Miracle-dz/UniFAR-FTUs huggingface dataset:
Patient engagement: qualitative narratives illustrate patient engagement behaviors

ABSTRACT Patient engagement in treatment decisions is endorsed by countless studies and lived experiences. Patient partnership is a widely studied concept because data show that involved patients are more knowledgeable, satisfied, and compliant. After interviewing 57 voluntary cancer patient participants of various ages, sexes, races, and cancer types, the recordings were transcribed and analyzed using the framework method. The researchers opted to use research-based categories in an effort to illustrate patient engagement communication, behavior, and narrative. Patients professed engagement by asking questions, stating their health preferences, expressing concern, and increasing their knowledge base. Healthcare providers stimulated patient engagement by sharing information, extending support and building trust, and creating a culture where patient participation and treatment deliberation was valued. On the whole, patient narratives indicate that practitioners do not consistently present sufficient patient choice. The data vividly depict examples of patient engagement so that both patients and providers are able to recognize participation beyond the well-known question asking category. Interview responses illustrate the various forms of patient engagement and shed light on how practitioners can further instigate a positive environment to promote patient partnership.
Optimal management of Brugada syndrome

Brugada syndrome can induce malignant ventricular arrhythmias in the absence of structural heart disease. The hallmark of the condition is the ’’coved’’ (type I) or ’’saddle-back’’ (types II and III) ST segment elevation in the right precordial leads. The definite diagnosis requires the documentation of the type I morphology. The electrocardiographic pattern is often dynamic, but it can be unmasked by sodium channel blockers such as flecainide. We report the case of a 33-year old male, with family history significant for sudden cardiac death, who underwent successful cardio-pulmonary resuscitation for ventricular fibrillation-associated cardiac arrest. The 12 lead electrocardiogram performed after the resuscitation maneuvers showed intermittent type 1 Brugada pattern. General physical examination and routine laboratory evaluation were unremarkable. A repeated electrocardiogram revealed sinus tachycardia with right bundle branch block. We performed a flecainide challenge test which reproduced the initial coved-type ST segment elevation in V1 and V2. We decided to implant a ventricular single chamber cardioverter-defibrillator with one therapeutical window for ventricular fibrillation (at 300 ms), high energy shocks without antitachycardia pacing. The device was successful in preventing another episode of ventricular fibrillation just 2 days after the procedure. Implantable cardioverter-defibrillators are the most effective secondary prophylaxis therapeutic options for individuals with Brugada Syndrome, but they subject the patient to complications related to device implantation and inappropriate shocks.
Producing graduates who meets employer expectations : open and learning is a viable option

In this new age of globalization, higher education plays an increasingly important role in preparing a workforce which meets rapidly changing industry needs. There is now a critical need to re-examine the function of tertiary education such that it not only caters to fresh school-leavers but of equal importance, provide opportunities for the further up-skilling and upgrading of people who are already employed. With a substantial proportion of people who have yet to obtain a basic degree, conventional universities by themselves are highly unlikely able to meet the demands of providing tertiary education to all who need or want to further education, in the near or even distant future. Open and distance learning programmes which are able to contribute significantly to lifelong learning efforts, however, have constantly been regarded as ‘the lower quality alternative’ with their flexible entry policy and flexible learning modes. This paper seeks to examine the extent to which Open University Malaysia’s graduates met employer expectation with regard to employability competencies. Paper and pencil questionnaires were sent via postal mail to employers of the November 2010 open market Bachelor degree programme graduates. Responses from 290 out of a total of 1088 employers were analysed using quadrant analysis and gap analysis for three dimensions of employability competencies namely, Knowledge and Understanding, General Attributes and Generic Skills. Overall findings suggest that while importance scores were higher than satisfaction scores, the employers were generally satisfied with the graduates’ competencies for all three dimensions. (Abstract by authors)
CLINICAL CONCEPTS AND COMMENTARY

POSITIVE-PRESSURE mechanical ventilation is essential for keeping alive critically ill patients who have acute respiratory distress syndrome (ARDS), a severe but reversible lung disease characterized by a diffuse injury of the alveolar–capillary barrier. The reported incidence of ARDS ranges between 1.5 and 13.5 per 100,000 population, with a mortality rate of 27–60%. Compelling evidence has progressively emerged suggesting that mechanical ventilation, although indispensable for survival, may be detrimental to the injured lung and may increase mortality rate if inappropriately administered. Ventilatory support, by supplying the deficient lung function until recovery, is aimed at achieving an arterial oxygenation that ensures adequate tissue oxygenation and provides appropriate carbon dioxide elimination. A consensus exists that these clinical objectives should be reached without applying pressures and volumes that are too high to noninjured parts of the lung. The optimum ventilatory strategy in patients with ARDS should represent a compromise between alveolar recruitment and lung overinflation that both result from mechanical ventilation–induced increase in airway pressure. This article provides a critical analysis of recent experimental and clinical studies supporting this concept.
2008 ANESTHESIOLOGY/FAER SESSION: ANESTHESIA AND THE DEVELOPING BRAIN: IMPLICATIONS FOR OBSTETRICS AND PEDIATRICS

Background: Anesthetic drugs administered to immature animals may cause neurohistopathologic changes and alterations in behavior. The authors studied association between anesthetic exposure before age 4 yr and the development of reading, written language, and math learning disabilities (LD). Methods: This was a population-based, retrospective birth cohort study. The educational and medical records of all children born to mothers residing in five townships of Olmsted County, Minnesota, from 1976 to 1982 and who remained in the community at 5 yr of age were reviewed to identify children with LD. Cox proportional hazards regression was used to calculate hazard ratios for anesthetic exposure as a predictor of LD, adjusting for gestational age at birth, sex, and birth weight. Results: Of the 5,357 children in this cohort, 593 received general anesthesia before age 4 yr. Compared with those not receiving anesthesia (n 4,764), a single exposure to anesthesia (n 449) was not associated with an increased risk of LD (hazard ratio 1.0; 95% confidence interval, 0.79–1.27). However, children receiving two anesthetics (n 100) or three or more anesthetics (n 44) were at increased risk for LD (hazard ratio 1.59; 95% confidence interval, 1.06–2.37, and hazard ratio 2.60; 95% confidence interval, 1.60–4.24, respectively). The risk for LD increased with longer cumulative duration of anesthesia exposure (expressed as a continuous variable) (P 0.016). Conclusion: Exposure to anesthesia was a significant risk factor for the later development of LD in children receiving multiple, but not single anesthetics. These data cannot reveal whether anesthesia itself may contribute to LD or whether the need for anesthesia is a marker for other unidentified factors that contribute to LD.
Tumor-speci¢c DNA in plasma of breast cancer patients

Thepresenceof DNA fragments circulating in cancer patientswas describedanumberof yearsago.Themerepresenceof DNAin the circulation is not indicative of cancer. However, there are reports that apoptosis and necrosis of the cancer cells can increase the levels of circulating DNA.The studyof plasma DNAwith the detectionof genetic abnormalitiesassociatedwith speci¢c cancershas produced some promising results. Primary cancer often harbors ras or p53 mutations and the detection of these mutations in free circulating DNA could indicate the presence of cancer. Other approacheshave included detection of speci¢c losses of heterozygosity (LOH), microsatellite instability (MI) and promoter hypermethylation. For breast cancer, studies published to date have focused on detecting LOH, MI and methylation of the p16INK4A promoter. Good concordance between alterations in the primary tumor and detection of the same alterations in the circulation has beenobserved.Also, it is encouraging tonote that DNAalterations have been detected in patients with small or even in situ lesions, indicating that circulating tumor DNA is shed early in the disease process. If ‘universal’breast-speci¢cDNAalterations canbeidenti¢ed, this approachmay hold signi¢cant promise for early detection of breast cancer. [r 2002 Lippincott Williams &Wilkins. ]
and of a Morphine Immunoassay as a Diagnostic Aid for Neuromuscular Blocking Drug-induced

vascular Evaluation for Noncardiac Surgery): Developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. Circulation 2007; 116:1971–96 5. Nuttall GA, Houle TT: Liars, damn liars, and propensity scores. ANESTHESIOLOGY 2008; 108:3– 4
Customer Review Analysis with self-Learning Agent for Suggesting Solutions using Incremental Reward Deep Q Learning Model

: A large volume of product online reviews is generated from time to time, which contain rich information regarding customer requirements. These reviews help designers to make exhaustive analyses of competitors, which is one indispensable step in market-driven product design. How to extract critical opinionated sentences associated with some specific features from product online reviews has been investigated by the researches. However, these review sentences should be descriptive about general customer concerns and, at the same time, they are expected to be comparative to reflect similar customer feedback of different products. Hence, in this research, with the help of the techniques on sentiment analysis, opinionated sentences referring to a specific feature are first identified from product online reviews. We have proposed Incremental Reward Deep Q Learning Model (IRDQLM) as a classification model for finding the state of review. The results showed similarity value to the cosine function between the query review and answer given to query review for the customer. Moreover, it is observed that the proposed technique can able to reply all the reviews with a better similarity like a human response to the customer.
Tissue Culture On-chip Design using Multivariable Molecular Network

This paper proposed tissue culture on-chip design using multivariable molecular network by using three network combinations such as star, bus and ring networks. A chip consists of star networks that allow the trapping molecule (nutrient or gene) circulation within design a circuit. In principle, the required nutrient can be trapped by the multivariable tweezers and transported to the required destinations. PANDA ring resonator is a modified add-drop filter can be generated and the molecules trapping transport is reviewed. In this work we are seeking for the optimizing results, which will be considered by choosing the suitable network parameters. © 2010 Published by Elsevier Ltd. Selection and/or peer-review under responsibility of I-SEEC2011
Analysis Parameter of 2-D Discrete Wavelet Transform using Multiplier-less Technique

: Conventional distributed arithmetic (DA) is popular in field programmable gate array (FPGA) design, and it features on-chip ROM to achieve high speed and regularity. In this paper, we describe high speed area efficient 2-D discrete wavelet transform (DWT) using 9/7 filter based new efficient distributed arithmetic (NEDA) Technique. Being area efficient architecture free of ROM, multiplication
Leukemia Diagnosis using Back Propagation Multi-layer Feed Forward Neural Networks

: The term “Leukemia” refers to cancer of the blood cells. The presence of Eosinophil, Neutrophil, Lymphocyte, Basophil, and Monocyte in the blood test and the bone marrow indicates that the cells are influenced by leukemia. The diagnosis of ailments in blood plays a crucial role in the appropriate discovery and curative of diseases and thus protection and being saviour to the human life. Automatic detection of the ailment tends to reduce the erroneous results obtained from the microscopic images and also reduces the occurrence of mistakes by the pathologists. For automatic detection of leukemia the blood smear microscopic images are taken as an input.Microscopic images are pre-processed to remove the noise. Images are segmented for classification into appropriate structures . Otsu threshold method is used for Image segmentation. Dynamic features like area, ellipse, circularity, arch length, contour convex are used to identify the candidates of the images. Images are classified as containing the components Eosinophil, Neutrophil, Lymphocyte, Basophil, and Monocyte in the microscopic images using Back propagation for multi-layer Feed forward neural networks is used for training the images. Accuracy of 85% is achieved in Leukemia classification.
Surgically Induced Astigmatism in Tunnel Construction in Small Incision Cataract Surgery

1 RMO-CT (Tutor), Dept. of Ophthalmology, Rampurhat Government Medical College, Birbhum Corresponding Author Raktima Baksi (Mandal) Abstract Background: Manual Small Incision Cataract surgery is the most commonly performed procedure performed worldwide. Material and Methods: Patients operated between July 2014 to June 2016 were included in the study. Result: Out of 210 patients, 6 were lost to follow up. Eventually our sample size reduced to 204 patients of which Linear group consisted of 100 patients and Frown group consisted of 104 patients. Conclusion: Larger incisions induce more astigmatism than smaller one. Astigmatism induced by Straight and Frown incisions do not differ when length of incision is 7.5 mm or more. With the rule astigmatism was noted among patients aged below 50 years and Against the rule astigmatism was seen in people above 50 years of age.
Triangular Shaped Broadband High Gain Microstrip Antenna

In this research work triangular shaped broadband patch antenna with high gain is proposed. The proposed is designed by a triangular shaped radiating patch with modified ground plane. The covered frequency ranges from 4.7 GHz to 9 GHz with peak gain 3.47 dBi. Two resonant frequencies at 5.1 GHz and 7.8 GHz with minimum reflection coefficient of -26dB and -33.9 dB are achieved. The simulated design antenna is offered broadband with percentage bandwidth of 62%. The designed antenna is simulated using Ansoft designer software.
CSCE Annual Conference Growing with youth – Croître avec les jeunes

Pavement infrastructures have become vulnerable to damage as they were not designed to withstand the aggressions of extreme weather events such as flooding, induced by climate change. In Ontario, flooding tops the list of climate change hazards having a consequential impact on pavement performance. Rigid pavements are recorded to provide resilience to flood hazard in literature but knowledge about its behaviour and response to flood impact is currently scarce. The objective of this study is to investigate the impact of flood hazards on the performance of concrete pavement examining a case study of Jointed Plain Concrete Pavement (JPCP) road classes in Ontario. Subsequent to this, the MechanisticEmpirical Pavement Design Guide (MEPDG) was employed to simulate JPCP performance under climate change using a conservative Representative Concentration Pathways (RCP) of 4.5W/m. Flood depth, duration and event cycles were used to define flood loading. Typical designs of JPCP collector and arterial road classes in the province were chosen and modelled. The result indicated lower damage ratios and loss of pavement life based on changes in faulting and International Roughness Index (IRI). Increases in flood frequency resulted in additional damages and loss of pavement performance and analysis showed that arterial pavement was more resilient to flood damage than collector pavements. The inference is that concrete pavements may not have their life shortened at lower cycles of extreme precipitation. However, at higher frequencies of extreme precipitation, damage may increase and resilience to flood hazards in JPCP pavement altered.
The SinuSonic: reducing nasal congestion with acoustic vibration and oscillating expiratory pressure

Introduction: Nasal congestion is common, burdensome, and costly. Current treatments are limited by partial/temporary relief and untoward side-effects. The goal of this study was to evaluate the performance of a novel, non-pharmacologic nasal device designed to reduce nasal congestion via simultaneous administration of acoustic vibration and gentle oscillating expiratory pressure. Materials and methods: Patients were recruited from a tertiary care sleep clinic and all reported moderate-to-severe nasal congestion for >2 weeks (N=14; 64% female; 71% Caucasian). Visual analog scale (VAS) (10 items) quantifying nasal congestion and ease-of-breathing were administered before and after SinuSonic application for 2 – 5 mins. Global and clinical impressions of change were assessed post-administration. Results: Wilcoxon signed-rank tests indicated that post-test ranks were statistically improved from pre-test ranks for both VAS measures (congestion p =0.002; ease-of-breathing p =0.003). A binomial test indicated that the proportion of patients with ≥ minimal improvement on clinical and global impressions of change was higher than expected (100% vs expected 75%, p =0.018). Conclusion: Overall, outcomes were encouraging from this small pilot study with effect sizes in the moderate to large range and no reports of discomfort. It is probable that this device will provide acute, and possibly chronic, relief of nasal congestion with minimal side-effects.
Testing of the new integrated sample and order management software at PSI HOTLAB

For the detection and control of nuclear fuel samples and monitoring with respect to criticality safety, the 1998 from PSI developed KBuch program has been used. In autumn 2011, a logic error was detected in the software during a routine booking with extraordinary nuclear fuel. This bug was reported to the national regulator ENSI and appropriate administrative measures have been taken to prevent the recurrence of the logic error. ENSI additional requirement: “Given the fact that the logic fault is inherent and can’ t be resolved in the short term, effective measures to prevent future accounting errors must be taken to medium term. The software should be developed to state of the art as soon as possible”. Subsequently, a project was launched to update the used software as required. The project was set up to integrate the new sample and order management (IPV) software into the Quality Management Software IQSoft used at PSI HOTLAB. Thus IQS Ltd. was chosen as project partner for the realization of the software. After setting up an extensive catalog of requirements for the new software, PSI HOTLAB started to develop the testing procedure to ensure the needed functionalities of IPV. During the setup of the test scripts it was found that important additional information was produced for the realization partner. A strong interaction with IQS Ltd. was created to ensure information exchange at the right time. The used working tools and methods, as well as the status of the final software IPV is discussed. 1 Phone +41 56 310 22 83, fax +41 56 310 22 03, marco.streit@psi.ch
Supporting Dynamic Inode Allocation and Save Significant Storage Space in Mobile Computing System

: PCM is rapidly evolved as a promising candidate for subsequent-technology storage class reminiscence (SCM) because of its non-volatility, byte-addressability, and high get admission to overall performance. In recent years, researchers have studied the way to use PCM as primary memory or hybrid fundamental reminiscence to improve the gadget overall performance and power efficiency. Although some research has explored the read/write asymmetry of PCM to further optimize the performance of PCM, the use of PCM as important memory suffers from the write endurance issue. As for the gap usage of record machine designs, some of previous research proposed different control designs to enhance the space utilization of file systems over block-primarily based garage devices. However, to the high-quality of our knowledge, little research has been executed trying to optimize the gap utilization of record systems through taking gain of the best features of PCM. In this paper we suggest a multi-grained block management approach to improve the space usage of report structures over PCM-based storage systems with minimized space and control overheads.
Analysis of Common Gene Expression Pattern From Human Tuberculosis Microarray Data In The R Pakage

: Microarray is a collection of microscopic samples commonly from nucleic acids (RNA and DNA) which can be probed with target molecules to produce either gene expression or diagnostic data. Tuberculosis is a bacterial infection usually occurred in human and animal bodies caused by Mycobacterium tuberculosis, this bacteria usually infect the lungs, but it can infect other parts of the body of an organism. The aim of this study is to process the raw data and determine common expression pattern using some tools available for analyzing human TB microarray gene expression data in the Bioconductor R package. The control stimulated samples with phosphate buffer saline (PBS) and experimental unstimulated samples of three different clinical forms of human TB microarray gene expression data, such as latent TB (LTB), pulmonary TB (PTB) and meningealTB (TBM) were collected from GEO-NCBI database and all analysis were performed by using Bioconductor R packages. The results of this study, explore the use of affycoretool for microarray TB image visualization analysis, AffyQCReport tool for TB microarray data quality assessment, GCRMA method for TB microarray data normalization, these pre-processing indicates that the data are of good quality and be use for advance analysis. Hierarchical clustering (hclust) method was used to determine common expression pattern among the three different clinical forms of human TB infection. The finding shows there were more relatedness between expression levels of the arrays from the same clinical group of tuberculosis infection than those arrays with different clinical group and also indicated differences between the arrays. It suggested that hierarchical clustering analysis distinguish different clinical forms of human TB infection. This study recommended that the results generated from these findings can be used in further analysis for detection and control of human TB infection.