Miracle-dz/UniFAR-FTUs huggingface dataset:
Förändring av rörelserädsla och disability för kroniska ländryggspatienter efter multidisciplinär rehabilitering

Background The majority of the population experiences low back pain at some point during their lifetime. For the most part, people recover quickly, but some develop chronic low back pain. A factor that may contribute to the transition from an acute to a chronic state of low back pain is fear avoidance. Fear avoidance mean that patients may avoid a situation because of fear of pain which may lead to increased disability. There are a lot of different interventions for chronic low back pain and one that has been proven to be effective is multidisciplinary rehabilitation. Objectives The aim of this study was to evaluate the effects of a multidisciplinary rehabilitation program for patients with unspecific chronic low back pain, regarding fear avoidance and disability. Method Eighty-five patients (41 men, 44 women) with unspecific chronic low back pain (>3 months) were recruited from Spine and Joint Center in Ängelholm (SJC). The study used a quantitative prospective study design, and self-reported questionnaires were used to collect data. Fear avoidance was measured with Tampa Scale of Kinesiophobia (TSK) and disability with Quebec Back Pain Disability Scale (QBPDS). A parametric t-test was used to compare data before and after rehabilitation. The correlation was calculated using Pearson ́s coefficient. Results The initial mean score of the group regarding fear avoidance was 40,8 (± 9) points and after rehabilitation the mean score was 32 (± 9) points, an improvement with 8,7 (± 7,5) points (p<0,000). After rehabilitation there were fewer patients scoring high fear avoidance (>37), a reduction of 33 patients (54%). The score for disability before rehabilitation was 46 (± 15,6) points and after 30,3 (± 17,2) points an improvement with 15,8 (± 14,7) points (p<0,000). Forty-nine patients (58%) scored 30% lower disability after rehabilitation. A positive correlation was found between TSK and QBPDS before (r=0,33) (p<0,001) and after rehabilitation (r=0,48) (p<0,001). Discussion The majority of the patients showed a reduction of clinical value of both fear avoidance and disability, and the results from this evaluation compared well with results from other rehabilitation programs. The positive correlation between disability and fear avoidance was similar in comparable studies. This was not a randomised controlled study. The results should therefore be carefully interpreted and evaluated in a new study where a control group is included. Conclusion The evaluation of the SJC rehabilitation program shows good results regarding improvement of fear avoidance and disability.
Dispersion of localized elastic modes in thin supported gold layers measured by Brillouin scattering

The dispersion of higher‐order localized elastic modes of gold layers on glass has been measured by Brillouin scattering. For layer thicknesses h≥100 A the dispersion of the sound velocities is well described by elastic continuum theory, whereas for h<100 A deviations occur due to island formation. The results yield a reliable, nondestructive method to determine either elastic constants and mass density or the thickness of thin supported metal layers.
SMOCC: Design of a Representative Cohort-study of Live-born Infants in the Netherlands

The Social Medical Survey of Children attending Child Health Clinics (SMOCC) was initiated to obtain reference data on morbidity in children in their first two years of life. During 1988 and 1989, the staff of 21 Child Health Clinics recorded data on the pre- and perinatal period, and on the first two years of life, of infants born in the geographically defined catchment areas of these clinics. The cohort is representative of the newborn population of the Netherlands with respect to mother's age at delivery, parity and, to a somewhat lesser extent the level of maternal education and degree of urbanization of residential area. The incidence of preterm birth and of very preterm birth in the sample was 6.8% and 0.66%, respectively. Incidence of low birthweight and of very low birthweight was 6.0% and 0.71%, respectively. Birthweights of singleton infants were in accordance with the national standard (the Amsterdam intrauterine growth charts).
Prevalentiemeting in Duitse verpleeghuizen : de ontwikkeling van een eHealth applicatie.

Background: Healthcare is increasingly confronted with threats caused by healthcare-associated infections. Public Health services are in demand to deal with the problem. Care displaces more often from hospitals to nursing homes and as a result nursing homes have to deal more frequently with these infections. The EurSafety Health-net project deals within the Netherlands and Germany among other things with prevalence measures of healthcare-associated infections. Within this project an eHealth application is developed and implemented in the Netherlands. In this study, the focus was set on the development of a German version of this application and to find out which requirements are needed to implement the application in German nursing homes. Objective: Aim of this study was to get insight in how the Dutch application has to be changed to fit in the German Healthcare system. For this purpose, stakeholders within the German nursing home context were asked about their expectations, needs and wishes about the application and the current situation is inventoried. Methods: The study was conducted in four phases. During the first one a literature study is done to get an overview of the current situation in nursing homes and the differences between the healthcare systems. In the second phase, Interviews with nursing home manager en hygiene specialists were done to see the current situations and find out how the application can fit the stakeholders needs. The third phase was the development of the prototype van de application. This prototype was tested within phase four with a think-aloud usability testing with paper-prototyping elements. Results: The results have shown that the nursing homes reached different stadiums with regard to infrastructural readiness for change and that an implementation has to be planned step by step so that it fits for every nursing home. The application has to be changed with regard to the content because of the wishes of the stakeholders. The design en performance can stay the same as in the Dutch version. Conclusion: To implement the eHealth application in the German healthcare system the current situation of the nursing homes has to be inventoried in detail. The stadiums seem to be an important key factor for the willingness and motivation to use the application.
ADJUSTMENTS IN CORONARY CIRCULATION AFTER EXPERIMENTAL CORONARY OCCLUSION: WITH PARTICULAR REFERENCE TO VASCULARIZATION OF PERICARDIAL ADHESIONS

As disease of the coronary arteries plays such a dominant role in cutting short the productive age of man, it has long been the subject of study. The clinical observations of Morgagni, Rougnon, Heberden and Parry long preceded experimental studies on animals. During the middle of the nineteenth century several investigators, among whom were Erichsen,1Panum,2von Bezold and Breymann3and Samuelson,4observed the effects of ligation or embolism of the coronary arteries. The discussions were mostly concerned with the manner of the cardiac standstill, and the experiments were not designed for study of the collateral circulation in the heart. The greatest controversy arose over a manufactured term, "functional end artery," which was introduced by Cohnheim and von Schulthess-Rechberg5in 1881. In the main, the difficulty arose between the anatomists, who could so clearly see the collateral vessels, and the experimental pathologists, who observed necrosisof the myocardium following ligation
The Effect of a Subthreshold Dose of d‐Tubocurarine on the Neuromuscular Blocking Action of Succinylcholine in Anesthetized Man

Dose‐response curves of succinylcholine (SuCh) were obtained in anesthetized patients by means of mechanograms of the flexion‐grip response of the hand to ulnar nerve stimulation. A subparalyzing dose (0.04 mg/kg b.w.) of d‐tubocurarine (d‐TC) administered prior to SuCh (0.025–1.6 mg/kg b.w.) exhibited a shift of the dose‐response curves toward the right, i.e., a diminishing effect on magnitude and duration of the SuCh induced neuromuscular blockade. The effective dose of SuCh required to produce a half‐maximal inhibition of the contractile force (ED50, 0.12 mg/kg before d‐TC) was increased to 0.3 mg/kg (15 min after d‐TC), 0.26 mg/kg (after 30 min), and 0.23 mg/kg (after 45 min). Thus, d‐TC pretreatment employed under clinical conditions to prevent potential hazards of SuCh requires a significant larger dose of SuCh to ensure consistently adequate relaxation.
Risk of Thyroid Cancer among Chernobyl Liquidators

After the Chernobyl accident in 1986, the “liquidators” or clean-up workers were among those who received the highest radiation doses to the thyroid from external radiation. Some were also exposed to radioiodines through inhalation or ingestion. A collaborative case-control study nested within cohorts of Belarusian, Russian and Baltic liquidators was conducted to evaluate the radiation-induced risk of thyroid cancer. The study included 107 cases and 423 controls. Individual doses to the thyroid from external radiation and from iodine-131 (131I) were estimated for each subject. Most subjects received low doses (median 69 mGy). A statistically significant dose-response relationship was found with total thyroid dose. The Excess Relative Risk (ERR) per 100 mGy was 0.38 [95% confidence interval (CI): 0.10, 1.09]. The risk estimates were similar when doses from 131I and external radiation were considered separately, although for external radiation the ERR was not statistically significantly elevated. The ERR was similar for micro carcinomas and larger size tumors, and for tumors with and without lymph node involvement. Although recall bias and uncertainties in doses could have affected the magnitude of the risk estimates, the findings of this study contribute to a better characterization the risk of thyroid cancer after radiation exposure in adulthood.
The Influence of Perceived Milk Intolerance on Dairy Product Consumption in Older American Adults

Abstract A national probability sample in their 60s (32%), 70s (38%), and 80s (30%) completed a telephone survey (N = 475). Subjective measures indicated that perceived milk intolerance occurred more often in Blacks vs. Whites (35% vs. 17%) and women vs. men (21% vs. 10%). Compared to milk tolerant individuals, milk intolerant individuals were more likely to “not try at all” to consume enough calcium (46% vs. 31%), and more likely to avoid milk during adolescence (30% vs. 15%) and currently (56% vs. 23%). Milk intolerant elders appear at risk for low calcium intakes because of their long history of milk avoidance and lack of concern about consuming enough calcium as adults.
The Effects of Coming Out on Relationships and Health

SUMMARY This study set out to ascertain how open lesbians were about their sexual orientation, using a snowball sample of lesbians in New Zealand. The research looked at how disclosure impacted on lesbian sexual behaviour, self assessed health status, relationships and use of health services. The questions were part of a large survey modelled on a North Health Study (Parr, Whittaker, and Jackson, 1998) which included the SF-36 survey instrument. A standardized set of questions and calculated scoring were used to measure the self-assessed health of respondents (Ware et al., 1993). The 795 return results were compared with a sample of women from Northern New Zealand and a sample of lesbians from the New Zealand Census. The respondents were coded into three groups according to their degree of openness: those who were out to everybody, those who were out to all but one person of significance, and those who were out to a few. Lesbians who were not open to their doctors were more likely to have reported being closeted to employers and parents, to smoke more, to drink more alcohol, to have less sex, and to earn less money. Respondents who labeled themselves gay reported that they were not so open. of the 77% that were out to their health professional, 5% had received a negative response.
Reproducibility of concentric isokinetic strength of the knee extensors and flexors in individuals with mild and moderate osteoarthritis of the knee

The purpose of this study was to determine the reproducibility of measures for maximum knee extensor and flexor concentric strength on an isokinetic dynamometer in individuals with mild and moderate osteoarthritis of the knee. Twenty eight female patients with 1 st (n = 14) and 3 rd (n = 14) grade unilateral knee OA volunteered for the study. Peak muscle torque of the knee extensors and flexors was measured using an isokinetic dynamometer at angular velocities of 90, 120 and 150 ◦ /s. Test-retest reproducibility of maximal isokinetic torque was evaluated using intraclass correlation coefficient (ICC). Absolute reproducibility was assessed using Bland-Altman analysis, the standard error of measurement (SEM and SEM%) and the smallest real differences (SRD & SRD%). Inter-session relative reproducibility was found to be high in extensor and flexor muscles of individuals with mild OA, with the ICCs values ranging from 0.89 to 0.92 for the concentric knee extension and from 0.90 to 0.93 for the concentric knee flexion, while in the group of individuals with moderate knee OA the same values varied from 0.79 to 0.91 and from 0.75 to 0.93 for the concentric knee extension and flexion, respectively. The Bland-Altman analyses support the findings of high relative reproducibility for the two groups of patients in almost all measurements, except for the extension at 120 and 90 ◦ /s and the flexion at 150 ◦ /s conducted by the individuals with moderate OA. SEM and relative SEM values ranged from 6.7 to 9.4 Nm and from 14.4% to 21.5%Nm for the group with mild OA and from 4.4 to 7.7 Nm and from 14.6% to 21.8%Nm for the group with moderate OA, respectively. SRD and SRD% values across all movement speeds for both knee flexors and extensors ranged from 18.6 to 26.1 Nm and from 39.9% to 59.6%Nm for the mild OA group, respectively, while the same values for the moderate OA group ranged from 12.2 to 21.3 Nm and from 40.5% to 56.8%Nm, respectively. These results indicate that measurements of isokinetic performance at velocities of 90, 120 and 150 ◦ /s provide acceptable reproducibility for evaluation of knee strength in individuals with mild OA of the knee. On the other hand, with regard to knee muscles isokinetic performance, testing of individuals with moderate OA should be conducted during periods of time when the symptoms of the disease subside.
Antidiabetic Potential of Endophytic Bacterial Fraction of Murraya Koenigii (L.) Spreng.in Rats

Prasanna Vasantarao Habbu, Basavraj S. Patil, Manjunath V Salagare, Smita D. Madagundi, Rashmi V. Vankudri, Sunil T. Shukla, Venkatrao H. Kulkarni Postgraduate Department of Pharmacognosy & Phytochemistry, S E T’s College of Pharmacy, Dharwad Karnataka, India. Animal Facilitation Centre of Shree Dhanvantary Pharmaceutical Analysis & Research Centre, Surat, Kim, Gujarat, India. Postgraduate Department of Pharmacology, S E T’s College of Pharmacy, Dharwad, Karnataka, India.
Instrumentation in single‐access laparoscopic surgery

Single‐access laparoscopic surgery is gaining wide acceptance from surgeons. Multiple instruments and the scope are inserted in a restricted area, specifically a small incision. However, the ports, instrument handles, light guide, and camera head tend to clash outside the abdomen. The rule of triangular formation is violated, causing problems that do not occur in standard laparoscopic surgery. To cope with these issues, progress has been made in the design of scopes, instruments and access devices. The aim of this article is to provide an overview of these new methods and tools, so that single‐access laparoscopic surgery becomes safer for patients and less demanding for surgeons.
Cognitive Predictors of Satisfaction in Hong Kong Institutional Care Residents

This article reports one of the first known studies which examine the association between cognitive factors and older people’s satisfaction with residential care. These factors are conceptually related to but have seldom been examined in institutional care. They include perceived service performance, service expectation, expectancy disconfirmation (operationalized as the difference between service expectation and perceived performance), perceived care need, and care need fulfillment. Face-to-face interviews were conducted with Chinese Hong Kong residents from 11 government-funded long-term care homes randomly and proportionately selected from two strata based on facility size. Finally, 405 residents were successfully interviewed. Path analysis revealed that perceived performance, expectancy disconfirmation, and being female predicted residents’ satisfaction with care. Perceived care need and care need fulfillment exerted an indirect effect on residents’ satisfaction through perceived performance. It is suggested that cognitive factors as perceived by the residents be included as predictors of resident satisfaction in long-term care.
Salvage procedures for the painful chronically dislocated hip in cerebral palsy.

UNLABELLED The aims of this study were to report functional outcomes of salvage procedures for patients with cerebral palsy (CP) who have chronic dislocation of the hip using validated scoring systems, and to compare the results of three surgical techniques. We reviewed 37 patients retrospectively. The mean age at the time of surgery was 12.2 years (8 to 22) and the mean follow-up was 56 months (24 to 114). Patients were divided into three groups: 14 who underwent proximal femoral resection arthroplasty (PFRA group 1), ten who underwent subtrochanteric valgus osteotomy (SVO group 2), and 13 who underwent subtrochanteric valgus osteotomy with resection of the femoral head (SVO with FHR group 3). All patients were evaluated using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) and the Pediatric Quality of Life Inventory (PedsQL). Significant improvements occurred in most CPCHILD and PedsQL subsection scores following surgery in all patients, without significant differences between the groups. There were 12 post-operative complications. Less severe complications were seen in group 1 than in groups 2 and 3. Salvage surgery appears to provide pain relief in patients with CP who have painful chronic dislocation of the hip. The three salvage procedures produced similar results, however, we recommend the use of PFRA as the complications are less severe. TAKE HOME MESSAGE Salvage surgery can be of benefit to patients with CP with chronic painful hip dislocation, but should be limited to selected patients considering complications.
Clinical investigation of neonatal jaundice

Serum bilirubin levels of 93 neonates aged between 0 and 14 days were estimated. The bilirubin levels were determined spectrophotometrically at 570 nm (Direct) and 540 nm (Total) at the pediatric unit, Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria using continuous sampling techniques. It was established that the number of neonates with hyperbilirubinemia decreased with age. The mean concentration of direct, indirect and total bilirubin of jaundiced neonates were significantly elevated (p 0.05) in bilirubin levels between the age groups tested in this study. Neonatal Jaundice is a serious health problem concern with prolonged case that could be of grave or even fatal consequences. It is therefore pertinent from the result shown in this study that, close monitoring of bilirubin levels is essential during early infancy. Key words: Bilirubin, neonates, jaundice, incidence age.
Are Pets a Source of Support or Added Burden for Married Couples Facing Dementia?

In studies that have explored pet ownership in families affected by dementia, reported benefits have ranged from improvements in patient behavior to reduction in caregiver blood pressure. In this exploratory study, the impact of dementia on relationships among pets, caregivers, and care recipients was examined using content analysis of open-ended questions included in a telephone survey. Female spouse caregivers who owned pets were asked how their (and their husband's) relationship with their pets changed since they started caring for their husband. Most caregivers reported that they felt closer and more attached to their pets than previously. However, some caregivers reported that their pets created an additional burden and that they and their spouse had less time to care for the pets since the onset of illness. Findings highlight the need for further research to explore the unique benefits and burdens of owning a pet for families affected by dementia.
Open-Set Monosyllabic Speech Perception Test for Preschool Children

Background and Objectives：An open-set monosyllabic speech perception test is necessary, not only to devise habilitation programs but to select candidates and estimate performance in pediatric cochlear implant program. The purpose of this study is to develop a validated open-set monosyllabic speech perception test for preschool children. Subjects and Method：Qualitative test development was based on vocabulary familiarity, syllabic and phonemic frequency, and phonetic balancing between the lists. The devised test lists were applied to 138 normal hearing children and 46 children with cochlear implant to examine the validity and reliability. Results：The final two test lists were made up of 100 items with 260 phonemics. The consequential validity of this devised test was proven by the applied results that the speech perception score of children with implanted devices was significantly lower than that of normal children, when controlling for the length of auditory experience. Conclusion：The developed monosyllabic speech perception test is the validated instrument for preschool children. It is sensitive to perceptual characteristics of articulatory function in cochlear implanted children. The validity of this test needs to be enhanced by clinical application and further item analysis. (Korean J Otorhinolaryngol-Head Neck Surg 2009;52:312-21)
Estimation of Soil Water Properties

ABSTRACT RELATIONSHIPS of soil water tension and hydraulic conductivity with soil water content are needed to quantify plant available water and to model the move-ment of water and solutes in and through soils. Field and laboratory measurement of these hydraulic soil proper-ties is very difficult, laborous, and costly. To provide the best estimates possible from previous analyses, a com-prehensive search of the literature and data sources for hydraulic conductivity and related soil-water data was made in 1978. From this search, data for 1,323 soils with about 5,350 horizons from 32 states were assembled. From the data, the Brooks and Corey water retention parameters, soil water retention volumes at 0.33 bar and 15 bar, total porosity, and saturated conductivities for the major USDA soil textures classes were developed. Also, relationships for predicting water retention volumes for particular tensions and saturated hydraulic conductivities based on soil properties are presented.