencing intention to use QR mobile payment in Malaysia. Self-administered questionnaires were distributed which resulted in 485 complete responses. Perceived usefulness, personal innovativeness, perceived ease of use, subjective norm, and perceived security were found to be significant in determining intention to use QR mobile payment among Malaysian consumers.