Miracle-dz/UniFAR-FTUs huggingface dataset:
The Correlation Between Manners of Conflict and Manners of Communication of Nurses in Emergency Room. Case Study: A Study of Conflict Welding Communication

The concept of “conflict” is not only an interest of area of organizational psychology, but it is also a research area of psychology, sociology, anthropology, economics, and some other disciplines. Due to the increase of demands for societies of health care day-to-day, the analysis of the elements which effect the usage of hospitals efficiently and effectively also comes into prominence. One of those is the phenomenon of “conflict”. Since hospitals are complex structures, the reasons of conflicts that may occur are so varied. There may sometimes be numerous reasons behind a conflict case at a unit. Emergency room is one of the units where the conflicts at hospitals frequently happen. In order to manage a conflict in emergency room, it comes into prominence to diagnose the conflict, to make the necessary intervention, and to bring out the reasons of the conflict. In this case study, the conflict happens as a chain of events by taking a report of a nurse who will come to seizure without informing the other responsible nurse and declaring to the other responsible nurse that four colleagues of the other sentry nurse have not come. The reason of happening of the conflict is the manner of unclear communication. The nurse who will not come to her seizure by taking a report does not inform that and she keeps her taking report secret. The conflict is terminated by win-win logic, a method of problem solving, of the responsible nurse and by participating of other workers in this issue. Mutual clear communication is used and the main reason of the problem is identified as “communication problem”. As a result, it is inferred that communication problems cause hindering work, forming a platform of conflicts, and wasting time. While the conflict is being terminated, communication problems between numerous people are removed by using correct communication ways and it is given a lead to obtain a better communication platform in the organization. Having less problems due to taking care of communication in emergency room after this event shows that this conflict has been resulted in positive outcomes. Keywords: Emergency Room, Nursing, Conflict, Manners of Communication, Case Study.
Clinical manifestation, diagnosis, management, and treatment outcome of pericarditis in patients with systemic lupus erythematosus.

OBJECTIVE To investigate the clinical manifestations, diagnosis, etiology, management, and outcomes of patients with systemic lupus erythematosus (SLE) and pericarditis MATERIAL AND METHOD The authors retrospectively reviewed the records of 81 patients who were diagnosed of SLE according to the American College of Rheumatology criteria and had 82 episodes of pericarditis between 2002 and 2010. The diagnosis of pericarditis was defined as the presence of pericardial effusion alone by echocardiography or having 2 out of 4 of the following criteria: retrosternal pain, pericardial friction rub, widespread ST-segment elevation, and new/worsening pericardial effusion. RESULTS Most of them (92%) were female with the median disease duration (range) of 1 (0-312) month. Cardiac tamponade occurred in 16% (95% CI 8.72-25.58%). There was no statistically significant difference between patients who developed tamponade and those who did not. The causes ofpericarditis included active SLE (93%), and suspected tuberculosis (TB) (5%), with 2% inconclusive. In patients with lupus pericarditis, 71% had other active organ involvement. Most lupus pericarditis patients (79%) had good response to steroid or NSAIDs. Diagnosis of TB pericarditis was made by clinical suspicion without microbiological or pathological evidence. CONCLUSION In an endemic area of TB, lupus pericarditis was still the most common cause of pericarditis in SLE. Most patients responded well to steroid.
Relation of Refractive Index Change to Ti-Concentration in Ti-Diffused LiNbO3 Waveguide Doped With Sc3+

Multimode Ti<sup>4+</sup>-diffused LiNbO<sub>3</sub> planar waveguide doped with Sc<sup>3+</sup> ions was fabricated by codiffusion of stacked Sc<sub>2</sub>O<sub>3</sub> and Ti-metal thin film coated onto Z-cut congruent LiNbO<sub>3</sub> substrate at 1060 °C in wet O<sub>2</sub>. The Ti<sup>4+</sup>-concentration was profiled by secondary ion mass spectrometry. The refractive index profile is constructed from measured mode index, and correlated with the Ti<sup>4+</sup> profile. Other two related issues including the contribution of Sc<sup>3+</sup>-doping to substrate refractive index and Li<sub>2</sub>O out-diffusion were also studied. The results show that the Sc<sup>3+</sup>-doping has little contribution to the substrate index and the Li<sub>2</sub>O out-diffusion was effectively suppressed. The index change and Ti <sup>4+</sup>-concentration follow an exponential relationship with a power index 0.54/0.79 for the ordinary/extraordinary ray. The relationship is similar to that of conventional Ti:LiNbO<sub>3</sub> waveguide because of little contribution of Sc<sup>3+</sup>-doping to the substrate index and effective suppression for Li<sub>2</sub>O out-diffusion. Some considerations for fabricating an optical-damage-resistant Ti:Sc:LiNbO<sub>3</sub> waveguide are given.
ECG arrhythmia recognition using artificial neural network with S-transform based effective features

In this paper, a potential application of Stock-ewell transforms (S-transform) is proposed to classify the ECG beats of the MIT-BIH database arrhythmias. Feature extraction is the important component of designing the system based on pattern recognition since even the best classifier will not perform better if the good features are not chosen properly. In this study, S-transform is used to extract the eight features which are appended with four temporal features. In this work, the performances of two approaches are compared to classify the five classes of ECG beats which is recommended by AAMI EC57 1998 standard (Association for the Advancement of Medical Instrumentation). The first approach uses temporal and S-transform based feature set, whereas the second approach uses the wavelet transform based features. These features from two approaches are independently classified using feed forward neural network (NN). Performance is evaluated on several normal and abnormal ECG signals of the MIT-BIH arrhythmia database using two techniques such as temporal and S-transform with NN classifier (TST-NN) and other wavelet transform with NN classifier (WT-NN). The experimental results demonstrate that the TST-NN technique shows better performance compared to the WT-NN technique.
COMPARATIVE ANALYSIS OF POSTERIOR APPROACHES TO THE MEDIAL TEMPORAL REGION: SUPRACEREBELLAR TRANSTENTORIAL VERSUS OCCIPITAL TRANSTENTORIAL

OBJECTIVE Cortical and subcortical lesions in the posterior portion of the medial temporal region (MTR) are routinely resected through the supracerebellar transtentorial (SCTT) or occipital transtentorial (OCTT) route. We compared the exposures provided by these 2 approaches to this region. METHODS Eight sides of injected cadaver heads were dissected using both approaches. Identical deep target points were collected for SCTT and OCTT routes while accepting variations in initial exposures. Data gathered with the P2–P3 junction as an apex created 2 adjoining triangles (anterior and posterior) in the middle and posterior MTR. Real, projected, and freedom areas were calculated for comparison. RESULTS The approach-related differences for the real and projected areas were expressed in relative values. There were no differences in the percentage of projected area between the 2 approaches (e.g., working in the middle of the opening, anterior triangle: SCTT, 5.2 ± 4.1%; OCTT, 8.4 ± 5.6%; P = 0.313; posterior triangle: SCTT, 8.6 ± 3.8%; OCTT, 8.8 ± 6.3%; P = 0.937). Freedom areas for the SCTT approach were smaller than those for the OCTT approach at many deep points (P < 0.05), except in the posterior margin of the MTR (P = 0.21). CONCLUSION The SCTT and OCTT approaches provided no differences in surgical views to the MTR. However, the OCTT approach provides a wider corridor for surgical manipulation compared with the SCTT approach in most parts of the MTR. These data may help neurosurgeons to select a favorable approach to specific lesions of the MTR.
On the Asymptotic Improvement in the Out- come of Supervised Learning Provided by Additional Nonsupervised Learning

This paper treats an aspect of the learning or estimation phase of statistical pattern recognition (and adaptive statistical decision making in general). Simple mathematical expressions are derived for the improvement in supervised learning provided by additional nonsupervised learning when the number of learning samples is large so that asymptotic approximations are appropriate. The paper consists largely of the examination of a specific example, but, as is briefly discussed, the same procedure can be applied to other parametric problems and generalization to nonparametric problems seems possible. The example treated has the additional interesting aspect that the data does not have structure that would enable the machine to learn in the nonsupervised mode alone; but the additional nonsupervised learning can provide substantial improvement over the results obtainable by supervised learning alone. A second purpose of the paper is to suggest that a new fruitful area of research is the analytical study of the possible benefits of combining supervised and nonsupervised learning.
A framework for adaptive execution in grids

Grids offer a dramatic increase in the number of available processing and storing resources that can be delivered to applications. However, efficient job submission and management continue being far from accessible to ordinary scientists and engineers due to their dynamic and complex nature. This paper describes a new Globus based framework that allows an easier and more efficient execution of jobs in a ‘submit and forget’ fashion. The framework automatically performs the steps involved in job submission and also watches over its efficient execution. In order to obtain a reasonable degree of performance, job execution is adapted to dynamic resource conditions and application demands. Adaptation is achieved by supporting automatic application migration following performance degradation, ‘better’ resource discovery, requirement change, owner decision or remote resource failure. The framework is currently functional on any Grid testbed based on Globus because it does not require new system software to be installed in the resources. The paper also includes practical experiences of the behavior of our framework on the TRGP and UCM‐CAB testbeds. Copyright © 2004 John Wiley & Sons, Ltd.
The induction of endoreduplication and polyploidy by elevated expression of 14-3-3γ

Several studies have demonstrated that specific 14-3-3 isoforms are frequently elevated in cancer and that these proteins play a role in human tumorigenesis. 14-3-3γ, an isoform recently demonstrated to function as an oncoprotein, is overexpressed in a variety of human cancers; however, its role in promoting tumorigenesis remains unclear. We previously reported that overexpression of 14-3-3γ caused the appearance of polyploid cells, a phenotype demonstrated to have profound tumor promoting properties. Here we examined the mechanism driving 14-3-3γ-induced polyploidization and the effect this has on genomic stability. Using FUCCI probes we showed that these polyploid cells appeared when diploid cells failed to enter mitosis and subsequently underwent endoreduplication. We then demonstrated that 14-3-3γ-induced polyploid cells experience significant chromosomal segregation errors during mitosis and observed that some of these cells stably propagate as tetraploids when isolated cells were expanded into stable cultures. These data lead us to conclude that overexpression of the 14-3-3γ promotes endoreduplication. We further investigated the role of 14-3-3γ in human NSCLC samples and found that its expression is significantly elevated in polyploid tumors. Collectively, these results suggests that 14-3-3γ may promote tumorigenesis through the production of a genetically unstable polyploid intermediate.
Ambulatory Blood Pressure Monitoring in the Elderly

The incidence of hypertension is high in the elderly and is present in 2/3 of the patients older than 65 years. Prevalence can reach 90% in patients older than 80 years. The presence of isolated systolic hypertension (ISH) is characteristic of this population. However, the prevalence of hypertension by ambulatory blood pressure monitoring (ABPM) is not well known. In this study, we analyzed the special characteristics of hypertension in this population, giving special emphasis on ABPM readings.
Does febrile neutropenia in adult oncology patients predispose to urinary tract infections or urosepsis?

To the Editor, Febrile neutropenia is an expected result of cancer chemotherapy assessed by absolute neutrophil count (ANC); the lower the ANC count, the greater the risk of infection. Approximately half of the neutropenic patients who become febrile have an infection. Decreased immunity predisposes to infections [1,2]. We conducted a 3-year review of our experience with febrile neutropenic adults admitted to the emergency department (ED) to determine the incidence of urinary tract infections (UTIs) or urosepsis. We used ICD-9 codes to identify febrile neutropenia. Eligible patients were adults over 18 years old with an ANC 1500 white blood cells (WBCs)/mm 3 , who had concomitant/chemotherapy (within 4 weeks from admission), admission temperature of 38.3 ° C (101 ° F), and had admission blood and urine cultures. Other data collected included age, sex, type of cancer, ANC, and urinalysis. The defi nition of a UTI was a positive urine culture of a uropathogen with negative blood cultures. Urosepsis was defi ned as a positive blood and urine culture with the same uropathogen. Febrile neutropenia was defi ned as fever with an ANC of 1500 WBCs/mm 3 . Results were stratifi ed as mild neutropenia (1000 – 1500 cells/ μ l), moderate neutropenia (500 – 999 WBCs/mm 3 ), severe (101 – 499 WBCs/ mm 3 ), or profound neutropenia ( 100 WBCs/mm 3 ) (Table I). In our 3-year retrospective study, 195 admitted adults with febrile neutropenia on chemotherapy were assessed for eligibility. Of these, 109 were evaluable and the average age of these patients was 56.3 years (median 63 years), with 53 females and 56 males. The average ANC with different malignancies was 0.26 (median 0.2 WBCs/mm 3 ) (Figure 1). Two patients (2/109) had bacteremia (1.8%), i.e. one with Neisseria meningitidis and one with Klebsiella pneumoniae. Three patients (3/109) had a UTI (2.8%), Table I. Admitted adults with febrile neutropenia: demographics and type of malignancy.
Rumination, Resilience, and Posttraumatic Stress Disorder Symptom Severity Among Veterans of Iraq and Afghanistan

ABSTRACT This study investigated the relationships among combat exposure, intrusive, and deliberate rumination, resilience, and posttraumatic stress disorder (PTSD) among service members who deployed to Iraq or Afghanistan (N = 191). Participants completed an online survey and hierarchical linear regression results indicated that enlisted rank, higher combat exposure, lower resilience, and higher intrusive rumination predicted higher levels of PTSD symptom severity. Resilience moderated the relationship between combat exposure and PTSD symptom severity, such that participants who had higher levels of resilience had lower levels of PTSD symptom severity at all levels of combat exposure. These findings suggest the importance of increasing resilience in combat veterans, specifically those of enlisted rank and veterans exposed to higher levels of combat. Findings also suggest that teaching veterans how to control or minimize intrusive rumination might help lower PTSD severity.
Expression of Semliki Forest virus proteins from cloned complementary DNA. II. The membrane-spanning glycoprotein E2 is transported to the cell surface without its normal cytoplasmic domain

The E2 protein (422 amino acid residues long) of Semliki Forest virus is a spanning membrane protein which is made in the rough endoplasmic reticulum of the infected cell and transported to the cell surface. The cytoplasmic domain of this protein comprises 31 amino acid residues. We introduced deletions of various sizes into the gene region encoding this part of the protein molecule and analyzed the transport behavior of the mutant proteins. The deletions were made using exonuclease digestions of cloned cDNA encoding the E2 protein. When the mutated DNA molecules, engineered into an expression vector, were introduced into nuclei of baby hamster kidney 21 cells, membrane proteins with cytoplasmic deletions were expressed and routed to the cell surface in the same way as the wild-type protein. This suggests that the cytoplasmic domain of the E2 protein does not carry information that is needed for its transport from the rough endoplasmic reticulum to the cell surface.
Transcriptome Analysis of Single Cells

Many gene expression analysis techniques rely on material isolated from heterogeneous populations of cells from tissue homogenates or cells in culture.1,2,3 In the case of the brain, regions such as the hippocampus contain a complex arrangement of different cell types, each with distinct mRNA profiles. The ability to harvest single cells allows for a more in depth investigation into the molecular differences between and within cell populations. We describe a simple and rapid method for harvesting cells for further processing. Pipettes often used in electrophysiology are utilized to isolate (using aspiration) a cell of interest and conveniently deposit it into an Eppendorf tube for further processing with any number of molecular biology techniques. Our protocol can be modified for the harvest of dendrites from cell culture or even individual cells from acute slices. We also describe the aRNA amplification method as a major downstream application of single cell isolations. This method was developed previously by our lab as an alternative to other gene expression analysis techniques such as reverse-transcription or real-time polymerase chain reaction (PCR). 4,5,6,7,8 This technique provides for linear amplification of the polyadenylated RNA beginning with only femtograms of material and resulting in microgram amounts of antisense RNA. The linearly amplified material provides a more accurate estimation than PCR exponential amplification of the relative abundance of components of the transcriptome of the isolated cell. The basic procedure consists of two rounds of amplification. Briefly, a T7 RNA polymerase promoter site is incorporated into double stranded cDNA created from the mRNA transcripts. An overnight in vitro transcription (IVT) reaction is then performed in which T7 RNA polymerase produces many antisense transcripts from the double stranded cDNA. The second round repeats this process but with some technical differences since the starting material is antisense RNA. It is standard to repeat the second round, resulting in three rounds of amplification. Often, the third round in vitro transcription reaction is performed using biotinylated nucleoside triphosphates so that the antisense RNA produced can be hybridized and detected on a microarray.7,8
An Audit of Changes in Outcomes of Acute Pain Service

AbstractAcute pain services (APS) have evolved over time. Strategies nowadays emphasize multimodal analgesic regimes using a combination of nonopioid adjuvant analgesic drugs, peripheral nerve blocks, and local anaesthetic wound infiltration where appropriate. APS should be assessed over time to evaluate changes in outcomes which form the basis for future development.In this audit, data of patients under APS care in Queen Mary hospital, Hong Kong, between 2009 and 2012 were analyzed and compared with data from a previous audit between 1992 and 1995. The use of patient-controlled analgesia (PCA) was increased (from 69.3% to 86.5%, P < 0.001), while the use of epidural analgesia reduced (from 25.3% to 8.3%, P < 0.001) significantly. Although postoperative pain scores did not improve, PCA opioid consumption and the incidence of analgesia-related side effects were significantly less (all P < 0.001). More patients graded their postoperative analgesic techniques used as good when the results from these 2 audit periods were compared (P < 0.001 and P = 0.001 for PCA and epidural analgesia, respectively). In conclusion, there has been a change in analgesic management techniques, but there has been no improvement in overall pain relief. While changes over time have led to improvement in important parameters such as the incidence of side effects and patient satisfaction, further and continuous efforts and improvements are warrant to reduce acute pain relief and suffering of the patients after the surgery.
Evaluation of extracted energy from PV with PSO-based MPPT against various types of solar irradiation changes

This paper deals with Maximum Power Point Tracking (MPPT) control of photovoltaic (PV) generators. PV generation systems need maximum power point tracker because the PV power output depends on the operating terminal voltage and current. Further, the PV array exhibits two or more MPP's under partial shading condition, and hence finding the MPP by using conventional techniques is a difficult issue. In order to overcome this difficulty, verifying the performance of an improved PSO-MPPT algorithm, the authors have made a series of experiments in various types of solar irradiation changes. As a result, it is proved that the new algorithm has high performance and is superior to the original PSO-MPPT methods.
Globalizing Indian Thought through Indian Management Knowledge Tree

This article traces the evolutionary journey of the idea of Indian management 1960 onwards. It identifies four phases of development of Indian management ideas in terms of adopting a scientific approach (1960–1980), recognizing the influence of cultural approach through indigenous theories and concepts (1980–2000), movement towards Indian ideas in management through influences of new consciousness in a ‘New Age of modernity’ (2000 onwards) and the fourth phase beginning with 2010, wherein globalizing Indian thought is gathering momentum. This journey has led to seeding and gradual growth of the Indian management knowledge tree representing the coexistence of multiple paradigms primarily represented by five thought streams as five branches of the knowledge tree. The article also views this evolutionary journey and the growth of the Indian management knowledge tree, within the context of historical changes at the global and Indian society level and also in the context of four stages of Western management thought over the last 100 years. It suggests that more than 50 years of experiences in creating new knowledge are leading us towards the development of a new ‘body of original knowledge’ (BOOK), that could become a basis for globalizing Indian thought and Indian ideas in management. The article also presents a brief discussion on some of the management centres in India, involved in globalizing Indian thought through Indian Ideas in Management.
Graphical methods for inequality constraints in marginalized DAGs

We present a graphical approach to deriving inequality constraints for directed acyclic graph (DAG) models, where some variables are unobserved. In particular we show that the observed distribution of a discrete model is always restricted if any two observed variables are neither adjacent in the graph, nor share a latent parent; this generalizes the well known instrumental inequality. The method also provides inequalities on interventional distributions, which can be used to bound causal effects. All these constraints are characterized in terms of a new graphical separation criterion, providing an easy and intuitive method for their derivation.