Miracle-dz/UniFAR-FTUs huggingface dataset:
Surgical Approach and Dealing With the Subscapularis in Primary Shoulder Arthroplasty

The optimal management of the subscapularis tendon during total shoulder arthroplasty remains controversial. Subscapularis mobilization is required to gain access to the glenohumeral joint during the deltopectoral approach. Failure of the subscapularis to heal, or postoperative rupture, has been associated with poor clinical outcomes. Current evidence supporting subscapularis tenotomy, lesser tuberosity osteotomy, and subscapularis peel are summarized, as surgical techniques. Regardless of technique used, an anatomic and substantial repair with heavy nonabsorbable stitches and plate augmentation is necessary to withstand gentle postoperative rehabilitation. Lack of consensus may be due to difficulty of reliable clinical assessment of subscapularis function after shoulder arthroplasty and lack of agreement between clinical studies comparing techniques.
A prospective study of the palpable lesions of the breast and the role of FNAC in these lesions with available histopathology methods

Introduction: Benign as well as malignant breast lesions are quite common in Indian population. It is the second most common cancer site after cancer cervix. Fine-needle aspiration cytology (FNAC) is safe, reliable, and time saving outdoor procedure with little discomfort to the patient. Objective: The current study was aimed to study the frequency of various breast lesions on FNAC in a tertiary care center and its histopathological correlation. Methodology: Total of 217 cases of FNAC was conducted in the palpable lesions of the breast. Result: Most of the lesions were noted in the left breast (123) lesions out of which 29 were malignant. The various benign neoplastic lesions seen were 81 patients. Fibroadenoma were found mostly in the age group of 21-30 years. 41 cases of fibrocystic disease found mostly in the age group of 31 to 50 years. The lymph node metastasis was seen in 5 patients with 35 to 55yrs of age. There were 71 benign neoplastic lesions and 21 cases of malignancy available for histopathology. FNAC was 80.9% sensitive and 95.89% specific in diagnosing malignant lesions. Conclusion: A high sensitivity and a high positive predictive value proved that a positive FNAC in the breast means a definite diagnosis of the concerned pathology if compared with the final histology report. Thus, we have no hesitation in concluding that FNAC is a very important preliminary diagnostic test in palpable breast lumps and done by expert hands, the results show a high degree of correlation with the final histopathology report.
Self-employment and unemployment relationship in Romania – Insights by age, education and gender

Abstract We check on the short term if self-employment in Romania influences unemployment and vice versa. Age, education and gender characteristics treat both variables, and self-employment considers both cases with and without employees. The objective is to look at the job creation and unemployment reduction in quarterly variation during the 1999Q1–2017Q3 period. On autoregressive models, we apply the Toda and Yamamoto (1995) procedure, detailed by Giles (2011), to assess for Granger Causality. We found for unemployment rates a push effect in the self-employment rate for adults and youth with low education level to self-employment without employees’ rate for adults and self-employment with employees’ rate for old adults. We establish a ‘Schumpeter’ effect for the adult with a low level of education self-employment to unemployment, for adults’ males with tertiary education and self-employed, and older adults self-employed without employees to unemployment. We conclude that unemployment work as an inclusion mechanism for some vulnerable groups but inefficient for others. Self-employment with employees is less diversified, indicating a high-risk aversion and low start-up effect. In general, the labour market presents a unidirectional flexibility effect.
Perceived Understandings of Home and Self-identity among Mainland Chinese Dual Migrants in Macao

ABSTRACT This paper focuses on the meanings of home and self-identity perceived by mainland Chinese dual migrant workers in Macao. Due to the high living cost in Macao, a majority of mainland Chinese labour migrants choose to migrate daily across the Zhuhai-Macao border. Drawing upon fourteen in-depth interviews and two group discussions among low-skilled labour migrants from the mainland, findings show the co-existence of temporality and situatedness in the mobilized experiences of mainland Chinese dual migrants. Home is found to be an emotional and social investment, tied to a fixed, remembered space, and a mobile, multi-layered, and unstable site, impacted by the experience of daily cross-border mobility. Impacted by the Zhuhai-Macao border, participants may self-identify as ‘outsiders’ to Macao, who ‘belong’ to a place in mainland China due to the perceived hierarchy in Macao society. However, this identification is fluid and dynamic, and changes within and across social groupings and settings. Findings from this study shed light on China as a special context for internal and border-crossing migration.
Atmosphere–Ocean Interactions and Their Footprint on Heat Transport Variability in the Northern Hemisphere

Interactions between the atmosphere and ocean play a crucial role in redistributing energy, thereby maintaining the energy balance of the climate system. Here, we examine the compensation between the atmosphere and ocean’s heat transport variations. Motivated by previous studies with mostly numerical climate models, this so-called Bjerknes compensation is studied using reanalysis datasets. We find that atmospheric energy transport (AMET) and oceanic energy transport (OMET) variability generally agree well among the reanalysis datasets. With multiple reanalysis products, we show that Bjerknes compensation is present at almost all latitudes from 40° to 70°N in the Northern Hemisphere from interannual to decadal time scales. The compensation rates peak at different latitudes across different time scales, but they are always located in the subtropical and subpolar regions. Unlike some experiments with numerical climate models, which attribute the compensation to the variation of transient eddy transports in response to the changes of OMET at multidecadal time scales, we find that the response of mean flow to the OMET variability leads to the Bjerknes compensation, and thus the shift of the Ferrel cell at midlatitudes at decadal time scales in winter. This cell itself is driven by the eddy momentum flux. The oceanic response to AMET variations is primarily wind driven. In summer, there is hardly any compensation and the proposed mechanism is not applicable. Given the short historical records, we cannot determine whether the ocean drives the atmospheric variations or the reverse.
Ribosome profiling uncovers selective mRNA translation associated with eIF2 phosphorylation in erythroid progenitors

The regulation of translation initiation factor 2 (eIF2) is important for erythroid survival and differentiation. Lack of iron, a critical component of heme and hemoglobin, activates Heme Regulated Inhibitor (HRI). This results in phosphorylation of eIF2 and reduced eIF2 availability, which inhibits protein synthesis. Translation of specific transcripts such as Atf4, however, is enhanced. Upstream open reading frames (uORFs) are key to this regulation. The aim of this study is to investigate how eIF2 phosphorylation affects mRNA translation in erythroblasts. Ribosome profiling combined with RNA sequencing was used to determine translation initiation sites and ribosome density on individual transcripts. Treatment of erythroblasts with Tunicamycin (Tm) increased phosphorylation of eIF2 2-fold. At a false discovery rate of 1%, ribosome density was increased for 147 transcripts, among which transcriptional regulators such as Atf4, Tis7/Ifrd1, Pnrc2, Gtf2h, Mbd3, JunB and Kmt2e. Translation of 337 transcripts decreased more than average, among which Dym and Csde1. Ribosome profiling following Harringtonine treatment uncovered novel translation initiation sites and uORFs. Surprisingly, translated uORFs did not predict eIF2-dependent translation efficiency, but uORF identity differs. The regulation of transcription and translation factors in reponse to eIF2 phosphorylation may explain the large overall response to iron deficiency in erythroblasts. - eif2 dependent translation in erythroblasts during proteotoxic stress determined by ribosome footprinting - identification of transcription factors upregulated in response to eIF2 phosphorylation - Advantages and disadvantages of translation initiation site determination using harringtonine - distinct uORF pattern in transcripts with enhanced, or more than average reduced translation upon proteotoxic stress
Low HDL-C in Turks: genetic/lifestyle interactions modulate plasma levels

Amaç: Birçok çal›flma, afl›r› derecede düflük düzeydeki yüksek yo¤unluklu lipoproteinin (HDL-C) (erkeklerde ort. ~36 mg/dl; kad›nlarda ort. ~42 mg/dl) Türklerde koroner kalp hastal›¤› için temel bir risk faktörü oluflturdu¤unu göstermifltir. Bu çal›flmada, 14 y›l içinde ‹stanbul’da yaflayan Türklerde yürütülen üç kohort çal›flma incelenerek, erkek ve kad›nlarda koroner kalp hastal›¤› risk faktörlerindeki e¤ilimler de¤erlendirildi.
Limiting Self-Renewal of the Basal Compartment Induces Differentiation and Alters Evolution of Mammary Tumors

Differentiation therapy is an approach that utilizes our understanding of the hierarchy of cellular systems to pharmacologically induce a shift towards terminal commitment. While this approach has been a paradigm in treating certain hematological malignancies, efforts to translate this success to solid tumors have proven challenging. In this study we show that activation of PKA drives aberrant mammary differentiation by diminishing the self-renewing potential of the basal compartment. PKA activation results in tumors that are more benign, exhibiting reduced metastatic propensity, loss of tumor-initiating potential and increased sensitivity to chemotherapy. Analysis of tumor histopathology revealed features of overt differentiation with papillary characteristics. Longitudinal single cell profiling at the hyperplasia and tumor stages uncovered an altered path of tumor evolution whereby PKA curtails the emergence of aggressive subpopulations. PKA activation represents a promising approach as an adjuvant to chemotherapy for certain breast cancers, reviving the paradigm of differentiation therapy for solid tumors.
Divergent Attitudes among Domestic Violence Risk Assessors and County Welfare Agency Staff during the Family Violence Option Process

ABSTRACT This study examined the collaboration between welfare agencies and domestic violence organizations in their effort to implement the Family Violence Option (FVO), which provides states with the option of providing waivers to survivors of domestic violence from Temporary Assistance for Needy Families requirements. Focus groups were conducted with 48 participants from the state human services office, county welfare agencies, and domestic violence organizations. While study findings are state-specific and thus not generalizable, the results can be used to refine our understanding of the needed components of a successful collaboration between public and nonprofit agencies in the implementation of the FVO.
Incidence and Outcome among COPD Patients Attending the Emergency Department of the King Abdul-Aziz Medical City Hospital, Riyadh, Saudi Arabia

Background: Chronic Obstructive Pulmonary Disease (COPD) is a common chronic lung disease. Objectives: The aim of this study is to determine the incidence and outcome among the patients attending the emergency department of the King Abdul-Aziz Medical City (KAMC) Hospital, Riyadh and receiving a discharge diagnosis of COPD. Methods: We reviewed all the charts of subjects attending the Emergency Department of the KAMC (King Abdul-Aziz Medical City) hospital in the period, from 1 June to 31 September 2016. We analyzed the chart of all subjects receiving a diagnosis of COPD. They formed the subjects of this retrospective study. Results: Two hundred and ten subjects accessed the emergency department into the study period . We selected 140 subjects with mean (±SD) age of 71.9 (  9.84) years; males 54, 38.6 %) with a discharge diagnosis of COPD. The incidence of COPD was 1.9%. The outcome of COPD management indicated that the majority of the subjects discharged with home ventilation were 85 (60.7%), 30(21.4%) subjects were shifted to different wards, whereas 22 (15.7%) were discharged in stable condition, while 3 (2.2%) died. Conclusion: The study revealed a high pervasiveness of COPD (66.66%) among the Saudi patients. The outcome of COPD ranged from living with home ventilation to
Mobile Learning Adoption: The Case of Malaysian University Students

Despite the availability of studies on mobile learning adoption, its theoretical foundations have not yet matured. In addition, studies on mobile learning adoption in the context of Malaysia is also still very limited. Against this concern, a study was undertaken with the aim of investigating factors that could influence mobile learning adoption. Building upon The Unified Theory of Acceptance and Use of Technology (UTAUT) and two other variables which are perceived playfulness and self management of learning, an empirical based framework was developed to identify predictors of mobile learning. Employing a survey research method involving 282 respondents from Universiti Teknologi MARA, the results showed that performance expectancy, effort expectancy, social factors, facilitating conditions, perceived playfulness and self management of learning are strong determinants of intention to adopt mobile learning. The present study provides both a theoretical and practical contributions to understanding the predictors of intention to adopt mobile learning and should be of interest to both researchers and practitioners.
Comprehensive Identification of Principal Lipid Classes and Tocochromanols in Silkworm (Antheraea pernyiandBombyx mori) Pupae Oils

A comprehensive identification of lipid compositions and tocochromanols in Antheraea pernyi (A. pernyi) and Bombyx mori (B. mori) pupae oil is reported in the present study. Fatty acid profiling shows that both oils contain high levels (79.67% vs 71.11%) of unsaturated fatty acids, especially linoleic acid and linolenic acid. Moreover, linolenic acid is preferentially enriched at the sn‐2 positions of triacylglycerols (TAGs). Liquid chromatograph‐mass spectrometry (LC‐MS) analysis demonstrates that POO (TAG with one palmitoyl and two oleoyls) is the primary TAG form with percentages of 20.18% in A. pernyi and 15.00% in B. mori. The dominating phospholipid species are phosphatidylcholine (PC, 30.40% vs 54.61%) and phosphatidylethanolamine (PE, 34.82% vs 20.39%). Four sterol constituents with total contents of 382.56 ± 3.12 and 371.65 ± 2.98 µg g⁻¹ are identified and analyzed quantitatively. Additionally, the levels of tocochromanols (20.15 ± 0.89 vs 17.15 ± 0.71 mg g⁻¹) are quantified in both silkworm pupae oils. Overall, silkworm oil acts as an enriched source of functional lipids and tocochromanols. Practical Applications: A systematic investigation on the principal lipid classes and tocochromanols of Antheraea pernyi pupae and Bombyx mori pupae oil is reported in this study. The informative data provide supporting evidence for comprehensive utilization of silkworm oil for production of nutritional and healthy products.
Experimental Study on 2D Motion Characteristics of Submerged Floating Tunnel in Waves

Submerged floating tunnel (SFT) is a new type of transportation infrastructure for crossing sea straits in relatively deeper water. Compared with the fixed tunnel, the main challenge in designing a SFT is the stability maintaining in a complex hydrodynamic environment, especially for the wave-induced dynamic load. In this study, a series of systematic experiments were conducted to investigate the 2D motion characteristics (i.e., heave, sway and roll) of the SFT exposed to regular waves. The movement of the SFT model is measured by the image processing method which is a noncontact measurement. The experimental observation of SFT motion during the process of wave and SFT interaction is described in detail, and the influence of several governing parameters is thoroughly analyzed, including the wave height and period, submergence depth, buoyancy to weight ratio (BWR), and the mooring line angle. The results show that the motion amplitudes of SFT increase with the wave height increasing. The effect of wave period is related to the natural period of the structure. The sway, heave and roll of the SFT submerged beneath the water surface are much smaller than that of the SFT on the water surface. With the increase of BWR, the motion of SFT decreases. The motion amplitude increases with mooring line angle increasing. Finally, empirical equations are proposed to estimate the motion characteristics of the SFT.
Serum levels of zinc, copper and magnesium in polycystic ovarian syndrome: A cross Sectional study

Introduction: Polycystic ovarian syndrome is the most common endocrinopathy affecting approximately 5 to 21% of reproductive age women. Although the exact aetiology of PCOS is unknown, recent reports have indicated the association between PCOS and disturbance in trace elements (e.g. zinc, copper and magnesium) levels and oxidative stress. Aim and Objective: To compare serum levels of essential trace elements Zinc (Zn), Copper (Cu) and Magnesium (Mg) among patients with PCOS and healthy controls of age group (15-35 years) from same socio economic status. Material and Methods : Present study was carried out in 240 patients (120 cases and 120 healthy controls) of age group (15-35 years) and serum levels of Zinc, Copper and magnesium were compared in PCOS women and healthy controls by using colorimetric method Results: High baseline serum concentration of zinc, copper and magnesium were found in both i.e. women with PCOS and the healthy controls and it may be attributed to the socio-cultural and environmental characteristics of this population. Serum zinc and magnesium levels were found to be significantly higher while serum copper levels were significantly lower in women with PCOS in comparison to healthy controls in present study. Conclusion: The results of the present study provide clues to explore the role of trace elements in pathogenesis of PCOS and provide an area of interest for further clinical trials in PCOS.
Educational Opportunities in Indonesia: Are Factors Outside Individual Responsibility Persistent Over Time?

Abstract Not all sources of inequality in educational achievements are fair. But how strong and persistent is the burden of unequal opportunities that each person carries on in their life? In this paper, we define individual indices of the burden of circumstances, which measure the effect that the accumulation of factors outside individual control, has on individual educational achievements in the short and long run. As our findings suggest, the effect of these circumstances tends to persist over time. This effect has been particularly strong for the generation of students who experienced the 1997 Asian Financial Crisis. Lastly, we do not find evidence of a sizeable effect of local non-routine education expenditure on the inequality of opportunity, causing us to question the effectiveness of educational policies in accurately targeting equity.
Do Moral Communicators Make Better Listeners? Personality, Virtue and Receiver Apprehension as Predictors of Active Empathetic-Listening

ABSTRACT As personality, apprehension, and personal virtue can influence interpersonal communication, the research question in this project was the degree each play in accounting for active empathetic listening. Participants completed self-report surveys to explore the predictive potential of communicator personality, receiver apprehension, and virtue on active-empathetic listening (AEL). Regression analyses indicated that virtue and receiver apprehension accounted for more variance in AEL than personality factors. Faithfulness – a virtue indicating relational commitment to one’s conversational partner – proved the strongest predictor even though self-control, humility, work, and wisdom correlated positively with AEL and most listening stages (sensing, processing, and responding). Discussion explores the role of humility in being ‘other-wise,’ what constitutes a faithful listener, and the potential of empathic-altruism in one’s moral identity as key to understanding listening well.
PAIN MANAGEMENT IN CRITICALLY ILL-INTUBATED PATIENT: A LITERATURE REVIEW

ABSTRACT BACKGROUND: Pain is classified as one of the least understood symptom because it is a subjective concept and only can be defined by the individual who experiencing the pain. Among critical care patients, pain also being a problem to be managed. This condition based on the reason that the patients in ICU were suffering by complex problems and considered in a life threatening condition. PURPOSE: The purposes of this study explore the pain management among critically-ill intubated patient. METHOD: A relevant literature searched from databases: PubMed, CINAHL, the Cochrane and ProQuest Medical Library, and Science Direct were conducted. Key words used to retrieve included pain management, pain assessment tool, intubated and unconscious patient, and critically ill patient. Searching was limited in English language, full text, and the year of publication starting from 1994. RESULTS: Twenty-four related studies were intensively reviewed. Firstly, the concept of pain in critical care was described. Then, the barriers of pain assessment and management, pain related factor in intensive care unit, and pain assessment tools in critically illintubated patientare explained. Moreover, in order to develop appropriate pain management in critically illintubated patient, the pharmacological and non-pharmacological intervention are reviewed. Finally, the nursing roles and activities for appropriate pain management in critically ill-intubated patients are described later. CONCLUSION: Literatures showed that critical care nurses (CCNS) holding the roles and responsibilities to deliver appropriate pain management in critically-ill intubated patients. This requirement are important in order to relieving and diminishing pain that feel among critical care patient, in particular unconscious and uncommunicative patients who cannot provide self report regarding their pain intensity and severity. Keywords: Pain management, pain assessment, unconscious patient, critical care, and critically-ill intubatedpatient.
Diffusion coefficients of trivalent rare earth/actinide ions in acid and alkaline aqueous solutions

Leaching is one of the key process of rare earth (RE) element recovery. This paper was set out to validate the effectiveness of acid/alkali in RE leaching by measuring the limiting ionic conductivity (λo), self-diffusion coefficient (Di) and overall diffusion coefficient (DAB) to obtain a clear insight on the transport properties of ions and salts in aqueous solution. The calculation diffusivity of Di which is diffuse individual ions in pure water and DAB diffuse in chemical reagents were determined using Nernst-Haskell equation, applicable for 25°C. The results of Di were found to be consistent with experimental data from the literature where most of calculation and experiment data are less than 5% error. The final outcome had managed to confirm that NaOH is best reagent for most RE element leaching, which suits the common practice of the industry.