Miracle-dz/UniFAR-FTUs huggingface dataset:
Knowledge Management as a tool in Health Care Systems optimization : The case of Närsjukvården Österlen AB

Background: Narsjukvarden Osterlen AB (=NOAB) won a five-year contract, late in 2000, to operate the local health care services in Simrishamn on behalf of the Region Skane. The economical forecast for 2002 was a loss of 18 million SEK. A turnaround was urgent.Aim: Primarily to evaluate Knowledge Management (=KM) techniques as a tool in the process of turning a health care organization around. Secondarily, to describe the means by which NOAB became a more efficient health care organization. In order to evaluate the use of KM in the turnaround process it is necessary to answer three fundamental research questions. Did a turnaround take place? Did the individual projects contribute to increased efficiency? And finally can the approach used in the projects be characterized as KM.Method: The study was an ongoing case study using action research combined with evaluation. The Evaluation uses public data (both quantitative and qualitative) and evaluations done by third parties. That allows for a profound validation of the conclusions. Three central processes were singled out for the evaluation. 1) The makeover of the acute patients’ way into the system, 2) the disease management program (=DPM) for patients suffering from COPD and 3) the introduction of an error-management system.Results: The operating results were raised from minus 15 million SEK in 2002 to plus 10 million SEK in 2005. Manhours were reduced with 20.6%. The average cost for a consultations were reduced with 24.6%. The introduction of the COPD DPM resulted in a saving of approximately 1 million SEK a year. A total of 312 adverse event reports were filled during the first 10 month - an average of 31 a month. The introduction of KM turned the organization into a patient centered, lean health care organization. Changed the decisions making, and resulted in a significant shift towards an acceptance culture.Conclusion: From the nature of the described projects, the description of the landmarks used and the discussion on how the projects fit into a Knowledge Management way of thinking it is concluded that a Knowledge Management approach was applied. The success of the turnaround described in the case makes a strong argument for the use of Knowledge Management when faced with the need to optimize health care systems.
Examining Stakeholder Perceptions Towards Sustainable Tourism in an Island Destination. The Case of Savusavu, Fiji

ABSTRACT Island destinations attract a significant number of tourists each year. Sustainability is imperative as islands are especially vulnerable to the negative impacts of tourism. The purpose of this study was to explore stakeholder perceptions towards the potential for sustainable tourism development in the island destination of Savusavu, Fiji. Using a stakeholder analysis approach, a qualitative study was conducted in 2014 and 2016 and consisted of 51 in-depth interviews. This study determined that the issues facing Savusavu, Fiji are the lack of infrastructure and support for the development of systems in relation to access, waste and wastewater management and the protection of the marine environment. This study recommends an increase in stakeholder education and participation in tourism-related decisions in Savusavu, Fiji. Implementing initiatives such as a voluntary fund, increased community capacity and appointing an environmental coordinator are suggested as methods to increase sustainable tourism.
A Systematic Review of the Adverse Effects of Prescription Drug Cost Sharing

o stem increases in prescription drug spending, pharmacy benefi t managers and health plans are changing prescription drug benefi ts to steer patients toward less-expensive drugs or to require patients to assume a share of the costs. A systematic review of published studies analyzed how the salient cost-sharing features of prescription drug benefi ts may aff ect access to prescription drugs and synthesized what is known about how these features may aff ect medical spending and health outcomes. Th e following are key fi ndings from the review:
The Coming Divorce Decline

This article analyzes U.S. divorce trends over the past decade and considers their implications for future divorce rates. Modeling women’s odds of divorce from 2008 to 2017 using marital events data from the American Community Survey, I find falling divorce rates with or without adjustment for demographic covariates. Age-specific divorce rates show that the trend is driven by younger women, which is consistent with longer term trends showing uniquely high divorce rates among people born in the Baby Boom period. Finally, I analyze the characteristics of newly married women and estimate the trend in their likelihood of divorcing based on the divorce models. The results show falling divorce risks for more recent marriages. The accumulated evidence thus points toward continued decline in divorce rates. The United States is progressing toward a system in which marriage is rarer and more stable than it was in the past.
The mysterious case of vanishing hegemony; or, Is Mark Twain really dead?

The literature on hegemonic stability commonly assumes that American hegemony has drastically declined in recent years. Is that assumption justified? If one distinguishes between power base and control over outcomes, the American position regarding the latter, in particular, has not declined substantially, and especially not if one considers security goods as well as economic goods. The substantial continuity of outcomes in the post-World War II era stems in large measure from the degree to which the goods provided have been private goods that particularly benefit the United States rather than collective goods, as is widely assumed. These benefits, especially those from “cultural hegemony,” have helped the United States to sustain much control over outcomes.
Rapport final du projet TouSIX : SFC en environnement SDN pour facilement ajouter des fonctionnalités et améliorer la robustesse de la fabrique de TouIX

HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d’enseignement et de recherche français ou étrangers, des laboratoires publics ou privés. Rapport final du projet TouSIX : SFC en environnement SDN pour facilement ajouter des fonctionnalités et améliorer la robustesse de la fabrique de TouIX Rémy Lapeyrade, Marc Bruyère, Philippe Owezarski
Effects of Achyrantes japonica on Carrageenan-Induced Arthritis Rat Model

Achyrantes japonica (AJ) has been used to treat edema and arthritis in the traditional Korean medicine. To elucidate the anti-inflammatory and anti-nociceptive effects of ethanol extract of AJ, the carrageenan-induced paw edema using a plethysmometer and thermal hypersensitivity using the plantar test were measured. Ibuprofen was used as a control drug. Treatment with AJ (200mg/kg p.o.) significantly reduced paw edema, compared to the carrageenan - treated rats. In the plantar test, the thermal withdrawal latency in AJ - treated group was significantly increased than the carrageenan - treated group. The results indicate that AJ could have be the anti-inflammatory and anti-nociceptive properties.
Information Asymmetry and Investor Valuations of Initial Public Offerings: Two Dimensions of Organizational Reputation as Stock Market Signals

ABSTRACT The uncertainty and information asymmetry that surround initial public offering firms (IPOs) often introduce difficulties for potential investors to discern organizational value, thereby leading to ‘underpricing’. Using the signaling theory, we investigate the role of organizational reputation in the underpricing of IPOs. We analyze 463 initial public offerings in China from the period of 2010 to 2016 and find that being known for quality and generalized favorability dimensions of reputation are negatively related with underpricing on the first day of trading. In addition, we find that the negative effects of organizational reputation on underpricing are mediated by investor attention.
A Novel Holistic-based Entity Unifying Method for Heterogeneous Data

With the fast growing of the informatic technologies and extensive accumulation of informative sources. The information is gradually presented with more characteristics such as messiness and heterogeneity. Traditional entity unifying methods tend to have good measurement results for structured data with uniform structure and relevant attributes. For unstructured multi-sourced data, the entity similarity cannot be accurately measured. To overcome the defects of the traditional methods, this paper proposes an entity unifying method for heterogeneous data by calculating the entity similarity based on “relation”. Extensive experiments on different types of datasets by have been conducted to demonstrate the superiority of our method.
Comparing the IMF and the ESM through Bond Market Premia in the Eurozone

In many European Union (EU) member countries, the financial turmoil that started in 2008 resulted in a banking and/ or sovereign debt crisis. The EU did not have dedicated tools to handle the situation and it became clear that neither the IMF loans, nor the ad hoc intergovernmental loans provided satisfactory solutions. This motivated the establishment of the European Stability Mechanism (ESM). In this study, we compared the lending activity of the IMF and the ESM, their institutional background, and using panel regression methods we investigated the effect of EFSM-ESM loans on monthly sovereign bond yield premia. Results: The ESM programmes worked against bond market divergence, yield premia decreased, and they moved more closely together – which is a precondition of an efficient eurozone-wide monetary policy. Since EFSM-ESM bonds are guaranteed by euro area member states, it fulfils the solidarity principle of the optimum currency area, and with the help of EFSM-ESM programmes, sovereign defaults have been successfully avoided.
El calentamiento global y su relación con el impacto en la pesquería en el Golfo de Nicoya, Costa Rica.

Se demuestra que tanto en el exterior, como en el interior del Golfo de Nicoya la temperatura superficial del mar está aumentando. También está aumentando el nivel del mar, la velocidad de los vientos, la evaporación, la transferencia de calor sensible, la energía del oleaje y la erosión costera. Las series de mayor resolución espacial que se estudiaron dentro del golfo, indican que la salinidad está aumentando y que la clorofila y oxígeno disuelto disminuyen. Todas estas variaciones son coherentes dentro de un marco de calentamiento global, con el cual se establecerá una mayor estratificación en la columna de agua, menor transferencia de nutrientes a las aguas superficiales, lo cual generará un desplazamiento de especies, y posible invasión de otras. El aumento del nivel del mar y el aumento en la energía del oleaje, indica que habrá más erosión costera, pérdida de habitas marinos, desplazamiento de poblaciones costeras, salinización de pozos, etc. Los resultados en general obtenidos en este estudio, demuestran un impacto visible del calentamiento global en el Golfo de Nicoya y una proyección de pérdida de productividad en las aguas que ya están, o van a tener, consecuencias para las pesquerías de las zonas.
Orthopaedic Knowledge Update 10

OKU 10 gets to the heart of the issues and developments shaping orthopaedics today, with the most relevant findings from every major orthopaedic and subspecialty journal from the past three years. Every detail in OKU 10 is supported by proven clinical research, filtered through the experience of OKU's renowned contributors and a rigourous editorial process. The result is a concentrated single source you can count on for continuing professional development. OKU 10 offers completely new content and many improved features: - New chapters on today's most relevant topics, including: Patient Safety and Risk Management, New Techniques of Wound Management, Patient-Centered Care: Communication Skills and Cultural Competency, and Practice Management. - High quality black and white and full-colour images (as available) vividly illustrate the sequence of a procedure and recovery. - Annotated references at the end of each chapter provide concise summaries of source material, saving you countless research hours. - Levels of evidence provided (as available) for references from the past three years. - Color-coded sections and an open, inviting page layout help you easily navigate the book.
Gonorrea diseminada: caso clínico y revisión del tema

Un varón de 23 años de edad, fue hospitalizado por haber presentado disuria, exudado uretral purulento, fiebre, poliartralgias, tenosinovitis y dermatitis. Las lesiones cutáneas, menos de una docena, se distribuyeron sobre la parte distal de las extremidades y alrededor de las articulaciones. Iniciaron como pápulas o petequias, se transformaron en pústulas asentadas sobre una base eritematosa y hemorrágica. La Neisseria gonorrhoeae se cultivó en el exudado uretral y también a partir del flujo endocervical de la pareja sexual nueva. La deficiencia del complemento hemolítico suele predisponer a las personas a sufrir infección gonocócica diseminada, o sepsis recurrentes por neisserias. Recibió tratamiento de diez días con ceftriaxona, fármaco activo contra gonococos resistentes a la penicilina, con buenos resultados. El diagnóstico de las infecciones gonocócicas dependerá del examen microscópico de frotis teñidos con gram, mostrando los diplococos gram – negativos intracelulares, pero el cultivo es el estándar de oro. La investigación epidemiológica ha confirmado la prevalencia elevada de las infecciones por N. gonorrhoeae en las sexoservidoras mexicanas 13.6% y en los hombres homo – o – bisexuales 3.3%. El personal sanitario debe conocer las técnicas más efectivas para la búsqueda de casos e investigación rápida de los contactos sexuales, y educar al público acerca de las enfermedades venéreas.
Brain and DCNN representational geometries predict variability in conscious access

When two targets (T1 and T2) are presented in a rapidly sequentially-presented stream of distractors, subjects often show a clear deficiency to report T2 when presented 200-500 ms after T1. This effect is known as the Attentional Blink (AB). Using the AB as a method to quantify the probability of conscious access, we investigate why some images seem to rise to consciousness more readily. By defining the representational relationships between images using fMRI and CNNs, we show that images that are distinct in high-level representations are more resilient to the AB effect, while low-level similarity to other images increase the probability of conscious access. These results were replicated using representational geometries derived from both functional Magnetic Resonance Imaging (fMRI) and Convolutional Neural Network (CNN). This provides additional parallels between the hierarchical complexity of CNNs trained on object classification and the human visual ventral stream, with CNN and brain representations predicting behaviour in a similar way.
Improving Discharge Planning and Education of Nursing Students: A Collaborative Approach

Nurses require training to provide discharge teaching yet nursing students are often not assigned the task of discharge teaching and are overwhelmed by the task once they enter the workforce (London, 2004). In addition, few nursing programs provide opportunities for nursing students to participate in quality improvement projects, which is an important role in nursing. In an attempt to decrease post-discharge adverse events (AE) and increase exposure to discharge teaching and quality improvement by nursing students, 13 nursing students in a baccalaureate undergraduate nursing program assigned to a DEU in a sub-acute rehabilitation facility were provided with instruction utilizing the evidenced-based teach-back method. The nursing students conducted the discharge teaching to 22 patients discharged to home utilizing the teach-back method. Follow-up phone calls were conducted by the DNP student 72 hours after discharge utilizing a structured questionnaire to assess the effectiveness of the discharge teaching. Six target outcomes were identified. For the first five target outcomes, percentages were calculated from the responses obtained from the questionnaire, and the target outcomes were met or exceeded indicating that the evidenced-based teach-back method was an effective method to be utilized for discharge teaching. The final target outcome only revealed one statistically signification correlation between the number of medications on discharge and the patient’s indication that all questions were answered prior to discharge. As the number of medications on discharge increased, so did the probability the patient would still have medication questions after discharge. The correlation identified the need to spend more time on mediation teaching for patients with an increased number of medications.
Smart Self Recovery

: Electric distribution utilities are paying more and more attention towards enhancement of end-user supply reliability and power quality. “Self-heal” nature of distribution network is gaining interest in the industry. With deployment of distribution automation applications, they can not only achieve these performance goals but also improve situational awareness, and reduce the financial penalties they incur due to system outages. Fault Location, Isolation and Service Restoration (FLISR) is one of the key distribution automation application, which can significantly reduce outage time to the end customers. At the same time, standardized automation system based on IEC 61850 is proliferating in the market. This paper proposes a fast FLISR algorithm using IEC 61850 based Generic Object Oriented Substation Event (GOOSE) technology. The challenges and possible solutions while commercially deploying such smart applications are discussed in further detail.
Analyzing the retail investor's expectation from their fiduciary with respect to Mutual Fund Investors

Over the past decades there are few changes in the law of fiduciary but the economic and market environment in which the fiduciary law applies has changed drastically. Various factors such as globalization, population growth and natural resource scarcity, internet, social media, changing community and stakeholder’s norm impacted significantly to the evolution of the fiduciary duty. There is need to study the fiduciary duty as the duties have not changed much but has gained more importance in the volatile world and secondly The Indian Mutual fund industry is fast growing industry since last few years. The younger generation is more attracted towards mutual fund as an investment avenue . To penetrate this segment of investors the fund managers should know what are their expectation from the fiduciaries. The findings of the research are that the investors expect that their fiduciary should give the highest priority to the client’s interest. The research result basically helpful for the Fund managers and the policy makers and regulators to consider the investor’s expectation from their fiduciary in their strategy formulation and policy design.
Heal pelvic pain : a proven stretching, strengthening, and nutrition program for relieving pain, incontinence, IBS, and other symptoms without surgery

Part I. Healthy at the Core Chapter 1. The Pelvic Floor Chapter 2. The Healthy Pelvic Floor Chapter 3. When the Pelvic Floor Is Not Healthy Chapter 4. Sex Part II. The Program: Strengthening the Pelvic Floor Chapter 5. Your Pelvic Floor Chapter 6. Stretch and Drop: The Key Combination for Your Core Chapter 7. Strengthen and Tone the Muscles, Keep the Blood Flowing Chapter 8. Putting it All Together Chapter 9. Better Sex for More Years Part III. The Program: Relax Chapter 10. Letting Go Chapter 11. Manage Stress Part IV. The Program: Nutrition and Pampering for a Healthy Pelvic Floor Chapter 12. Foods That Can Harm Chapter 13. Foods That Can Help
Prevalencia del síndrome metabólico y de la enfermedad cardiovascular: Estudio en una población rural

Antecedentes. El sindrome metabolico es una constelacion de factores de riesgo que conlleva un aumento de la morbimortalidad cardiovascular. Objetivo. Conocer la prevalencia del sindrome metabolico y su relacion con la enfermedad cardiovascular en una comunidad rural del noroeste de Espana. Metodos. Estudio transversal, en el que a 469 individuos, elegidos por muestreo aleatorio estratificado por edad, de entre 18 y 92 anos (206 hombres y 263 mujeres), se les realiza anamnesis, exploracion clinica, bioquimica y electrocardiograma. El sindrome metabolico se definio siguiendo los criterios recomendados por la National Cholesterol Education Program Panel III. Resultados. La prevalencia ponderada del sindrome metabolico fue del 21,9%. Las prevalencias de la enfermedad cardiovascular, cardiopatia isquemica, accidente cerebrovascular e insuficiencia cardiaca fueron del 9,9%, 7,1%, 3,7% y 4,5%, respectivamente. Despues de ajustar por edad, sexo, consumo de tabaco y alcohol, se encontro asociacion entre el sindrome metabolico y la enfermedad cardiovascular. Las odds ratios (intervalos de confianza al 95%) del sindrome metabolico con la enfermedad cardiovascular, cardiopatia isquemica, accidente cerebrovascular e insuficiencia cardiaca, fueron: 2,02 (1,03 - 3,94), 1,35 (0,61 - 2,97), 2,42 (0,87 - 6,73) y 1,69 (0,22 - 4,64), respectivamente. Conclusiones. El sindrome metabolico es una condicion prevalente en nuestra poblacion rural y esta asociado significativamente a la enfermedad cardiovascular.
Equity in Problem-Based Learning: A Guide for Teachers of Mathematics

Achieving equitable outcomes in mathematics instruction is a lofty but elusive goal, as evidenced by standardized test results and representation in high-level courses. The role of teacher bias in choice of instructional materials and implementation requires strategic examination and corrective action in order for an individual teacher to begin pursuing equity in the classroom. Problem-based curriculum is a step towards using high-quality instruction to ensure that all students have access to challenging math and the support they need to succeed. A closer look at a teacher’s implementation of such curriculum illuminates the teacher practices needed to promote equity within the framework of a problem-based instructional model.
Espessura central da crnea e a medida da presso intra-ocular com diferentes tonmetros

OBJETIVO: Analisar a possivel variacao da pressao intra-ocular, obtida por diferentes tonometros, com a espessura central da cornea. METODOS: Apos a medida da pressao intra-ocular com o ICare, instilou-se uma gota de colirio anestesico e fez-se a medida da espessura da cornea e, tambem, a medida da pressao intra-ocular com o tonometro de contorno dinâmico de Pascal. Em seguida, instilou-se uma gota de colirio de fluoresceina e mediu-se a pressao intra-ocular o tonometro de aplanacao de Goldmann. RESULTADOS: 138 olhos de 71 pacientes foram examinados e divididos em 3 grupos de acordo com a espessura central da cornea. A analise da pressao intra-ocular mostrou valores concordantes quando se utilizou o ICare e o tonometro de contorno dinâmico de Pascal, com media de diferenca de -0,2. A pressao intra-ocular medida com o tonometro de contorno dinâmico de Pascal apresentou valores maiores que os obtidos com o tonometro de aplanacao de Goldmann, com media de diferenca de -3,1. Uma diferenca estatisticamente significante foi obtida nas medidas com o ICare e tonometro de aplanacao de Goldmann. CONCLUSAO: Existe uma diferenca estatisticamente significante entre os valores da PIO obtidos com ICare, tonometro de contorno dinâmico de Pascal e tonometro de aplanacao de Goldmann, quando relacionados com a espessura central da cornea.