Miracle-dz/UniFAR-FTUs huggingface dataset:
International Journal of Women's Health Dovepress Prevention and Management of Postoperative Urinary Retention after Urogynecologic Surgery

Postoperative urinary retention (POUR) is a frequent consequence of gynecologic surgery, especially with surgical correction of urinary incontinence and pelvic organ prolapse. Estimates of retention rates after pelvic surgery range from 2.5%–43%. While there is no standard definition for POUR, it is characterized by impaired bladder emptying, with an elevation in the volume of retained urine. The key to management of POUR is early identification. All patients undergoing pelvic surgery, especially for the correction of incontinence or prolapse, should have an assessment of voiding function prior to discharge. There are several ways to assess voiding function – the gold standard is by measuring a postvoid residual. Management of POUR is fairly straightforward. The goal is to decompress the bladder to avoid long-term damage to bladder integrity and function. The decision regarding when to discontinue catheter-assisted bladder drainage in the postoperative period can be assessed in an ongoing fashion by measurement of postvoid residual. The rate of prolonged POUR beyond 4 weeks is low, and therefore most retention can be expected to resolve spontaneously within 4–6 weeks. When POUR does not resolve spontaneously, more active management may be required. Techniques include urethral dilation, sling stretching, sling incision, partial sling resection, and urethrolysis. While some risk of POUR is inevitable, there are risk factors that are modifiable. Patients that are at higher risk – either due to the procedures being performed or their clinical risk factors – should be counseled regarding the risks and management options for POUR prior to their surgery. Although POUR is a serious condition that can have serious consequences if left untreated, it is easily diagnosed and typically self-resolves. Clinician awareness of the condition and vigilance in its diagnosis are the key factors to successful care for patients undergoing surgical repair.
Comparative utilization of two sources of expeller- extruded soybean meal as a replacement for on-farm processed soybean in diets of growing-finishing pigs

Thirty pigs averaging 30 ± 1.1 kg were randomly assigned by origin and weight to one of three dietary treatments in a randomized complete block to determine the comparative utilization of two sources of expeller-extruded soybean meal as a replacement for on-farm processed soybean in diets of growingfinishing pigs. The result revealed that pigs fed diets containing the expelled soybean meal (ESM) had decreased (P 0.05) gains even though slight numerical differences were observed. Feed efficiency was 18 to 24% significantly (P<0.05) poorer for pigs fed the expelled soybean meal diets compared to the improvement observed in the feed conversion of pigs when fed the on-farm processed soybean. Conclusively, the gains as well as the efficiency of feed utilization obtained with the on-farm processed soybean were significantly (P<0.05) superior compared to the expeller-extruded soybean but the serum metabolites of the pigs were observed to be unaffected by the different processing methods.
Multi-valued Neutrosophic Sets and its Application in Multi-Criteria Decision-making Problems

In recent years, hesitant fuzzy sets and neutrosophic sets have aroused the interest of researchers and have been widely applied to multi-criteria decisionmaking problems. The operations of multi-valued neutrosophic sets are introduced and a comparison method is developed based on related research of hesitant fuzzy sets and intuitionistic fuzzy sets in this paper. Furthermore, some multi-valued neutrosophic number aggregation operators are proposed and the desirable properties are discussed as well. Finally, an approach for multi-criteria decision-making problems was explored applying the aggregation operators. In addition, an example was provided to illustrate the concrete application of the proposed method.
Synthesis of High-Performance Magnesium/Cu, Ni, Ti Composites

C omposite material has been conceptualized . as a mixture of two or more diverse matenal by exploiting the dcs1r able properties of the individual members to provide performance characteristics and properties to meet the need of continuous technical innovation, improved energy planning, enhanced property requirements, depleting natural resources and change in human life tyle that are beyond thee tablished limits of conventional material . The increa ing demand for materials with superior mechanical properties and low density has led to intensive re earch efforts into the design and development of metal matrix corn po ites (MMCs). Among metal matrix com po ites, magnesium based composites are gaining more attention as potential candidates for lightweight structural application due to their capability of exhibiting superior pecific mechanical properties. The end properties of compo ite materials arc governed by a number of factor uch as type of proces ing, matrix constitution, type, ize, volume fraction and morphology of the reinforcement, secondary proce ing and the heat treatment procedure [ l]. Among these factors, selection of reinforcement compatible with metallic matrix remains one of the most critical factors in realizing the best properties from the resultant composite. Compatibility relate to the wetting and reaction of lhe reinforcement particulates and the matrix. It is now widely accepted that in order to maximize interfacial bonding trength in metal matrix composite , it is nece sary to promote wetting, control chemical reactions, and minimize oxide formation. Poor wettability and absences of chemical reaction led to limited ucce in improving the overall mechanical propertie pecially the trength (2-4] of pure magnesium and commercial grade magnesium alloy reinforced with stiffer ceramics. It ha been convincingly established that, wettability of high melting point solid metal by low melting point liquid metal, those are mutually insoluble, is good and it improve further in the case of the metalmetal ~tern when they have mutual lubility [5 J. Recent research works have hown that the introduction of stronger and stiffer high melting point metallic reinforcements in both pure magnesium and commercial grade magnesium alloy tremendously improve the overall mechanical properties specially the strength [ 6-1 l]. The materials were proces ed using ingot metallurgy route empl ying an innovative disintegrated melt deposition technjque (DMD) [ l 2].
Effects of a Mass Layer With Gradually Varying Thickness on a Quartz Crystal Microbalance

We study the effects of the nonuniform thickness of a thin mass layer on a quartz crystal microbalance. A theoretical analysis is performed on thickness-shear vibration of an AT-cut quartz plate with a nonuniform mass layer. Mindlin's two-dimensional equation for thickness-shear vibration of a quartz plate is used. Free vibration frequencies and modes are obtained. The effects of the mass layer nonuniformity are examined. It is shown that resonant frequencies and energy trapping of thickness-shear modes are sensitive to mass layer nonuniformity.
Influenza vaccination 2014–2015: Results of a survey conducted among general practitioners in Italy

ABSTRACT Introduction: The aim of the present study was to evaluate orientation, organizational procedures implemented and difficulties faced by general practitioners (GPs) during the 2014/15 seasonal influenza vaccination programme, as well as GPs' general attitude towards vaccinations. Methods: An ad hoc online survey was developed and administered to general practitioners members of the Italian Federation of GPs (Federazione Italiana Medici di Medicina Generale – FIMMG). Overall, 10,000 survey invitations were sent. Data were analysed with R 3.3. 2 software for analyses. Odds ratios (OR) were calculated in univariable and multivariable analyses. Results: A sample of 1,245 GPs participated in the survey. Only slightly more than one third achieved a vaccination coverage comprised between 61% and 75%. In over half of the cases, the local health unit does not allow the GPs to choose the type of vaccine; 8.8% did not receive operational information at the beginning of the vaccination campaign and almost half did not receive feedback information at the end of the campaign. Almost three quarters reported that the vaccination uptake should increase. One tenth of GPs totally disagreed with the statement that vaccinating healthcare workers is crucial to prevent and control infections, and one fifth had not been vaccinated in the prior decade. Discussion: The efforts made to vaccinate elderly individuals did not reach the expected results; still many GPs complained about lack of information by the relevant public health institutions and organizational difficulties. A stronger commitment of public health authorities would entail a higher vaccination uptake.
Is higher dairy consumption associated with lower body weight and fewer metabolic disturbances? The Hoorn Study.

BACKGROUND Dairy consumption has been postulated to reduce the risk of obesity and metabolic disturbances. OBJECTIVE The aim of this study was to evaluate the associations of dairy consumption with body weight and other components of the metabolic syndrome. DESIGN We used cross-sectional data for 2064 men and women aged 50-75 y who participated in the Hoorn Study. The metabolic syndrome was defined according to the National Cholesterol Education Program Expert Panel. Dairy consumption was assessed by using a semiquantitative food-frequency questionnaire. RESULTS The median consumption of total dairy products was 4.1 servings/d. After adjustment for potential confounders (ie, dietary factors, physical activity, smoking, income, educational level, and antihypertensive medication), total dairy consumption was significantly associated with lower diastolic blood pressure (beta +/- SE: -0.31 +/- 0.12 mm Hg/serving) and higher fasting glucose concentrations (0.04 +/- 0.02 mmol/L per serving), but not with body weight or other metabolic variables (ie, lipids, postload glucose, or insulin). When different dairy products were distinguished, borderline significant (P < 0.10) inverse associations were observed for dairy desserts, milk, and yogurt with systolic (-1.26 +/- 0.58, -0.57 +/- 0.34, and -1.28 +/- 0.74 mm Hg/serving, respectively) and diastolic (-0.58 +/- 0.31, -0.57 +/- 0.18, and -0.35 +/- 0.40 mm Hg/serving, respectively) blood pressure, whereas cheese consumption was positively associated with body mass index (0.15 +/- 0.08/serving). CONCLUSION In an elderly Dutch population, higher dairy consumption was not associated with lower weight or more favorable levels of components of the metabolic syndrome, except for a modest association with lower blood pressure.
Suicide in Northern Ireland: An Analysis of Gender Differences in Demographic, Psychological, and Contextual Factors.

BACKGROUND The circumstances surrounding death by suicide can give us insight into the factors affecting suicide risk in particular regions. AIMS This study examined gender and circumstances surrounding death by suicide in Northern Ireland from 2005 to 2011. METHOD The study analyzed 1,671 suicides (77% male and 23% female cases) using information contained from the coroner's files on suicides and undetermined deaths. RESULTS Hanging was the most common method and more than one third of the deceased had prior suicide attempts. There was evidence of alcohol use in 41% of the cases. Only, 61% of cases had recorded adverse events; most had multiple and complex combinations of experiences. Relationship and interpersonal difficulties were the most common category of adverse event (40.3%). However, illness and bereavement, employment /financial crisis, and health problems were also common. One third of those who died by suicide were employed, compared with 50.3% who were not in employment. Just over half (50.1%) were known to have a mental health disorder. CONCLUSION The results provide the first profile of deaths by suicide in Northern Ireland. They highlight the need to target people who have difficult life experiences in suicide prevention work, notably men, people with employment, financial and relationship crises, and those with mental disorders.
Apelin/APJ system: A critical regulator of vascular smooth muscle cell

APJ, an orphan G protein‐coupled receptor, is first identified through homology cloning in 1993. Apelin is endogenous ligand of APJ extracted from bovine stomach tissue in 1998. Apelin/APJ system is widely expressed in many kinds of cells such as endothelial cells, cardiomyocytes, especially vascular smooth muscle cell. Vascular smooth muscle cell (VSMC), an integral part of the vascular wall, takes part in many normal physiological processes. Our experiment firstly finds that apelin/APJ system enhances VSMC proliferation by ERK1/2‐cyclin D1 signal pathway. Accumulating studies also show that apelin/APJ system plays a pivotal role in mediating the function of VSMC. In this paper, we review the exact role of apelin/APJ system in VSMC, including induction of proliferation and migration, enhance of contraction and relaxation, inhibition of calcification. Furthermore, we discuss the role of apelin/APJ system in vascular diseases, such as atherosclerosis, hypertension, and chronic kidney disease (CKD) from the point of VSMC. Above all, apelin/APJ system is a promising target for managing vascular disease.
Assessing the Role of Race/Ethnicity in the Relationships Among Spiritual Struggles, Health, and Well-Being

A growing body of research suggests that greater exposure to spiritual struggles is associated with more physical and mental health problems. Spiritual struggles involve difficulties that a person may encounter with his or her faith, which may include having a troubled relationship with God, encountering difficulties with religious others, or being unable to find a sense of meaning in life. However, little is known about the way in which spiritual struggles may differ across racial/ethnic groups. The purpose of this study was to assess variations in spiritual struggles, health, and well-being among Whites, Blacks, and Hispanics. We examined two ways in which race/ethnic variations may arise. First, the differential-exposure perspective suggests that some groups may experience more spiritual struggles than others. Findings from a recent nationwide survey suggest that Blacks experience more spiritual struggles than either Whites or Hispanics. Second, the differential-impact perspective suggests that the relationship between spiritual struggles, health, and well-being varies across racial/ethnic groups. Findings from the current study suggest that when spiritual struggles arise, Blacks experience fewer symptoms of physical illness, less anxiety, and they tend to be happier than Whites or Hispanics. The theoretical implication of these findings is discussed.
Educational intervention in Primary Care for the prevention of congenital syphilis

ABSTRACT Objectives: to evaluate the efficiency of educational interventions related to the knowledge of health care professionals of Primary Care and to verify the impact on the vertical transmission rates of congenital syphilis. Method: a quasi-experimental study conducted in the city of Londrina, Paraná, between 2013 and 2015. An educational intervention on diagnosis, treatment and notification was carried out with 102 professionals with knowledge measurement before and after the intervention. Incidence and mortality data from congenital syphilis were taken from the system for notifiable diseases (SINAN) and the Mortality Information System (SIM). Excel tabulation and statistical analysis was done in the Statistical Package for Social Sciences, version 2.1. A descriptive and inferential analysis was performed. Results: the mean number of correct responses increased from 53% to 74.3% after the intervention (p < 0.01). The adherence to professional training was 92.6%. There was a significant reduction in the vertical transmission rate of syphilis from 75% in 2013 to 40.2% in 2015. In 2014 and 2015 there were no records of infant mortality from this condition. Conclusion: the educational intervention significantly increased the knowledge of health professionals about syphilis and collaborated to reduce the rate of vertical transmission of the disease.
Effect of Waste Plastic Shreds on Bond Resistance between Concrete and Steel Reinforcement

This paper investigates the effect of waste plastic shreds on steel-concrete bond. Forty RILEM test specimens with 16mm and 20mm diameter high-yield reinforcing bars were cast and tested. Fifteen specimens with 16mm and 20mm each were cast with the addition of waste plastic shreds at varying percentages of 1%, 1.5% and 2%; another ten RILEM specimens with 16mm and 20mm diameter bars at 0% of waste plastic shreds were cast as reference. Nine 150mm cubes, with three taken from each batch of various percentages of waste plastic shreds, were used to monitor the concrete strength. From the test results and analysis, the compressive strength of concrete was found to reduce with increased percentages of waste plastic shreds, while the waste plastic shreds material was found not to improve the bond resistance between concrete and steel. However, though lower than normal concrete, there was an increase in the bond resistance with increase in the percent of plastic shreds. The bond resistance of 16mm was also found to be higher than that of 20mm in all the specimens tested.
Assembly of the membrane domain of ATP synthase in human mitochondria

Significance Mitochondria generate the cellular fuel ATP to sustain complex life. Production of ATP depends on the oxidation of energy-rich compounds to produce the proton motive force (pmf), a chemical potential difference for protons, across the inner membrane. The pmf drives the ATP synthase, a molecular machine with a rotary action, to synthesize ATP. We have shown that the assembly of human ATP synthase in the inner organellar membrane involves the formation of a monomeric intermediate made from 25 nuclear-encoded proteins into which the two mitochondrially encoded subunits are inserted and then sealed by association of another nuclear-encoded protein, thereby dimerizing the complex. Association of a final nuclear protein oligomerizes the dimers back-to-face along the cristae edges. The ATP synthase in human mitochondria is a membrane-bound assembly of 29 proteins of 18 kinds. All but two membrane components are encoded in nuclear genes, synthesized on cytoplasmic ribosomes, and imported into the matrix of the organelle, where they are assembled into the complex with ATP6 and ATP8, the products of overlapping genes in mitochondrial DNA. Disruption of individual human genes for the nuclear-encoded subunits in the membrane portion of the enzyme leads to the formation of intermediate vestigial ATPase complexes that provide a description of the pathway of assembly of the membrane domain. The key intermediate complex consists of the F1-c8 complex inhibited by the ATPase inhibitor protein IF1 and attached to the peripheral stalk, with subunits e, f, and g associated with the membrane domain of the peripheral stalk. This intermediate provides the template for insertion of ATP6 and ATP8, which are synthesized on mitochondrial ribosomes. Their association with the complex is stabilized by addition of the 6.8 proteolipid, and the complex is coupled to ATP synthesis at this point. A structure of the dimeric yeast Fo membrane domain is consistent with this model of assembly. The human 6.8 proteolipid (yeast j subunit) locks ATP6 and ATP8 into the membrane assembly, and the monomeric complexes then dimerize via interactions between ATP6 subunits and between 6.8 proteolipids (j subunits). The dimers are linked together back-to-face by DAPIT (diabetes-associated protein in insulin-sensitive tissue; yeast subunit k), forming long oligomers along the edges of the cristae.
Experimental research on the influence of aerobic exercise combining resistance exercise on the physical health of middle-aged and elderly people

Object: To discuss the application value of aerobic exercise combining resistance exercise on the physical health of elderly people. Method: 100 cases of middle-aged and elderly people in the community were selected and divided into different groups for research through experiment and mathematical statistics. Result: After ten weeks of exercise, indicators of the observation group, including weight, body fat content (FAT), skeletal muscle mass (SMM) and percent body fat (PBF) were statistically and significantly different from those of the control group, with P<0.05; indicators of the observation group, including Body Mass Index (BMI), visceral fat area (VFA), and basal metabolic rate (BMR) were statistically and significantly different from those of the control group, with P<0.05; indicators of the observation group, including right upper limb SL, left upper limb, and TR were statistically and significantly different from those of the control group, with P<0.05. Conclusion: Aerobic exercise combined with resistance to exercise is superior to simple aerobic exercise in increasing skeletal muscle content, reducing body fat content and promoting bone health. It is recommended that the middle-aged and elderly increase the appropriate strength exercises while aerobic exercise.
Movement pattern and physiological response in recreational small-sided football – effect of number of players with a fixed pitch size

ABSTRACT Recreational soccer is an effective health-promoting activity, but it is unclear how different game formats influence internal and external load. Thus, to be able to advise how to maximise the outcome of recreational football, we examined movement pattern and physiological response in 11 untrained men (32.6 ± 6.7 yrs, 23.3 ± 4.9 fat%, 43.4 ± 5.3 ml·min−1·kg−1) during three football sessions comprising 4 × 12 min of 3v3, 5v5 or 7v7 with a constant pitch size of 20 × 40 m. Movement pattern, heart rate (HR), blood lactate and RPE were measured during and after the 12-min periods. Greater (P < 0.05) total distance and high-speed distance was covered during 3v3 than 5v5 (14 and 30%) and 7v7 (15 and 75%). Mean HR was higher in 3v3 (85.7 ± 5.7%HRmax) and 5v5 (84.2 ± 5.1%HRmax) than in 7v7 (80.7 ± 4.6%HRmax, P < 0.05) and percentage time >90%HR was higher in 3v3 (43 ± 18%, P < 0.05) than in 5v5 (28 ± 21%) and 7v7 (18 ± 14%). Blood lactate was higher in 3v3 (7.4 ± 2.7 mmol·l−1) than in 7v7 (4.5 ± 2.2 mmol·l−1, P < 0.001) but not in 5v5 (6.1 ± 2.1 mmol·l−1, P = 0.061). RPE was higher in 3v3 (6.7 ± 2.3, P < 0.01) than in 5v5 (5.2 ± 2.2) and 7v7 (4.3 ± 2.3). In conclusion, higher external and internal load was found with fewer players, when the pitch size is fixed.