Miracle-dz/UniFAR-FTUs huggingface dataset:
Too Busy to Talk: Examining Service User Involvement in Nursing Work

Abstract Traditional ideas of mental health nursing are challenged in contemporary healthcare settings by developments focussed on more partnership and collaboration with people using mental health services. Yet service users have reported limited involvement in planning their own care. The purpose of this research was to explore accounts from multiple perspectives about service user involvement in mental health nursing processes. Qualitative research interviews and focus groups with mental health nursing students (n = 18), qualified nurses (n = 17) and service users (n = 13) were conducted, audio-recorded and transcribed verbatim. Participants’ transcribed talk was thematically analysed to examine understandings about service user involvement and mental health nursing. Nursing work was often described as task-focussed, with limited collaboration with service users in areas like care planning. Service user involvement was seldom mentioned by nurses themselves, indicating it did not form an important part of mental health nursing processes. Mental health nurses appear to be complicit in care processes that do not include involvement of service users and may discourage novice practitioners from attempts at engagement.
Associations of Cardiorespiratory Fitness and Muscular Strength with Arterial Stiffness in Older Adults

Purpose: To evaluate the independent and combined associations of cardiorespiratory fitness (CRF) and muscular strength (MS) with arterial stiffness (AS) in older adults. Methods: This cross-sectional study included 427 older adults aged ≥65 years (mean age 72). CRF was assessed by time (seconds) to complete a 400-m walk test and MS by overall grip strength (maximum out of 3 trials on each hand, averaged; Jamar Plus+ 12064). Carotid-femoral pulse wave velocity (PWV) was used to assess AS (AtCor, Sphygmocor Xcel). High AS was defined as a PWV of 10 m/s or greater, as it has been established as a threshold for increased cardiovascular risk. Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) of having high AS across sex-specific tertiles of CRF and MS. Linear and logistic regression were used to investigate the independent associations between CRF or MS with AS. Further, CRF and MS were dichotomized into either weak or unfit (lower one-third for each), or strong or fit (upper two-thirds for each) to investigate the combined associations of CRF and MS with high AS. Results: Sixty-three (17 %) adults were identified as having high AS. In logistic regression, compared to lower CRF (lowest 33%), ORs (95% CIs) of having high AS were 0.44 (0.23-0.85) and 0.46 (0.25-0.94) for middle and upper CRF, respectively, after controlling for age and sex. After further adjustment for mean arterial pressure (MAP) and lifestyle factors, only middle CRF remained significant (OR, 0.48 [95% CI 0.250.94]). Compared to lower MS (lowest 33%), ORs (95% CIs) of having high AS were 0.40 (0.20-0.80), 0.32 (0.15-0.70), and 0.34 (0.15-0.77) for upper MS, after adjustment
POWER SYSTEM FAULT DIAGNOSIS BY USE OF ENCODED PETRI NET MODELS

The diagnosis method for discrete dynamic system is applied to power system and the power system fault diagnosis method based on encoded Petri net is further researched. Taking a transmission line for example, a Petri net model with the object of the line is established and the redundant places are introduced to supervise the status of the places of the previous Petri net. All of the possible faults which may occur in this line are analyzed and a new fault mapping method is proposed. Combining with the error-correcting theory and using the parity check matrix and error syndrome, the status of places in Petri net is verified and corrected. The constitution of the key matrix, i.e., the generation matrix, is given. The results of simulation and calculation show that using this method the simulation is fast, the calculation is simple and by use of error-correcting theory the diagnosis accuracy can be improved, so this method is suitable for real-time on-line monitoring system.
German Universities as Actors in Organizational Design – A Qualitative Study

After the latest reforms in higher education according to the NPM (New Public Management), the autonomy of universities and the organizational perspective have been strengthened. According to predominantly used neo-institutional research in higher education, organizations adapt their structure by the pressure of legitimacy from outside. So the research question arises, if universities are actors and if so, what are the influencing factors on organizational structure. The goal is to point out the reasons for organizational design and if they act on their own or only adapt changes by pressure from outside. For this, interviews with 16 experts in faculty management are conducted and interpreted using qualitative content analysis according to Mayring and Grounded Theory. The results show that it is possible for faculties to change and design their organizational structures. There is staff responsible for this task. They work in the faculty between management and administration. Reasons to change the organizational structure are not caused by legitimacy. Much more, the new tasks cause a real need for new positions. This argumentation is not in line with neo-institutionalism. So the results strengthen the thesis that neo-institutionalism is not sufficient anymore to explain the organizational change of universities.
Association of Il-6 and Il-10 Genes Polymorphisms with Breast Cancer in Egyptian Women

Cytokines are factors that are known to have both tumor-promoting and inhibitory effects on breast cancer growth depending on their relative concentrations and the presence of other modulating factors. Genetic polymorphisms of cytokine-encoding genes are known to predispose to malignant disease. Interleukins -10 and -6 are crucially involved in breast carcinogenesis. The aim of this study is to evaluate the role of IL-6 and IL-10 genes polymorphisms in the pathogenesis of breast cancer in a case – control study of 80 females with breast cancer and 80 healthy females as controls. Patients and controls underwent a clinical examination and finally, one ml blood samples were withdrawn from all cases into tubes containing EDTA as an anticoagulant for analysis of IL-6 and IL-10 genotypes. There were significant association between C allele of the G−174 C promoter single nucleotide polymorphism (SNP) in the IL-6 gene and breast cancer (p = 0.02). But, there were no significant difference in IL-1
A semantic anchoring infrastructure for model-integrated computing

Model-Integrated Computing (MIC) is an approach for model-based design of embedded software and systems. MIC places strong emphasis on the use of domain-specific modeling languages (DSMLs) and model transformation techniques in design flows. Metamodeling facilitates the rapid, inexpensive development of DSMLs. However, the semantics specification for DSMLs is still a hard problem. In this thesis, we propose a semantic anchoring infrastructure including a set of reusable "semantic units" that provide reference semantics for basic behavioral categories using the Abstract State Machine framework. A tool suite for the semantic anchoring methodology is developed to facilitate the transformational specification of DSML semantics. If the semantics of a DSML can be directly mapped onto one of the basic behavioral categories, its semantics can be defined by simply specifying the semantic anchoring rules between the DSML and a semantic unit. However, in heterogeneous systems, the semantics is not always fully captured by a predefined semantic unit. If the semantics is specified from scratch it is not only expensive but we lose the advantages of anchoring the semantics to a set of common and well-established semantic units. Therefore, we extend the semantic anchoring framework to heterogeneous behaviors by developing an approach for the composition of semantic units. The compositional semantics specification approach reduces the required effort from DSML designers and improves the quality of the specification. This thesis also includes three case studies for different purposes. The FSM domain in Ptolemy is used as a case study to explain the semantic anchoring methodology and to illustrate how the semantic anchoring tool suite is applied to design DSMLs. The Timed Automata Semantic Unit is defined as an example to illustrate how to specify semantic units. An industrial-strength modeling language, EFSM, is employed as a case study to explain the compositional semantics specification approach.
How industry can help us fight against botnets: notes on regulating private-sector intervention†

ABSTRACT Could industry improve our response to botnet attacks? If so, how should this private-sector participation be regulated? This paper examines how regulation could be used to facilitate private-sector intervention against robot networks, also known as botnets. The first part is dedicated to exploring botnets and the potential role industry could play to mitigate them. The second part exposes the obstacles that must be addressed by regulators attempting to further industry participation in this arena. The third part outlines starting points for regulating this specific form of private-sector intervention. These starting points build upon the pioneering efforts launched in the Netherlands, US, Germany, and Finland, and present a compass for guiding regulatory choice. Stemming from these considerations, a hard law and two soft law mechanisms are presented as a commencement for regulating industry intervention. Finally, because this paper adopts an international, high-level approach, its findings may support regulatory efforts in various parts of the world, given the omnipresent challenge posed by botnets.
The Electronic Packaging Handbook

Thank you very much for reading the electronic packaging handbook. As you may know, people have look hundreds times for their favorite readings like this the electronic packaging handbook, but end up in harmful downloads. Rather than reading a good book with a cup of tea in the afternoon, instead they juggled with some infectious virus inside their desktop computer. the electronic packaging handbook is available in our book collection an online access to it is set as public so you can get it instantly. Our digital library saves in multiple countries, allowing you to get the most less latency time to download any of our books like this one. Kindly say, the the electronic packaging handbook is universally compatible with any devices to read.
Multimodal intrathecal therapy for phantom limb pain

Introduction: Phantom limb pain (PLP) is a chronic debilitating condition, frequently observed in amputees. At present, there is no standard treatment, and its optimal management requires a multidisciplinary approach in which minimally invasive treatment should be considered in more complex cases. Objective: To report successful treatment of 2 cases of PLP treated with ziconotide as part of multimodal intrathecal management. Materials and methods: Descriptive, retrospective case report developed in a multimodal pain treatment unit. Results: A total of 2 cases of patients with diagnosis of PLP refractory tomedical therapy, treated with intrathecal multimodal therapy, are presented. Their favorable course, with 50% pain reduction, is described. Conclusion: Implantation of infusion systems for administration of intrathecal analgesia with ziconotide at the cervical and supraspinal level proved to be effective in the described cases; this technique should be evaluated in specific trials for the treatment of PLP refractory to other therapies. Resumen Introducción: El dolor de miembro fantasma es una condición crónica debilitante, frecuentemente observada en pacientes amputados. En la actualidad carece de un estándar de tratamiento. Su óptimo manejo requiere un abordaje multidisciplinario en el que el tratamiento mínimamente invasivo debe ser considerado en los casos más complejos. Objetivo: Reportar el éxito obtenido en dos casos de dolor de miembro fantasma tratados mediante ziconotida, como parte del manejo multimodal intratecal. Materiales y métodos: Se trata de un reporte de casos, descriptivo y retrospectivo, desarrollado en una unidad de tratamiento integral del dolor. Resultados: Se presentan dos casos de pacientes con diagnóstico de dolor de miembro fantasma refractario a tratamiento médico, tratados con terapiamultimodal intratecal; se describe su evolución favorable después del inicio de la terapia, con una reducción de dolor del 50 %. Conclusiones: La implantación de sistemas de infusión para administración de analgesia intratecal con ziconotida a nivel cervical y supraespinal demostró ser eficaz en los casos descritos; How to cite this article: Carvajal G, Rocha A, Dupoiron D. Multimodal intrathecal therapy for phantom limb pain: a report of 2 cases. Colombian Journal of Anesthesiology. 2019;47:198–201. Read the Spanish version of this article at: http://links.lww. com/RCA/A858. Copyright © 2019 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.). Published by Wolters Kluwer. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Correspondence: Servicio de Medicina Paliativa, Hospital México, Caja Costarricense de Seguro Social, La Uruca, San José, Costa Rica. E-mail: gcarvajal@costaricapain.com Colombian Journal of Anesthesiology (2019) 47:3 http://dx.doi. org/10.1097/CJ9.0000000000000106 CASE REPORT COLOMBIAN JOURNAL OF ANESTHESIOLOGY. 2019;47(3):198-201 Colombian Journal of Anesthesiology Revista Colombiana de Anestesiología www.revcolanest . com.co OPEN
2.5 Gbit/s Optical Receiver Front-End Circuit with High Sensitivity and Wide Dynamic Range

Abstract An optical receiver front-end circuit is designed for passive optical network and fabricated in a 0.18 um CMOS technology. The whole circuit consists of a transimpedance amplifier (TIA), a single-ended to differential amplifier and an output driver. The TIA employs a cascode stage as the input stage and auxiliary amplifier to reduce the miller effect. Current injecting technique is employed to enlarge the input transistor’s transconductance, optimize the noise performance and overcome the lack of voltage headroom. To achieve a wide dynamic range, an automatic gain control circuit with self-adaptive function is proposed. Experiment results show an optical sensitivity of –28 dBm for a bit error rate of 10–10 at 2.5 Gbit/s and a maxim input optical power of 2 dBm using an external photodiode. The chip occupies an area of 1×0.9 mm2 and consumes around 30 mW from single 1.8 V supply. The front-end circuit can be used in various optical receivers.
Neural metabolic activity in idiopathic tinnitus patients after repetitive transcranial magnetic stimulation

BACKGROUND The central mechanism of idiopathic tinnitus is related to hyperactivity of cortical and subcortical auditory and non-auditory areas. Repetitive transcranial magnetic stimulation (rTMS) is a well-tolerated, non-invasive potential treatment option for tinnitus. AIM To investigate the changes of neural metabolic activity after rTMS in chronic idiopathic tinnitus (IT) patients. METHODS Eleven patients underwent rTMS (1 Hz, 90% motor threshold, 1000 stimuli/day for consecutive 10 d) on the left temporoparietal region cortex. Tinnitus handicap inventory (THI) and visual analogue score (VAS) were assessed at baseline and posttreatment. All patients underwent 18F-fluorodeoxyglucose (FDG) positron emission tomography to evaluate the neural metabolic activity. Data were preprocessed using statistical parametric mapping and Gretna software to extract the regions of interest (ROIs). The correlation between brain areas involved and THI scores was analyzed. RESULTS Baseline and posttreatment parameters showed no significant difference regarding THI score (t = 1.019, P = 0.342 > 0.05) and VAS (t = 0.00, P = 1.0 > 0.05). Regions with the highest FDG uptake were the right inferior temporal gyrus (ITG), right parahippocampa gyrus (PHG), right hippocampus, rectus gyrus, left middle frontal gyrus, and right inferior frontal gyrus in IT patients. After rTMS treatment, IT patients showed increased activities in the right PHG, right superior temporal gyrus, right superior frontal gyrus, anterior insula, left inferior parietal lobule, and left precentral gyrus, and decreased activities in the left postcentral gyrus and left ITG. The ROIs in the right parahippocampa gyrus and right superior frontal gyrus were positively correlated with THI scores (r = 0.737, P = 0.037 < 0.05; r = 0.735, P = 0.038 < 0.05). CONCLUSION Our study showed that 1-Hz rTMS directed to the left temporo-parietal junction resulted no statistically significant symptom alleviation. After treatment, brain areas of the limbic and prefrontal system showed high neutral metabolic activity. The auditory and non-auditory systems together will be the target for rTMS treatment.
Semi-automatic extraction of vascular networks in angiograms

A semi-automatic algorithm for the segmentation of angiographic images is proposed. First, the digital angiogram is smoothed by an image structure preserving technique which is based on homogeneity testing and anisotropic diffusion. Then, the watershed transform is applied to the smoothed image gradient magnitude and the resulting initial image partition is input to a fast hierarchical region merging process. Finally, the vessel regions are extracted from the segmented image by a simple point-and-click interactive procedure. Experimental results on Digital Subtracted Angiograms (DSA) are presented.
Analysis of potential cost reductions related to falls in hospitalized elderly patients by correcting high‐dose prescriptions of sedative hypnotics

Background: Risk factors for falls include older age, diseases, and certain medications. High‐dose sedative hypnotics have been shown to increase the risk of falls, necessitating caution when these medications are used. High‐dose sedative hypnotics have an increased half‐life in elderly patients with reduced hepatic and renal function, which may increase fall risk. Methods: This retrospective survey evaluated the potential cost reductions associated with fall prevention by changing high‐dose prescriptions. For this purpose, the association between falls and high‐dose usage of sedative hypnotics was analyzed in hospitalized elderly patients. Study participants were 267 ambulatory patients aged ≥65 years who were taking sedative hypnotics and were hospitalized for ≥3 days from May 2012 to April 2013 at the Gifu Municipal Hospital, Japan. Patients' age, sex and usage of sedative hypnotics (high‐dose vs. non‐highdose) were analyzed, as well as the costs incurred by tests, drugs, and wages for medical personnel for patients on high‐dose sedative hypnotics who experienced falls. Results: Analysis revealed a significantly higher rate of falls in the group using high‐dose sedative hypnotics (21.4%; 14/224) compared to the non‐high‐dose group (6.3%; 9/42, p=0.004). Assessment of cost demonstrated potential savings of ¥589 per case if falls could be prevented by correcting high‐dose prescriptions. Conclusions: This study indicates that high‐dose prescriptions of sedative hypnotics may be associated with fall risk in the elderly. Correcting high‐dose prescriptions for these drugs would be beneficial not only for medical safety, but also the medical economy.
The Handbook Of Contemporary Semantic Theory

the handbook of contemporary semantic theory is available in our book collection an online access to it is set as public so you can get it instantly. Our books collection saves in multiple locations, allowing you to get the most less latency time to download any of our books like this one. Kindly say, the the handbook of contemporary semantic theory is universally compatible with any devices to read.
Survey of Maximum Power Point Tracking Techniques for Photo-Voltaic Array

In order to increase the output power of photo-voltaic power generation rapidly and accurately, it is necessary to track output of the maximum power. This paper summarizes the methods of Maximum Power Point Tracking (MPPT), and points out the limitations and notes of the MPPT methods. Meanwhile, the double perturb-and-observation method and iterative comparison method are elaborated in this paper. Finally, the study direction in the future is prospected.
Job satisfaction and burnout among professionals in corporate sectors

Job satisfaction and burnout has become a persistent and pervading feature of various corporate sectors. In present scenario, workers are found to be burnt-out and exhausted very soon and the reason for being exhausted is that they are over burdened and highly competitive. The aim of the present study was to compare the level of job satisfaction and burnout in various corporate sector professionals. This cross sectional, analytical study was carried out at Lucknow. By purposive sampling technique 120 subjects were included from various corporate sectors that met the inclusion and exclusion criteria and gave consent for the study. They were evaluated on General Health Questionnaire 12, Job Satisfaction Index and Copenhagen Burnout Inventory. Analysis of assessment tool results showed there was no significant difference in the level of job satisfaction and the degree of burnout, but trend was found in the area of work burnout by multiple comparisons of all groups with Post Hoc Test by Bonferroni Method. The findings of the present study suggest that the level of job satisfaction and the degree of burnout were almost similar in various corporate sectors. However, findings suggest a trend towards higher work burnout in professionals in Multinational Corporation in comparison to the Professionals in Public Sector Corporation. Keywords: Job satisfaction, Burnout, Public sector, Private sector, Multinational corporation.
Models and algorithms for spectrum coexistence in wireless networks

OF THE DISSERTATION Models and Algorithms for Spectrum Coexistence in Wireless Networks by Shweta S. Sagari Dissertation Director: Dr. Wade Trappe Dr. Dipankar Raychaudhuri Dr. Larry Greenstein In the last decade, there have been several technological trends that have occurred together and have caused a shift in how wireless systems will be deployed. The significant increase in the capabilities of mobile devices, combined with the proliferation of Internet enabled services, and the improvement in the communication support provided by new waveforms for wireless communications, have initiated a shift from the traditional, macrocell-based cellular network to new forms of radio access technologies (RATs) involving multiple, smaller cells deployed in vicinity of each other. These small cells will often support diverse wireless technologies and be operated by different providers. The resulting heterogeneity, unfortunately, can lead to serious internetwork interference that can negate the improvement in overall system performance that was the original motivation for employing many small cells in close proximity. In this thesis, we examine different technologies that are needed for flexible spectrum management to support the coordination that is needed for coexistence between many small cell wireless networks. Motivated by the need for internetwork architectures that support spectrum coordination, we (1) conduct performance evaluation associated with the joint