Miracle-dz/UniFAR-FTUs huggingface dataset:
Analysis of patients’ privacy and associated factors in the perioperative period

Background Healthcare professionals recognize how to protect patient privacy in order to effectively reduce the occurrence of conflict between the two parties. Therefore, understanding the protection of patient privacy during the perioperative period and the relevant factors affecting privacy is essential to improving healthcare delivery. Methods This was a cross-sectional survey of a convenience sample of 400 perioperative patients. General demographic information, the perioperative privacy scale (PPS), and the Amsterdam preoperative anxiety and information scale (APAIS) were used for the survey. And factors affecting patient privacy were investigated by ANOVA or t-test analysis, Pearson correlation analysis, and linear regression models. Results This study found that perioperative patient privacy satisfaction scores were (53.51 ± 12.54). The results of the univariate analysis showed that factors affecting privacy satisfaction included gender, age, and the number of surgeries (p < 0.05). Preoperative anxiety and Information Needs Scale was negatively associated with the perioperative patient privacy satisfaction (r = −0.807, p < 0.01). Further analysis was performed using linear regression models to finally obtain five factors affecting perioperative patient privacy: gender, age, anesthesia modality, the number of surgeries, and the Amsterdam preoperative anxiety and information. Conclusion Healthcare professionals working in healthcare facilities need to be aware of the sensitivity of different populations to privacy when protecting patient privacy. Patients’ preoperative anxiety and information need status affect privacy satisfaction. This will mean that healthcare professionals will be able to identify key privacy concerns early and take appropriate action.
Energy balance method for solving nonlinear oscillators with non-rational restoring force

In this study, an extended energy balance method for solving nonlinear oscillators with non-rational restoring force has been presented. The classical energy balance methods cannot apply to solve nonlinear oscillators with non-rational restoring force. To overcome this difficulty, a laborious study is to be conducted to determine the solution technique that provides better results as well as requires minimum computational efforts. An example of complicated nonlinear oscillator with non-rational restoring force arising in the field of engineering and other disciplines has been provided. The accuracy of the approximate results has been compared with other existing results.
Measuring the Effectiveness of Cognitive Biases on Climate-Oriented Decision Making: A Novel Consideration for Policy Ideation and Enforcement

Public policies are an imperative population intervention to guide human decision-making towards the intended goal in order to achieve both the public good and improvements in society. However, recent years have witnessed increased noncompliance to public policies and their general failures to influence target population’s decision-making in dire areas of issues. One primary example is climate policy. While traditional methods of policy framing are currently met with nonoptimal population responses, incorporating common cognitive biasing strategies may provide a solution. Thus, this research study aims to investigate the impact of cognitive bias on responses towards climate policy. The study compared the responses of two independent groups to a survey that differed in the statement tone: one survey was neutral, while the other incorporated various forms of cognitive bias related to climate policy. The study recruited 149 participants who were randomly assigned to either the neutral or pro-climate conditioned survey. Each question in the pro-climate conditioned survey contains framing in the form of both pro-climate language and specific cognitive biases such as base rates, temporal construal, emotional arousal, etc. The results, which are based on the difference in participant responses between the neutral and pro-climate survey, showed that the participants in the pro-climate condition had significantly different responses towards climate policy compared to those in the neutral condition. Namely, questions 16, 23, 26, and 37 showed statistically significant differences between the two conditions. While questions 16 and 26 are general priming questions where the only difference between the two conditions is the pro-climate language, questions 23 and
Suspected Rivaroxaban-Induced Anaphylaxis Secondary to Ingestion of Rivaroxaban and Nimesulide Without Cross-Reactivity to Dabigatran – A Case Report

Abstract Here, we describe a case of anaphylaxis secondary to rivaroxaban in a 61-year-old woman 24 hours after orthopedic surgery. 10–15 minutes after ingestion of rivaroxaban and nimesulide, the patient’s palms started itching, her face and lips swelled, her face flushed, she developed shortness of breath and subsequently lost consciousness. Serum tryptase levels at the time of the anaphylactic reaction were elevated, with subsequent measurement one month later returning a value within the normal range. Dabigatran and meloxicam were identified as suitable alternative drugs by oral provocation at an allergy clinic. Even though rivaroxaban rarely causes serious allergic reactions, when prescribing it, it is important to analyze patients’ medical history for possible previously experienced drug-induced allergic reactions and to be aware of the risks of possible undesired drug interactions.
An analysis of the Michaelis-Menten pharmacokinetics of phenytoin in epileptic Indonesian adults

Background: Phenytoin metabolism has been shown to vary in different ethnic groups. Therefore, the authors studied phenytoin pharmacokinetics in Indonesian adult patients with epilepsy. Objective: The purpose of this study was to determine and analyse the pharmacokinetic parameters of Michaelis Menten Vmax (maximum velocity) and Km (the Michaelis constant) of phenytoin in adult epileptic patients. Method: Twelve adult epileptic patients were chosen on the basis that they had two reliable steady-state phenytoin serum levels at two different daily doses and they required an additional adjustment of phenytoin dosage monotherapy. Result: The Vmax and Km values for adult epileptic patients respectively, ranged from 3.78 to 9.65 mg/kg/day and from 0.71 to 5.58 mg/L and there was no correlation with age and weight (p > 0.05). The Vmax and Km values have shown individual variability. Conclusion: The optimal adjustment of phenytoin dose individually in adult epileptic patients based on Vmax and Km parameters needs to be done to get the desired steady-state level according to the clinical response.
Spatial variations in catchment-averaged denudation rates from normal fault footwalls

We test the spatial correspondence between rock uplift in active normal fault footwalls in the western USA, and catchment-averaged denudation rates from cosmogenic radionuclide (CRN) analysis. We find that denudation rates vary along strike, depending on the fault length and displacement. For the 18-km-long Sweetwater fault, foot-wall relief is largely inherited from the prefaulting topography, and denudation rates are only partly reflective of fault displacement. For the 130-km-long Wassuk fault, all inherited topography has been removed by erosion in response to fault displacement. Denudation rates, however, show little along-strike consistency and no correlation with catchment size or morphology. We argue that, in the early stages of fault growth, CRN-derived denudation rates reflect inherited prefaulting relief, with an overprint of fault-controlled erosion. In later stages of fault growth, rates are decoupled from fault displacement through the impact of stochastic landsliding events, and longer term measures of denudation (such as low-temperature thermochronometry) that integrate over multiple earthquakes may provide a better record of spatial variations in rock uplift.
Spatial and Temporal Variability of Canadian Seasonal Streamflows

Abstract Wavelet and cross-wavelet analysis are used to identify and describe spatial and temporal variability in Canadian seasonal streamflows, and to gain insights into the dynamical relationship between the seasonal streamflows and the dominant modes of climate variability in the Northern Hemisphere. Results from applying continuous wavelet transform to mean seasonal streamflows from 79 rivers selected from the Canadian Reference Hydrometric Basin Network (RHBN) reveal striking climate-related features before and after the 1950s. The span of available observations, 1911–99, allows for depicting variance and covariance for periods up to 12 yr. Scale-averaged wavelet power spectra are used to simultaneously assess the temporal and spatial variability in each set of 79 seasonal streamflow time series. The most striking feature, in the 2–3-yr period and in the 3–6-yr period—the 6–12-yr period is dominated by white noise and is not considered further—is a net distinction between the timing and intensity of .
Crustal thinning and nature of extension in the northern North Sea from deep seismic reflection profiling

A regional network of deep seismic reflection profiles recorded in the northern North Sea has been used to map Mesozoic and Cenozoic basin thickness and crustal thickness in the Viking Graben and adjacent platform areas. Depth to the reflection Moho varies from about 20 km in parts of the Viking Graben to about 32 km beneath the Shetlands and the Norwegian margin. The shallowing of the reflection Moho beneath the Viking Graben implies crustal stretching factors for Mesozoic extension greater than 2 in the center of the North Sea basin. The axis of crustal thinning is located directly beneath the Viking Graben, the axis of the sedimentary basin. Steeply dipping basin-bounding faults are imaged in the upper crust and several dipping reflectors are observed in the upper mantle, but no continuous reflective feature extending from the sedimentary basin to beneath the Moho is observed on any of the deep profiles. Thus these data do not support the existence of lithosphere-penetrating low-angle detachments (zones of simple shear) as the cause of extension in the northern North Sea. Some of the mantle reflectors dip to the west and some to the east, suggesting that simple shear, if it occurs in the upper mantle, is not of uniform sense. Rather, these data suggest a complex, depth-dependent pattern of brittle extensional deformation in the upper crust; pervasive, ductile extension (bulk pure shear) in the lower crust (which is decoupled from deformation in the mantle); and extension accommodated by discrete, dipping shear zones in the lithospheric mantle.
Upstream water resource management to address downstream pollution concerns: A policy framework with application to the Nakdong River basin in South Korea

An empirical framework for assisting with water quality management is proposed that relies on open‐source hydrologic data. Such data are measured periodically at fixed water stations and commonly available in time‐series form. To fully exploit the data, we suggest that observations from multiple stations should be combined into a single long‐panel data set, and an econometric model developed to estimate upstream management effects on downstream water quality. Selection of the model's functional form and explanatory variables would be informed by rating curves, and idiosyncrasies across and within stations handled in an error term by testing contemporary correlation, serial correlation, and heteroskedasticity. Our proposed approach is illustrated with an application to the Nakdong River basin in South Korea. Three alternative policies to achieve downstream BOD level targets are evaluated: upstream water treatment, greater dam discharge, and development of a new water source. Upstream water treatment directly cuts off incoming pollutants, thereby presenting the smallest variation in its downstream effects on BOD levels. Treatment is advantageous when reliability of water quality is a primary concern. Dam discharge is a flexible tool, and may be used strategically during a low‐flow season. We consider development of a new water corridor from an extant dam as our third policy option. This turns out to be the most cost‐effective way for securing lower BOD levels in the downstream target city. Even though we consider a relatively simple watershed to illustrate the usefulness of our approach, it can be adapted easily to analyze more complex upstream‐downstream issues.
Numerical Simulation of Surf Zone Dynamics

A numerical model that solves the unsteady, incompressible, Navier-Stokes equations has been utilized to simulate monochromatic, spilling and plunging waves over a sloping bed. The volume of fluid technique is used to track the location of the highly complex, discontinuous free surface. The influence of wave boundary conditions and the order of accuracy of the numerical approximations on predictions of breaker height, location, and undertow has been examined. In addition, simulations with one and two equation turbulence models were evaluated and results were compared with laboratory measurements of mean water level, trough and crest heights, undertow, and mean turbulence kinetic energy in order to evaluate the applicability of each approach in computing surf zone dynamics. Details of the breaking wave properties are presented and discussed.
Relationship of Medication Intake and Systemic Conditions with Periodontitis: A Retrospective Study

Objectives: To examine the potential relationship of medication intake and systemic conditions with periodontitis. Methods and Materials: A total of 1985 patient records with a diagnosis of periodontal health and stage III and IV periodontitis were included in the analysis. Demographic characteristics, the number of missing teeth, patient-reported medical conditions and medication intake as well as smoking habits were recorded. Regression models were performed to explore the outcomes. Results: Older individuals, Hispanic ethnic groups, Black and Hispanic or Latino racial groups and non-White individuals in general were significantly more frequently diagnosed with periodontitis than health. Hypertension, glaucoma, anxiety and depression were significantly associated with periodontitis, while cancer, alcohol use, kidney problems, asthma, sleep apnea and gastrointestinal disorders were associated with periodontal health. Patients who reported taking anticoagulants, statins and ACE inhibitors demonstrated 3.546 (95% CI: 1.982, 6.343), 2.771 (95% CI: 1.877, 4.09) and 4.847 (95% CI: 2.785, 8.434) times higher odds of having periodontitis, respectively. Conclusion: Within the limitations of this retrospective study that utilized the BigMouth dental data repository, there is a possible relationship between systemic medications including anticoagulants, ACE inhibitors and statins as well as systemic medical conditions including hypertension, glaucoma, anxiety and depression with periodontitis.
Mapping of a granite batholith using geological and remotely sensed data: the Mount Edgar Batholith, Pilbara Craton

The gamma-ray spectrometric data over an exposed granite batholith contains detailed information on its structure and composition. The information is poorly displayed in the conventional red-green-blue or hui-saturation-intensity colour-space images. Variation diagrams can be prepared showing the relationship between K, Th and U, and the data can be displayed as a map of distance along the average variation path, and deviation of the observed concentrations from this average variation path. Alternatively, the rocks can be separated into subdivisions of granite types, and these types mapped using separate classification layers. For the Mount Edgar Batholith, gamma-ray spectrometry results are compared with the results from other techniques ? rock sample geochemistry, petrography, air photo interpretation, field observations, structural studies, magnetic anomalies, and Landsat-5 Thematic Mapper data enhanced for geology. In this outcropping batholith the spectrometric data are thought to be superior technique in determining batholith structure and compositional variation, because of it has greater resolution than field mapping and rock sample geochemistry, and because of its tie to rock geochemistry that is lacking in magnetic anomalies.
Periodic deformation of oceanic crust in the central Indian Ocean

New seismic reflection profiles of ≈5370 km, running through the Ocean Drilling Program Leg 116 sites and Deep Sea Drilling Project Sites 215 and 218, were obtained to investigate the spatial extent, timing, and nature of the Tertiary deformation of the equatorial central Indian Ocean. Analyses of the data revealed basement and sedimentary structures and structural unconformities that resulted from the release of compressional forces. Long-wavelength (150–300 km) anticlinal basement structures with 1–2 km relief and tight folding and high-angle faulting (5–20 km long) of oceanic basement and overlying sediments exist between the Afanasy Nikitin seamount and the Ninety east Ridge. The deformation zone extends from 10°S to the north up to ≈7°N latitude. The changes in the regional basement trend along 87°E longitude between latitudes 11°S and 15°N coincide with the significant tectonic events of the first major plate reorganization occurred in the eastern Indian Ocean at 90±5 Ma and changes in the Indian plate motion at 65±5 Ma. The basement deformation at selected places, a widespread unconformity of the upper Miocene, and subsequent younger unconformities (lower Pliocene and upper Pleistocene) indicate that the deformation activity might have begun earlier than the generally believed age of 7.5 Ma and appears to be periodic. The upper Miocene and upper Pleistocene deformational unconformities are, in general, observed south of 1°S, while the basement deformation and lower Pliocene deformational unconformity are mostly present in the area north of 1°S. It is surmised that the compressional stresses built up since the hard collision of India with Eurasia may have released for a short period prior to the early Miocene time and deformed the oceanic basement in the northeastern Indian Ocean. Thereafter the stress regime seems to have transferred to the north of the Indian shield and caused deformation of the continental lithosphere. Later, the activity reoccurred during the late Miocene (≈7.5 Ma), early Pliocene (≈4 Ma) and late Pleistocene (≈0.8 Ma) with a cyclicity of ≈3.5 m.y. and deformed the oceanic crust and sedimentary strata in the central Indian Ocean.
Dietary Supplementation of Mixed Organic Acids Improves Growth Performance, Immunity, and Antioxidant Capacity and Maintains the Intestinal Barrier of Ira Rabbits

Simple Summary Diarrhea in weaned rabbits is one of the most common problems in early weaned rabbits, which can lead to slow growth, decreased immunity, and even death. Against the background of a total ban on the use of antibiotics in feed, the development and utilization of antibiotic substitutes have become top priorities. Mixed organic acids (MOAs), as a residue-free green additive, have the ability to enhance immunity and intestinal digestion, regulate pH, and improve intestinal microbiota. Although there are more studies on MOAs, the current domestic and international studies on them mainly focus on pigs and chickens, and the effects on rabbits are less reported. Therefore, this experiment used weaned rabbits as the experimental object to explore the effects of the dietary addition of MOAs on the growth, immunity, and intestinal function of rabbits, to provide a theoretical basis for the application of MOAs in the production of meat rabbits. The results showed that MOAs could improve the growth performance, immunity, and antioxidant ability and maintain the intestinal barrier function of weaned rabbits, which has a promising application prospect in meat rabbit breeding. Abstract The aim of this study was to investigate the effects of mixed organic acids (MOAs) on growth performance, immunity, antioxidants, intestinal digestion, and barrier function in Ira rabbits. A total of 192 weaned male Ira rabbits at 35 days of age were randomly assigned to four groups with six replicates of eight rabbits each. The rabbits in the control group (CON) were fed a basal diet, and the antibiotic group (SAL) was fed a basal diet supplemented with 60 mg/kg salinomycin. The test groups were fed a basal diet supplemented with 1000 mg/kg and 2000 mg/kg MOAs (MOA1 and MOA2, respectively). The experiment lasted for 55 days. The results showed that the ADG of Ira rabbits in the SAL group and MOA1 group was higher than that in the CON group (p < 0.05). The serum IL-6 and liver MDA levels of Ira rabbits in the SAL group, MOA1 group, and MOA2 group were lower than those in the CON group (p < 0.05). In addition, sIgA levels in the jejunal mucosa of Ira rabbits in the SAL group and MOA1 group were increased compared with those in the CON group (p < 0.05). Compared with the CON group, the gene expression of IL-6 was decreased (p < 0.05) in the jejunal mucosa of Ira rabbits in the SAL, MOA1, and MOA2 groups, while the gene expression of IL-1β tended to decrease (p = 0.077) and the IL-10 content tended to increase (p = 0.062). Moreover, the gene expression of ZO-1 in the jejunal mucosa of Ira rabbits was elevated in the MOA1 group compared with the CON group (p < 0.05). In conclusion, dietary supplementation with MOAs can improve growth performance, enhance immune function and antioxidant capacity, and maintain the intestinal barrier in weaned Ira rabbits.
Prescription Pattern of Different Groups of Antibiotics at Out Patient Department of a Tertiary Medical College Hospital in Dhaka City

Background: Drugs prescription pattern is very important at outpatient department in the tertiary care hospital. Objective: The purpose of the present study was to evaluate the distribution of patients and antibiotic prescribing trends in OPD of a Tertiary Medical College hospital. Methodology: This cross-sectional study was undertaken in the medicine, surgery, gynaecology & obstetrics and paediatrics Out Patient Department of Shaheed Suhrawardy Medical college hospital, Dhaka. The duration of the study period was 5 weeks (25th March, 2017 to 29th April, 2017). The study was designed to obtain information regarding prescribing pattern of drugs by physicians and also to analyze basal information of the prescription. The prescription were observed from the hospital’s OPD and few prescriptions were from each unit. Results: A total 320 prescription were observed from the hospital’s OPD where 80 prescriptions were from each unit. The mean age of the patients was 24.50±14.976 years. The most commonly prescribed antibiotics at medicine OPD was Cephalosporin which was 19(51.4%) cases followed by others antibiotics and azithromycin which was 9(24.3%) cases and 8(21.6%) cases respectively. In surgery OPD, the most commonly used antibiotics were flucloxacillin and cephalosporin which was 66(82.5%) cases and 24(30.0%) cases respectively. In Gynae & obstetrics OPD, the most commonly prescribed antibiotics were quinolones as well as other groups of antibiotics which were 23(46.0%) cases and 27(54.0%) cases respectively. Conclusion: In conclusion most commonly used antibiotic are Cephalosporin, azithromycin and Flucloxacillin in different OPD of the hospital. Journal of National Institute of Neurosciences Bangladesh, January 2023;9(1):54-58