Miracle-dz/UniFAR-FTUs huggingface dataset:
Arthroscopic Treatment of Septic Arthritis of the Shoulder: Technical Pearls to Reduce the Rate of Reoperation

Background The aim of this study was to evaluate clinical experience with arthroscopic debridement for septic arthritis of the shoulder joint and to report on our patient outcomes. Methods The retrospective analysis included 36 shoulders (male:female, 15:21), contributed by 35 patients (mean age, 63.8 years) treated by arthroscopy for septic arthritis of the shoulder between November 2003 and February 2016. The mean follow-up period was 14.3 months (range, 12–33 months). An additional posterolateral portal and a 70º arthroscope was used to access the posteroinferior glenohumeral (GH) joint and posteroinferior subacromial (SA) space, respectively. Irrigation was performed with a large volume of fluid (25.1±8.1 L). Multiple suction drains (average, 3.3 drains) were inserted into the GH joint and SA space and removed 8.9±4.3 days after surgery. Intravenous antibiotics were administered for 3.9±1.8 weeks after surgery, followed by oral antibiotic treatment for another 3.6±1.9 weeks. Results Among the 36 shoulders, reoperation was required in two cases (5.6%). The average range of motion achieved was 150. 0º for forward flexion and T9 for internal rotation. The mean simple shoulder test score was 7.9±3.6 points. Nineteen shoulders (52.8%) had acupuncture or injection history prior to the infection. Pathogens were identified in 15 shoulders, with Staphylococcus aureus being the most commonly identified pathogen (10/15). Both the GH joint and the SA space were involved in 21 shoulders, while 14 cases involved only the GH joint and one case involved only the SA space. Conclusions Complete debridement using an additional posterolateral portal and 70º arthroscope, a large volume of irrigation with >20 L of saline, and multiple suction drains may reduce the reoperation rate.
FACTORS AFFECTING DELAYINGPAYMENT OF NATIONAL HEALTH INSURANCE (BPJS KESEHATAN)PREMIUM AMONG PARTICIPANTS OF THE INFORMAL SECTOR IN BANYUMAS REGENCY

Objectives : The participants expansion of BPJS Kesehatan,especially for participants of the informal sector (PBPU) are faced with several problems, one of the problem was late payments of contribution payments per month by participants who have already registered. Data from BPJS Kesehatan Pur woker to showed if approximately 57.84% ofthe participantshad experienced late payments in contribution in 2015. The purpose of this study was to find out the factors whichhave effectof late payments inpaying the contribution of BPJS Kesehatan to the participants PBPU in Banyumas. Methods : This research is an analytical observational research with cross sectional design using a quantitative approach. Research sampling is grouped into two groups namely sample cases and control samples. The number of samples for each of the case groups and the control is 141.The Data in the study analyzed with SPSS software with quantitative analysis of research, including: univariate analysis (frequency and percentage), Bivariate analysis (Chi Square test), and multivariate analysis (linear logistic regression) Result : Based on the result of multivariate analysis of twelve independent variables were only four variables that had effect of late payments in paying the contributions of BPJS Kesehatan with values of CI 95%, which are variable age<35years (pvalue=0.000), the economic status (quintile1)(p-value=0.000), number of family members ≥5person (p-value=0.011), and the value of CI 90% are married status (p-value=0.059). Conclusion : Improving socialization of regulations and consequences of late payments of BPJS Kesehatan, increasing participants' awareness of the importance have healthcare insurance continuously and give priority to the basic health needs at the household expenses are efforts thatcould be done to reduce the number of late payments in the premium payments of BPJS Kesehatan to the participants of PBPU.
Uropathogens and diagnostic potential of pH and specific gravity in a rural community of Nigeria

Objective: To assess the association between urine pH and specific gravity (SG) and occurrence of urinary tract pathogens involved in urinary tract infection (UTI) in school pupils. Methods: Laboratory culture techniques and biochemical tests were carried out to identify the UTI-associated bacteria in school pupils' urine of United Nursery and Primary School, Ilara- Remo, in Ikenne Local Government area, Ogun State, Nigeria. Urine dip-stick tests were carried out on the samples to take pH and SG measurements. Results: The prevalence of urinary tract pathogens in the study population was 82.4%. This prevalence was not gender and age dependent (P > 0.05). Escherichia coli (E. coli ) (37.0%) and Klebsiella (0.9%) were the highest and least prevalent uropathogens. There was significant increase in proportion of subjects diagnosed with E. coli (37.5%), Staphylococcus aureus (32.0%), Klebsiella (57.1%) in pH 9, pH 6 and pH 8, respectively (P 0.05). There were significant increase in proportion of subjects diagnosed with E. coli (50.0%), Proteus (56.3%), Staphylococcus aureus (44.0%), Klebsiella (71.4%) in SG 1.010, 1.015, 1.015 and 1.010, respectively (P < 0.05). Conclusion: Therefore, the urine pH 9 and SG 1.010-1.015 are the best diagnostic indicators of UTI-associated uropathogens in school children.
Drug utilization study in schizophrenia patients in outpatient department of psychiatry: an observational prospective study

Background: A mental disorder or psychiatry disorder is a behavioural or mental pattern that causes significant distress or impairment of personal functioning. Schizophrenia is one of the most common psychiatric disorders. Aim of the study is to study drug utilization pattern in schizophrenia patients in outpatient department of psychiatry. Methods: A prospective and observational study was conducted in psychiatry outpatient department between May 2018 to October 2018 at Government Medical College and Hospital Aurangabad. Approval from ethics committee was taken. Data collected was of age, sex, final diagnosis, drugs prescribed to patients from case report form. The data obtained was then analyzed in Microsoft excel. Results: Total prescriptions of 129 patients were analyzed. Out of 129 patients 99 (76.74%) were male, while 30 (23.26%) were female. The mean age of the patients admitted in Psychiatry OPD was 36.71±11.76 years. Number of drugs prescribed per patient being 3.40±1.12 (mean±SD). The most common drugs used were olanzapine (66.6%), trihexyphenidyl (51.9%), lorazepam (44.9%), risperidone (39.5%), trifluoperazine (27.9%). Conclusions: Our study shows that atypical antipsychotics were the most common drugs prescribed in patients. Olanzapine was the most common medication used followed by risperidone. Our prospective study is carried out to get a more comprehensive data so that we can improve the drug utilization in our hospital.
EVALUATION OF SOME SAFETY TREATMENTS ON ROOT ROT DISEASES, GROWTH AND YIELD POD QUALITY OF PEA (Pisum sativum, L.)

The present study was carried out during two winter seasons of 2009/2010 and 2010/2011 at Kaha Vegetable Research Station (Qalubia Governorate), Horticulture Research Institute, AgricultureResearchCenter (A R C), Egypt. Foliar and soil applications of several natural safety materials as sodium meta silicate (Na2SiO35H2O) at 1g/L. , salicylic acid (Dihydroxybenzoic acid) at 1 g/ L. , Potassium bicarbonate (KHCO3) at 5g/ L. , Thyme oil (Thymus vulgaris) at 1.0 ml + 1.0 ml/ L. acetone. Synthetic fungicides as Sumi Eight 5 % (Diniconazole 5 %)-[(E)-(RS)-1-(2,4- Dichlorophenyl)-4,4-Dimethyl-2 (1H- 1,2,4-triazol-1-YL) Pent-1-en-3-ol. ] at 0.325 ml/ L. and Topas 100 Ec 10 % (Penconazole 10 %)-[(1-(2,4-dichloro-B-Propylphenethyl)-1H- 1,2,4-Triazole] at 0.25 ml/ L. , on vegetative growth and yield and its components as well as study the impact of these materials on resistance of root diseases as Rhizoctonia solani and Fusarium solani. Fungi isolated from the site of the experiment were Rhizoctonia solani and Fusarium solani. The aforementioned treatments significantly decreased disease severity being more effective after Sumi Eight 5 %, Topas 100 Ec 10 % and Sodium meta silicate, the lowest effect, however, was recognized for Thyme oil. The results showed that spray foliar and soil treatments with Sodium meta silicate, Salicylic acid and Potassium bicarbonate produced the most promising effect on vegetative growth parameters (plant height, number of leaves, fresh and dry weights/ plant). Total green pod yield (ton/ fed.) and its components i.e. number of pods/ plant, average pod weight, number of seeds/ pod, fresh weight of 100 seeds, pod length and diameter, shell out % of fresh green pod and total soluble solids (%) as well as chemical composition of foliage content of the concentration of nitrogen, phosphorus, potassium (%) and leaf content of total chlorophyll followed by treating pea plants with Sumi Eight 5 % and Topas 100 Ec10 %. Thyme oil produced poor effect over all parameters in two winter seasons in most of characters when compared to the control (Distilled water). Furthermore, the average increment of the total yield in two winter seasons could be attributed to foliar and soil applications in descending order by the treatments of (Sodium meta silicate, Salicylic acid, Potassium bicarbonate, Sumi Eight 5 %, Topas 100 Ec10 % and Thyme oil,), total yield % was (36.37, 33.32, 29.09, 23.06, 8.36 and 6.03 %), respectively compared to the control treatment. Resistance to root rot disease as shown in this study by various biotic and abiotic treatment was correlated to the pathogen related protein bands, or the so called PR protein, being visible at 52 KD. Molecular and biochemical detections show that Si can activate the expression of defense-related genes and may play important role in the transduction of plant stress signal such as salicylic acid, Potassium bicarbonate, Thyme oil, Sumi Eight 5 % and Topas 100 Ec10 %.
Determination of D- dimer level in sickle cell anemia patients under hydroxyurea treatment in Sinnar state, Sudan

Sickle cell disease (SCD) is a group of blood disorders typically inherited from a person's parents. The most common type is known as sickle cell anemia (SCA), is hemoglobin disorders that increase the rate of morbidity and mortality. Aim of this study is to evaluate D- dimer level in patients with sickle cell anemia (SCA) under hydroxyurea (HU) treatment. A total of 90 subjects, Homozygous (SCD) patients (HbSS) treated with Hydroxyurea (HU) (n=30), homozygous (SCD) untreated with hydroxyurea (n=30) and healthy (Hb AA) controls (n=30) matched for age (4 - 20) years, gender and socioeconomic status were enrolled from sinnar pediatric hospital. Venous blood samples 1.8 ml were collected in Trisodium citrate, centrifuged at room temperature then plasma was separated. The effect of the SCD patient's treatment with hydroxyurea on D- dimer level was investigated using Snibe MAGLUMI fully-autochemiluminescence immunoassay (CLIA) analyzer. The results of D-dimer are significantly lower (0.93±0.52ng/ml) (p value 0.000) in (SCD) under (HU) and normal control (0.39±0.14) compared to (SCD) patients without (HU) treatment (4.61±1.76ng/ml). Also, according to clinical status, SCD under HU Treatment about 73% are steady, and crises which about 27 %, SCD without HU treatment steady about 20% and crises about 80%. This reflect the significant role of HU therapy in the beneficial clinical effect. In conclusion, our study revealed low D-dimer levels and improves clinical and hematological characteristic among (SCD) patients under hydroxyurea treatment comparing with (SCD) patient without hydroxyurea treatment, while age showed no effect on the D-dimer levels.
Empowered Leadership and Employee Outcomes: Mediating Role of Employee Engagement

Drawing on empowerment literature and intrinsic motivation, this study examines the relationship of empowering leadership and employee outcomes (service performance and organizational citizenship behavior; OCB), along with mediating role of employee engagement. Based upon data of 970 officer level employees working in banking industry of Pakistan, hierarchical regression results demonstrated that empowering leadership behavior is positively related to employee service performance and OCB. Further, the results also reveal employee engagement partially mediated the relationships between empowering leadership and employee behavioral outcomes.
Analysis Effect of Accrual Quality, Growth Opportunity and Gender Diversity on Firm Performance (Empirical Evidence from Listed Company in Indonesia Stock Exchange)

The research aims to analyze the relationship of accrual quality, growth opportunity, and gender diversity to firm performance which is divided into two-equation models namely Tobin's Q and ROA with control variables firm size, firm age and leverage using multiple regression analysis methods. The sample in this study is manufacturing companies listed on the Indonesia Stock Exchange from 2015 to 2017 with a total sample of 117 companies. The results showed that accrual quality and growth opportunity had a significant positive effect on the ROA model while gender diversity had a significant negative effect on Tobin's Q.
Prevalence and antibiotic resistance of Acinetobacter baumannii among patients in postcardiac surgery intensive care units of Rajaei Hospital, Tehran

Background: Acinetobacter baumannii is an opportunistic, aerobic, nonfermentative, Gram-negative bacterium that can cause major nosocomial infections, especially in patients hospitalized in intensive care units (ICU). Recently, A. baumannii strains have been resistant to a variety of antibiotics. Thus, it was aimed to evaluate the prevalence of A. baumannii and their resistance to the antibiotics in the patients hospitalized in postcardiac surgery ICU. Methods: This retrospective cross sectional study was performed in Rajaei hospital between March 2014 and February 2016. A. baumannii strains were isolated from blood cultures, catheter cultures, sputum cultures, and wound smear cultures. Then, isolates were characterized using standard morphological, cultural, and biochemical properties according to CLSI 2016. The frequency of A. baumannii species were reported as percent. Results: Among 27 167 patients were admitted to the ICU, 113 individuals, including 55 males and 58 females, were identified as A. baumannii-infected and the prevalence rate was 0.42%. The highest rates of antibiotic sensitivity were related to Meropenem 20 (17.7%) and Colistin 16 (14.1%). The shortest length of stay (LOS) for patients with A. baumanniiin the ICU was 3 days, while the longest LOS was 98 days. Conclusion: The findings indicated that A. baumannii strains isolated from postcardiac surgery ICUs had a high prevalence and were sensitive to Meropenem and Colistin. However, new molecular-based techniques are needed to monitor nosocomial infections. Therefore, the treatment of the patients may be feasible by appropriate antibiotic therapy, and infection control policies will be improved by adopting precise disinfection strategies.
OPIOIDS AND GLIA: INVESTIGATING THE MECHANISMS THROUGH WHICH ULTRA-LOW DOSE OPIOID ANTAGONISTS MODULATE OPIOID TOLERANCE AND HYPERALGESIA.

ii Co-Authorship . iv Acknowledgements . v List of Figures.x List of Tables.xii List of Abbreviations.xiii CHAPTER 1: INTRODUCTION . 1 1.1. 1 Social and Economic Impact of Chronic Pain . 1 1.2 Opioid Analgesics . 2 1.3 Opioid Tolerance . 6 1.3.1 Mechanisms of Opioid Tolerance . 8 1.3.2 Bimodal Theory of Tolerance . 9 1.3.3 Involvement of Spinal Glia in Tolerance . 11 1.3.3.1 Glial Activation . 11 1.3.3.2 Opioid-Induced Glial Activation . 11 1.3.3. 3 Gliosis and Opioid Tolerance . 12 1.3.3.4 Inhibition of Gliosis Augments Opioid Tolerance . 13 1.3.4 TLR4-Induced Gliosis. 14 1.3.4.1 TLR4 Structure & Signaling . 15 1.3.4.2 TLR4 and Opioids . 17 1.4 ULD Antagonists Attenuate Opioid Tolerance & Hyperalgesia . 18 1.4.1 ULD Antagonists and the Bimodal Theory . 18 1.4.2 ULD Antagonists and Filamin A Hypothesis . 18 1.4. 3 ULD Antagonists and Gliosis . 19 1.5 Research Statement and Objectives . 20 CHAPTER 2: INTRATHECAL CATHETERIZATION INFLUENCES TOLERANCE TO CHRONIC MORPHINE IN RATS . 22 2.
MAXIMIZING CORN PRODUCTIVITY THROUGH SOME MODERN FARMING SYSTEMS

Two field experiments were carried out at the Experimental Farm of Sakha Agricultural Research Station, Agricultural Research CenterEgypt, during the two successive summer seasons of 2011 and 2012. The main objectives of this study were to determine the effect of tillage treatments, plant distribution patterns and sources of nitrogen fertilizer on growth, yield and its components of corn hybrid S.C. 128. Each tillage treatment was performed in separate experiment. Every experiment of tillage treatment was carried out in split plot design with four replications. The main plots were occupied with plant distribution patterns. The sub-plots were assigned to sources of nitrogen fertilizer. The most important results could be summarized as follaws: All studied characters were significantly affected by different studied tillage treatments in the two seasons. Using chisel plow twice gave the highest values of studied characters in both seasons. Using chisel plow once in addition to Stiller plow once was accompanied with the least values of these characters in both seasons. There was significant effect on all studied characters due to plant distribution patterns in the two seasons. Planting maize in ridges 80 cm apart, 22 cm between hills and one plant per hill produced the highest values of all studied characters in both seasons. Planting corn or maize in ridges 70 cm apart, 50 cm between hills and two plants per hill gave the lowest values of these characters in both seasons. Sources of nitrogen fertilizer had a significant effect on all studied characters in the two seasons. Using Urea fertilizer resulted in the highest means of all studied characters followed by using Ammonium Nitrate then Ammonium Sulphate fertilizers in both seasons. It can be concluded that tillage corn soil by using chisel plow twice and planting in ridges 80 cm apart, 22 cm between hills and one plant per hill in addition using Urea as a source of nitrogen fertilizer in order to maximize corn hybrid S.C. 128 growth and its productivity under the environmental conditions of Sakha district,Kafr El-Shikh Governorate Egypt.
A study of sex offending in elderly people referred to a specialised psychiatry of old age service

Abstract Objectives: The aims of the study were to examine: i) whether sex offending in elderly people is a serious problem, ii) whether mental disorder or alcohol abuse occur in association with such behaviour, iii) how such behaviour is managed by the psychiatric service and iv) the outcome of such management. Method: Referrals of people with sexually offensive behaviour to the North Dublin Psychiatry of Old Age Service from its inception in 1989 to date (1997) were examined. Information collected included: i) mode and reason for referral, ii) demographic, social and medical information, iii) psychiatric diagnosis, iv) management and v) outcome. Results: Thirteen cases were identified in the eight year period. The sexually offensive behaviours included indecent assault, masturbation in public and lewd remarks. Diagnoses included vascular dementia, frontal lobe dysfunction, Alzheimer's disease, chronic schizophrenia, depression with alcohol abuse and ‘no psychiatric diagnosis’. Two patients had positive syphilis serology detected on dementia screening. Alcohol abuse featured in almost half of the cases. Regarding treatment, five were treated with oral cyproterone acetate and one with benperidol, and all of these had a good response. Three were treated with neuroleptics and also settled. Specific treatment was not indicated in three cases and forensic services were involved in a further three cases. Conclusions: It is noted that most subjects had an underlying psychiatric diagnosis particularly organic brain damage. Management alleviated the problem in all cases with psychiatric disorder. Cyproterone acetate is clearly useful in management. This review highlights the importance of thorough assessment, diagnosis and management of sexually offensive behaviour in old age.
Technology acceptance model for Augmented Reality and Building Information Modeling integration in the construction industry

The digitalization of the construction industry has immense potential for dramatically improving the industry’s practices. Concerning current measures in construction project management, the industry is still dependent on traditional construction methods. However, the application of fully automated techniques within the construction industry has not yet been a widespread practice. Thus, this may explain why there is a slow adaption of digital growth within the construction industry and specifically in developing countries. This study is aiming to investigate the acceptance of Building Information Modeling (BIM) and Augmented Reality (AR) integration in the construction industry. To achieve this aim, Technology Acceptance Model 3 (TAM3) was utilized. The scope was narrowed down to four developing counties (Malaysia, Egypt, Saudi Arabia, and Turkey) and a questionnaire survey was developed and distributed between construction professionals in those countries for data collection purposes. Exploratory Factor Analysis (EFA) was used to develop the TAM, and a regression analysis is used to validate it. The developed TAM3 showed that users control over BIM-AR and perception of easiness of use has the highest influence on their perception of the system usefulness, which would positively affect their intention to use the system. Additionally, unlike the findings of the original TAM3, three variables of Image, Perception of External Control, and Voluntariness illustrate new relations which can be considered as a novel outcome. The outcomes of this study can be used to evaluate the acceptance of BIM-AR Integration in the construction industry context, and the developed TAM3 can be used for the development of new BIM-AR applications in developing countries as it can predict the BIM and AR users’ acceptance.
Effect of Single Nucleotide Polymorphisms in IGF-1R Gene on Growth Rate Traits in Makooei Sheep

Insulin-like growth factor 1 receptor (IGF-1R) is a main receptor of IGFs family which plays a critical role in the postnatal growth and skeletal growth in many species. However, there are few reports of IGF-1R gene structure and its effects on growth traits in sheep. The objectives of this study were detection of IGF-1R polymorphisms and assessment of their associations with growth traits in Iranian Makooei Sheep. Hence, 200 Makooei lambs were genotyped through polymerase chain reaction-single-strand conformation polymorphism (PCR-SSCP). The studied traits were birth weight (BW), weaning weight (WW), 6 months weight (6MW), average daily gains from birth to 3 months (ADG0-3), from 3 months to 6 months (ADG3-6), from birth to 6 months (ADG0-6) and corresponding Kleiber ratios (KR0-3, KR3-6, KR0-6). For this genetic position, three types of banding patterns (AA, AB and BB) were identified with the frequencies of 0.69, 0.16 and 0.15, respectively. In this study, IGF-1R genotypes indicated the significant associations with 6MW, ADG0-6, KR0-3 (P<0.05) and ADG0-3 (P<0.01). In all of the significant traits, The AAgenotype was linked to the highest values, while the BBgenotype was linked to the lowest values. The results of this study indicated that single nucleotide polymorphism (SNP) variation in IGF-1R gene can be used as a molecular marker for improving of growth traits in marker assisted selection programs in sheep.