Miracle-dz/UniFAR-FTUs huggingface dataset:
A Phenomenological Study of Health Professionals’ Perceptions of Good and Bad Pediatric Hospital Deaths, Self-Care Needs and Lingering Distress

The death of a child is devastating. Although death is a part of every life, a child dying seems out of order in current times and in the context of Western Healthcare. Health professionals (HP) caring for dying children frequently report suffering. In the past four decades, HP have been concerned with providing a "good death" for patients at the end-of-life (EOL). While studies have shown what a good death includes in elderly patients in various settings, few studies have examined what constitutes a good death for pediatric patients within the hospital setting. No studies were found examining healthcare workers in all care areas within a children's hospital in the context of a specific death event. This qualitative study applied an interpretive phenomenological approach which is ideal in studying this topic because the researcher is attempting to interpret the meaning of the phenomena-namely HP lived experiences of good and bad deaths in the pediatric hospital setting, self-care needs being met subsequent to a pediatric hospital death and ongoing distress after caring for a dying child in the pediatric hospital. Health professionals working in an urban children's hospital in Southern California provided this data. Pre collected, open-ended text entries were analyzed from over 300 surveys. Directed content analysis was performed utilizing the method described by Hsieh and Shannon (2005). Analysis of good and bad death data was directed by empirical domains of the Quality of Dying and Death instrument proposed by Downey et al. (2010). Themes were categorized under four domains: symptom control, preparedness, connectedness, and transcendence. Several subthemes were nested under each domain. Data related to meeting the needs of HP fell under the themes: focus on patient and family, resources, and cohesion. Emerging themes related to HP report of ongoing distress were: bad death, external factors, and internal factors. Implications for future research as a result of this study include: exploration of sudden pediatric death events, exploration of the concepts, parents letting go, and everything done, and the subjective nature of a good death among HP.
The Accuracy of Tuberculosis Notification Reports at a Private General Hospital after Enforcement of New Korean Tuberculosis Surveillance System

Background : The committee of tuberculosis(TB) survey planning for the year 2000 decided to construct the Korean Tuberculosis Surveillance System (KTBS), based on a doctor's routine reporting method. The successful keys of the KTBS rely on the precision of the recorded TB notification forms. The purpose of this study was to determine that the accuracy of the TB notification form written at a private general hospital given to the corresponding health center and to improve the comprehensiveness of these reporting systems. Materials and Methods : 291 adult TB patients who had been diagnosed from August 2000 to January 2001, were enrolled in this study. The lists of TB notification forms were compared with the medical records and the various laboratory results; case characteristics, history of previous treatment,
Meta-topolin: an alternative for the prevention of oxidative stress in sugarcane micropropagation

ABSTRACT The influence of two aromatic cytokinins (CKs), 6-benzylaminopurine (BAP) and meta-topolin (mT), on in vitro propagation and redox metabolism of sugarcane (Saccharum spp., variety RB98710) was investigated. Plants were cultured in Murashige and Skoog (MS) medium supplemented with mT (5 µmol.L-1) or BAP (5 or 6.66 µmol.L-1) for 40 days. The use of mT provided an increase in the multiplication rate and stem length of plants and shoots when compared to BAP. Shoots generated from the mT treatment presented low malondialdehyde (MDA) content and superoxide dismutase (SOD) activity, although they had higher hydrogen peroxide (H2O2) content. Thus, the H2O2 did not act as a stress marker, but it is related to plant growth and development processes.
Heart disease Prediction System Using data Mining Techniques

In today’s modern world cardiovascular disease is the most lethal one. This disease attacks a person so instantly that it hardly gets any time to get treated with. So diagnosing patients correctly on timely basis is the most challenging task for the medical fraternity. A wrong diagnosis by the hospital leads to earn a bad name and loosing reputation. At the same time treatment of the said disease is quite high and not affordable by most of the patients particularly in India. The purpose of this paper is to develop a cost effective treatment using data mining technologies for facilitating data base decision support system. Almost all the hospitals use some hospital management system to manage healthcare in patients. Unfortunately most of the systems rarely use the huge clinical data where vital information is hidden. As these systems create huge amount of data in varied forms but this data is seldom visited and remain untapped. So, in this direction lots of efforts are required to make intelligent decisions. The diagnosis of this disease using different features or symptoms is a complex activity. In this paper using varied data mining technologies an attempt is made to assist in the diagnosis of the disease in question.
Monolayer Nitrides Doped with Transition Metals as Efficient Catalysts for Water Oxidation: the Singular Role of Nickel

Exploration of precious-metal-free catalysts for water splitting is of great importance in developing renewable energy conversion and storage technologies. In this paper, on the basis of density functional theory calculations, we reveal the link between the oxygen evolution reaction (OER) activities and the electronic properties of pure and first-row transition-metal (TM)-doped AlN and GaN two-dimensional monolayers. We find that Ni-doped layers are singularly appealing because they lead to a low overpotential (0.4 V). Early TM dopants are not suited for the OER because they bind the intermediate species OH or O too strongly, which leads to very large overpotentials, or no OER activity at all. The late TM dopants Cu and Zn show less or no OER activity as they bind the intermediate species too weakly. Although in many cases the overpotential can be traced back to an OOH intermediate species being adsorbed too weakly compared to an OH species, the Ni dopant breaks this rule by stabilizing the OOH adsorbant. The stabilization can be correlated with a switch from a high-spin to a low-spin state of the dopant atom. This ability to change spin states offers an exciting ingredient for the design of OER catalysts.
Employment of solar photovoltaic‐thermoelectric generator‐based hybrid system for efficient operation of hybrid nonconventional distribution generator

Solar photovoltaic system (SPV) has gained tremendous popularity among researchers as well as in industrialists. Although SPV is a transparent way of electricity generation; still, it suffers from lower quantum efficiency. During the conversion process, solar insolation received by the SPV array turns the system intensely heated at the back side of the modules giving rise to high temperature. This heat is further utilized by the process of thermoelectric effect for electricity generation by thermoelectric generators (TEGs). The combined photoelectric‐thermoelectric effect generates a significant amount of power for the system. This paper portrays on implementation of the aforementioned SPV‐TEG system in hybrid nonconventional distribution generator (h‐NDG) in order to retrieve enough power from SPV array giving rise to higher active power delivery to the system and lower the reactive power absorbance by the system. The comparative analysis is done under two subsystems such as solar PV‐TEG‐wind energy system (WES) over solar PV‐WES and solar PV‐TEG‐fuel cell technology (FCT) over SPV‐FCT. Several constraints like active power, reactive power, and solar power are studied for every subsystem under healthy and faulty conditions. The entire system is modeled, studied, and validated in the MATLAB‐Simulink environment.
What Are Rates

Hourly Technical Support Internal Rates External Rates Classroom Technical Support $80.00 $100.80 Audio Setup Panel Discussion $80.00 $100.80 Audio Setup Large Venue Audio $80.00 $100.80 Video Recording $80.00 $100.80 Video Editing $80.00 $100.80 Video Conference Setup, monitor $80.00 $100.80 Live Stream/Capture in Capture Ready Rooms $80.00 $100.80 Live Stream/Capture with Portable System (Pending Availability) $80.00 $100.80
Healthcare Utilization and Expenditure Associated with Newly Diagnosed Epilepsy among Seniors of Arizona Medicaid Beneficiaries

Purposes: The purpose of this study was to estimate the incidence rate of epilepsy in 2009 among various patient populations of Arizona seniors enrolled in Medicaid. Additionally, this study aimed to assess the incremental and relative economic and healthcare resource burden of new-onset epilepsy compared with those without newly diagnosed epilepsy. Methods: Arizona Medicaid claims data years 2008 through 2010 were used for this analysis. Patients who were at least 65 years of age as of January 1, 2009 and were continuously enrolled in any coverage group pertaining to Arizona Medicaid for at least 12 months during 2008 and 2009 were considered eligible for the 2009 cohort; patients who were continuously enrolled during 2008 but not at all during 2009 were excluded. In addition to meeting the criteria for the 2009 cohort, incident cases of 2009 must also have epilepsy-related healthcare claims, a one-year clean period during which they cannot have any epilepsy-related healthcare claim, and that their first epilepsy-related healthcare claim in 2009 cannot have with a diagnosis code of 345.x1. The outcome variables assessed included incidence rate of being diagnosed with epilepsy, total monthly healthcare costs, total monthly inpatient costs, total monthly outpatient costs, total monthly prescription costs, incidence rate of inpatient stay, and incidence rate of
Selective Detection of Aromatic Nitrophenols by a Metal–Organic Framework-Based Fluorescent Sensor

Because of serious environmental pollutions, the detection of hazardous and explosive nitro-aromatic compounds using metal–organic frameworks (MOFs) has been a promising research field in the current scenario. Here, we report a new fluorescent MOF, [Zn2(TCPE)(tta)2]·2DMF·4H2O·2Me2NH2+ (HNU-34, H4TCPE = 1,1,2,2-tetra(4-carboxylphenyl)ethylene, 1H-tta = 1H-tetrazole), which possesses a three-dimensional configuration and one-dimensional channels along the c-axis. It can serve as a luminescence sensor for the detection of nitrophenol explosives through different quenching effects, especially for mononitrophenol and dinitrophenol. The detection limits of 2,6-dinitrophenol and trinitrophenol are 29.45 and 36.15 nM, respectively, which are among the high level of the reported MOF sensors, especially for dinitrophenol.
Fluoro-substitution in hydrogen bonding liquid crystal benzoic acid: dielectric, electro-optic and optical proprieties and inducing polar nematic phase

ABSTRACT Dielectric and electro-optic properties have been studied in order to understand the effect of the fluoro-substitution on hydrogen bonded liquid crystal proprieties. The fluoro-substitution alters the characteristics of pure LC structure and changes its physical parameters. In the present paper, variation in physical parameters like dielectric permittivity, response time, elastic constant, rotational viscosity etc. has been explained based on many factors. In addition, the fluorine substitution has lead to the appearance of the polar nematic phase. Graphical Abstract
Understanding pain in people who have had breast cancer

Background: The number of people surviving breast cancer is increasing. Pain is rarely a symptom of breast cancer and for many individuals their first experience of cancer pain is during treatment. Individuals who have been treated for cancer may experience ‘long-term effects’, symptoms which arise from treatment but persist into remission, or ‘late effects’, symptoms which commence after remission. This is an emerging area in the cancer literature and the prevalence, degree and management of these effects are currently being explored. Electronic pain monitoring offers a potential solution to the clinical issue of managing pain in survivors of breast cancer, but at present pain in breast cancer survivors is not routinely monitored. It is yet to be found exactly which information and at what frequency will be most reliable, tolerable and useful. Aims: Therefore this study aimed to compare pain diaries completed either when pain occurred (pain event driven) or at specific times (time driven). These online pain diaries included rating pain on a pain scale, its interference with daily activities and a requirement to predict pain for the following 12 hours. The study also explored how the individuals experienced using the online diaries and the pain scales. Design & methods: The study used a mixed methods case series design consisting of visual analysis, correlation and thematic analysis. Ten participants were recruited who had all previously been diagnosed with breast cancer and were at least 2 years post-surgery and currently cancer-free, having received a number of different treatments. Participants were required to complete pain diaries, including predicting their pain, over a 12 day period switching between pain event driven and time driven (twice daily) schedules according to a predetermined pattern. Participants then took part in a semi-structured interview and a scaling task involving the 10 point pain scale. Results: Pain levels and interference from pain varied greatly within and between individuals. The total number of diaries completed by each participant varied from four to seventeen. There were no significant differences in responses between the two diary types, and participants did not express a strong preference for one over another. The majority of predictions made were either ‘same as today’ or ‘don’t know’. It was not possible to determine prediction accuracy in most cases. Thematic analysis of interview data generated three meta-themes: (1) making sense of experiences, (2) uncertainties about the future and (3) research is beneficial. Conclusions: This technology has shown great promise as an engaging, practical way to monitor pain. Predicting pain remains a difficult yet interesting task for participants. Limitations and wider implications are discussed.
Second-Line Chemotherapy in Advanced Biliary Tract Cancer: A Retrospective Analysis

ratio of cholangiocarcinoma (intrahepatic or extrahepatic), gall bladder cancer, and ampulla of Vater cancer was 41 (63.1%):18 (27.7%):6 (9.25%). Half of the patients (33 patients, 50.8%) were treated with gemcitabine-based and 28 patients (43.1%) with 5-fluo- rouracil-based therapy. The response rate was 3.0% and disease control rate was 21.5% in intention-to-treat analysis. Median overall survival (OS) was 7.2 months (95% confidence interval (CI), 3.9 to 10.5 months) and median progression free survival (PFS) was 3.7 months (95% CI, 2.5 to 4.9 months). In multivariate analysis, patients with good performance status (PS) (P = 0.001) and chemo-sensi- tive tumor to 2nd line chemotherapy (P = 0.000) had longer PFS as compared to the others. In addition, patients with good PS (P = 0.003), chemo-sensitive tumor to 1st line (P = 0.046), and 2nd line chemotherapy (P = 0.004) were good prognostic factors for OS. Conclusion: The effect of 2nd line chemotherapy in advanced BTC was modest and maybe beneficial in select patients.
Epidemiology and pathophysiology of malignant hypertension

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Transformational learning in health care students through international service in developing world environments

of Dissertation Transformational Learning in Health Care Students Through International Service in Developing World Environments Health care and health care education are in dynamic transition in attempting to address the increasing demands of a diverse global population across a widening gap in health resource constraints. Health care students must be prepared to care for a much wider patient population across a diverse spectrum of cultures, economics, and technologic facilities with resourceful approaches. Individual students and practitioners of the healing arts, and the educational system that supports them, should undergo transformational learning to address these new realities in expanding paradigms of health and health care. This study was designed to observe health care students and practitioners in the setting of international medical missions in the developing world. Almost all of the participants reported changes characteristic of transformational learning brought about through encounters with developing world patients, and most qualified these changes in both perceptions and practices as profound, life-changing experiences. These reported changes were measured with a previously validated quantitative instrument, Perceptions of an International Healthcare Mission Questionnaire, with responses correlated with demographics and answers to semistructured qualitative questions in essays and followup interviews. On the basis of these positive findings, it can be recommended that the opportunity of international health care missions be made more widely available for students. The students themselves benefit, as well as the developing world patients who
Extraction and Characterization of Hydrocolloid Pectin from Goron Tula (Azanza garckeana) fruit

Pectin is a naturally occurring biopolymer and hydrocolloids are polymeric cross-linked network structures, both can be used for food and pharmaceutical applications. This study investigated the effect of temperature, time and pH on the yield, physicochemical characteristics of water soluble pectin extracted from Azanza garckeana fruits. The pectin was extracted using the acid extraction method followed by 96% alcohol precipitation. The optimum temperature, time and pH for the extraction of pectin for both dried and wet fruits were determined to be 850C, 90 minutes and 2 respectively. The yields of pectin under these optimum conditions were found to be 24.38 and 26.75% for DAG and WAG fruits extracts respectively. Temperature, extraction time and pH showed a significant effect on the pectin yield with the wet sample extracts been the highest. The physicochemical properties determined under these optimum conditions were found to be; equivalent weight; 813.64 and 840.55 mg/mol, methoxyl content: 6.62 and 7.43% anhydrouronic acid content; 60.90 and 66.40% degree of esterification; 72.45 and 85.95%, moisture content; 2.21 and 1.80% and ash content; 0.80 and 0.60% for DAG and WAG fruits extracted pectin respectively. The swelling ratio was observed to increase with increasing temperature, and swelling medium also has significant influence on the swelling ratio, as it increased with high pH due to complete hydrolysis of carboxylate. FTIR was also utilized for characterizing the pectins and hydrocolloid which was favourably compared with the available standards. Generally, the findings of the study showed that the pectin extracted from Azanza garckeana fruits can find industrial applications, especially in food processing and pharmaceutical industries.
A Novel Solid Substrate Room Temperature Phosphorimetry for the Determination of Trace Cytochrome C and Forecast of Human Diseases

The reaction between fullerenol (F-ol) and cytochrome C (Cyt C) could be carried out to form a nonphosphorescence compound using tween-80 as photosensitizer which causes the sharp quenching of room temperature phosphorescence (RTP) of F-ol. Bearing this in mind, a novel solid substrate room temperature phosphorimetry (SSRTP) for the determination of trace Cyt C has been proposed in this study. Under the optimum conditions, the linear range of this method is – , which is directly proportional to of Cyt C-F-ol–tween-80 system, and the detection limit (DL) is . It has been applied to the determination of Cyt C in human serum and forecast of diseases, and the result matches with the enzyme-linked fluorescence immunoassay (ELISA). Meanwhile, the reaction mechanism of SSRTP for the determination of Cyt C and the enhancing effect of tween-80 on RTP of F-ol were also discussed.
ANTIBACTERIAL COMPOUND of Aspergillus elegans SWEF9 ENDOPHYTIC FUNGI from SEAWEED

The antibiotic resistance of bacterial pathogens has become a serious health concern and encouragement to search for novel and efficient antimicrobial metabolites. On the other hand, endophytic fungi have great potential as a natural source for antimicrobial agents. The objective of this study was to isolation antibacterial compound from endophytic fungi of A.elegans SweF9. The fungus was stationarily cultured at 30°C for 12 days in potato malt peptone (PMP) medium, then extracted with ethyl acetate. The antibacterial activities of the extract were evaluated by agar well diffusion method against Gram-poitive ( Bacillus subtilis and Staphylococcus aureus) and Gram-negative ( Escherichia coli ) bacterial strains. The broth extract was able to inhibit the growth of E. coli , S. aureus and B. subtilis with antibacterial activity index compared to streptomycin sulfate were 84.6%, 91.6%, and 90% respectively. The active compound (1) was purified to yield amorphous white and identified using FTIR, NMR, and EI-MS analyses, revealed identified as (+) - epi-Epoformin. The compound showed an antibacterial activity index of E. coli , S. aureus and B. subtilis bacterial were 38%, 45%, and 47%, respectively. Based on these results endophytic fungi A. elegans SweF9 can be used as a new source of potential antibacterial compounds
Transient deliverability evaluation for a slanted well in a slab gas reservoir

ABSTRACT The present work provides an algorithm to calculate transient deliverability of a slanted well in a slab gas reservoir. Firstly, transient pressure response of a slanted well has been analyzed and the solutions in Laplace space under three boundary conditions have been derived by point source function and Green function. The solutions in real space can be obtained through the Stehfest inversion by using the superposition principle. Based on the transient pressure analysis, a transient productivity analysis method has been presented in this paper. The influence factors of productivity such as the deviation angle of a slanted well, perforation length, permeability anisotropy ratio, and horizontal permeability to the IPR curve and open-potential rate have been discussed.