Miracle-dz/UniFAR-FTUs huggingface dataset:
Commentary by Daroszewski

Chronic diseases present lifelong challenges requiring good medical surveillance and patient adherence to medical regimens. Medical interventions, such as hemodialysis and sophisticated self-management, are key to caring for patients with chronic renal failure. To survive chronic renal failure, patients need to modify almost every aspect of their lives, including longestablished and comfortable patterns of eating and drinking. The ability to maintain dietary adherence in chronic renal failure may be the difference between quality of life, complications, and death. The concept of self-management, or choosing to perform health-promoting actions, is so important to health maintenance that many models have been developed that attempt to explain and/or predict this behavior using complex systems of competing forces, such as values, expectancy, avoidance, motivation, locus of control, self-efficacy, optimism, coping, social influences, appraisal, and intentions, among others. The health belief model, as one conceptual framework for understanding health-related behavior, describes a decisional process where benefits and barriers compete with each other, in conjunction with several other model concepts, resulting in behavior promotion or inhibition. To explore and understand the benefits and barriers of a health-management behavior supports the development of interventions that can help tip the balance toward promotion. Self-management practices in chronic renal failure have not been well studied, and the studies that have been completed demonstrate that adherence with renal failure self-management regimens is a complex issue that involves much more than patient education. For example, Katz et al. (1998) used the health belief model in a study of knowledge, emotional well-being, and adherence in chronic renal failure, surprisingly finding no relationships between the three variables. The participants who knew more, or had better emotional well-being, were not found to be more adherent. How self-management concepts are measured is of utmost importance. Blood pressure is easy to measure, survival is even easier; however, many other concepts important to health research are very difficult or even nearly impossible to measure. Such are the concepts that represent the antecedents of health-related behavior. The quantification of these antecedent concepts is essential to systematically and comprehensively build the foundational knowledge from which successful interventions can be derived. Research
MANAGEMENT OF LOCALIZED AGGRESSIVE PERIODONTITIS BY RESECTIVE AND REGENERATIVE METHODS

Aggressive periodontitis is a group of infrequent t ypes of periodontal diseases with rapid attachment loss and bone destruction, which are initiated at a young age. It has received considerable attention due to its pec uliar clinical presentation, occurring around puberty, with an app arent lack of local factors such as heavy amounts o f plaque and calculus, in patients with reasonably good oral hyg iene. Here, we are reporting the management of a 22 years old male patient with good oral hygiene but complained of mobility and pain in selected teeth.
Study of I405V polymorphism of cholesterol ester transfer protein gene in efficacy of statins on plasma level of high density lipoprotein cholesterol

زمینه و هدف: پروتئین انتقال دهنده کلسترول استر (CETP) در متابولیسم لیپوپروتئین با دانستیه بالا (HDL) و مسیر انتقال معکوس کلسترول نقش اساسی دارد. چند شکلی های ژن CETP مانند I405V (ایزولوسین به والین) که مستقیما بر HDL کلسترول تاثیر می‌گذارد رونویسی از این ژن را تحت تاثیر قرار می‌دهد. هدف این مطالعه تعیین تاثیر پلی مورفیسم I405V ژن CETP بر سطح HDL کلسترول در پاسخ به درمان با استاتین‌ها می‌باشد. روش بررسی: در این مطالعه توصیفی - تحلیلی از بین بیمارانی که سطح لیپوپروتئین با دانسیته پایین کلسترول (LDL-C) بالاتر از 120 میلی گرم در دسی لیتر تحت درمان، 196 بیمار دریافت کننده لواستاتین و آتوراستاتین انتخاب شدند. در همه بیماران قبل و بعد از درمان پروفایل لیپیدی اندازه‌گیری شد. پلی مورفیسم I405V ژن CETP توسط تکنیک چند شکلی طول قطعه محدود (PCR- RFLP) تعیین گردید. سپس نتایج آزمایشات بیوشیمیایی در پلی مورفیسم‌های مختلف با استفاده از آزمون‌های t زوجی، ANOVA و توکی مورد مطالعه قرار گرفت. یافته‌ها: پس از درمان با لواستاتین در ژنوتیپ VV سطح کلسترول کاهش بیشتر و سطح HDL افزایش بیشتری نسبت به دو ژنوتیپ دیگر نشان داد (05/0P
Bloom-forming potentially toxic dinoflagellates Prorocentrum cordatum in marine plankton food webs

The article reviews the up-to-date concepts of an ambiguous status of the widely spread, bloom-forming, potentially toxic mixotrophic dinoflagellates Prorocentrum cordatum in marine planktonic food webs, with special emphasis on the ecological prerequisites of their proliferation and possible scenarios underlying the development of harmful algal blooms and their top-down control in marine coastal waters.
Prevalence of long-term complications among Type 2 diabetic patients in Benghazi, Libya.

Aim of the study was to find out the prevalence of long-term diabetic complications among type 2 diabetic patients in Benghazi. It was a cross-sectional study and included 952 type 2 diabetic patients (410 male subjects) aged 29-85 years. The patients were examined for evidence of coronary heart disease, diabetic retinopathy, macroproteiuria, peripheral arterial disease, peripheral neuropathy, cataract and amputations due to diabetes and diabetic foot. Hypertension was present in 33.4% of the subjects. The majority of the patients (58.3 %) were on oral hypoglycemic drugs, and only 3 patients were on diet control. About eighty per cent of the patients were poorly controlled. 27.7% percent of the patients were current smokers. 68.7% of the patients had complications, while 31.3% percent did not have any complication. 36.7% had one, 20.1 % had two, 9.6 % had three and 2.3 % had four or more complications. The overall prevalence of coronary heart disease was 14.9%, diabetic retinopathy 30.6%, peripheral neuropathy 47.1%, macroalbuminuria 25.8%, peripheral arterial disease 15.2% and cataract 13.1%, 1.1% of patients had their legs amputed below knee and 0.7% of them were blind. The prevalence of long-term diabetic complications was higher among poorly controlled than wellcontrolled patients. Stepwise logistic regression analysis showed that the age of the patients and duration of diabetes were independent risk factors for the development of long term diabetic complications. This study provides a baseline data on long term complications of diabetes, among Libyans. Age, duration of diabetes and poor glycemic control were independent risk factors for the development of long-term diabetic complications.
Clinical Studies of Laser Ablation in Treatment of Primary Liver Carcinoma-Associated Portal Vein Tumor Thrombus

Objective: To explore the clinical values of laser ablation as a new treatment for portal vein tumor thrombus (PVTT). Methods: A total of 43 male patients with primary liver carcinoma (PLC) associated PVTT were randomized into a laser ablation group and a radiotherapy group. The laser ablation group of 21 cases received direct percutaneous laser ablation under ultrasonographic guide, followed by direct injection into the portal vein with chemotherapy drugs including mitomycin C (MMC) and fluorouracil (5-Fu). The radiotherapy group of 22 cases was treated with X-ray in three-dimensional conformal radiotherapy (3D CRT) once a day for a total of 10 days course. After the treatment, all patients were followed for postoperative adverse reactions, changes of tumor thrombus, and survival time. Results: In comparison with the radiotherapy, laser ablation resulted in decreased postoperative complications such as limb fatigue, ascites, upper gastrointestinal ulcer, and bleeding. The overall remission rates (complete remission [CR] þ partial remission [PR]) were 61.9% (13/21) and 31.8% (7/22) in the laser ablation and radiotherapy group, respectively, with a significant difference (P < .05). All cases in the laser group showed clinical improvement and the average survival time prolonged to greater than 19.5 months (P < .002). Conclusion: Percutaneous laser ablation to PVTT is an effective, safe, and simply procedure and has proven to offer significant clinical outcomes in the treatment of PLC-associated PVTT.
Routine Minimally Invasive Aortic Valve Procedures

Background: Dueto the lack of objective evidence supporting the advantagesand early technical difficulties. minimally invasive aortic valveprocedures were performed on a highly selective rather than routine basis. Methods: From September 1997 to February 1999. one surgeon routinely used upper or transverse minimally invasive sternotomy to perform 46 consecutivecases of aortic valve procedures (M). whereas two other surgeons performed 40 aortic valve procedures through a conventional sternotomy (C). Results: More time consuming and technically demanding surgeries were done in M. There was one death in each group. Aortic clamp time was longer in M (93 ± 40 vs 59 ± 24 min. P = 0.001). There were no differences in operating time. pump time. intubation duration. bleeding and intensive care unit stay. The advantages of minimally invasive aortic valve operation included better postoperative ~ection fraction (58 ± 17 vs 51 ± 10%. P = 0.04). decreased pain score (3 ± 2 vs 5 ± 2. P= 0.004). less transfusion (19 vs 55%. P= 0.02). shorter duration of chest tube drainage. and cosmetically more acceptable surgical wound (6.8 ± 2.2 vs 5.2 ± 2.0. P = 0.018). From our series. we could not find any negative effects of minimal access surgery. Conclusions: Our study demonstrated that aortic valve surgeries could be performed routinely by the minimally invasive approach with a high degree of effectiveness and safety. © 2000 The International Societyfor Cardiovascular Surgery. Publishedby ElsevierScience Ltd. All rights reserved
Characterisation and Process Development of Supercritical Fluid Extraction of Soybean Oil

This work describes and analyses the extraction of soybean oil using supercritical carbon dioxide as a solvent from the point of view of both operative method and pre-treatment of the raw material. The best conditions for soybean oil extraction were obtained at a pressure of 300 bar, a temperature of 40 C and a solvent flow rate of 1.8 L/min at STP. The yields obtained using the supercritical fluid under the best operating conditions were similar to those obtained by conventional extraction methods using hexane as the solvent (19.9%w/w.); furthermore, the quality of oil extracted by the supercritical fluid was higher (acidity, 0.8). The fatty acid composition of the soybean seed oil extracted by supercritical fluid was particularly rich in unsaturated fatty acids, particularly linoleic acid (51.8%). For these reasons, the soybean seed oil extracted using supercritical carbon dioxide could compete with that obtained by the conventional process, since the oil refinement stages are simplified significantly and the solvent distillation stage is completely removed, which are the two most costly processing stages in terms of energy consumption.
KUANTITAS PENGGUNAAN ANTIBIOTIK SEBELUM DAN SETELAH PEMBUATAN PEDOMAN PENGGUNAAN ANTIBIOTIK (PPAB) Penelitian Pada Kasus Bedah Digestif RSUP Dr. Kariadi Semarang

Background Pedoman Penggunaan Antibiotik (PPAB) is a book containing procedures and guides for using antibiotic properly. After the new revision, antibiotic prescription is expected to be proper with the written guidelines. Aim To measure quantity of antibiotic use in digestive cases before and after the making of PPAB. Methods This study is a prospective observational study. Subjects were patients in digestive surgery case hospitalizing in September and November. The use of antibiotic is compared between period of before and after the making of PPAB (October) using independent t test and Mann-Whitney test. Result DDD/100 patient days of antibiotic prophylaxis before the making of PPAB is 13,54 decrease to 11,96 after the making of PPAB, but the decrease is not significantly different in statistic test. The most antibiotic prophylaxis (ceftriaxone) before the making of PPAB (13,13 DDD/100 patient days) declined (11,18 DDD/100 patient days) after the making of PPAB. Quantity of antibiotic prophylaxis use of sefazolin before the making of PPAB is 0,42 DDD/patient days increase to 0,78 DD/100 patient days after the making of PPAB. Conclusion There is no significant changes of quantity of antibiotic cefazolin-ceftriaxone for prophylaxis in digestive surgical case between before and after the making of PPAB. Needed socialization, education, and training
Commentary by Records

This article presents findings from a qualitative descriptive study of the ways poor, urban African American women maintain or improve their health while living in abusive relationships. It is incontestable that intimate partner violence is prevalent in our society, and we know that multifarious social ills, such as substance abuse and depression, are often concomitants of abuse. This manuscript relays the voices of these marginalized women and shows us their inherent strengths and desire for healthy states, regardless of the oppression they encounter from family or public policy. A strength of this manuscript is the investigator’s choice to frame the study, its questions, and her analysis using intersectionality. This approach, combined with the belief that a strength-based approach will provide data most useful for health care providers to build their interventions, allows us to see the dynamic interface between lifetime poverty and violence, threats to health (i.e., STIs and HIV), and other contextual factors such as depression, substance use, and social support. The author states that “the challenge for health care providers is to recognize and support the efforts of these women without contributing to their loss of agency. ” What suggestions can be offered by the author for health care providers who work with similar populations? These stories illustrate the difficult task of translating research findings to practice. For example, failure to disclose abuse status is a commonly encountered problem in research and practice. Researchers have recommended a variety of strategies for increasing disclosure, from multiple interviews to framing our assessment questions around women’s responses to, and outcomes from, abuse (Gazmararian et al., 1996; McCosker, Barnard, & Gerber, 2003; McFarlane, Cristoffel, Bateman, Miller, & Bullock, 1991). These strategies may not work with a client similar to the participants of this study because of her underlying fear of having her child(ren) removed from the home. I hope the author can provide insight for us into strategies to employ while listening to the women’s voices. The results of this study provide a glimpse into the experiences of this group of poor, urban African American women as they use their internal Western Journal of Nursing Research Volume 29 Number 3 April 2007 387-388 © 2007 Sage Publications 10.1177/0193945906296560 http://wjn.sagepub. com hosted at http://online.sagepub. com
Emergency preparedness exercise for biological dosimetry - BIOPEX (2008)

As a continuation to the NKS-funded BIODOS project, the BIOPEX project has aimed at testing and validation of the newly established dose calibration curve for PCC rings, a specific chromosome aberration for use in biodosimetry in large casualty emergency preparedness. The testing of the PCC ring technique was performed by direct comparison to the conventional dicentric assay, both conducted with a triage approach that gives a crude dose estimate through analysis of a relatively small number of cells. Altogether 62 blood samples were analysed, each irradiated with an individual dose using γ-rays, and representing casualties in a simulated radiation accident resulting in a broad spectrum of whole body and partial body doses, ranging from zero dose up to a lethal whole body dose of 13 Gy. The results indicated that both triage assays were capable of discerning non-exposed cases and that in the uniform irradiations, the dose estimates based on data from both assays were fairly consistent with the given dose. However, differences were observed depending on the dose level. At doses about 5 Gy and below, dicentric scoring resulted in more accurate wholebody dose estimates than PCC rings. At very high doses, PCC rings appeared to give more accurate dose estimates than dicentrics. The discrepancies are mainly caused by shortcomings in the respective dose calibration curves. In non-uniform irradiations, the PCC ring assay was slightly better in the approximation of the partial body dose than dicentrics, but neither assay enabled accurate estimation of either dose or fraction of cells irradiated. The irradiated fraction of cells for the casualties in this scenario was apparently too small (10-40%) to be distinguished with the triage approach applied in the current study. With respect to the technical aspects, scoring of the PCC rings is easier and therefore somewhat faster but may be more sensitive to quality aspects. In conclusion, the study demonstrated that the PCC ring assay is suitable for use as a biodosimeter, especially for estimation of very high doses.
PHYSICAL FITNESS STATUS OF PHYSICAL EDUCATION AND NON-PHYSICAL EDUCATION STUDENTS: A COMPARATIVE STUDY

The study was to compare the Physical fitness status of Physical Education and Non-Physical Education students of S.G. G.S. Khalsa College Mahilpur. The AAHPER (1976) Youth Physical Fitness Test (Six Test Item: Pull-up, Sit-up, Shuttle Run, Standing Broad Jump, 50 yard Dash and 600 Yard Run/Walk) was conducted on 50 male students ranging between 18 to 25 years (25 Physical Education and 25 Non- Physical Education students). To compare the mean differences between physical education and Non-physical students‘t’ test was computed with the help of SPSS Software. The level of significance chosen was . 05. There were significant differences obtained between physical education and Non-physical education students. The finding reveals that physical education students are superior in their physical fitness than their counterparts.
The Effect of Captopril on Membrane Bound Enzymes in Ischemia—Reperfusion Injury

There is substantial eVidence that Na + K + IMg2 + ATPase and Ca + IMg2 + ATPase enzymes would effect the membrane integrity. Forty guinea pig (n = 10 in each group) hearts were studied in an isolated Krebs-Henseleit solution perfused Langendorff cardiac model. The first group was utilized as the control group. Group 2 hearts were arrested With captopril (200 J,lmollJ) added St Thomas Hospital Cardioplegic Solution (STHCS). Group 3 animals were pretreated with oral captoprll (0.3 mglkg/twice a day) for 10 days and then arrested With STHCS. Group 4 hearts were again pretreated with oral captopril (0.3 mglkg/tWice a day for 10 days) arrested with STHCS and reperfused with captopril added Krebs-Henseleit solution (200 ~olll). Hearts were subjected to normothermic global ischemia for 90 min and than were reperfused at 37°C. When the treated groups were compared with control. best results were achived by group 4. The Na + K+ and Ca + IMg2+ ATPase levels increased from 466.38 ±5.99 to 564.13 ±7.77 and 884.69 ±9.13 to 1254.29 ±5.75 nmol PVmg/protlh respectively (P < 0.05). These results suggest that captopril protects the membrane integrity and thus played a role at the recovery of depressed membrane bound Na + K + IMg2 + ATPase and Ca2 + IMg2 + ATPase actiVity and also in ischemia-reperfusion irijury. © 2000 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved
THE ROLE OF APOB-CONTAINING LIPOPROTEINS IN ABDOMINAL AORTIC ANEURYSM

OF DISSERTATION THE ROLE OF APOB-CONTAINING LIPOPROTEINS IN ABDOMINAL AORTIC ANEURYSM Abdominal aortic aneurysm (AAA) is a devastating disease that exhibits permanent lumen expansion typically in the infrarenal aorta. AAA is prevalent among aged population, especially in males. Despite the incidence in women is lower, studies indicate the tortuosity is more severe and aortic rupture risk is higher in women. In most patients, AAA remains asymptomatic until it ruptures leading to sudden and fatal hemorrhage. To date, there is no proven medical therapy that can prevent the expansion or rupture. Human observational studies implicate the presence of AAA is associated with both high plasma low-density lipoprotein-cholesterol (HDL-C) and low plasma high-density lipoprotein-cholesterol (HDL-C) concentrations. To examine the role of specific lipoproteins in development of AAA, angiotensin (Ang) II-induced AAA was firstly determined in apolipoprotein AI deficient (apoAI -/-) mice in both C57BL/6 and LDL receptor deficient (LDL receptor -/-) backgrounds. The deletion of apoAI led to a significant decrease of HDL-C concentrations. However, we were unable to define any exacerbation of AngIIinduced AAA in either normoor hyperlipidemic mice with apoAI deficiency. Next we compared AngII-induced AAA formation using multiple mouse strains with dietary manipulation to generate different severities of hypercholesterolemia. We demonstrated the apolipoprotein B (apoB)-containing lipoproteins promoted the development of AngII-induced AAA. Moreover, ezetimibe administration significantly reduced both apoB-containing lipoproteins and AAA formation. Together, our studies demonstrate that elevated apoB-containing lipoproteins, contribute to the development of AngII-induced AAA. To investigate the role of apoB-containing lipoproteins on established AAA, male LDL receptors -/mice fed a Western diet were infused with AngII for 4 weeks to induced AAA. Then mice with AAA were stratified into either a group maintained on western diet or switched to a normal diet. AngII infusion was continued for an additional 8 weeks. The diet switch resulted in significantly reduced plasma cholesterol concentrations, which was attributable to the decrease of apoBcontaining lipoproteins. We found a profound inhibition of aneurysm progression in diet switched mice associated with attenuated macrophage accumulation and medial thickening. Collectively, our data demonstrate that apoB-containing lipoproteins promote the progression of established AAA.
Child welfare and successful reunification through the socio-educative process: needs to training of biological familiy in Spain

In Spain, an average of 480 children per 100,000 is receiving some type of temporary care, and the reunification process is typically lengthy. Providing the biological family with specific training as part of the reunification process is key to solving this problem. Although previous research and social policy have emphasized the importance of such training to reunification, the training has not been fully implemented in Spain. This study investigates the specific training needs during the transition phase of the reunification process in which the child prepares to return home. The data were obtained from focus groups and through semi-structured interviews with 135 participants: 63 professionals from the Child Protection System and 42 parents and 30 children who have undergone or are currently undergoing reunification. A qualitative methodology and Atlas.ti software were used to analyze the interview content. The results indicate three specific training needs: (a) understanding the reasons for reunification and the reunification phases; (b) empowerment strategies; and (c) social support. These findings suggest the best practices for formulating specific support programs for this population during the reunification transition period.