Miracle-dz/UniFAR-FTUs huggingface dataset:
Strategies for Improving Adult Education for Sustainable Development in Nigeria

The study was carried out to examine the strategies that can be employed to improve adult education programme for sustainable human development. It is a descriptive survey carried out in all adult education centres in Afikpo Local Government Area (L.G.A) of Ebonyi State, Nigeria. All the two hundred and twenty adult education instructors in all the centres formed the population of the study. There was no sampling since the entire population was used for the study. Data was collected using researcher-made questionnaire titled strategies for improving adult education questionnaire (SIAEQ). The instrument consist of twenty-two items and was subjected to both face and content validation using two experts in adult education and one expert in measurement and evaluation all in Ebonyi State University, Abakaliki, Nigeria. Reliability test on the instrument was carried out through test-retest method. Using Pearson product moment method reliability coefficient of 0.85 was obtained. Three research questions guided the study. Some of the results obtained include: that to improve adult education programme, the quality of adult education instructors have to be improved through workshops, seminars, conferences, in-service training, incentives, and proper supervision; adequate infrastructures, facilities; instructional materials and resources needed in adult education centres should be provided. It was recommended that in-service training should be periodically organized for adult education instructors, and that necessary facilities should be adequately provided in adult education centres.
Biochemical alterations induced by phytotherapic tincture with antiophidic activity in male Wistar rats

Laboratory of Cellular Toxicology, State University of Western Paraná, 85819110, Cascavel, Brazil. Assistence Center in Toxicology (CEATOX), Hospital University of Western Paraná, 85806470, Cascavel, Brazil. Department of Veterinary Medicine, Dynamic Union of the Faculty Falls, 85852010, Foz do Iguaçu, Brazil. Laboratory of Clinical Biochemistry, State University of Western Paraná, 85819110, Cascavel, Brazil.
Factors Affecting Maternal Mortality in Pregnant Women With Sickle Cell Disease in Ahvaz, Iran: A 10-Year Epidemiological Study

Background: In sickle cell disease, red blood cells are sickle shaped and consequently lose their ability to carry oxygen, which may cause vessel blockage. Pregnancy in the setting of classic sickle cell disease could be extremely dangerous for both mother and fetus. Objectives: The aim of this study was to determine the effective factors related to the maternal mortality among pregnant women with sickle cell disease. Materials and Methods: In this descriptive study conducted with data from 41 hospital records of women with sickle cell disease from 2001 to 2011, various data such as demographic, midwifery, and laboratory test information were recorded in a questionnaire. The relationship between this information and sickle cell disease was assessed. Descriptive statistics, analysis of variance, Fisher exact test, and chi-square test were used in the data analyses. Results: The mean maternal age was 27.60 ± 6.37 years. The hemoglobin level at hospital admission was 8.9 ± 1.61 g/dL for the survivors and 7.73 ± 1.19 g/dL for the deceased patients (P < 0.05). All the patients with the sickle cell trait, 73% of the patients with sickle cell disease, and 50% of the patients with sickle cell-thalassemia disease survived (P < 0.05). The gestational age of the deceased patients was lower than that of the survivors (34.12 vs. 35.81 weeks, P = 0.08). Conclusions: Ultimately, we can conclude that the hemoglobin level at the time of admission and before delivery, the type of disease, gestational age, and transfusion could be effective factors of patient mortality.
The impact of patient transfers and bedspace moves on nurse workload

This multiple methods study explores the impact of moving patients between and within wards on nursing workload. While patient transfers (between clinical units) and bedspace moves (between beds on the same ward) are a routine part of nursing practice in acute hospitals, the rate of transfers has increased in recent times, due primarily to a shortage of hospital beds and an increasing demand for health services. The organisation and preparation of the patient prior, during and post transfer or bedspace move and the related communication processes forms a component of nursing work that has not been comprehensively explored. As a consequence, the impact of patient moves on nursing workload has not been fully realised nor captured in staffing models. A three-stage, sequential approach was used in this study. Stage 1 retrospectively examined 2008-2009 financial and patient administrative data to explore the incidence and destination of patient moves in one Australian metropolitan hospital over a financial year. Results identified that the majority of patient movements involved medical-surgical wards (n=12) and were therefore suitable contexts for more in-depth investigation. Stage 2 consisted of a direct observational-timing study conducted over a seven week period. Based on Stage 1 results, one medical and one surgical ward with a high rate of patient moves were selected for observation. A purpose-designed data collection tool was used to record and time nursing activities associated with observed patient moves (n=75). From these observational records and field notes, two case studies were developed in Stage 3 to demonstrate in detail the sequence of nursing activities, the role of the nurse and the factors that can impact on the time taken to transfer a patient to another ward. The results of Stage 1 identified that at the selected hospital, 10,733 patients who remained in hospital for 48 hours or more experienced 34,715 transfers and bedspace moves in the selected year. The largest single group (48.6%, n=16,861) of these moves involved medical-surgical wards. The results from Stage 2 indicated that the average patient transfer took 65.8 minutes and bedspace moves 29.2 minutes to complete. Of this time, over 40 minutes of nurses’ time was spent on patient transfers and 11 minutes on bedspace moves. This means that for medical-surgical wards alone, 3.9 FTE nurses are necessary for all the moves that occur each month. The impact of patient transfers and bedspace moves on nurses’ workload is considerable. Time spent moving patients means that less time is available for other patients and their care needs. In addition, many transfer activities could be performed by other members of the team. Given the impact on nurses’ workload, it is timely for hospitals to consider strategies to minimise the frequency and improve the efficiency of patient transfers.
The Effectiveness Of An ECA In Providing Spiritual Guidance To College Students

Over the years, an increase in the need and want for spiritual guidance has increased in college students; the spiritual development they seek yields positive outcomes. College students turn to educational institutions for tools that provide spiritual guidance; therefore, we decided to find an alternative way of providing spiritual guidance to college students. The spiritual conversational agent, Reverend Claudia, was used for college students to turn to and seek spiritual guidance because there are situations that may cause embarrassment for students when they seek guidance from a live person. Reverend Claudia was compared to a text-only, spiritual website to assess which would provide more spiritual guidance for participants.
LONG TERM CARE SERVICES TO OLDER PEOPLE, A PERSPECTIVE ON FUTURE NEEDS : THE IMPACT OF AN IMPROVING HEALTH OF OLDER PERSONS

RESUME This study extends research on the impact of age-specific disability trends on long-term care needs to an international framework. Detailed age and sex data for each country are combined with information related to severe disability. Two projections were made: one assumes stable rates of disability, and the other reflects the rate of decline based on available observations in each country separated by periods of 5 to 10 years. The gains mainly are found among the age groups 65 to 80 years, and are more striking for males than for females. While international differences remain to be explained, these trends show a significant decline in prevalence on the whole. The decline is more important in private households, but is often partly offset by an increase in disability in the remaining institutionalised population. Trends are far from homogeneous across countries as there are increases for specific age/gender age groups, particularly older women in some countries. The economic impact of these trends depends on the institutional arrangements for long-term care services. Public costs of formal home care differ widely between countries, as does the balance between home-care and institutional care. Hence, deinstitutionalisation, with recourse to less expensive form of institutions appears to play a larger role than disability trends per s in terms of public financee. While the health improvements of older populations are an important factor in terms of welfare, they may have mixed effects on public finances. The study addresses the policy implications of these health outcomes trends for health and long-term care policies.
The Use and Clinical Significance of Transcranial Magnetic Stimulation in the Treatment of Major Depression

M ajor depression is among the most common and disabling of human diseases. The Global Burden of Disease Study notes that by the year 2020, the societal impact of unipolar major depression alone will be exceeded by only that of ischemic heart disease as estimated by a measure of disease morbidity, disability-adjusted life years. While modern pharmaceutical options have a clear record of success in randomized, controlled clinical trials, real-world experience in their use leaves room for improvement. The percentage of all patients who seek treatment for whom current options do not provide an acceptable solution ranges to 30%. The results of the Sequenced Treatment Alternatives to Relieve Depression (or STAR*D) trial have recently been reported. This study used a semi-naturalistic treatment algorithm designed to model as closely as possible the sequence of treatment options most commonly used in clinical practice. Among the observations are that for patients who may generally be expected to respond to treatment, the likelihood of achieving remission of symptoms (defined by a Hamilton Depression Rating Scale score of < 8) after either one (Level 1) or two (Level 2) sequential treatment trials ranges over 50%. However, once prospective evidence of failure to achieve benefit has been demonstrated, the likelihood of good clinical outcome drops precipitously, and hovers at exceedingly low levels after three prospective treatment failures. For example, the reported incidence of categorical remission in patients treated with tranylcypromine was 6.9%, which was observed after patients had failed to receive benefit from any of the three preceding adequately administered antidepressants. Equally informative is a review of the information in the STAR*D study regarding overall tolerability of treatments. For instance, as patients proceeded through the sequential treatment levels, the discontinuation rate due to treatment intolerance or adverse events rose steadily (8.6% at Level 1; 20.5% [range: 12.5%–27.2%] at Level 2; 35.2% [range: 34.2%–36.2%] at Level 3; and 32.1% [range 21.6%–41.4%] at Level 4). In other words, as the expectations of efficacy diminished with increasing resistance to prior treatment, the non-adherence to, and likely intolerability of, treatment options increased quite dramatically. Overall, these data paint a picture of measurable but limited benefit with the most commonly used pharmaceutical treatments. Does this picture improve over the longer term for individuals who achieve acceptable acute benefit? Unfortunately, it appears that, similar to the acute outcomes, as the degree of prior treatment non-response increases, the likelihood that any efficacy will be lost After reading this article, the practitioner should be able to:
Integrating Comments in Video Tutorials

Video tutorials are a popular medium for learning to perform different tasks in feature-rich software applications. In existing systems, the comments are generally shown below the video in threads. This separation of video and comments creates cognitive load when users try to link comments with the video. We designed and developed ‘VidComm’, a prototype interface enabling users to filter comments from different categories and link them directly to the tutorial content and thus enhancing the existing video tutorial comment system. An evaluation of VidComm suggests that this system helps users find particular information from comments more quickly and accurately than a traditional commenting system.
Unpacking drug detoxification in Nepal: in-depth interviews with participants to identify reasons for success and failure

Objective: This study conducted an in-depth exploration of the factors which helped people to detoxify from drugs and the factors which led to relapse among 20 participants from Kathmandu and Pokhara in Nepal. Methods: The research took a phenomenological approach using in-depth interviews for data collection and all data were analyzed using a grounded theory framework. Results: The study found that detoxification and rehabilitation services for drug users were mostly provided by private organizations. Some of these organizations had a comprehensive plan, trained staff and counselors. Most counselors were ex-drug users, and they functioned as mentors and role models who helped some drug users to realize that successful detoxification from drugs is possible. This approach enabled current drug users to adhere to the detoxification program. These service providers recognized that 'frustration' and lack of support are leading causes of a relapse. The best programs included activities to help the drug users to confront these frustrations. Participants who demonstrated a strong ability to manage the frustrations inherent in drug withdrawal were considered to be more able to avoid relapse after discharge. Conclusions: The evidence-base is lacking concerning successful detoxification and rehabilitation in Nepal. There is also no clear policy on detoxification and rehabilitation services. The Government of Nepal needs to develop guidelines for coordination, supervision, monitoring, evaluation and accreditation of organizations which provide detoxification and rehabilitation services.
2,4-Dichloro-N-(3,5-dichlorophenyl)benzenesulfonamide

In the title compound, C12H7Cl4NO2S, the N—H bond in the C—SO2—NH—C segment is syn with respect to the ortho-Cl atom of the sulfonylbenzene ring and one of the meta-Cl atoms of the aniline ring. The C—SO2—NH—C torsion angle is −93.9 (2)°. The benzene rings are tilted relative to each other by 61.9 (1)°. The crystal structure features inversion-related dimers linked by pairs of N—H⋯O hydrogen bonds.
Advances in Mechanisms and Management

SUMMARY/DISCUSSION Neonatal seizures are common and frequently reflect serious underlying brain injury.Prolonged cEEG is the gold standard for seizure monitoring; however availabilityremains limited at many centers. Phenobarbital, the preferred first-choice medicationinternationally, is effective in only 50% of cases and may be harmful, especially whenused in high doses or for prolonged periods. However, there is abundant evidencefrom animal models to show that seizures themselves disrupt the developing brain,and so there is urgent need for research to develop safe, accurate, and widely avail-able methods for identifying and treating electrographic seizures. ACKNOWLEDGMENTS Dr H.C. Glass thanks Jessica Kan for assistance with research and Dr Dawn Ganofor careful review of the article. REFERENCES 1. Annegers JF, Hauser WA, Lee JR, et al. Incidence of acute symptomatic sei-zures in Rochester, Minnesota, 1935-1984. Epilepsia 1995;36(4):327–33.2. Jensen FE. Developmental factors regulating susceptibility to perinatal braininjury and seizures. Curr Opin Pediatr 2006;18(6):628–33.3. Glass HC, Pham TN, Danielsen B, et al. Antenatal and intrapartum risk factorsfor seizures in term newborns: a population-based study, California 1998-2002. J Pediatr 2009;154(1):24–8.e1. 4. Lanska MJ, Lanska DJ, Baumann RJ, et al. A population-based study ofneonatal seizures in Fayette County, Kentucky. Neurology 1995;45(4):724–32.5. Saliba RM, Annegers JF, Waller DK, et al. Incidence of neonatal seizures in HarrisCounty, Texas, 1992-1994. Am J Epidemiol 1999;150(7):763–9.6. Malone A, Ryan CA, Fitzgerald A, et al. Interobserver agreement in neonatalseizure identification. Epilepsia 2009;50(9):2097–101.7. Murray DM, Boylan GB, Ali I, et al. Defining the gap between electrographicseizure burden, clinical expression and staff recognition of neonatal seizures.Arch Dis Child Fetal Neonatal Ed 2008;93(3):F187–91.
A longitudinal study on the food and nutrient intake of pregnant women.

The extensive changes that occur in women during pregnancy influence the need for different nutrients and the efficiency with which the body uses them. Brown has indicated that the diet of a pregnant women should provide the vast majority of her nutrient need in required amounts. Unfortunately findings of the research reports of several groups of workers have indicated that the diet of pregnant women is inadequate both in quality and quantity. Inadequate diets have been related to clinical problems during the course of pregnancy as well in the outcome of pregnancy. Considerable data is available regarding the food and nutrient intake of women during pregnancy from cross-sectional studies conducted in different parts of India whereas such data from longitudinal studies are meagre. But data from cross-sectional studies may not give reliable and exact information because of the multifactorial interplay and their influence on the nutritional status. Hence the longitudinal study which is superior to cross-sectional studies in assessing the food intake of women during pregnancy was chosen for the present investigation. (excerpt)
A study of determinants and impact of vasectomy programme in a rural community block of Madhya Pradesh.

300 men undergoing vasectomy between 1967 and 1970 at Dharsiwa block Madhya Pradesh were interviewed using a specially designed questionnaire. September-October and December-January were the peak periods for sterilization operations appararently because those are less busy times in the agricultural cycle and because the government sponsors Family Planning Fortnights in September and December. Proximity to an all-weather road and acceptance by village leaders of vasectomy operations were associated with a successful vasectomy program in different villages. 59% of men undergoing vasectomies were literate while only 38.6% of the general male population was literate. The average number of living children decreased as the literacy status of acceptors increased. The average age of the men was 36.3 years and of their wives 33.0 years. Average number of live births per couple was 6.28 indicating that an average of 1.15 children had died in the family of each vasectomy acceptor. 91.3% of men undergoing the operation had 2 or more male children at the time of the operation. 12.6% complained of complications after surgery and 20.6% of acceptors reported a change in their sexual desires after the operation with a majority reporting increased desire. 81.3% of the 16931 eligible couples in Dharsiwa block were protected by vasectomy as of March 1973.
A framework for developing adaptive service compositions

This thesis proposes a framework for automatic generation of self-healing service composition which can recover from functional and non-functional failures. To this end, it firstly proposes an automated method for generation of service composition which enables a user to build a service composition by selecting a set of desired features and secondly it proposes a method for adapting the generated service composition to recover autonomously from service failures or non-functional constraint violations. The proposed service composition method uses software product line engineering concepts to build a repository of features and link them to their corresponding services. Using this repository, it uses AI planning to build a workflow of service interactions based on the requirements. It then uses concepts from partial-order-planning to optimize the generated workflow. Eventually, the generated workflow is converted to structured and executable BPEL code.
The role of vitamin D and adiponectin in ethnic-specific differences in body fat distribution and risk for cardiovascular disease

ii PREFACE . iv TABLE OF CONTENTS . iv LIST OF TABLES . vii LIST OF FIGURES . viii LIST OF ABBREVIATIONS AND SYMBOLS . ix ACKNOWLEDGEMENTS . xi DEDICATION . xii CHAPTER 1: Overview . 1 CHAPTER 2: Hypothesis and Aims, Study Participants, and General Assessments . 9 2.1 Overall Hypothesis and Specific Aims . 9 2.2 Multi-Cultural Community Health Assessment Trial (M-CHAT) . 9 2.3 General Methods . 10 2.3.2. Anthropometric, body composition, and body fat distribution measurements . 10 2.3.3. Genomic DNA . 12 CHAPTER 3: Role of Vitamin D in Ethnic-Specific Differences in Body Composition and Body Fat Distribution . 13 3.1 Specific Aim 1 . 13 To determine if plasma 25OHD concentrations are associated with body composition and body fat distribution in European and South Asian M-CHAT subjects. 13 3.2 Background & Rationale . 13 3.3 Methods. 18 3. 3.1 Plasma 25OHD concentrations . 18 3.3.2 Seasonality . 19 3.3.3 GC rs2282679 Variant Genotyping . 19
Serum Iron and Ferritin Levels in Patients with Vitiligo

Amac: Son y›llarda vitiligoda oksidatif stresin rolu konusunda cok say›da araflt›rma yap›lmaktad›r. Demir ve ferritin inflamasyon ve oksidatif reaksiyonlarda onemli rollere sahiptir, ancak bugune dek vitiligolu hastalardaki demir metabolizmas› konusunda cok az yay›n bulunmaktad›r. Bu cal›flmada lokalize ve jeneralize vitiligolu hastalar›n serum demir ve ferritin duzeylerinin bir kontrol gurubuyla karfl›laflt›rmal› olarak de¤erlendirilmesi amaclanm›flt›r. Gerec ve Yontem: Cal›flma guruplar› son 1 ayd›r sistemik tedavi veya fototerapi uygulanmayan vitiligolu 68 hasta ve yafl/cins uyumlu, tinea pedis, nevus ve keratozlar gibi vitiligo d›fl› deri hastal›¤› olan 72 kontrol bireyinden oluflmaktayd›. Her hasta ve kontrol bireyinden sozlu onay al›nd›ktan sonra kahvalt› oncesinde kan ornekleri al›nd›. Bulgular: Vitiligolu hastalarla kontrol bireyleri aras›nda serum demir ve ferritin duzeyleri aras›nda anlaml› farkl›l›k bulunamad› (p=0,478, p=0,307). Bu parametreler lokalize ve jeneralize vitiligolu hastalar aras›nda farkl›l›k gostermedi (p=0,054, p=0,867). Ayr›ca, serum demir ve ferritin duzeyleri ile hastal›k sureleri aras›nda anlaml› bir ba¤›nt› gorulmedi (p=0,382, p=0,485). Sonuc: Sonuclar›m›z serum demir ve ferritin duzeylerinin vitiligo ve kontrol bireyleri aras›nda benzer oldu¤unu gostermektedir. Demir ve ferritinin doku duzeylerinin belirlenece¤i yeni araflt›rmalar bu molekullerin vitiligodaki olas› rollerine ›fl›k tutabilir. (Turkderm 2010; 44: 153-5) Anahtar Kelimeler: Demir, ferritin, hematolojik parametreler, oksidatif stres, vitiligo