Miracle-dz/UniFAR-FTUs huggingface dataset:
Understanding the social context of school health promotion program implementation

Purpose – Although implementation fidelity is an important component in the evaluation of school health promotion programs, it assumes that teaching is the most relevant teacher role. To understand the social context of program implementation, a qualitative study was undertaken with the aim of identifying the schoolteacher's role in implementing the objectives of the Kahnawake Schools Diabetes Prevention Project (KSDPP), a locally governed Kanienke:haka (Mohawk) community‐based diabetes prevention program.Design/methodology/approach – Prospective semi‐structured interviews were conducted cross‐sectionally with 30 teachers, two administrators and one physical education teacher across four intervention years. Interviews were analysed retrospectively using qualitative thematic analysis.Findings – In implementing KSDPP objectives teachers adopted, to varying degrees, the roles of teaching the health education curriculum, enforcing the school nutrition policy, role modelling healthy lifestyles, and encouraging.
Validación y aplicabilidad de encuestas SERVQUAL modificadas para medir la satisfacción de usuarios externos en servicios de salud

Objetivo: Validar y evaluar la aplicabilidad de encuestas para medir la satisfaccion de los usuarios en consulta externa (CE) y emergencia (E) de un hospital publico. Material y metodos: Estudio descriptivo, transversal, basado en la encuesta SERVQUAL. Las variables del constructo luego de perfeccionamiento consecutivo, incorporaron las principales actividades del proceso de atencion y requisitos de calidad de los usuarios externos. La validez de contenido fue analizada con 5 expertos, la validez de constructo por analisis factorial, la consistencia interna por el coeficiente alfa de Cronbach y su aplicabilidad en una muestra no probabilistica de 383 usuarios de CE y 384 de E. Resultados: El analisis factorial mostro que el 88,9 % de la varianza de las variables en CE y 92,5% en E, explicaban los 5 componentes o dimensiones de la calidad. El coeficiente alfa de Cronbach fue 0,984 para CE y 0,988 para E. La satisfaccion global de los usuarios en CE fue 46,8% y 52,9 % en E. Las variables con mayor insatisfaccion en CE fueron: dificil acceso a citas, demora para la atencion en farmacia, caja, modulo SIS y el trato inadecuado; en emergencia: deficiente mejora o resolucion del problema de salud, deficiente disponibilidad de medicinas y demora para la atencion en farmacia, caja y admision. Conclusiones: Las encuestas de CE y E, han demostrado propiedades psicometricas para ser considerados como instrumentos validos, confiables y aplicables, para medir el nivel de satisfaccion de los usuarios externos, identificar las principales causas de insatisfaccion e implementar proyectos de mejora.
Age at Menopause in Educated Women of Amritsar (Punjab)

Abstract In the present study, an attempt has been made to determine median age at menopause and frequency of various related clinical symptoms among educated women of Amritsar district of Punjab. The data for this crosssectional study were collected at random from 539 women aged 40-50 years. In-depth interviews were conducted among Amritsar women for collecting information about menopause and symptoms associated with it. 256 women 47.50%) of the study population were classified as postmenopausal, i.e., having no vaginal bleeding during the last 12 months, and 283 women (52.50%) were perimenopausal, i.e., having irregular vaginal bleeding during the last 12 months. Median age at menopause was 47.54±2.31 years which is close to the estimates from other Punjabi populations. The most common clinical symptoms associated with menopause were hot flushes and night sweats 55.08%), insomnia (53.12%), headache and body-aches (38.28%), fatigue (42.18%), irritability (35.15%), perspiration 34.76%), palpitation (22.26%), short breath (20.31%), nervous tension (10.56%) and depression (8.20%).
Prevalence study of violence and abuse against older women

Paper Conference Safety 2010 World Conference London, September 2010 Title European map of prevalence rates on elder abuse and its impact for future research Authors Liesbeth de Donder, Free University of Brussels, Belgium & AVOW project partners Introduction The World Health Organization and the International Network of the Prevention of Elder Abuse have recognised the abuse of older people as a significant global problem. Notwithstanding this recognition, generally the issue of elder abuse does not emerge as a major theme in research nor in the work of policymakers. Method This research is part of the Prevalence study of Violence and Abuse against Old Women (AVOW) which is funded by the EU's Daphne III programme. The AVOW study aims to provide knowledge about the prevalence of abuse and violence against older women in five European countries (Austria, Belgium, Finland, Lithuania and Portugal). The first phase of the research consisted of providing an overview about the state of the art of prevalence research on elder abuse, survey designs and methods, instruments and results in all European countries. Therefore, an extensive literature search and qualitative content analysis was conducted. Results and conclusion Some EU-countries have a rich history of prevalence research, whereas other countries have just begun to tackle the issue. One of the lacunae concerns reliable data on the prevalence of elder abuse. Research about where, when and how often elder abuse occurs, is largely inadequate and inconsistent. Surveying elders on such a sensitive topic, however, implies a modified questionnaire and an adapted data collection method. Conclusively, substantive attention is paid to develop possible guidelines for future research. Conference website: http://www.safety2010. org.uk/ AVOW website: http://www.thl. fi/en/avow
Perception of social support by individuals with diabetes mellitus and foot ulcers

OBJETIVO: Evaluar el apoyo social percibido y su relacion con las variables sociodemograficas, clinicas y de control metabolico de personas con Diabetes mellitus y ulceras en los pies, con seguimiento ambulatorio. METODOS: Estudio de abordaje cuantitativo, seccional, realizado por medio del Inventario de la Red de Soporte Social. RESULTADOS: Hubo una elevada percepcion de apoyo social en la muestra estudiada, siendo las principales fuentes de apoyo los familiares y los profesionales de la salud. En el estudio de la relacion entre el AS y las variables sociodemograficas, clinicas y de tratamiento, no hubo correlaciones estadisticamente significativas. En cuanto a las variables de control metabolico, el valor de la glicemia plasmatica en ayuno presento relacion directa con el apoyo social. CONCLUSION: La familia fue la fuente de apoyo mas senalada, reiterando su importancia en el proceso del cuidado a la salud.
Clinical manual for laryngectomy and head/neck cancer rehabilitation

Medical/Surgical Examination, Diagnosis, and Treatment. Total Rehabilitation Of The Laryngectomee. Alaryngeal Speech. Teaching Alaryngela Speech. Tracheoesophageal Speech. Characteristics Of Alaryngeal And Glossectomy Speech. Oral Cavity Cancer Rehabilitation. APPENDIX A: Patient Education Materials. APPENDIX B: Problem Solving For TEP. APPENDIX C: Support And Referral Organizations. APPENDIX D: Suppliers And Manufacturers. APPENDIX E: Contents Of A Laryngectomee Kit. APPENDIX F: Laryngectomee Case History And Assessment Form. APPENDIX G: Some Useful And Interesting Websites. References. Index.
INTERNAL OPTICAL URETHROTOMY IN THE MANAGEMENT OF URETHRAL STRICTURES IN NIGERIANS: TECHNIQUE AND OUTCOME

Objectives To evaluate the role of internal optical urethrotomy in the management of patients with urethral strictures seen at the University College Hospital, Ibadan, Nigeria. Patients and Methods The study was carried out over a five year period. The details of the technique used, including measures taken to ensure that the stricture tract is not lost during urethrotomy are described. A total of 40 patients with urethral strictures were treated by internal optical urethrotomy during the study period with an age range of 26-80 years (mean 42.2 years). The aetiology of the stricture was post-infective in 80% of the cases. Results Seventy-five percent of the patients have maintained a satisfactory flow rate of between 15 ml/sec and 28 ml/sec with a mean flow rate of 23 ml/sec after a single attempt at urethrotomy and over a period of follow-up of between 6 months and 5 years. Conclusion Internal optical urethrotomy can be effective in the management of patients with post-infective urethral strictures that do not involve the membranous urethra, and should be attempted in the first instance where the facility exists, particularly as a failed urethrotomy does not jeopardize the management of the stricture by other techniques. African Journal of Urology Vol. 7 No. 2 (May 2001): pp 62-65 Urethrotomie Optique Interne dans le Traitement du Retrecissement Urethral chez les Nigerians: Techniques et Resultats Objectif Evaluer le role de l'urethrotomie optique interne dans le traitement des patients avec retrecissment urethral vus au Centre Hospitalier d'Ibadan au Nigeria. Patients et Methodes L'etude a ete menee pendant une periode de 5 ans. Les details des techniques utilisees, incluant les mesures prises pour s'assurer que la voie retrecie n'est pas perdue pendant l'urethrotomie sont decrites. Un total de 40 patients avec retrecissement urethral ont ete traites par urethrotomie optique interne pendant la periode d'etude avec l'âge qui variait de 26 a 80 ans (moyenne: 42,2 ans). L'etiologie du retrecissement etait post-infectieuse dans 80% des cas. Resultats Soixante-quinze pour cent des patients ont maintenu un debit urinaire satisfaisant entre 15 ml/sec et 28 ml/sec avec un debit moyen de 23 ml/sec apres une seule seance d'urethrotomie et sur une periode de suivi allant de 6 mois a 5 ans. Conclusion L'urethrotomie optique interne peut etre efficace dans le traitement des patients avec retrecissement urethral post-infectieux n'affectant pas l'uretre membraneux, et devrait etre pratiquee d'emblee ou les facilites existent, car l'echec de l'urethrotomie ne coupe pas les ponts pour le traitement du retrecissement par d'autres techniques. African Journal of Urology Vol. 7 No. 2 (May 2001): pp 62-65
The Wellness Book: The Comprehensive Guide to Maintaining Health and Treating Stress-Related Illness

"The Wellness Book" shows readers how to create and control their own well being. Use of the book, in combination with modern medical treatments, will aid in prevention and treatment of a number of illnesses and, according to "USA TODAY," legitimizes the mind/body connection in traditional medicine. Millions of readers are familiar with the work of Dr. Herbert Benson and the Mind/Body Medical Institute from his mega-bestselling book "The Relaxation Response" . With more than 5 million copies in print, it is a classic in the field of mind/body medicine. In "The Wellness Book," Dr. Benson has created the definitive resource that shows readers how to maintain health and treat stress-related illnesses, including high blood pressure, cardiovascular disease, chronic pain, Parkinson s Disease, infertility, insomnia, anxiety, symptoms of HIV and cancer, menopause, and more. "
Tell Me Where It Hurts

The costs of failing to diagnose or treat psychosocial issues can be dramatic. We suggest that psychosocial assessments should be integrated into routine primary care. Results from a recent study are described in which 60% of patients approached were willing to complete a biopsychosocial assessment battery. Of those who completed the survey (N = 125), 46% met criteria for further mental health assessment; only 18% of the sample had a mental health diagnosis listed in their medical record. We conclude that a psychosocial assessment intervention in primary care has the potential to increase provider awareness of biopsychosocial concerns. Clinical implications, including the unique ability of family therapists to provide the care indicated by the assessment intervention, are discussed.
PREGNANCY COMPLICATED BY ACUTE IDIOPATHIC THROMBOCYTOPENIC PURPURA

Two patients are described who had acute severe idiopathic thrombocytopenic purpura (ITP) presenting in late pregnancy. In both there was little or no response to corticosteroid therapy and elective Caesarean section and splenectomy were performed. The babies had marked thrombocytopenia which disappeared spontaneously. It is suggested that in acute ITP Caesarean section is indicated on paediatric grounds and poses no untoward maternal risk when combined with splenectomy and platelet transfusion.
Nursing Leadership for Patient-Centered Care: Authenticity Presence Intuition Expertise

Regional Executive Director North Shore Long Island Jewish Health System. Too often, both nurses and patients witness major breakdowns in the health care system-ineffective communication, unrealistic nurse-patient ratios, tension among staff, abuse of authority, and most importantly, managers drawn away from patients due to administrative duties. This inspiring guide presents engaging, real-life stories of nurses, managers, and leaders who have experienced failures of the system firsthand, and have been motivated to critically examine, address, and resolve them. This collection of narratives includes practical methods, models, and strategies that nurses can apply to enhance and expand their own practices. Readers will gain a wealth of insight on how to overcome narrow-mindedness and egocentrism, to improve their management, leadership, communication, and organizational skills, and ultimately to bring real reform to health care practices and patient care. Key features: Presents stories of actual management issues and how nurse leaders/managers, nursing staff, and patients have handled them; Identifies harmful trends in the health care system that can be analyzed and remedied; Encourages nurse managers to shift the prevailing "system-centered" orientation to one that is "patient-centered"; Provides a phenomenologically based leadership/management model for resolving nursing issues institutionally and individually; Includes methods for addressing cultural and religious barriers among staff. An engaging, enjoyable read, this book will empower readers to learn from these narratives and to dramatically transform the health care system at large.
Associations between Peak Yield and Peak Day with Productive and Reproductive Traits of Holstein-Friesian Dairy Cows in Egypt

Data of 3251 lactation records for the first five lactations of 1022 Holstein-Friesian dairy cows at Alex-Kobenhagen farm during the period from 2000 to 2010 were used to determine the associations between levels of peak yield and peak day with some productive and reproductive traits. The data of peak yield (PY) was categorized as {PY1 (<33.4 kg), PY2 (33.4-<43.03 kg), PY3 (43.03-<52.6 kg) and PY4 (≥52.6 kg)} and the peak day (PD) was expressed as {PD1 (<23.8 d), PD2 (23.8-<77 d), PD3 (77-<131 d) and PD4 (≥131 d)}. The reproductive and productive traits studied were; service per conception (SC), days open (DO), calving interval (CI), total milk yield (TMY), 305-d milk yield (305-MY), lactation period (LP), dry period (DP), fat yield (FatY) and protein yield (ProY). The results revealed that the cows with intermediate peak yield in the first lactation (PY3) tended to stay longer in the herd, on close level of TMY and in intermediate DO value during the five tested lactations, compared with other peak milk yield groups. Moreover, it could be noticed that the PD3 group obtained high TMY and intermediate DO values by the five tested lactations. Insignificant differences have been detected among groups PD1, PD2 and PD3 for all tested traits, except that for SC of group PD3 which was the lowest value. Group PD3 was significantly higher (p<0.05) than group PD4 in TMY, 305-MY, FatY and ProY, while insignificant differences for the reproductive tested traits were detected. The results indicated that regardless of high productive performance, the reproductive performance of cows had early peak milk and delayed DO (PD < DO) was significantly lower (p<0.05) than those had early DO and delayed peak milk. Generally, the present study revealed that cows maintaining peak milk from 77 to <131 day and intermediate peak yield from 43.03 to <52.6 kg could be considered as the most profitable cow. keywords: peak yield, peak day, reproductive and productive performance
Future of Helicobacter pylori Eradication-New Trials

The Korean Journal of Helicobacter and Upper Gastrointestinal Research is an Open-Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. REVIEW ISSN 1738-3331, http://dx.doi. org/10.7704/kjhugr.2012. 12.4. 232 The Korean Journal of Helicobacter and Upper Gastrointestinal Research, 2012;12(4):232-236
Biotechnology of Tissues and Materials in Dentistry — Future Prospects

Regenerative medicine which used medical devices and grafts underwent some changes in recent years, changing to a more biological approach, with use of specific biodegradable bioactive and supports (scaffolds) with cells and / or biological molecules to create a functional tissue repair in a diseased or damaged site. Thus, some newer and inter-related strategies are being used for the regeneration of tissues such as cell injection, cell induction and cells seeded in scaffolds (cell seeded scaffold) (detailed later in this chapter) [2]. These approaches depend on the use of one or more key elements, such as cells, growth factors and matrix for guiding tissue regeneration [3].
Simplified CRB-65 for risk stratification and predicting prognosis in acute pulmonary embolism

Summary Background: Pulmonary embolism (PE) and community acquired pneumonia (CAP) are potentially life-threatening diseases. In CAP CRB-65 is used for risk stratification and prognosis prediction. The aim of this study was to examine a simplified CRB-65 (sCRB-65) for predicting prognosis in PE. Methods: We retrospectively analyzed the data of 182 PE patients. Patients were, according to the score of sCRB-65 (respectively 1 point for dyspnoea, systolic blood pressure < 90 mmHg or diastolic blood pressure60 mmHg, age65years), subdivided in risk-classes 1–4. Risk classes were compared with Kruskal-Wallis test. Logistic multivariable regression and Pearson correlation matrix were calculated for coherence of sCRB-65 and in-hospital death, right ventricular load and PE severity stadium as well as sCRB-65 > 2points and in-hospital death an PE stadium. ROC analysis was performed to evaluate efficiency of sCRB-65 score to predict in-hospital death and PE severity stadium. Results: PE severity stadium, systolic pulmonary artery pressure (sPAP) and frequency of in-hospital death increased with growing risk class. Risk class 1 showed lower PE sever-ity stadium than 2 (P=0.0253), 3 (P=0.0132) and 4 (P=0.00162), lower percentage of patients with sPAP > 30mmHg than 2 (0 % vs. 48.9 %, P=0.0419), 3 (0 % vs. 70.8 %, P=0.00112) and 4 (0 % vs. 75.0 %, P=0.0113). Frequency of in-hospital deaths was higher in risk class 4 than in 1 (P=0.0024), 2 (P=0.00014) and 3 (P=0.000058). Multi-variable logistic regression showed an association between sCRB-65 scored>0 and PE severity stadium (OR 11.42, 95 %CI: 1.35–96.66, P=0.0254), RVD (OR 10.09, 1.16–87.78, P=0.0363) and sPAP (OR 1.08, 1.02–1.15, P=0.0092) as well as a trend towards significance (OR 12.39, 0.90–171.34, P=0.060) between in-hospital death and sCRB-65. sCRB-65 correlated with PE severity stadium (r=0.258, P<0.001) and sPAP (r=0.280, P=0.001). sCRB-65 >2 points was strongly associated with both inhospital death (OR 36.22, 95%CI: 1.59–827.71, P=0.0245) and high-risk PE stadium (OR 57.94, 95%CI: 7.17–468.33, P=0.000141). ROC analysis for CRB-65 predicting in-hospital death and high-risk PE stadium showed AUC values of respectively 0.764 and 0.892 with sCRB-65 cut-off value of 2.5 points, respectively. Conclusions: sCRB-65 is closely correlated with PE severity stadium and load of the right heart as well as prognosis. PE patients with sCRB-65 score >2 points revealed a 36.2-fold risk to die during in-hospital course after acute PE event. Efficiency of sCRB-65 to predict in-hospital death was good.
Evaluation of the Acute and Subchronic Toxicities of Ethanol Leaf Extract of Spathodea campanulata P. Beauv.

Summary: The acute and subchronic toxicities of the ethanol leaf extract of Spathodea c ampanulata , a popular Nigerian traditional anti-convulsant remedy was investigated. For the acute toxicity study, 1000-5000 mg/kg of the ethanol leaf extract were administered to rats and obvious toxic symptoms and mortality 24 hours post-adminstration of the extract were determined. The median lethal dose (LD 50 ) of the extract was determined. In the subchronic study, 750-3000 mg/kg of the extract were administered daily for 90 days. The food and water consumption, body weight changes, as well as heamatological and biochemical parameters were determined periodically. The phytotochemical constituents of the extract were also investigated. Phytochemical analysis revealed the presence of tannins, saponins, anthraquinone glycosides, and flavonoids. The estimated LD 50 of the extract was 4466.84 mg/kg. There was no mortality during the period of study but the animals showed signs of anorexia, weakness, sluggishness and significant (p 0.05). The extract caused significant (p<0.05) increases in serum liver enzymes, AST, ALP and ALT. These changes showed recovery after 28 days post-treatment. These results suggest that the leaf extract of S. campanulata is safe in the treatment of epilepsy. Industrial relevance: Epilepsy is a chronic disorder that requires life-long management. The available anti-epileptic drugs (AEDs) are not only limited by adverse effects, but are not readily accessible in resource poor communities where this disease appears more prevalent. The use of medicinal plants especially Spathodea campanulata in the treatment of epilepsy is very popular in Nigeria. Compared to AEDs, it is very cheap, readily available and relatively free from adverse effects. The results of the present study will enable the industry to produce from natural product an effective AED with little or no side effect and the same time more affordable.
The determinants of gastronomic tourists' satisfaction: a second‐order factor analysis

Despite the importance of the gastronomic experience for tourists' satisfaction/dissatisfaction, and hence for the competitiveness of tourist des- tinations, studies focusing on tourists' satisfaction with their gastronomic experience are virtually non-existent. More importantly, researchers have not yet produced evidence to support a factor structure of gastronomy satisfac- tion. The purpose of this paper is, therefore, to investigate the presence of a single second-order factor by developing and empirically validating a second- order factor analysis model for measuring satisfaction of gastronomic tourists in Portugal. As theorized, satisfaction comprised distinct first-order factors and a single second-order factor. The results suggest that gastronomy satis- faction in a tourism setting is a multidimensional construct comprising three factors: 'gastronomy', 'price and quality' and 'atmosphere'. Among these three first-order factors, 'gastronomy' was the most important determinant of tourist satisfaction, followed by 'price and quality' and 'atmosphere'.