Miracle-dz/UniFAR-FTUs huggingface dataset:
Paging “Dr. Google”: Does Technology Fill the Gap Created by the Prenatal Care Visit Structure? Qualitative Focus Group Study With Pregnant Women

Background The prenatal care visit structure has changed little over the past century despite the rapid evolution of technology including Internet and mobile phones. Little is known about how pregnant women engage with technologies and the interface between these tools and medical care, especially for women of lower socioeconomic status. Objective We sought to understand how women use technology during pregnancy through a qualitative study with women enrolled in the Women, Infants, and Children (WIC) program. Methods We recruited pregnant women ages 18 and older who owned a smartphone, at a WIC clinic in central Pennsylvania. The focus group guide included questions about women’s current pregnancy, their sources of information, and whether they used technology for pregnancy-related information. Sessions were audiotaped and transcribed. Three members of the research team independently analyzed each transcript, using a thematic analysis approach. Themes related to the topics discussed were identified, for which there was full agreement. Results Four focus groups were conducted with a total of 17 women. Three major themes emerged as follows. First, the prenatal visit structure is not patient-centered, with the first visit perceived as occurring too late and with too few visits early in pregnancy when women have the most questions for their prenatal care providers. Unfortunately, the educational materials women received during prenatal care were viewed as unhelpful. Second, women turn to technology (eg, Google, smartphone applications) to fill their knowledge gaps. Turning to technology was viewed to be a generational approach. Finally, women reported that technology, although frequently used, has limitations. Conclusions The results of this qualitative research suggest that the current prenatal care visit structure is not patient-centered in that it does not allow women to seek advice when they want it most. A generational shift seems to have occurred, resulting in pregnant women in our study turning to the Internet and smartphones to fill this gap, which requires significant skills to navigate for useful information. Future steps may include developing interventions to help health care providers assist patients early in pregnancy to seek the information they want and to become better consumers of Internet-based pregnancy resources.
Relationship Differences in Anger Intensity During Caregiving-Related Situations

ABSTRACT This study examined the experience of anger during recent caregiving situations. Women (N = 180) caring for a husband or parent with dementia described and rated the intensity of their reactions during the three most annoying caregiving events of the previous month. Anger items all loaded on one general factor, and had strong internal consistency. Wives and daughters differed in several ways; daughters had higher composite anger scores and more frequently identified interactions with family members and service providers as problematic. Results suggest that these differences were not due to potentially confounding variables such as age, education, income, or caregiving-related indices. Assessment and treatment planning may be facilitated by having detailed information about anger-eliciting events in the lives of family caregivers.
On Lactococcus lactis UL719 competitivity and nisin (Nisaplin®) capacity to inhibit Clostridium difficile in a model of human colon

Clostridium difficile is the most frequently identified enteric pathogen in patients with nosocomially acquired, antibiotic-associated diarrhea and pseudomembranous colitis. Although metronidazole and vancomycin were effective, an increasing number of treatment failures and recurrence of C. difficile infection are being reported. Use of probiotics, particularly metabolically active lactic acid bacteria, was recently proposed as an alternative for the medical community. The aim of this study was to assess a probiotic candidate, nisin Z-producer Lactococcus lactis UL719, competitivity and nisin (Nisaplin®) capacity to inhibit C. difficile in a model of human colon. Bacterial populations was enumerated by qPCR coupled to PMA treatment. L. lactis UL719 was able to survive and proliferate under simulated human colon, did not alter microbiota composition, but failed to inhibit C. difficile. While a single dose of 19 μmol/L (5× the MIC) was not sufficient to inhibit C. difficile, nisin at 76 μmol/L (20×the MIC) was effective at killing the pathogen. Nisin (at 76 μmol/L) caused some temporary changes in the microbiota with Gram-positive bacteria being the mostly affected. These results highlight the capacity of L. lactis UL719 to survive under simulated human colon and the efficacy of nisin as an alternative in the treatment of C. difficile infections.
Hierarchical Conditional Random Fields for Chinese Part-Of-Speech Tagging

We explore methods to implement Conditional Random Fields (CRF) for Chinese Part-Of-Speech Tagging. We focus on the task of POS tagging without pre-segmentation, and propose a hierarchical Conditional Random Fields to do Segmenta-tion and POS Tagging at one time step. Experiments are going to be done for my method to compare it with existent methods on this task.
Practice Models and Challenges in Teledermatology: A Study of Collective Experiences from Teledermatologists

Background Despite increasing practice of teledermatology in the U.S., teledermatology practice models and real-world challenges are rarely studied. Methods The primary objective was to examine teledermatology practice models and shared challenges among teledermatologists in California, focusing on practice operations, reimbursement considerations, barriers to sustainability, and incentives. We conducted in-depth interviews with teledermatologists that practiced store-and-forward or live-interactive teledermatology from January 1, 2007 through March 30, 2011 in California. Results Seventeen teledermatologists from academia, private practice, health maintenance organizations, and county settings participated in the study. Among them, 76% practiced store-and-forward only, 6% practiced live-interactive only, and 18% practiced both modalities. Only 29% received structured training in teledermatology. The average number of years practicing teledermatology was 4.29 years (SD±2.81). Approximately 47% of teledermatologists served at least one Federally Qualified Health Center. Over 75% of patients seen via teledermatology were at or below 200% federal poverty level and usually lived in rural regions without dermatologist access. Practice challenges were identified in the following areas. Teledermatologists faced delays in reimbursements and non-reimbursement of teledermatology services. The primary reason for operational inefficiency was poor image quality and/or inadequate history. Costly and inefficient software platforms and lack of communication with referring providers also presented barriers. Conclusion Teledermatology enables underserved populations to access specialty care. Improvements in reimbursement mechanisms, efficient technology platforms, communication with referring providers, and teledermatology training are necessary to support sustainable practices.
Development of Lightweight BIM Shape Format Structureto Represent Large Volume Geometry Objects Using GISwith Facility Management

This study focuses on the development of a lightweight building information management (BIM) shape format (LBSF) structure to represent largevolume BIM geometry objects using the geographical information system (GIS) with building facility management. Recently, BIM-based facility management with GIS has been researched with regard to urban facility management. To implement this use case, the BIM geometry objects are required to be effectively visualized on the urban level using GIS. Therefore, a lightweight BIM shape format is designed with these considerations, and the prototype for the pilot test is implemented. In the pilot test phase, after developing the Industry Foundation Classes (IFC) file and LBSF file for the model data of the three areas, performance comparison with regard to the data volume and screen loading time was made.
Modeling Category Structures with a Kernel Function

We propose one type of TOP (Tangent vector Of the Posterior log-odds) kernel and apply it to text categorization. In a number of categorization tasks including text categorization, negative examples are usually more common than positive examples and there may be several different types of negative examples. Therefore, we construct a TOP kernel, regarding the probabilistic model of negative examples as a mixture of several component models respectively corresponding to given categories. Since each component model of our mixture model is expressed using a one-dimensional Gaussian-type function, the proposed kernel has an advantage in computational time. We also show that the computational advantage is shared by a more general class of models. In our experiments, the proposed kernel used with Support Vector Machines outperformed the linear kernel and the Fisher kernel based on the Probabilistic Latent Semantic Indexing model.
Feminist Therapy as a Path to Friendship with Women

While many feminist therapists have found that their personal experiences of friendship have given them an experiential base from which to develop their work, some feminist therapists have had alternative journeys through connections with women. This article explores how the author transformed her childhood and adolescent experiences of relational aggression into a deepened understanding of the value and importance of relationships between women. The contributions of misogyny and sexism to relational aggression among girls and women, and their enduring effects on all women's relationships to other women is explored. Finally, the author describes her intimate e-epistolary friendship with two other women, and considers how the medium of email and other forms of electronic communication may facilitate emotional intimacy for women who have experienced relational aggression with other women.
A Switched-Capacitor-Based Active-Network Converter With High Voltage Gain

The voltage gain of traditional boost converter is limited due to the high current ripple, high voltage stress across active switch and diode, and low efficiency associated with large duty ratio operation. High voltage gain is required in applications, such as the renewable energy power systems with low input voltage. A high step-up voltage gain active-network converter with switched-capacitor technique is proposed in this paper. The proposed converter can achieve high voltage gain without extremely high duty ratio. In addition, the voltage stress of the active switches and output diodes is low. Therefore, low voltage components can be adopted to reduce the conduction loss and cost. The operating principle and steady-state analysis are discussed in detail. A prototype with 20-40-V input voltage, 200-V output voltage, and 200-W output power has been established in the laboratory. Experimental results are given to verify the analysis and advantages of the proposed converter.
The Impact of Preschoolers' Gender and Sensory Preferences on Physical Activity Levels during Play

Introduction: This study examined the differences between boys and girls in relation to activity levels during play and sensory preferences for activity level, body position and movement. A review of the literature revealed no evidence to explain if boys and girls prefer different body positions while playing or if body position might be used to measure their activity levels. Method: This retrospective study used data from demographic forms, children's Sensory Profiles and observations of children's play in classroom settings. The sample consisted of 53 typically developing children between ages 3–5 years from a suburban preschool in Kansas in the United States. Results: Analysis of data from play observations revealed no significant differences between boys and girls in relation to body position mean (p = 0.33), body position standard deviation (p = 0.19) and total number of change position times (p = 0.28). Analysis of data from children's Sensory Profiles showed no significant differences (p = 0.97) between boys' and girls' seeking preferences reflected by activity level, body position and movement items in the Sensory Profile. Conclusion: Future research should investigate children's play in outdoor playgrounds and implement more rigorous methods in rating activity levels.
How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention?

Introduction The objective of this project was to determine whether simulated exposure to error situations changes attitudes in a way that may have a positive impact on error prevention behaviors. Methods Using a stratified quasi-randomized experiment design, we compared risk perception attitudes of a control group of nursing students who received standard error education (reviewed medication error content and watched movies about error experiences) to an experimental group of students who reviewed medication error content and participated in simulated error experiences. Dependent measures included perceived memorability of the educational experience, perceived frequency of errors, and perceived caution with respect to preventing errors. Results Experienced nursing students perceived the simulated error experiences to be more memorable than movies. Less experienced students perceived both simulated error experiences and movies to be highly memorable. After the intervention, compared with movie participants, simulation participants believed errors occurred more frequently. Both types of education increased the participants’ intentions to be more cautious and reported caution remained higher than baseline for medication errors 6 months after the intervention. Conclusions This study provides limited evidence of an advantage of simulation over watching movies describing actual errors with respect to manipulating attitudes related to error prevention. Both interventions resulted in long-term impacts on perceived caution in medication administration. Simulated error experiences made participants more aware of how easily errors can occur, and the movie education made participants more aware of the devastating consequences of errors.
Shoulder injuries in soccer goalkeepers: review and development of a FIFA 11+ shoulder injury prevention program

In the last years, shoulder injuries have represented an increasing health problem in soccer players. The goalkeepers are more exposed to shoulder disorders than other field players. Injury prevention exercises for upper limbs were cited in few studies involving throwing athletes, but we know that goalkeepers need a specific program. The purpose of this study is to describe the development of an adapted Fédération Internationale de Football Association (FIFA) 11+ program, namely the FIFA 11+ shoulder, which targets the prevention of shoulder injuries in soccer goalkeepers. The FIFA 11+ shoulder program is structured into three parts: general warming-up exercises, exercises to improve strength and balance of the shoulder, elbow, wrist, and finger muscles, and advanced exercises for core stability and muscle control. The exercises were selected based on recommendations from studies demonstrating high electromyographic activity.
Neutrophil NADPH Oxidase Is Reduced at the Anaplasma phagocytophilum Phagosome

ABSTRACT The intracellular organism Anaplasma phagocytophilum causes human granulocytic ehrlichiosis and specifically infects and multiplies in neutrophilic granulocytes. Previous reports have suggested that, for its survival, this bacterium suppresses the neutrophil respiratory burst. To investigate the mechanism of survival, we first assessed the kinetics of A. phagocytophilum entry into neutrophils by using double-labeling confocal microscopy. At 30, 60, 120, and 240 min of incubation, 25, 50, 55, and 70% of neutrophils contained bacteria, respectively. The neutrophil respiratory burst in the presence of A. phagocytophilum was assessed by a kinetic cytochrome c assay and by measurement of oxygen consumption. Neutrophils in the presence of A. phagocytophilum did not produce a significant respiratory burst, but A. phagocytophilum did not inhibit the neutrophil respiratory burst when phorbol myristate acetate was added. Immunoelectron microscopy of neutrophils infected with A. phagocytophilum or Escherichia coli revealed that NADPH oxidase subunits gp91phox and p22phox were significantly reduced at the A. phagocytophilum phagosome after 1 and 4 h of incubation. In neutrophils incubated simultaneously with A. phagocytophilum and E. coli for 30, 60, and 90 min, gp91phox was present on 20, 14, and 10% of the A. phagocytophilum phagosomes, whereas p22phox was present in 11, 5, and 4% of the phagosomes, respectively. Similarly, on E. coli phagosomes, gp91phox was present in 62, 64, and 65%, whereas p22phox was detected in 54, 48, and 48%. We conclude that A. phagocytophilum does not suppress a global respiratory burst and that, under identical conditions in the same cells, A. phagocytophilum, but not E. coli, significantly reduces gp91phox and p22phox from its phagosome membrane.
Examining the social context of bullying behaviors in early adolescence.

Familial and adult influences, peer relations, and distal contextual factors were tested as correlates of a continuous measure of bullying behavior within a sample of 558 middle school students. Only 19.5% of the sample reported exhibiting no bullying behavior in the past 30 days. Parental physical discipline, time spent without adult supervision, negative peer influences, and neighborhood safety concerns were each positively associated with bullying behavior. In contrast, positive adult role models were associated with less bullying behavior. Results suggest that counselors should focus prevention and intervention efforts on the risk factors within the larger social context of an adolescent's life.
Resuscitations: Stem Cells and the Crisis of Old Age

This article looks at the history of the stem cell as an experimental life-form and situates it within the context of biological theories of cellular ageing which emerged in the 1960s, under the banner of ‘biogerontology’. The field of biogerontology, I argue, is crucially concerned not only with the internal limits to a cell's lifespan, but also with the possibility of overcoming limits. Hence, the sense of ‘revolution’ that has surrounded the isolation of human embryonic stem cells. The article goes on to situate the problematic of cellular ageing within the larger historical transition from Fordist to post-Fordist modes of production – a transition whose effects on the life sciences have been insufficiently theorized – and points to resonances between the concerns of biogerontology and an emerging political rhetoric on the crisis of ageing and limits to growth. Having surfaced in parallel with the neo-liberal euphoria of the 1990s, the field of regenerative medicine presents itself as a biomedical solution to the problem of limits to growth. What is at stake in the contemporary biosciences, I suggest, is not so much the mass commodification of life itself as its transformation into a source of speculative surplus value.
The National Cohort of Dairy Farms--a data collection platform for mastitis research in Canada.

Costs and feasibility of extensive sample collection and processing are major obstacles to mastitis epidemiology research. Studies are often consequentially limited, and fundamental mastitis researchers rarely have the opportunity to conduct their work in epidemiologically valid populations. To mitigate these limitations, the Canadian Bovine Mastitis Research Network has optimized research funds by creating a data collection platform to provide epidemiologically meaningful data for several simultaneous research endeavors. This platform consists of a National Cohort of Dairy Farms (NCDF), Mastitis Laboratory Network, and Mastitis Pathogen Culture Collection. This paper describes the implementation and operation of the NCDF, explains its sampling protocols and data collection, and documents characteristics, strengths and limitations of these data for current and potential users. The NCDF comprises 91 commercial dairy farms in 6 provinces sampled over a 2-yr period. Primarily Holstein-Friesian herds participating in Dairy Herd Improvement milk recording were selected in order to achieve a uniform distribution among 3 strata of bulk tank somatic cell counts and to reflect regional proportions of freestall housing systems. Standardized protocols were implemented for repeated milk samplings on clinical mastitis cases, fresh and randomly selected lactating cows, and cows at dry-off and after calving. Just fewer than 133,000 milk samples were collected. Demographic and production data were recorded at individual cow and farm levels. Health management data are documented and extensive questionnaire data detailing farm management and cleanliness information are also captured. The Laboratory Network represents coordinated regional mastitis bacteriology laboratories using standardized procedures. The Culture Collection archives isolates recovered from intramammary infections of cows in the NCDF and contains over 16,500 isolates, all epidemiologically cross-referenced between linked databases. The NCDF is similar to Canadian dairies in relation to mean herd size, average production, and freestall percentages. Pathogen recovery was greater than anticipated, particularly for coagulase-negative staphylococci and Corynebacterium spp. International scientists are encouraged to use this extensive archive of data and material to enhance their own mastitis research.
Book Review: Stephen Wilks The Political Power of the Business Corporation

self-reinforcing processes work as deviation-amplifying feedback that may keep organizations trapped in their steady state, but may also lead organizations to adapt and evolve towards unknown directions. Second, the theory of self-reinforcing processes outlined in this book refers to organizational and inter-organizational interactions. This is an additional source of complexity that can be modelled by this theory. Axelrod and Cohen (1999) identified three levels of adaptation of complex systems: variation, interaction and selection. Organizational interactions are strongly evident in the study on the adaptation (or lack thereof) of service innovation capabilities by Gryszkiewicz, Giannopoulou and Barlatier (Chapter 7), as well as in the study on the development of innovation programmes in Wuxi and Suzhou (Chapter 4), but they are not exceptions. All the empirical studies in this book deal with feedback loops that involve interactions among agents and systems. This is not surprising, since at least four types of self-reinforcing processes (i.e. network externalities, adaptive expectations, coordination effect and complementarity effect) directly or indirectly assume agency and system interdependence. Therefore, the theory of self-reinforcing processes in and among organizations can definitely serve as an additional general framework to study organizations as complex adaptive systems.