Miracle-dz/UniFAR-FTUs huggingface dataset:
Construction logistics from a subcontractor perspective

During the last decades a great body of research has highlighted logistics as an important area for enhancing the performance of the construction industry. An increase in urban development further indicates a need for efficient logistics since space for material, equipment and workers in these environments are restricted. The logistics concept involves integration and coordination of material flows which points to the importance of subcontractors’ contributions as they are often responsible for their own supply of material. The aim of this thesis is to examine construction logistics from a subcontractor perspective. This thesis contains a case study of a construction project with severe time and space restrictions. The interactions between the main contractor and subcontractors during the planning and production phase were examined in order to identify and evaluate the interactions that are important for logistics. Participatory observations during meetings and interviews with representatives’ from both the main and subcontractors were conducted. The findings of this thesis suggest collaborative planning during preconstruction are important to create a common understanding of the projects logistics procedures since it facilitated proactive problem solving. During the production phase, project progress meetings were important since the subcontractors had the potential to coordinate their ordering procedures with the production schedule. However, poor transparency regarding schedule changes and delays resulted in urgent logistics problems at the site. These problems were mitigated through direct and frequent communication which was facilitated by operation meetings and a logistics coordinator. The interdependencies that exist between activities performed by subcontractors at the construction site become stronger when time and space is limited. This indicates a greater need for coordination in order to achieve a match between the material and production flow. This study has shown that subcontractor involvement in planning and the use of a logistics coordinator can be beneficial to achieve this coordination. Furthermore, the study also highlights a need to create transparency of the subcontractors ordering procedures in order to achieve a more proactive, rather than reactive, logistics approach.
Outcome of Pregnancies Occurring before Completion of Human Chorionic Gonadotropin Follow-Up in Patients with Persistent Gestational Trophoblastic Tumor

Objective. To determine the outcome of pregnancies occurring before completion of human chorionic gonadotropin follow-up in patients treated with chemotherapy for gestational trophoblastic tumor. Methods. Retrospective record review of patients with gestational trophoblastic tumor who conceived before standard hCG follow-up was completed during 1973‐1998. Results. Forty-three patients treated for gestational trophoblastic tumors conceived before human chorionic gonadotropin follow-up was completed. The antecedent pregnancy was complete mole in 31 (72.1%) and partial mole in 12 (27.9%) patients. Of the 43 patients, 39 (90.7%) had stage I, 1 had stage II, and 3 had stage III disease. The mean interval from human chorionic gonadotropin remission to new pregnancy was 6.3 months (range 1‐11 months). Ten patients underwent elective termination and four patients were lost to follow-up. Of the remaining 29 patients, 22 (75.9%) had term live births, 3 (10.3%) had preterm delivery, 3 had spontaneous abortion, and 1 (3.5%) had a repeat mole. Two cases of fetal anomalies were detected; one was inherited polydactyly and the other was hydronephrosis. One patient developed choriocarcinoma with lung involvement and underwent cesarean section at 28 weeks; a normal fetus was delivered and no choriocarcinoma was detected in the placenta. Conclusion. Pregnancies occurring in patients treated for gestational trophoblastic tumor before standard human chorionic gonadotropin follow-up is completed may continue under close clinical surveillance since the majority have a favorable outcome. However, patients should also be advised of the low but important risk of delayed diagnosis in case tumor relapse develops during early subsequent pregnancy. © 1999 Academic Press
Prognostic value of plasma HIV RNA in the natural history of Pneumocystis carinii pneumonia, cytomegalovirus and Mycobacterium avium complex

Objectives: To use follow-up on untreated HIV-positive men to assess the prognostic information provided by baseline data on plasma HIV RNA, CD4 cell count, age, and HIV-related symptom status, separately for three specific AIDS-defining illnesses: Pneumocystis carinii pneumonia (PCP), cytomegalovirus (CMV), and Mycobacterium avium complex (MAC). Methods: The study population were 734 HIV-positive homosexual men enrolled in the Multicenter AIDS Cohort Study, with follow-up (1984-1985 through mid-1988) restricted to the antiretroviral treatment-free and prophylaxis-free era. Baseline marker values were categorized and assessed as predictor variables in separate time-to-event analyses for each of the three specific outcomes. Results: A total of 138 cases of PCP, 25 cases of CMV, and 25 cases of MAC were observed. For PCP and CMV, higher categories of HIV RNA and lower categories of CD4 cell count were associated with increased risk relative to the respective reference groups. For MAC, oral candidiasis or fever and elevated HIV RNA at baseline were the primary risk factors. Further analysis highlighted the importance of monitoring HIV RNA levels in addition to CD4 cell counts when evaluating patients‚ risk of developing PCP. Conclusions: In the absence of treatment, plasma HIV RNA levels provide prognostic information about the risk of these three specific AIDS-defining illnesses, independently of the CD4 cell count. These data provide a useful reference as researchers investigate changing patterns in the incidence and predictors of opportunistic infections in the era of increasingly active antiretroviral therapies.
Beliefs and attitudes of generic versus original drugs among doctors in a tertiary-care hospital in Western India -

Background: Physicians have a choice between original and generic drugs while prescribing to patients. The original and generic drugs are rarely studied against each other in patient population, and, hence, it is important to know how health-care providers perceive the differences between two classes of the drugs. Aims and Objective: To analyze the beliefs, perceptions, and attitudes of health-care providers in a tertiary-care hospital toward generic and original drugs. Materials and Methods: This is a descriptive, cross-sectional, questionnaire-based study conducted among 200 students and faculty in a tertiary-care hospital in western India. The questionnaire mainly dealt with perceptions, attitudes, and beliefs of doctors toward generic drugs in comparison with original drugs. The results were analyzed using descriptive statistics. Result: Of 200 participants, 62% supported generic substitution for original drugs in most cases, 60 (30%) supported generic substitutions for original drugs in all cases where generics were available, and 16 (8%) did not support generic substitution for original drugs. One hundred and seventeen (58.5%) participants perceived that there was significant difference between price of generic and original brand drugs. Although 56% participants believed that generic drugs are as effective as originals, 56% participants also mentioned that they have experienced difference in the quality of generic drugs against original brand drugs. Conclusion: This study found a gap between knowledge score and generic prescription practices, indicating that training programs for health-care providers in India to improve their knowledge about generic drugs may be necessary.
Comparison of the Functional Health Limitations of Veterans Deployed to Iraq or Afghanistan to Veterans Deployed to Desert Shield/Storm With Chronic Fatigue Syndrome

ABSTRACT The majority of studies to examine the levels of physical symptoms after Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) deployment have found that veterans experience high levels of physical symptoms after deployment. What is not known is whether the physical symptoms experienced by OEF/OIF veterans meet criteria for chronic fatigue syndrome (CFS), as was seen after Operation Desert Shield/Operation Desert Storm. This determination would require a medical evaluation to rule out medical conditions that may explain the symptoms. Further, it is not well known if the physical symptoms experienced by OEF/OIF veterans are causing significant functional impairment. We compared OEF/OIF veterans with CFS to Desert Shield/Storm veterans with CFS seen at a postdeployment Veterans Affairs (VA) clinic soon after their respective deployments. We found 17.6% of OEF/OIF veterans met criteria for CFS. Compared to Desert Shield/Desert Storm veterans with CFS, the OEF/OIF veterans with CFS demonstrated poorer mental health function and similar physical health function.
The Health of Children Looked after by the Local Authority

Ian Butler and Heather Payne present findings from a local study of the form and practice of statutory medical examinations for children looked after by the local authority. They report that only a quarter of children attend such medical examinations and that the quality of these medical contacts is questionable. The paper discusses these findings in the context of what is known generally about the health of children in public care and makes suggestions for developing practice, including the establishment of a designated doctor for substitute child care.
Unilateral Blindness After Posterior Cervical Spinal Surgery: A Case Report

The purpose of this study is to report the case of a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia after spinal surgery. A 69-year-old man underwent a cervical spinal fusion surgery in the prone position. He could not open his right eye in the recovery room due to ocular swelling. Upon ophthalmological examination, we determined that he had a central retinal artery occlusion with total ophthalmoplegia. Despite medical treatment, optic atrophy was present at the follow-up examinations. Ptosis and the afferent pupillary defect disappeared, and ocular motility was recovered, but visual loss persisted until the last follow-up. A prolonged prone position during spinal surgery can cause external compression of the eye. This can cause serious and irreversible injury to the orbital structures. Therefore, if the patient shows postoperative signs of orbital swelling after spinal surgery, the condition should be immediately evaluated and
Volume Preload versus Ephedrine Infusion for Prevention of Hypotension Due to Spinal Anesthesia for Cesarean Section

Background: Spinal anesthesia is used for 95% of planned cesarean sections in the United States. It provides a fast and profound sensory and motor block. However, hypotension is a very common complication of spinal anesthesia during cesarean section, causing significant morbidity and mortality. It could be associated with severe nausea, vomiting and even unconsciousness and pulmonary aspiration in the mother and for the baby, hypoxia, acidosis, and neurological injuries may result. Methodology: Fifty patients were randomly allocated into two groups. Group I (F group) patients received preloading with 15 ml/kg Ringer lactate before induction of spinal anesthesia, and group II (E group) patients received IV ephedrine (5 mg in 1st minute after spinal anesthesia and 5 mg in the 2nd minute and 1 mg every minute after that for 15 minutes). Results: A statistically significant difference in the incidence of hypotension between group F (48%) and group E (24%) was seen, (p-value 0.03). Regarding side effects, the incidence of nausea and vomiting was higher in the group F (20%) when compared to group E (12%), (p-value 0.23). Conclusions: We concluded that IV infusion of ephedrine after induction of spinal anesthesia was more effective than crystalloid preloading in a prevention of hypotension in parturient undergoing cesarean section and did so without causing significant tachycardia.
Poor Skeletal Growth PredictsRisk of High Blood Pressureamong Adolescent Boys in India

Poor Skeletal Growth Predicts Risk of High Blood Pressure among Adolescent Boys in India Background: It is believed that poor height may be associated with blood pressure through socially patterned factors such as early nutrition, infection and stress. We therefore examined association of skeletal measures with high blood pressure among adolescents. Subjects/Methods: Adolescent boys (age 9-16 yr) from low socio economic (n=932) and high socio economic (n =1146) classes (LSE & HSE respectively) were studied for anthropometry and blood pressure.
A PMU fortheMeasurement ofSynchronized Harmonic Phasors inThree-Phase Distribution Networks

Owingtotheextension ofelectric distribution networks, monitoring andcontrol issues relyonlarge scale distributed measurement systems, abletocarry outsimultaneous measurements ofelectrical quantities inseveral points onthe monitored systems. Inthis papertheimplementation ofdigital procedures, suitable fortheevaluation ofthesynchronized harmonic phasors, inaflexible Phasor Measurement Unit(PMU) basedonPXImodular hardware ispresented. Someresults of experimental tests arepresented tocharacterize themeasurement systeminordertoevaluate thebehavior ofthedesigned instrument inrealoperating conditions onthree-phase electric distribution networks.
Glycosylated hemoglobin level at 34 weeks in insulin-controlled diabetic pregnancies, relation to fetal outcome

Objective To determine the role of glycosylated hemoglobin at 34 weeks’ gestation and onwards in the prediction of fetal outcome in insulin-controlled diabetic pregnancies. Design Cohort study. Setting Kasr Al-Aini Hospital. Participants and methods A total of 50 singleton pregnant women on insulin treatment with gestational age between 34 and 36 weeks were included. All women underwent ultrasound fetometery, and glycosylated hemoglobin level at 34 weeks, amniotic fluid index, placental maturation, and biophysical profile were determined. Doppler ultrasound was also carried out. Follow-up was carried out for all women until delivery and neonates were examined for body weight, APGAR scoring at 1 and 5 min, and blood glucose level (adverse if <45 mg/dl). Results There was a statistically significant correlation between HbA1c and BMI, amniotic fluid index, and neonatal outcomes. HbA1c of 7 or higher was found to be a cutoff value for the prediction of prematurity, with area under curve of 91.7% (Fig. 2). Conclusion HbA1c may be a useful marker for prematurity in pregnant diabetic women and may correlate with fetal outcome. For the antenatal care of diabetic mothers, it is recommended is to maintain HbA1c less than 7% decrease fetal adverse outcome.
HAEMODYNAMIC CHANGES IN NORMAL PREGNANCY ASSESSED BY ECHOCARDIOGRAPHY

A comparative study was done on haemodynamic changes between 60 healthy pregnant women each of whom carried a single foetus and 20 non pregnant healthy women by using echocardiography. Heart rate, blood pressure, cardiac output, ejection fraction, fractional shortening, aortic flow, and pulmonary flow were taken as parameters and compared. The increase of heart rate in pregnant women is highly significant when compared to that of non-pregnant women. The systolic blood pressure and diastolic blood pressure decreased in the 1 st &2 nd trimesters of pregnancy and the systolic blood pressure returned to non pregnant levels in the 3 rd trimester. The cardiac output, ejection fraction, fractional shortening, aortic flow and pulmonary flows were increased in the 1 st , 2 nd and 3 rd trimesters of pregnancy when compared to non pregnant women.
Diagnostic Performance of Magnetic Resonance Cholangiopancreatography (MRCP) for Biliopancreatic Cancer

Introduction: MRCP has achieved widespread success as a diagnostic tool for biliopancreatic cancer. Aim of the study: is to assess the diagnostic quality and overall accuracy of MRCP techniques for the evaluation of biliopancreatic cancer. Patients and Methods: from 266 patients (115 male, 151 female; mean age 50), 63 suspected for biliary tree or pancreatic diseases cancer and histopathologically confirmed, were enrolled in this study. MRCP protocols applied for imaging of biliary and pancreatic tree were; T2-weighted Fast spin echo (FSE) sequence on the axial plane, three-dimensional, fatsuppressed, heavily T2-weighted FSE sequence with multislab acquisition mode, two-dimensional thick single slab projectional images, three-dimensional reconstruction algorithms. Results: among the patients, jaundice and abdominal pain were the commonest clinical complaints. Three-dimensional, fat-suppressed, heavily T2-weighted FSE sequence with multislab acquisition mode shows a significant (p < 0.05) improvement in accuracy to from 88.1% to 92.9% compared to two-dimensional thick single slab projectional images. Moreover, there is a significant increase in sensitivity from 90.5% to 95.2% was seen; specificity, too, increased from 85.7% to 90.5%. Furthermore, Overall bile duct visualization with the 3D fat-suppressed, heavily T2 FSE with multislab acquisition technique was rated significantly higher (mean score = 4.7) versus 2D thick single slab projectional images (mean score = 4) (P < 0.05). Conclusion: MRCP plays a critical role in the differential diagnosis with significant improvement in the accuracy of the diagnosis of biliopancreatic cancer.
Ξ-filters

A new family of nonlinear digital convolution filters is described having unusual and valuable properties. The response is constant phase over the entire input frequency range and, in some forms, no signal whatsoever is passed beyond the cutoff frequency and side-lobes are identically zero. By simply iterating the transform upon which a Ξ-filter is based without changing the size of the convolution kernel, the cutoff frequency may be varied. Use of Ξ-filters is analyzed and demonstrated as applied to ultrahigh-speed image processing using table-lookup computation.
Functional Independence, Quality of Life, and Level of Mobility of Elderly People Living at Home and Nursing Home

Objective: To compare level of mobility, quality of life, and functional independence of the elderly people living at home and in the nursing homes. Methods: The study comprised 130 voluntary elderly participants living in 2 nursing homes and 54 elderly participants living in their own homes, who met the inclusion criteria. Sociodemographic data and medical history of the participants were recorded, and the Elderly Mobility Scale, Barthel Index, and Nottingham Health Profile were administered. Results: The level of mobility of the elderly people living in nursing homes was found to be lower than that of those living at home (P < .05). Quality of life and all subdomains except sleep were better for elderly people at home (P < .05). Functional independence scores of the elderly people living at home were higher (P < .05). In both groups, a statistically significant relationship was found between the mobility assistive device, Barthel Index (P < .01), and Elderly Mobility Scale (P < .01). Conclusion: These results revealed that elderly people, especially those living in nursing homes, should be supported and educated to be aware of physical activity and quality of life.
PENGARUH PROMOSI TERHADAP MINAT KULIAH STUDI KASUS DI POLITEKNIK NEGERI JAKARTA

Abstrak Penelitian ini bertujuan untuk menganalisis pengaruh faktor promosi terhadap minat kuliah di Politeknik Negeri Jakarta. Data penelitian ini diperoleh dari metode penyajian data dari hasil tanggapan responden (kuesioner), dalam hal ini data primer bersumber dari mahasiswa semester dua Politeknik Negeri Jakarta tahun akademik 2014/2015. Analisis statistik yang digunakan dalam penelitian ini adalah analisis regresi sederhana dengan menggunakan SPSS 20. Hasil penelitian masih dalam proses. Kata Kunci : Promosi, minat, mahasiswa baru, pengaruh. Abstract This research aimed to analyze the influence of promotion of interest study in State Polytechnic of Jakarta. The research data was obtained from the presenting of data from the respondents (questionnaire), in this case the primary data from the students of State Polytechnic of Jakarta in second semester of the academic year 2014/2015. The statistical analysis used in this research is simple regression analysis using SPSS 20. The results of this research is still processed. Keywords: Promotions, interests, new students, influence.
Factores que determinan el uso de innovaciones tecnológicas en la ganadería de doble propósito en Sinaloa, Mexico Factors which determine use of innovation technology in dual purpose cattle production units in Sinaloa, México

The purpose of the present study was assessing factors which influence adoption of innovation by producers of dual purpose cattle. By means of non-stochastic selection of 121 farmers who participated in the support program of SAGARPA in 2010-2011, three definite groups of producers applying different technology levels (high, intermediate and low) in their enterprises were identified through statistical positioning methods. Variables affecting implementation of their technology practices were determined via analysis of variance and chi-square tests. Average adoption of innovations was significant (P<0.05) for differentiating producer groups, while significant variables (P<0.05) for description were number of adult cows, distance from production unit to municipality, method of reproduction, types of milking and years of receiving technical assistance. As a conclusion, it is worth mentioning that the typology applied made possible to identify three groups of producers according to adoption of technological innovations. In each group, factors which influence the adoption of innovations were related to variables of scale, location, technology and innovation. Results obtained may serve to refocus and draw up technology transfer programs in dual purpose cattle production systems.
Levels of Psychological Distress among Occupational Therapy Students

This study measured levels of psychological distress among a sample of Irish occupational therapy students. Students from all four undergraduate classes (n=102) were surveyed, using the General Health Questionnaire (GHQ-28). Over 40% of the students scored as having a ‘just significant clinical disturbance’ on the GHQ-28. Mean GHQ scores (or symptom levels) varied throughout the 4-year course and were highest just before examinations and during fieldwork placements. Students who had unhealthy diets or who smoked had significantly higher levels of psychiatric symptomatology. The prevalence of psychological distress among occupational therapy students was similar to that found in students from four other disciplines; however, the university students had much higher levels of symptomatology than the non-university peer group. The article concludes with some suggestions for dealing with stressful aspects of professional education and some recommendations for further research.