Miracle-dz/UniFAR-FTUs huggingface dataset:
Rehabilitative Management of a 66-Year-Old Female with Chronic Low Back Pain: A Case Report

Background and Purpose: There is a lack of research demonstrating standardization of treatment protocols for patients with chronic low back pain and lumbar spinal stenosis. The purpose of this case report was to examine the effectiveness of a physical therapy rehabilitation program for a 66-year-old female referred for lumbar radiculopathy and lumbar spinal stenosis. Case Description: This case report contained interventions focused on lumbar extension exercises, upper and lower extremity and postural control exercises, aerobic training, and modalities, in order to achieve the patient’s goals and to improve quality of life. To measure the outcomes the following tests and measures were chosen: the numerical pain rating scale (NPRS) to measure pain intensity, lumbar range of motion (ROM), lower extremity manual muscle tests, neurodynamic tests including the straight leg raise and slump test, and the Modified Oswestry Disability Index to assess activity limitations. Outcomes: The patient achieved 6 of the 7 physical therapy goals and partially met 1 of the goals. Lumbar ROM improved in the directions that showed limitation at baseline from moderately limited to within normal limits (WNL). Lower extremity strength improved in all areas by half to a full grade. Numerical pain rating scale score decreased from 8/10 to 6/10. There was no change in the Modified Oswestry Disability Index score. Discussion: The results of this case report support research showing that physical therapy helps improve ROM and strength in patients with chronic low back pain and lumbar spinal stenosis. Additional research could include studies looking at different types of interventions and compare them to each other to discover which produces superior outcomes.
Effectiveness of Merger Remedies: Evidence from the Retail Gasoline Industry

This article assesses the effectiveness of outlet divestitures as remedies in a merger between two large gasoline retailers. Results show that divestitures are effective in disciplining the increase in margins generated by the merger, but only for competing gas stations located within a one kilometer radius and only in municipalities with a low density of stations impacted by the merger. Interestingly, this density indicator is a good predictor of both the anticompetitive effect of the merger and the effectiveness of divestitures. Finally, prices of one merging party decreased in locations unaffected by higher concentration, evidencing the presence of efficiency gains.
Effectiveness of short videos to enhance HACCP information for consumers

ABSTRACT The purpose of this study was to investigate the effectiveness of short videos to communicate food safety HACCP information associated with eating in foodservice establishments to consumers. HACCP videos were framed as positive/negative framing in communicating HACCP to consumers and were also designed to provide HACCP information/demonstrate how consumers could inquire about HACCP in foodservice establishments. Results suggest HACCP videos resulted in higher perceptions of learning than the video that did not include HACCP information. For participants who tend to engage in fewer risky food behaviors, effects of Frame and Information communication were stronger. Participants who engage in risky food behaviors less indicated they learned more than those who engage in these behaviors more. Those who saw the Positive Frame with Information Instructions indicated that they learned more than those who saw the Positive Frame with Information Modeling. Given the prominence of digital communication channels in everyday life, this study provides a timely assessment of leveraging short videos for food safety education.
Analyzing the Nanogranularity of Focused-Electron-Beam-Induced-Deposited Materials by Electron Tomography

Nanogranular material systems are promising for a variety of applications in research and development. Their physical properties are often determined based on the grain sizes, shapes, mutual distances, and chemistry of the embedding matrix. With focused-electron-beam-induced deposition, arbitrarily shaped nanocomposite materials can be designed, where metallic, nanogranular structures are embedded in a carbonaceous matrix. By using “post-growth” electron-beam curing, these materials can be tuned for an improved electric-transport or mechanical behavior. Such an optimization necessitates a thorough understanding and characterization of the internal changes in chemistry and morphology, which is where conventional two-dimensional imaging techniques fall short. We use scanning transmission electron tomography to obtain a comprehensive picture of the three-dimensional distribution and morphology of embedded Pt nanograins after initial fabrication and demonstrate the impact of electron-beam curing, which result.
Probabilistic Health and Mission Readiness Assessment at System-Level

Predictive maintenance strategies which estimate remaining useful life of system components to prevent breakdowns and down-times by timely and well-scheduled maintenance ensures the reliable availability of assets and lowers total costs of ownership. The focus on the components’ life times falls short, however, to infer the system-level capability to achieve upcoming tasks, especially if these tasks vary either in the strain they cause for the system or in the environmental conditions in which the system needs to perform. Such an assessment of the health and mission readiness of a system is crucial for mobile assets like seafaring vessels undertaking long-term operations without the option to easily come in for repairs or for industrial assets that need to complete long production runs in one go under varying circumstances. We propose a multi-step methodology to achieve such assess­ments using both Bayesian reasoning for diagnosis and prognosis and physics-based simulation models. First, we construct an appropriate Bayesian network in an object-oriented way by fitting a pre-compiled library of network fragments to the system’s schematics using generative techniques. We then parameterize the obtained network using a combination of expert knowledge and machine learning to fine tune system-level interactions between components and their link to the system’s performance. The learning step uses past operational data that we augment or complement with synthetic data, created by a physics-based simulation model, where needed. Finally, we use the trained Bayesian network to assess the mission readiness of the system given the probabilistics of its diagnosed state, expected impact of possible maintenance interventions, and the estimated profile of the future use. We illustrate and verify our methodology on a cooling system with an active feedback control loop, but our approach for mission readiness assessment is domain-independent, universally applicable, and typically feasible where operational data and engineering knowledge can be brought together to solve its challenge.
The influence of early nutrition and growth on body composition in childhood and early adult life

There is increasing evidence that events early in life may 'programme' later body composition (BC) and health outcomes. The aim of the work presented in this thesis was to test the following hypotheses: (l) birthweight and growth in infancy programme specific components of BC in later life and therefore have differential effects on health outcomes (2) infant BC is differentially related to later BC, and is potentially involved in the programming process. These hypotheses were investigated in 2 cohorts (1) prospective follow-up during adolescence of subjects who had BC measurements during infancy (by stable isotope) as part of nutrition intervention studies (2) healthy children who participated in a BC reference study, with retrospective collection of early growth records. The main outcome was BC assessed by the four-component model. Secondary outcomes were cardiovascular risk factors (blood pressure, lipid profiles, and insulin resistance markers). 308 subjects aged 4.22-20.36 years were studied. Birthweight (regarded as a proxy for prenatal growth) was positively related to later height in both sexes, and positively associated with fat free mass (FFM) in boys. In contrast, postnatal growth during the first 6 months of life positively influenced later fat mass (FM) and central fat distribution, with a weaker effect on FFM. Whilst FM showed a consistent association with most cardiovascular risk factors except HDL-C, FFM showed a strong negative association with HDL-C, independent of FM and central fat distribution. In a smaller group (n=41), BC at 12 weeks of age showed no significant association with adolescent BC but SF during very early postnatal life (3 and 6 weeks) was related to later FFM and central fat distribution. Infant nutrition affected infant body composition, but I was unable to detect effects on later BC. Conclusion: I found differential effects of growth during different periods on later BC, measured using the 'gold standard' four-component model. The mechanism by which early growth 'programs' later BC possibly involves both prenatal and postnatal nutrition and warrants further investigation, since it could be useful in terms of designing effective early intervention to reduce obesity prevalence in childhood and adolescence. BC during adolescence has a differential impact on cardiovascular risk factors. Therefore, separate measurements of FM, FFM, and central fat distribution may offer more insight into the impact of body composition programming on health outcomes.
Making the Most of Fieldwork Education: A Practical Approach

Part 1: what is fieldwork education? the fieldwork curriculum fieldwork dynamics the context of fieldwork allocation of placements accreditation and qualities of the fieldwork educator. Part 2: setting the scene - expectations of you and others examining your needs taking responsibility the first few days participating in service delivery being supervised practicing as a professional developing reasoning skills becoming a reflective learner developing competence being assessed evaluating the fieldwork experience researching practice becoming qualified. Appendices: useful addresses relevant legislation.
Integrating Organizational Reputation Mechanism to Decision-Making Processes: Facebook Case

Reputation is an intangible asset stemming from the rational and perceptual evaluations of different stakeholder groups regarding an organization. It is also a valuable asset helping organizations gain a competitive advantage as well as being a crucial tool through which organizations protect themselves particularly in turbulent times such as the one Facebook Inc. has recently been going through. As it has turned out that personal data of up to 87 million users was obtained by an analytics firm without users’ permission, the company have had quite hard times and this also led to significant reputational damage that is hard to fix. For instance, in response to the revelation of the scandal, lawmakers and regulators in the U.S. and U.K. increased their scrutiny of the social media giant and furious users across the world who are protestingithave launched "Delete Facebook" campaigns. Hence, this survey conducted in the wake of the news of the scandal attempts to determine whether the people would continue to use their social media accounts or not by utilizing the perceived reputation scale. The analysis was done through Decision Trees technique and the rules that affect the perception of the participants and their preferences are revealed. Participants' reputation perceptions are mapped and the probability value of each decision is calculated by the Naive Bayes algorithm. Accordingly, in the decision tree diagram, thirteen rules were obtained. Then, the probability values of each decision made by the Bayesian classifier were calculated and the output of the decision tree diagram was tested. As a result, each rule obtained from the Decision Tree diagram has the same result as the Bayes probability values.
A Case Study Exploring the Implementation and Lived Experience of Person-Centred Dementia Care at The Lodge at Broadmead

Older adults living with dementia are marginalized in society through the socially constructed binaries of old/young, able/disabled and ultimately us/them. These are manifested in a culture dominated by approaches towards illnesses that favor clinically inclined models of care which entail the search for cures rather than attention to the care required by and for individuals. To heighten their vulnerability, from an individual perspective, the cognitive nature of dementia often prevents people living with it from having a voice in their representation. Person-centered care is a philosophy that recognizes the importance of who the individual is and where they are situated in an effort to create a more holistic care experience. The Lodge at Broadmead is a residential care facility that has operationalized an explicitly person-centered philosophy of care. The main objectives of this project were to gain an understanding of the lived experience and implementation of person-centered dementia care from the many different perspectives contained within this facility as well as the methodological barriers associated with including people living with dementia in this type of research. To this end, one-on-one interviews and focus groups were conducted with a total of 16 staff members and leadership at The Lodge at Broadmead as well as one resident. These were informed by a 4 month period of observation in the form of volunteer work. Three main themes emerged around the implementation of person-centred care at The Lodge at Broadmead: identity maintenance, facilitating relationships, and aligning values. These themes represent the most important theoretical links between the physical and social aspects of the environment, and person-centred care’s ultimate goal of maintenance and enhancement of personhood for the residents. Drawing from my own research experience, there were several methodological challenges in undertaking the research as well which were: the institutional necessity of consent by proxy, a rigid interview approach, and not enough time spent with the residents.
The Effect of O Antigen Loss on the Protein Composition and Inflammatory Response Elicited by Klebsiella pneumoniae

Klebsiella pneumoniae is a Gram-negative pathogen associated with numerous infections. Like all Gram-negative bacteria, K. pneumoniae naturally release outer membrane vesicles (OMVs) during all stages of cellular growth. OMVs are composed of the outer membrane components such as lipopolysaccharide (LPS) and outer membrane proteins and contain cytosolic and periplasmic proteins in the lumen. K. pneumoniae is often found to lack an O antigen. The absence of the O antigen has been reported to alter the protein content of the membrane which may further alter the immune response elicited by K. pneumoniae. Therefore the purpose of this study was to analyze the protein content and inflammatory responses of the cellular outer membrane (OM) and the secreted OMVs. A secondary goal of this study was to evaluate any changes to the membrane protein content due to O antigen loss and determine if the loss of the O antigen influences the inflammatory response. This study demonstrated that the cellular OM and OMVs have distinct protein profiles as well as inflammatory responses. OMVs were highly enriched in outer membrane proteins compared to the cellular OM and had a significantly stronger inflammatory response. The protein content of the OM and OMVs were further modified by the absence of the O antigen from the outer membrane. Although there were no significant differences seen in the wild type and O antigen deficient OM inflammatory responses, the loss of the O antigen resulted in OMVs that produced a significantly stronger IL-6 response.
Attrition of Army Nurse Corps Officers: Looking at Factors that Affect Retention and Recruitment of Army Nurse Corps Officers

Abstract : The nursing shortage has been a challenge for the U.S. Army Nurse Corps. Currently, it is short of its budgeted end strength and continues to have an increasing number of nurses leaving the Army. Additionally, the U.S. Army Recruiting Command (USAREC) and the Reserve Officers Training Corps (ROTC) are facing a challenge in meeting their recruitment goals. This research studied the factors that influenced the attrition of nurses in the Army. It also examined the correlation of the current deployment, increased OPTEMPO, the civilian nursing shortage, and the influence of pay and benefits to recruitment and retention of Army nurses. Furthermore, an analysis was conducted on what senior Army Nurse Corps leadership can do to prevent the attrition and to increase recruitment of nurses in the Army. In a survey of Army Nurse Corps officers that recently left active duty, more than 70 percent of the respondents stated they originally intended to stay in the military past their initial obligation. The analysis indicates that there is a direct relationship between deployments, increased OPTEMPO, limited and/or lack of incentive pay and special bonuses, lack of compensation for extra hours of work, the civilian nursing shortage, and the attrition of Army Nurse Corps officers. Senior nursing leadership must invest time and effort to teach, coach, mentor, and understand junior officers because they can influence the young officers to accept Army goals, mores, and objectives, and eventually yield to a greater sense of belonging and acceptance in the organization.
Transparência Pública Sob a Perspectiva da Avaliação de Desempenho:

O serviço público tem enfrentado um crescente descontentamento da sociedade e, com isso, tem-se observado o aumento na demanda por transparência. Esta pesquisa objetivou identificar, por meio da revisão de literatura sobre a Avaliação de Desempenho da Transparência Pública, quais são as lacunas e oportunidades de pesquisa na área. Por meio da utilização do instrumento de intervenção Knowledge Development Process-Constructivist (Proknow-C), foi identificado que: (i) Manuel P. Rodríguez Bolívar, Juan L. Gandía e Antonio M. Lopez Hernandez são autores de destaque; (ii) inexistem redes de pesquisadores; (iii) os modelos de Avaliação de Desempenho da Transparência Pública não estavam alinhados à estratégia organizacional; (iv) há pouca interação entre os Sistemas de Avaliação de Desempenho e o ambiente; e (v) os Sistemas de Avaliação de Desempenho não estão totalmente evoluídos para atender ao contexto contemporâneo. Portanto, são identificadas oportunidades de pesquisas nesses aspectos.
Diagnostic strategies for blood borne infections in Sweden

BACKGROUND: Prevalence data on human T-lymphotropic virus types 1 and 2 (HTLV-1/2) in Sweden have not been updated since 1995. The seroprevalence among blood donors at that time was 0.2/10,000. A few years earlier, a high prevalence of HTLV-2 was found in intravenous drug users (IDUs) in Stockholm (3.4%). The objective of this study was to update information on the seroprevalence of HTLV in several study groups.METHODS: Serum samples from pregnant women, hepatitis C virus (HCV)-positive individuals, and IDUs in Stockholm were investigated for HTLV-1/2 antibodies. Data from the mandatory HTLV-1/2 screening (2003-2006) of in vitro fertilization (IVF) clients were compiled, as well as data from new blood donors.RESULTS: Eight out of 35,000 IVF patients were positive for anti-HTLV-1/2 (seroprevalence 2.3 per 10,000). Of the anti-HCV-positive individuals (n = 355), 1 sample was HTLV-1-positive (28.2 per 10,000). From 1995 to 2007, 18 HTLV-positive new blood donors were identified out of approximately 550,000 individuals tested (0.3 per 10,000). Thirty-five of 1079 tested IDUs were screening reactive.CONCLUSIONS: Since the start of screening in 1994, there has been no increased seroprevalence of HTLV-1/2 among blood donors in Sweden. Seroprevalence among Swedish IVF patients is 10 times higher than among blood donors. This finding is comparable to a 2003 European seroprevalence study of pregnant women in 7 countries. However, the possibility that the IVF group includes individuals with a higher risk of acquiring sexually transmitted infections, including HTLV, than the general population cannot be ruled out.
Public health hazard associated with consumption of milk from cattle infected with Subclinical Mastitis in Assiut Governorate.

aureus, coagulase negative staphylococci (CNS) , Str. pyogenes, Str. agalactiae, Str. dysgalactiae, E. coli, Klebsiella pneumoniae, Citrobacter diversus and Proteus mirabilis , respectively. While, in buffaloes were Staph. aureus, CNS , Str. pyogenes, Str. dysgalactiae and Corynebacterium bovis . Additionally, the most common yeasts and molds causing SCM in cows were Candida albicans, Candida tropicalis, Candida krusei, Candida sp. , Geotrichum candidum, Aspergillus niger, Cladosporium cladosporioides, Fusarium proliferatum, Penicillium duclauxi, Rhodotorula sp. , Stachybotrys elegans, near to Pyssochlamys nivea, Alternaria alternata, Stemphylium botryosum, Thermoascus aurantiacus, Trichosporon cuteanum and sterile mycelium. However, Phialophora sp . was only isolated from buffaloes in a percentage of 0.25%.
Outreach work among marginalised populations in Europe: guidelines on providing integrated outreach services.

These guidelines for the implementation of outreach activities have been compiled in the framework of Correlation - European Network Social Inclusion & Health. Correlation is based at the Foundation De Regenboog AMOC in Amsterdam and is financed – among others – by the European Commission. In its 2005-2007 working plan, Correlation implemented various expert groups, relevant to the issue of health and social inclusion. Those working groups exchanged knowledge, experiences and views; the working group members gathered and shared information and working methods that were expected to be valuable for colleagues all over Europe working in this field. This publication focuses in particular on issues around outreach towards marginalised populations, in particular in the area of intravenous drug use (IDU). The authors come from different professional and geographical backgrounds and have wide experience in the area of outreach. For the entire work plan and the other Correlation working groups, please see: www.correlation-net.org.