Miracle-dz/UniFAR-FTUs huggingface dataset:
Bringing Families Together: Parent-Student Reunification Procedures in School Crisis Planning

The purpose of this paper is to evaluate and review current best practices with regard to parent-student reunification procedures following crises in schools. No national recommendations for school crisis planning exist, resulting in varying degrees of completeness in school planning. Parent-student reunification is one of the most frequently ignored or underdeveloped aspects of school emergency planning, yet a poorly developed reunification plan has the potential to become an enormous source of chaos in the aftermath of school crisis. Expedient reunification reduces the potential for lasting trauma to both children and their parents. A best practices review of existing literature was conducted to evaluate the current recommendations for reunification procedures in school crisis plans. In addition, West Central Ohio school district emergency plans were submitted for analysis. Numerous recommendations were made in the literature, from the structure and function of reunification sites to suggested ancillary documentation to assist in the reunification process. As suggested in the literature, the actual school plans analyzed varied in the topics addressed and the degree to which reunification procedures are planned. It is recommended that steps be taken in the future to standardize reunification planning on a state or national level, thus ensuring that children are returned to their parents/guardians expediently following a school crisis.
The perception of patients of doctor-patient relationship in otorhinolaryngology clinics of the University of Port Harcourt Teaching Hospital (UPTH) Nigeria

Background: The doctor-patient relationship is central to the practice of medicine and is essential for the delivery of high quality healthcare in the diagnosis and treatment of diseases. Recently, patient participation has gained increasing prominence in healthcare delivery. Aim: To explore the perceptions of Nigerian adult patients who attend the University of Port-Harcourt Teaching Hospital (UPTH) Otorhinolaryngology clinics with regard to relation with their doctors during consultations. Methods: This is a descriptive cross-sectional study; the duration of the field work was two weeks. The study population consisted of adult patients who attended the otorhinolaryngology clinics. Data collection was carried out using interviewer-administered semi-structured questionnaires that explored the perception of patients of doctor-patient relationship. Forty patients were selected for the study and the sampling was purposeful. An average of twenty interviews was conducted per clinic day. Each interview took approximately 15 minutes. Results: The majority (95%) of patients' treatment was decided by the doctors. The majority of the patients (87.5%) welcomed the opportunity to have more involvement in making treatment decisions. Most of the patients (67.5%) were not satisfied with the services received from their doctors. Conclusion: This study established paternalistic model as the dominant pattern of doctor-patient relationship in UPTH otorhinolaryngology clinics. The patients preferred a more cordial relationship. Keywords: Perceptions, Doctor-patient relationship, Otorhinolaryngology, University of Port Harcourt Teaching Hospital
The Pathology of Inequality: Gender and Ebola in West Africa

The international response to Ebola has been decried for being ‘too slow, too little, too late’. As well as racing to respond, we need to consider what has happened over the past decades to leave exposed fault lines that enabled Ebola to move so rapidly across boundaries of people’s bodies, villages, towns and countries. Gender is important to these fault lines in two related spheres. Women and men are differentially affected by Ebola, with women in the region taking on particular roles and responsibilities as they care for the ill and bury the dead, and as they navigate ever-diminishing livelihood options and increasingly limited health resources available to pregnant women. Furthermore, structural preconditions in ‘development’ itself have deepened these gendered fault lines. A currently powerful set of ideas in gender and development discourse locates certain patterns of ‘non-modern’ gender relationships as the root cause of poverty and underdevelopment. This has encouraged development actors to underplay the much deeper forms of structural violence that underpin the vulnerability of men as well as women, in some of the world’s poorest communities. By focusing on the current health crisis in Sierra Leone, Liberia and Guinea, the dangers of this form of ‘gender scapegoating’ are revealed to be tragically stark. PRACTICE PAPER IN BRIEF 23 FEBRUARY 2015
Medical Governance: Values, Expertise, and Interests in Organ Transplantation

IllustrationsPrefaceAbbreviations and Acronyms 1. Medical Governance: Important but Neglected 2. Balancing Values, Expertise, and Interests 3. The Organ Procurement and Transplantation Network 4. Expanding Organ Supply 5. Liver Allocation and the Final Rule 6. Incremental Response to Racial Disparity in Kidney Allocation 7. The Kidney Allocation Review: Can The OPTN Make Nonincremental Change? 8. How and How Well Does the OPTN Govern? 9. Is the OPTN a Viable and Desirable Model in Other Medical Contexts? References Index
Is the quality of hospital care price sensitive? Regression kink estimates from a volume dependent price setting scheme

This paper estimates the price sensitivity of the quality of acute stroke care using a regression kink design. When Danish hospitals reach a production target, marginal tari s for treating acute stroke patients falls by 50%{100%. This reimbursement scheme allow us to identify local average treatment ef- fects of reimbursement tari s on the quality of hospital care. A rich data set of the process quality of stroke care allows us to detect minor changes in the quality of care that are important for the long term outcomes but do not lead to dead or readmission captured by commonly employed outcome indicators. Hospitals that were exposed to reductions in the marginal tari of less than 100% did not appear to respond in quality to reductions in tari s. Hospital for which the marginal tari for acute stroke patients dropped to 0 responded to tari reductions by slightly decreasing the level of quality for acute stroke care patients. The estimated size of the e ect is minor but robust to various tests of sensitivity, indicating that the estimated e ect is not spurious.
Identification of urinary isoflavone excretion phenotypes related to the cholesterol lowering ability of soy protein in Golden Syrian hamsters

iv GENERAL INTRODUCTION 1 LITERATURE REVIEW 3 A. Molecular structure and biological properties of isoflavones 3 B. Metabolism of isoflavones 5 C. Isoflavones and cardiovascular disease risk 9 a. Effects of isoflavones on serum lipid profiles 10 b. Antioxidant activity in antiatherogenic effect of isoflavone 16 c. Effects of soy isoflavones on blood pressure 20 d. Insulin sensitivity and cardiovascular risk 22 e. Effects of soy isoflavones on endothelial function 24 f. Homocysteine and the risk of vascular disease 27 g. Atherosclerotic thrombus or plaques and the risk of vascular disease 29 h. Cholesterol lowering mechanism of isoflavone 30 D. Saponin and lessening of plasma cholesterol 35 E. Isoflavones and cancer 36 F. Bioavailability of isoflavones 42 G. Isoflavone toxicity 47 H. References cited 52 HIGH URINARY ISOFLAVONE EXCRETION PHENOTYPE DECREASES PLASMA CHOLESTEROL IN GOLDEN SYRIAN HAMSTERS FED.SOY PROTEIN 76
Uma análise empírica do Empreendedorismo: Necessidade ou Inovação?

E de aceitacao geral que o empreendedorismo desempenha um papel de grande relevância no crescimento e desenvolvimento economico. Por tal importância, o assunto e discutido com frequencia tanto no meio academico como midiatico, porem varios termos e questoes permanecem vagos, carecendo de vigor descritivo. Assim, o presente artigo objetiva realizar uma discussao criteriosa acerca das diferencas entre trabalho informal e empreendedorismo, levantado literaturas que contraponha a visao mais generalista propagada pelos meios de informacao mais influentes. Acompanhado dessa discussao teorica foi realizada regressao linear multipla com objetivo verificar quais variaveis podem diminuir ou aumentar a atividade empreendedora. Foram estudados e comparados 52 paises, com diferentes caracteristicas, presentes nos estudos GEM. Se constatou a influencia da taxa de desemprego e dos pilares da competitividade definidos pelo GCI (a saber: instituicoes, ambiente macroeconomico Ensino e treinamento superior, Desenvolvimento do Mercado, Prontidao tecnologica, Tamanho do mercado, Inovacao) na promocao do empreendedorismo. Todos os pressupostos da pesquisa foram atendidos e as variaveis utilizadas no trabalho obtiveram um nivel de significância razoavel para o modelo proposto.
Le pluriel aurait-il un comportement singulier dans l’expression de la consécution avec le Passé simple?

En partant des resultats intrigants d’une enquete menee par Bres (2003) aupres de 83 etudiants a propos des relations temporelles entre evenements relates au passe simple et en s’inspirant des concepts de « plexite » (Talmy, 2000, p. 48), de « transitivite » et de « foregrounding » (Hopper & Thompson, 1980), on montrera en quoi une proposition de type Sujet-Verbe-Objet apparaissant dans un « recit » rend difficile – meme au Passe simple – la reconstitution par l’auditeur/le lecteur d’une consecution dans l’« histoire » (Genette, 1972, p. 72) des que le syntagme nominal Sujet et/ou Objet est au pluriel.
Regression Models for Dynamic Treatment Regimens andQuantile Association of Bivariate Survival Data

In this dissertation we propose two new regression models under different types of survival data, including regression analysis for cumulative incidence functions (CIFs) under two-stage randomization, and quantile association regression for bivariate survival data. The first topic concerns dynamic treatment regimens (DTRs) which are sets of rules for choosing effective treatments for individual patients based on their characteristics and intermediate responses, and have drawn considerable attention in the field of personalized medicine. Sequential Multiple Assignment Randomized Trial (SMART) design is often used to gather data on different DTRs. In this dissertation, we focus on finding personalized optimal DTRs from a two-stage SMART by regressing covariates on CIFs for competing risks outcomes. To our best knowledge no regression is readily available for analyzing competing risks outcome data from a SMART. Thus, we extend existing CIF regression models to handle covariate effects for DTRs. Asymptotic properties are established for our proposed estimators. We show the improvement provided by our proposed methods through simulation studies, and illustrate its practical utility through an analysis of a two-stage neuroblastoma study, where disease progression is subject to competing-risk censoring by death. In the second project, we focus on local association in bivariate survival times, which is often of scientific importance. The local association measures capture the dynamic pattern of association over time, and it is desirable to quantify local association for different characteristics of the population. In this work, we adopt a novel quanitle-based local association measure, which is free of marginal distributions, and propose a quanitle association regression model to allow covariate effects on the local association under the copula framework. Estimating equations for the quantile association coefficients are constructed via the relationship between this quanitle-based measure and the copula model. To avoid estimating density functions in variance estimation, we extend the induced smoothing idea to our proposed estimators in obtaining the covariance matrix. The asymptotic properties for the resulting estimators are studied. The proposed estimators and inference procedure are evaluated through simulation, and applied to an age-related macular degeneration (AMD) dataset in studying risk factors on the association between AMD progression in two eyes.
NUEVAS EVIDENCIAS EN EL USO DE LOS FACTORES ESTIMULANTES DE LA ERITROPOYESIS

Los factores estimulantes de la eritropoyesis son medicamentos ampliamente utilizados para tratar la anemia en la enfermedad renal crónica y también para paliar algunos de los efectos de la anemia asociada al tratamiento quimioterapico en el cáncer. Varios ensayos clínicos han demostrado que la aparición de complicaciones cardiovasculares durante el tratamiento con estos fármacos es superior, cuando el objetivo terapéutico del tratamiento está por encima de 13g/dL de hemoglobina (Hb). Otros ensayos en el ámbito de la oncohematologia han presentado resultados negativos de supervivencia y progresión de la enfermedad en los pacientes tratados respecto los no tratados. Según la evidencia científica disponible, se considera que los niveles de Hb entre 11 y 12g/dL han demostrado que son más seguros y continúan siendo los recomendados por las guías clínicas y las fichas técnicas.
Finite Time Mix Synchronization of Delay Fractional-Order Chaotic Systems

Chaos synchronization of coupled fractional order differential equation is receiving increasing attention because of its potential applications in secure communications and control processing. The aim of this paper is synchronization between two identical or different delay fractional-order chaotic systems in finite time. At first, the predictor-corrector method is used to obtain the solutions of delay fractional differential equations in discrete times. The mix synchronization problem is formulated as an optimization problem. A modified version of particle swarm optimization (MPSO) method is used for solving the problem. It is shown that the proposed method can be applied in wide range of master-slave systems with commensurate or non-commensurate fractional orders. Numerical simulations show the efficiency and robustness of the proposed method.
Problematyka wypadków kolejowych związanych z samobójstwami i przechodzeniem przez tory w miejscach niedozwolonych

Streszczenie W artykule przedstawiono problem samobójstw na torach i przechodzenia przez tory w miejscach niedozwolonych. Wymieniono przyczyny i skutki tych zdarzeń oraz zaproponowano środki mogące przeciwdziałać takim wypadkom. Zamieszczono podstawowe dane o projekcie badawczym, jego cel i etapy oraz zestawienie podstawowych danych statystycznych pochodzących z różnych krajów europejskich i pozaeuropejskich dotyczących badanego problemu. Opisując wypadki spowodowane przez samobójstwa na torach, scharakteryzowano trendy w zachowaniach samobójców, m.in. różnice w zachowaniu kobiet i mężczyzn, pory dnia i przyczyny. Zaproponowano środki zaradcze, z podziałem na tzw. twarde i miękkie, w celu zapobiegania tym sytuacjom. W podobny sposób scharakteryzowano wypadki spowodowane przechodzeniem przez tory w miejscach niedozwolonych. Przedstawiono konsekwencje wypadków w różnych aspektach: psychicznym, organizacyjnym i fi nansowym. W podsumowaniu zawarto wnioski z badań oraz przesłanki do poprawy bezpieczeństwa na torach.
The Sachs-Wolfe effect

This thesis discusses the Sachs-Wolfe effect, which is the variation in the observed temperature of radiation emitted at the last scattering surface which occurs at the place where matter and radiation decouple at about 4000 degrees Kelvin. The work is in two parts, with the first part dealing with extensions made by George Ellis, Chongming Xu, Bill Stoeger and myself to the paper by Miroslaw Panek [13] where the gauge invariant formalism of cosmological density perturbations by James Bardeen [1] has been used to find the SW effect in the case of a perturbed Friedman-Lemaitre-Robertson-Walker (FLRW) universe with a barotropic equation of state describing the matter in the unperturbed ·case. In our work we extend the example given by Panek for a fl.at universe (K = 0) filled with dust where the density perturbations are adiabatic, to the case of non-fl.at universes (K = -1, 0 + 1) filled with a mixture of N types of matter where the density perturbations are nonadiabatic. The second part shows the agreement between the formalisms of Sachs and Wolfe's pioneering paper and the recent work of George Ellis and Marco Bruni which presents the study of cosmological perturbations in a gauge invariant and covariant way. After the overview of the work covered in this thesis, the gauge invariant formulation of Bardeen is discussed where we follow the description by Panek of a universe whose energy content is described by a mixture of N ideal fluids coupled only by gravity. From the Einstein equations we get Bardeen's evolution equation for the gauge invariant energy density perturbation which is now given for the N different matter fluids as it appears in Panek. We then checked Panek's equations where he finds an expression for the placing of the perturbed last scattering surface, after which he derives an equation for the fractional temperature variation and writes it in terms of the perturbation variables. The equation . found by SW for their particular choice of K = O, pressure free dust, where the last scattering surface is placed at its unperturbed position, is verified in terms of the Bardeen formalism. Now we extend this simple case to nonadiabatic perturbations in the same scenario and find the SW effect for a mixture of two fluids: dust and radiation, with nonadiabatic perturbations in a not necessarily fl.at universe. We then generalise to the case of a mixture or baryons and radiation and N types of matter. This section then ends with a calculation of the difference between temperatures taken from two different directions in the sky and is written in terms of the fractional temperature perturbation
Reposição do sistema semi-automático Pyxis® num Hospital Central Universitário: avaliação do número de unidades repostas

Resumo Introdução: No Centro Hospitalar de São João, EPE a partir de 2008, foi implementado o sistema semiautomático de reposição de stocks nivelados de medicamentos, Pyxis®, atualmente implementado em 16 serviços clínicos. Atendendo ao crescimento verificado na implementação deste sistema automatizado na instituição, este trabalho pretende dar a conhecer a realidade de preparação da medicação para reposição no sistema semi-automático Pyxis®, por avaliação do número de unidades de medicamentos repostos diariamente e por dia da semana. Material e Métodos: Desenvolveu-se um estudo longitudinal retrospetivo onde se analisou a totalidade de serviços com implementação Pyxis® através do registo diário de reposição dos diferentes Serviços Clínicos num período de 41 dias consecutivos. Numa segunda fase, os dados foram sintetizados sob a forma de tabelas em Microsoft Office Excel®, tendo posteriormente sido construídos os respetivos gráficos para análise. Resultados: Os resultados, representados graficamente, mostram que a segunda-feira é o dia da semana com maior número de reposições de medicamentos, sendo os serviços com maior número de reposições totais UCI Geral, UCI Neurocríticos, Cirurgia Cardiotorácica e UCIPU. Discussão / Conclusões: Os resultados obtidos permitiram verificar uma sobrecarga de referências de medicamentos e unidades repostas às segundas-feiras, atingindo, em muitos serviços, valores de unidades repostas duas vezes superior à média de reposições do serviço (por ex. UCI Neurocíticos). Contudo, apesar do reduzido período de análise, os dados parecem evidenciar que o facto de haver reposições ao domingo agiliza o processo de reposição dos Pyxis® às segundas-feiras.
Actualización de las guías de la Sociedad Europea de Cirugía Vascular de manejo de enfermedad ateroesclerótica carotídea del 2017

El ictus isquemico es la segunda causa de muerte a nivel mundial, y es una de las principales causas de discapacidad. Aproximadamente un 15% de los ictus, son causados por la enfermedad ateroesclerotica de los vasos del cuello. La deteccion de esta enfermedad, asi como el manejo para atacarla son piezas claves en la prevencion del ictus, asi como la diminucion de su impacto en os sistemas de salud. Para la elaboracion del siguiente documento, se tomaron las Guias de manejo de enfermedad ateroesclerotica de carotidas y arterias vertebrales de la Sociedad Europea de Cirugia Vascular, y se propuso realizar una actualizacion a dicho documento con los datos mas actuales al momento de la realizacion de este. Para tal objetivo, ser realizo una busqueda bibliografica en bases de datos indexadas. Cada paciente con enfermedad carotidea debe ser abordado segun su condicion clinica, porcentaje de obstruccion, presencia o no de enfermedad sintomatica y comorbilidades. El manejo no debe ser quirurgico en todos los casos, pero en los casos que, si lo requieran, se debe abordar de manera expedita. El control de factores de riesgo y el manejo medico son de una importancia critica en el manejo de esta patologia.
Cannabis Use and Dependence: Public Health and Public Policy

Exploring the relationship between health policy, public health and the law regarding the controversial use of cannabis, this study assesses the impact of illegality in drug use and compares it with the policies of the U.S., Europe and Australia as well as other developed societies. Current debates about "safe use" and "harm minimization" approaches are evaluated, as well as the experiences of differing prevention, treatment and education policies. Written by two leading drug advisors, the analysis contributes to an important field of research.
Self-Regulation: An 'Active Ingredient' in the Spirituality-Health Relationship

Recent research suggests that spirituality promotes physical well-being. Explaining this relationship proves difficult. This cross-sectional study was conducted to test whether self-regulatory ability acts as a mediator between spirituality and health. It has been proposed that high levels of spirituality are related to strong self-regulation, which in turn should be related to better physical well-being. To address this hypothesis, a questionnaire containing validated measures of the targeted constructs was administered to a sample of 78 Butler students. Additionally, some ancillary data were collected concerning participants' level of religiosity. Regression-based mediational analyses indicated that self-regulatory ability does indeed function as a partial mediator of the spirituality-health relationship. The information resulting from the current study sheds much needed light on the processes that may allow spirituality to promote health.
Work and Family. Policies for a Changing Work Force.

1 Front Matter 2 Summary 3 1 Introduction 4 2 The Family and the Workplace 5 3 Linkages Between Work and Family 6 4 How Adults Cope: Dependent Care 7 5 Standard Employee Benefits 8 6 New Family-Related Benefits 9 7 Family-Oriented Programs in Other Countries 10 8 Findings and Conclusions 11 References 12 Appendix A: Background Materials 13 Appendix B: Data Needs and Research Agenda 14 Appendix C: Biographical Sketches 15 Index