Miracle-dz/UniFAR-FTUs huggingface dataset:
Blood pressure and heart rate variability : computer analysis, modelling and clinical applications

Technological progress has allowed us to develop devices which make it possible to record blood pressure and heart rate outside the real living conditions. Furthermore, technological progress has provided computer tools to analyse data on a beat-to-beat basis, offering a large body of information on the complex patterns of blood pressure and heart rate variability in health and in disease which has clarified a number of mechanisms responsible for cardiovascular regulation during the day and night. This book aims at providing an updated state of the art on the analysis of blood pressure and heart rate variability from the different perspectives of physiologists, clinicians and engineers by gathering the contributions of experts taken from both the biomedical and the engineering environment. In particular, attention was focused on 1) the methodology of ambulatory blood pressure and heart rate analyses, 2) the mathematical models that can be derived from the data and the implications they have for the understating of normal and deranged cardiovascular control and 3) the present and future use of computer analysis of dynamically collected observations for the diagnosis of cardiovascular diseases.
The key performance indicators that discriminate winning and losing, and successful and unsuccessful teams during 2016 FIFA Futsal World Cup

ABSTRACT This study investigated the efficacy of ball-possession in futsal with other key performance indicators from the 2016 FIFA Futsal World Cup. Typical key variables and hybrid variables (defensive ball-possession, offensive ball-possession and total ball-possession index) were analysed from 40 matches to distinguish between winning and losing of a single match, and to differentiate between the top (semi-finalist) and bottom (finished last in group stage) teams in the tournament. Binary logistic regression model was used to distinguish among the key performance indicators and to predict the probability of winning and success. The results revealed that teams that won matches and the top teams were found to have a significantly higher total number of attempt of shot (p < 0.01) and total ball-possession index (p < 0.01) than their counter-pairs. Although ball-possession (percentage-wise) did not demonstrate its efficacy solely on the match outcomes, hybrid ball-possession variables, particularly the total ball-possession index, succeeded in significantly discriminating (p < 0.01) between win and loss in a single futsal match as well as between successful and unsuccessful teams. The applicability of hybrid ball-possession variables to predict matches and tournament outcomes likely reinforces the importance of ball-possession strategy in futsal. Binary logistic regression model also demonstrated its reliability in outcome prediction.
Severe Fire Danger Index: A Forecastable Metric to Inform Firefighter and Community Wildfire Risk Management

Despite major advances in numerical weather prediction, few resources exist to forecast wildland fire danger conditions to support operational fire management decisions and community early-warning systems. Here we present the development and evaluation of a spatial fire danger index that can be used to assess historical events, forecast extreme fire danger, and communicate those conditions to both firefighters and the public. It uses two United States National Fire Danger Rating System indices that are related to fire intensity and spread potential. These indices are normalized, combined, and categorized based on a 39-yr climatology (1979–2017) to produce a single, categorical metric called the Severe Fire Danger Index (SFDI) that has five classes; Low, Moderate, High, Very High, and Severe. We evaluate the SFDI against the number of newly reported wildfires and total area burned from agency fire reports (1992–2017) as well as daily remotely sensed numbers of active fire pixels and total daily fire radiative power for large fires (2003–2016) from the Moderate-Resolution Imaging Spectroradiometer (MODIS) across the conterminous United States. We show that the SFDI adequately captures geographic and seasonal variations of fire activity and intensity, where 58% of the eventual area burned reported by agency fire records, 75.2% of all MODIS active large fire pixels, and 81.2% of all fire radiative power occurred when the SFDI was either Very High or Severe (above the 90th percentile). We further show that SFDI is a strong predictor of firefighter fatalities, where 97 of 129 (75.2%) burnover deaths from 1979 to 2017 occurred when SFDI was either Very High or Severe. Finally, we present an operational system that uses short-term, numerical weather predictions to produce daily SFDI forecasts and show that 76.2% of all satellite active fire detections during the first 48 h following the ignition of nine high-profile case study fires in 2017 and 2018 occurred under Very High or Severe SFDI conditions. The case studies indicate that the extreme weather events that caused tremendous damage and loss of life could be mapped ahead of time, which would allow both wildland fire managers and vulnerable communities additional time to prepare for potentially dangerous conditions. Ultimately, this simple metric can provide critical decision support information to wildland firefighters and fire-prone communities and could form the basis of an early-warning system that can improve situational awareness and potentially save lives.
Breaking barriers through managing change: an empirical holistic change management model to promote competitive capabilities, chrough a criple bottom-line sustainable perspective across the supply chain

The research derives a change management model for SMEs and large businesses within the Maltese context to build and refine on the current change management literature, with its models and best practices, based on a qualitative multiple case study approach. The research has the following list of objectives, so as to establish: the strategic management of change within the overall business strategic management approach; the need and the drivers for change management; the context required to enable an effective and efficient change management approach; the barriers/ resistance to change; the readiness to change to avoid failures and/or conflicts at all management levels; the role of technology as an enabler to change; a comprehensive change management model based on a process management approach to cater for the change and its lifecycle; and the key competitive capabilities. The research also includes a comprehensive but concise review of the literature related to change management key seminal and current innovative techniques and furthermore situates the emerged theory with its framework with the current key models within the literature, so as to derive the research significance and its contribution.
Play Therapy with Labeled Children in the Schools.

Fred ment room, throws perfectly. frustrated, down His because his unpredictable paper he and cannot zooms behavior do around his disrupts assignthe room, frustrated, because he cannot do his assignment perfectly. H unpredict ble ehavior isrup s his teacher, and she must stop teaching the lesson. Children move to avoid him. Fred is excitable, impulsive, and very easily frustrated. Fred's teacher exclaims, "Fred wants to do well in his squirmy heart; however, unknown forces keep this from happening! How can I help him? " This research study is about children like Fred children whose biological makeups make learning more challenging. In addition to the primary biological problems and behavioral manifestations through which labels are earned, children experience secondary problems caused by the results of the experience of having their special needs labeled (Ginsberg, 1984). Negative feedback from self and others can make labeled children feel unaccepted, "not okay," and can quickly convince children that they have little or no control over the outcomes they are supposed to produce (Guerney, 1979). Since children, whether labeled or not, use behaviors to express feelings and needs (Sywulak, 1984), labeled children often communicate their lack of acceptance and control by "acting more labeled" when they perceive the reactions of other children and adults (Milich, McAninch, & Harris, 1992). Labeled children whose special needs disrupt their own and others' learning are referred to school counselors for behavioral changes. Counseling interventions for these children are often directive strategies designed to reduce the incidence of nonacceptable behavior (Ginsberg, 1984; Sywulak, 1984). The guiding standard has been that the less children are successful at independently evolving appropriate coping skills, the greater their need for directive inter-
Altered Autonomic Activity with Atrial Fibrillation as Demonstrated by Non-invasive Autonomic Monitoring

Independent, simultaneous measures of parasympathetic (P) and sympathetic (S) activity can provide insight into the physiological processes underlying arrhythmia. The P and S method provides a more specific and sensitive measure of P and S activity than methods based solely on heart rate variability. Serial P and S assessment (ANX 3.0, ANSAR Medical Technologies, Inc., Philadelphia, PA) was performed on 270 patients (79 males, 191 females) diagnosed with atrial fibrillation (AF). No coronary artery disease (CAD) was indicated in these patients. At the time of the assessment, all patients were treated for AF. Based on the P and S assessment, sympathovagal balance (SB=S/P) was computed. If patients were found to have low SB (SB <0.4), anticholinergic therapy was added. For high SB (SB >3.0), S blockade was added. For normal SB (0.4 <SB <3.0), therapy was not changed. Within the cohort, 161 patients were assessed both in and out of AF. Of these, 131 (81.3%) reported fewer episodes and symptoms with the selected therapy. Within the same cohort, 43 (15.9%) reported a total absence of episodes and symptoms; 39 (90.7%) of these were found to be free of AF by a comprehensive cardiac work-up. Of the group with reduced symptoms, the average number of ectopic beats dropped from 162.2±56.1 to 7.25±8.77, but their mean heart rate and blood pressure did not change significantly. The average SB of the group changed from 3.15±2.98 (abnormally high SB) to 1.78±1.91 (normal SB) after the change in therapy was introduced. From the study, it appears that it is possible to treat the P and S components based on clinical SB classifications of low, normal, and high.
The relationship between self-efficacy for low-fat diet and exercise, dietary restraint, and weight loss

Objective: To determine the relationship between self-efficacy and weight loss in participants of the Group Lifestyle Balance (GLB) program with a specific focus on exercise self-efficacy, low-fat diet self efficacy, and dietary restraint. Subjects: Sixty non-diabetic adults (21 male, 39 female; age 54.7 ± 10.5 years; BMI, 36.6± 5.6kg/m2). Intervention: Subjects participated in 12 weekly group lifestyle education sessions focused on improving dietary behaviors and increasing physical activity. This study was a pre-post study design with subjects completing baseline and post intervention assessment visits. Methods: At baseline, all subjects completed a comprehensive clinical assessment measuring weight, height, waist circumference, blood pressure, cholesterol levels, blood glucose, and other variables relevant for weight management. Baseline assessments also included behavioral and psychological measures assessing exercise self-efficacy, low-fat diet self-efficacy, and dietary restraint. Subjects completed a 12-session core curriculum and all measures were assessed again at month 3. Results: At the end of the 3-month intervention, weight loss was 9.9 ± 7.9 lbs. (% change of -4.43, p<0.0001). Low fat diet self-efficacy scores increased significantly over the 3 month period (p=<.0001) and scores of dietary restraint also showed a significant increase (p=<.0001). At 3-month post treatment, measurements of low fat diet self-efficacy and dietary restraint were significantly correlated to weight loss (r= 0.29, p= 0.02), (r= 0.34, p= 0.008) respectively. Exercise self-efficacy scores did not change significantly during the 3 months and showed little correlation with weight loss. Conclusions: The findings in this study suggest that self-efficacy and dietary restraint plays a critical role in achieving weight loss following short term behavioral intervention. Enhancing the cognitive and behaviorally-based lessons in these interventions to increase self-efficacy for weight loss may produce better outcomes. Given that obesity is a public health problem of increasing magnitude, it will be important to provide healthcare workers with the most effective tools for helping participants gain confidence in their ability to practice dietary restraint.
How Much Is the Financial Structure of Italian Textile SMEs?

The textile sector in Italy has traditionally played an important role in the national economy: To date, it weighs about 4% of GDP. Despite international competition, the sector maintains its importance which is internationally recognized. The firms in the sector are committed to remaining competitive, investing in innovation and communication, increasingly seeking internationalization. To keep up with the competition, it is necessary to have financial resources to cover these investments. In Italy, with the exception of some great outliers, the sector is dominated by small and medium-sized enterprises: The small size makes often more difficult to raise funds. The paper aims to analyze the cost of financing for small and medium enterprises (SMEs) in the Italian textile sector, verifying also if it remains a prevailing orientation towards debt financing. Using the Weighted Average Cost of Capital (WACC) formula, the study focuses on 2,446 companies, with financial data available on the Orbis database by Bureau van Dijk. Results confirm a strong unbalanced structure towards debt financing; however, the cost of capital is mitigated by the cost of “standing alone” debt, much lower than that one of shareholders’ funds.
Effect of Intrauterine Dextrose Therapy on Clinical Recovery and Uterine Status in Lactating Dairy Cows with Clinical Endometritis

Post-partum uterine diseases such as clinical metritis and endometritis are common disorders of lactating dairy cows that diminish reproductive performance, thus diminishing profitability and sustainability of dairy operations. The objectives of the study were: 1) to assess the amount of fluid present in cows diagnosed with metritis at 7±3 DIM (experiment I) and 2) to assess the response (clinical cure 14 days post-therapy) of lactating dairy cows diagnosed with CE and treated with an intrauterine infusion of a hypertonic solution of 50% dextrose (DEX) as compared to untreated control cows (CON) (experiment II). A total of 228 Holstein cows from 1 commercial dairy operation were used in this observational study. The prevalence of clinical metritis was 20%. The presence of uterine fluid was confirmed in cows with and without clinical metritis via transrectal ultrasonography (experiment I). Only 2 cows (out of 14) diagnosed with clinical metritis presented extended uterus. Using a tubing line, the amount of fluid was attempted to measure by emptying the uterus, but due to the presence of necrotic tissue-debris, small amount of fluid was recovered. and increased proportion of clinical cure (44.7%) compared to CON cows (P=0.12). The proportion (%) of cycling lactating dairy cows based on serum concentrations of progesterone (P4) and presence of ovarian structures were reported. The proportion (%) of ovarian structures (presence or absence of follicles, CL, or cysts) was recorded at exam 1 (26±3 DIM) and at exam 2 (40+3 DIM) in lactating dairy cows with CE. There was no significant difference between the DEX and CON cows at Exams 1 and 2. Based on these findings further research is on the use of dextrose alone or as an adjunct of antimicrobial under different herd managements.
Patient Acuity: Concept Clarification and Psychometric Assessment

by CAITLIN W. BRENNAN Despite rich data on the association between nurse staffing and patient outcomes, evidence regarding the number and combination of nursing resources that optimize patient outcomes is lacking. One method of determining nurse staffing is patient acuity measurements, but inconsistencies exist in how acuity is defined and measured. The purpose of this study was to clarify the concept of acuity, recommend a standardized definition of acuity, and assess the psychometric properties of the Oncology Acuity Tool (OAT), a patient acuity tool currently in use on an inpatient oncology unit. Procedures included assessing inter-rater reliability (IRR), surveying expert oncology nurses for content validity, using a visual analog scale for concurrent validity, and assessing whether acuity scores predicted one of two acute events, patient falls and rapid response team consults, for predictive validity. Results demonstrated high interrater reliability (ICC=0.953, CI 0.914, 0.977; p 0.78; S-CVI=0.82; 84% of items had kappa statistics (k*) of good [k*=0.6-0.74] or excellent [k*>0.74]). Acuity scores during the shift of the acute event were significant predictors of rapid response team consults (OR=2.25, CI 1.45, 3.48; p<0.001), as were acuity scores during the shift prior to the acute event (OR=1.75, CI 1.21, 2.54; p=0.003). These data indicate that the OAT is a psychometrically sound instrument that demonstrates high reliability and validity for measuring acuity prospectively in the
Mental Health in the African American Community and the Impact of Historical Trauma: Systematic Barriers

African Americans are overrepresented in high-risk populations and are known to experience disadvantages in mental health services. In an effort to better understand the barriers that prevent African Americans from receiving adequate mental health services; this study explores barriers on multiple system levels and the implications for clinical practice. This study also explores the relevance and impact of historical trauma. Qualitative interviews were used to collect the experiences of African American clinicians in the mental health field working with African American clients. Findings revealed twelve themes that are consistent with previous research. These themes are; historical trauma, stigma, cultural stereotypes, cultural mistrust, informal support, lack of African American professionals, cultural competency, issues in assessment, misdiagnosis, cultural paranoia, treatment, and economic inequality. These themes show the systematic issues that prevent African Americans from seeking and receiving adequate mental health services. Implications for clinical practice and opportunities for change are discussed. Mental health in the African American Community 1
Identification of adenovirus E1A gene regions involved in chemosensitisation of prostate cancer cells

3 LIST OF ABBREVIATIONS . 4 CHAPTER 1.12 INTRODUCTION: ADENOVIRUSES AND E1A IN GENE THERAPY FOR PROSTATE CANCER . 12 1.1 Prostate cancer 12 1.1.1 Development of prostate cancer 13 1.1. 2 Current treatments for prostate cancer 15 1.1. 2.1 Chemotherapy in prostate cancer 16 1.1. 3 Alterations in prostate cancer at the cellular level 18
Strategic Conflict Management? A Study of Workplace Dispute Resolution in Wales

In this article, the authors examine the relationship between organizational strategy and the approach taken to conflict management using a large-scale survey of companies in Wales, a constituent part of the United Kingdom. They focus on conflicts among employees, an under-researched form of conflict, to examine which types of organizations adopt a more strategic approach to conflict management that aligns with broader HR objectives. They find that organizations with a unitarist, and often anti-union, orientation are more likely to make strategic choices about how they address conflict. Equally, the authors argue that some evidence suggests that organizations that take high-road approaches to HR are more likely to take an intentional approach to how they address conflict.
Improving Children's Mental Health Through Parent Empowerment: A Guide to Assisting Families

1. Introduction and Background Information 2. Overview and Assessment PART I: BUILDING A STRONG FOUNDATION FOR WORKING WITH PARENTS 3. Listening, Engagement, and Collaboration Skills 4. Boundary-Setting Skills 5. Priority-Setting Skills 6. Group Management Skills PART II: ASSISTING PARENTS IN NAVIGATING THE MENTAL HEALTH SYSTEM 7. Getting a Mental Health Evaluation 8. Understanding Psychiatric Diagnoses 9. Considering Mental Health Treatments 10. Working With Providers 11. Specific Disorders PART III: MEETING CHILDREN'S NEEDS WITHIN THE SCHOOL SYSTEM 12. Making Home and School Partnerships Work 13. School-Based Options for Special Education 14. Other Options for Special Education PART IV: EDUCATION LAWS FAMILIES SHOULD KNOW 15. Overview of Federal Education Laws 16. Individual Education Plan Versus Section 504 Plan APPENDIXES A Resources B About the Parent Empowerment Program C Index of Parent Handouts and Important Points for Parent Advisors
An experimental study of the effect on activity intentions of postconcussion recovery advice

This study tested the effect of issuing return-to-activity advice on activity intentions at Day 2 and Day 10 days post simulated mild traumatic brain injury. One hundred and twenty-eight volunteers were randomly allocated to one of two groups who received (n = 65) or did not receive standardized post-injury advice (n = 63). To prime the simulation, the participants read a mild traumatic brain injury vignette about a person who is concussed while playing sport. Then the participants role-played the injured person and reported activity intentions for three activity types (cognitive, physical and restful) twice, once for each time frame (i.e. Day 2 and Day 10). The advice was to rest for the first 24–48 h and then gradually resume normal activities. There was no significant group by activity-type interaction (p > .05) at Day 2. When both time frames were considered, there was no significant group × time frame interaction for any activity type or any item, except for an increase in non-manual (clerical) work and weight training at Day 10 compared to Day 2 in the group with the advice. In general, the intentions for all activity types were consistent with the recovery advice (i.e., rest then increasing activity), even when the advice was not given. However, at Day 10, cognitive and physical activity levels were still expected to be lower than usual (pre-injury), and many participants were uncertain about the concept of cognitive rest. These factors, along with individual patient circumstances, should be taken into account in rehabilitation planning.