Miracle-dz/UniFAR-FTUs huggingface dataset:
MoDNN: Local distributed mobile computing system for Deep Neural Network

Although Deep Neural Networks (DNN) are ubiquitously utilized in many applications, it is generally difficult to deploy DNNs on resource-constrained devices, e.g., mobile platforms. Some existing attempts mainly focus on client-server computing paradigm or DNN model compression, which require either infrastructure supports or special training phases, respectively. In this work, we propose MoDNN — a local distributed mobile computing system for DNN applications. MoDNN can partition already trained DNN models onto several mobile devices to accelerate DNN computations by alleviating device-level computing cost and memory usage. TWo model partition schemes are also designed to minimize non-parallel data delivery time, including both wakeup time and transmission time. Experimental results show that when the number of worker nodes increases from 2 to 4, MoDNN can accelerate the DNN computation by 2.17–4.28 X. Besides the parallel execution, the performance speedup also partially comes from the reduction of the data delivery time, e.g., 30.02% w.r. t. conventional 2D-grids partition.
A singular value decomposition based Kalman filter algorithm

A novel Kalman filter algorithm for the discrete linear filtering problem has been developed. The crucial component of the algorithm involves the computation of the singular value decomposition of an unsymmetric matrix without explicitly forming its left factor which has a high dimension. The proposed algorithm has good numerical stability and can handle correlated measurement noise without any additional transformations. This algorithm is formulated in the form of vector-matrix and matrix-matrix operations, so that it is also useful for parallel computers. Details of the algorithm are provided, and a numerical example is given. <<ETX>>
Vyas A (2015) Incidence of Dysphotopsia in Patients Implanted with the C-flex ® Intraocular Lens with 360° Enhanced Edge: A Questionnaire-Based Study

Background: To evaluate the incidence of dysphotopsia associated with the hydrophilic C-flex® monofocal intraocular lens (IOL) with 360° enhanced edge in patients undergoing cataract surgery. Design: Single-centre (hospital), consecutive case study Participants: Forty patients (average age, 76.6 years [range, 62-85 years]) without co-morbidity who underwent phacoemulsification surgery. Methods: All patients were implanted with the hydrophilic C-flex® (570C) monofocal IOL (Rayner Intraocular Lenses Limited, Hove, UK) through a 2.8 mm incision. The C-flex® has 360° enhanced edge designed to reduce the centripetal migration of the lens epithelial cells. Patients underwent a slit lamp examination 1 day, 1 week, 1 month and 3 months postoperative, and were asked to complete a questionnaire describing any visual symptoms at their one-month or three-month visit. Main outcome measures: Incidence of dysphotopsia and patient satisfaction. Results: Eighteen (45%) patients reported no ocular symptoms at their 1 or 3 month postoperative visit, and none of the 22 (55%) patients who did report visual disturbances found their symptoms debilitating. The most common post-operative visual phenomenon was glare, reported by 23% of patients; unwanted imagery was noted in 17% (7) patients. Almost all patients (98%) patients stated that they were either very satisfied or satisfied with their visual outcomes following C-flex® lens implantation. Conclusion: The C-flex® IOL was associated with a low incidence of dysphotopsia and a high degree of satisfaction with postoperative visual outcomes. Unwanted imagery, which could be related to the lens implant, occurred in only one out of forty patients.
The Promising Future in Medicine: Nanorobots

Nanorobotics is an emerging field of nanotechnology which deals with design and construction of devices at an atomic, molecular or cellular level. These hypothetical nanorobots will be extremely small and would transverse inside the human blood. As these nanorobots would have special sensors to detect the target molecules, it can be programmed to diagnosis and treat various vital diseases. The nanorobots such as respirocytes, microbivores and clottocytes are been designed to act as artificial substitutes of blood. The respirocytes are intend designed to mimic all the important functions of red blood cells and also used in treatment of anaemia, heart attack, lung diseases etc where as the clottocyte mimics the natural process of hemostasis and microbivore follows the process of phagocytosis to destroy the blood borne pathogens. This paper will look at how the recent advancements in nanorobotics that have led to the designing and development of these nanorobots which will act as the most efficient blood substitutes.
Role of echocardiographic dyssynchrony parameters in predicting response to cardiac resynchronization therapy

Aims In the present study, we compare different echocardiographic cardiac dyssynchrony parameters, both of intraventricular and interventricular dyssynchrony, in order to predict response to cardiac resynchronization therapy (CRT). Methods and results In a population of 77 heart failure patients scheduled for CRT, we measured the interventricular mechanical delay (IVMD) and we analyzed six different parameters of intraventricular dyssynchony: the tissue Doppler imaging (TDI) septum-lateral wall delay, the systolic dyssynchrony index; the three-dimensional SD of the time to reach minimum systolic volume for 16 left ventricular segments (3D-SDI); the speckle-tracking radial, circumferential and longitudinal dyssynchrony. At 6 months of follow-up, 61 (79%) patients were responders (⩽15% in left ventricular end-systolic volume). On baseline analysis, 3D-SDI, radial strain, longitudinal strain and circumferential strain and IVMD were significantly higher in responder group (10.8 ± 3.9 vs. 7.6 ± 1.8% for 3D-SDI; P = 0.003; 212 ± 91 vs. 125 ± 36 ms for radial strain, P = 0.0003; 185 ± 83 vs. 134 ± 53 ms for longitudinal strain, P = 0.02; 190 ± 80 vs. 130 ± 54 ms for circumferential strain, P = 0.006; 45 ± 21 vs. 30 ± 20 ms for IVMD; P = 0.01). On univariate and multivariate analysis, only IVMD was significantly associated with a complete echocardiographic response to CRT. 3D-SDI and radial strain present the better values of sensitivity and specificity, overall if associated to an evaluation of IVMD (sensitivity 76%, specificity 88%, for 3D-SDI + IVMD; sensitivity 80% and specificity 85% for radial strain + IVMD). Conclusion The novel parameters, such as 3D-SDI and speckle-tracking (particularly radial strain), offer better diagnostic accuracy in identifying patients who are responders to CRT. The addition of the contemporary parameter of IVMD improves the diagnostic accuracy.
Connected health: emerging disruptive technologies.

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PET study in subjects from two Italian FAD families with APP717 Val to Ileu mutation

Cerebral glucose metabolism was investigated with 2‐[18F]‐fluoro‐2‐deoxy‐D‐glucose ([18F]FDG) and positron emission tomography (PET) in seven members belonging to two Italian families with familial Alzheimer's disease (FAD) and APP717 Val to Ileu mutation. The aim of the study was to identify the pattern of cerebral hypometabolism in the affected patients and the possible occurrence of brain metabolic changes in the APP mutated subjects. The two patients with FAD, when compared with normal age matched controls, showed a severe bilateral hypometabolism in parietal and temporal regions, as well as in the prefrontal areas, which were more affected on the left side. Subcortical thalamic structures were also involved in one patient. In a comparison with a group of patients with sporadic AD, the most affected cerebral areas in the FAD patients were the prefrontal regions and the thalamus, bilaterally. One of the four mutated subjects, with an age close to the family age of disease onset, in a comparison with normals, showed metabolic reductions in the right thalamus, in the left dorsolateral frontal cortex and, bilaterally, in the frontal orbital regions. This regional brain hypometabolism was present in a preclinical phase, 1 year before the onset of dementia. In the three younger subjects carrying the mutation, a metabolic reduction was detected in the thalamus, bilaterally. These results demonstrate that a pattern of cerebral hypometabolism involving cortical and subcortical structures is present in FAD patients with APP717 Val to Ileu mutation. Cerebral hypometabolism may occur in pre‐symptomatic and young asymptomatic APP717 mutated FAD subjects and it can be detected by a highly sensitive procedure such as PET.
Payment Reform Pilot In Beijing Hospitals Reduced Expenditures And Out-Of-Pocket Payments Per Admission.

In 2009 China announced plans to reform provider payment methods at public hospitals by moving from fee-for-service (FFS) to prospective and aggregated payment methods that included the use of diagnosis-related groups (DRGs) to control health expenditures. In October 2011 health policy makers selected six Beijing hospitals to pioneer the first DRG payment system in China. We used hospital discharge data from the six pilot hospitals and eight other hospitals, which continued to use FFS and served as controls, from the period 2010-12 to evaluate the pilot's impact on cost containment through a difference-in-differences methods design. Our study found that DRG payment led to reductions of 6.2 percent and 10.5 percent, respectively, in health expenditures and out-of-pocket payments by patients per hospital admission. We did not find evidence of any increase in hospital readmission rates or cost shifting from cases eligible for DRG payment to ineligible cases. However, hospitals continued to use FFS payments for patients who were older and had more complications than other patients, which reduced the effectiveness of payment reform. Continuous evidence-based monitoring and evaluation linked with adequate management systems are necessary to enable China and other low- and middle-income countries to broadly implement DRGs and refine payment systems.
A Cognitive-Behavioural Group Intervention for People with Chronic Insomnia: An Initial Evaluation

An interest in the nonpharmacological management of chronic insomnia led to the establishment of a treatment group in which occupational therapists have been involved. The outcome data from seven groups are presented. Sleep diaries indicate a modest improvement in total sleep time, with further improvement at 3-month follow-up. Participant feedback shows that people with insomnia value expert advice and support as well as meeting others with similar problems. Additional research and evaluation are planned, but these findings suggest that the programme should be developed further. It is argued that the management of insomnia is an appropriate area of concern for occupational therapists.
2000 Military Recruiter Survey: Overview Report

Abstract : In 1989 the first Recruiter Survey was administered to obtain baseline information regarding field recruiters perceptions of issues related to recruiter quality of life. Since then, the Recruiter Survey has been administered in 1991, 1994, 1996, 1998 and 2000. The survey results provided are based on returns from active-duty Service production recruiters- those with at least one year of recruiting experience and assigned a goal/mission.
Novel Treatment for Osteonecrosis of the Humeral Head Using the Trufit Plug: A Synthetic Bone-Graft Substitute

Treatment of avascular necrosis of the humeral head is a challenging clinical problem because patients often present at a young age with established destruction of bony tissue. Reccommended surgical treatment at this stage of the disease is joint replacement surgery using a metal implant, although this has potential complications. The present case report describes the novel use of a synthetic bone-graft substitute (TruFit plug; Smith & Nephew, Andover, MA, USA) that was successfully used to restore full range of movement and completely alleviate pain in a patient with stage II avascular necrosis of the right humeral head.
Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison.

Low-income and minority communities are disproportionately affected by incarceration, which exacerbates health disparities. Through enhanced primary care, the Transitions Clinic Network (TCN) seeks to improve the health of people with chronic conditions who return to their communities from prison. Using TCN data, we assessed the impact of early engagement in primary care and referral from correctional systems to TCN on the use of acute care (emergency department visits and hospitalizations) and recidivism. Of 751 patients, 29.8 percent were referred by correctional partners, and 52.7 percent were engaged in TCN care within one month after release. In the twelve months after release, patients referred by correctional partners had fewer acute care visits, compared to those referred by community-based partners, while early engagement was associated with more acute care visits. Neither referral by correctional partners nor early engagement was significantly associated with recidivism. Our findings suggest that health equity for this vulnerable population could be achieved through improved coordination between correctional and community health care systems.
Students' Experiences With Real-Patient Tutorials in a Problem-Based Curriculum

Background: To bridge the gap between preclinical and clinical education that still exists in the problem-based medical school at Maastricht, tutorial groups in which clinicians guided and discussed students' interactions with real patients were introduced in the preclinical program. Purpose: To find out what students find instructive in these patient tutorial groups and how this should be interpreted in relation to the problem-based character of the curriculum. Methods: Two focus groups were composed of participants of the patient tutorial groups in 1996� 1997.They discussed relevant issues in two sessions and approved reports of the outcomes. Results and Conclusions: Students found the real-patient contact in the tutorials very valuable. They had not practiced taking a history to formulate and test a differential diagnosis with patients before. Problem-based tutorials with written cases were said to frequently lack depth of discussion. Individual contacts with simulated patients were found to be importa.
Mortality Amenable to Health Care in 31 OECD Countries: Estimates and Methodological Issues

This study assesses the potential of the concept of “mortality amenable to health care” as an indicator of outcome for health care systems. It presents estimates of the mortality amenable to health care in 31 OECD countries for the period 1997-2007. It measures the sensitivity of this indicator to the list of death causes considered to be “amenable to care” by comparing results obtained from two leading lists. It then presents the advantages of this indicator over indicators of general mortality, as well as its limitations. Cette etude evalue dans quelle mesure l’indicateur de « mortalite evitable grâce au systeme de soins » peut etre utilise comme indicateur de resultat du systeme de soins. Elle presente des estimations de cette mortalite evitable par les soins pour 31 pays de l’OECD et pour la periode 1997-2007. Elle mesure la sensibilite de l’indicateur a la liste de causes de deces considerees comme evitables par les soins en comparant les resultats obtenus a partir de deux listes alternatives. Puis, elle presente les avantages de cet indicateur sur les indicateurs de mortalite generale, ainsi que ses limites.
Factors influencing quality of life among family caregivers of patients with advanced cancer: A causal model

A decrease in the quality of life among family caregivers of advanced cancer patients negatively influences the quality of care provided. Thus, evaluating caregiver quality of life and related factors is very significant because it can guide nurses to maintain health status and ability of caregivers to provide caring for their loved one. This study, based on the Stress Process Model, examined causal relationships among caregiver’s age, education, income, caregiver burden, family hardiness, coping, social support, and quality of life among family caregivers of patients with advanced cancer. A sample of 275 caregivers was recruited from two tertiary hospitals in the Central Region of Thailand. Data were collected via seven questionnaires including a demographic data questionnaire, the Zarit Burden Interview , the Family Hardiness Index , the Jalowiec Coping Scale , the Social Support Questionnaire , and the Ferrans and Powers Quality of Life Index Cancer Version-III and analyzed through use of descriptive statistics and path analysis. The final model of factors influencing quality of life among family caregivers of patients with advanced cancer fitted the empirical data and explained 45% of the variance in caregiver quality of life. The results also indicated caregiver age, social support and family hardiness had significant direct positive effects on caregiver quality of life; whereas, burden had a significant negative direct effect on this, and an indirect effect through social support and family hardiness. The findings suggest that nurses should develop a program focused on reducing burden, enhancing caregivers’ support and family hardiness, and helping them to maintain their quality of life. However studies to evaluate this program are needed test this causal model in other populations in Thailand. บทคดยอ : วตถประสงคของการวจยครงนเพอศกษาความสมพนธเชงสาเหตของอาย ระดบการศกษา รายได ภาระในการดแล ความเขมแขงของครอบครว วธการเผชญความเครยด แรงสนบสนนทางสงคม และคณภาพชวตของญาตผดแลผปวยมะเรงระยะลกลาม กรอบแนวคดทใชพฒนามาจาก stress process model และการทบทวนวรรณกรรม กลมตวอยางคอญาตผดแลผปวยมะเรงระยะลกลาม จำนวน 275 คน ทมารบบรการ ณ โรงพยาบาลระดบตตยภม ในสงกดกระทรวงสาธารณสข จำนวน 2 แหงเกบรวบรวมขอมลโดยใชแบบสอบถามจำนวน 6 ชดคอขอมลสวนบคคล แบบสอบถามภาระในการดแล ดชนความเขมแขงของครอบครว การเผชญปญหา แรงสนบสนนทางสงคม และดชนคณภาพชวตวเคราะหขอมลโดยใชสถตขนพนฐาน และการวเคราะหอทธพลเชงสาเหต ผลการศกษา พบวา แบบจำลองสดทายทปรบมความสอดคลองกบขอมลเชงประจกษและสามารถทำนายความผนแปรของคณภาพชวตของญาตผดแลผปวยมะเรงระยะลกลามได 45% โดยอาย แรงสนบสนนทางสงคมและความเขมแขงของครอบครวมอทธพลโดยตรงทางบวกตอคณภาพชวต ภาระในการดแลมอทธพลโดยตรงทางลบตอคณภาพชวต และมอทธพลทางออมตอคณภาพชวต ผานแรงสนบสนนทางสงคม และความเขมแขงของครอบครว ผลการวจยชใหเหนวาในการจดโปรแกรมการดแลสำหรบญาตผดแลผปวยมะเรงระยะลกลามควรจดโปรแกรมทมงสงเสรมใหญาตผดแลไดรบการสนบสนนทางสงคมและมความเขมแขงของครอบครวเพมขน ลดภาระในการดแล และคงไวซงการมคณภาพชวตในระดบสงในชวงสองปแรกของการดแล นอกจากนควรจะมการศกษาวจยในระยาวหรองานวจยเชงทดลองตอไปในอนาคต
Developing Iranian patient safety indicators: an essential approach for improving safety of healthcare

Abstract Background: Patient safety indicators are valuable tools by which to monitor quantitatively patient safety. Objective: We developed patient safety indicators for the Iranian health system. Methods: Fifty-four patient safety indicators were identified in literature and 24 of them were selected as candidate indicators. In the first round of Delphi, panelists agreed upon 20 of them and suggested eight new indicators. In the second round, four uncertain and eight new indicators were evaluated. In this round, nine indicators were agreed upon and three were dropped. Conclusion: This study suggested 29 consensus-based indicators for the Iranian health system to assess safety of care. Establishing reporting systems and pilot testing of this set of indicators are strongly recommended.
Using a 'Yellow Card' in the Objective Structured Clinical Exam: Does it Add to the Identification of Problem Postgraduate Trainees in General Practice? An Exploratory Study to Identify High Risk Trainees

Background: The Objective Structured Clinical Examination was designed 30 years ago by Harden ea. It is used to assess various components of medical competence. The OSCE is considered as a reliable and objective tool to evaluate clinical competences in standardized patient encounters. Although, reliability, validity and reproducibility an OSCE remain subject of debate. These days the question arises if a compensatory or an additional rating is advisable for the final pass-fail decision. Aim: The aim of the study is to add to the identification of high risk postgraduate trainees in general practice by means of ‘a yellow card system’ (red flagging). Method: During 8 OSCE-sessions, including 354 GP-trainees, observers were asked to deal a yellow card in case of ‘alarming performance’. These acts were defined as dramatic or dangerous shortcomings on three levels: theoretical, practical and behavioral level. Result: During three academic years, involving 354 trainees, only 41 yellow cards were dealt. One single observer was responsible for one quarter of all allocations. During two sessions half of all cards were dealt. Trainees remembered with a yellow card were more likely to underperform on all assessments except on the internship. During their internships, trainees with a yellow card did not show remarkable or alarming behavior. Conclusion: Flagging alarming events during the OSCE does not identify high risk trainees. The idea of ‘flagging’ is not be abandoned but moved to other assessment situations
Central regulation of 1/f fluctuations of heart rate variability in patients with coma

1/f-like fluctuations of the HR variability (HRV) and circadian or ultradian rhythms of the HR were studied in comatose patients to: (1) examine how the central nervous system affects the heart rate (HR) dynamics; and (2) evaluate the usefulness of spectral analysis of the HRV for the assessment of the comatose state. Circadian changes of the HRV were observed in the comatose state patients. The authors also detected an ultradian rhythm of the heart rate with a cycle length of 1000-2000 sec. The circadian and ultradian amplitude decreased in a brain-dead patient. The slope of the log-log scaled power spectrum of the HRV was -1.2 in a patient with locked-in syndrome and -2.06 in the brain-dead patient. There was a plateau in the power spectrum between 0.001-0.0005 Hz. The level of consciousness effect on the HR dynamics and the analysis of the 1/f fluctuation or the circadian changes of the HRV might afford one useful information for the evaluation of coma patients. <<ETX>>