Miracle-dz/UniFAR-FTUs huggingface dataset:
Practice Improvements Based on Participation in Simulation for the Maintenance of Certification in Anesthesiology Program

Background: This study describes anesthesiologists’ practice improvements undertaken during the first 3 yr of simulation activities for the Maintenance of Certification in Anesthesiology Program. Methods: A stratified sampling of 3 yr (2010–2012) of participants’ practice improvement plans was coded, categorized, and analyzed. Results: Using the sampling scheme, 634 of 1,275 participants in Maintenance of Certification in Anesthesiology Program simulation courses were evaluated from the following practice settings: 41% (262) academic, 54% (339) community, and 5% (33) military/other. A total of 1,982 plans were analyzed for completion, target audience, and topic. On follow-up, 79% (1,558) were fully completed, 16% (310) were partially completed, and 6% (114) were not completed within the 90-day reporting period. Plans targeted the reporting individual (89% of plans) and others (78% of plans): anesthesia providers (50%), non-anesthesia physicians (16%), and non-anesthesia non-physician providers (26%). From the plans, 2,453 improvements were categorized as work environment or systems changes (33% of improvements), teamwork skills (30%), personal knowledge (29%), handoff (4%), procedural skills (3%), or patient communication (1%). The median word count was 63 (interquartile range, 30 to 126) for each participant’s combined plans and 147 (interquartile range, 52 to 257) for improvement follow-up reports. Conclusions: After making a commitment to change, 94% of anesthesiologists participating in a Maintenance of Certification in Anesthesiology Program simulation course successfully implemented some or all of their planned practice improvements. This compares favorably to rates in other studies. Simulation experiences stimulate active learning and motivate personal and collaborative practice improvement changes. Further evaluation will assess the impact of the improvements and further refine the program.
Application of nonlinearity fitting order analysis arithmetic in nonstationary signals analysis

In order to solve vibration signals inaccurate character in gearbox during nonstationary course with traditional computed order analysis, the computed order analysis is improved and the nonlinearity fitting order analysis method is explored. Firstly, the nonstationary vibration signals in the gearbox are sampled at constant time increments in time-domain and then the data are resampled with nonlinearity fitting order analysis arithmetic. The data at constant angle increments in angle-domain are obtained. Therefore, the instantaneously signals in time-domain is changed into pseudo-stationary ones in angle-domain. At last, the signals in angle-domain are analyzed and the nonlinearity fitting order spectrum is obtained. The outcome shows that the precision of the data resampled has been enhanced with nonlinearity fitting order analysis than with the traditional computed order analysis. The nonstationary signals in time-domain are translated into pseudo-stationary ones in angle-domain. It is trenchancy supplement for traditional computed order analysis and has more amplitude appliance foreground.
Increasing the recipient benefit/donor risk ratio by lowering the graft size requirement for living donor liver transplantation

In living donor liver transplantation (LDLT), a right liver graft is larger than a left liver graft and hence leads to better recipient survival. However, in comparison with donor left hepatectomy, donor right hepatectomy carries a higher donor risk. We estimated the expansion of the applicability of left liver living donor liver transplantation (LLDLT) by lowering the graft weight (GW)/standard liver volume (SLV) ratio in increments of 5%. Consecutive LDLT cases were included in this study. The results of computed tomography volumetry provided the graft volume measurements, and the GW was derived from the graft volume with the conversion factor of 1.19 mL/g. We tried to estimate how many more times LLDLT would have been feasible if the GW/SLV requirement had been lowered to 40%, 35%, 30%, or 25%. In all, 361 consecutive donor‐recipient pairs underwent LDLT. Right liver living donor liver transplantation (RLDLT) accounted for 95% of the LDLT cases. Most recipients were male (74.2%), and most donors were female (60.4%). The median GW/SLV ratio was 46% (47% for RLDLT and 37% for LLDLT, P < 0.001). Two of the 218 female donors donated the left liver, and 12 of the 93 female recipients received a left liver. In 147 of the 173 cases (85%) when the donor was female and the recipient was male, the GW/SLV ratio did not reach 30%. LLDLT could have been performed more often than 5% of the time if a lower GW/SLV requirement had been adopted. With GW/SLV ratios ≥ 40%, ≥ 35%, ≥ 30%, and ≥ 25%, the proportion of LLDLT cases would have risen from 5% to 5.8%, 12.5%, 29.1%, and 62.3%, respectively. LLDLT could have been performed approximately twice as often with every 5% reduction of the GW/SLV requirement. In conclusion, lowering the graft size requirement could improve the applicability of LLDLT and hence reduce donor risk. Liver Transpl, 2012. © 2012 AASLD.
Short early filling deceleration time on day 1 after acute myocardial infarction is associated with short and long term left ventricular remodelling

OBJECTIVE To assess the relations between early filling deceleration time, left ventricular remodelling, and cardiac mortality in an unselected group of postinfarction patients. DESIGN AND PATIENTS Prospective evaluation of 131 consecutive patients with first acute myocardial infarction. Echocardiography was performed on day 1, day 2, day 3, day 7, at three and six weeks, and at three, six, and 12 months after infarction. According to deceleration time on day 1, patients were divided into groups with short (< 150 ms) and normal deceleration time (⩾ 150 ms). SETTING Tertiary care centre. RESULTS Patients with a short deceleration time had higher end systolic and end diastolic volume indices and a higher wall motion score index, but a lower ejection fraction, in the year after infarction. These patients also showed a significant increase in end diastolic (p < 0.001) and end systolic volume indices (p = 0.007) during the follow up period, while ejection fraction and wall motion score index remained unchanged. In the group with normal deceleration time, end diastolic volume index increased (p < 0.001) but end systolic volume index did not change; in addition, the ejection fraction increased (p = 0.002) and the wall motion score index decreased (p < 0.001). One year and five year survival analysis showed greater cardiac mortality in patients with a short deceleration time (p = 0.04 and p = 0.02, respectively). In a Cox model, which included initial ejection fraction, infarct location, and infarct size, deceleration time on day 1 was the only significant predictor of five year mortality. CONCLUSIONS A short deceleration time on day 1 after acute myocardial infarction can identify patients who are likely to undergo left ventricular remodelling in the following year. These patients have a higher one year and five year cardiac mortality.
New Tricks from an Old Cow: Infective Endocarditis Caused by Streptococcus dysgalactiae subsp. dysgalactiae

ABSTRACT We present a case of infective endocarditis caused by Streptococcus dysgalactiae subsp. dysgalactiae, a major cause of bovine mastitis and previously thought to be an animal-restricted pathogen. The patient reported no direct contact with animals, and the clinical course was severe and complicated.
Central Cornea Thickness in Glaucoma and Non-Glaucoma African Population

Aim: To determine the pattern of central cornea thickness (CCT) in an indigenous African population attending the glaucoma clinic at University College Hospital (UCH), Ibadan, Nigeria and identify its relationship to specific open angle glaucoma (OAG) entities in order to administer appropriate treatments. Study Design: This is a hospital based case control study. Methods: 340 eyes of 170 consecutive glaucoma patients attending the eye clinic and 340 eyes of 170 consecutive non-glaucoma patients attending the general outpatient department (GOPD) clinic of the UCH, Ibadan, Nigeria between August 2009 and June 2010 who met the inclusion criteria were recruited into the study. Detailed ocular examination was performed on all participants. Results: The mean age of glaucoma group was 55.7 ± 9.9 years compared to 53.3 years ± 8.4 Original Research Article Adegbehingbe et al.; OR, 6(4): 1-8, 2016; Article no.OR. 31121 2 years in non-glaucoma group. The mean CCT of all eyes was 530μm. The mean CCT was found to decrease with age in both groups. Conclusion: The study confirms there was no significant relationship between central cornea thickness and specific open angle glaucoma.
Sourish Chaudhuri , Bhiksha Raj

Speech recognition techniques have come to rely almost completely on HMM based frameworks. In this paper, we present a novel paradigm for small-vocabulary speech recognition based on a recently proposed word spotting technique. Recent work using discriminative classifiers with ordered spectro-temporal features to detect the presence of keywords obtained encouraging improvements over HMM-based models. We propose to extend this approach to recognize continuous speech in our work. Our method uses discriminative models to predict which words are present in a speech signal and hypothesize their locations. A graph search using dynamic programming is then used to obtain the most likely sequence of words from the hypothesis set produced as a result of combining the results from the discriminative word classifiers. While this approach doesn’t perform as well as state-of-the-art ASR systems, it can be particularly useful for languages with small amounts of annotated data available.
Improved LBP Vehicles Texture Features Extraction Algorithm in Video Monitor Systems

Vehicle classification in monitor systems has become one of the hot research areas as a branch of intelligent monitor systems research. The texture features extraction is the first step of model classification. We took the actual situation information into account with of vehicle classification and improved the traditional LBP algorithm in dealing with the color image. Improved LBP algorithm has the ability to describe color characteristics. In the same time, according to polar coordinates mapped we can create the partition model LBP algorithm to solve the vehicle images of same local texture, the same color, but the different global distribution. Experimental results show that the algorithm has strong robustness in vehicles texture features extraction.
Circadian changes in the abomasal secretions of the preruminant calf

The purpose of this study was to investigate the circadian changes in the abomasal secretions (quantities of juice, enzymes and electrolytes) of the preruminant calf. The gastric juice was collected every hour from five calves fitted with an innervated abomasal pouch and given milk twice daily, with a 7-h interval between the morning and the evening meals. The amounts of gastric secretions produced were steady during 24 h, except for changes after the meals. The morning meal caused a considerable increase in secretions of electrolytes and enzymes. The values of CI-, H +, Na+ + and K+ ions, chymosin and pepsin in the first postprandial hour were 3.8, 4.1, 3.5, 2.6, 2.4 and 2.1 times higher, respectively, than those of the 24th hour used as prefeeding levels. The influence of the evening meal on secretions of CIand Na + ions and enzymes was less marked and also more delayed for all electrolytes. Variations in the amounts secreted per hour appeared to be greater for H+ +
MARCO TEÓRICO PARA IDENTIFICAR EL PATRÓN DE USO DE LAS TIC POR PARTE DE LÍDERES MUNICIPALES

El patron de uso de las TIC por parte de los lideres municipales es una necesidad generada porque la evidencia demuestra que aunque los modelos de aceptacion tecnologica estan claramente definidos, su aplicabilidad en el nivel municipal en el hemisferio no esta generando los resultados esperados. En ese orden de ideas, se presenta un marco teorico de los conceptos sociedad del conocimiento, Gobierno corporativo, TIC, modelos de aceptacion tecnologica y la norma ISO/IEC 38500 requeridos en el proyecto de investigacion desarrollado para optar el titulo de Magister en Direccion de la Universidad del Rosario – Colombia que busca la identificacion de ese patron de uso, como continuacion del proyecto MuNet de la OEA con el apoyo de los gobiernos de Colombia, Panama y Uruguay.
Expression-invariant face recognition using three-dimensional weighted walkthrough and centroid distance

Abstract. Three-dimensional (3-D) face recognition provides a potential to handle challenges caused by illumination and pose variations. However, extreme expression variations still complicate the task of recognition. An accurate and robust method for expression-invariant 3-D face recognition is proposed. A 3-D face is partitioned into a set of isogeodesic stripes and the spatial relationships of the stripes are described by 3-D weighted walkthrough and the centroid distance. Moreover, the method of the similarity measure is given. Experiments are performed on the CASIA dataset and the FRGC v2.0 dataset. The results show that our method has advantages for recognition performance despite large expression variations.
Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004

In November 2001, the 1st International Symposium on Concussion in Sport was held in Vienna, Austria to provide recommendations for the improvement of safety and health of athletes who suffer concussive injuries in ice hockey, football (soccer), and other sports. The 2nd International Symposium on Concussion in Sport was organised by the same group and held in Prague, Czech Republic in November 2004. It resulted in a revision and update of the Vienna consensus recommendations, which are presented here.
All-optical Nyquist-WDM to Nyquist-OTDM conversion for flexible optical networks

2×6.25 and 2×12.5 Gbaud Nyquist-WDM signals are successfully converted to 12.5 and 25 Gbaud Nyquist-OTDM signals, respectively. The converted signals showed clear symbol separation in constellation and the OSNR penalty was around 3dB.
A Genealogical Approach to Organizational Life Chances: The Parent-Progeny Transfer among Silicon Valley Law Firms, 1946–1996

Data on Silicon Valley law firms over a 50-year period were used to study the genealogy of organizational populations and its consequences for organizational life chances when a member of an existing firm leaves to found a new firm. Hypotheses and subsequent analysis suggest that the transfer of resources and routines between a parent organization and its progeny decreases life chances for the parent firm and increases life chances for the progeny. The results are contingent on the founder's previous position in the parent firm and time since the parenting event. In addition, I find that progeny have lower life chances when the parent is a failing firm, when there are multiple parents, and when the founder is a former senior partner of a large law firm.
Health care experiences when pain and substance use disorder coexist: "just because i'm an addict doesn't mean i don't have pain".

OBJECTIVE To report the health care experiences of 34 individuals with coexisting substance use disorder (SUD) and chronic pain. DESIGN Narrative inquiry qualitative study of 90-minute interviews. SETTING Midwest metropolitan methadone clinic. SUBJECTS All individuals had SUD and were treated for SUD with methadone. They all self-identified as having pain longer than 6 months. METHODS This qualitative design allowed exploration of how participants made sense of events related to living with SUD and chronic pain. Narrative inquiry gives a consistent story from the participants' perspective, and researchers can perform additional analysis using the storyline. Thematic analysis occurred of their health care experiences. RESULTS Results revealed that participants 1) spoke about how they used deception to obtain opioids when their drug cravings were out of control; 2) were disturbed by health care providers having little understanding or ability to help them with their painful condition; 3) felt they wanted to abuse opioids again when receiving poor treatment by the health care team; 4) related what went well in their health care to help them maintain their sobriety; and 5) recommended improvements on health care interventions that included effective treatment of pain. CONCLUSIONS Coexisting chronic pain and SUD create unique health care needs by mutually activating and potentiating the other. There are very few comparable studies exploring the experiences of individuals when pain and SUD coexist. The health care team can better develop treatment plans and test interventions sensitive to their unique needs when they understand the experiences of this population.
Stochastic averaging in discrete time

We investigate stochastic averaging theory for a class of discrete-time nonlinear systems with stochastic perturbation. Firstly, we introduce two average system: one is discrete-time average system, the other is continuous-time average system. Then we establish a general stochastic averaging principle between the continuous-time average system and the original system. With the help of the continuous-time average system, we establish stochastic averaging principle between the discrete-time average system and the original system. Finally, we establish some related stability theorems for a class of discrete-time nonlinear systems with stochastic perturbations. Our stochastic averaging results remove or weaken several significant restrictions present in existing results: (a) boundedness condition of the solution; (b) global Lipschitzness of the nonlinear vector field, and (c) too many limitations on stochastic factors.
bag3 gene expression is regulated by heat shock factor 1

BAG3 protein, a member of the BAG co‐chaperones family, sustains cell survival, through its interaction with the heat shock protein (HSP) 70, in a variety of normal and neoplastic cell types. bag3 gene expression is induced by stressful stimuli. Here we report for the first time that two of the three putative heat shock‐responsive elements (HSEs) in bag3 promoter interact with the heat shock factor (HSF) 1 in vitro and in vivo. Furthermore, downmodulation of HSF1 protein levels by specific small interfering (si) RNAs results in reducing BAG3 protein levels, indicating that the transcription factor plays a major role in bag3 gene expression. Because of the anti‐apoptotic role of BAG3 protein, these results disclose a previously unrecognized pathway, through which HSF1 maintains cell survival. J. Cell. Physiol. 215: 575–577, 2008. © 2008 Wiley‐Liss, Inc.
System for open-chest, multidirectional electrical defibrillation

Abstract Introduction: Cardiomyocytes are more sensitive to stimulatory electrical fields when the latter are applied longitudinally to the cell major axis. In the whole heart, cells have different spatial orientations, which may limit the effectiveness of conventional electrical defibrillation (i.e., shock delivery in a single direction). This article describes the constructive aspects of a portable system for rapidly-switching, multidirectional stimulus delivery, composed of an electrical defibrillator and multielectrode-bearing paddles for direct cardiac defibrillation. Methods: The defibrillator delivers monophasic, truncated monoexponential waveforms with energy up to 7.3 J. Upon selection of the defibrillation modality (unidirectional or multidirectional), shock delivery is triggered through 1 or 3 outputs. In the latter case, triggering is sequentially switched to the outputs, without interval or temporal overlap. Each paddle contains 3 electrodes that define shock pathways spaced by 60°. The system was tested in vivo for reversal of experimentally-induced ventricular fibrillation in healthy swine, using 30- and 20-ms long shocks (N= 4 in each group). Results: The defibrillator delivers identical stimulus waveforms through all outputs in both stimulation modalities. In all animals, successful defibrillation required lower shock energy when 20 ms-long stimuli were applied in 3 directions, compared to a single direction. However, performance was poorer with multidirectional defibrillation for 30 ms-long shocks. Conclusion: The delivery of identical shock waveforms allowed confirmation that multidirectional defibrillation can promote restoration of sinus rhythm with lower shock energy, which may reduce myocardial electrical damage during defibrillation. Nevertheless, increase in shock duration greatly impairs the effectiveness of this defibrillation modality.
Evaluations of different Simultaneous Localization and Mapping (SLAM) algorithms

Simultaneous Localization and Mapping (SLAM) algorithms with multiple autonomous robots have received considerable attention in recent years. In general, SLAM algorithms use odometry information and measurements from exteroceptive sensors of robots. The accuracy of these measurements and the performance of the corresponding SLAM algorithm directly affect the overall success of the system. This paper presents comparative performance evaluations of three Simultaneous Localization and Mapping (SLAM) algorithms using Extended Kalman Filter (EKF), Compressed Extended Kalman Filter (CEKF) and Unscented Kalman Filter (UKF). Specifically, it focuses on their SLAM performances and processing time requirements. To show the effect of CPU power on the processing time of SLAM algorithms, two notebooks and a netbook with different specifications have been used. Comparative simulation results show that processing time requirements are consistent with the computational complexities of SLAM algorithms. The results we obtained are consistent with the CPU power tests of independent organizations and show that higher processing power decreases processing time accordingly. The results also show that CEKF is more suitable for outdoor SLAM applications where there are a lot of natural and artificial features.
Étude du lien entre efficacité électroencéphalographique, efficacité clinique et dose de propofol utilisée lors du traitement par électroconvulsivothérapie dans la dépression pharmacorésistante

Il y a un certain nombre de zones d’ombre concernant les mecanismes d’action du traitement par electroconvulsivotherapie (ECT) et son utilisation optimale, que ce soit au niveau des criteres d’efficacite electroencephalographique (EEG) ou de leur lien avec les produits anesthesiques utilises lors de la phase d’induction. L’objectif est d’analyser les liens entre les criteres d’efficacite electroencephalographique, le propofol (produit anesthesique utilise lors des seances d’ECT au CHU de Rouen) et l’efficacite clinique sur les symptomes de depression pharmacoresistante. Il s’agit d’une etude analytique, retrospective effectuee sur dossiers des patients ayant beneficies d’ECT entre janvier 2013 et septembre 2016 pour une depression pharmacoresistante. Cinquante-huit patients ont ete inclus dans l’etude. A ete mise en evidence une baisse importante de l’efficacite EEG des crises avec l’augmentation de la dose de propofol. Avec une dose de propofol plus basse, on peut obtenir des crises electroencephalographiques plus efficaces sans avoir a augmenter la charge. La presence d’une comorbidite neurologique est un facteur de resistance au traitement par ECT. Le lien entre la proportion de crises EEG efficaces et la reduction du score de Hamilton n’est pas retrouve significatif. Une etude comparant d’autres criteres d’efficacite EEG tels que la presence ou non d’une suppression d’activite biocorticale et l’amelioration clinique pourrait etre interessante. De meme un travail sur la determination d’un indice predictif de reponse au traitement par ECT pourrait etre utile pour l’amelioration de nos pratiques.