Miracle-dz/UniFAR-FTUs huggingface dataset:
Burkholderia cepacia an emerging cause of septicaemia, in an intensive care unit from a tertiary care hospital, Nellore, India

Background: Burkholderia cepacia is highly virulent and multidrug resistant organism to cause fatal and serious infections in ICUs leads to rise in mortality and morbidity. aim of present study was to know the prevalence of Burkholderia cepacia in blood stream infection in Intensive Care Unit and to know the drug susceptibility. Methods: This is a prospective study was carried out in the Intensive Care Unit and Department of Microbiology, Narayana Medical College, Nellore, from February to March 2018. As a part of routine investigations Blood, urine, sputum or tracheal secretions sent for culture and sensitivity to the Microbiology laboratory. By conventional method, all the samples were cultured (except blood) onto Blood agar, Chocolate agar and MacConkey, s agar; incubated for 18-24 hours at 37⁰C. Blood cultures were performed in BACT/ Alert 3D (Biomeriux), only positives were subculture by conventional method. Further analysis was done in culture positive samples only. Results: A total of 448 patients admitted in ICU were included in the study, from them 586 samples were collected. out of which we got 238 culture positives. Among them 19 patients were positive for Burkholderia cepacia , most of them isolated from blood (78.9%), followed by respiratory secretions (21.1%) and none of them were isolated from urine samples. Most of the isolates were sensitive to Meropenam and Tigecycline (89.4%) followed by minocycline (84.2%), ceftazidime (73.6%), levofloxacin (63.1%). While B. cepacia isolates showed high resistance to cefaperazone-sulbactam, ciprofloxacin, ticarcillin-clavulanic acid with (84.2%), (89.4%), (89.4%) respectively. Conclusions: To conclude that, Burkholderia cepacia is one of the emerging causes of septicemia with multidrug resistance, cross contamination may be the root cause so it should be treated quickly and effectively.
Applicability of Vapor-Deposited Thermoresponsive Hydrogel Thin Films in Ultrafast Humidity Sensors/Actuators

Thermoresponsive polymers reversibly react to changes in temperature and water content of their environment (i.e., relative humidity, RH). In the present contribution, the thermoresponsiveness of poly(N-vinylcaprolactam) thin films cross-linked by di(ethylene glycol) divinyl ether deposited by initiated chemical vapor deposition are investigated to assess their applicability to sensor and actuator setups. A lower critical solution temperature (LCST) is observed at around 16 °C in aqueous environment, associated with a dramatic change in film thickness (e.g., 200% increase at low temperatures) and refractive index, while only thermal expansion of the polymeric system is found, when ramping the temperature in dry atmosphere. In humid environment, we observed a significant response occurring in low RH (already below 5% RH), with the moisture swelling the thin film (up to 4%), but mainly replacing air in the polymeric structure up to ∼40% RH. Non-temperature-dependent swelling is observed up to 80% RH. Above that, thermoresponsive behavior is also demonstrated to be present in humid environment for the first time, whereas toward 100% RH, film thickness and index appear to approach the values obtained in water at the respective temperatures. The response times are similar in a large range of RH and are faster than the ones of the reference humidity sensor used (i.e., seconds). A sensor/actuator hygromorphic device was built by coating a thin flower-shaped poly(dimethylsiloxane) (PDMS) substrate with the thermoresponsive polymer. The large swelling due to water uptake upon exposure to humid environment at temperatures below the LCST caused the petals to bend, mimicking the capability of plants to respond to environmental stimuli via reversible mechanical motion.
Job satisfaction and organizational citizenship behaviour amongst health professionals: The mediating role of work engagement

ABSTRACT Background: The hospital’s performance, effectiveness, and image can be greatly influenced by the health professionals’ tendencies in exerting organizational citizenship behaviour (OCB). The tendency of employees in displaying discretionally behaviour beyond their prescribed formal job duty can be influenced by their level of job satisfaction (JS) and work engagement. Aims: This study aims to evaluate the mediating impact of work engagement between JS and OCB among health professionals who work in hospitals in Malaysia. Besides, the direct relationships between the key variables of the study are examined as well. Methods: A total of 279 participants have returned the completed and usable questionnaires. The hypotheses were tested through Partial Least Squares-Structural Equation Modelling. Result: The results showed that JS was positively related to work engagement and OCB amongst the health professionals. Meanwhile, work engagement was testified to be an important predictor of OCB. Moreover, work engagement has found to partially mediate the relationship between JS and OCB. Conclusion: Having health professionals who demonstrate OCB is crucial to the hospitals for an effective service delivery and copes with increasing demands from the patients. Hence, effective measures are required to improve JS and work engagement amongst the health professionals.
Time-kill assay and post-antibiotic effect of acetone extract from the stem bark of Canarium odontophyllum against Methicillin-resistant Staphylococcus aureus Mu50 strain

Canarium odontophyllum Miq. is an indigenous fruit found in Sarawak, Malaysia. Methicillin-resistant Staphylococcus aureus (MRSA) is a deadly pathogen that causes to hospital (HA-MRSA) and community (CA-MRSA) infections worldwide. Vancomycin has been the therapeutic drug of choice against MRSA but unfortunately this pathogen has developed some degree of resistance to vancomycin. This research aimed to evaluate the antimicrobial activity of the stem bark extract of C. odontophyllum against MRSA Mu50 strain. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of extract and vancomycin against MRSA were determined using broth microdilution method and streak plate method. The rate of killing by the extract against was determined using time-kill assay (TKA) at 1X MIC, 2X MIC, 4X MIC and 8X MIC of the extract. The post-antibiotic effect (PAE) time of extract 10X MIC against MRSA was also investigated. The extract exhibited bacteriostatic effect against MRSA Mu50 strain with MIC and MBC values of 1.563 mg/ml and 3.125 mg/ml, respectively. From TKA analysis, the extract was not capable of killing the Mu50 strain at 1XMIC and 2XMIC but it displayed bactericidal activity at higher concentrations tested. Interestingly, the acetone stem back extract of C. odontophyllum at 4XMIC showed comparable time-killing kinetic with the standard antibiotic in the study. The PAE time of the extract was 3.6 ± 0.51 hr against MRSA Mu50 compared to vancomycin at 2.4 ± 0.68 hr. In conclusion, the stem bark acetone extract from C. odontophyllum demonstrated concentration-dependent bactericidal effect with prolonged PAE time against MRSA Mu50 strain.
Factors influencing early childhood education and care educators’ reporting of child abuse and neglect

Mandatory reporting of child abuse and neglect is a complex yet essential responsibility tasked to many professional groups working with children, including the early childhood education and care (ECEC) workforce. This paper provides a narrative review synthesising the empirical literature on factors influencing ECEC educators’ reporting of child abuse and neglect, including knowledge and training, attitudes, thresholds for reporting, work experience and context, inter-organisational co-operation and self-efficacy. These factors can act as barriers and facilitators to effective reporting practice and are likely to interact in dynamic yet modifiable ways. Findings from the review may be useful for informing future education and training initiatives for the ECEC workforce. Further research is warranted in this area.
Understanding factors behind the late testing and diagnoses of HIV: a review of the international literature

Late diagnosis of HIV results in increased morbidity and mortality and raises the potential for onward transmission to others. It also increases costs to health service providers and impacts on national health budgets. This paper reports results from a literature review conducted to inform the conduct of an international study investigating barriers to early HIV testing from the perspectives of both patients and healthcare professionals. The literature suggests that reasons for late presentation include demographic factors such as age, sex and ethnicity; fear and stigma associated with an HIV diagnosis; and individual risk appraisal, as well as structural and organisational barriers within the healthcare system. Other key issues highlighted by the literature review include the fact that: the number of people living with HIV is increasing year on year, the proportion of people presenting with a late HIV diagnosis is increasing not only in MSMs but also in other less recognised groups such as heterosexual women and in particular, older heterosexual men and women. Reasons for late presentation and diagnosis are multifactorial, but further research into the issue of late presentation and diagnosis of HIV is required, including the exploration of reasons why people continue to present late. The review indicated that further work to raise public awareness of the benefits of early testing, together with improved education and training for healthcare professionals is vital to improve the uptake and timeliness of HIV testing.
QUALIDADE FISIOLÓGICA DE SEMENTES DE ARROZ TRATADAS COM ÓLEOS ESSENCIAIS E EXTRATOS VEGETAIS

Apesar da comprovada eficiencia dos produtos quimicos sinteticos, a agricultura moderna tem buscado formas alternativas para o tratamento de sementes e o controle de doencas, que visam uma maior preservacao ambiental. Assim, o objetivo deste trabalho foi avaliar o uso de extratos e oleos essenciais de diferentes plantas no tratamento de sementes de arroz quanto a sua qualidade fisiologica. Foram usados extratos concentrados, de folhas de citronela, rizoma de gengibre, bulbo de alho e cravo-da-india. Tambem foram avaliadas a combinacao binaria dos mesmos. Utilizou-se oleos essenciais de neem, citronela, melissa, cidreira e pimenta-longa e a combinacao binaria dos mesmos a 5.000ppm sobre a qualidade fisiologica. Os oleos essenciais e extratos foram aplicados diretamente nas sementes, sendo 2 mL para 100 g de sementes. Os parâmetros avaliados foram: primeira contagem de germinacao (Ger1), germinacao (Ger), emergencia em solo (EM), indice de velocidade de emergencia (IVE), massa aerea seca (MAS), massa seca radicular (MSR), comprimento plântulas aerea (CPA) e comprimento plântulas radicular (CPR). Os resultados sugerem que o tratamento com extratos nao interferiu na qualidade fisiologica da semente de arroz, e que os melhores resultados foram observados para os extratos de alho e citronela e nas combinacoes alho-cravo-da-india, alho-gengibre e alho-citronela. Entretanto, com excecao do oleo essencial de neen, os demais inibiram o desenvolvimento das sementes de arroz. Conclui-se que o desempenho fisiologico das sementes de arroz tratadas com extratos obteve qualidade igual ou superior a testemunha. E que os tratamentos com oleos essenciais inibiram o desenvolvimento das sementes, com excecao do oleo de neem.
Recommendations for VTE Prophylaxis in Medically Ill Patients

Venous thromboembolism (VTE) remains highly prevalent in medically ill patients, and often leads to increased mortality and cost burden during hospitalization and post-discharge. Nearly half of all VTEs occur during or after hospitalization, with pulmonary embolism accounting for 10% of inpatient mortality. Appropriate prophylaxis in high-risk medically ill patients has been shown to reduce risk of VTE and related mortality. Despite current evidence-based guidelines, VTE prophylaxis has been under-used. This owes greatly to ambiguity and concerns related to appropriate patient and prophylactic agent selection, and duration of prophylaxis. Because many acutely ill medical patients have multiple comorbidities, the risk of major bleeding must be considered when choosing to implement pharmacological VTE prophylaxis. Multiple risk assessment models have been developed and validated to help estimate VTE and bleeding risks in this population. While studies have shown that the risk for VTE often extends far beyond hospital discharge, there is no evidence to support extending prophylaxis after hospital discharge. The appropriate selection of VTE prophylaxis requires consideration for cost, availability, patient preference, compliance, and underlying comorbidities. Our paper reviews the current evidence and reasoning for appropriate selection of VTE prophylaxis in acutely medical ill patients, and highlights our own approach and recommendations.
Counting Short Cycles in Bipartite Graphs: A Fast Technique/Algorithm and a Hardness Result

In this paper, we propose a new technique, based on the so-called breadth-first search algorithm, to count the short cycles of a bipartite graph. For a general bipartite graph with <inline-formula> <tex-math notation="LaTeX">$|V|$ </tex-math></inline-formula> nodes and girth <inline-formula> <tex-math notation="LaTeX">$g$ </tex-math></inline-formula>, our technique has a time complexity of <inline-formula> <tex-math notation="LaTeX">$\mathcal {O}(|V|^{2}\Delta )$ </tex-math></inline-formula> to count <inline-formula> <tex-math notation="LaTeX">$g$ </tex-math></inline-formula>-cycles and <inline-formula> <tex-math notation="LaTeX">$(g+2)$ </tex-math></inline-formula>-cycles, and a time complexity of <inline-formula> <tex-math notation="LaTeX">$\mathcal {O}(|V|^{2}\Delta ^{2})$ </tex-math></inline-formula> to count <inline-formula> <tex-math notation="LaTeX">$(g+4)$ </tex-math></inline-formula>-cycles, where <inline-formula> <tex-math notation="LaTeX">$\Delta $ </tex-math></inline-formula> is the maximum node degree in the graph. Moreover, for bi-regular bipartite graphs, the latter complexity is further reduced to <inline-formula> <tex-math notation="LaTeX">$\mathcal {O}(|V|^{2}\Delta )$ </tex-math></inline-formula>. Compared to the fastest known algorithm, which has a complexity <inline-formula> <tex-math notation="LaTeX">$\mathcal {O}(g |V|^{2} \Delta ^{2})$ </tex-math></inline-formula>, the proposed method always has a lower complexity for counting <inline-formula> <tex-math notation="LaTeX">$g$ </tex-math></inline-formula>-cycles and <inline-formula> <tex-math notation="LaTeX">$(g+2)$ </tex-math></inline-formula>-cycles. It also has a lower complexity for counting <inline-formula> <tex-math notation="LaTeX">$(g+4)$ </tex-math></inline-formula>-cycles in bi-regular graphs and in scenarios where <inline-formula> <tex-math notation="LaTeX">$g$ </tex-math></inline-formula> is increased with the size of the graph. Related to the problem of counting short cycles, we also demonstrate, using a long-standing conjecture, that there is no algorithm with time complexity less than <inline-formula> <tex-math notation="LaTeX">$\mathcal {O}\left({|V|^{2-\frac {2}{1+i}}}\right)$ </tex-math></inline-formula> that can determine whether a given sparse bipartite graph has a cycle of length <inline-formula> <tex-math notation="LaTeX">$4i$ </tex-math></inline-formula>. An important application of the results presented here is to count the short cycles of Tanner graphs of low-density parity-check (LDPC) codes.
Accuracy of clinical scores in differentiatingstroke subtypes in Mosul

Objectives: To study the validity of clinical scores in differentiating intracerebral hemorrhage and ischemic stroke and to see which of them is more applicable in our hospitals. Methods: A prospective study of 100 consecutive patients with acute neurological deficit admitted as inpatient to the neurological unit in Ibn-Sina Teaching Hospital in the city of Mosul, evaluated with computed tomography and Allen and Siriraj scores to determine the pathological type of stroke during the period from September 15 th 2008 and January 28 th 2009. Results: The prevalence of hemorrhage (diagnosed with computed tomography) was 19%. Allen scores were "uncertain" in 13 cases and Siriraj scores in 17 cases; Sensitivity, specificity, positive and negative predictive values, for haemorrhage were 0.53, 0.96, 0.77 and 0.90, for Allen scores and 0.79, 0.97, 0.88, and 0.95 for Siriraj scores; such values for infarction were 0.91, 0.89, 0.97, and 0.71 for Allen scores and 0.80, 0.95, 0.98 and 0.53 for Siriraj scores. Conclusion: When CT-Scan is not immediately available and the clinician wishes to start antithrombotic treatment, the Siriraj score (and possibly the Allen score) can be useful to identify patients at low risk of intracerebral hemorrhage and The Siriraj score is simple, cheap, reliable and practical method which can be used immediately after the stroke.
Psychosocial aspects of adults with Marfan Syndrome. A cross sectional study of challenges related to work, satisfaction with life, chronic pain and fatigue

A cross sectional study of challenges related to work, satisfaction with life, chronic pain and fatigue. Dissertation for the degree of philosophiae doctor (PhD)Department of Social Work, Child Welfare and Social Policy, Faculty of Social Sciences, Oslo and Akershus University College of Applied Sciences. Utgivelsesdata Tittel:Psychosocial aspects of adults with Marfan Syndrome. A cross sectional study of challenges related to work, satisfaction with life, chronic pain and fatigueForfatter(e):Gry VelvinSerie:HiOA avhandlingerIssn:1893-0476Nr:2016 nr 7Utgiver:HiOAAvdeling/fakultet:SAMSider:239Pris:325,– ISBN-print:978-82-8364-030-4
Emirati Student Profile within Nursing Education

Background: Nursing started in the United Arab Emirates with the arrival of expatriate nurses in the later part of the nineteen century, but fifty years on though, nursing education in the country is still in its infancy, and currently only 3% of the local population are taking up the profession as a career choice in the country. Objective: Being an inaugural study in the UAE, in the Abu Dhabi Emirate, and within nursing education, the objective of this study was to create a profile of existing Emirati Nursing student characteristics, with a view of identifying specific sub-groups within the population that could later be the focus of customized recruitment and retention strategies. Design: The research design used was quantitative with an exploratory descriptive design, using a convenient sampling technique. Data for this study was collected from students studying at a College of Health sciences in the Abu Dhabi Emirate. This college is the only one currently offering baccalaureate degree Health Science related programs in Nursing, in the Emirate. Therefore, the subjects of the questionnaire data collection method included all Emirati pre-entry, undergraduate and bridging students studying in the nursing program (n=140), at the college, during the period of the study. Findings: The pre-entry, undergraduate and bridging Emirati students in the College of Health Sciences are mostly traditional, with respect to being female (100%) and being between the ages of 18 – 24 (88.6%), but are also nontraditional in terms of some of them following a different educational pathway into the program (25%), for example an art major in high school, not studying in their native Arabic language, and being a first generation college
Local axonal conduction delays underlie precise timing of a neural sequence

Sequential activation of neurons has been observed during various behavioral and cognitive processes and is thought to play a critical role in their generation. Here, we studied a circuit in the songbird forebrain that drives the performance of adult courtship song. In this region, known as HVC, neurons are sequentially active with millisecond precision in relation to behavior. Using large-scale network models, we found that HVC sequences could only be accurately produced if sequentially active neurons were linked with long and heterogeneous axonal conduction delays. Although such latencies are often thought to be negligible in local microcircuits, we empirically determined that HVC interconnections were surprisingly slow, generating delays up to 22 ms. An analysis of anatomical reconstructions suggests that similar processes may also occur in rat neocortex, supporting the notion that axonal conduction delays can sculpt the dynamical repertoire of a range of local circuits.
Dilemma of Natural Resource Abundance: A Case Study of Kuwait

There is a lively debate about the relationship between a nation’s natural resource abundance and economic growth. Some view natural resource abundance as a curse, whereas others view it as a blessing. This study examines the economic, social, and political effects of resource abundance in an oil-rich country, Kuwait, using data from 1984 to 2014. This study analyzes the short- and long-run impacts of resource rents on per capita gross domestic product (GDP), productivity, human capital, and institutional quality. The study reveals through autoregressive distributed lag modeling and error correction modeling that resource rents increase per capita GDP merely in the short-run; however, resource rents deteriorate productivity, human capital, and institutional quality in both the short and the long-run. These results indicate that, for Kuwait, the overreliance on its natural resources has been detrimental over the long-run. The study suggests that there is a need to improve the quality of institutions and enhance the level of human capital to get economic sustainability and development over time.
Bridging a new concept of fisheries subsidies policy to support sustainable fisheries in Indonesia

Indonesia protested the policy of the WTO, which required the abolition of subsidies. Therefore, Indonesia, through the Ministry of Maritime Affairs and Fisheries and the Ministry of Foreign Affairs then attempted to roll out an exception to the WTO provisions. At the 11th Ministerial Conference in Buenos Aires, Argentina, the ministers of the member countries of the WTO agreed to accommodate the interests pursued by Indonesia to review the application of fisheries subsidies. This research then analyzes fisheries subsidies practice in Indonesia. Overall, the results of this study indicate that the policy of fisheries subsidies implemented by the government has not been planned with good policies and management so that the subsidy has an impact on overfishing, overcapacity or IUU Fishing. Therefore, the author initiated the Co-management of Green Fisheries Subsidy policy. The core of this idea focuses on the management of fisheries subsidies that support the sustainability of fisheries resources involving various relevant stakeholders. This idea uses seven principles which are then applied in the stages of establishing a policy of providing subsidies in each region based on the bottom-up principle so that the implementation of subsidies will be more effective and efficient based on the needs of each region. The author uses a normative juridical research method by examining library materials or other secondary materials. The author uses the literature study. The tools used are documents in the form of primary, secondary, and non-legal materials. The data obtained were analyzed qualitatively, then presented descriptively.