Miracle-dz/UniFAR-FTUs huggingface dataset:
Standardization and Methodological Considerations for the Isometric Midthigh Pull

The isometric mid-thigh pull (IMTP) is commonly used to assess an athlete’s force generation ability. This test is highly reliable and is simple and relatively quick to perform. The data that can be determined from the force-time curves generated by the test have been shown to be closely related to performance capacities in a variety of dynamic athletic tasks. However, within the scientific literature there are inconsistencies in the data collection procedures and methods used for data analysis that may impact the resultant output and the ability to compare and generalize results. Therefore, the primary aim of this review is to identify the differences in IMTP testing procedures and data analysis techniques, while identifying the potential impact this may have on the data collected. The secondary aim is to provide recommendations for the standardization of testing procedures to ensure that future IMTP data is of maximal benefit to practitioners and researchers.
Prevalence of Inter Arm Blood Pressure Difference among Type 2 Diabetics in Primary Care

Hypertension in patients with diabetes is a common problem; it increases the risk of cardiovascular, renal and ophthalmologic complications. Appropriate measurement of blood pressure is important, as the readings are the target of all pharmacological and non-pharmacological treatment. The aim of the present study was to observe the prev-alence of significant difference in blood pressure in the arms in type 2 Diabetics and to establish if there is association between inter-arm blood pressure difference (IAD) and cardiovascular risk. A cross sectional study conducted in 5 primary care health centers. BP measurements were done by automatic Omron 7 machine; the measure-ments were done two times with interchanging the instruments between two arms. Da-ta collection included demographic data (including, age, sex, body mass index (BMI), waist circumferences, duration of Diabetes, history of HTN, and smoking status). The data collection form also included entry of last biochemical investigations done in-cluding total cholesterol, LDL, HDL, triglyceride, glycosylated hemoglobin (HbA1c) and Cardiovascular risk (CV risk ) calculated by UKPDS engine version 2.0. Data was analyzed with SPSS (version 19). A total of 155 patients were studied. Mean age of patients was 55yrs. 22 participants (14.2, 95% CI=9.1-20.7) had systolic IAD >10 mmHg, 51 (33%, 95% CI=25.6-40.9) had a diastolic IAD >5 mmHg and 9 (5.8 %, 95% CI=2.7-10.7) had a diastolic difference >10 mmHg. In addition, the results showed statistically significant correlation between systolic interarm BP difference and duration of diabetes (P=0.025). There is significant diastolic interarm blood pres-sure difference in diabetic patients. Hence it is important to measure the blood pres-sure in both arms for patients with diabetes to treat hypertension in diabetics appropri-ately.
Anesthetic management of awake craniotomy in the University Hospital of Lausanne

Awake craniotomy (AC) may be required when neurological injury is affecting eloquent areas of the brain. Several anesthetic approaches have been proposed such as the asleep-awake- asleep (AAA) technique, the conscious sedation and recently the awake-awake-awake technique. Our institution follows a conscious sedation protocol since 2008 with the use of dexmedetomidine as the main anesthetic agent. The aim of this study is to review the anesthetic management of AC in our institution following our current protocol.
Central Nervous System Histoplasmosis Related to Bioprosthetic Endocarditis

Endocarditis caused by Histoplasma capsulatum is a rare occurrence. Involvement of the central nervous system by Histoplasma is also relatively uncommon. This paper reports a case of a 62-year-old woman with a past medical history significant for a myocardial infarct 5 years prior which necessitated coronary artery bypass graft surgery, prosthetic aortic valve replacement 4 years prior, and sarcoidosis, diagnosed 1 year prior, which was treated with methotrexate. She presented with fevers, generalized weakness, night sweats, and chest and throat pain. An echocardiogram done as part of her evaluation showed a vegetation on her prosthetic aortic valve. H. capsulatum was identified on blood cultures, and she was started on antibiotics. She expired shortly thereafter. At autopsy, a diagnosis of Histoplasma endocarditis was confirmed with evidence of embolic disease involving kidneys and digits of the hand. Hilar lymph nodes showed evidence of the fungus. Examination of the brain showed multiple widespread microscopic foci of macrophages, lymphocytes, and microglial cells with associated Histoplasma organisms, highlighted on Gomori methenamine silver staining. This paper will discuss central nervous system involvement by Histoplasma.
Marital Factors Associated with Weight-Related Behavior in Bariatric Surgery Patients

Obesity is a major health concern in the United States. Whereas bariatric surgery is effective, 10-40% of post-operative patients to maintain their 2007). The current study investigated the within-person relations between marital quality and weight-related behaviors using a daily diary design. Length of relationship, time since surgery, and participant sex were explored as moderators. Participants were 94 post-operative bariatric surgery patients. Eligible participants completed an online baseline questionnaire, followed by a one-week online daily diary in which they responded to questions about the quality of their marriage, whether they engaged in physical activity, and whether they adhered to their diet that day. Multilevel models were used to test for same-day and next-day associations. A within-person positive, bidirectional association between marital satisfaction and physical activity on the same day and on the following day was found; however, after correcting for multiple tests, only physical activity predicting marital satisfaction on the same day remained significant. There was a between-person negative, bidirectional association between average levels of marital satisfaction and grazing behavior. Lastly, there was a between-person negative association between spousal reinforcing support and grazing and eating past the point of feeling full on the same day. Relationship length moderated the relation between meal planning and reinforcing support on the same day, as well as physical activity and constructive communication on the following day. Sex differences were found for the relation between physical activity and marital satisfaction on the same day, as well as sexual activity and physical activity on the next day. Findings from this study provide support for bidirectional relations between marital quality and weight-related behavior and provide preliminary support for treatments that target improving marital quality in conjunction with weight-specific treatments.
Evaluation and Outcomes of Multidisciplinary-Reported Incidents Regarding Patient Safety Management at Special Functioning Hospital in Japan

Background: It is an important study to investigate incident reports submitted by multidisciplinaries in the Special Functioning Hospitals of Japan. We clarify the characteristics of the incidents and evaluate the outcomes obtained from a polygonal analysis. Material and Methods: We collected 1638 incident reports submitted by multidisciplinaries for one year from April, 2016 to March, 2017. The incidents were retrospectively analyzed byprofile, levels, distribution, and ratios. Results: The majority of incidents (94.7%, 1551/1638) were distributed between the levels 0 to 3a, on the other hand, the incidents of a level higher than 3b occupied 5.3%. The reports from nurses were 75.3% (1234/1638) and those from doctors were 12.8% (209/1638). The level 3b totalled 30.6% (64/209) of the doctor-reported incidents. In contrast, the level 2 totalled 33.8% (417/1234) of the nurse-reported incidents. The levels of the doctor-incidents were comparatively higher than those of the nurse-incidents. The profiles of the incidents were categorized as drug administration (n = 439, 26.8%), nursing care (n = 399, 24.4%), drain and tube (n = 258, 15.8%), medical treatment and care (n = 199, 12.1%), medical examination (n = 141, 8.6%), medical equipment (n = 99, 6.0%), giving instructions (n = 66, 4.0%) and blood transfusion (n = 12, 0.7%). Conclusions: It is important for multidisciplinaries to report incidents because they can learn novel experiences from the incidents for preventing a recurrence. By proper utilizing of the incident-reporting system, it could be aneffective tool that helps the medical staff build a strong patient safety culture, and a safer workday would improvetheir quality of healthcare.
Evaluation of the bio-toxicity and cytogenetic effects of methanolic leaf extract of Heliotropium indicum L.

Heliotropium indicum L. has been shown to be very important in traditional healing medicine. However, many reports have indicated that the toxicity is not unconnected with pharmaceutical properties. This study therefore investigated the cytotoxic, genotoxic and biotoxic activities of methanolic leaf extract of H. indicum using Brine Shrimp lethality assay. The results revealed that the leaf extract of H. indicum showed lethality against the Brine Shrimps nauplii. The highest mortality was recorded at a concentration of 1000 μg/ml. The LC50 value of the Brine Shrimps mortality of the extract was recorded to be 461.04±10.02 μg/ml. In addition, the extract inhibited mitotic division in A. cepa root meristematic cells. The mitotic index was reduced from 59.99% in the control to 2.2% at 1000 μg/ml of the leaf extract. Chromosomal aberrations were observed at different concentrations. These include sticky chromosomes at metaphase and anaphase, chromosome breakage, degenerated and disoriented chromosomes at metaphase plate. It can be concluded from this present study that methanolic leaf extract of H. indicum was cytotoxic and genotoxic to Brine Shrimps and A. cepa cells respectively. Hence, caution should be exercised with respect to the consumption of H. indicum leaf in any form. © 2020 International Formulae Group. All rights reserved. Keywords: Mitotic index, chromosome aberrations, Brine Shrimps Lethality assay, Allium cepa assay, leaf extract
Reducing Inpatient Readmissions Through Early Follow-up Appointment Planning: A Quality Improvement Project

Problem: Inpatient readmissions have a highly negative impact on healthcare systems. Not only do these hospitalizations have a detrimental effect on patient outcomes they also are accompanied by a prohibitive financial burden to the hospitals. Context: Follow-up appointment with a primary care provider after discharge has been demonstrated as a viable strategy to reduce the risk of readmissions. Interventions: Create a volunteer program to schedule patient appointments with a primary care provider within seven days of discharge. Measures and Results: Compare the number of patients that were discharged with a follow-up appointment after the intervention to before the intervention, and study the overall change in readmission rate. Conclusions: Expected conclusion is that implementation of the project will lead to an increased rate of patients being discharged with a follow-up appointment, resulting in decreased
Malaria and Geohelminthiasis: Their Prevalence and Impact on Iron Stores Parameters of School Aged Children 5 to 10 Years in the Buea Municipality, Cameroon

Aims: To determine the prevalence of malaria and geohelminthiasis and to assess their impact on iron stores of school children around Buea Municipality, Cameroon. Study Design: It was a cross-sectional comparative study. Place and Duration of Study: The study was carried out amongst primary school children in Buea Municipality, Cameroon, between the 1 st of May to 27 th of July 2015. Methodology: We included 388 primary school children (188 males, 200 females; age range 5-10 years). Structured questionnaires were used to obtain sociodemographic data and venepuncture technique was used to collect blood samples. Stool samples were collected in stool containers. Malaria prevalence, red cell indices and iron studies were determined using Giemsa-stained thin and thick films, automated haematology analyser and ELISA methods respectively. Quantitative estimation geohelminthe ova was done using the Kato-katz method. The participants were divided into different infectious groups. Results: The overall prevalence of malaria and geohelminthiasis were 38.4%, 149 (95% CI: 33.2, 43.6) and 19.8%, 77 (95% CI: 15.8, 23.8) respectively. There was a significant increase in ferritin levels (P=.03) and soluble transferrin receptors (P<.001) in the infection groups when compared to the control group. Conversely, haemoglobin levels in the various infection groups were significantly reduced (P<.001) when compared to the control group. Conclusion: Malaria and geohelminthiasis continues to infect school children with some of the iron store parameters being significantly raised across the various infection groups including malaria only and geohelminthiasis only groups, with haemoglobin levels significantly reduced when compared to the control group. Anaemia caused by malaria is as result of iron sequestration in the storage compartment.
Multiple linear regression model analysis in predicting fasting blood glucose level in healthy subjects

Diabetes mellitus referred to inability to produce or respond to hormone insulin resulted in elevated blood glucose level in human body. The purpose of this study was to investigate the relationship between fasting blood glucose, cholesterol and blood pressure levels in healthy subjects. 211 subjects having age between 23-66 years old were randomly selected among UMP’s residents from April 2017 to May 2018. Mann-Whitney Ranksum test determine the significant differences between overall and diabetics subjects. Pearson Correlation compute the associations between fasting blood glucose, lipid profile substances and blood pressure. Linear regression analysis verified the relationship between fasting blood glucose and other parameters, with 95%CI. Fasting blood glucose are significantly difference (p<0.05) with blood pressure and others lipid profile substances except for total cholesterol. All lipid profile substances are significantly difference (p<0.05) with blood pressure level. There is 59%(R2-value) chances in getting correct prediction of diabetes using high density lipo-protein cholesterol, low density lipo-protein cholesterol, triglyceride, systolic blood pressure and triglyceride based on fasting blood glucose value. However, a larger and well-spread cohort with different backgrounds and demographics however is required to validate the finding of this study.
Automatically Detecting Bystanders in Photos to Reduce Privacy Risks

Photographs taken in public places often contain bystanders - people who are not the main subject of a photo. These photos, when shared online, can reach a large number of viewers and potentially undermine the bystanders’ privacy. Furthermore, recent developments in computer vision and machine learning can be used by online platforms to identify and track individuals. To combat this problem, researchers have proposed technical solutions that require bystanders to be proactive and use specific devices or applications to broadcast their privacy policy and identifying information to locate them in an image.We explore the prospect of a different approach – identifying bystanders solely based on the visual information present in an image. Through an online user study, we catalog the rationale humans use to classify subjects and bystanders in an image, and systematically validate a set of intuitive concepts (such as intentionally posing for a photo) that can be used to automatically identify bystanders. Using image data, we infer those concepts and then use them to train several classifier models. We extensively evaluate the models and compare them with human raters. On our initial dataset, with a 10-fold cross validation, our best model achieves a mean detection accuracy of 93% for images when human raters have 100% agreement on the class label and 80% when the agreement is only 67%. We validate this model on a completely different dataset and achieve similar results, demonstrating that our model generalizes well.
Recent Pathophysiology and Therapy for Paralytic Ileus

Paralytic ileus is a disease with transport disturbance of intestinal contents due to decreased smooth muscle activity in the small intestine or colon. Complications will occur when paralytic ileus is not treated adequately. Intestinal passage interference occurs in paralytic ileus; therefore, the food cannot be digested. Paralytic ileus causes include postoperative ileus, inflammation, electrolyte disorders, metabolic disorders, drugs, intestinal obstruction and trauma. Paralytic ileus treatment can be divided into two: supportive therapy and etiology therapy. The prognosis of paralytic ileus patients is generally good
Pilot randomized, controlled trial of a dyadic yoga program for glioma patients undergoing radiotherapy and their family caregivers.

Background While the use of behavioral medicine in managing glioma patients' symptoms is not well studied, the high symptom burden in patients and their family caregivers is well established. We conducted a pilot randomized, controlled trial to examine the feasibility and preliminary efficacy of a dyadic yoga (DY) intervention as a supportive care strategy. Methods Glioma patients undergoing radiotherapy and their caregivers were randomized to a 12-session DY or waitlist control (WLC) group. Prior to radiotherapy and randomization, both groups completed measures of cancer-related symptoms (MD Anderson Symptom Inventory-Brain Tumor module), depressive symptoms (Center for Epidemiological Studies-Depression measure), fatigue (Brief Fatigue Inventory), and overall quality of life (QOL; Medical Outcomes Study 36-item short-form survey). Dyads were reassessed at the last day of radiotherapy. Results Twenty patients (mean age: 46 years, 50% female, 80% WHO grade IV and caregivers (mean age: 50 years, 70% female, 50% spouses) participated in the trial. A priori feasibility criteria were met regarding consent (70%), adherence (88%), and retention (95%) rates. Controlling for relevant covariates, change score analyses revealed clinically significant improvements for patients in the DY compared with the WLC group for overall cancer symptom severity (d = 0.96) and symptom interference (d = 0.74), depressive symptoms (d = 0.71), and mental QOL (d = 0.69). Caregivers in the DY group reported clinically significant improvements in depressive symptoms (d = 1.12), fatigue (d = 0.89), and mental QOL (d = 0.49) relative to those in the WLC group. Conclusion A DY intervention appears to be a feasible and beneficial symptom and QOL management strategy for glioma patients undergoing radiotherapy and their caregivers. An efficacy trial with a more stringent control group is warranted. Clinical Trial Number NCT02481349.
Reduction of lead oxide toxicity by using bentonite in mono-sex nile tilapia Oreochromis niloticus diets.

FARRAG, F. H. , F. F. KHALIL AND A. I. MEHRIM Animal Production Dept., Faculty of Agriculture, Mansoura University, Al-Mansoura, Egypt. __________________________________________________________________________ Abstract The present study designed to used of bentonite as an adsorbent agent with levels (0, 1 and 2%) to alleviate the toxic effects of dietary lead oxide with levels (0, 100 and 1000 ppm) on growth performance and survival rate, carcass composition and its residues in fish muscles, and blood hematological and biochemical parameters of mono-sex Nile tilapia Oreochromis niloticus for 16 weeks. So, the factorial design analysis (3X3) was used in the present study. The obtained results showed that contaminated diets with lead oxide led to significantly (P ≤ 0.05) decreased of growth performance (final weight, weight gain, average daily gain, specific growth rate and feed intake), carcass composition (crude protein), blood hematological (hemoglobin, red blood cells, packed cell volume, MCHC, blood platelets, white blood cells and the percentage of lymphocytes), blood biochemical (total protein, albumin, globulin, albumin/globulin ratio and total cholesterol) compared with control group. While, survival rate and blood indices (MCH) insignificantly (P ≥ 0.05) decreased. But, feed conversion ratio impaired significantly compared with control group. However, dry matter, ether extract, ash, bioaccumulation of total lead in fish muscles, MCV, the percentage of monocytes, neutrophils, eosinophils and aspartate aminotransferase, alanine aminotransferase and uric acid concentrations were increased significantly (P ≤ 0.05) compared with the control group. As well as, these drastic effects were increased by increasing level of dietary lead oxide. On the other side, dietary supplemented by bentonite as an adsorbent agent reduced the toxic effects of lead oxide on mentioned measured parameters. Consequently, it could be recommended that the safety and useful addition of bentonite with levels 1 or 2% to alleviate the toxic effects of dietary contaminated by lead oxide of O. niloticus fish.
Traditional Chinese Medicine Market in Hong Kong

Traditional Chinese Medicine (TCM) originates in ancient China with a 5000-year history. Rooted in ancient Eastern philosophies such as Taoism, TCM focuses on a holistic view between humans and nature. Through the observations of universal principles within nature, TCM inquires from a macro level into the microcosm of human physiology and the mutual relationships between our body’s internal workings and the external environment. Its highest goal is to master the fundamental principles that govern the human body in order to maintain health, and prevent and treat diseases. Under this view, TCM, as an integral part of Chinese culture, has been warmly welcomed and plays a critical role in Hong Kong’s healthcare system.
Syndrome métabolique chez les sujets schizophrènes: prévalence et analyse des pratiques

Contexte : La prevalence du syndrome metabolique est nettement plus elevee chez les patients schizophrenes que dans la population generale, pouvant atteindre 41 % (1). Par ailleurs, il est responsable d’un risque cardiovasculaire accru (2) ainsi que d’une augmentation du risque de diabete de type 2. Ainsi, la mortalite totale est deux a trois fois plus elevee chez les personnes souffrant de schizophrenie (3). Objectif : Obtenir une prevalence du syndrome metabolique dans une population de schizophrenes suivis en ambulatoires et evaluer la qualite de l’identification de ce syndrome ainsi que de sa prise en charge. Methode : Des patients schizophrenes, sous antipsychotiques depuis au moins 3 mois, ont ete inclus lors d’une premiere consultation par leur psychiatre traitant dans le cadre de leur suivi habituel. Des mesures comprenant un bilan biologique (HDLc, glycemie, triglycerides…), la passation d’un entretien diagnostic structure (le MINI), des mesures cliniques (tension arterielle, tour de taille, etc) ont ete realisees. Les patients ont ete revus lors d’une seconde consultation par leur psychiatre traitant avec les resultats du bilan biologique. Enfin, nous avons effectue une hetero-evaluation des pratiques professionnelles. Resultats : 21 patients ont ete inclus dans l’etude, 3 ont ete perdus de vue. La prevalence du syndrome metabolique s’eleve a 38,9 %. Par ailleurs, 22,2% des sujets repondent a 2 criteres de la definition du syndrome metabolique. Seulement 42,9% des syndromes metaboliques etaient bien identifies par les psychiatres. L’action la plus frequemment mise en place etait les regles hygieno-dietetiques (71,4% chez les patients avec syndrome metabolique). Enfin, aucun patient ne beneficiait d’un suivi tensionnelle et tres peu d’un suivi du bilan biologique (28,6% chez les sujets avec syndrome metabolique et 54,5% chez les sujets sans syndrome metabolique).