Miracle-dz/UniFAR-FTUs huggingface dataset:
A cross-sectional study to evaluate the correlation of depression and anxiety symptoms to glycemic control in recent onset type II diabetes mellitus- research from south India

Introduction: A bidirectional relationship between depression and diabetes is well established. WHO predicts India will lead in the number of persons with diabetes by 2030. Therefore, factors that can alter the glycemic control (evaluated by glycated hemoglobin levels-HbA1c) needs to be targeted to promote health in diabetes, hence the need for this study. Objectives: To assess the correlation of depression and anxiety with HbA1c in recent-onset Type II Diabetes Mellitus (T2DM). Materials and Methods: A cross-sectional study was conducted in the outpatient of an urban tertiary care hospital on 94 consenting patients with an established diagnosis of Type2DM for >1year and Results: In this sample HADS found 43% (n=40) with anxiety and 33% (n=31) with depressive symptoms. 80% (n=75) sample had abnormal HbA1c (>7) (mean=8.53±1.68). A trend towards positive correlation was noted between HbA1c and total depressive (r=0.1194/p=0.2518) and anxiety (r=0.0006/p= 0.9953) symptoms, however, not statistically significant. 26 of these individuals qualified for the syndromal diagnosis of anxiety spectrum and depression on MINI plus. No correlation found with Obesity and HADS. Conclusion: In this study in patients with recent onset diabetes, no correlation was found between HbA1c levels and depressive or anxiety symptoms. However, it was noted that subclinical symptoms of anxiety and depression were more common than the syndromal diagnosis. Keywords: Depression, Glycemic control, Anxiety, South India.
Usability Aspects of Eye Gaze Tracking Systems

With the rapid evolution in computer technology, there’s an augmented need to eminently dedicate attention to the computer-aided interaction, including crucial design aspects, implementing and evaluating the interfaces that provide this type of communication. Various techniques for human-computer interaction have been used, commencing with keyboards, printers, moving on with gesture interaction, speech interaction, touch screens, eye gaze tracking and many more. Most of these techniques are still analyzed and examined if they could ensure an ease at performing given tasks, such as moving the mouse cursor, selecting menus, moving or dragging objects on the computer screen, thus helping users with disadvantages to interact with the workstation. This paper describes usability study of an existing eye-tracking system and evaluate its correctness and calculate its error percentage, which can lead us to the deduction if this system would present an efficient interaction and provide facilitation of performing certain tasks, such as reaching a goal, following a trajectory, steering through straight tunnels and steering through circular tunnels.
Standing the Test of Time: Free Gingival Autografts, a Viable Option for Gingival Augmentation- A Report of Two Cases

Conventionally, free gingival grafts (FGGs) have been judiciously employed in the augmentation of the gingival complex. First described by Bjom, in 1963, FGGs have been widely used in the treatment of a variety of mucogingival problems. This technique has proved to increase the width of attached gingiva considerably. Furthermore, the results are predictable and also have been reported to be stable. FGG is a surgical modality with reportedly few clinical complications, excessive hemorrhage, necrosis of the graft, and esthetic alterations due to color, mismatch is some of them. Despite the fact of a number of other effective surgical root coverage techniques being developed and routinely used in clinical practice, the FGG still continues to be a viable and effective modality of mucogingival surgery. FGG is the only best treatment option for gingival recession when an increase in the apicocoronal dimension is desired. A proper case selection and execution of the surgical steps are crucial in maximizing the predictability of the FGG in correcting mucogingival problems. Here, in the present case report, two cases of gingival augmentation using free gingival autografts are reported.
Personalized Facet Recommendation based on Conditional Random Fields

Faceted search is a kind of exploratory search, which is the complementary of keyword search. The current faceted search techniques display all facets. When there are plenty of facets, they are not available. Existing facet recommendation approaches mainly select facets according to the experts' experience or the statistics. They do not consider the user's interest which affects the recommendation result. Thus, this paper proposes a personalized facet recommendation approach based on conditional random fields. First, we use the user's query logs to build user profile and regard the facets in the logs which the user selects as his/her interested ones. Second, we select multiple kinds of features and use conditional random fields to construct the facet classification model. At last, when a user submits a query, the system selects all candidate facets and uses the facet classification model to predict their interest degrees. Then it sorts these facets from the highest degree to the lowest degree and shows top-k facets to the user. Experimental results validate the effectiveness of our approach.
Treatment algorithm of metastatic rectal cancer

Around 50% of patients suffering from colorectal cancer will develop metastasis within their lifetime. Some liver and lung metastases are amenable to surgical resection, and these patients can enjoy an improved overall survival (OS), although up to 65% will develop some form of recurrence. In the era of precision surgery, with personalised medicine for each individual, a multi-disciplinary approach is required to ensure we are optimising the patient’s treatment. Whilst we know that surgical resection is often a matter of technical limitations, it is not always the correct choice. With the advances in oncotherapy, surgical resection should be reserved for those in whom it is clear will benefit from this. The surgical approach to the synchronous approach of metastatic rectal cancer has created controversy in whether to tackle the primary first, or deal with the metastasis first, or the benefits of neoadjuvant chemotherapy, with or without radiotherapy. In this review article, we aim to summarise the current practices and treatment options for management of metastatic rectal cancer, as well as patient selection.
Burn Shock and Resuscitation: Many Priorities, One Goal

Burn injuries come in a wide variety of presentations, depending on the size and depth of the thermal insult, concurrent traumatic or inhalation injury, as well as the associated physiological response of the burn victim. To minimize patient morbidity and reduce mortality, prompt recognition and tailored treatment strategies are critically important. As the percentage of total body surface area (TBSA) burned increases so do the body’s physiologic response and the associated complexity of management. Understanding the pathophysiology of burn injury allows the practitioner to optimize and individualize burn patient management—a component of care critical to limiting wound progression and improving outcomes. Burn patient care starts with an accurate and thorough burn patient evaluation conducted in person by an experienced provider. For burns >10–15% TBSA, prompt initiation of fluid resuscitation greatly impacts clinical outcomes. Several formulae have been published to guide crystalloid and/or colloid fluid resuscitation in the setting of burn shock. Other important considerations include ambient temperature control, early enteral nutritional support, vitamin and mineral supplementation, assessment for inhalation injury, glycemic control, early recognition of potential complications of large volume resuscitation, potential need for cardiovascular support, and early wound excision and coverage. Burn patients often require multidisciplinary teams to manage the physical, social, and psychological effects associated with their injury. Dedicated burn centers are the ideal places for meeting the complex needs of each burn patient.
Image Classification Approach for Breast Cancer Detection Based on a Complex Event Processing

Breast cancer is considered to be one of the leading causes of deaths among females in United States. All over the global level approximately 10000 women are diagnosed with this disease per year and approximately 3500 of these women are die from this types of cancer. In this paper, we propose a Complex Event Processing (CEP) Engine based on Support Vector Machine. Currently the Effective method for early detection and screening of Breast Cancer is Mammography Techniques. The detection of Tumor method follows the scheme of a) Mammogram image preprocessing b) The Segmentation Tumor area c) The Extraction of features and the use of support Vector Machine classification method.The monogram enhancement and segmentation techniques play an important role to improve the detection and diagnosis of breast cancer. The results reveal that the application of Event processing techniques improves the classification of images in medical domain and produces accurate results in order to help radiologist assessment.
Stochastic Transport in Complex Systems: From Molecules to Vehicles

I. Methods and Concepts 1. Introduction to Nonequilibrium Systems and Transport Phenomena 2. Methods for the Description of Stochastic Models 3. Particle-Hopping Models of Transport far From Equilibrium 4. Asymmetric Simple Exclusion Process - Exact Results II. Applications 5. Vehicular Traffic I: Empirical Facts 6. Vehicular Traffic II: The Nagel-Schreckenberg Model 7. Vehicular Traffic III: Other CA Models 8. Vehicular Traffic III: Non-CA Modelling Approaches 9. Transport on Networks 10. Pedestrian Dynamics 11. Biological Traffic
Clinical and Endoscopic Profile of Patients with Upper Gastro-Intestinal Bleeding (UGIB)

Background: Upper gastro-intestinal bleeding (UGIB) is a cause of significant morbidity and mortality. Prevalence as well as mortality is higher in elderly persons above sixty years because of increasing use of nonsteroidal anti-inflammatory drugs and associated comorbidity. Conventionally upper GI bleeding is divided as variceal and nonvariceal sources and the treatment protocol varies accordingly. There are limited data regarding UGIB in our country. Objective: This observational study was designed to delineate the clinical and endoscopic profile of patients with UGIB in our country. Materials and Methods: This prospective observational study was done in the Department of Gastroenterology in Enam Medical College & Hospital during the period of 2014–2017. Patients with UGIB were followed until discharge or death. Patients were subjected to upper GI endoscopy, preferably within the first 24 hours. Clinical and endoscopic data of 131 patients were compiled and analyzed in this study. The data were analysed using SPSS version 21.0. Results: Among the 131 final participants 101 were male and 30 were female. Mean age of the patients was 43.65 ± 18.63 years. Patients mostly presented with both haematemesis and melaena (66, 50.4% patients), 33.6% with haematemesis only, and 16% patients with melaena only. The most common endoscopic finding was duodenal and or gastric ulcer (57); next common lesions were gastric/duodenal erosions (23), oesophageal varices (13), oesophageal erosions/ulcers (10), corrosive burn (10) and carcinoma (7). Forty patients had history of NSAID intake and gastric/duodenal ulcer and/erosions were the most frequent lesions among them (27). One patient with oesophageal varices died due to rebleeding. Conclusion: In our study peptic ulcer-related bleeding is the most common cause of UGIB. A significant proportion of UGIB is due to corrosive burn (harpic) emphasizing the need for public awareness. Mortality was due to rebleeding. J Enam Med Col 2019; 9(2): 78-83
Arabic Part Of Speech Disambiguation: A Survey

After several decades of heavy research activities in part of speech tagging of rich- resources languages, various supervised and unsupervised machine learning approaches have been proposed to solve this problem. In contrast, a few researches have been investigated in Arabic part of speech tagging with modest effort. Thus, the aim of this paper is to summarize and organize the information available in the literature to motivate researchers to look into these techniques, adopt them for other languages and to develop more advanced ones. The paper also surveys Arabic part of speech tagging and discuss their limitation. In addition, open areas and future work directions are discussed.
Clinical Significance of Inflammatory Biomarkers in Acute Pediatric Diarrhea

Purpose The aim of this study was to evaluate the clinical significance of inflammatory biomarkers in acute infectious diarrhea among children. Methods Clinical parameters including fever, bacterial and viral etiology based on stool culture and multiplex polymerase chain reaction, and nine biomarkers including C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and leukocytes in blood and calprotectin, lactoferrin, myeloperoxidase, polymorphonuclear elastase, leukocytes, and occult blood in feces were evaluated in children who were hospitalized due to acute diarrhea without underlying disease. Results A total of 62 patients were included. Among these patients, 33 had fever, 18 showed bacterial infections, and 40 patients were infected with 43 viruses. Of all the biomarkers, CRP was significantly correlated with fever (p<0.001). CRP, ESR, calprotectin, lactoferrin, myeloperoxidase, fecal leukocytes, and occult blood were significantly associated with infection with bacterial pathogens (p<0.001, p=0.04, p=0.03, p=0.003, p=0.02, p=0.03, p=0.002, respectively). The combination of CRP and fecal lactoferrin at their best cut-off values (13.7 mg/L and 22.8 µg/mL, respectively) yielded a sensitivity of 72.2%, and a specificity of 95.5% for bacterial etiology compared with their individual use. Conclusion Blood CRP is a useful diagnostic marker for both fever and bacterial etiology in acute pediatric diarrhea. The combination of CRP and fecal lactoferrin yields better diagnostic capability for bacterial etiology than their use alone for acute diarrhea in children without underlying gastrointestinal disease.
Prognostic impact of myocardial contraction fraction in patients undergoing transcatheter aortic valve replacement for aortic stenosis.

Background Myocardial contraction fraction (MCF), a volumetric measurement of myocardial shortening, may help to improve risk stratification in patients with severe aortic stenosis (AS) referred for transcatheter aortic valve replacement (TAVR) especially in those with preserved left ventricular ejection fraction (LVEF). We investigated the association between MCF and 1-year all-cause mortality in patients with severe AS who underwent TAVR. Methods MCF was calculated as the ratio of stroke volume (SV) to myocardial volume. Patients referred for TAVR from 2011 to 2015 were eligible for inclusion and were divided into two groups according to the estimated MCF (MCF ≤30% vs. MCF >30%). The primary endpoint was 1-year all-cause mortality. A Cox regression analysis was performed for independent risk factors of mortality. Receiver operating curve (ROC) was performed for assessing the best cut-off point of MCF for predicting the primary outcome [area under the curve (AUC) 0.60; 95% confidence interval (CI): 0.453-0.725]. Baseline patient and echo characteristics were included for multivariate analysis. Results Of 126 patients (mean age 82±5 years, 45.2% male), 44.4% showed MCF ≤30%. Patient with reduced MCF showed higher body mass index (28.1±5.8 vs. 26.0±4.5 kg/m2, P=0.031), higher surgical EuroScore II (6.2±4.5 vs. 4.7±3.2, P=0.032), lower LVEF (54.2%±11.9% vs. 58.5%±10.8%, P=0.042) and more severe AS (indexed aortic valve area 0.40±0.09 vs. 0.45±0.10 cm2/m2, P=0.030). The median follow-up was of 14 [3.5-33] months, and 16% of patients died. Patients with MCF ≤30% showed significantly increased all-cause mortality (Log-rank P=0.002). In a multivariate model adjusting for clinical and echo variables, MCF ≤30% was independently associated with increased risk for all-cause 1-year mortality [hazard ratio (HR) 2.76, 95% CI: 1.03-7.77, P=0.04]. Conclusions In a population of patients undergoing TAVR, MCF ≤30% was independently associated with increased mortality.
DIMENSIONAL COMPLEXITY OF POSTUROGRAPHIC SIGNALS: I. OPTIMIZATION OF FREQUENCY SAMPLING AND RECORDING TIME

To properly estimate of dimensional complexity (DC) from a time series some requirements should be meet concerning signal registration. Moreover, some parameters necessary for reliable reconstruction of chaotic character should be assessed. In this paper, we calculate registration parameters, i.e. minimal sampling frequency and minimal registration time, for posturographic signal. To this aim we used posturographic signals from 32 young healthy participants. According to our results, posturographic time series should at least be 60 s long and be sampled at least every 10 ms.
Ray-tracing model for land mobile satellite systems

This paper presents a ray tracing algorithm that can be used in an urban environment for land mobile satellite systems. The basic characteristics are simplicity and fast processing time. The principle of the algorithm is to reduce the rays to be checked via a geometrical method. The algorithm can be used for several scenarios of the mobile vicinity and satellite constellation. An improvement of the algorithm is also proposed and performed for a certain area.
A Combined Clock and Data Recovery Circuit with Adaptive Cancellation of Data-Dependent Jitter

A combined clock and data recovery (CDR) circuit with adaptive cancellation of data-dependent jitter (DDJ) is constructed in all-digital architecture which is amenable to deep submicron technology. The DDJ canceller uses an adaptive FIR filter to compen-sate for any unknown channel characteristic. The proposed CDR decreases jitter in the recovered clock since the DDJ canceller significantly cancels out incoming jitter caused by inter-symbol interference.
Perspektivwechsel. À la recherche de la force perdue

Viele Mitarbeiter der Intensiv und Notfallmedizin berichten von hohen Belastungen im Alltag. Wie gesund, widerstandsfähig und zufrieden fühlt sich das medizinische Fachpersonal der Intensivund Notfallmedizin aktuell? Wie kann man das subjektive Belastungserleben objektivieren? Welche Umstände führen zu (psychischer) Überlastung der Mitarbeiter? Welche Belastungen lassen sich reduzieren? Wie müssen die Bedingungen gestaltet werden, damit die Mitarbeiter trotz der unvermeidbaren hohen (psychischen) Belastungen in der Notfallmedizin ihre psychosoziale Gesundheit erhalten und ein motivierter Arbeitnehmer bleiben? Wie könnte die Anzahl der Krankheitsausfälle reduziert werden?
A Microblogs Location Inferring Method Based on Hybrid Language Model

Inferring tweets’ location has emerged to be a critical and interesting issue in social media eld. Nowdays, it is still a challenging problem to infer the location based on the text context, meanwhile the inference granularity is too rough. This paper proposed a location inferring model for text context based on hybrid language model in district granularity. Using tweets that locations are already known as seeds to build n-gram language model through analyzing the geo-tag features on the tweets from Sina-Weibo platform. Then the tweets’ location will be inferred based on the language model. The f-measure district level of our method is to 39.7% on a Sina-Weibo test set of 9,999 tweets from 8,273 users; compared with the method based on unigram language model, the proposed method can achieve better accuracy.
AB1302C SERUM IMMUNOGLOBIN G4 LEVEL IN DIFFERENT TYPES OF MALIGNANCY WITHOUT IMMUNOGLOBIN G4 RELATED DISEASE

Background High levels of serum immunoglobulin G4 (IgG4) would comprise a useful diagnostic tool in IgG4-related disease (IgG4-RD), but little information is available about IgG4 in conditions other than IgG4-RD such as malignancies. Previous studies indicate that IgG4-RD is a strong risk factor for malignancy development. Objectives The aim of this study is to evaluate the level of serum IgG4 in different malignancy without IgG4-RD. Methods 90 patients with malignancy were enrolled between March 1st and August 30th, which have been excluded with IgG4-RD. All samples were collected before treatment. Diagnosis of malignancy was determined by histological result. The levels of serum IgG4 were determined by nephelometric assay. The cut-off value of serum IgG4 was 201 mg/dl. We compared the levels of serum IgG4 among patients with different types of malignancy. Results (1) Among the 90 patients, 18 patients were gallbladder carcinoma, 6 patients were lung carcinoma, 34 patients were liver carcinoma, 6 patients were gastrointestinal carcinoma, and 19 patients were pancreatic carcinoma. 68 (75.56%) patients were male and mean age was 52.8± 15.5 yrs. The mean value of serum IgG4 was 146.7±147.6 mg/dl, and 21 (23.3%) of patients have elevated serum IgG4. (2) Serum IgG4 level in gastrointestinal carcinoma is the highest (237.8±50.92 mg/dl), but the sample is too small. Serum IgG4 level in liver carcinoma was higher than other types of malignancy (180.5 ± 32.04 mg/dl. vs gallbladder carcinoma 114.4 ± 15.01 mg/dl, p<0.01. vs pancreatic carcinoma 91.63 ± 19.89 mg/dl, p<0.01. vs lung carcinoma 67.47 ± 11.75 mg/dl, P<0.01). Conclusion Elevated serum IgG4 level is common in patients with malignancies, while patients with liver carcinoma have significant higher serum IgG4 level than those with gallbladder carcinoma, pancreatic carcinoma and lung carcinoma. This suggests that IgG4 may have different role in different types of tumor.Figure 1 Disclosure of Interests None declared
Pacientes con retardo de consolidación, infiltrados con lisado plaquetario autólogo

Introduccion: El retardo de consolidacion es una complicacion que resulta de un proceso de consolidacion osea anormal. Objetivo: Caracterizar a los pacientes con retardo de consolidacion, infiltrados con lisado plaquetario autologo. Metodos: Se realizo un estudio de casos, observacional, descriptivo, transversal y retrospectivo, en el Hospital General Docente “Comandante Pinares”, de enero 2008 a diciembre de 2017. Se revisaron 186 historias clinicas y se seleccionaron 80, que cumplian los criterios para el estudio. Se infiltro entre 6 mL de lisado plaquetario autologo en los focos de fracturas, se evaluo el tiempo de consolidacion osea mediante radiografias seriadas y se registraron las complicaciones. Las variables del estudio fueron: edad, sexo, color de la piel, localizaciones oseas afectadas, sitios anatomicos del hueso, tiempo de consolidacion osea, complicaciones. Se empleo la distribucion de frecuencias absoluta y relativa en el analisis de las variables cualitativas y la media aritmetica para la variable cuantitativa edad. Para la relacion entre variables cualitativas independientes se utilizo la prueba de chi-cuadrado. Resultados: Hubo mas frecuencia de retardo de la consolidacion en hombres de piel blanca, con edades comprendidas entre 26 y 45 anos. Predomino en el tercio inferior de la tibia. El hueso que mas tiempo requirio para su consolidacion fue la tibia, con mas de 16 semanas. No se describen complicaciones asociadas al implante. Conclusiones: El retardo de consolidacion continua siendo una complicacion de dificil manejo. Es frecuente en hombres jovenes y blancos. El lisado plaquetario autologo es un buen coadyuvante en el tratamiento de esta complicacion.