Miracle-dz/UniFAR-FTUs huggingface dataset:
Evaluation of maternal and perinatal outcomes in preeclampsia and eclampsia in correlation with LDH

Introduction: Preeclampsia and eclampsia complicate 6-8% of pregnancies. It is a serious multisystem disorder specific to pregnancy and is a global problem leading to adverse maternal and perinatal complications. In the recent years monitoring of lactate dehydrogenase (LDH) levels is proposed as prognostic in predicting preeclampsia complications. Materials and Methods: This prospective comparative study was conducted in the Department of Obstetrics and Gynaecology, Mysore Medical College and Research Institute. Total of 210 pregnant women were studied. They were divided into groups of mild preeclampsia (n=60), severe preeclampsia (n=60), eclampsia (n=30) and normotensive pregnant women (n=60) as control group. LDH levels were done in study group and correlated with maternal and perinatal complications. Results: LDH levels were significantly elevated in patients with preeclampsia and eclampsi a (F -statistics value =43.4076, df = 3, P value diastolic blood pressures correlated with high LDH (P were significantly correlated with high LDH (P Conclusion: Serum LDH values significantly correlate with severity and clinical outcome of preeclampsia and eclampsia. Raised LDH levels suggest heightened risk developing maternal and perinatal complications. LDH can be offered as prognostic tool to predict preeclampsia and eclampsia complications. Keywords: Maternal outcome, Perinatal outcome, Preeclampsia, Eclampsia, Lactate dehydrogenase.
The “Conversation Nurse” Model: An Innovation to Increase Palliative Care Capacity

This article reports on a quality improvement project designed to answer the following question: Given the shortage of providers trained in hospice and palliative medicine, could a registered nurse assume the role of a “Conversation Nurse” to expand the capacity of the palliative care team by undergoing training focusing on communication about end-of-life care wishes? In collaboration with the Institute for Healthcare Improvement, Care New England’s (Rhode Island) palliative care team developed the model of the Conversation Nurse—a nurse trained in conversations with patients and families about end-of-life care. We used a series of “plan, do, study, act” cycles to test the model. Over a 3-year period, the program developed an interdisciplinary team that allowed for a 15-fold increase in hospice and palliative care consults. In this same time period, the hospice program grew as well, with a 41% increase in average daily census and an 18% increase in length of stay on hospice. Eighty-five percent of referring providers agreed that these palliative care consults improved care. The reach of a small palliative care team has been expanded by using Conversation Nurses, allowing increased capacity to provide palliative care.
The Gross-Pitaevskii Equation with a Nonlocal Interaction in a Semiclassical Approximation on a Curve

We propose an approach to constructing semiclassical solutions for the generalized multidimensional Gross–Pitaevskii equation with a nonlocal interaction term. The key property of the solutions is that they are concentrated on a one-dimensional manifold (curve) that evolves over time. The approach reduces the Cauchy problem for the nonlocal Gross–Pitaevskii equation to a similar problem for the associated linear equation. The geometric properties of the resulting solutions are related to Maslov’s complex germ, and the symmetry operators of the associated linear equation lead to the approximation of the symmetry operators for the nonlocal Gross–Pitaevskii equation.
Management of Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer

The article provides recommendations for the diagnosis of thyroid nodules: presents ultrasound criteria of benign nodules and different grade of malignancy, indications for fine needle aspiration biopsy, describes the diagnostic risk category of risk of malignancy of thyroid nodules, stratification of risk of well-differentiated thyroid carcinomas (version 2015). An algorithm for monitoring the effectiveness of treatment in patients with well-differentiated papillary thyroid carcinoma, as well as the interpretation of the clinical response and the reclassification in the treatment of well-differentiated thyroid carcinoma using total thyroidectomy and radioiodine ablation.
Designing a Web based Tele-Radiology Management System: The Case of Danu Orthopedic Diagnostic Center, Addis Ababa.

School of Information Science and School of Public Health M.Sc. in Health Informatics Program Designing a Web based Tele-Radiology Management System: The Case of Danu Orthopedic Diagnostic Center, Addis Ababa. By Desta Worku A Project Submitted to The School of Public health and School of Information Science of Addis Ababa University in Partial Fulfillment of the Requirements for The Degree of Masters of Science In Health Informatics.
Living improvement: a case study of a secondary school in England®

Schools in England are being urged to personalize the curriculum and make school experiences more responsive to all students. We report on an evaluation project which investigated innovation in teaching and learning in a successful secondary school in the north of England. Data were gathered from a sample of teaching staff, a questionnaire to all students, lesson and meeting observations, and meetings with the governing body and parents: the student-guided evaluation canvassed recent and planned changes to the structure and experience of teaching and learning. This article illuminates how one school is breaking the ‘traditional schooling rules’ that limit improvement and how in doing so it is developing new insights about the nature and process of improvement. We show how staff and students have been engaged in the change process, and focus in particular on analysing the interplay between improvement as a plan, a practice and a lived experience.
Insulin-like growth factor binding Protein-1/alpha-fetoprotein versus placental alpha microglobulin-1 for diagnosis of premature fetal membranes rupture

Objectives: To compare insulin-like growth factor binding protein-1/alpha-fetoprotein (IGFBP-1/AFP) to placental alpha microglobulin-1 (PAMG-1) for diagnosis of premature fetal membranes rupture (PROM). Methods: 220 pregnant women ≥ 37 and <39 weeks gestation studied and classified into two groups; study group (PROM) and control group (no PROM). Examination of the studied women followed by abdominal ultrasound (TAS) and sterile vaginal speculum examination to visualize amniotic fluid leaking and for collection of samples for fern, nitrazine, AmniSure® and AmnioQuick® Duo+ tests on admission. Results: The sensitivity and specificity of AmnioQuick® Duo+ test to detect PROM was 93.6% and 86.4%; respectively compared to 95.5% and 89.1%; respectively for AmniSureR test, 72.7% and 80.9%; respectively for fern test and 76.4% and 83.6%; respectively for nitrazine test. PPV, NPV and accuracy of AmnioQuick® Duo+ test to detect PROM were 87.3%, 93.1% and 90%; respectively compared to 89.7, 95.1% and 92.3%; respectively for AmniSureR test, 79.2%, 74.8% and 76.8%; respectively for fern test and 82.4%, 77.97% and 80%; respectively for nitrazine test. AmnioQuick® Duo+ and AmniSure® tests had higher sensitivity, specificity, predictive values and accuracy to detect PROM compared to conventional diagnostic tests. Conclusion: AmnioQuick® Duo+ test for detection of IGFBP-1/AFP was rapid, accurate bedside test better than the individual conventional diagnostic tests and has same accuracy and performance like AmniSure® test.
Confinement Effect in Thermoelectric Properties of Two–Dimensional Materials

Thermoelectric (TE) materials, or materials that can generate an electrical energy from temperature gradient, are promising for renewable energy technology. One fundamental aspect in the TE research is the demand to maximize the TE power-factor, PF^2=Sσ, by having as large Seebeck coefficient (S) and electrical conductivity (σ) as possible. In the early 90s, Hicks and Dresselhaus proposed the PF enhancement by using low-dimensional materials, in which electrons are confined in certain directions and they move freely in the other directions. This quantum effect is known as the confinement length (L) effect, in which L is the thickness or diameter of the two-dimensional (2D) or one-dimensional materials, respectively. However, a key challenge is to understand the critical value of L, at which the PF can be significantly enhanced. Recently, we reevaluated the confinement theory of the lowdimensional materials to solve this issue. We showed that electrons are fully confined only when L is smaller than an intrinsic length Λ, the so-called thermal de Broglie wavelength, which depends on the materials and can be experimentally measured. Monolayer 2D materials naturally satisfy the condition of L < Λ since their confinement length is ~ 1 nm, while their thermal de Broglie wavelength is ~ 5–10 nm. Therefore, they could be a good candidate for TE materials. In this review article, we first review the TE materials with low dimensions. Then, we show the basic concept of the confinement effect and the consequence of such an effect. Finally, based on this effect, we turn our attention to the progress achieved recently in the TE properties of the 2D materials such as monolayer InSe, GaN electron gas, and SrTiO_3 superlattices.
Hyponatremia: An Uncommon Trigger for Takotsubo Cardiomyopathy

Background: Takotsubo or stress cardiomyopathy is a cause of reversible left ventricular systolic dysfunction in the absence of coronary artery disease. Methods: Cardiomyopathy is rather frequent in post-menopausal, older women. In these, the pathogenesis is induced by physical or emotional stressors in the absence of protective effect of estrogen on cardiovascular system. But, some endocrine stimuli (thyroid dysfunction surrenal insufficiency, diabetes mellitus, hypoglycemia pheochromocytoma) act as less frequent triggers of Takotsubo cardiomyopathy (TC). Results: Hyponatremia, as expression of some pathologies ranging from nephrotic syndrome, cardiac failure and polydipsia, or as manifestation of syndrome of inappropriate secretion of antidiuretic hormone (SIADH), can also act as trigger of TC. Conclusions: Hyposodiemia also acts by catecholamine excess deriving from the central nervous system and reduced serum levels of Na+, that impairs the Na+/Ca++ myocardial membrane pump.
Physicians learning in the workplace: use of informal feedback cues in daily practice

Purpose: We expect physicians to be lifelong learners. Learning from clinical practice is an important potential source for that learning. To support physicians in this process, a better understanding of how they learn in clinical practice is necessary. This study investigates how physicians use informal feedback as learning cues to adjust their communication from interactions with patients in the outpatient setting. Methods: To understand how physicians use of informal feedback, we combined non-participant ethnographic observations with semi-structured interviews. We enrolled 10 respiratory physicians and observed 100 physician-patient interactions at one academic and one non-academic hospital in the Netherlands. Data collection and analysis were performed iteratively according to the principles of constructivist grounded theory. Our conceptual model describes how physicians use cues to reflect on and adjust their communication as well as to further develop their adaptive expertise. Results: In addition to vast variations within and across patient encounters, we observed recurring patterns in physician communications in reaction to specific learning cues. Physicians had learnt to recognise and use different cues to adjust their communication in patient encounters. They established a communication repertoire based on multiple patient interactions, which many saw as learning opportunities, contributing to the development of adaptive expertise. Our findings show differences in sensitivity to recognising learning opportunities in daily practice which was further influenced by contextual, personal and interpersonal factors. Whereas some reported to have little inclination to change, others used critical incidents to fine-tune their communication repertoire, while others constantly reshaped it, seeking learning opportunities in their daily work. Conclusions: There is a large variation in how physicians use learning cues from daily practice. Raising awareness of experiences as potential learning opportunities might enhance their development of adaptive expertise. Learning from daily practice is a collaborative effort and requires a culture that promotes lifelong learning.
The Effectiveness of Physical Exercise on Psychological Status, and Sleep Quality among Jordanian Patients Undergoing Hemodialysis: Literature Review

Background: Patients receiving hemodialysis are suffered from several psychological complications, and they required to receive safe, feasible, and applicable interventions to improve their psychological health. Practicing physical exercises were used in the literature as a possible intervention to improve patient’s outcomes. Purpose: The current literature review aimed to evaluate the effectiveness of physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis, and to detect the gab in the Jordanian literature about the effectiveness of practicing physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis. Methods: The design of the current article was literature review of fifty studies. Results: The current review revealed that most of the research studies were conducted to describe the levels and prevalence’s of psychological and mental complication of hemodialysis process, and to evaluate the impact of different types and methods of physical exercises on physical, psychological, and functional outcomes among patients undergoing hemodialysis. However, there are no agreement about the type, time, and intensity of physical exercises, and its impact on patients’ psychological outcomes. In Jordanian context, there are no experimental studies were conducted about the effectiveness of physical exercises on psychological status and sleep quality among patients undergoing hemodialysis. Conclusion: It is imperative for researchers to fill the gap that existed in the body of knowledge regarding the effectiveness of physical exercises on psychological outcomes among patients undergoing hemodialysis in order to improve psychological well-being and improve both quality of life for patients, and quality of nursing care.
Minimally Invasive Dentistry Approach Benefits of Using Laser

The preservation of healthy human body and function for every patient should be the goal of all health practitioners. Dentistry is not an exception to this philosophy. The loss of human tooth structure should be regarded as a serious injury and never to be considered lightly, therefore it is imperative to provide the most comprehensive and conservative care to all teeth. In past few decades, the improvements of scientific method and technology has led to a better understanding of oral micro flora and dental materials resulted in the shifting of caries management method from G.V. Black’s “Extension for prevention” to the modern “Minimally invasive” approach in dentistry. The minimally invasive approach to dental caries encompasses the science of detection, diagnosis and treatment on the microscopic level. The approach also establishes a proper doctor-patient relationship thus empowering and educating the patient to take responsibility for their own dental health. It has been widely accepted that the restorative materials and preparation designs are not the cure for caries. The dentist must recognize that the caries is a bacterial disease and the elimination of disease should be the priority before initiating any restorations. The proper sequence of caries management should be the introduction of preventive strategies such as oral hygiene instructions, remineralisation regiments, and risk assessments followed by minimal surgical interventions. Using the laser technology in the aspect of surgical intervention has many clinical advantages. Some of the clinical benefits include its selectivity for carious tissue, reduction of needs for local anaesthesia, decontamination effect of preparation surfaces, minimal thermal stimulus to pulp chamber, increase surface adhesion for composite materials, and other soft tissue applications. A critical evaluation of disadvantages on laser should also be considered when implementing its use in the clinical practice. The combination of caries prevention program, disease control, risk assessment and laser technology application on the surgical intervention significantly reduce the long term restorative needs thus preserve more healthy natural tooth structures, which complimenting the concept of minimally invasive dentistry. This presentation summarized various articles within the past 15 years regarding to topics of minimal invasive dentistry and laser technology usage in dentistry. *Corresponding author: Natalia Elson DDS, Clinical Instructor, NYU College of Dentistry, New York, E-mail: natalia.elson@gmail.com
Sit Back, Relax, And Tell Me All Your Secrets

The goal of this research is to describe an active learning opportunity that was conducted as a community service offering through our Center for Cybersecurity Education and Applied Research (CCEAR). As a secondary goal, the participants sought to gain real world experience by applying techniques and concepts studied in security classes. A local insurance company tasked the CCEAR with assembling a team of students to conduct penetration testing (including social engineering exploits) against company personnel. The endeavor allowed the insurance company to obtain information that would assess the effectiveness of employee training with regard to preventing the divulgence of sensitive information. The team of students assembled organized, planned and executed all penetration testing. This academic opportunity allowed the students to build experience transacting the social engineering while laying the groundwork for future projects that will allow additional students to build and expand the process outlined in this study.
Characteristics of Adult ICU Patients with Device Associated Nosocomial Infections

Characteristics of Adult ICU Patients with Device Associated Nosocomial Infections by Doramarie Arocha MS, Texas Woman’s University, 1994 BS, University of Texas at Arlington, 1985 Dissertation Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Philosophy Public Health Epidemiology Walden University December 2016 Abstract Nosocomial infections are a cause of concern for hospital patients and the incidence rates of these infections are greater in intensive care units (ICUs) due to the invasive nature of treatments, additional risk factors and comorbidities, and therapies used. Invasive devices, such as vascular central lines, Foley catheters, and mechanical ventilators pose a risk for critically ill patients in the ICUs to develop device-related, healthcare-associated infections (HAI). The purpose of this study was to describe the epidemiological characteristics of patients whoNosocomial infections are a cause of concern for hospital patients and the incidence rates of these infections are greater in intensive care units (ICUs) due to the invasive nature of treatments, additional risk factors and comorbidities, and therapies used. Invasive devices, such as vascular central lines, Foley catheters, and mechanical ventilators pose a risk for critically ill patients in the ICUs to develop device-related, healthcare-associated infections (HAI). The purpose of this study was to describe the epidemiological characteristics of patients who developed device-related HAIs within 3 ICU units (medical-surgical, cardiovascular, and neurosurgical) of an academic medical facility. The ecosocial theory of disease distribution provided the theoretical framework for the study to describe how ecological and social determinants interact and affect health variances. Secondary data were analyzed using analysis of variance (ANOVA), Pearson correlations, and chi-square statistical tests. A total of 4,213 patients admitted to the 3 ICUs from 2010-2014 were identified. According to the chi-square analysis, there was significant association between race/ethnicity and type of device-associated infection; between gender and types of infection; and between risk factors (diabetes, obesity, smoking habits) and kinds of infection, all of which the statistical significance had varied for each individual ICU. Bacterial differences were noted between device-associated infections. The potential positive social change from this study could be insight on possible new processes and interventions to reduce nosocomial infections and improve adult ICU patient outcomes such as decreased HAIs, decreased length of stay, comorbidities, and cost for both the patient and the
The Effect of Diet Education on Lipid Profiles Control among the Overweight Individuals Referring to Valie-E-Asr Clinic, Shiraz, Iran

Obesity is one of the most prevalent nutrition disorders with increasing trend among people of all ages in all over the world [1]. Among people who are older than 20, 65% are obese or overweight and there is no evidence showing improvement in this trend [2]. In Iran, the statistics show that 20% of the urban population who are between 15 and 39 years old and 40% of those between 40 and 69 years old are obese. These measures have been reported as 16% and 26%, respectively in the rural population [3]. Changes in dietary eating and physical activity are considered as the major causes of increasing trend of obesity prevalence [4]. Some eating behaviors such as meal frequency, skipping breakfast, distribution of eating occasions throughout the day have been suggested to influence weight [4]. In the recent years, the studies about meal frequency and its effects on various aspects of health have been encouraged [5]. Some of these studies which have been conducted on animal models have shown the effects of meal frequency on body composition [4,6-8]. So experts believe that less meal frequency and higher amounts of food in each meal lead to an increase in fat synthesis and finally obesity [9]. Unfortunately, there is limited information about the effects of meal frequency on body composition, different health markers, thermic effect of food, energy consumption, nitrogen balance, and satiety in human [5] and the results of studies investigating the relationship between meal frequency and weight/body composition have been criticized because of underestimation of calorie intake which is especially common among obese people [10]. Even in the studies in which the effect of underestimation was eliminated, a significant negative relationship was reported between meal frequency and BMI as well as abdomen to hip ratio [10]. However, no significant relationship was reported between meal frequency and its effects on weight loss when calorie intake was less (about 700 calories per day). Both the people who ate one meal per day and those who ate 9 meals per day lost 5% of their weight in a 2 month period [11-15]. Other studies on obese [16] and normal individuals [17] have investigated the effects of 8 meals per day in comparison to one meal per day and concluded that *Corresponding author: Asma Kazemi, M.Sc. Student of Nutrition, Shiraz University of Medical Science, Health and Nutrition School, Iran, E-mail: kazemiasma@rocketmail.com