Miracle-dz/UniFAR-FTUs huggingface dataset:
Overcoming medication refusal using a patient-centered approach

ABSTRACT The refusal of psychotropic medication is a challenge faced by many healthcare providers when treating patients with mental illness. Controversy surrounds medication refusal because some mental health professionals believe that psychiatric patients should be forced to take medications for the safety of the general public, while patients are often acutely aware of potential lifelong adverse side effects and are sometimes reluctant to comply. The proposed alternative to this problem begins with developing the patient-provider relationship through a patient-centered approach. This approach emphasizes the individual needs of patients and creates opportunities for input from patients about their care, which helps form relationships of mutual trust and respect between patients and providers. This article explores the literature to: (1) understand some of the challenges and controversies involved in patient medication refusal from a clinical and societal level; (2) identify some issues in a patient-centered approach; and (3) make some brief clinical and policy recommendations that might help to bring about an increase in the use of patient-centered care. Hopefully, as efforts are made toward a patient-centered approach, increased psychotropic medication adherence and decreased medication coercion will result as providers listen and act upon the needs of their patients.
Dominant scattering mechanism in SiC MOSFET: comparative study of the universal mobility and the theoretically calculated channel mobility

The universal mobility in SiC MOSFETs is investigated and compared with the theoretically calculated channel mobility. From an analysis of channel mobility of SiC MOSFETs with sufficiently reduced Coulomb scattering centers, it is quantitatively shown that η, which determines effective electric fields Eeff (=q(Ndpl + η Ns)/εs), should be set to 0.26 to express the mobility universally. Acoustic-phonon scattering-limited mobility, intervalley-scattering-limited mobility, and roughness-scattering-limited mobility are calculated and compared with the universal mobility. Consequently, it is shown that acoustic phonon scattering is dominant in a wide Eeff range, whereas roughness scattering has a slight effect in a high Eeff range, and the influence of intervalley-scattering is limited throughout the Eeff range. In particular, it is shown that acoustic phonon scattering between the 1st conduction band minima (CBM) and 2nd CBM, which exists 120 meV above the 1st CBM, greatly limits mobility of SiC MOSFETs.
Continuous g‐frame and g‐Riesz sequences in Hilbert spaces

A continuous g‐frame is a generalization of g‐frames and continuous frames, but they behave much differently from g‐frames due to the underlying characteristic of measure spaces. Now, continuous g‐frames have been extensively studied, while continuous g‐sequences such as continuous g‐frame sequence, g‐Riesz sequences, and continuous g‐orthonormal systems have not. This paper addresses continuous g‐sequences. It is a continuation of Zhang and Li, in Numer. Func. Anal. Opt. , 40 (2019), 1268‐1290, where they dealt with g‐sequences. In terms of synthesis and Gram operator methods, we in this paper characterize continuous g‐Bessel, g‐frame, and g‐Riesz sequences, respectively, and obtain the Pythagorean theorem for continuous g‐orthonormal systems. It is worth that our results are similar to the case of g‐ones, but their proofs are nontrivial. It is because the definition of continuous g‐sequences is different from that of g‐sequences due to it involving general measure space.
Exploring local perceptions on visual media representations of climate change and last chance tourism in Tuvalu

ii Acknowledgements . iv List of Figures . viii List of Tables . ix Chapter 1: Introduction . 1 1.1 Overview . 1 1.2 Background . 1 1.3 Need for the Study . 3 1.4 Researcher Context . 4 1.5 Thesis Outline . 5 Chapter 2: Literature Review . 7 2.
The Realization of Nurses in Managing a Day Care Program for Senior Citizens

Background: Day care is a community-based resource for senior citizens that offers programs related to their health and well-being. Nurses positioned to manage day care in senior centers learn the challenge of caring for the older person. Objective: The study aimed to discover the realization of nurses in managing a day care program for the senior citizens of Manila. The study proposed a renewed awareness among nurses on the roles they need to perform as health care practitioners. This was in line with the opportunity to conduct and manage a day care program for older persons at the senior center called “Bahay Kalinga” in Paco, Manila. Method: A qualitative research design was used in exploring the experiences of nurses. The Manila Department of Social Welfare (MDSW) gave permission to the nurses in the study to run a one-month day care program for the senior citizens in Bahay Kalinga. At the end of the program, the nurses were interviewed on their realization of the roles they performed. The verbatim transcripts of the in-depth interviews were analyzed through the lens of Colaizzi's [7] methodology for descriptive phenomenology. Results: Findings showed that the nurses developed their own understanding on how it is to be an older person in a senior citizens center. The nurses also gained knowledge in managing a program for older persons and discovered complex nursing roles in the process. Conclusion: The study contributed to a better understanding of the nurse's role in managing a day care program for older persons. Thus, the study recommends that senior centers elicit the services of nurses as part of the health care team that manage day care programs for the health and well-being of senior citizens.
Processo de internacionalização de uma PME: a prospeção do mercado espanhol da empresa Energie EST Lda.

Then Portuguese economy is mostly made up of small and medium-sized enterprises (SMEs), which are to a great extent responsible for increasing the country's productivity indexes. However, the small size of Portugal as a market, as well as the financial adversities that have arisen in the last decade, have led to a transformation not only of their modus operandi, impelling them to seek new markets, but also to the development and diversification of their sources of income. Thus, in an increasingly globalized and interconnected world, companies also emerge as global, and for which “there are no impossibilities”, and where “nothing can be taken for granted”. It is in this context that the internationalization of companies, especially SMEs, plays a leading role not only for the companies themselves but also for the countries and economies in which they are located. This report seeks to understand and improve the export process of ENERGIE EST Lda. to the Spanish market, in the segment of air-water heat pumps for heating sanitary waters. The main objectives are to understand how ENERGIE EST Lda. can penetrate more efficiently in this market, through the analysis of its product typologies, its competitors, the search for new customers, the increase of brand visibility, as well as identification of the company’s limitations and why they exist.
Transformational Adaptation in Least Developed Countries: Does Expanded Stakeholder Participation Make a Difference?

Did the novel planning arrangements in the National Adaptation Programmes of Action (NAPAs) enable stakeholders to substantively influence adaptation planning? If so, does the observed influence have potential for more transformational adaptation? We inform these questions by reviewing and coding the first 50 NAPAs, prepared by the world’s poorest nations with support from the United Nations Framework Convention on Climate Change (UNFCCC). We then apply categorical statistics and qualitative comparative analysis to test for stakeholder influence on the planning process and outcomes. We find little evidence that the composition of stakeholder participation influenced climate vulnerability analysis or adaptation planning in the NAPAs. Although the NAPAs were designed to be participatory and country-driven, they were constrained by limited budgets, prescribed guidelines from the UNFCCC, and the challenges of cultivating effective stakeholder participation. Key aspects of NAPAs even worked against generating transformational adaptation. Chief amongst these, risk exposure and sensitivity were emphasized over adaptive capacity in assessing vulnerability, and cost- effectiveness and synergies with existing development and environmental policies were priorities for selecting adaptation actions. These barriers to effective stakeholder engagement and transformational adaptation are timely reminders for those countries currently in the process of preparing their National Adaptation Plans to the UNFCCC.
A First-Year Undergraduate Summer Assignment Designed to Introduce and Reinforce Good Work Concepts

In fall 2011, the Bloomsburg University Good Work Initiative was launched. The initiative was tasked with developing, implementing, and assessing programs to encourage students to reflect upon the concept of good work (i.e., work that is excellent, ethical, and engaged). In this paper, we describe the 2014 summer assignment, which was developed using lessons learned over 3 years of good work programming at our university. The assignment was designed to first introduce students to good work concepts through a brief reading, then reinforce the concepts through two case analyses, and finally challenge students to apply their understanding of the concepts by writing an essay about their own professional role model of good work. Students demonstrated the ability to understand and effectively apply good work concepts and reported high levels of satisfaction with the program.
Comparative Analysis of Inverter Topology to Drive Four AC Loads

There are various inverter topologies to drive a multiple AC load. Two different compact and cost-effective reduced switch count (RSC) inverter topologies are analysed in this paper. These topologies are capable to drive four ac loads and generating the twelve phase output voltage from a single common DC bus. In these topologies less number of switches are required than the conventional inverter. Both fifteen switch inverter topologies are realized by Carrierbased pulse width modulation technique. In this paper the comparative analysis of both Fifteen Switch Inverter topologies are presented.
Machine Boss: rapid prototyping of bioinformatic automata

Motivation Many C++ libraries for using Hidden Markov Models in bioinformatics focus on inference tasks, such as likelihood calculation, parameter-fitting, and alignment. However, construction of the state machines can be a laborious task, automation of which would be time-saving and less error-prone. Results We present Machine Boss, a software tool implementing not just inference and parameter-fitting algorithms, but also a set of operations for manipulating and combining automata. The aim is to make prototyping of bioinformatics HMMs as quick and easy as the construction of regular expressions, with one-line “recipes” for many common applications. We report data from several illustrative examples involving protein-to-DNA alignment, DNA data storage, and nanopore sequence analysis. Availability and Implementation Machine Boss is released under the BSD-3 open source license and is available from http://machineboss.org/. Contact Ian Holmes, ihh@berkeley.edu
Gaussianization Machines for Non-Gaussian Function Estimation Models

A wide range of nonparametric function estimation models have been studied individually in the literature. Among them the homoscedastic nonparametric Gaussian regression is arguably the best known and understood. Inspired by the asymptotic equivalence theory, Brown, Cai and Zhou (Ann. Statist. 36 (2008) 2055–2084; Ann. Statist. 38 (2010) 2005–2046) and Brown et al. (Probab. Theory Related Fields 146 (2010) 401–433) developed a unified approach to turn a collection of non-Gaussian function estimation models into a standard Gaussian regression and any good Gaussian nonparametric regression method can then be used. These Gaussianization Machines have two key components, binning and transformation. When combined with BlockJS, a wavelet thresholding procedure for Gaussian regression, the procedures are computationally efficient with strong theoretical guarantees. Technical analysis given in Brown, Cai and Zhou (Ann. Statist. 36 (2008) 2055–2084; Ann. Statist. 38 (2010) 2005– 2046) and Brown et al. (Probab. Theory Related Fields 146 (2010) 401–433) shows that the estimators attain the optimal rate of convergence adaptively over a large set of Besov spaces and across a collection of non-Gaussian function estimation models, including robust nonparametric regression, density estimation, and nonparametric regression in exponential families. The estimators are also spatially adaptive. The Gaussianization Machines significantly extend the flexibility and scope of the theories and methodologies originally developed for the conventional nonparametric Gaussian regression. This article aims to provide a concise account of the Gaussianization Machines developed in Brown, Cai and Zhou (Ann. Statist. 36 (2008) 2055–2084; Ann. Statist. 38 (2010) 2005– 2046), Brown et al. (Probab. Theory Related Fields 146 (2010) 401–433).
Hybrid modelling and predictive control of utility-scale variable-speed variable-pitch wind turbines

Wind energy has proven to be the highest reliable source of renewables due to the maturity of the technology. Wind turbine (WT) systems are complex systems with undergoing development process that requires innovative methods of design and control. In this paper, WTs are studied through hybrid systems framework. Hybrid models of WT are extracted with representable dynamics from nonlinear complex design code. The WT model is formulated into a mixed-logical dynamical model (MLD) and a piecewise affine (PWA) model. Then, a receding horizon control strategy is applied to WT hybrid model resulting in a hybrid model predictive control (HMPC) with mixed-integer programming (MIP) problem. The performance of the proposed controller is compared against the baseline controller within a simulation environment for the National Renewable Energy Laboratory (NREL) 5MW benchmark WT as a case study. The analysis and investigation of HMPC highlight its capability as a potential tool for exploiting the control objectives of WT systems.
Hémorragie méningée : prise en charge Management of subarachnoid hemorrhage

MOTS CLÉS Anévrisme cérébral ; Hémorragie sous-arachnoïdienne ; Hydrocéphalie ; Ischémie cérébrale ; Vasospasme cérébral ; Procédure neurochirurgicale ; Clipping ; Coiling Résumé L’hémorragie sous-arachnoïdienne (HSA) représente 5 % des accidents vasculaires cérébraux avec une morbi-mortalité élevée. L’HSA touche une population plutôt jeune, souvent hypertendue et tabagique. Le signe cardinal est une céphalée brutale. La gravité clinique est évaluée selon une échelle pronostique associant le niveau de conscience initial et la présence d’un déficit moteur. Un scanner cérébral sans injection réalisé en urgence est l’élément diagnostique principal, la quantité de sang étant prédictive de la survenue d’un vasospasme. Le transfert dans un centre de référence avec expertise neurovasculaire permet de réaliser une artériographie cérébrale qui localise l’anévrisme rompu, en cause dans 85 % des HSA. L’exclusion de l’anévrisme rompu est une urgence qui doit être réalisée au plus tard dans les 72 premières heures, par voie microchirurgicale ou endovasculaire, permettant ainsi de prévenir le resaignement précoce toujours péjoratif. La prise en charge médicale associe la détection de l’hydrocéphalie, la prévention de l’hypovolémie et des inhibiteurs calciques per os. Le vasospasme cérébral est une complication pourvoyeuse de mortalité et de séquelles neurologiques par ischémie cérébrale secondaire. La compréhension incomplète de sa physiopathologie en limite la prévention. Son traitement associe le maintien d’une pression de perfusion cérébrale et des techniques plus invasives, telle l’angioplastie mécanique ou chimique. © 2007 Société de réanimation de langue française. Publié par Elsevier Masson SAS. Tous droits réservés.
Traditional risk factors and non traditional in a population of rheumatoid arthritis patients

Introduction: patients with rheumatoid arthritis have twice the risk of cardiovascular diseases. This risk is not explained only by nontraditional factors, because these patients have associated factors with the disease itself which produce chronic inflammation. Objective: determine the prevalence of traditional cardiovascular risk factors and non-traditional in a population of patients with rheumatoid arthritis. Methods: a descriptive, cross-sectional, observational and prospective study was done in 126 patients diagnosed with rheumatoid arthritis according to ACR / EULAR 2010 criteria. Medical records were reviewed, excluding patients with previous cardiovascular disease. Traditional cardiovascular risk factors were recorded diabetes mellitus, hypertension, hypothyroidism, smoking, obesity, total cholesterol, HDL and LDL, triglycerides, and factors associated with rheumatoid arthritis, disease duration were recorded, DAS-28 C reactive protein, C reactive protein levels, use of glucocorticoids, rheumatoid factor positive, and positive antibody anti cyclic citrullinated peptide. Results: 68 % of the population had hypertriglyceridemia, 60.3 % elevated LDL, 50 % hypercholesterolemia, 44.3 % hypoalphalipoproteinemia, 58.7 % presented obesity, 35.7 % had diabetes mellitus, 16.6 % hypertension , 7.1 % smoked and 3.1 % had hypothyroidism. Regarding the non-traditional risk factors 68.2 % had positive rheumatoid factor, 54.7 % were taking glucocorticoids, 25.4 % had C reactive protein > 2 mg / L, 20.6 % had more than 10 years of duration of the illness, the 7.9 % had positive antibody anti cyclic citrullinated peptide and 1.6 % had severe activity index. cardiovascular risk factors 10 years was calculated using the Framingham; 74.6 % showed slight risk, 24.6 % moderate and 0.8 % severe. Conclusions: our rheumatoid arthritis patients had approximately two average nontraditional cardiovascular risk factors, which makes risk factors such as the Framingham not useful.
Reproductive biology of sailfin molly, Poecilia latipinna (Lesueur, 1821) in tambak Bosowa Kabupaten Maros

Sailfin molly, Poecilia latipinna is one of the alien ornamental fishes in Indonesia. This fish has been found in the aquaculture area in Maros Regency, south Sulawesi as a pest. The research aimed to identify species and observe aspects of reproductive biology of sailfin molly. The study was conducted in the Bosowa Isuma aquaculture area, in Maros Regency from November 2017 to April 2018. Fish was captured using a gillnet. The catches were separated for fish identifying and reproductive biology purposes. For the observation of reproductive biology, the samples were separated by sex according to external morphology. Measurement of total length and weight using calliper (mm) and analytical scales (g), respectively. The gonads preserved in the 4% formalin solution, used for determination of gonad developmental stages and fecundity. Identification results showed that the molly fish found in the ponds was Poecilia latipinna (Lesueur 1821). The length distribution of male and female fish was 26-76 and 31-66 mm with a mean of 51 and 46 mm, respectively. Overall, sex ratio and mature gonads between male and female fish were 1: 2 and 1:10; the growth patterns of male and female were negative allometrics and isometric, respectively. This fish is spawn throughout the year with the peak of spawning in January. The number of larvae to be born (larval fecundity) ranges from 12-111 individuals with an average of ± 32 larva/female.
EVALUACIÓN DE LA VIDA ÚTIL DE LOS ACEITES DE SACHA INCHI (Plukenetia huayllabambana y Plukenetia volubilis) MICROENCAPSULADOS

Los aceites de sacha inchi de los ecotipos Plukenetia huayllabambana y Plukenetia volubilis se microencapsularon para protegerlos de factores ambientales como el oxígeno, la luz, humedad y de las condiciones de los procesos durante la elaboración de los alimentos. El estudio de la vida útil del producto microencapsulado es muy importante a la hora de utilizarlo como materia prima en el desarrollo de alimentos funcionales. Por todo lo comentado anteriormente, el objetivo del trabajo fue evaluar la vida útil de los aceites de sacha inchi microencapsulados con diferentes materiales de pared (Goma Arábiga (GA), Hi-Cap, Maltodextrina (MD) y proteína de suero de leche (WPI)), solos o en mezclas; empleando el método Rancimat® a las temperaturas de 70, 80, 90 y 100°C. Los resultados del tiempo de vida útil extrapolada a 25°C de los microencapsulados de los aceites de sacha inchi fue mucho mayor que el tiempo de vida de los aceites de sacha inchi sin microencapsular. La estabilidad oxidativa y el periodo de inducción (PI), también confirmaron que las microcápsulas obtenidas mostraron una mayor protección frente a la oxidación, siendo el material de pared Hi-cap el que mejor protegió.
On the Use of Entire-Domain Basis Functions and Fast Factorizations for the Design of Modulated Metasurface

Entire-domain, spectral basis functions (BFs) have witnessed recent interest in the integral-equation analysis of large metasurface (MS) antennas modeled via homogenized impedance boundary conditions. We present a formulation employing classical Galerkin test via Rao–Wilton–Glisson functions yet assembled to represent entire-domain div-conforming BFs for the shape of interest (e.g., circular/coaxial waveguide modes). On the one hand, the rationale is that entire-domain, spectral BFs afford a significant economy in the number of necessary unknowns; on the other hand, being expressed as combination of Rao–Wilton–Glisson functions, reaction integrals are computed with optimum cost via fast methods. This is applied to reduce the cost of the optimization process used to design MS antennas based on spatially modulated reactance profiles. The authors support the method proposed, presenting criteria to define the entire-domain functions, considering the overall numerical complexity in an optimization framework, and providing a convergence analysis and the numerical results for holographic leaky-wave antennas, relevant in the MS context.
Extent of Implementation of Nuc Regulation by Private Universities in Enugu State on Personnel Management

The purpose of this study is to investigate on the extent of implementation of NUC Regulations by Private Universities in Enugu State on Personnel Management. Descriptive survey design was employed in the study. The quantitative data were collected through a 24 item questionnaire title “Extent of Implementation of NUC Regulation on Personnel Management in private Universities (EINRPMPU)”. This was administered on 509 respondents made up of University principal Officers, head of units, lecturers and students. The data were analyzed using mean, standard deviation, t-test and z-score on a modified 4 point rating scale. Findings of the study revealed among others. Private universities in Enugu State adhere to NUC regulations regards to staff personnel and student personnel management. Based on the above some recommendations were made.