Miracle-dz/UniFAR-FTUs huggingface dataset:
Analysis of Oncological Second Opinions in a Certified University Breast and Gynecological Cancer Center Regarding Consensus between the First and Second Opinion and Conformity with the Guidelines

Introduction: Oncological second opinions are becoming increasingly important in the era of complex treatments and established certified cancer centers. Oncological guidelines with the highest levels of evidence are available, but these can only be effective to the extent that they are implemented. Therefore, we analyzed the effects of second opinions with regard to their agreement with first opinions and conformity with guidelines. Methods: In 164 patients with a diagnosis of breast cancer or gynecological malignancy who requested a second opinion, the first and second opinions, established at the interdisciplinary tumor conference, and conformity with the guidelines were evaluated. Results: The first opinion was not in agreement with the guidelines in 34.8% (15.2% diagnosis, 12.8% surgical therapy, 13.4% systemic therapy, and 5.5% radiotherapy), and the recommendations were optimized in the second opinion in 56.7% (28.7% diagnosis, 15.9% surgical therapy, 30.5% systemic therapy, and 8.5% radiotherapy). Conclusions: Oncological second opinions showed significant effects and one-third of first opinions were not in conformity with the guidelines. In a significant proportion of cases, the existing treatment plan was changed or supplemented to allow modern and individualized treatment approaches.
Influence of Basic Psychological Needs over Burnout in the Sport Context

The aim of this study was to investigate the relationship among basic psychological needs and burnout in a sample of athletes (N = 639). It was hypothesized that psychological needs satisfaction was negatively associated with burnout syndrome and the frustration of these needs related positively. Burnout was measured with the Athlete Burnout Questionnaire (ABQ), satisfaction of basic psychological needs with the Basic Needs Satisfaction in Sport Scale (BNSSS), and frustration with the Psychological Needs Thwarting Scale (PNTS). Data analysis was conducted under the approach of structural equation modeling (SEM). The results showed that satisfaction of basic psychological needs had a negative direct effect on burnout of −0.67 (p < 0.001) while the frustration of these needs had a direct effect of 0.18 (p < 0.001). In addition, the total model explained 59% of the total variance of burnout. All individual parameters of the model were statistically significant and the overall fit of the model was satisfactory. It can be concluded that satisfying the basic psychological needs of the athletes can protect them against burnout.
Going the Distance: Estimating the Effect of Provincial Borders on Trade When Geography (and Everything Else) Matters

In the presence of often‐cited provincial non‐tariff trade barriers, one should observe provincial border effects in Canada. However, using provincial trade data leads to upward biased estimates of the border effect, because intraprovincial trade is skewed towards short distance flows that are poorly estimated by gravity models. We overcome this bias by using sub‐provincial trade flows generated from a transaction‐level transportation dataset. The results show that border effects fall as geographies are more fine‐grained and uniform. In contrast to the US, where state border effects were eliminated using similar approaches, provincial border effects remain, with an implied 6.9% tariff equivalent. Resume. Tenir la distance: estimation de l’effet frontalier provincial sur le commerce en tenant compte de la geographie. Lorsque l’on aborde la question tres discutee des obstacles non‐tarifaires aux echanges commerciaux, il convient d’observer l’effet des frontieres provinciales au Canada. L’utilisation de donnees commerciales interprovinciales se traduit neanmoins par des biais par exces au niveau de l’effet frontalier, les flux de courtes distances etant surrepresentes et mal evalues par les modeles gravitaires. Afin de resoudre ce probleme d’ecart systematique par exces, nous utilisons des donnees commerciales infraprovinciales issues d’un ensemble de donnees transactionnelles relatives au transport. Nos resultats montrent que l’effet frontalier diminue des lors que les unites geographiques sont plus petites et uniformes. En utilisant les memes approches, on constate que l’effet frontalier disparait aux Etats‐Unis. En revanche, au Canada, l’effet frontalier persiste avec un equivalent tarifaire implicite de 6,9 %.
Cash Flow Optimality and Investment Returns: Investors Expectations in Listed Manufacturing Firms in Nigeria

This study investigated the effect of cash flow optimality on investment returns in selected listed Manufacturing companies in Nigeria. The population consisted of listed 66 manufacturing companies on the Nigerian Stock Exchange. 25 of these manufacturing companies were purposively selected for a period of 10 years (2010-2019). The study employed data obtained from the published financial statement of the selected manufacturing companies. Panel data analysis was employed while diagnostic tests were carried out and an application of the Hausman test provided the criteria for choosing between Random Effect Models and Fixed Effect Models. JarqueBera Normality, Breusch, and Pagan Lagrangian multiplier tests were conducted to confirm the Hausman test results in order to decide between Random Effects and Pooled OLS. The study found that cash flow optimality had a positive statistically significant on return on assets, AdjR = 0.099; Wad-chi 2 (4, 245) = 22.22; P-value = 0.000). Furthermore, the study revealed that cash flow optimality exhibited a positive statistical effect on Tobin’s Q, (AdjR 2 = 0.130; F (4, 245) = 2.884; Pvalue = 0.025). Thus, the study recommended that since the essence of investment is the expected returns, managers of manufacturing companies should ensure that all strategic decisions are channeled towards this direction, and ensure efficient resources management and cash flow optimal management towards meeting investor returns expectations. Original Research Article Aguguom; AJEBA, 16(4): 39-50, 2020; Article no.AJEBA. 59499 40
Students' Reflective Journals and Creative Writing in EFL

This study aimed at investigating the effectiveness of online reflective journals on Birzeit University students' creative writing. The participants of the study were sixty first-year university students. They were chosen randomly from Birzeit University in the second semester of the academic year 2019/2020. The study followed the quasi-experimental design. The participants were divided into two groups: an experimental group (n=30) and a control group (n=30). To carry out the study, the researcher taught her students how to write reflective journals, and she established a closed group on Messenger for her students to write their online reflective journals and share them on the group frequently each time on a different topic. The data about the students' creative writing skills were collected using a creative writing pre/post-test designed by the researcher. The data were analyzed using appropriate quantitative analyses. The results of the study showed that the proposed instructional strategy was effective in improving students' creative writing skills. The results proved that the strategy of online reflective journals has positively affected the components of creative writing (originality, flexibility, fluency, and elaboration).
econstor Make Your Publications Visible . A Service of zbw

Determining the extent to which citation flows, and hence bibliometric indicators based on them, reflect some intrinsic value of scientific works is an important task made very difficult by endogeneity issues. This paper presents an approach which allows to go beyond the abundant anecdotal evidence by testing whether the citation behavior is free from environmental factors. The hypothesis of independence is strongly rejected, providing causal evidence of a Matthew effect at work: namely, the publication of a new work on behalf of an author increases the flow of citations to previous works. Such result is a step towards the estimation of biases affecting bibliometric indicators, at least when interpreted as measures of scientific productivity. The study is based on a novel framework for the study of endogenous network growth subject to constraints. Constraints can be both positive and negative, and change in time depending on the actions of the agents. The framework is not limited to citation networks, and can be applied to any context in which the formation of a link inhibits or implies the formation of another one.
Efficient Utilization of Nursing Manpower during the COVID-19 Pandemic

Pandemics bring a significant crisis for the health care system and battle can only be swiftly won, if the army of health care workers is well prepared and efficiently utilized. Nurses are the major health care human resources, who play a key role in the management of COVID-19 as there are no definitive treatment and recovery largely depend on efficacious care. Therefore, it is essential to plan and utilize nursing manpower efficiently during the pandemics like COVID-19. There is a paucity of literature regarding the efficient utilization of nursing manpower during the COVID19 pandemic, because of its novice phenomenon. Therefore, the authors made a sincere attempt to present a comprehensive commentary on strategies for efficient utilization of nursing manpower for safety and quality of care. Key components of efficient utilization are the creation of three-tier pool of nurses, using minimalist approach in staffing rosters, relaxing nurse staffing norms to minimal, flexible shifts, three-layer relieving rosters for sufficient time for quarantine, adequate safety through the provision of high-quality personal protective equipment (PPE), training on infection prevention and control, environmental engineering for safety enhancement, hospital-based quarantine facility, avoidance of discrimination, motivation, and counseling for the nurses.
FACTORS THAT AFFECT THE AUDITORS’ INTENTION TO DO WHISTLEBLOWING IN SUPREME AUDIT INSTITUTION

The high number of fraud that occurs makes many people doubt the performance of an auditor. Whistleblowing or the disclosure of fraud is believed more effective to overcome this phenomenon. This study aims to determine the effect of attitude toward behavior, subjective norm, perceived behavioral control, and personal cost of the auditor's intention to do the whistleblowing. The method of analysis used is multiple regressions analysis with the object of Supreme Audit Institution of Central Java. About 60 samples obtained from filling out the questionnaires, the result shows that attitude toward behavior and subjective has a positive effect on auditor’s intention to do the whistleblowing. However, perceived behavior control and personal cost have no effects auditors’ intention to do whistleblowing.
The study of floral activities and flowering calendar of some selected plant taxa in Akoko environment, Ondo State, Nigeria

The patterns of phenological events of an area are variously used for characterization of the vegetation type. Phenological study has great significance because it does not only provide information about the plant growth pattern but it also provides an idea, baseline information and data on the effect of environment and selective pressure on flowering and fruiting behaviour among others. The determination of the floral activities of the flora present in the study environment was carried out using normal random distribution technique and results showed that fourty (40) plant taxa of the vegetation were sampled for various flowering periods in a calendar year and based on their flowering pattern, were placed into five main groups: those that flowered just once, twice, thrice, more than thrice in a calendar year and those that flower nearly all year round. Three (3) species were found to flower once; seven (7) species flower twice; three (3) species flower thrice; twenty-five (25) species flower more than thrice in a calendar year and the other two (2) species flowers nearly all year round. Most flowering activities were recorded in the months of January, February and March whereas the months of August, September and October recorded least flowering activities. Most interestingly, the flowering activities were recorded in all the twelve (12) months in a year calendar. Study provides knowledge about the plants flowering calendar and also gives an insight on the effect of environmental conditions with selective pressure on flowering affecting the behaviour of the plants species thus showing how food is produced throughout the year in the area.
Personality in Action: Assessing Personality to Identify an ‘Ideal’ Conscientious Response Type with Two Different Behavioural Tasks

Performance on achievement tests is characterized by an interplay of different individual attributes such as personality traits, motivation or cognitive styles. However, the prediction of individuals’ performance from classical self–report personality measures obtained during large and comprehensive aptitude assessments is biased by, for example, subjective response tendencies. This study goes beyond by using behavioural data based on two different types of tasks, requiring different conscientious–related response behaviours. Moreover, a typological approach is proposed, which includes different behavioural indicators to obtain information on complex personality characteristics. © 2020 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology
Outcomes of Extracorporeal Membrane Oxygenation in Blood Culture Positive Septic Patients

INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) is commonly used for refractory cardiac or respiratory failure. There are reported cases of successful use of ECMO in patients with septic shock; however, there is a lack of evidence to prove its overall efficacy. Thus, we conducted this study to analyze the relationship between sepsis and ECMO in our own patients. METHODS: 305 patients who were placed on ECMO between 2010 and 2020 were identified within an IRB-approved database. Their clinical outcomes were analyzed with a specific focus on patients who were septic before or during ECMO, defined as a positive blood culture. Group S was composed of patients with a positive blood culture before or during ECMO, while Group N was composed of all patients without a positive blood culture before or during ECMO. The primary outcome compared between groups was ECMO survival rate. RESULTS: Among the 305 patients on ECMO, 58 (19%) were in Group S and 247 (81%) were in Group N. ECMO survival rates were 45% in Group S and 62% in Group N (p = 0.017). CONCLUSION: Of our 305 patients, patients who were septic upon ECMO placement or those who developed sepsis during ECMO had worse ECMO survival rates than non-septic patients. Ultimately, patients who are septic or have a high probability of becoming septic may not be indicated for ECMO placement, and cautious administration of ECMO to these patients may be necessary.
Sorafenib as second‐line treatment option after failure of lenvatinib in patients with unresectable hepatocellular carcinoma

Currently, there is no molecular‐targeted agent that has demonstrated evidence of efficacy in patients with unresectable hepatocellular carcinoma (u‐HCC) who have developed resistance to treatment with lenvatinib (LEN). In this real‐world study, we aimed to investigate the therapeutic effect and safety of sorafenib (SOR) in patients with u‐HCC after progression on treatment with LEN.
The Implementation of Assertive Training to Reduce Aggressive Behaviors of Students With Mild Intellectual Disability

The purpose of this study is to describe the effect of assertive training to reduce aggressive behavior of students with mild intellectual disability of grade ten SMALB (Special Senior Public School) Sidoarjo. This study used a quantitative approach with type Single Subject Research (SSR), A-B-A design. The technique of collecting data used observation. The data analysis technique used was visual analysis in conditions and visual analysis between conditions for frequency and duration data, while quality data were analyzed using descriptive percentage techniques. The results showed that in the baseline phase (A1) the average aggressive behaviors of students during the 40 minutes is 35, 5 seconds with an average frequency of 14.25 times with the quality of severe aggressive behaviors. In the Intervention phase (B) the average aggressive behaviors carried out by students in 40 minutes was 9.2 seconds with an average frequency of 5.7 times with a mild quality of aggressive behaviors. In the baseline phase (A2) the average aggressive behavior carried out by students in 40 minutes was 15.5 seconds with an average frequency of 7.25 times with mild aggressive behavior. Thus, it can be concluded that during the intervention phase there was an effect of assertive training to reduce the aggressive behaviors of students with mild intellectual disability. Keywords—aggressive behaviors, assertive training, children with mild intellectual disability
Integration of temporal environmental variation by the marine plankton community

Theory and observations suggest that low frequency variation in marine plankton populations, or red noise, may arise through cumulative integration of white noise atmospheric forcing by the ocean and its amplification within food webs. Here, we revisit evidence for the integration of stochastic atmospheric variations by comparing the power spectra of time series of atmospheric and oceanographic conditions to the population dynamics of 150 plankton taxa at Station L4 in the Western English Channel. The power spectra of oceanographic conditions (sea surface temperature, surface nitrate) are redder than those of atmospheric forcing (surface wind stress, net heat fluxes) at Station L4. However, plankton populations have power spectral slopes across trophic levels and body sizes that are redder than atmospheric forcing but whiter than oceanographic conditions. While zooplankton have redder spectral slopes than phytoplankton, there is no significant relationship between power spectral slope and body size or generation length. Using a predator-prey model, we show that the whitening of plankton time series relative to oceanographic conditions arises from noisy plankton bloom dynamics in this strongly seasonal system. The model indicates that, for typical predator-prey interactions, where the predator is on average 10 times longer than the prey, grazing leads to a modest reddening of phytoplankton variability by their larger and longer lived zooplankton consumers. Our findings suggest that, beyond extrinsic forcing by the environment, predator-prey interactions play a role in influencing the power spectra of time series of plankton populations.
Exploring the Use of Virtual Characters (Avatars), Live Animation, and Augmented Reality to Teach Social Skills to Individuals with Autism

Individuals with autism and other developmental disabilities struggle to acquire and appropriately use social skills to improve the quality of their lives. These critical skills can be difficult to teach because they are context dependent and many students are not motivated to engage in instruction to learn them. The use of multi-modal technologies shows promise in the teaching a variety of skills to individuals with disabilities. iAnimate Live is a project that makes virtual environments, virtual characters (avatars), augmented reality, and animation more accessible for teachers and clinicians. These emerging technologies have the potential to provide more efficient, portable, accessible, and engaging instructional materials to teach a variety of social skills. After reviewing the relevant research on using virtual environments virtual characters (avatars) and animation for social skills instruction, this article describes current experimental applications exploring their use via the iAnimate Live project.
A SoxB gene acts as an anterior gap gene and regulates posterior segment addition in the spider Parasteatoda tepidariorum

The Sox gene family encode a set of highly conserved HMG domain transcription factors that regulate many key processes during metazoan embryogenesis. In insects, the SoxB gene Dichaete is the only Sox gene known to be involved in embryonic segmentation. To determine if similar mechanisms are used in other arthropods, we investigated the role of Sox genes during segmentation in the spider Parasteatoda tepidariorum. While Dichaete does not appear to be involved in spider segmentation, RNAi knockdown of the closely related Sox21b-1 gene results in a gap like phenotype in the developing prosoma and also perturbs the sequential addition of opisthosomal segments. We show that this is in part due to a role for Sox21b-1 in regulating the expression of Wnt8 and influencing Delta-Notch signalling during the formation of the segment addition zone. Thus, we have found that two different mechanisms for segmentation in a non-mandibulate arthropod are regulated by a Group B Sox gene. Our work provides new insights into the function of an important and conserved gene family across arthropods, and the evolution of the regulation of segmentation in these animals.
Large-scale changes in the littoral fish communities of lakes in southeastern Ontario, Canada

Biodiversity loss is a serious issue for freshwater fishes in temperate climates and there is a need for more information in this area. A study was conducted to assess fish community changes in the littoral zone of 22 lakes over a 45 year period (compared years 1969–1979 and year 2014). To compare fish communities, historical seining records were compiled for 22 inland lakes and compared with contemporary data sampled using the same protocol. Fish abundance data analyzed using a multivariate approach identified a shift from cyprinid-dominated communities to centrarchid-dominated communities between time periods. There was no evidence to support a strong influence of invasive species on these communities, but there have been significant changes in temperature and land use around these lakes since the historical data sets were collected. This is an important contribution to our understanding of biodiversity change in North American freshwater fish communities and may influence fisheries management approaches in the future.
Advanced Oxidation Process Based Water Disinfection- the Microbiology Beyond Bacterial Inactivation

Different water treatment regiments are revealed to have potential in enriching antibiotic resistant bacteria (ARB). Advanced oxidation processes (AOPs) based disinfection techniques have been studied widely in the recent times due to their advantages over conventional treatment methods. However, bacterial response and adaptations against the hostile environments of AOPs is not clearly understood yet. Based on the existing knowledge on the ways in which bacteria surpass the antibiotic treatment, here we propose few important aspects of bacterial adaptation which could be true for AOPs as well since both antibiotics and AOPs generate reactive oxygen species (ROS) during their modes of action. We discuss the plausible role of ROS in the selection of ARB and bacterial heterogeneity as a strategy to bypass the lethal action of AOPs. Understanding bacterial adaptation during disinfection plays a vital role in devising strategies to outclass the bacterial survival. Hence, more importance should be given to such studies in the near future for the successful implementation of AOPs.