Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparison of intravenous butorphanol, ondansetron and tramadol for control of shivering during regional anesthesia: A prospective, randomized double-blind study

Aim: We conducted this study to compare the efficacy and safety of butorphanol, ondansetron and tramadol for control of shivering in patients undergoing surgical procedures under spinal anesthesia. Methodology: In this prospective double-blind, randomized, controlled study, 150 patients of both genders, 18-60 years old, ASA I or II, booked for elective surgery under spinal anesthesia were randomly distributed into three groups of 50 each. Each patient, who developed shivering, was given either 0.03 mg/kg of inj. butorphanol 1% (Group-B), 0.06 mg/kg of inj. ondansetron (Group-O) or 1.0 mg/kg of inj. tramadol 1% (Group-T) IV. Demographic characteristics, incidence of shivering, response rate after 1, 3, 5, 10 and 20 min, recurrence rate, hemodynamic parameters and complications were observed. Results: All patients were relieved of shivering after butorphanol; 66.6% of them were relieved within 1 min, 93.33% within 3 min and 100% within 5 min. Ondansetron could relieve shivering in only 29.4% of the patients; 5.88% within 1, 11.76 % within 3, 23.52% within 10 and 29.4 % within 20 min. Tramadol relieved shivering in 92.30%; 46.15% within 1, 84.61% within 3 and 92.30% within 5 min respectively (p 0.05). Conclusion: Ondansetron was not found to be much effective for the control of shivering during regional anesthesia. Butorphanol and tramadol were equally effective in controlling shivering under regional anesthesia, the only difference being in their onset of action. Butorphanol was quicker in onset which is essential for control of shivering and should be preferred.
Clinical and angiographic outcome following percutaneous coronary intervention.

This volume contains a series of linking chapters that follow the evolution of percutaneous intervention from conventional balloon angioplasty in the early to mid 1990s to stent implantation, which has now become standard practice. It describes contributions to the extension of clinical situations in which percutaneous intervention has been found to be efficacious as well as refinements in practice and technique. I was fortunate to have been a fellow and then staff member of the Cardiology department of the Thoraxcenter, Rotterdam from 1993-1995, which was then, and remains, at the forefront of the development of percutaneous coronary interventional techniques. My continued links with the Thoraxcenter as well as new projects have allowed me to continue my research and complete this thesis. Part 1 contains two chapters on balloon angioplasty which was standard clinical practice for suitable obstructive coronary lesions until the mid 1990s. The first chapter describes an audit of immediate clinical outcome and thus rates of procedure related complications of contemporary practice in a high volume unit following 970 balloon angioplasty procedures over a one-year period. Although the rate of adverse events appeared to remain static when compared to the previous decade, the requirement for emergency bypass surgery appeared to be diminishing and it is suggested that may be due to the increasing availability of stents for "bail-out". The second chapter studies the long-term outcome with respect to major adverse clinical events in 856 consecutive patients treated by balloon angioplasty from 1980-1985. Although the long-term outcome was good and comparable to results of coronary bypass surgery, most patients suffered a further cardiac event during the 10 years following balloon angioplasty, most of which were repeat revascularisation. Part 2 contains four chapters that describe and document contributions to the evolution of percutaneous coronary interventional practice from balloon angioplasty to stent implantation.
Nursing staffs' perceptions of a generic service manager position

Th.e recent reengin.eering within the health care in,lllstry has challenged many assumptions regarding traditional structures and. roles. \\! itltin a product-line m.an. agement stnlcture, the tra(litional viewpoint tb.at those \vh.o manage patient care areas m.ust have a nursing backgroulld, is an exatnple of" Olle such assutnption being challeng1ed. The nursing profession is often seen as th.e greatest obstacle to the implementation of a product-line management stlucture and genetic manager positions (does not reql1ire a nllfsin.g backgrollnd), due to th.e perceived loss of professional identity. l'lris qualitative study focused on 110W nursillg staft. within a cllfOniC care and rehabilitation facilit)r percei'le,l a generic service manager position. Foeus grOl1pS were conducted in tlu·ee pllases, over a 14 montll peliod of time. 1'lle data collected from the focus groups were then coded accor(ling to common th.em.es. Eacll ph.ase was analyzed independelltly, witil tIle stud)! concluding with. an analysis an(1 interpretation of the collective results. The results of tbis study revealed a significant shift in how tIle nursing staff'" perceive(1 their professional identity an. <l accountability in . light of th.e itnplementation of the genetic Service Manager IJosition. Initial reactions of personal and profession.aI vulnerability an,1 resentment were seen to transform into an increased alJiJity to explicitly articulate tile role of nursing. Cllanges itl bellavior th.at were described incl11d.ed: in.creased con.sultation an.d collaboration with oth.er
Robotic Assessment System for Spasticity in Patients with Acquired Brain Injury

Nitin Seth Advisor: University of Guelph, 2015 Dr. Hussein A. Abdullah Spasticity is a symptom of upper motor neuron (UMN) syndrome that commonly affects individuals suffering the effects of stroke, multiple-sclerosis, spinal cord injury, or acquired brain injury. Current clinical standards and methods available for assessing and quantifying the effects of the UMN syndrome are considered to lack sensitivity and do not properly reflect the condition of the patient. This work discusses the analysis and quantification of spasticity in patients with acquired brain injury. A sensor integrated robotic system was developed in close consultations with physiotherapists to assist in the spasticity assessment and monitoring of individuals receiving care. Resistive force measurements have been obtained from individuals undergoing flexion and extension of the elbow joint in the sagittal plane. Repetitions were performed at progressively increasing speeds in an effort to capture the velocity dependent resistance to passive motion that is commonly attributable to spasticity. The goal of this research was to collect multidimensional healthy control and clinical data to provide insight into patients’ condition and their evaluations. An analysis was performed on the force, position, and time data along with other metrics developed to assist in assessment. These variables and metrics were compared against the traditional spasticity evaluation scale, the Modified Ashworth Scale (MAS), to demonstrate that similar effects are being captured while providing more information regarding the individual. The healthy control data are presented as a reference for clinicians to observe what quantified baseline data “looks like”, including quantiles that may be used for patient tracking or monitoring. Results demonstrate that the system is capable of detecting the effects of spasticity while relating it to the MAS. This study helps uncover the nature of the MAS scale and illustrates that individuals who scored 0 on the MAS scale are closely related to healthy individuals but still distinct. The multidimensional aspect of the data is leveraged to differentiate different levels of the MAS. Although MAS 0’s and healthy individuals present similar data, the multidimensional nature allows intensive comparison techniques such as dynamic time warping, to distinguish between the two accurately.
Utilisation of antenatal care services in Rajasthan: observations from the NFHS.

The International Conference on Population and Development (ICPD) held in Cairo in 1994 reiterated the need for appropriate health care services that will enable women to go safely through pregnancy and childbirth and produce a healthy infant. Maternal care includes care during pregnancy and should begin from the early stages of pregnancy. Women can get antenatal care services either by visiting a health center where such services are available or from health workers during their domiciliary visits. The former gives an idea about the voluntary utilization of the services by women while the latter is related to the quality aspect of the services. One of the most important components of antenatal care is to offer information and advice to women about pregnancy-related complications and possible curative measures for the early detection and management of complications. According to the National Family Health Survey (NFHS) A. 1992-93 only 13 per cent of pregnant women in India receive antenatal care (ANC) services at home from a health worker. An earlier study B. of five Indian states has reported that antenatal services were least utilized in Rajasthan in North India. This paper therefore makes an attempt to find out the possible reasons for the low utilization of antenatal care services in Rajasthan. (excerpt)
Can the Interspinous Distance Predict Kyphosis in Conservative Treatment in Thoracolumbar Burst Fracture? A Retrospective, Diagnostic Study

Study Design: Retrospective, diagnostic study. Objective: To verify if the interspinous distance is able to predict the risk for kyphotic collapse in thoracolumbar burst fractures treated conservatively without neurological deficit. Summary of Background Data: In patients with thoracolumbar burst fractures, the association between the amount of comminution, by using load-sharing classification (LSC), and kyphotic collapse is presented in the literature. However, LSC does not include the interspinous distance as an indirect sign to suggest biomechanical instability due to posterior ligamentous disruption in these patients in order to predict kyphotic collapse. Methods: We added the interspinous distance to the load-sharing classification (MLSC) in 50 consecutive patients with thoracolumbar burst fractures (according to Denis criteria) treated conservatively. Results: The LSC score was correlated to kyphotic collapse in the patients treated with TLSO (r = 0.312, p = 0.027; Spearman test; A = 0.668). The MLSC was similarly correlated to kyphotic collapse among TLSO-treated patients (r = 0.295, p = 0.038; Spearman test; A = 0.652). Conclusions: The interspinous distance did not contribute to the identification of worse radiographic outcomes, represented by the kyphotic collapse. This may suggest that the amount of comminution pointed out by the LSC is enough and more important than the interspinous opening in order to predict kyphotic collapse in thoracolumbar burst fractures. Possibly, the interspinous distance is much too heterogenous and multifactorial to be useful, since it reflects vertebral body height, preinjury anatomy, as well as posterior element disruption.
Clearance of Hepatitis G Viremia in a Human Immunodeficiency Virus-Positive Patient by High-Activity Antiretroviral Therapy

High-activity antiretroviral therapy (HAART) with HIV protease inhibitors has been shown to markedly improve the prognosis of HIV infection, with dramatic increases in immune function [1]. Previous reports have investigated the direct effects of HAART on coinfected viruses. We report here the case of an HIV-positive patient with hepatitis G virus (HGV) coinfection in whom antibody to HGV E2 was produced and HGV cleared with long-term maintenance of restored immune status by HAART. A 40-year-old HIV-positive man was diagnosed with hemophilia B at the age of 24 years and had received blood products that were not virus-inactivated during surgery. His hemorrhagic diathesis was mild, and no additional blood products or transfusion was required. Persistent infections with HIV and HGV were confirmed by analyses of stored serial serum samples obtained between 1988 and 1992. HIV infection was confirmed by the presence of antibodies to HIV type 1 that were detected by means of particle agglutination testing (SERODIA-HIV; Fuji Rebio, Tokyo). HGV infection was confirmed by detection of HGV RNA by means of reverse transcription (RT)‐PCR analysis with nested primers deduced from conserved blocks in the 5 0 -untranslated region. The first round of RT-PCR analysis was performed with antisense primer G75 with the sequence 5 0 -CCTATTGGTCAAGAGAGACAT-3 0
Exercise Tolerance in Chronic Airway Obstruction1, 2

Fifty men with chronic diffuse airway obstruction were studied to assess the extent to which symptom questionnaires, step-test responses, and lung function data predicted working capacity as measured in a progressive, unsteady state, exercise test on a cycle ergometer. Working capacity correlated significantly with grade of dyspnea, an observer's assessment of step-test responses, and with forced expiratory volume in one second and pulmonary diffusing capacity for carbon monoxide, but the prediction value of these indices was inadequate. To investigate how respiratory and circulatory adaptations were integrated with metabolism and to assess the factors limiting exercise tolerance, steady state exercise responses were studied at a work level corresponding to 60 per cent of working capacity. Effort tolerance was largely limited by a low ventilatory capacity. The cardiovascular response was essentially normal. Grouping patients according to previously reported criteria into type A (emphysema) and type B (chr.
EFFECTS OF COOPERATIVE LEARNING ON ACADEMIC PERFORMANCE OF COLLEGE STUDENTS IN SAUDI ARABIA

The purpose of this study was to investigate the effects of cooperative learning on academic performance of college students in Saudi Arabia. This experimental quantitative study sought to answer the research question: How would jigsaw cooperative learning strategy affect college students’ academic performance in Saudi Arabia compared to the traditional teachercentered approach? The study involved 40 females ranging in age from 20 to 25, in an education course in Hail City. Over a period of four weeks, the researcher conducted the study in two classes: one class was the control group, and the other was the experimental group. The experimental group was taught by using a jigsaw strategy while the control group was taught by using a traditional teacher-centered lecture. The results showed students who were taught by the jigsaw strategy had a better understanding of the content as compared to the students who were taught by lecture. Therefore, the conclusion of this study is that the cooperative learning had a positive impact on students’ academic performances in Saudi Arabia. Table of
Alterations In Regional Cerebral Blood Flow With Propofol Anesthesia Compared With Sevoflurane

ALTERATIONS IN REGIONAL CEREBRAL BLOOD FLOW WITH PROPOFOL ANESTHESIA COMPARED WITH SEVOFLURANE. Tejas Manchandia, Maolin Qiu, Margaret Rose, Todd Constable, and Ramachandran Ramani. Department of Anesthesiology and Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT. Alterations in regional cerebral blood flow (rCBF) are a reflection of neuronal activity in the brain because of the property of flow-metabolism coupling. Our group has previously reported a non-uniformity in rCBF changes with 0.25 MAC sevoflurane. The purpose of this project was to measure the alteration in rCBF with 0.5 MAC equivalent propofol and compare the changes in rCBF with those observed previously with sevoflurane. We hypothesize that sevoflurane and propofol produce spatially non-uniform changes in rCBF, with significant decreases in the thalamus and prefrontal cortex. The study protocol was approved by the Yale University Human Investigation Committee (HIC). The subjects were 30 healthy volunteers (19-35 years old). Propofol was administered through a target controlled infusion (TCI) device to a target plasma concentration of 2 μg/mL (0.5 MAC equivalent). Propofol level was confirmed by drawing a blood sample at the beginning and end of the infusion period. Regional CBF was measured in a 3 Tesla Siemens Trio scanner using the pulsed arterial spin labeling (PASL) technique. CBF was measured in the subjects while awake and under anesthesia, and the difference was calculated (δCBF). With 2 μg/mL plasma level propofol, there was a drop in rCBF in several areas of the frontal, parietal, occipital, and temporal cortices as well as the
A PRELIMINARY PHARMACOGNOSTICAL AND PHYSICO CHEMICAL ASSAY OF HARIDRA KHANDA GRANULES : A PILOT STUDY

Haridra Khanda is mentioned in the management of skin diseases like Urticaria ( Udard a S hitpitta Kotha ) . Most of the ingredients are having properties to control allergic condition and improve Vyadhikshamatva (Immuno - modulatory) . Pratishyaya (Rhinitis) is one of the common problem since ancient days; among all type of Rhinitis, Vataja type si mulates the Allergic Rhinitis in modern medical literature of ENT. To overcome the problem of fungus formation in Khanda and AvalehaKalpana, Haridra Khanda has been prepared in granules form. In this study, effort has been done to overcome from the controv ersy regarding ingredients in the finished product and tried to make it standardized as per guideline s of API. Pharmacognostically authenticated raw drugs were used for the preparation of granules and it was analyzed through qualitative and quantitative an alysis of Physico – chemical parameters. It is inferred that the formulation meets the minimum qualitative standards as reported in the API and AFI at a
Early Evaluation of Etilological Treatmetn in YoungAdults, Chronically Infected Trypanosama CruziDetected Using Polymerase Chain Reaction

Fourteen patients (age limits: 18-30) chronically infected with Trypanosoma cruzi and presenting positive blood PCR reactions, were submitted to etiological treatment with benznidazole, in Nagapattinam district rural an area. A control group of five patients of the same age and positive by PCR did not receive treatment. Post-treatment follow-up was performed with PCR and conventional serology. PCR became negative in 12/14 of the treated patients after six months follow up, compared to 1/5 in the control group (p = 0.01). All patients remained serologically positive after treatment. The reduction of PCR signals of infection after treatment may become an early evidence of cure in chronically infected young adult patients.
Assessment of Computer Task Performance (ACTP)

Het doel van het ACTP is ergotherapeuten te ondersteunen bij het geven van adviezen en bij het begeleiden naar de toegang tot en het gebruik van computers door mensen met lichamelijke beperkingen. Door middel van het meetinstrument is het mogelijk om computervaardigheden te meten en te bepalen of aanpassingen of hulpmiddelen nodig zijn om bepaalde beperkingen te compenseren. Ook kan voortgang in het computergebruik gemeten worden. Er is zowel een volwassenenals een kinderversie.
Impact of Training on Rural Chicken Production Reared By Women in Islamabad/ Rawalpindi, Pakistan

Aim: To study the impact of training given to female farmers under the poultry extension women worker on the status of rural chicken production in Islamabad/Rawalpindi area. Study Design: The data were analyzed using General Linear Model procedures. The statistical model was constructed to ascertain the effect of breeds, season, health coverage program and training received by female farmers on egg production and mortality in chicks. Place and Duration of Study: Poultry Research Institute, Murree Road, Shamsabad, Rawalpindi, Pakistan, between July 2011 and June 2012 Methodology: The study contained data collection (prior to and after getting training in rural chicken production over a one year period) from 100 female farmers who were willing to join female farmers groups and get training from extension workers. These one hundred female farmers were primarily selected from 150 farmers at random, keeping in view their zeal for joining female farmer groups. The training included skill development, production, and breeding of highly productive stock, care of the newly hatched chicks, housing, feeding, disease prevention, and hygienic measures, control of external and internal parasites, egg selection and storage, hatchability of eggs, and its requirements, selection and culling of birds, vaccination schedule.
Benefit Finding in Adults Treated for Benign Meningioma Brain Tumours: Relations with Psychosocial Wellbeing

Abstract Introduction: Research has indicated that individuals may report benefit finding (BF) as a result of experiencing potentially life-threatening traumatic events, such as being diagnosed with cancer or sustaining an acquired brain injury (ABI). No study to date has examined the incidence and correlates of BF in adult brain tumour samples. The present study aimed to investigate the association between BF and demographic and psychosocial variables in adults treated for a benign meningioma. Method: Seventy participants aged 36 to 87 years completed questionnaires that assessed perceived BF resulting from one's meningioma experience, intrusion and avoidance symptoms, emotional wellbeing and perceived quality of social support. Results: 39% of the sample had been diagnosed with their tumour within a 2-year period prior to assessment (‘early’ meningioma subgroup), while the remaining 61% of participants had been diagnosed with their tumour for more than 2 years (‘late’ meningioma subgroup). Almost two thirds (63%) of the sample reported deriving a moderate amount of BF due to their meningioma experience; although different psychological variables were found to be associated with BF according to group status. Whereas greater BF was found to be significantly associated with elevated depressive symptoms in the ‘early’ subsample, elevated BF was significantly positively correlated with intrusions and avoidance symptoms in the ‘late’ subsample. Conclusions: The findings indicate that BF may co-occur in context of both adaptive and positive illusory processes, which is consistent with the Janus-Face model of growth following adversity. The findings also support the use of psychosocial interventions to facilitate psychosocial adjustment following health crises.
Paratuberculosis (Johne's disease) in cattle

Paratuberculosis (Johne's disease) is an infectious disease caused by Mycobacterium avium subspecies paratuberculosis (MAP). Though, it is primarily a disease of domestic and wild ruminants, the host range is wide and has been implicated with Crohn's disease in humans. The infection has been spreading insidiously through the animal population for about a century and has almost become endemic in most countries including India. This happened because of poor knowledge of the complex biology of the organism and the lack of adequate and sustained efforts to restrict the spread of infection. The disease causes heavy economic losses to the dairy industry. Epidemiology of the paratuberculosis infection is changing due to increase in the host range and strain variation. A number of diagnostic tests are available that can be appropriately used for the diagnosis and control of the disease. With the availability of complete sequence of MAP genome, several specific and novel genes have been identified that can be exploited for the diagnosis. In India, since the disease mainly occurs at the organised farms, sustained efforts by all key players may lead to the control of disease. In this paper, epidemiology, diagnosis, control and public health issues of Johne's disease in cattle have been briefly reviewed.