Miracle-dz/UniFAR-FTUs huggingface dataset:
Fatores de risco para tocotraumatismo materno

Introduction: Maternal birth injuries affect most often the soft parts of the maternal genitalia and therefore are related to substantial morbidity, such as in cases of perineal, vaginal and cervical ruptures. Mortality is mainly represented by uterine rupture. The aim of this study was to identify risk factors related to maternal birth trauma. Methods: A case-control study conducted in a postpartum ward from Jul 2004 to Dec 2005. Maternal and fetal variables were evaluated. Categorical variables were shown as proportions, those with normal distribution as mean and standard deviation, and those without normal distribution as median and interquartile range. In order to check the variables associated with maternal birth trauma, bivariate analysis was conducted with the chi-square test. Results: Of 2,137 women, 37 cases (1.7%) of maternal birth trauma were identified. Lesions of first and second degrees were the most prevalent (n = 29, 78.4%). One case of uterine rupture was found. Variables (a) second period of labor less than 30 minutes, (b) fetal weight between 3,000 g and 3,499 g, (c) fetal length between 50 cm and 46 cm) and (d) chest girth ≥ 33 cm were associated with maternal birth trauma in the bivariate analysis, but had no significance in the logistic regression. Conclusion: First and second degrees lesions were the most prevalent (n = 29). Vaginal delivery, multiparity and head circumference ≥ 33 cm were identified as independent risk factors for maternal injury.
Dirofilaria tenuis Causing Neuritis

Dirofilaria tenuis is a mosquito-transmitted filaria of raccoons in the American Southeast. Here, we report the case of subcutaneous D tenuis in a 72-year-old south Florida resident. A 1-cm nodule on the left forearm progressed to an extensive inflammation and radial neuritis with stiffness and weakness of the thumb, index, and middle fingers. His serum was positive for antifilarial IgG1. The determination was based on the history of exposure in Florida and on the characteristics of the degenerating body wall. Removal led promptly to resolution. Subcutaneous D tenuis is usually benign and may simulate lipomas or neoplasms almost anywhere on the body. It should be considered in middle-aged or older patients of either sex who present with a small nodule enveloping a slender coiled roundworm (females, 260Y360 Km 8Y13 cm). Florida has accounted for approximately 3 quarters of reported cases.
Treatment as Prevention (TasP) among black transgender women (BTW) in the United States: characterizing the HIV care continuum and identifying correlates of HIV diagnosis and care

Public Health Significance: Treatment as prevention (TasP) could be an effective way to address the HIV epidemic among Black transgender women (BTW) in the United States. For TasP to be effective in this population, more information regarding the manifestation of HIV care continuum outcomes among BTW is needed. Methods: Data came from Promoting Our Worth, Equality, and Resilience (POWER). In 2014 and 2015, POWER recruited Black men who have sex with men (BMSM) and BTW who attended Black Pride events in Philadelphia, PA, Houston, TX, Washington, D.C., Detroit, MI, Memphis, TN, and Atlanta, GA. A total of 245 BTW provided complete data for our analysis. Results: We detected an HIV prevalence rate of 37.8%. Of the 92 HIV-positive BTW, 50% had prior knowledge of their HIV-positive status. 100% of those with prior knowledge of their HIV-positive status reported that they were linked to HIV medical care. 93% of HIV-positive BTW linked to HIV medical care reported that they were retained in HIV medical care, and 95% of those retained in HIV medical care reported that they had been prescribed antiretrovirals (ARVs). 68% of the 41 HIV-positive BTW prescribed ARVs reported that they had an undetectable viral load. Health outcomes associated with HIV care in other populations were not associated with HIV diagnosis or viral suppression in our sample. Conclusion: Developing and implementing interventions that address testing uptake may assist in informing the HIV disparity among BTW in the United States. More research is needed to identify and understand the structural, community, and individual-level barriers and facilitators that shape BTW’s engagement in HIV medical care.
High On-Treatment Platelet Reactivity Associated With Prasugrel

Objective: To report a case of high on-treatment platelet reactivity (HTPR) with prasugrel maintenance therapy despite adequate initial platelet response to a loading dose. Case Summary: A 51-year-old woman presented to the emergency department complaining of chest pain. She was diagnosed with acute-on-chronic systolic heart failure and non-ST-elevated myocardial infarction (MI). She had a previous MI with bare metal stent placement and was taking aspirin and prasugrel 10 mg daily. Once admitted, a P2Y12 assay revealed HTPR (331 PRU); therefore, prasugrel was reloaded (60 mg). The next day a P2Y12 assay showed adequate platelet reactivity inhibition (118 PRU), so prasugrel 10 mg daily was continued in the hospital and on discharge. Seventeen days after discharge she was readmitted for possible ischemia. On day 3 of admission, a P2Y12 assay revealed HTPR (278 PRU); subsequently, prasugrel was discontinued and ticagrelor started. After 3 doses of ticagrelor, a P2Y12 assay was 97 PRU, so ticagrelor was continued. Five months have passed since discharge. The patient continues to take ticagrelor and has had no further cardiac events. Discussion: HTPR indicates hypo- or nonresponsiveness for antiplatelet agents and may result in serious adverse events. HTPR has rarely been reported with prasugrel or ticagrelor. An objective causality assessment of our case revealed a probable association between HTPR and prasugrel. Conclusion: Patient education and recognition of signs and symptoms associated with prasugrel HTPR may prevent morbidity and mortality from treatment failure. Additional research may determine incidence, risk factors, and optimal management of HTPR with prasugrel.
Relaciones estructurales entre estrategias de afrontamiento y síndrome de Burnout en personal de salud: un estudio de validez externa y de constructo. Structural relations between coping strategies and Burnout syndrome on health workers: A study of external and construct validity.

a B s t r a C t The aim of this study was to validate hypothesized structural and functional relationships between coping strategies and factors associated with burnout syndrome in independent samples of health workers from different hospitals and hospital care settings. We applied the Maslach Burnout Inventory and the scale of Coping with Extreme Risks adapted to the Mexican population, we analyzed the responses of 354 health workers in a tertiary hospital and 300 from a reference hospital. The samples were intentional, non-probability, quota. The group was formed by nurses, paramedics, diagnostics services, physicians and resident physicians. Results confirmed the factor structure SICI: 2011-2777(201203)11:1 2.0. CO;2-S
Partial Gastro-duodenectomy and Gastrojejunostomy in a Dog with Pyloric Adenocarcinoma

11歳の雌の柴犬が2ヵ月前からの頻回の嘔吐を主訴に当院を紹介来院した。 初診時、ボディコンディションスコア（BCS）：3/9、X線CT検査において胃の拡張と幽門部の胃壁の肥厚、内視鏡検査において幽門部の腫瘤病変が認められ、内視鏡下生検では胃腺癌が強く疑われた。 内科的な入院管理の後、幽門部の腫瘤を含む遠位約1/3の胃と十二指腸を約1. 5 cm切除し、ビルロート II法による消化管の再建を行った。 手術によって摘出した腫瘤の病理組織学的診断は胃腺癌であった。 症例は術後合併症や再発の兆候もなく、術後約7ヵ月の現在も良好に維持されており、QOLの向上のためにも、転移を示唆する所見がない症例では積極的な切除を試みることが重要であると考えられた。
Dasatinib-induced Chylous Pleural Effusions

Tyrosine kinase inhibitors have revolutionized treatment of chronic myeloid leukemia through their targeted treatment of the BCR-ABL transcript. Imatinib was the first of this class and was found to induce fluid retention and volume overload resulting in pleural effusions. In cases of imatinib-resistant chronic myeloid leukemia, dasatinib provides another treatment option, as a second-generation tyrosine kinase inhibitor, which is 325 times more efficacious in vitro when compared with imatinib. However, a common adverse pulmonary effect is the development of a pleural effusion. Dasatinib-induced toxicity and the development of exudative pleural effusions are dose dependent. Chylous pleural effusions have been described with dasatinib toxicity; however, not all pleural effusions documented with dasatinib are chylous. In our patient, serial chest radiographs show the regression of her effusions with dasatinib discontinuation. Despite the regression of the patient’s effusions, chylomicrons were still present in low concentrations. We suspect the development of chylous pleural effusions from dasatinib exposure is related to lymphatic dysregulation.
Anesthetic Implications of Pharmacogenetics

In a recent editorial in Anesthesiology 1 the authors stated that ‘‘education in genomics will be essential for practitioners to translate genomic discoveries into clinical practice. ’’ The Refresher Course lecture on which this chapter is based was designed to be part of that effort. First, basic concepts and nomenclature of genetics are reviewed. We will then discuss examples of the influence of genetic information and genetic research strategies upon patient care in anesthesia. Envision that you are reviewing the laboratory results for your next patient and you find that the blood counts and serum chemistries are all within normal limits. However, you notice that your patient has had genetic testing and is carrying the allele A290G (*1b) for the gene CYP3A4, homozygous for butyrylcholinesterase Asp70Gly polymorphism, and has an alarming single nucleotide polymorphism (SNP) analysis of natriuretic peptide receptor C/guanylate cyclase C (atrionatriuretic peptide receptor C), also known as NPR3, and natriuretic peptide precursor A (NPPA) and B (NPPB) genes (Supplemental Digital Content 1, http://links.lww.com/ASA/ A459). As she comes into your office, you see that she has flaming red hair. During the interview she claims that she requires large doses of local anesthetics when she visits the dentist. Would this information alter your anesthetic plan?
Objective Mobility in Idiopathic Adolescent Scoliosis: A How-To on Objectifying Function to Facilitate Management Decisions

Adolescent idiopathic scoliosis (AIS) is a common disease managed by pediatric orthopedic physicians. Current management is limited in objective measures, the mainstay being static radiographic evaluation of the Cobb angle. In this short commentary, we propose the use of video analysis software (VAS), specifically Dartfish Prosuite, to improve objectivity through quantified kinematic data (i.e. gross and segmental spinal motion and compensatory motion patterns), permitting clinicians to monitor gradual progress pre- and post-intervention. Further studies and larger databases will lead to better evidence-based guidelines to inform physicians’ decision making process for AIS, including operative spinal fusion.
The Transition from Infancy to Language

In this important volume, Lois Bloom brings together the theoretical and empirical work she has carried out on early lexical development. Its focus is on the expressive power children acquire as they begin to talk and, in particular, on contributions from cognitive development, affect expression, and the social context for making the transition from prelinguistic expression to the expression of contents of mind. The first half of the book reviews the developments in infancy that enable the emergence of language and presents the theoretical perspective required for an understanding of the longitudinal study described in the second half. The book's main thesis is that language is acquired for expressing contents of mind and that its usefulness as a 'tool' is of only secondary importance. The Transition from Infancy to Language makes a major contribution to our knowledge of early lexical development, providing a persuasive theoretical model for researchers and students.
Children in Poverty

Eugene M. Lewit, Ph.D., is director of research and grants for economics at the Center for the Future of Children. his T Child Indicators section focuses on children in poverty. The annual Census Bureau report on income and poverty in the United States, issued in September 1992, revealed that 35.7 million people lived in poverty in 1991. Of these impoverished Americans, 13.7 million were children under 18 years of age. During 1991, some 943,000 more children lived in poverty than in 1990, an increase of 7.4%. Because the poverty rate tends to move with the unemployment rate—which continued to rise in 1992 as it had since 1989—it is likely that the number of poor children in the United States is substantially higher today than it was in 1991. Poor children encounter multiple problems during their childhood. They are more likely than their more affluent counterparts to go hungry, to be inadequately housed and clothed, and to receive inadequate medical care as well as insufficient social support. Poor children face increased risk of death, infectious and chronic illness, and injury from accidents and violence. In-depth analyses of the effects of environmental stresses and family problems on children’s mental health suggest that in urban poverty areas, poor children who live with violence, deteriorating housing, and disrupted living conditions are at high risk for depression, low self-confidence, and conflict with peers and authority figures.
Prosthetic restoration and rehabilitation of the upper and lower extremity

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In vivo insulin sensitivity and insulin binding to erythrocytes in children: insulin resistance in obese children.

This aim of this study was to determine whether RBC insulin receptor assay represents a clinically useful way of assessing insulin sensitivity in obes children. Steady state plasma glucose (SSPG) was established by a constant infusion of glucose (6 mg/kg/min), insulin (0.8 mU/kg/min) and somatostatin (125μg/m2/h), following the loading dose of somatostatin (125μg/m2). Insulin binding to RBCs was measured by a modified method of Gambhir and was compared with SSPG.Of 21 children with various relative body weight, 8 hyperinsulinemic obese children had a decreased insulin binding to RBCs due to decreased receptor concentrations.The insulin binding was inversely correlated with the fasting serum insulin level and with the insulin area under the O-GTT insulin response curve. In 11 children with various relative body weight, a highly significant inverse relationship was found between SSPG and insulin binding. SSPG was also correlated with the fasting serum insulin level.It was concluded that RBC insulin receptor may quantitatively reflect insulin resistance in obese children, and may be a useful tool for clinical evaluation of tissue insulin sensitivity in children.
Leisure and Public Health: Part of the Problem/ Part of the Solution

• Leisure as sloth (1 of the 7 deadly sins) and, as such, often a main contributor to poor public health • But this is a simplified view of the nature of leisure. o Sometimes sloth (i.e., relaxation, Kleiber, 2000; recreation [regeneration]) is beneficial to health (to reduce stress, brighten outlook on life/work, etc.) Problem: too much relaxation, recreation o In other words, by no means all leisure is slothful. o In short, leisure has been inaccurately stereotyped as wasteful and harmful to life and limb.
Assessment of Husband-Wife Communication and Practice of Contraceptives inAngecha Woreda, Kembata Tembaro Zone, South Ethiopia: A Cross SectionalStudy

Background: Family planning communication between husbands and wives is a prerequisite for better and responsible reproductive health behavior. This study was aimed to assess husband-wife communications, practice of contraceptives and associated factors in Angecha Woreda, Kembata Zone, Ethiopia. Methods: Community based cross-sectional study was conducted using quantitative and qualitative methods of data collection. Study participants were selected using stratified random sampling from each kebele. Quantitative data were analyzed using SPSS version 16.0. Open Code was used for analysis of qualitative data. Results: From a sample of 588 couples 362 (61.6%) wives and 442 (75.2%) husbands were not using any contraceptive methods till the day of the study. As independent predictors: occupational status (AOR = 0.40, 95.0% CI, 0.20 - 0.79), the need for children (AOR = 6.62, 95.0% CI, 2.62 - 16.71), place of residence, age (AOR = 0. 27, 95.0% CI 0.11 - 0.68), wives who discuss with their husbands (AOR = 0.11, 95.0% CI, 0.03 - 0.40) and husbands who discuss with their wives (AOR = 0.03, 95.0% CI, 0.06 - 0.14) were positively associated factors with husband wife communication about contraceptive use. Knowledge of husbands (AOR = 7.86, 95.0% CI, 4.32 - 14.30) and wives (AOR = 1.70, 95.0% CI, 1.06 - 2.73) were negatively associated factors with husband-wife communication about contraceptive use. Conclusions: Despite higher number of couples (81%) knows at least 8-11 different contraceptive methods, the practice of contraceptives was relatively low. Therefore, due attention should be given to fill the gap of high knowledge and attitude with low actual practice of different methods of family planning observed in this particular study area.
Avaliação da prontidão estratégica do capital humano através de um modelo de priorização estratégica de gestão de competências: uma revisão de literatura

Em períodos de crise, a necessidade de gerenciar estrategicamente as competências-chave para o negóciose torna premente para consolidar a vantagem competitiva das organizações. Priorizar processos, funções ecompetências críticas para o negócio na gestão de competências contribui para alinhar estrategicamente as competências individuais com as organizacionais e aumentar a prontidão estratégica do capital humano, favorecendo aexecução das estratégias corporativas. A partir de uma revisão da literatura sobre as teorias de estratégia e a gestão de competências, é proposto um modelo de gestão de competências cujos componentes priorizam a identificação, mapeamento e desenvolvimento de competências estratégicas da organização.
Why software testing is sometimes ineffective: two applied studies of positive test strategy

The term positive test strategy describes the tendency to test a hypothesis with test cases that confirm (i.e., aim to support) rather than disconfirm the hypothesis. Most demonstrations of this phenomenon have involved relatively abstract problems. The authors suggest that people use a positive test strategy in a more applied setting as well, that is, in computer software testing. In 2 experiments, they examined how Ss with varying expertise performed functional testing of software. There was substantial evidence of the use of a positive test strategy: Ss tended to test only those functions and aspects of the software that were specifically described in the specifications as what the software was supposed to do. This effect was only partially mitigated by increasing expertise among testers and by more complete program specifications
WCPSS Student Survey Results: 2013-14

The WCPSS Student Survey is administered each year to measure students’ perceptions about their learning experiences. In 2014-15, the content of the survey, as well as the grades to which it was administered, were changed to better capture measures of engagement and grit during students’ transition years. Over 23,000 students in grades 5, 8, and 9 responded to the 49-item survey in the spring of 2015. Results indicated that students worked hard to meet teachers’ expectations, planned to continue their education after high school, felt hopeful about their future, felt supported by their family, and had friends at school. Rates of agreement declined from 5th grade to 9th grade, particularly in response to items about Control and Relevance of School Work. Significant differences in response patterns within subgroups were identified on all survey items, and the responses of proficient and non-proficient students differed significantly on most items. Table of
La Edad de Inicio en el Consumo de Drogas, un Indicador de Consumo Problemático The starting Age of Drugs Consumption as an Indicator for Problematic Consumption

Our research's aim consists on studying the relationship between early beginning of tobacco, alcohol and drugs taking, and problematic consumption, in a sample of 6280 young people from Madrid in a range of 15-24 years old. The early experimentation with tobacco, alcohol (before 14 years old) or cannabis (before 15 years old) is related to a high- er prevalence of daily tobacco and cannabis consumption, to a daily alcohol-abusive pat- terns and to either regular multiple-drugs consumption or concurrent consumption of 2 or more drugs in the last month. It has been found too an association with negative conse- quences caused by alcohol and drugs consumption in economic, academic, and family life. This research reveals that the strength of these kinds of associations increases with the num- ber of consumed substances very early. In fact, that happens in almost all the analyzed asso- ciations, and this is the reason of our suggestion of including an analysis of precocious start- ing of gathered consumptions in future researches.
Asociación de la adicción a Internet con la ansiedad social y la falta de habilidades sociales en adolescentes españoles Association of Internet addiction with social anxiety and lack of social skills in spanish adolescents

The aim of this study is to analyse the relationship between Internet addiction andsocial anxiety and social skills difficulties in a sample consisting of 446 Spanish adolescents between 12 and 16 years old.Our results show thatadolescents with high scores in problematic use of the Internetpresent higher scores in social anxiety and social skills difficulties. Furthermore, the intrapersonal addiction showed a positive significant association both with the degree of social anxiety and with lack of assertiveness. On the other hand, the interpersonal addiction did more with social anxiety. Data from this study can help to design and implement prevention programs for a healthy use of the Internet at school and inhome settings.
Los adolescentes y el conflicto interparental destructivo: impacto en la percepción del sistema familiar y diferencias según el tipo de familia, la edad y el sexo de los adolescentes

We studied the perceptions of interparental conflict and its long term effects on emotions, behaviours and cognitions in a sample of 510 Spanish adolescents. The instruments used were the Children's Perception of Interparental Conflict Scale [CPIC] (Grych, Seid & Fincham, 1992) and the Security in the Family System Scale [SIFS] (Forman & Davies, 2005). CPIC evaluates the nature of conflict and its contextual variables. SIFS measures the security in the family system, the preoccupation and the disengagement of children. We have found that the more destructive interparental conflict happens (more intense, frequent and unsolved), more guilty, threatened, triangulized, worried and insecure children feel, more useless their attempts to solve parental problems are and more disengage from interparental disagreements. There are differences between single mother families and nuclear families. These depict that post divorce conflict has a great impact on children. In this case, it is more stable and parents are less efficient in solving it, so children feel more insecure. Our data show that, with age, there is an increase in children's insecurity and that girls disengage more than boys when facing interparental conflict.