Miracle-dz/UniFAR-FTUs huggingface dataset:
Patient Experience Journal Patient Experience Journal

Interactions with rapport are considered essential to palliative care and beneficial to patient outcomes. With the current interest in telehealth, more knowledge is needed about rapport during telehealth encounters in palliative care from the patient and family viewpoint. The objective of this study was to explore patient and family experiences of rapport with health professionals during telehealth interactions in the community palliative care setting. This was a qualitative Interpretive Description study, with 18 patients and 11 family member participants recruited from four hospice locations in Aotearoa, New Zealand. Semi-structured interviews were conducted, and audio recorded between November 2020 and May 2021. Data was transcribed and analysed using Reflexive thematic analysis. A COREQ checklist was completed. The major theme was “The health professional’s vibe” which developed into two subthemes: 1) Relaxed c omfortable encounters, with behaviours that aided developing rapport, and 2) difficult uncomfortable encounters with behaviours detracting from developing rapport. A key finding is that the health professional’s care, presence, and communication skills affected development of rapport more than the telehealth medium used. Participants perceived rapport in telehealth calls depending on how they experienced the health professionals’ “vibe. ” Rapport occurred in relaxed, comfortable encounters with health professionals who demonstrated intentional presence and caring. However, patients and families experienced uncomfortable encounters without rapport attributable to a lack of health professional presence and caring. More compelling training options are needed for health professionals regarding the development of rapport in telehealth along with further research into the impact of rapport on telehealth outcomes.
The Influence of Incentives, Motivation and Work Discipline on Employee Performance at Credit Union Filosofi Petani Pancur Kasih Pontianak

This study aims to analyze the effect of incentives, motivation, and work discipline on employee performance at CU Filosofi Petani Pancur Kasih Pontianak. The instrument test used is the reliability test, validity test, statistical test (T-test, F test, and R2 test/coefficient of determination), and classical assumption test (multicollinearity test, heteroscedasticity test, and normality test). The number of samples was 37 people. This research is very important because it looks at the performance of CU Filosofi Petani Pancur Kasih employees in the last time bracket has decreased and this impact is certainly not good for the development of an organization, The data analysis method used in this study was multiple regression, All populations are 37 people and all of them (census) are sampled in this study to achieve a good level of precision.Partially, the incentive variable does not have a significant effect on the employee performance of CU Filosofi Petani Pancur Kasih Pontianak. However, motivation and discipline have a significant effect on the employee performance of CU Filosofi Petani Pancur Kasih Pontianak. Simultaneously, the Incentive (X1), Motivation (X2), and Discipline (X3) variables significantly influence the employee performance of CU Filosofi Petani Pancur Kasih Pontianak. Based on the analysis of the coefficient of determination, the employee performance of CU Filosofi Petani Pancur Kasih Pontianak can be concluded and explained by the variables of Incentives (X1), Motivation (X2), and Discipline (X3), while the other 52.4% are influenced or explained by other variables which are not discussed in this study.
Uncovering the Grinnellian niche space of the cryptic species complex Gammarus roeselii

Background The discovery of cryptic species complexes within morphologically established species comes with challenges in the classification and handling of these species. We hardly know to what extent species within a species complex differ ecologically. Such knowledge is essential to assess the vulnerability of individual genetic lineages in the face of global change. The abiotic conditions, i.e., the Grinnellian niche that a genetic lineage colonizes, provides insights into how diverse the ecological requirements of each evolutionary lineage are within a species complex. Material and Methods We sampled the cryptic species complex of the amphipod Gammarus roeselii from Central Germany to Greece and identified genetic lineages based on cytochrome c oxidase subunit I (COI) barcoding. At the same time, we recorded various abiotic parameters and local pollution parameters using a series of in vitro assays to then characterize the Grinnellian niches of the morphospecies (i.e., Gammarus roeselii sensu lato) as well as each genetic lineage. Local pollution can be a significant factor explaining current and future distributions in times of increasing production and release of chemicals into surface waters. Results We identified five spatially structured genetic lineages in our dataset that differed to varying degrees in their Grinnellian niche. In some cases, the niches were very similar despite the geographical separation of lineages, supporting the hypothesis of niche conservatism while being allopatrically separated. In other cases, we found a small niche that was clearly different from those of other genetic lineages. Conclusion The variable niches and overlaps of different dimensions make the G. roeselii species complex a promising model system to further study ecological, phenotypic and functional differentiation within this species complex. In general, our results show that the Grinnellian niches of genetically distinct molecular operational taxonomic units (MOTUs) within a cryptic species complex can differ significantly between each other, calling for closer inspection of cryptic species in a conservational and biodiversity context.
Bagging Based Multi-Source Learning and Transfer Regression for Electricity Load Forecasting

—Accurate electricity load forecasting is critical to power system operation. Prediction error of load forecasting can be greatly reduced by utilizing knowledge transferred from other related tasks. To further improve the effectiveness of transfer, knowledge can be transferred from multiple sources to increase the chance of finding samples closely related to the target. In this work, a multi-source instances transfer algorithm based on domain-to-domain similarity and sample to domain similarity is developed and a bagging-based re-sampling transfer regression framework is constructed. Experimental evaluation on a real-world dataset shows that forecasting performance can be significantly improved by transferring useful data from more sources. Negative transfer is avoided effectively.
Raising Bilingual Children in Home Environment of Brunei: A Study on Vocabulary Acquisition

This study aims to contribute to current research on bilingual children's vocabulary studies and the home environment. It explored how home environments affected children's L1 and L2 vocabulary acquisition. The children in this small-scale study (n=40) were exposed to Brunei Malay (L1) alongside English (L2) from a young age, classifying the children as bilingual first-language learners (BFL). This study examines the children’s L1 and L2 language development and it used vocabulary knowledge as a measuring tool for data analysis. It also considers the home environment and parental role as factors contributing to the children’s language progress. As a result, this study found positive correlations between children's L1 and L2 receptive and active vocabulary knowledge. It also found the children’s L1 and L2 interaction at home with family members. Conversely, the findings shown that there was no significant difference between the responses of 5 and 6 year old children in their L1 and L2 comprehension as well as production tests. This study also found that children who performed well in L1 and L2 vocabulary tests come from households that were open to bilingualism. In addition, parents were open to bilingualism for their children with the condition that the children prioritised their L1 more than L2. The main motive for bilingualism for their children was to enhance their communication skills and increase their chances of future employment. Hence, parents' perception of L1 and L2 is crucial because it shapes the language usages that were exposed to the children at home.
Trichomonas gallinae Kills Host Cells Using Trogocytosis

Trichomonas gallinae (T. gallinae) is an infectious parasite that is prevalent worldwide in poultry and can cause death in both poultry and wild birds. Although studies have shown that T. gallinae damages host cells through direct contact, the mechanism is still unclear. In this study, we found that T. gallinae can kill host cells by ingesting fragments of the host cells, that is, by trogocytosis. Moreover, we found that the PI3K inhibitor wortmannin and the cysteine protease inhibitor E-64D prevented T. gallinae from destroying host cells. To the best of our knowledge, our study has demonstrated for the first time that T. gallinae uses trogocytosis to kill host cells. Understanding this mechanism is crucial for the prevention and control of avian trichomoniasis and will contribute to the development of vaccines and drugs for the prevention and control of avian trichomoniasis.
Similarities and differences between intermittent and continuous resting-state fMRI

Introduction Functional Magnetic Resonance Imaging (fMRI) block-design experiments typically include active ON-blocks with presentation of cognitive tasks which are contrasted with OFF- blocks with no tasks presented. OFF-blocks in between ON-blocks can however, also be seen as a proxy for intermittent periods of resting, inducing temporary resting-states. We still do not know if brain activity during such intermittent periods reflects the same kind of resting-state activity as that obtained during a continuous period, as is typically the case in studies of the classic Default Mode Network (DMN). The purpose of the current study was therefore to investigate both similarities and differences in brain activity between intermittent and continuous resting conditions. Methods There were 47 healthy participants in the 3T fMRI experiment. Data for the intermittent resting-state condition were acquired from resting-periods in between active task-processing periods in a standard ON-OFF block design, with three different cognitive tasks presented during ON-blocks. Data for the continuous resting-state condition were acquired during a 5 min resting period after the task-design had been presented. Results and discussion The results showed that activity was overall similar in the two conditions, but with some differences. These differences were within the DMN network, and for the interaction of DMN with other brain networks. DMN maps showed weak overlap between conditions in the medial prefrontal cortex (MPFC), and in particular for the intermittent compared to the continuous resting-state condition. Moreover, DMN showed strong connectivity with the salience network (SN) in the intermittent resting-state condition, particularly in the anterior insula and the supramarginal gyrus. The observed differences may reflect a “carry-over” effect from task-processing to the next resting-state period, not present in the continuous resting-state condition, causing interference from the ON-blocks. Further research is needed to fully understand the extent of differences between intermittent and continuous resting-state conditions.
Comparing Left Ventricular Diastolic Function between Peritoneal Dialysis and Non-Dialysis Patients with Stage 5 Chronic Kidney Disease: A Propensity Score-Matched Analysis

Patients with chronic kidney disease (CKD) have a high incidence of left ventricular diastolic dysfunction (LVDD), which increases the risk of heart failure and mortality. We assessed fluid overload as an independent risk factor for LVDD in patients with decreased kidney function and compared its impact on the E/e′ ratio as a parameter for assessing left ventricular diastolic functions between patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and those with non-dialysis CKD stage 5 (CKD5) using propensity score matching (PSM). After PSM, 222 patients (CAPD, n = 111; CKD5, n = 111) were included. Fluid balance was assessed using bio-impedance spectroscopy and LVDD was determined by echocardiography based on an E/e′ ratio of >15. The CKD5 group had a significantly higher E/e′ ratio (p = 0.002), while fluid overload (OH/ECW) did not differ significantly between the groups. In the CAPD group, there were no significant differences in OH/ECW between patients with and without LVDD (p = 0.517). However, in the CKD5 group, patients with LVDD showed a significantly higher OH/ECW (p = 0.001). In a regression analysis investigating factors associated with the E/e′ ratio, OH/ECW was not significantly associated with the E/e′ ratio in the CAPD group (p = 0.087), but in the CKD5 group, it was independently correlated (p = 0.047). The factors closely associated with LVDD varied depending on dialysis dependence. While fluid overload independently influenced LVDD in non-dialysis patients, it was not statistically significant in patients with CAPD. Early assessment and management of volume status are crucial in addressing LVDD in patients with advanced-stage CKD.
Relevancy of the “Health Belief Model” on Behavior in Seeking Treatment among Families of Patients with Mental Disorders in the Work Area of the Public Health Center Taman Sidoarjo East Java

Background: Mental health is a part that is related to health and wellness. One of the indicators in Gerakan Masyarakat (GERMAS) [”society movement”] stated that people with mental disorders should be treated and not abandoned. Nevertheless, nowadays it is still common to find people with mental disorders that do not receive proper medical care. Aims: The aim of this research is to measure cues to action and self-efficacy of the family behavior in seeking treatment for people with mental disorders within the work area of the Public Health Centre Taman Sidoarjo. Method: This research utilized the observational method with the cross-sectional study design and was analyzed with the Health Belief Model (HBM) theory approach. Result: The statistical analysis results using the Pearson Chi-Square test with a significance level of < 0.05 showed a p-value of 0.034 for perceived susceptibility and severity, a p-value of 0.180 for perceived threat, a p-value of 0.009 for perceived benefit, a p-value of 0.696 for perceived barriers, a p-value of 0.555 for self-efficacy, and p-value of 0.099 for cues to action. Based on these results, it can be concluded that perceived susceptibility and severity have a positive relationship with the family behavior in seeking treatment, which means the more perceived susceptibility, and severity increase, the more the family behavior in seeking treatment for people with mental disorders increases. Conclusion: Likewise, perceived benefit has a positive relationship with the family’s behavior in seeking treatment. However, perceived threat, perceived barriers, self-efficacy, and cues to action have no relationship with the family behavior in seeking treatment for people with mental disorders.
Efficient graph computing on the congested clique

In this report, we initiate study on understanding a theoretical model for distributed computing called Congested Clique. This report presents constanttime and near-constant-time distributed algorithms for a variety of problems in the Congested Clique model. We start by showing how to compute a 3-ruling set in expected O(log log log n) rounds and using this, we obtain a constant-approximation to metric facility location, also in expected O(log log log n) rounds. In addition, assuming an input metric space of constant doubling dimension, we obtain constant-round algorithms to compute maximal independent set on distance-threshold graphs and constant-factor approximation to the metric facility location problem. These results significantly improve on the running time of the fastest known algorithms for these problems in the Congested Clique setting. Then, we study two fundamental graph problems, Graph Connectivity (GC) and Minimum Spanning Tree (MST), in the Congested Clique model, and present several new bounds on the time and message complexities of randomized algorithms for these problems. No non-trivial (i.e., super-constant) time lower bounds are known for either of the aforementioned problems; in particular, an important open question is whether or not constant-round algorithms exist for these problems. We make progress toward answering this question by presenting randomized Monte Carlo algorithms for both problems that run in O(log log log n) rounds (where n is the size of the clique). In
Implementing a flipped instructional model in college algebra: profiles of student activity

ABSTRACT Flipped instruction is increasing in popularity, however research that moves beyond descriptions of its implementation in mathematics classes is lacking. We sought to better understand how students taking an introductory college algebra course used the resources provided within a flipped instructional model and how students viewed such resources as useful to their learning. Data from course activity records and student usage surveys were used to characterize the frequency of student access to course resources (e.g. video lectures and comprehension assessments) and students' perceptions of the usefulness of these resources. Students naturally fell into one of four categories with respect to video usage and success in the course. Students who employed videos as intended were successful in the class. Students rated watching videos and working on homework in class as the activities that best supported their learning. Students did not perceive group work and in-class presentations as helpful. Our findings have implications for other instructors implementing flipped instruction. We argue that while flipping collegiate mathematics courses has great potential, instructors need to explicitly attend to the design of the in-class components in order to maximize student learning.
A importância das quedas no mesmo nível entre idosos no estado de são paulo

OBJETIVO: Analisar as caracteristicas das quedas no grupo etario com 60 anos ou mais, com enfase nas quedas no mesmo nivel, residentes no Estado de Sao Paulo, a partir da analise das diferentes fontes de informacao oficiais. METODOS: Foram analisadas as 1.328 mortes registradas no SIM em 2007, 20.726 internacoes no SIH/SUS em 2008 e os 359 atendimentos realizados em 24 UEs do Estado de Sao Paulo em 2007. Um teste de regressao logistica foi utilizado para testar associacoes entre variaveis nos atendimentos em emergencias. RESULTADOS: O sexo masculino preponderou nas mortes (51,2 %) enquanto o sexo feminino preponderou nas internacoes (61,1%) e atendimentos em emergencias (60,4%). O coeficiente de mortalidade foi 31/100.000 habitantes, aumentando com a idade e atingindo o valor de 110,7/100.000 habitantes na faixa de 80 anos e mais. As quedas no mesmo nivel foram responsaveis pela maior proporcao de mortes definidas (35%), nas internacoes (47,5%) e tambem nas emergencias (66%), crescendo de importância com o aumento das faixas etarias. A residencia foi o local de ocorrencia em 65,8% dos casos atendidos nas emergencias. Os traumatismos de cabeca assumem importância nas mortes; as fraturas de femur foram as lesoes mais frequentes nas internacoes e emergencias. Nas emergencias, as mulheres foram 1,55 vezes significativamente mais provaveis de serem atendidas por uma queda do que pelas outras causas externas que os homens. Comparativamente a faixa de 60 a 69 anos, os individuos na faixa de 70 a 79 anos foram 2,10 vezes e os individuos de 80 anos e mais foram 2,26 vezes significativamente mais provaveis de serem atendidos por uma queda do que pelas outras causas externas. Nao houve diferenca estatisticamente significante quanto ao sexo ou faixa etaria quando se comparou os individuos que sofreram quedas no mesmo nivel e outros tipos de queda. CONCLUSAO: Recomenda-se que a prevencao das quedas entre idosos entre na pauta de discussao das politicas publicas sem mais demora.
Antibiotics Knowledge, Attitudes and Behaviours among the Population Living in Greece and Turkey

Antimicrobial resistance is one of the largest threats to public health worldwide. As the inappropriate use of antibiotics is one of the leading causes of antibiotic resistance, it is important to have an understanding of the public’s knowledge, attitudes and behaviours towards antibiotics and antimicrobial resistance. The present study investigated the knowledge, attitudes and behaviours towards antibiotics among the public living in Greece and Turkey using an online cross-sectional survey, with social media advertising (e.g., Facebook) and snowball sampling. In total, 709 individuals completed the survey (Greece n = 309, Turkey n = 400), with an average age of 34.2 (SD = 13.1) and 40.5 (SD = 14.7), respectively. In Greece, 49.4% of the participants were female, and in Turkey, this figure was 62.4%. The Greek respondents reported that obtaining antibiotics without a prescription was easier (52.6% reported “easy or very easy”) than the Turkish (35.6% reported “easy or very easy”) respondents did. This study reveals that Greek citizens were more educated and knowledgeable about antibiotics (58.5% of Greeks and 44.2% of Turks identified antibiotics correctly), their effects (20.9% of Greeks and 26.3% of Turks agreed with wrong statements about antibiotics) and the risks of antibiotic resistance, compared to those from Turkey. On the other hand, the Greek respondents were more prone to use leftover antibiotics or to give them to someone else later (p < 0.001). The findings of this study indicate that Greece and Turkey, both countries with high rates of antibiotic usage, exhibit distinct variations in their knowledge, attitudes, and perceptions concerning antibiotic use and antibiotic resistance. Effective countermeasures such as public campaigns should be targeted according to the population and those areas of knowledge, attitudes and behaviours in which the main shortcomings lie.
Association of depression and anxiety with clinical, sociodemographic, lifestyle and environmental factors in South Asian and white European people at high risk of diabetes

: Aim To investigate the prevalence and correlates of depressive and anxiety symptoms within South Asian and white European populations at high risk of developing Type 2 diabetes. This study included participants from two Type 2 diabetes prevention trials that were undertaken in Leicestershire, UK using the same standard operating procedures: Let's Prevent Diabetes (‘Let's Prevent’; NCT00677937), and Walking Away from Diabetes (‘Walking Away’; NCT00941954). Data were collected at baseline, 12, 24 and 36 months. Neither study reported a difference between the control and intervention groups in depressive symptoms during follow-up. Full study descriptions are available elsewhere [9,10].