Miracle-dz/UniFAR-FTUs huggingface dataset:
Decreased serum level of thioredoxin 1 in female patients with pneumonia and its combinational use with haptoglobin for the specific diagnoses of pneumonia and lung cancer

Thioredoxin 1 (Trx1) and haptoglobin (Hp) are known to be involved in pathophysiology. This study was conducted to evaluate their diagnostic significance. We employed an enzyme-linked immunosorbent assay (ELISA) to determine the concentrations of both Trx1 and Hp in sera from female patients with community-acquired pneumonia (CAP) and those with lung cancer. The Trx1 levels remarkably decreased in cases of female patients with CAP, while the Hp levels increased in both female patients with lung cancer and CAP. In addition, the serum levels of Trx1 were not significantly changed in patients with lung cancer, rheumatoid arthritis, and cardiovascular diseases compared to healthy controls. At the cut-off point of 0.396 at A450 nm on the receiver operating characteristic (ROC) curve, Trx1 could discriminate between patients with CAP from normal female controls with a sensitivity of 72.5%, a specificity of 89.8%, and area under the ROC curve (AUC) of 0.877 ± 0.040. The serum levels of Trx1 in female CAP patients were inversely correlated with the levels of Hp (p < 0.05). The characteristic reduction in serum Trx1 levels, especially in female CAP patients, indicates that Trx1 could be used as a diagnostic marker for CAP. The advantage of serum Trx1 over Hp in discriminating female CAP patients among female patients who have a positive serum level of Hp suggests the use of Trx1 as an excellent combination marker with Hp for the specific diagnosis of CAP and lung carcinoma, because serum Hp levels increase in female patients with lung cancer and those with CAP without selectivity.
The relationship between lean body mass and isokinetic peak torque of knee extensors and flexors in young male and female swimmers

In sprint swimming, thigh muscles strength and body composition may contribute to the development of a good performance in the water. The present study describes the relationship between lean body mass (LBM) and isokinetic peak torque (PT) of knee extensor and flexor muscles in male ( n =3 1) and female (n =2 2) competitive swimmers aged 10 to 12 years. Skinfold thickness measurements for percent body fat and LBM were recorded. Isokinetic testing consisted of concentric knee extensions and flexions at 60 ◦ /s, 120 ◦ /s and 180 ◦ /s. High correlation coefficients (Pearson's r: 0.765-0.890, p< 0.001) indicated a strong relationship between LBM and knee muscles strength at all angular velocities. Using linear regression analysis, PT could be predicted from the LBM for this particular age and sex groups. However, a simple linear model between LBM and PT could not be constituted as complementary biological parameters, such as flexibility and muscular endurance could also account for the variability.
Pain-Coping Strategies of Women with Fibromyalgia: Relationship to Pain, Fatigue, and Quality of Life

Objectives: To describe the pain-coping strategies of women with fibromyalgia [FMS]; to compare the factor structure of the Coping Strategies Questionnaire [CSQ] to other reports; and to determine whether pain-coping strategies are predictive of pain, fatigue, poor sleep. , and quality of life.Methods: One hundred twenty consecutive patients with FMS who were tested prior to a six-month multidisciplinary treatment program completed the CSQ, along with several other self-report measures, a tender point examination, and syndrome/demographic information. Seventy-one patients completed the program and were retested.Results: At the pretest, FMS patients were most likely to use self-empowerment statements, ignore pain, and attempt to increase their activity level. Ninety percent used at least one catastrophizing strategy. At program completion, posttest evaluations of ability to control and decrease pain had increased significantly. Three distinct factors emerged from the analysis of the CSQ: a cognitive [COG], .
Co-operation with family members : A challenge for registrated nurses in community elder care

The overall aim of this thesis was to gain knowledge of how Registered Nurses (RN) are able to work together with family members of older people living in community elder care facilities.A questionnaire was distributed to all RNs (N= 314) with permanent appointments in community elder care in one province, and 67 percent (n = 210) answered after two reminders (I, II). The age of the participants was from 23 to 64 years and half of the participants worked in urban areas. About half of the participants had experience of work in elder care of five years or more.Study I focused on the RNs view of co-operation with family members of the old person and what influenced that co-operation. The working situation for RNs in community elder care showed that nearly half, 46 % of the RNs were not satisfied with their working situation. It was the nurses with more than five years of working experience that were unhappy with their working situation. The limited organisational and personnel resources influenced their ability to co-operate with the family members. The RNs expressed dissatisfaction and frustration when they could not spend enough time caring for the old people or communicating with their family members. The RNs believed that it was important for family members to show their involvement in the care of the old person. The results showed that cooperation would be more complicated if there was a conflict of interest between the RN and the family member. Furthermore, the RN pointed out the importance of family members taking care of the older person’s interest.Study II focused on what the RNs described as positive, negative or problematic in their cooperation with family members of old people. Content analysis was used in the analysis of the three open-ended questions. Three themes emerged from the answers of the three open-ended questions, namely Problems within the system, Interaction with families and Caring in nursing work. The co-operation between the RN and the family member was especially important when the old person was suffering from dementia. An exchange of information about the person before illness was especially important as it was then possible to provide better care and understanding for the old person.The development of community elder care will put increasing demands on the RNs in community elder care in the future and there is a need for further support and guidance. Her working situation involves both working alone and being a part of a team. Informal care giving is also expected to increase as the elder population increases and by that the registered nurse will be even more important in community elder care as more persons are dependent on her competence. Conclusions drawn imply that the RN in community elder care is dependent on the organization of elder care and the organization is dependent on RNs competence.
Patient and process factors associated with all‐cause 30‐day readmission among patients with heart failure

Purpose: To explore the patient and process factors associated with all‐cause 30‐day readmission after heart failure (HF) hospitalization and develop recommendations to reduce readmissions of patients with HF. Data sources: A retrospective, cohort study of 239 patients ages 18 years and older was performed using electronic medical chart review. All patients were discharged from the medical center between July 1, 2009 and June 30, 2010 with a principal diagnosis of HF. Patient and process factors were compared in readmitted and nonreadmitted groups. Conclusions: Renal failure/insufficiency was the only factor significantly associated with all‐cause 30‐day readmission among patients with HF. Implications for practice: Assessment of renal function during hospitalization will help identify patients with HF at high risk for all‐cause 30‐day readmission. Give careful consideration to the timing of discharge of patients who appear otherwise ready for discharge but still have creatinine levels above their baseline. Careful follow‐up is needed for patients with impaired renal function.
Health consequences of adverse childhood experiences: A systematic review

Purpose:Adverse childhood experiences (ACEs) have been associated with negative health outcomes, but the evidence has had limited application in primary care practice. The purpose of this study was to systematically review the research on associations between ACEs and adult health outcomes to inform nurse practitioners (NPs) in primary care practice. Data sources:The databases PubMed, CINAHL, PsycINFO, and Social Abstracts were searched for articles published in English between 2008 and 2013 using the search term “adverse childhood experiences. ” Forty‐two research articles were included in the synthesis. The evidence was synthesized and is reported following the preferred reporting items for systematic reviews and meta‐analysis procedure (PRISMA). Conclusions:ACEs have been associated with health consequences including physical and psychological conditions, risk behaviors, developmental disruption, and increased healthcare utilization. Generalization of the results is limited by a majority of studies (41/42) measuring childhood adversity using self‐report measures. Implications for practice:NPs are encouraged to incorporate assessment of patients’ childhood history in routine primary care and to consider the evidence that supports a relationship between ACEs and health. Although difficult, talking about patient's childhood experiences may positively influence health outcomes.
Safety, risk, and aggression: Health professionals’ experiences of caring for people affected by methamphetamine when presenting for emergency care

The crystalline form of methamphetamine, commonly known as crystal meth (crystal methamphetamine) or ICE, is a highly-addictive and powerful stimulant. Users of crystal meth often require emergency care, and are associated with a substantial burden of care by emergency care providers. The aim of the present qualitative study was to explore health professionals' experiences of providing care for patients affected by ICE who presented to the emergency department (ED). Nine semistructured interviews were conducted. The major theme, 'staying safe', was revealed, in which participants described their experiences of being exposed to potentially unsafe situations, and their responses to challenging behaviours, including aggression. The findings highlight the need for ED staff to understand the nature of ICE use and its adverse impact on the mental and physical health of users. Furthermore, it is clear that establishing and maintaining safety in the emergency care setting is of utmost importance, and should be a priority for health-care managers.
Autonomy of nurse practitioners in primary care: An integrative review

Purpose:This integrative review of the existing literature was conducted to identify dimensions related to nurse practitioner (NP) autonomy and to recommend future areas of research related to the important topic of NP autonomy in this era of cost‐conscious healthcare reform. Data sources:Articles were identified from the following databases: CINAHL, MEDLINE, PubMed, Ovid, Scopus, Google Scholar, and EBSCO. Conclusion:Over 24 articles were found; 12 peer‐reviewed articles met the inclusion criteria of research conducted with NPs, physicians, and patients. The results revealed three categories of association with regard to NP autonomy: job satisfaction, patient satisfaction, and physician–NP collaboration. Implications for practice:This review was undertaken to advance understanding of autonomy among NPs and the dynamics involved in their delivery of care. Further research into the associations between NP autonomy and its dimensions are necessary to indicate a future direction to the NP role.
Concise Colour Medical Dictionary

For the second edition of this popular dictionary 500 new entries have been added and many existing entries have been updated. New material includes research into obesity and cancer genetics organ transplantation infection, food poisoning, and resistance to antibiotics research into the links between BSE and Creutzfeldt-Jakob disease opthalmology new diseases such as Gulf War Syndrome. In this rapidly developing field this is the most up-to-date dictionary of its kind. Full coverage of all the major medical and surgical specialties, including gastroenterology, dermatology, ENT, dentistry, osteology and rheumatology, gynaecology and obstetrics, paediatrics, neurology, osteology, physical medicine, radiology, haematology, immunology, nuclear medicine, urology, opthalmology, oncology, and cardiology. Anatomy, physiology, biochemistry, microbiology, nutrition and pharmacology are also covered, plus public health medicine, psychology, and psychiatry.
The Direct Observation of Nurse Practitioner Care study: An overview of the NP/patient visit

BACKGROUND AND PURPOSE While there is a preponderance of studies that demonstrate the quality of nurse practitioner (NP) practice, little is known on the practice style of NPs. The Direct Observation of Nurse Practitioner Care study provided the first national direct observation and characterization of patient care delivered by primary care NPs. METHODS The setting for this study was ambulatory care practices of NPs located throughout the United States. A nested sample was utilized, consisting of 22 NPs during visits with 245 patients. Observational data were collected during each visit using the Davis observation code (DOC). Patient information was collected from chart reviews and postvisit surveys. Each NP filled out a demographic and practice survey. CONCLUSIONS Visits to NPs were 18 min on average, and were most frequently for new/acute problems (45.1%) or routine chronic problems (30.2%). Overall, NPs spent the most time planning treatment, history taking, and providing health education. Topics that NPs frequently provided health education about included medication action and side effects, disease process education, diet, and nutrition. IMPLICATIONS FOR PRACTICE Data from this study will allow for detailed characterizations of a patient-NP visit and average length of the visit and the time use based on the DOC.
Bilateral Maxillary Dentigerous Cysts A Case Report

A dentigerous cyst is the second most common Odontogenic cyst, after radicular cyst. It encloses the crown of an unerupted tooth at the cementoenamel junction; the mandibular third molars are the most commonly affected &maxillary canines are next commonly affected. This cyst accounts for approximately 24% of all true cysts of the jaws, and their frequency in the general population has been estimated at 1.44 cysts for every 100 unerupted teeth. This paper reports the presentation of a bilateral maxillary dentigerous cyst and its incidence present in the literature.
Wearable Interface for Automatic Language Translation

In this chapter, we introduce intelligent glasses, which can automatically translate multiple languages in real time. We propose the concept of the system and demonstrate the advantages of the device over other existing systems. First, the system architecture and the functions of the components in the system are presented. We then focus on the most crucial technical component, text detection. We propose a novel algorithm based on the fundamental characteristics of all the characters in common use called a character intrinsic characteristic (CIC)-based text detection algorithm. We then show the effectiveness of the proposed methods and define some future studies. Nowadays, with the development of mobile computing technologies, a new kind of human interface has been expected to greatly impact our daily life and social activities. A wearable interface, just as its name implies, can be worn directly. It could be like a real cap, a pair of glasses, a pair of shoes, a shirt, and so on. Many wearable computers are facilitated with telepresence, which is a sophisticated form of interactive remote control, and some sensors such as a camera, gyro, infrared emitter, ultrasonic emitter, and so on. Many kinds of wearable computers are developed all over the world. Some wearable computers have been successfully applied in military missions, scientific exploration, and daily life. This chapter presents a novel wearable interface project called Intelligent Glasses. With this interface, real-time multilinguistic translation can be realized and will be useful to a tourist who does not know a local language. Let us imagine that a person is using the wearable translation interface during a foreign trip. The system can tell the wearer which building is a hotel, a restaurant, a bank, or a supermarket, which bus line should be selected, how to go to a destination according to the
The Influence of Landscape and Microhabitat on the Diversity of Large- and Medium-Sized Mammals in Atlantic Forest Remnants in a Matrix of Agroecosystem and Silviculture

Fragmentation and destruction of a habitat are strongly relevant aspects to determine the richness and the dynamics of the mammals in ecosystems. This study, developed from October, 2010 to July, 2011 in three Atlantic Forest remnants in Ipumirim, SC, Brazil, aims at identifying the diversity of large- and medium-sized nonflying mammals and verifying associations of the patterns obtained with features of the researched areas. The approximate measurement of the inventoried areas is 51 ha. The data collection of the mammal fauna was obtained through direct registers, with the use of a photographical trap, and indirect records through the search of material that indicated the presence of species. The total amount of species studied was 13, pertaining to nine families: Canidae (1), Cebidae (1), Dasyproctidae (1), Dasypodidae (2), Didelphidae (2), Felidae (2), Mustelidae (2), and Procyonidae (2). In addition, landscape data was obtained through the development of a chorological matrix of the areas and the data about the microhabitats. From these data, 20 models for analysis were stipulated and this selection was determined with the corrected Akaike Information Criterion (AICc). The aspect of greater influence on the magnitude of the obtained data was the degree of human occupation in the landscape.
Orbital motion theory and operational regimes for cylindrical emissive probes

A full-kinetic model based on the orbital-motion theory for cylindrical emissive probes (EPs) is presented. The conservation of the distribution function, the energy, and the angular momentum for cylindrical probes immersed in collisionless and stationary plasmas is used to write the Vlasov-Poisson system as a single integro-differential equation. It describes self-consistently the electrostatic potential profile and, consequently, the current-voltage (I-V) probe characteristics. Its numerical solutions are used to identify different EP operational regimes, including orbital-motion-limited (OML)/non-OML current collection and monotonic/non-monotonic potential, in the parametric domain of probe bias and emission level. The most important features of the potential and density profiles are presented and compared with common approximations in the literature. Conventional methods to measure plasma potential with EPs are briefly revisited. A direct application of the model is to estimate plasma parameters by fi.
The impact of a national caries strategy in Greenland after 4 years.

AIMS (1) To describe dental health - and financial goals to be achieved with a national caries strategy in Greenland (CSG) implemented in 2008; (2) to describe the principles of CSG; (3) to report caries outcome data for the 3-and 9-year-olds in 1996, in 2008 (baseline), and in 2012; and (4) to assess the effect of CSG on the same age. GOALS AND RESULTS Ad (1) Caries status recorded ≥ 85% of the children; 3-year-olds in 2012:defs = 0 ≥ 80%, defs > 8 ≤ 5%; 9-year-olds in 2012: DMFS = 0 ≥ 80%;DMFS > 4 ≤ 5%. CSG should not increase the cost compared to the old programme. Ad (2) CSG focused on predetermined visits/examinations, risk-related visits, oral health promotion, and predetermined fluoride and sealing policies. Ad (3) 75% and 88% of the total cohorts of 3- and 9-year-olds in 2012 were recorded, respectively. Seventy-six percent of the 3-year-olds showed defs = 0 in 2012 compared to 64% in 2008 (P < 0.0001). DMFS = 0 data for the 9-year-olds were 65% vs 57% (P = 0.003). The cost for running CSG was comparable to the cost before 2008. Ad (4) The annual percentage increase of children with defs/DMFS = 0 after implementation of CSG was twice as high as during 1996-2008. CONCLUSION The caries status improves significantly from 2008 to 2012 exemplified in the 3- and 9-year-olds without increasing the costs.
Prevalência de sintomas osteomusculares e fatores associados em trabalhadores de uma indústria metalúrgica de Canoas - RS

A saude do trabalhador e um campo da saude coletiva que vem criando espacos para a identificacao e prevencao de doencas relacionadas ao trabalho, em especial as osteomusculares, em funcao da sua abrangencia e magnitude. Desta forma, foi realizado um estudo objetivando conhecer os sintomas osteomusculares apresentados pelos trabalhadores de uma industria metalurgica do municipio de Canoas-RS e a associacao destes com variaveis sociodemograficas e ocupacionais. Trata-se de um estudo transversal, realizado na maior industria metalurgica de Canoas-RS, com a utilizacao de dois questionarios para coleta de dados, o primeiro para obtencao das variaveis demograficas, ocupacionais e habitos de vida e o segundo para identificar a prevalencia de sintomas osteomusculares (Questionario Nordico de Sintomas Osteomusculares). Como resultado, encontrou-se que 75,2% dos trabalhadores relataram algum tipo de sintoma osteomuscular nos ultimos doze meses, 53,3% nos ultimos sete dias e 38,5% ja tiveram afastamento devido ao problema. Observou-se, tambem, associacao entre sintoma osteomuscular e as variaveis sexo, faixa etaria, ocupacao e escolaridade. Por conseguinte, constata-se que a prevalencia de sintomas osteomusculares em trabalhadores e alta, necessitando de acoes de prevencao e promocao a saude nos ambientes de trabalho.
La gestion des déchets d'activité de soins à risques infectieux par les professionnels de santé libéraux : étude de pratiques

Une enquete transversale aupres d’un echantillon de 278 professionnels de sante (medecins generalistes et specialistes, dentistes, kinesitherapeutes et infirmiers) en cabinet liberal a Paris a etudie, en 2004, la production et le traitement des dechets d’activite de soins a risques infectieux (DASRI). A l’exception des kinesitherapeutes, la plupart des professionnels produisaient des DASRI (72 % a 96,2 % selon les professions), avec un volume mensuel median de 3 litres (interquartile 1-15 litres). 100 % des dechets piquants et coupants etaient tries, puis 91 % elimines via une filiere specifique. Ces pourcentages etaient, respectivement, de 84 % et 69 % concernant les dechets souilles non piquants ni coupants. 48 % rapportaient l’existence de documents de tracabilite de l’elimination des DASRI. Pour ameliorer les pratiques, les professionnels ont cite en premier lieu la collecte au cabinet (74 %) et la fiabilite du prestataire (59 %). L’etude a montre un besoin d’information des professionnels de sante sur la reglementation relative aux DASRI, concernant la tracabilite de l’elimination, et releve l’imprecision de la definition du risque infectieux : 31,7 % des professionnels declarant ne produire que des dechets piquants et coupants n’ont pas precise de critere d’un risque infectieux.