Miracle-dz/UniFAR-FTUs huggingface dataset:
The deaf experience in a hearing medical world

Background: The purpose of this narrative study was to understand personal experiences of a Deaf individual when communicating with healthcare professionals, to describe personal feelings regarding challenges and successes experienced during healthcare interactions, and express the need for culturally competent healthcare providers with increasingly diverse populations. Method: The participant interviewed is a member of the Deaf community, uses American Sign Language (ASL), and had multiple decades of major medical treatments. The study was conducted using a semi-structured method with a certified interpreter (CI) present to interpret and was audio and video recorded to account for all aspects of the signed language. Results: There were a total of 5 narratives and 4 major themes found throughout the interview. In addition, a section of other important information as stated by the Deaf participant was added to better explain the viewpoints of the participant. Results demonstrate the importance of including a certified interpreter to facilitate comprehension and understanding by Deaf individuals during medical treatments. Conclusion: Utilizing a person’s native language gives them the opportunity to be fully involved and competent when making important health decisions. Culturally competent healthcare professionals are needed as populations continue to grow in diversity in order to provide all clients with satisfying care.
Development of the Performance-Based Plastic Design Method by Considering the Effects of Aftershocks

ABSTRACT One of the efficient methods for seismic design of structures is Performance-based Plastic Design (PBPD) in which by choosing the desired yield mechanism and the target drift at the beginning of the design, unlike that in conventional design methods, there is no need for a time-consuming process of trial and error to achieve the desired performance. On the other hand, recent earthquakes have shown that aftershocks can increase the damage to a building after the main earthquake and thereby threaten the safety of the inhabitants. However, the seismic hazard of aftershocks is still not explicitly included in the current design codes. In this study, attempts have been made to develop the PBPD method for considering the effects of aftershocks. For this purpose, by performing an incremental dynamic analysis (IDA), the ductility factor μ and the ductility reduction factor Rμ of six PBPD frames (2-, 4-, 6-, 8-, 10-, and 12-story) were calculated under mainshock and mainshock-aftershock sequences. Then, the energy modification factor γ, which is related to the two parameters μ and Rμ, was calculated for both the mainshock and the mainshock-aftershock sequences. An equation is presented in order to calculate the ratio of the energy modification factor of the mainshock-aftershock sequence to the mainshock energy modification factor ( ) according to the design period, and the factor obtained is multiplied by the energy modification factor γ so that the effect of aftershock can be considered for the frame design, and by using this modification, the performance of the frame under the mainshock-aftershock sequence can be improved. The results of the time-history analysis performed on the modified PBPD frames show better performance by the frames designed on the basis of modified PBPD than the frames designed on the basis of the original PBPD method under MS-AS sequences in terms of inter-story drift and rotation of plastic hinges.
Analysis of Secure Apps for Daily Clinical Use by German Orthopedic Surgeons: Searching for the "Needle in a Haystack"

Background It is undeniable that appropriate smartphone apps offer enormous opportunities for dealing with future challenges in orthopedic surgery and public health, in general. However, it is still unclear how the apps currently available in the two major app stores can be used in daily clinical routine by German orthopedic surgeons. Objective This study aimed to gain evidence regarding the quantity and quality of apps available in the two major app stores and their suitability for use by orthopedic surgeons in Germany. Methods We conducted a systematic, keyword-based app store screening to obtain evidence concerning the quantity and quality of commercially available apps. Apps that met the inclusion criteria were evaluated using the app synopsis–checklist for users and the German Mobile App Rating Scale for secure use, trustworthiness, and quality. Results The investigation revealed serious shortcomings regarding legal and medical aspects. Furthermore, most apps turned out to be useless and unsuitable for the clinical field of application (4242/4249, 99.84%). Finally, 7 trustworthy and high-quality apps (7/4249, 0.16%) offering secure usage in the daily clinical routine of orthopedists were identified. These apps mainly focused on education (5/7). None of them were CE (Conformité Européenne) certified. Moreover, there are no studies providing evidence that these apps have any positive use whatsoever. Conclusions The data obtained in our study suggest that the number of trustworthy and high-quality apps on offer is extremely low. Nowadays, finding appropriate apps in the fast-moving, complex, dynamic, and rudimentarily controlled app stores is most challenging. Promising approaches, for example, systematic app store screenings, app-rating developments, reviews or app libraries, and the creation of consistent standards have been established. However, further efforts are necessary to ensure that these innovative mobile health apps not only provide the correct information but are also safe to use in daily clinical practice.
Prevalence study of common environmental allergens in children with asthma and allergic rhinitis in Kolkata: A hospital-based study

Background: Studies evaluating the role of skin prick testing (SPT) as the sole testing technique in children below 12 years of age involving a broader and more relevant group of aero- and food-allergens in this part of India are still lacking. Objectives: To identify the commonly prevalent environmental allergens by SPT in children with asthma as per British Thoracic Society and Scottish Intercollegiate Guidelines Network Criteria and allergic rhinitis (AR) as per British Society for Allergy and Clinical Immunology Criteria attending the OPD of a tertiary care pediatric unit in the eastern part of India. Methods: Testing of inhalant and food allergens by SPT in children from 4 to 12 years age group with asthma and AR satisfying the inclusion criteria. Results: Total 106 children (70 males and 36 females) were included in the study. Study of inhalant allergens in asthmatic patients revealed the highest positivity for house dust mite followed by male cockroach and among food allergens, highest positivity for egg/egg products, followed by milk/milk products. Study of inhalant allergens in asthmatic patients with coexistent AR revealed the highest positivity for house dust mite, cockroach male and female and among food allergens, highest for milk/milk products, egg/egg products, banana, and mustard. Conclusions: In Kolkata, in the eastern part of the country, among the asthmatic children of 4-12 years age group, the most common inhalant allergens were house dust mite and cockroach, whereas the common food allergens identified were milk and milk products, egg and egg products, and mustard.
Digital Texts and Moral Questions About Immigration: Papers, Please and the Capacity for a Video Game to Stimulate Sociopolitical Discussion

Scholars and critics have praised the video game, Papers, Please (PP), for raising critical awareness of sociopolitical issues, including immigration. To begin to determine whether PP stimulated public discussions of pertinent social issues, I adopt insights and techniques from cultural sociology to study how posters in an online forum engage with PP. I use computational topic modeling to reveal the topics forum members discuss and qualitative content analysis to gain a deeper sense of how posters explore these issues. I find the forum does discuss social issues, including immigration. Sociopolitical topics, however, are far from the forum’s primary focus. Moreover, posts primarily rely on the same limited set of immigration frames that major U.S. media outlets use. These findings demonstrate how a game’s social meanings will be shaped not only by the game’s design but also by social factors internal to the public under analysis and broader social dynamics.
The Relationship between the Level of Corruption and Economic Growth in Indonesia: An Investigation using Supply Chain Strategy and Bounds Test

Global competition has intensified geographic repositioning of supply chain activities with implications for the economic prosperity of specific regions and geographies affected by such shifts. This study examines the relationship between the level of corruption and economic growth using the supply chain and ARDL bounds test method. The data used are GDP, the level of corruption, foreign direct investment, government spending and inflation from 2000-2018. The results of the study indicate a negative and significant impact on the level of corruption on economic growth in the long run. The implication of this research is that weak institutions, indicating the failure of government (corruption) that affect the performance of economic growth.
The cognitive and neural mechanisms of human hand selection

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Effect of Life Review on Quality of Life For Older Adults Living in Nursing Homes

ABSTRACT Aim: To examine the effects of life review on daily activities, social participation, outlook on life, and perceptions of living in a nursing home measured by life satisfaction and quality of life in older adults. Method: The study design was a two-phase quasi-experimental pre-post-tests including development and testing of a life review protocol. Nine residents, age ≥65, participated in a life review group once weekly for 6 weeks. Outcomes were analyzed using the Life Satisfaction Index-Z (LSI-Z) and pre-post surveys. Results: LSI-Z scores improved post-intervention and survey outcomes indicated participation in activities of daily living (ADLs), socialization, outlook on life, and living in a nursing home perceptions improved for all participants. Conclusion: The study demonstrates the effectiveness of a life review protocol to improve ADLs, social participation, and enhancing perceptions of outlook on life and living in a nursing home enhancing QOL and life satisfaction for older adult nursing home residents.
Cell-Cycle-Associated Expression Patterns Predict Gene Function in Mycobacteria

While the major events in prokaryotic cell cycle progression are likely to be coordinated with transcriptional and metabolic changes, these processes remain poorly characterized. Unlike many rapidly-growing bacteria, DNA replication and cell division are temporally-resolved in mycobacteria, making these slow-growing organisms a potentially useful system to investigate the prokaryotic cell cycle. To determine if cell-cycle dependent gene regulation occurs in mycobacteria, we characterized the temporal changes in the transcriptome of synchronously replicating populations of Mycobacterium tuberculosis (Mtb). By enriching for genes that display a sinusoidal expression pattern, we discover 485 genes that oscillate with a period consistent with the cell cycle. During cytokinesis, the timing of gene induction could be used to predict the timing of gene function, as mRNA abundance was found to correlate with the order in which proteins were recruited to the developing septum. Similarly, the expression pattern of primary metabolic genes could be used to predict the relative importance of these pathways for different cell cycle processes. Pyrimidine synthetic genes peaked during DNA replication and their depletion caused a filamentation phenotype that phenocopied defects in this process. In contrast, the IMP dehydrogenase guaB2 dedicated to guanosine synthesis displayed the opposite expression pattern and its depletion perturbed septation. Together, these data imply obligate coordination between primary metabolism and cell division, and identify periodically regulated genes that can be related to specific cell biological functions.
Opportunities from citizen science for shark conservation, with a focus on the Mediterranean Sea

Abstract The Mediterranean Sea is a hotspot for shark conservation. A decline in large pelagic shark populations has been observed in this vast region over the last 50 years and a lack of data on the local population status of various species has been pointed out. Throughout history, the relation between people and sharks has been revolving around a mixture of mystery, fear, and attraction. Recently, however, a remunerative ecotourism industry has been growing in areas of shark aggregation globally. This growth has been accompanied by the establishment of a citizen science (CS) movement aimed to engage and recruit ecotourists in data collection for shark research. Several CS projects have generated interesting results in terms of scientific findings and public engagement. In the Mediterranean Sea, shark aggregations are not as relevant to support locally-focused CS actions on shark diving sites as in other parts of the world. However, a series of other initiatives are taking place and CS could offer an excellent opportunity for shark conservation in the Mediterranean Sea. The dramatic decline of shark populations shown in the region calls for alternative ways to collect data on species distributions and abundance. Obtaining such data to set proper conservation and management plans for sharks in the Mediterranean Sea will be possible if existing CS initiatives collaborate and coordinate, and CS is widely acknowledged and deployed as a valuable tool for public education, engagement, and scientific discovery. After providing an overview of multiple facets of the relationship between humans and sharks, we focus on the possibility of exploiting new technologies and attitudes toward sharks among some groups of ocean users to boost participatory research. CS is a great opportunity for shark science, especially for areas such as the Mediterranean Sea and for large pelagic sharks whose populations are highly impacted.
Sources of disenfranchised grief experienced by orphaned primary school children in Akithi Division, Tigania District, Kenya

Children are victims of disenfranchised grief because of their age factor and the circumstances of some deaths (e.g. AIDS related deaths, suicide, criminal offences) . The very nature of disenfranchised grief creates additional problems for the griever while minimizing their sources of support (Doka 2002). The school is the child's second home and thus an important grieving ground for the bereaved child. In addition, the school community interacts with the bereaved child. Thus, it has a role to play in the child's grief process. Available literature indicates that children above 9· years conceptualise death. At the same time, the mourning process is necessary for one to cope with bereavement. During the mourning process children have grieving needs. Also, they have tasks they need to work on before mourning can be said to be complete. Literature review indicates that children have a special attachment to theirparents who are their main attachment figures. In Kenya, the Guidance and Counselling unit in schools is expected to take care of children's grieving needs. Disenfranchised grief is a counselling issue children deal with. The literature review identifies the need to get first-hand information from the bereaved children in order to establish the nature and the factors of disenfranchised grief in Kenya. The study was carried out in Akithi Division, Tigania District. Ex-post facto design was used. The study population was primary school children who had lost one or both parents as well as the Teacher Counsellors. A total of 63 orphaned children and 12 teacher counsellors took part in the study. Data was collected t.hrough questionnaires, which included sentence completion, and an interview schedule, which were administered personally by the researcher. The data was analysed mainly through themes, categories and patterns derived through available. theories and other sources. Quantitative data took the form of tables for presentation, which were organized using simple descriptive statistics. SPSS was used to work out the cross tabulations on the various variables under study. The findings indicated that both interpersonal and intrapersonal sources contribute to disenfranchised grief. The study found out that there was minimal grief counselling that was going on in schools. The study recommended the introduction of grief education to all stakeholders. In addition, the study recommended enhancing dialogue on death matters between all the stakeholders. These recommendations would help maximize the sources of support for all the bereaved children while enfranchising the gcief already experienced by the parentally bereaved children.
Associations Between Consultation and Provider Satisfaction With Evidence-Based Treatment

ABSTRACT Given that providers’ perceptions of evidence-based treatments (EBTs) can influence their implementation and sustainment of these treatments, it is important to identify factors that promote provider satisfaction with EBTs. Despite literature suggesting that consultation (i.e., ongoing implementation support provided by a treatment expert) can enhance provider and client outcomes, little is known about the relationship between consultation and provider satisfaction with EBTs. The present study investigated associations between consultants and provider satisfaction with a modular EBT protocol for youth. Measures of the consultation process (i.e., frequency of discussion, modeling, and role-playing strategies; consultant–manual agreement, defined as consultant recommendation of practices that correspond to the treatment manual) were also explored as predictors of satisfaction. Data were drawn from 64 youth served by 26 providers and 5 consultants as part of a randomized effectiveness trial. Providers rated their satisfaction with the EBT protocol after the completion of each treatment case. Consultation processes were measured using consultant-reported records of their meetings with providers. Results revealed that providers’ satisfaction with the treatment’s responsiveness, but not its effectiveness, varied significantly depending on their consultant. The consultation processes employed by consultants, including level of consultant-manual agreement, were not significantly associated with satisfaction. Findings suggest that there may have been aspects of how consultants were making recommendations, rather than what they were recommending as part of the protocol, that potentially influenced provider satisfaction. Future research may benefit from considered measurement and design of the consultation process to promote provider satisfaction.
Bees & butterflies: Polish migrants’ social anchoring, mobility and risks post-Brexit

ABSTRACT The result of the Brexit referendum and subsequent uncertainty regarding its actual consequences, particularly for the EU citizens living in the UK, constitutes a major point of reference and a social risk for many Polish migrants. Drawing on two qualitative research projects with a data set of 71 semi-structured interviews, this paper aims at analysing post-Brexit strategies of Polish migrants in Britain, taking into account their anchoring and embedding, their attitudes towards mobility, and the specificity of perceived risks. The main objective is to offer a data-driven and temporally agile typology of the orientations migrants adopt in the face of uncertainty. With four ideal types of bumblebees, honeybees, butterflies and cocoons, we capture both the diversification of people’s reactions and strategies, and possible directionalities of the changes in their mobility and social anchoring over time.
Generation of adaptive HER2-specific immunity in HER2 breast cancer patients by addition of trastuzumab to chemotherapy in the adjuvant setting: NCCTG (Alliance) study N9831.

522 Background: In the adjuvant setting, patients with HER2 breast cancer treated with trastuzumab and chemotherapy have superior survival compared to patients treated with chemotherapy alone. We previously showed that trastuzumab and chemotherapy induces HER2-specific antibodies which correlate with response to therapy in patients with HER2+ metastatic breast cancer. It remained unclear from those studies, however, whether the HER2-specific immunity played a role and if antibody immunity was associated with improved disease free survival in the adjuvant setting. In the present study, we addressed these questions by analyzing sera samples from a subset of patients enrolled in the NCCTG adjuvant trial, N9831, which includes an arm (Arm A) in which trastuzumab was not used. Arms B and C received trastuzumab sequentially or concurrently to chemotherapy, respectively. Methods: Pre-and post-treatment initiation sera were obtained from 50 women enrolled in N9831 (22 Arm A; 14 Arm B, and 14 Arm C). Lambda IgG an.
The effect of whole body vibration on oxygen uptake and electromyographic signal of the rectus femoris muscle during static and dynamic squat

Whole Body Vibrations consist of a vibration stimulus mechanically transferred to the body. The impact of vibration treatment on specific muscular activity, neuromuscular, and postural control has been widely studied. We investigated whole body vibration (WBV) effect on oxygen uptake and electromyographic signal of the rectus femoris muscle during static and dynamic squat. Fourteen healthy subjects performed a static and dynamic squat with and without vibration. During the vibration exercises, a significant increase was found in oxygen uptake (P=0.05), which increased by 44% during the static squat and 29.4% during the dynamic squat. Vibration increased heart rate by 11.1 ± 9.1 beats.min-1 during the static squat and 7.9 ± 8.3 beats.min-1 during the dynamic squat. No significant changes were observed in rate of perceived exertion between the exercises with and without vibration. The results indicate that the static squat with WBV produced higher neuromuscular and cardiorespiratory system activation for exercise duration ? 60 sec. Otherwise, if the single bout duration was higher than 60 sec, the greater cardiorespiratory system activation was achieved during the dynamic squat with WBV while higher neuromuscular activation was still obtained with the static exercise.