Miracle-dz/UniFAR-FTUs huggingface dataset:
Assessment of the Job Satisfaction Levels of Family Physicians

Amac: Birinci basamak saglik hizmeti sunan aile hekimlerinin is doyum duzeylerinin belirlenmesi ve iliskili faktorlerin saptanmasidir. Materyal ve Metot: Arastirma, Ankara ilinde aile hekimlerine yonelik Mart 2015 - Mart 2016 tarihleri arasinda Halk Sagligi Kurumu tarafindan duzenlenen egitimlere katilan tum aile hekimleri ile gerceklestirilmistir. Duzenlenen 15 egitime katilan hekimler ile yuz yuze gorusme yontemi ile anket formu kullanilarak yapilmistir. Arastirmada, arastirmacilar tarafindan amaca uygun olarak yapilan literatur taramasi dogrultusunda olusturulan sorular ve Minnesota Is Doyum Olcegi’nin 20 ifadeyi iceren kisa formu kullanilmistir. Bulgular: Aile hekimlerinin calistiklari bolgeler itibari ile genel is doyumu, icsel is doyumu ve dissal is doyumu puan ortalamalari karsilastirildiginda bolgeler arasi dissal is doyumu puanlari arasinda istatistiksel olarak anlamli bir fark saptanmistir. Katilimci aile hekimlerinin genel is doyumu puan ortalamalari, yas, cinsiyet, medeni durum, cocuk sahibi olma ve sigara icme durumuna gore istatistiksel olarak anlamli bir farklilik gostermezken, hekimlerin aile hekimligi yaptiklari sureler acisindan genel is doyumu puan ortalamalari arasinda istatistiksel olarak anlamli bir fark bulunmustur. Arastirmaya katilan aile hekimlerinin 622’sinin (%79,53) genel is doyumu orta duzeyde bulunurken, yuksek is doyumuna sahip aile hekimlerinin orani ise %20,20 olmustur. Sonuc: Arastirmada aile hekimlerinin cogunlukla orta duzeyde genel is doyumuna sahip olmasi, is doyum duzeyinin yukseltilmesi icin buna neden olan faktorlerin tespit edilerek gereken iyilestirmelerin yapilmasini gerekli kilmaktadir. Bu faktorler icsel olabilecegi gibi dissal da olabilmektedir. Bu faktorlerin tespiti ve gelistirilmesine yonelik atilacak adimlar birinci basamak saglik hizmetlerinde aile hekimlerinin verimliligini arttiracak ve memnuniyet duzeylerini yukseltecektir.
Study of antibiogram in family Enterobacteriaceae in a Teaching Hospital, Kolhapur, Maharashtra

1 Associate Professor, Microbiology Department, D Y Patil Medical College, Kolhapur 2 Microbiologist, Apple Hospital, Kolhapur 3 Associate Professor, Microbiology Department, D Y Patil Medical College, Kolhapur Abstract Infections due to gram negative bacilli (GNB) are more common and increasing antibiotic resistance amongst these infections is a worldwide problem. Enterobacteriaceae are frequently isolated from various clinical samples. Overuse or irrational use of antibiotics to treat these infections lead to develop antibiotic resistance, such multidrug resistant (MDR)-Enterobacteriaceae infections are difficult to treat. The present study was conducted to know the antibiogram of Enterobacteriaceae isolated from various clinical samples. This retrospective study was conducted in Dr D Y Patil Hospital & Research Centre, Kadamwadi, Kolhapur, Maharashtra, India over a period of one year (December 2016December 2017). Identification and antibiotic sensitivity of Enterobacteriaceae were performed by standard microbiological procedures and VITEK II automated system. A total 235 Enterobacteriaceae GNB was isolated from various clinical samples. The most frequently isolated organism was Escherichia coli 45.5% followed by Klebsiella spp 31%, Citrobacterspp 11.9%, Proteusspp 9.3%, Serratiamarcescens 1.2% & Enterobacteraerogens 0.8% in the present study. Most of the organisms were isolated from urine sample 44% followed by pus 40%. Carbapenems, Tigecycline and Amikacin were effective against MDR-Enterobacteriaceae. Most effective antibiotics were Imipenem showed 97%, Meropenem 91%, Amikacine 91%, Gentamicin 83.4%, Piperacillin-tazobactum 79.5%, Tigecycline 97% and Ciprofloxacine 41,2% sensitivity. Most resistant antibiotics were Ampicillin showed 31.4%, Ceftazidime 25.5% and Ceftrixone 24.6% sensitivity in the present study.
Terrorism

ABSTRACT Much concern has been expressed on MEDLIB-L and other listservs about how hospital librarians should respond to the attacks on the World Trade Center and the Pentagon, followed by the anthrax scare. This article is an effort to compile information gleaned from many sources (thanks to our MEDLIB-L colleagues) and to put it all in one place for easy access should it ever be needed. It is noted that this is not a comprehensive list but one designed to provide information to the staff of one hospital. The authors welcome and appreciate additions to the list, which by necessity, will have to be kept up to date even as they hope it will never be used.
Lesbian Motherhood

Summary Motherhood is a developmental phase that offers enhanced opportunities for intrapsychic growth and restoration. The idea of restorative motherhood may have special relevance for some women who have grown up to have a primary lesbian self identification. However, it must be recognized that the intrapsychic importance of a developmental option does not make that choice a developmental imperative.
Pattern of Gastrointestinal Diseases among Elderly Patients in Arar City, Kingdom of Saudi Arabia (KSA)

The world's population is aging and the number of people who are ≥ 60 years old increased worldwide. The elderly population is susceptible to various benign and malignant diseases. Gastrointestinal diseases are among the common health problems that affect the elderly. Aim of the study: to identify the pattern of gastrointestinal diseases among elderly patients in Arar city (KSA) and the relation with gender in the study population. Subjects and methods: a cross sectional study was conducted in five randomly selected primary healthcare centers in Arar city (KSA), from September 2016 to March 2017. It included 118 elderly patients. A questionnaire was designed for data collection about socio-demographic variables, smoking, BMI, chronic diseases and types of gastrointestinal diseases among participants. Results: findings showed that all participants suffered from dental problems and 24.6% had gum problems. Other diseases affected various proportions of the studied elderly population including loss of appetite, gastric regurgitation, chronic constipation, irritable bowel syndrome, chronic colitis, peptic and duodenal ulceration, liver cirrhosis, viral hepatitis, cholecystitis, gall stones, pills, anal fissure and GIT tumors. Statistically significant differences were found between males and females regarding having piles, gall stones and anorexia. On contrary, all other GIT diseases showed insignificant differences between males and females. Conclusion: different types of GIT diseases were found among the participants with varying rates. Significant gender differences were observed in some diseases (piles, gall stones and loss of appetite) while most of the studied GIT diseases showed insignificant differences between both sexes.
The post-industrial landscapes of Riotinto and Almadén, Spain: scenic value, heritage and sustainable tourism

ABSTRACT The Riotinto and Almadén mining areas in Spain are two of the best examples of European experiences in restoring the heritage of traditional mining activities. Initially promoted by public administrations, particularly municipal bodies, with the active participation of private companies and the local community, these projects are an international reference in the protection and preservation of the mining-industrial heritage and the tourist use of buildings, machines and landscapes.
Reservoir sedimentation

ABSTRACT Artificial water storage, originated by the construction of dams, is essential for the sustainable health and welfare of civilizations since it supplies water for human consumption, irrigation and energy production. Furthermore, dam reservoirs are used for recreation, navigation and they provide safety in the downstream valleys against extreme flood events and droughts. All reservoirs are subjected to sedimentation which, without adequate prevention and mitigation counter-measures, threatens their sustainability. As well as the evident loss of storage capacity, the adequate and safe operation of water intakes and bottom outlets belonging to the vital outlet structures can be affected by the deposition of sediments in the reservoir. This Vision Paper first addresses the state-of-the-art and the main scientific advances in terms of prevention and mitigation measures against sedimentation in reservoirs. Then, the main research challenges, which result from the assessment of what are the remaining open questions, are pointed out. The emerging research methodologies to study sedimentation processes are also discussed.
The Civil Side of Economy: On the Extraordinariness of Ordinary Human Beings

Judith Lichtenberg’s Distant Strangers (2014) offers a variety of insights into global poverty reduction likely to appeal to different disciplines and perspectives. Philosophical and ethical issues dominate much of her discussion, although the book also embraces Psychology, International Cooperation, Development Studies and Political Economy. Key questions addressed throughout the book include: What should fortunate people do to alleviate global poverty? To what extent are individuals obliged to ease the suffering of others? And is it more appropriate to talk about the responsibility of groups rather than individuals? These are the core issues at the heart of Lichtenberg’s book and her reasoning is effective in at least two ways. First, she allows the discussion to switch from philosophical theories to everyday examples in such a way that the reader is tirelessly encouraged to reflect on the core ethical arguments for global poverty reduction. Second, she facilitates discussion by reviewing core statistics on poverty, hunger and diseases in an effort to engage the reader with the magnitude of the problem and to highlight the responsibility each person has to make a real difference. Lichtenberg then directs the book towards the moral reasons behind the maxim “Can implies Ought”. At this point, she reveals the core theme of her book: the humanitarian challenge that rests on the belief that “those who have been blessed by fortune have moral responsibilities to aid the less lucky” (p. 28). Lichtenberg is careful to distinguish moral responsibility from moral obligation. The former refers to the “Oughtness to act,” whereas the latter is commonly associated with the legitimacy of coercion, although for Lichtenberg asserting that “‘A has a moral obligation to do x’ is just another way of saying ‘It would be wrong for A not to do x’” (pp. 105–106). This means that moral obligation should be understood in terms of moral responsibility, although moral responsibility should be proportionate to the effort due: “the more costly or difficult it becomes to help a person, the less likely we are to say helping is morally obligatory” (p. 106). The argument reaches its climax in chapter 9 where Lichtenberg elaborates on the nature of human motivation, the existence of good people and the possibility of altruism. In squaring the circle, she allows for tension between the great evil of global poverty on the one hand, and the individual moral responsibility to act on the other; there are limits to what can be demanded of ordinary human beings as well as recognition that collective action can reduce individual costs.
The correlation of cerebrospinal fluid pressure according to the degree of flexion and spinal block level in spinal anesthesia for Cesarean section

Background: The use of neuraxial anesthesia for Cesarean section has dramatically increased. There was little information about the relationship of cerebrospinal fluid (CSF) pressure according to the position and spinal block level in pregnant women. The aims of this study are to investigate the cerebrospinal fluid pressure according to the degree of flexion in the lateral position and block height after spinal anesthesia in pregnant women undergoing Cesarean section. Methods: We enrolled 40 patients, American Society of Anesthesiologists physical status I – II, aged 22 − 40 years, undergoing Caesarean section under spinal anesthesia. Patients were randomly divided into two groups. In group I, patients were placed in a full flexed position, and 10 mg of 0.5% hyperbaric bupivacaine was injected. In group II, the same dose of bupivacaine was injected when the hip and neck was straightened slowly. Following injection, the patients were immediately placed in supine position. The level of spinal anesthesia was checked by pinprick at 5, 10, 15, and 30 min after the subarachnoid injection. Results: There was significant difference in the cerebrospinal fluid pressure between full-flexed position and non-full-flexed position. The spinal block height level was T3 − T5 in both groups, and there was no significant difference in the spinal block height level in both groups. Conclusions: CSF pressures according to the degree of flexion in the lateral position during the subarachnoid injection have no significant correlation with the block level in spinal anesthesia for Cesarean section. (Anesth Pain Med 2013; 8: 127-131)
Deflector-generated jets

Free jets issued at the end of chutes may be generated rather with deflectors than with flip buckets. The latter jet trajectories were previously investigated, using the standard approach based on the take-off angle. However, few information concerning the air concentration distribution within such jets is presently available. The herein presented study investigates both jet trajectories and the streamwise air concentration development based on 129 hydraulic model tests. The trajectories were normalized using the take-off coordinates and the location of maximum trajectory elevation, to reduce the uncertainties concerning the effective jet take-off angle. The characteristic air concentrations are described as a function of the relative black water jet core length, defined between the take-off section and the location with a minimum of 1% air concentration. An example finally compares the present approach with a former study and illustrates typical air concentration distributions within a deflector-generated jet.
Online Service Quality and Brand Equity: The Mediational Roles of Perceived Value and Customer Satisfaction

This research examines mediational roles of perceived customer value and customer satisfaction on the relationship between online service quality dimensions and brand equity dimensions. A theoretical model was developed based on a review of the existing literature on the topics, and a survey was developed to test the model using a sample of 576 participants with active online banking accounts in UAE. The structural findings showed that system efficiency, fulfillment and responsiveness have positive effects on brand awareness and brand image, whereas system reliability and security showed negative relationships. Moreover, the findings support the mediational roles of perceived customer value and customer satisfaction on the relationship between brand awareness, brand image, and brand loyalty.
Market Size, Preference Externalities, and the Availability of Foreign Language Radio Programming in the United States

Using data for 320 radio stations operating in the 50 largest Arbitron metro radio markets during 2004 that offered at least some programming in 1 or more of 19 different foreign languages, strongly positive statistical relations were found between the size of foreign language populations in the radio market and the amount, or variety, of radio programming in their respective language that is available. A preference externality effect was also found: consistently negative relations between the variety of foreign language programming available and size of the English language population. Similar results were found for a measure of programming quality: the percentage of news and talk programming that is locally produced. Conventional wisdom that minority populations tend to be “underserved” by media is generally supported.
Comparative leaf and wood anatomical characteristics of Chrysophyllum (Sapotaceae) relate to taxonomy of the species in Thailand

Prasawang S, Srinual A. 2020. Comparative leaf and wood anatomical characteristics of Chrysophyllum (Sapotaceae) relate to taxonomy of the species in Thailand. Biodiversitas 21: 1578-1587. Anatomical attributes are important tools for taxonomic studies of plants. The present study compared anatomical characteristics (i.e. lamina, petiole and wood) of two species of Chrysophyllum (namely Chrysophyllum cainito L. and C. roxburghii G.Don) belonging to family Sapotaceae in Thailand to develop taxonomic identification keys for two species of Chrysophyllum. Peeling and clearing methods were used for epidermal study, paraffin method for lamina and petiole transverse sections and standard microtome sectioning for anatomical analyses of wood. The findings of this study demonstrated the leaf and wood anatomical features presenting in C. cainito differs from those in the species of C. roxburghii including 1) shape and outline of epidermal cell wall 2) presence or absence of T-shaped trichome 3) presence or absence of inclusions 4) shape of vascular bundle and accessory bundle in midrib 5) shape of petiole and vascular bundle 6) grouping type of vessel 7) type of axial parenchyma 8) presence or absence of inclusions in rays and 9) thickness of fiber wall. Therefore, these characteristics can be used valuably as additional data in case of taxonomic studies of Thai Chrysophyllum.
Sensitivity of ice flow to uncertainty in flow law parameters in an idealized one-dimensional geometry

Acceleration of the flow of ice drives mass losses in both the Antarctic and the Greenland Ice Sheet. The projections of possible future sea-level rise rely on numerical ice-sheet models, which solve the physics of ice flow, melt, and calving. While major advancements have been made by the ice-sheet modeling community in addressing several of the related uncertainties, the flow law, which is at the center of most process-based ice-sheet models, is not in the focus of the current scientific debate. However, recent studies show that the flow law parameters are highly uncertain and might be different from the widely accepted standard values. Here, we use an idealized flow-line setup to investigate how these uncertainties in the flow law translate into uncertainties in flow-driven mass loss. In order to disentangle the effect of future warming on the ice flow from other effects, we perform a suite of experiments with the Parallel Ice Sheet Model (PISM), deliberately excluding changes in the surface mass balance. We find that changes in the flow parameters within the observed range can lead up to a doubling of the flow-driven mass loss within the first centuries of warming, compared to standard parameters. The spread of ice loss due to the uncertainty in flow parameters is on the same order of magnitude as the increase in mass loss due to surface warming. While this study focuses on an idealized flow-line geometry, it is likely that this uncertainty carries over to realistic three-dimensional simulations of Greenland and Antarctica.
DDDT_A_246229 1469..1479

Amira M Ghoneim 1 Suzan M Mansour 2,3 1Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmaceutical Sciences and Pharmaceutical Industries, Future University in Egypt, Cairo, Egypt; 2Pharmacology & Toxicology Department, Faculty of Pharmacy, Cairo University, Cairo, Egypt; 3Department of Pharmacology, Toxicology & Biochemistry, Faculty of Pharmaceutical Sciences and Pharmaceutical Industries, Future University in Egypt, Cairo, Egypt Background and Objectives: Physiologically based pharmacokinetic (PBPK) modeling permits clinical scientists to reduce practical constraints for clinical trials on patients with special diseases. In this study, simulations were carried out to validate the pharmacokinetic parameters of clozapine and sildenafil using Simcyp simulator in young male adults and compare the effect of renal or hepatic impairment on the pharmacokinetic parameters of clozapine and sildenafil. Also, the effect of age on pharmacokinetic parameters of both drugs was investigated in healthy population and in patients with renal and hepatic impairment. Methods: A full PBPK model was built in the simulator for clozapine and sildenafil based on physicochemical properties and observed clinical results. The model used was Advanced, Dissolution, Absorption and Metabolism (ADAM) for both drugs. Results: The PBPK model adequately predicted the pharmacokinetic parameters of clozapine and sildenafil for the healthy adult population. In the simulation results, the bioavailability of both drugs was remarkably raised in both renal and hepatic impairment in young and elderly populations. Conclusion: PBPK modeling could be helpful in the investigation and comparison of the pharmacokinetics in populations with specific disease conditions.
MALAYSIAN JOURNAL OF CONSUMER AND FAMILY ECONOMICS 168 DETERMINANTS OF RETIREMENT SAVINGS

Global demographic changes and retirement savings adequacy have emphasised on voluntary pension as a new paradigm for the retirement system. This has led to many types of research pertaining to the development of the private retirement system. The effort was followed by making the mandatory Second Pillar and voluntary Third Pillar of the social security system as more financially sound and important. This is to encourage contributors to the retirement fund to switch focus from a less generous pension-guaranteed-defined benefit system to a more individualistic-defined contribution plan. This review article collected, compiled, and reviewed selected articles on the determinants of retirement savings and planning. It was sourced from several electronic databases in an attempt to group the determinants into different categories. The input from the reviews was then categorised into economics, socioeconomics, and noneconomics sub-categorical behavioural, psychological, and demographic determinants and its application, as reported in researches pertaining to retirement savings and planning of the near decade. Some suggestions were made in light of the analysis.
Identification of a six-gene signature associated with tumor mutation burden for predicting prognosis in patients with invasive breast carcinoma

Background Breast cancer (BC) is one of the most common cancers with high mortality worldwide. In the present study, through bioinformatics analysis, we aimed to identify new biomarkers to predict the survival rate of BC patients. Methods Differentially expressed genes (DEGs) between low- and high-tumor mutation burden (TMB) groups were identified by using The Cancer Genome Atlas (TCGA) dataset and integrated analysis. Gene Ontology (GO), Kyoto encyclopedia of genes and genomes (KEGG) enrichment analysis, and the protein-protein interaction (PPI) network, were applied to predict the function of these above DEGs. Then, the Cox proportional hazard model was developed to screen DEGs. Based on the prognostic signature, survival analysis was used on The Cancer Genome Atlas Breast Invasive Carcinoma (TCGA-BRCA) dataset. Finally, the single-sample gene set enrichment (ssGSEA) analysis was employed to estimate immune cells related to this signature. Results To create a prognostic signature, 6 DEGs were identified. The results revealed that the survival time of patients with high-risk scores based on the expression of the six-gene signature was dramatically shorter than that of patients with low-risk scores in BC. Furthermore, survival analysis and multivariate cox analysis indicated that the six-gene signature was an independent prognostic factor of BC. Then, we built a nomogram that integrated the clinicopathological factors with the six-gene signature to predict the survival probability of BC patients. We eventually predicted the 20 most vital small molecule drugs by CMap, and Nadolol was considered as the most promising small molecule to treat BC. Moreover, ssGSEA analysis showed that the 6 genes were closely associated with immune cells. Conclusions We constructed a six-gene signature associated with TMB that can improve the prognosis prediction and could be seen as a biomarker for BC patients.