Miracle-dz/UniFAR-FTUs huggingface dataset:
An Assessment of Health Education Competencies Addressed in Health Education Professional Literature

Abstract This study investigated how the seven responsibilities of the health education profession, outlined from the 1978–1988 Role Delineation Project, along with their accompanying competencies, have been addressed in the professional literature. An evaluation instrument was designed to facilitate the identification of the responsibilities and competencies in the professional literature. The researchers piloted the instrument to test for validity and inter- and intrarater reliability (Pi = .73–.88; intrarater = 0.88–1.0), and a sample was selected. Articles were selected from five peer-reviewed 1997–1998 health education professional journals (n = 841). Included in the analysis were research articles, nonresearch articles, articles in brief, Community Learning Ideas and Procedures, and teaching techniques from each of the five journals. Excluded from the study were annotations, editorials, items in brief, and personal commentaries. A random sample of articles (n = 131), stratified by journal, was divided equally among the five researchers to read and evaluate. Results of the analysis indicate that the competencies are not addressed uniformly in the five professional journals. Responsibilities I (assessing needs) and IV (evaluating programs) were the most frequently addressed in the literature; Responsibility V (coordinating services) was addressed least frequently. These findings suggest that editorial boards of professional journals should clarify the roles of their respective journals in the continued professional development of their members.
Create a Medical information Extraction tool applied on Electronic Patient Record systems mainly for Retrospective Research

This paper deals with medical data extraction from electronic patient record (EPR) system. Most of the medical data are stored in patient record systems, and data that are much valuable for medical research. If a researcher wants to extract medical information today, it has to be done manually because the data are stored in unstructured textual format in a system created by hospital staff. There is no way of extracting data in structure way. This paper is going to introduce an information extraction application for EPR system that allows the researcher to set up a study with inclusion and parameters for extraction for retrospective surveys in a webuser-interface environment. Inclusion is what the researcher would like to study (a defined category or criteria) and parameters specify the characteristics of inclusion the criteria. Result of this application provides an extracted clinical data that is used for retrospective surveys, downloadable to an MS-Excel file.
Food for thought : ethics and artificial nutritional support

A narrative ethics analysis is utilised to explore the nature and practice of the provision of artificial nutritional support. This technology is utilised in a variety of settings, with increasing acceptance of its efficacy and utility in health care. The administration of artificial nutritional support was originally intended as a transitory measure to allow for the restoration of a patient's normal digestive functioning. It is now, however, often provided to those who have irretrievably lost all higher brain functioning, people with terminal illness, and those with critical illness. Accordingly, the ethical analysis which is pursued embraces the multidisciplinary nature of the socio-political space which is artificial nutritional support. This modality of treatment has emerged as a site of contested ethics. Some commentators argue that providing nutrition regardless of route is a basic human function, symbolic of care, and constituting 'ordinary means' that should never be forgone. They also suggest that forgoing these techniques directly causes death, and are concerned about the social implications of depriving vulnerable people of basic human attention. Other authors suggest that the burdens of life with pain, discomfort, immobility, impaired consciousness, and loss of communication so overwhelm the benefits of life that there is no obligation to assist in sustaining life. Thus, a dichotomy of views exists. Different perspectives regarding the ethics of artificial nutritional support often depend on the model of health service delivery within which the author operates. Accordingly, research is undertaken which includes data from two distinct health service delivery systems. This research draws upon experience and literature within Australia, the United Kingdom and The United States of America, markedly different health care delivery systems that have been described as either 'socialised' or 'privatised'. This thesis is informed by interviews with 32 participants from diverse heath care disciplines, ranging from Intensivist to Chaplain. Drawing upon the richness of narrative, these interviews utilise the informants as experts from Australia, the United Kingdom and the United States of America. The findings from this research move well beyond the sphere of artificial nutritional support to encompass the practice of medicine and end-of-life care in general. Specifically the case is made for a cycle of care and communication practices, which assist us to debunk death myths regarding the inevitable painful tragedy of death, myths that inform the discursive shaping of contemporary health care.
The Pediatric Emergency Care Applied Research Network (PECARN): Rationale, development, and first steps

&NA; Since its formal recognition as a medical specialty, the field of pediatric emergency medicine has made substantial advances with respect to its scope and sophistication. These advances have occurred in clinical practice as well as in the research base to improve clinical practice. There remain, however, many areas in emergency medical services for children (EMSC) in the out‐of‐hospital, emergency department (ED), and hospital settings that suffer from a lack of data to guide practice. In an effort to expand the quality and quantity of research in pediatric emergency care, the Pediatric Emergency Care Applied Research Network (PECARN) was created in October of 2001. PECARN is the first federally funded national network for research in EMSC and is the result of cooperative agreement grants funded through the Health Resources and Services Administration with the purpose of developing an infrastructure capable of overcoming inherent barriers to EMSC research. Among these recognized barriers are low incidence rates of serious pediatric emergency events, the need for large numbers of children from varied backgrounds to achieve broadly representative study samples, lack of an infrastructure to test the efficacy of pediatric emergency care, and the need for a mechanism to translate study results into clinical practice. PECARN will serve as a national platform for collaborative research involving the continuum of care within the EMSC system, including out‐of‐hospital care, patient transport, ED and in‐hospital care, and rehabilitation. This article describes the history of EMSC, the need for a national collaborative research network in EMSC, the organization and development of PECARN, and the work plan for the network.
Assessment of Food Sanitation Knowledge and Performance of Food Service Workers in School Food Service Operations Implementing HACCP

Abstract The purpose of this study was to analyze the levels of food sanitation knowledge and performance by school food service workers. The data were collected by 440 food service workers in Gyeongbuk province. The collected data were analyzed using the SAS package program (version 8.2 for Window). The results of this study are summarized as follows: 28.6% of the respondents worked in food service at the school where their children attended, 93.6% of the food service workers were part-time employees, and 40.4% had ob tained cooking certificates. The food sanitation knowledge scores of food service worker s differed significantly according to age (p<0.05), holdi ng of cooking cer tificates (p<0.01), number of certificates (p<0.01), and whether food service workers is students' parents or not (p<0.01). In addition, the sanitation-performance-degree levels of a few sanitation management items were significantly different according to their food sanitation knowledge level, working time, and whether food service workers is students' parents or not. In conclusion, these factors that improve food service sanitation should be fully considered when food service workers are hired or when food service management policies are established. Additionally, sanitation education and training for school food service workers should be offered regularly with effective education media.
External rotation — best isokinetic movement pattern for evaluation of muscle function in rotator tendinosis. A prospective study with a 2-year follow-up

We prospectively performed isokinetic shoulder testing III 31 patients with rotator tendinosis (Impingement, stage II), to evaluate which movement patterns these patients are able to fulfill both before and after treatment. The movement patterns used were externaIjinternal rotation and flexion/extension. The angular velocities were 60 0 /s and 180 0 /s and the patients were tested pre-treatment and after 6 and 24 months. Twenty-five of the patients (81 %) managed all three externaIjinternal rotation tests. In flexion/extension, however, only eight patients (26%) fulfilled all tests because of pain. Pre-treatment there was an average significant reduction of 25% (P < 0.001) in external rotation, while internal rotation only had a slight reduction of 10%. At 24 months both movement patterns had regained normal strength. Most patients fulfilled the externaIjinternal rotation tests and the performance was weakly correlated to pain compared to the flexion/extension pattern. This suggests that externaIjinternal rotation is the preferrable movement pattern for evaluation of muscle strength deficits per se in patients with rotator tendinosis.
The contribution of inflammation to cerebral injury after ischemic stroke and reperfusion

The contribution of single complement system (CS) activation pathways to cerebral IR injury has not yet been adequately studied after ischemic stroke and reperfusion. It remains unclear whether a specific activation pathway (alternative, classical or lectin), single complement factors within the CS, or anaphylatoxins are responsible for increased cerebral IR injury after ischemic stroke and reperfusion. Also poorly understood is the relationship between these elements (activation pathways, CS factors and anaphylatoxins) and neutrophil mediated cerebral IR injury. The objective of this dissertation was to test the hypothesis that mannose binding lectin (MBL) deficiency during cerebral ischemia and reperfusion will result in a significant reduction of systemic neutrophil activation and cerebral injury after ischemic stroke and reperfusion via decreased CS activation and subsequent decreased anaphylatoxin production. Using the intraluminal filament method, mice with targeted mutations to MBL A/C genes (MBL) or the C57Bl/6 strain (MBL) were subjected to 60 minutes of cerebral ischemia and either 15 minutes or 24 hours of reperfusion. After reperfusion (15 min and 24 hour) blood was removed to assess systemic neutrophil CD11b expression via flow cytometry. After 24 hours of reperfusion, the brain was removed to assess cerebral injury. CS activation after ischemic stroke and reperfusion was assessed via immunofluorescent C3 staining and RT-rtPCR methods. Our primary findings are, after ischemic stroke and reperfusion: 1) hepatic MBLA gene expression is significantly increased, 2) systemic neutrophils significantly express CD11b, 3) MBL deficiency significantly decreased cerebral infarct volume in the striatum but not in the cortex or total hemisphere, and 4)
Differential Role of Leptin Receptors at the Hypothalamic Paraventricular Nucleus in Tonic Regulation of Food Intake and Cardiovascular Functions

Leptin plays an important role in the central regulation of body weight and arterial pressure via activation of leptin receptors (Ob-Rs) in the hypothalamic area, including the hypothalamic paraventricular nucleus (PVN). The present study was undertaken to investigate whether endogenous leptin in the PVN plays a dual role in the tonic regulation of body weight and arterial pressure. Adult, male normal-weight Sprague-Dawley rats, which were anesthetized and maintained with propofol, were used. A direct bilateral microinjection into the PVN of an antisense oligonucleotide against Ob-R mRNA (ASON1, 50 pmol) significantly increased the daily food intake and body weight gain, effects which lasted for at least 14 days. The same treatment, on the other hand, had no appreciable effect on the basal mean systemic arterial pressure (SAP), heart rate (HR), or power density of the vasomotor components of SAP signals, the experimental index of neurogenic sympathetic vasomotor tone. ASON1 treatment also exerted an insignificant effect on the baroreceptor reflex control of HR. Western blot analysis revealed that a bilateral microinjection into the PVN of ASON1 (50 pmol) significantly decreased the expression of the Ob-R protein in the hypothalamus. The same treatment also attenuated hypertension, tachycardia, and the increase in the power density of the vasomotor components of the SAP signals induced by exogenous bilateral application of leptin (5 or 50 ng) into the PVN. Control application of sense (SON, 50 pmol) or a scrambled antisense Ob-R oligonucleotide (ASON2, 50 pmol) into the bilateral PVN promoted no discernible effect on Ob-R protein expression in the hypothalamus, on daily food intake, or on cardiovascular performance. Our results indicate that whereas the Ob-Rs in the PVN are involved in the tonic regulation of food intake, they might not be actively involved in the tonic regulation of cardiovascular functions.
Galvayne’s groove and the presence of a hook on the upper corner incisors are poor indicators of age in horse teeth

Galvayne's groove and the dental hook are two characteristic features of the upper corner incisors of horses. Both characteristics have traditionally been claimed to appear at specific ages and have therefore often been used for dental age determination. Recent studies, however, have questioned the accuracy of these criteria and concluded that the presence of a 7-year-hook is irrelevant for estimation of age in horses, whereas Galvayne's groove may be a useful adjunct after all other morphological criteria have been considered. The present paper intends to illustrate the variable appearance of both characteristics in the dentition of Standardbred, Arabian and Belgian draft horses and in mini-Sheflandponies (n = 490) ranging in age from 5 to 28 years old.
Title Page

This study was carried out to examine the influence of variables such as Age, Gender and Value Orientation on the adolescent students’ moral judgments in conflict situations. This is for the general purpose of providing an empirical data for the effective planning and implementation of the suggested national moral education programme, as a panacea to moral indiscipline among adolescent students in secondary schools in Nigeria. Comparative study design was adopted for this study. Four research questions and four hypotheses were stated to guide the study. The Literature Review was organized under four subheadings, namely, the conceptual frame work, the theoretical approach, the Empirical studies and Summary of Literature Review. The Literature Review was summarized in relation to the three variables of the study, namely, age, gender and value orientation. Using random sampling, 3, 650 adolescent students were selected from the student population of 96,420 by 2006 school census. Two instruments for data collection, designed by the researcher and validated by experts were used, namely, Moral Dilemma questionnaire (MDQ) and Value Dilemma Questionnaire (VDQ). Mean scores (  x ) and standard deviations (SD) were used to answer the research questions, while the t-test analysis was employed to analyse the hypotheses. The result of the findings shows that age was significantly related to moral judgment development: that moral judgment is agerelated. Secondly, gender was not significantly related to moral judgment development: male and female, boys and girls follow the same pattern. Thirdly, age was significantly related to the value priorities of the adolescent students. Lastly, gender was not significantly related to the value priorities of the adolescent students of this study. Based on this findings, it was recommended, inter alia, that: A national moral education programme be developed for secondary school students in Nigeria as a panacea to their moral indiscipline. The programme be based on the cognitive developmental approach to moral judgment development and that moral lessons be designed in an agerelated sequence.
Medical Nutrition and Disease: A Case-Based Approach

Part I: Fundamentals of Nutrition Assessment . Chapter 1: Overview of Nutrition in Clinical Care. Chapter 2: Vitamins, Minerals and Dietary Supplements. Part II: Nutrition Throughout the Life-Cycle . Chapter 3: Pregnancy and Lactation. Chapter 4: Infants, Children, and Adolescents* Childhood Growth and Development Patterns. Chapter 5: Older Adults. Part III: Integrative Systems and Disease . Chapter 6: Cardiovascular Disease. Chapter 7: Gastrointestinal Disease. Chapter 8: Endocrine Disease. Chapter 9: Pulmonary Disease. Chapter 10: Renal Disease. Part IV: Fundamentals of Oncology and Nutrition Support . Chapter 11: Cancer Prevention and Treatment. Chapter 12: Enteral Nutrition Support. Chapter 13: Parenteral Nutrition Support. Appendix: food sources charts. Review Questions. Review Answers. Index. CPE card
Predicting global satisfaction ratings of quality health care among trauma patients: Testing a structural equation model

Background Patient satisfaction has been debated as an indicator of quality hospital care. It is debated in the literature as to whether or not patients can accurately judge technical quality of healthcare services. Purpose of the Study The purpose of the study was to determine if patients’ perceptions of interpersonal care are related to or influence patients’ perceptions of technical care. Hypothesis By using a questionnaire addressing variables such as perceptions of interpersonal care and perceptions of technical and judgments of overall satisfaction, and using structural equation modeling, it was hypothesized that variables reflecting interpersonal judgments will predict competence judgments of medical care by patients in the observed trauma population. Significance While patient satisfaction has been investigated in many settings, it has not been considered specifically in a trauma population. Additionally, although there is discussion as to the ability of patients to judge quality care, no one has reported using pathway analysis to evaluate a predictive relationship between courtesy and competency. Variables Variables that were collected are patient judgments on their interpersonal care and their technical care as well as patient demographics and various psychographics. Independent variables in the structural equation model included those variables that may influence or predict other variables. In this research it was predicted that the perceived interpersonal care construct
THE MET AND UNMET NEEDS OF FAMILIES OF PATIENTS IN THE ICU: AND IMPLICATIONS FOR SOCIAL WORK PRACTICE

This qualitative research study seeks an understanding of the experience and needs of family members of patients in an intensive care unit (ICU) at a large, metropolitan hospital. This study utilizes a self-developed, semi-structured interview, transitioning the findings of the The Critical Care Family Needs Inventory (CCFNI) (Molter, & Leske, 1983) into open-ended interview questions. The interviews query participants about their needs related to their family member’s stay in the ICU, their interactions with the health care team and any recommendations they wished to offer to family members of patients in the ICU and to the health care team. The twelve interviews were coded and the findings are reported using “issue focused” analysis as described by Weiss (1994). The interviews yield multiple needs of family members of patients in the ICU including the need for: communication, information, visitation, vigilance, assurance, and “realistic hope. ” The interviews also reveal that the advice offered by the participants to both future family members of patients in the ICU and to the health care team caring for patients and families mirror their own indicated needs. Discrepancies in the findings, as well as in the “advice” offered, suggests additional research in this area is warranted. Additional research investigating interventions designed to meet the families’ needs and the role of social work in the ICU in meeting these needs is also indicated. Degree Type Dissertation Degree Name Doctor of Social Work (DSW) First Advisor Lina Hartocollis, PhD Second Advisor Ram Cnaan, PhD Third Advisor Jane Leske, PhD
Blended Psychotherapy – verzahnte Psychotherapie: Behandlungskonzept und Fallbericht zur Integration von Internet- und Mobil-basierten Interventionen in die Kurzzeittherapie von depressiven Störungen

Hintergrund: Blended Psychotherapy (bPT) ist ein Behandlungskonzept zur Integration von Internet-/Mobil-basierten Interventionen in die ambulante/stationäre Psychotherapie. Es kann den Therapieprozess bereichern, indem Online-basierte Behandlungselemente als verlängerter therapeutischer Arm genutzt und zwischen den Therapiesitzungen von PatientInnen zeit- und ortsunabhängig bearbeitet werden. Dadurch könnten die Effektivität von Psychotherapie potenziell verbessert oder mehr Therapieplätze durch die eingesparte Therapeutenzeit angeboten werden. Der Fallbericht soll ein Verständnis der Verzahnung der Behandlungselemente ermöglichen. Fallbericht: Die viermonatige Kurzzeit-Depressionsbehandlung einer 48-jährigen Patientin mit sechs Face-to-Face-Therapiesitzungen, sechs Online-Lektionen und App-Ratings wird nach den CARE-Richtlinien und auf Basis quantitativer und qualitativer Daten (Behandlungsdokumentation) dargestellt. Die depressive Symptomatik reduzierte sich im Behandlungsverlauf klinisch signifikant (Patient Health Questionnaire [PHQ-9], 0–27: T0 = 17; T1 = 7) von einer mittel-schwergradigen zu einer subklinisch-milden Ausprägung und erfüllte im 12-Monats-Diagnostikinterview keine klinischen Diagnosekriterien. Die Patientin zeigte eine maximale Behandlungszufriedenheit (Fragebogen zur Patientenzufriedenheit [ZUF-8], 8–32: T1 = 32) sowie Adhärenz und bewertete die therapeutische Beziehung sehr positiv (Working Alliance Inventory [WAI], 12–60: T1 = 57). Schlussfolgerung: bPT war bei dieser Patientin geeignet, um depressive Symptome zu reduzieren. Stärken der Behandlung waren die gute Integrierbarkeit der Online-Behandlung in die Berufstätigkeit der Patientin und die Individualisierung in den Therapiegesprächen durch die Therapeutin. Die Vorgabe von sechs Therapiesitzungen schränkte den Behandlungserfolg insofern ein, dass nicht alle Behandlungsthemen therapeutisch bearbeitet und keine Rezidivprophylaxe durchgeführt werden konnten.