Miracle-dz/UniFAR-FTUs huggingface dataset:
Student nurses' perceptions of patient/client care : a qualitative analysis

This thesis explores the perceptions of students undertaking a Diploma ofHigher Education in Nursing, in relation to the care practices that they encounter during their practice placement allocations. Specifically, the factors and processes, by means ofwhich students deem the quality of care provision to be satisfactory, or otherwise, are analysed. A central concern in the thesis is identification and exploration of the changes and constancies in the students' perceptions over time. There is little published work addressing the above issues and a qualitative, grounded theory approach has been adopted, the data being collected by means of in-depth interviews with a small number of student volunteers. A total of thirty interviews took place, the majority of participants being interviewed on four occasions during their three year programme. The data were concomitantly collected, compared with other data, analysed and coded throughout the study. Findings indicate that the students' conception of care, as related to nursing work, contains some important variations from the concept as used by policy-makers in nursing. In relation to their moral reasoning, the students' accounts indicate processes that are more subtle and complex than some of the influential theorists (Kohlberg, Gilligan) suggest. Students do not appear to adopt a perspective based on justice or care per se, although elements of these principles are present within their accounts. Rather, the students' moral reasoning processes become increasingly focused, over time, upon providing care in context and this emerges as the core category, and basic social process, within the study. The students, in progression through their programme, gain access over time to a 'wider picture' than is available to them during their initial practice placements. Increased experience and concomitant acquisition of confidence enable students to place the provision of patient/client care in the context of the substantive circumstances pertaining to the individual. Development of the ability to view care in context appears to be accompanied by a reduction in reliance upon abstract moral principles as a guide to behaviour. Direct involvement in patient/client care and the ability to access the 'wider picture' increases the moral complexity of decision-making for students. This is viewed by the students as being a prerequisite for good nursing practice. The factors which facilitate and inhibit provision of care in context are discussed and some implications of the study's findings for nurse educators and service providers are suggested.
Study the association of testosterone levels with insulin resistance in Iraqi men with Diabetes mellitus type 2

This study was set to evaluate the testosterone serum levels and their association with insulin resistance to uncover if any related possible negative consequences in Iraqi patients with Diabetes mellitus (DM). Sixty six men with type 2 DM were randomly selected and compared to 18 healthy volunteers, demographic data were collected in addition to 10 ml of venous blood was drawn to evaluate serum levels of total Testosterone (T), free testosterone (FT), c-peptide, Sex Hormone Binding Globulin (SHBG), lipid profile, and blood sugar. The mean serum level of total testosterone was 2.434 ± 0.12 ng/ml in diabetic patients and 3.62 ± 0.32 ng/ml in non-diabetic subjects which was significantly different (p=0.003). The mean value of free serum level of testosterone was significantly higher in nondiabetic group (14.71 ± 1.4 pg/ml) in comparison with diabetic group (10.71 ± 0.54 pg/ml; p=0.017). Total testosterone correlates positively with FT and SHBG, while negatively with c-peptide, age and Body mass index (BMI). It’s concluded that total testosterone, free testosterone, and SHBG were significantly lower in diabetic group which strongly associated with insulin resistance.
Colonization history of the Canary Islands endemic Lavatera acerifolia, (Malvaceae) unveiled with genotyping‐by‐sequencing data and niche modelling

Differentiation of island lineages from mainland relatives and radiation after initial colonization are two important processes generating island diversity. Both of these processes are influenced by colonization dynamics and contemporary connections between island species and their source populations. The classic island progression rule model, that is dispersal from mainland to older islands and subsequently to younger islands, can be considered a null hypothesis, particularly for islands that are geographically aligned perpendicular to the mainland coast with ages inversely proportional to distance from the mainland. Alterations to this pattern have been reported, particularly in archipelagos that are geographically closely adjacent to mainland source populations. Here we aim to integrate genomic and environmental niche data to infer the colonization history of a Canary endemic species and to understand its current diversity patterns.
Giant nonossifying fibroma of the distal tibia in adolescents treated by curettage and intralesional cementation

Background. Fibrous cortical defects and nonossifying fibromas are the most common benign non-neoplastic bone lesions occurring in the metaphyses of long bones in children and adolescents. Giant nonossifying fibromas (NOF) are not asymptomatic but usually present with pain and/or pathological fractures due to increased stress. Materials and methods. 20 adolescent patients, 14 males and 6 females, with mean age 18 years and 6 months (range, from 16 to < 21 years); presented to the National Institute of Neuromotor system, Egypt, between September 2007 and September 2009, with giant nonossifying fibromas of the distal tibia. Diagnosis was made by clinical examination, plain radiographs, magnetic resonance imaging, and histopathological reports. Treatment was achieved by curettage without bone graft, but with intralesional filling with bone cement. Evaluation concerning pain, functional activity using MSTS scoring, pathological fracture, and local recurrence were done over a mean follow-up period of 6 years and 2 months (range, 5 to 7 years). Results. Pain and functional activity improved in the twenty patients with mean MSTS score of 29.2 (range, 25 to 30). There was no pathological fracture, no local recurrence, no change in the cement-bone interface, and no arthrogenic problems over the follow-up period. The p value was <0.05. Conclusion. Giant nonossifying fibromas can be treated simply and effectively by curettage and intralesional cementation with excellent functional results.
Probing Beliefs of Secondary Science Teacher on Inquiry-Based Teaching in Bangladesh

Belief is considered to be one of the important factors that influences pedagogy. In inquiry-based teaching (henceforth, IBT), a student-centered pedagogy, instructions of teacher are of particular importance to facilitate students in active and extended learning. Studies found that instructional practices in teaching vary from teacher to teacher. Belief might be one of the factors for such variation. Several others studies explored the relation between the belief and practice, but no research has been conducted so far in Bangladesh regarding secondary science teachers’ beliefs and practices in IBT. The problem discussed here is, therefore, whether there is any consistence between belief and IBT and challenges to implement IBT. The aim of the research was to explore if teachers’ beliefs on IBT influences actual classroom practice of science teachers and associated challenges. For this, a qualitative approach is used. To collect data, four teachers of Physics, Chemistry, Botany, and Zoology subjects at secondary level were conveniently selected. Firstly, classroom observation with a belief schedule was used to understand the actual practice of teachers. Next, the teachers were provided with a belief schedule where teachers beliefs were reflected. A semi-structured interview was also used to collect data from science teachers. Result shows that the teachers who believed science learning was associated with inquiry-based scientific practices, imparted it in their practice and vice versa. Large class size, interest, and abilities of students, insufficient time for preparation are the major constraints found in this study. Contents of the textbook are not in line with the curriculum was another major challenge. Mitigation of such contextual constrains and the adoption of inquiry-based curriculum should come along with the adjustment of content in the textbook. At the same time, it may be useful to unpack the beliefs of teachers and reflect on what own beliefs mean for practice.
Cardiac assessment in Wilson’s disease patients based on electrocardiography and echocardiography examination

Introduction Wilson’s disease (WD) is a rare genetic disorder that leads to impairments in copper metabolism. Patients principally exhibit liver and neuropsychiatric symptoms, but because copper also accumulates in all body organs, other (typically milder) clinical symptoms can occur. To date, cardiac involvement has not been thoroughly investigated in patients with WD. This study aimed to evaluate heart structure and function in patients with WD with commonly available diagnostic methods. Material and methods We compared 125 WD patients with an age- and sex-matched control group. Patients with WD were grouped according to their dominant symptoms – neurologic or hepatic. All subjects underwent clinical, electrocardiographic (ECG), and echocardiographic examinations. Results All subjects had sinus rhythm on electrocardiography. The only ECG parameter that differed between patients with WD and the control group was the QRS prolongation (92.0 vs. 86.4 ms; p < 0.05). On echocardiography patients with WD exhibited more hypertrophy in the left ventricle than controls (posterior wall in diastole: 1.0 vs. 0.93; p < 0.01) and the left ventricle hypertrophy was more pronounced in the neurologic than in the hepatic subgroup (1.05 vs. 0.96 cm; p < 0.01). Left ventricular systolic function was similar in the WD and the control group (ejection fraction: 67.5% vs. 67.7%). On tissue Doppler echocardiography patients with WD demonstrated slowing of myocardial relaxation, which was more evident in the neurologic group. Conclusions Heart involvement in WD was manifested mainly by mild left ventricular hypertrophy and subclinical changes in diastolic function, particularly in the patients with the neurologic form of disease.
Wound Healing and the Effect of ANNAS; a New Product of AnbarNesa

Background: AnbarNesa smoke is used to treat skin ulcers and many inflammatory conditions in Iranian traditional medicine. Avicenna used it to treat vaginitis and uteritis and named it Anbar (smoke) Nesa (women). Objectives: The current study aimed at applying the smoke in modern medicine; since it was not soluble in water or in alcohol, it was solved in propylene glycol and the new product called ANNAS. Then the wound healing activity of ANNAS was examined on the incisional wounds created on the dorsum of male Wistar rats. Methods: By means of biopsy punch, two full-thickness incisions were made on different sides of the rats’ vertebral column and treated daily by one drop of ANNAS or propylene glycol randomly. The wounds were excised on days 14 and 21; then stained with anti-SMA antigen for myofibroblast cell detection. The myofibroblasts were counted at the surface and deep layers of the dermis as indicators of wound scar by optical microscopy. Results: The obtained results showed that the number of myofibroblasts was significantly lower in surfaces and deep layers of the dermis and, consequently, in the entire dermis of lesions treated with ANNAS compared to the ones treated with propylene glycol on days 14 (P < 0.002) and 21 (P < 0.0001). Conclusions: It seems that AnbarNesa decreases keloid formation and prevents scar creation. Besides, hair follicles, dermal appendages, and sebaceous glands were also observed on day 21 in lesions treated with ANNAS, which was a novel finding reported for the first time and could be a proof for the acceleration of wound healing by the invented drug, ANNAS.
Genetic diversity among Puntius sophore complex using restriction fragment length polymorphism

: Restriction Fragment Length Polymorphism (RFLP) analysis of genomic DNA was employed to characterize species of Puntius sophore complex, a benthopelagic freshwater fish species. Samples of five species of Puntius viz, Puntius sophore, Puntius amphibius, Puntius chola, Puntius bimaculatus and Puntius dorsalis from the east flowing Tamiraparani and Kuzhithurai and west flowing Tamiraparani river basins (Western Ghats) were analyzed. The restriction enzyme employed (Hind III) generated species-specific DNA patterns for each of the five species. DNA exhibited considerable polymorphism among species. All samples showed relatively high values of diversity. The relation between species is discussed.
Physical fitness, balance and falls in older adults

Introduction. In The second leading worldwide cause of deaths regards accidental injury and concern individuals aged 65 or above. Falls are preventable, but the consequences of falls can lead to injuries and result in loss of independence. The present study aims to analyse the relationships between risk of fall, physical activity level (PA level) and physical fitness among elderly practitioners of physical exercise interventions. Basic procedures. The data were collected through a demographic questionnaire; history of falls; PA level and physical fitness. Statistical analysis was performed using IBM® SPSS®, version 24.0 for Windows (p≤0.05). Main findings. Sixty-two seniors participated in the study. These subjects took part in physical exercise programmes from the community of Beja, Portugal (females: n=48; 77.4%), with an average age of 73.27±5.45 years. Results. It was found that elderly people with lower levels of strength, balance and cardiorespiratory fitness are at a higher risk of falls (p<0.05). There were no relationships between the risk of falls and the PA level. Conclusions. The results highlight the need for more specific research about strength and balance interventions in older adults that report falls, in particular, the identification of intrinsic and extrinsic risk factors to prevent falls.
A Novel Joint Angle Estimation Method for Serial Manipulator Using Micro-Electromechanical Systems Sensors

This article focuses on the use of low-cost micro-electromechanical systems (MEMS) magnetic, angular rate, and gravity (MARG) sensors in the field of estimating the joint angles of revolute serial manipulators. In particular, an easy-to-install joint angle estimation method, named the incremental decomposition method (IDM), is proposed. It allows the MEMS MARG sensors to be mounted in any attitude on any position of the manipulator's links, with at least one attitude measurement unit on the output side of each joint. The IDM is completely independent from the encoder-based joint angle estimator. Hence, it can work as an assistant fault-detection criterion for the economical robotic arms. A robotic arm with six degrees of freedom is used as the experimental setup. The IDM can estimate the manipulator's joint angles by fusing the attitude quaternion output by the MARG sensors. To validate the performances and limitations of this method, five experiments have been accomplished in this article. The experimental results are reported in order, in comparison with the high-resolution encoders.
Homozygous and Heterozygous CCR5-(DELTA)32 Genotypes Are Associated With Resistance to HIV Infection (Epidemiology)

Objective: To investigate evidence for resistance to HIV-1 infection associated with the heterozygous genotype CCR5 -+/[DELTA]32 and with the homozygous genotype CCR5-[DELTA]32/[DELTA]32, which results in a nonfunctional CCR5 receptor. Design: Cohort study of initially HIV-seronegative high-risk individuals from eight different cities. Enrollment data were analyzed to investigate the association of demographic factors and risk behaviors with CCR5 genotypes on the assumption that increased genotype prevalence among persons with histories of longer or more intensive exposure to HIV would indicate HIV resistance associated with that genotype. Longitudinal data were analyzed to investigate the association of HIV seroincidence with CCR5 genotypes. The cohort of 2996 individuals included 1892 men who have sex with men (MSM), 474 male injection drug users (IDUs), 347 women at heterosexual risk, and 283 female IDUs. Measurements: CCR5 genotype, HIV serostatus, demographic factors, and risk behaviors during the 6 months before enrollment, followed by measurement of HIV seroincidence during the subsequent 18 months (for men) and 24 months (for women). Results: Forty (1.3%) subjects were homozygous CCR5-[DELTA]32/[DELTA]32 and 387 (12.9%) were heterozygous CCR5 -+/[DELTA]32. All but 1 CCR5-[DELTA]32/[DELTA]32 individuals and 51 CCR5 -+/[DELTA]32 individuals were Caucasian. Among 1531 Caucasian MSM, CCR5 -+/[DELTA]32 individuals were present more frequently (22.3%) among those reporting unprotected receptive anal intercourse than among those not reporting this risk (15.9%) (p = .002), suggesting a selective advantage of the heterozygous genotype. CCR5 -+/[DELTA]32 individuals also had a significantly reduced relative risk of HIV seroconversion adjusted for unprotected receptive anal intercourse compared with CCR5 -/+ individuals (relative risk = 0.30, 95% confidence interval [CI]: 0.08–0.97). CCR5-[DELTA]32/[DELTA]32 prevalence among Caucasian MSM was significantly associated with age among subjects recruited from high HIV
Telling a Tale: How Underachievement Develops in Gifted Girls

In this multiple-narrative inquiry, we examined the narratives of four underachieving gifted girls to identify aspects that appear to have contributed to the onset, development, and resolution of academic underachievement. We found that academic achievement was disrupted when the participants experienced a sudden increase in curricular demands when transitioning to middle or high school. Participants’ negative self-perceptions, lack of learning skills, and negative relationships with teachers commonly contributed to the maintenance of the underachievement. Finally, the underachievement began to resolve when the girls had a clear goal in mind, which for three of them was being accepted to college.
Patient-reported outcomes in ovarian cancer

VOL. 5, N. 2, 2017 1Department of Gynecology, Obstetrics and Urology, Policlinico Umberto I, “Sapienza” University of Rome, Roma, Italy. 2Clinical Trials Unit, Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione G. Pascale IRCCS, Napoli, Italy. Correspondence to: Ilaria Sabatucci, MD, Dipartimento di Scienze Ginecologiche, Ostetriche e Urologiche, Policlinico Umberto I, Viale del Policlinico 155, 00161 Roma, Italy. Phone: +39 06 4997 2564 – Fax: +39 06 4997 2535 E-mail: ilaria.sabatucci@uniroma1.it CANCER BREAKING NEWS 2017;5(2):51-54 DOI: 10.19156/cbn.2017. 0049 Patient-reported outcomes in ovarian cancer
Valproic Acid Monotherpay And Endocrine Abnormalities In Women With Epilepsy

VALPROIC ACID MONOTHERPAY AND ENDOCRINE ABNORMALITIES IN WOMEN WITH EPILEPSY Fardin Faraji1, Mohammad Reza Rezvanfar2*, Afsoon Talaie-Zanjani3 and Afsaneh Morteza4 1Associate Professor of Neurology, Arak University of Medical Science, Arak, Iran. 2Endocrinology and Metabolism Research Center, Associate Professor of Internal Medicine, Arak University of Medical Science, Arak, Iran. 3Msc of Nutrition, Faculty of Medicine, Islamic Azad University, Arak branch, Iran. 4Farzan Clinical Research Institute, Tehran, Iran. ABSTRACT Objective: Women with epilepsy have an increased risk of several endocrine disorders. Here we aim to study the prevalence of endocrine disorders, obesity, poly cystic ovarian syndrome and metabolic abnormalities in women on valproate monotherapy. Methods: It is a cross sectional study; to study the role of valproate sodium on metabolic measures of convulsive women. We obtained information of 40 patients who were exclusively using sodium valproate. We categorized the patients according to the number of risk factors. Results: The patients were stratified according to the number of risk factors, and the variables were compared between groups. There were 10 patients without any risk factor, 20 with one risk factor, and 10 with 2 or more factors for metabolic syndrome. When we compared the studied variables between groups, HDL and HOMA-IR were significantly different between groups, while there were not significant differences between other studied variables. While HDL was negatively correlated with LH in patients without any risk factor (r=-0.705, p<0.05) it was not correlated with it in patients with one risk factor (r=-0.017, p=0.94) and was positively correlated with it in patients with two or more risk factors (r=0.85, p<0.001). Conclusion: We showed the role of valporic acid monotherapy on the markers of metabolic syndrome and hormonal status of women with epilepsy. This is the first report reporting the correlation between LH and HDL in patients using sodium valproate monotherapy. KEYWORDS: Endocrine System Diseases; Epilepsy; Valproic Acid.
WHAT DOES IT MEAN “TO BE A GOOD NURSE”? PERCEPTIONS OF NURSING STUDENTS

“To be a good nurse” is a complex phenomenon. It is the essential goal in nursing training, education and practice, and can be experienced through work practice. However, “to be a good nurse” is taken for granted and is rarely studied, mostly with the focus on personal features and in relation to good nursing and quality of nursing. The aim was to reveal nursing students’ work experience-based perceptions of the personal meaning of “to be a good nurse”. Sample. Research participants comprised 110 final year nursing students. Methods. For data collection were used unstructured individual narrative-based written reflections and the data was analyzed by applying the inductive manifest qualitative content analysis. Results. For nursing students “to be a good nurse” means courage, professionalism, loyalty, humanity, solidarity and caring. It is an individually experienced phenomenon, meaningful for nursing students when they collaborate with nurse practitioners, learn through cooperation and observation, and have the opportunity to act autonomously by taking responsibility for their own actions. Conclusion. “To be a good nurse” is a part of who the student is and the values that s/he holds dear to her/him.