Miracle-dz/UniFAR-FTUs huggingface dataset:
Surgical Methods in Dealing With Sensory Neuritis as a Complication of Lisfranc Fracture Dislocation

Lisfranc tarsometatarsal fracture-dislocations are usually high-energy injuries causing catastrophic injury to both the bone and the soft tissues of the midfoot. Meticulous restoration of the anatomy with open reduction and internal fixation is the gold standard for treatment; however, even with excellent radiographic results, soft-tissue pathology, particularly sensory neuritis, can lead to a poor functional result. The following article evaluates the incidence of sensory dysfunction associated with these fractures and describes the pathoanatomy, diagnosis, and treatment of these injuries. With accurate diagnosis, the treatment of sensory neuritis can lead to a more satisfying functional result.
ACUTE MASTITIS: REVISITING THE GOALS OF THERAPY

Acute clinical mastitis affects dairy cows throughout the world and has a substantial impact on farm econom ics, milk quality, and cow welfare. Dairy producers and veterinarians must make clinical mastitis treatment decisions or recommendations on a frequent basis. Despite more than a century of research and a tremendous amount of field experience, clinical mastitis remains a frustrating disease to treat. Some cows die, become agalactic, or fail to return to profitable milk production despite aggressive and expensive treatment. Other cows experience recurrences of clinical mastitis after treatment or have persistently high somatic cell counts in their milk. Some producers avoid antibiotic therapy in cows with acute clinical mastitis because they believe it is ineffective and increases milk discard time and residue risk. Producers that use antibiotics often administer a short course of treatment or are quick to change drugs when immediate improvement is not observed. Non-approved drugs and even illegal drugs are used when labeled treatments are deemed unsatisfactory. It is time to critically evaluate clinical mastitis treatment practices on dairy farms, identify reasons for treatment failures, and make biologically-plausible, evidence-based treatment recommendations. The outcome of clinical mastitis is influenced by a variety of factors, including the effectiveness of the cow’s imm une response, the severity of mastitis at the onset of treatment, the duration of infection at the onset of treatment, the causative pathogen, and the drug regimens and ancillary measures used. Treatment failures are usually attributed to poor drug efficacy, when in fact, cow or pathogen factors, or how we use the drugs, may be responsible. For a successful mastitis treatment program, we must manage cows to promote good immune function, know the pathogens responsible for clinical mastitis in a herd, and carefully choose which cows to treat. Once a decision is made to treat, we must avoid drugs and practices that are ineffective or potentially detrimental (first do no harm). Drugs must be used in appropriate doses, by appropriate routes, at an appropriate frequency, and for an adequate duration to achieve the desired outcome. In my opinion, the desired outcome for most clinical mastitis episodes should be clinical an d bacteriologic cure and return to profitable milk production. Clinical cure without bacteriologic cure can result in recurrence of clinical mastitis, transmission of infection to other quarters and other cows, and persistence of high somatic cell counts, even when infections are caused by environmental pathogens. 1,3,9 Clinical cure alone might be acceptable if the intent is to recover a sick cow for salvage or temporarily reap profit (milk, calf) from a cow with a non-curable infection, as long as measures are taken to limit transmission risk. Because assessment of
Determinants of Surgical Outcome in Patients With Isolated Tricuspid Regurgitation

Background— We sought to identify preoperative predictors of clinical outcomes after surgery in patients with severe tricuspid regurgitation. Methods and Results— We prospectively enrolled 61 consecutive patients (54 women, aged 57±9 years) with isolated severe tricuspid regurgitation undergoing corrective surgery. Twenty-one patients (34%) were in New York Heart Association functional class II, 35 (57%) in class III, and 5 (9%) in class IV. Fifty-seven patients (93%) had previous history of left-sided valve surgery. Preoperative echocardiography revealed pulmonary artery systolic pressure of 41.5±8.7 mm Hg, right ventricular (RV) end-diastolic area of 35.1±9.0 cm2, and RV fractional area change of 41.3±8.4%. The median follow-up duration after surgery was 32 months (range, 12 to 70). Six of the 61 patients died before discharge; thus, operative mortality was 10%. Three of the 55 patients who survived surgery died during follow-up, and 6 patients required readmission because of cardiovascular problems. Thus, 46 patients (75%) remained event free at the end of follow-up. In the 54 patients who underwent 6-month clinical and echocardiographic follow-up, RV end-diastolic area decreased by 29%, with a corresponding 26% reduction in RV fractional area change. Thirty-three patients (61%) showed improved functional capacity after surgery. On multivariable Cox regression analysis, preoperative hemoglobin level (P<0.001) and RV end-systolic area (P<0.001) emerged as independent determinants of clinical outcomes. On receiver operating characteristic curve analysis, we found that RV end-systolic area <20 cm2 predicted event-free survival with a sensitivity of 73% and a specificity of 67%, and a hemoglobin level >11.3 g/dL predicted event-free survival with a sensitivity of 73% and a specificity of 83%. Conclusions— Timely correction of severe tricuspid regurgitation carries an acceptable risk and improves functional capacity. Surgery should be considered before the development of advanced RV systolic dysfunction and before the development of anemia.
Challenging the Efficient Market Hypothesis with Dynamically Trained Artificial Neural Networks

A review of the literature applying Multilayer Perceptron (MLP) based Artificial Neural Networks (ANNs) to market forecasting leads to three observations: 1) It is clear that simple ANNs, like other nonlinear machine learning techniques, are capable of approximating general market trends 2) It is not clear to what extent such forecasted trends are reliably exploitable in terms of profits obtained via trading activity 3) Most research with ANNs reporting profitable trading activity relies on ANN models trained over one fixed interval which is then tested on a separate out-of-sample fixed interval, and it is not clear to what extent these results may generalize to other out-of-sample periods. Very little research has tested the profitability of ANN models over multiple out-of-sample periods, and the author knows of no pure ANN (non-hybrid) systems that do so while being dynamically retrained on new data. This thesis tests the capacity of MLP type ANNs to reliably generate profitable trading signals over rolling training and testing periods. Traditional error statistics serve as descriptive rather than performance measures in this research, as they are of limited use for assessing a system’s ability to consistently produce above-market returns. Performance is measured for the ANN system by the average returns accumulated over multiple runs over multiple periods, and these averages are compared with the traditional buy-and-hold returns for the same periods.
Caracterización de la nefropatía inducida por medios de contraste en pacientes hospitalizados en la clínica general del norte de barranquilla, durante el periodo de enero a junio de 2017

Introduction. Contrast-induced acute renal injury (LRA-IC) or contrast-induced nephropathy (NIC) is defined as: acute renal injury, developed by the administration of an iodinated contrast medium, during diagnostic procedures and / or Therapeutic. Risk factors associated with the patient are considered: history of chronic kidney disease (CKD) and diabetes mellitus, advanced age, heart failure and nephrotoxic medication. Factors associated with the contrast medium, such as osmolality and viscosity. Objective. To characterize contrast-mediated nephropathy in hospitalized patients in the clinic of high complexity. Methods. Research of quantitative, descriptive, cross-sectional, retrospective type; Of patients with CIN hospitalized in an institution of high complexity. Population conformed by all the hospitalized patients to whom studies or procedures are required that require means of contrast. Inclusion and exclusion criteria will apply. The information will be obtained from a secondary source, from the clinical records documented in the medical record. Results. 955 patients with imaging or diagnostic and / or therapeutic procedures with iodinated contrast media. Discounting 421 patients by exclusion criteria, resulting in a sample of 534 patients, 2.8% (15 patients) presented CIN. The frequency of contrast media in patients with CIN, 100% used hyposmolic contrast media and <100 ml of amount. Patients with CKD with CIN do not present in their majority renal deterioration of their stage. Conclusions. The carrying out of studies and procedures that require means of contrasts can generate a safe diagnostic and / or therapeutic practice. Saline solution is the main nephroprotective measure in patients exposed to contrast media, with low concentrations of osmolality and low amounts of contrast media.
Multisensory Associative Guided Instruction Components-Spelling

This article describes a multisensory presentation and response system for enhancing the spelling ability of dyslexic children. The unique aspect of MAGICSpell is its system of finger–letter associations and simplified keyboard configuration. Sixteen 10- and 11-year-old dyslexic students practiced the finger–letter associations via various typing games. They then were tested on the spelling of four-letter words with the “er” sound bordered on each end by a consonant. A pretest revealed that the students spelled the target words correctly 3% of the time. After practice with MAGICSpell, the correct responses rose to 84% for the practiced words. The students also significantly increased correct responses for nonpracticed words of the same spelling pattern. This trend held for both typing with the MAGICSpell configuration and writing responses.
Physical activity in COPD: Minimal clinically important difference for medical events

Estimates of the minimal clinically important difference (MCID) for physical activity (PA) in chronic obstructive pulmonary disease (COPD) are needed. The objective is to provide an anchor-based estimate of the MCID for daily step count. PA was promoted in persons with COPD using a pedometer (Omron HJ-720ITC) alone or a pedometer plus interactive website for 3 months. Participants wore the pedometer daily and received phone calls monthly to ascertain medical events. Medical events were counted when a participant self-reported that he/she had (1) worsening of breathing, (2) change to breathing medications, (3) medical care from an emergency room for any reason, or (4) hospitalization for any reason. Generalized linear regression models assessed daily step count as change at the end of study and averaged over the 15, 31, or 61 days centered on the event, in those with an event compared to those without one. All categories of events carried equal weight in the analyses. We studied 93 persons, 46 of whom had an event. Participants who experienced an event had a decrease of 1086 (95% confidence interval (CI): −2124 to −48) or 887 (95% CI: −2030 to 257) steps/day in the pedometer plus website or pedometer alone groups, respectively, compared to those without one. In the days centered on an event, participants who had an event experienced a decrease of 882–983 steps/day (pedometer plus website) or a decrease of 351–495 steps/day (pedometer alone), compared to those without one. The MCID for PA in COPD ranges from 350 steps/day to 1100 steps/day.
Comparative analysis of retail cuts, muscle physico-chemical properties and meat tenderness of indigenous castrate sheep finished off under feedlot conditions

A 4x3 factorial design experiment involving 120 indigenous castrate sheep fed for a total of 84 days in feedlot conditions was carried out to evaluate age at entry to feedlot (AEF) and level of concentrate feeding (LCF) on retail cuts yields, muscle physico-chemical properties and meat tenderness. The AEF were 9. 12, 15 and 18 months designated as AEF9. AEF12 AEF15 and AEF18 treatments while LCF were 50%, 75% and 100% designated as LCF50, LCF575 and LCF100, respectively. The proportion of neck, breast, chump and shoulder cuts to cold carcass weight (CCW) were not affected (p>0.05) with AEF while that of hind leg decreased by 11% when LCF increased from LCF50 to LCF100. The fat tissue increased (p<0.01) while muscle and bone tissues decreased (p<0.05) with increasing LCF50 and LCF100. The pH decline at pH6 was 2.6% higher than pH24 which was 1.7% with increasing LCF. Overall cooking losses of m. longissimus thoracic et lumborum, semimembranosus and supraspinosus muscles decreased (p<0.001) while tenderness increased (p<.0.001) from 26.8 to 21.2Ncm -2 (21%) with ageing duration from 0-d to 9-d. There was a significant (p<0.05) interaction between AEF and dietary levels on the WBSF of the SM muscles such that the decrease of shear force was attained at AEF15. Encouraging results have been obtained to suggest that feedlotting of AEF12 and AEF15 under LCF100 for 84 days gives maximum weights of retail cuts and tenderness. Key words: Cooking loss; Feedlot; Indigenous sheep; Retail cuts; Tenderness
Dynamic storage allocation systems

In many recent computer system designs, hardware facilities have been provided for easing the problems of storage allocation. This paper presents a method of characterizing dynamic storage allocation systems, according to the functional capabilities provided, and the underlying techniques used. The basic purpose of the paper is to provide a useful perspective from which the utility of various hardware facilities may be assessed. The paper includes as an appendix, a brief survey of storage allocation facilities in several representative computer systems.
MÉTODO GAIN SCHEDULING APLICADO AO CONTROLE DE UMA COLUNA DE DESTILAÇÃO.

Este trabalho tem como objetivo melhorar o controle da temperatura e da vazao de refluxo de um processo de destilacao. A coluna de destilacao que foi simulada no software HYSYS e uma coluna debutanizadora que apresenta nao linearidades acentuadas. Assim, foi investigado, testado e comparado o uso de diferentes tecnicas de Gain Scheduling em juncao com a tecnica de anti-Windup Integrator Clamping. Para a sintonia dos controladores foi realizada uma estrategia empirica.
Feeding and Swallowing Disorders in Infancy: Assessment and Management

Evaluate and treat children up to 1 year old with sucking, swallowing, or breathing disorders. This researchbased text addresses a team approach and covers diagnosis, assessment, and practical and logical techniques for intervention. The distinction of this book is in its descriptions of feeding impairments and their therapy. Its information is specific: examples of individual infants and well-detailed problem-driven models and treatment strategies are included. The information is reinforced by illustrations, lists, and classification. Therapists and all clinicians who deal with feeding-impaired infants will be helped by this book. 475 pages. Softcover. 1992 Mouth Madness: Oral Motor Activities for Children ● Mastery of Your Specific Phobia: Client Workbook (TherapyWorks) ● Stress, Strain, and Structural Dynamics: An Interactive Handbook of Formulas, Solutions, and MATLAB ● Toolboxes Project Finance for the International Petroleum Industry ● Evolution: Components and Mechanisms ● Forensic Fingerprints (Advanced Forensic Science Series) ● Formal Verification: An Essential Toolkit for Modern VLSI Design ● Coal Bed Methane: From Prospect to Pipeline ● Network Neuroscience ● System on Chip Interfaces for Low Power Design ● Web Application Firewalls: A Practical Approach ● Carboranes, Third Edition ● Cosmetic Science and Technology: Theoretical Principles and Applications ● Gorilla Pathology and Health: With a Catalogue of Preserved Materials ● Network Function Virtualization ● Handbook of Basal Ganglia Structure and Function, Volume 24, Second Edition (Handbook of Behavioral ● Neuroscience) Threat Assessment and Risk Analysis: An Applied Approach ● The Data and Analytics Playbook: Proven Methods for Governed Data and Analytic Quality ● Configuration Management for Senior Managers: Essential Product Configuration and Lifecycle ● Management for Manufacturing Water-Based Chemicals and Technology for Drilling, Completion, and Workover Fluids ●
A comparative analysis of the baska mask versus I-gel for general anesthesia in surgical patients undergoing laparoscopic cholecystectomy

Background and Aims: Baska mask is a newly introduced membranous cuffed supraglottic device whereas I-gel is made up of thermoplastic elastomer, both suitably designed from the anatomical perspective of the airway. Settings and Design: We conducted randomized controlled comparative trial of the Baska mask versus I-gel in a patient undergoing laparoscopic cholecystectomy. Subjects and Methods: A total of 100 adult patients in the age group of 20–70 years undergoing elective laparoscopic cholecystectomy were randomly divided into two groups as follows: (1) Baska mask group and (2) I-gel group. The primary outcome was to compare oropharyngeal leak pressure (OLP) of Baska mask and I-gel groups. The secondary outcome was the ease of insertion and removal, number of attempts, insertion time, leak fraction, and laryngopharyngeal morbidity. Statistical Analysis Used: Demographic details were compared using the Chi-square and t-tests. Student's t-test for independent variables was used to compare means of data obtained. Results: Mean OLP was significantly higher in Baska mask group than I-gel group at insertion (29.54 ± 1.41 cm H2O vs. 23.16 ± 3.07 cm H2O, P = 0.02) and 30 min after insertion (33.54 ± 1.16 cm H2O vs. 25.97 ± 2.25 cm H2O, P = 0.001). Insertion time was 12.33 ± 2.61 s with Baska mask and 11.31 ± 1.84 s with I-gel (P = 0.02). Insertion was very easy in 58% of patients in Baska mask and 76% of patients in I-gel (P = 0.03). The leak fraction of Baska mask was significantly less than I-gel (3.56 ± 3.6 vs. 7.16 ± 2.45, P = 0.01). Laryngopharyngeal morbidity was comparable in the two groups. Conclusion: Baska mask is more effective in providing greater OLP compared to I-gel without any increase in laryngopharyngeal morbidity.
Projetos Colaborativos e WebQuests: Uma Possibilidade para Formação de Professores de Matemática

Resumo: As demandas dos dias atuais tem exigido, cada vez mais, das instituicoes de ensino a formacao de um professor capaz de se atualizar frente as novas tecnologias de informacao e comunicacao. Para se atingir este proposito e necessario uma pratica diferenciada na formacao de professores. Este artigo tem como objetivo apresentar uma iniciativa neste sentido, relatando uma experiencia realizada no curso de formacao de professores de Matematica da PUCRS, onde os alunos utilizaram projetos colaborativos para especificar WebQuests sobre conteudos matematico. Estas WebQuests foram tambem implementadas pelos alunos. Abstract: Nowadays the demands for up-to-date teachers in information and communication technology has required, from the universities, a differentiate course for teachers formation. This paper aims to present an initiative for this purpose, relating an experience performed in the teaching course of Matematica at PUCRS. In this experience, students use collaborative projects to specify WebQuests about mathematics contents. The specified WebQuests are also developed by the students.
Neural Correlates of Physical and Mental Fatigue

The purpose of this study was to determine the neural and muscular correlates of physical and mental fatigue. Twelve young and healthy participants (balanced by gender) performed three fatiguing conditions: 1) isometric handgrip task (HG) at 30% maximum voluntary contraction (MVC); 2) mental arithmetic (MA); and 3) combined handgrip and mental arithmetic (HG+MA). Prefrontal cortex activation, muscle activity, and task performance measures (force fluctuations and mental performance) were obtained continuously during the fatiguing conditions. Results indicated no significant difference in muscle activity and force fluctuations between the HG and HG+MA condition. Compared to the HG condition, an initial increase in the prefrontal cortex activation was observed during the HG+MA condition, with a subsequent decrease at exhaustion. Cortical activation during the MA condition was significantly lower than the other conditions across the entire duration of the fatiguing trial. Participants performed poorly with mental arithmetic during the HG+MA condition compared to the MA condition. The results suggest that the dynamic changes in the prefrontal cortex during the combined HG+MA condition, compared to the HG or MA condition, occur due to the interaction of physical and mental fatigue, which may have important implications for physical and cognitive performance.
QUALIDADE DE VIDA EM ONCOLOGIA QUALITY OF LIFE IN ONCOLOGY CALIDAD DE VIDA EN ONCOLOGÍA Autores

The purpose of the article is, by using literature review and reflective analysis,to discuss the importance, impact and bring up of appropriate strategies on patient and family care with chronic oncological pain, focusing on quality of life (QoL). Our attention was focused: on historical evolution of QoL concept and the current importance of appropriate treatment to patient and family; in the contextualization of the concept of QoLin a healthy person; QoL on person with oncological disease and quality of life related to health (HRQoL); clinical ethics and QoL; QoL measurement instruments and its importance in care practice. We emphasize that on the provision of health care, the HRQoL is increasingly accepted as a major objective. In a more advanced stage of the disease the focus goes from cure to palliation, the main objective being to increase in welfare with improvement or preservation of QoL. The QoL can only be measured and described on an individual basis, depending on the current lifestyle, past experiences and hopes, dreams and ambitions
BALANCING PERFORMANCE, AREA, AND POWER IN AN ON-CHIP NETWORK

Several trends can be observed in modern microprocessor design. Architectures have become increasingly complex while design time continues to dwindle. As feature sizes shrink, wire resistance and delay increase, limiting architects from scaling designs centered around a single thread of execution. Where previous decades have focused on exploiting instruction-level parallelism, emerging applications such as streaming media and on-line transaction processing have shown greater thread-level parallelism. Finally, the increasing gap between processor and off-chip memory speeds has constrained performance of memory-intensive applications. The Single-Chip Message Passing (SCMP) parallel computer sits at the confluence of these trends. SCMP is a tiled architecture consisting of numerous thread-parallel processor and memory nodes connected through a structured interconnection network. Using an inter-connection network removes global, ad-hoc wiring that limits scalability and introduces design complexity. However, routing data through general purpose interconnection networks can come at the cost of dedicated bandwidth, longer latency, increased area, and higher power consumption. Understanding the impact architectural decisions have on cost and performance will aid in the eventual adoption of general purpose interconnects. This thesis covers the design and analysis of the on-chip network and its integration with the SCMP system. The result of these efforts is a framework for analyzing on-chip interconnection networks that considers network performance, circuit area, and power consumption.