Miracle-dz/UniFAR-FTUs huggingface dataset:
Cardiovascular self‐management support program for preventing cardiovascular complication behaviors and clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus in Indonesia: A pilot study

AIM The aim of the study was to determine the feasibility, and to evaluate the effect of, a cardiovascular self-management support program by applying the 5A's self-management support program on preventing cardiovascular complication behaviors and to assess the clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus (DM). METHODS This pilot study used a quasi-experimental study design. Twelve elderly persons with poorly controlled type 2 DM were assigned into either a control or experimental group, with six participants in each group. The Preventing Cardiovascular Complication Behaviors (PCCB) was measured by the Preventing Cardiovascular Complication Behaviors Questionnaire, while the clinical outcomes were measured by clinical devices that were provided. These measurements were conducted and compared at baseline and 6 weeks after the completion of the program. The self-management support program was a 6 week program with several implementation methods, based on the 5A's self-management support program. RESULTS The participants who received the cardiovascular self-management support program reported a significant improvement in their PCCB and clinical outcomes, compared to those receiving the usual care. CONCLUSION This study revealed that a cardiovascular self-management support program that applies the 5A's self-management support program is feasible for implementation.
Image classification based on scheme of principal node analysis

Abstract. This paper presents a scheme of principal node analysis (PNA) with the aim to improve the representativeness of the learned codebook so as to enhance the classification rate of scene image. Original images are normalized into gray ones and the scale-invariant feature transform (SIFT) descriptors are extracted from each image in the preprocessing stage. Then, the PNA-based scheme is applied to the SIFT descriptors with iteration and selection algorithms. The principal nodes of each image are selected through spatial analysis of the SIFT descriptors with Manhattan distance (L1 norm) and Euclidean distance (L2 norm) in order to increase the representativeness of the codebook. With the purpose of evaluating the performance of our scheme, the feature vector of the image is calculated by two baseline methods after the codebook is constructed. The L1-PNA- and L2-PNA-based baseline methods are tested and compared with different scales of codebooks over three public scene image databases. The experimental results show the effectiveness of the proposed scheme of PNA with a higher categorization rate.
Fetal lamb cerebral blood flow (CBF) and oxygen tensions during hypoxia: a comparison of laser Doppler and microsphere measurements of CBF

This study was undertaken to compare microsphere and laser Doppler flowmetry techniques for the measurement of cerebral blood flow, to assess the effect of probe implantation at the tip of the sensing probe and to measure brain tissue PO2 (tPO2) in response to acute hypoxia. Fetal sheep of ≈131 days gestation (n= 8) were chronically instrumented with bilateral laser Doppler probes in the parietal cortices and catheters for injection of fluorescent microspheres. Five days after surgery fetuses were subjected to 1 h periods of baseline control breathing, hypoxia and recovery. Microspheres were injected 10 min prior to and 10, 30, 50 and 120 min after initiation of hypoxia. Microspheres were counted in four 12 mm3 tissue samples from each hemisphere, the tip of the laser Doppler probe being positioned in the centre of one of the cubes. The cube containing the probe tip was also subdivided into 4 mm3 pieces of tissue. In response to hypoxia, fetal arterial PO2 declined from 21 ± 2 to 12 ± 1 Torr and brain tissue PO2 fell from 10 ± 1 to a nadir of 1 ± 1 Torr. Each method detected a significant increase in CBF that reached a maximum after 30‐45 min, although the increase of flow measured by laser Doppler flowmetry was less than that measured by spheres after 10 and 30 min (P < 0.05). Microspheres did not detect altered flow at the probe tip or heterogeneity of flow in surrounding volumes of cortical tissue. In summary, laser Doppler flowmetry is a useful measure of continuous relative changes of CBF in the chronically instrumented fetal sheep. Flow compensations in acute hypoxia are not adequate to sustain O2 delivery, and other compensations, including reduced metabolic rate, are possible.
Anxious children in adulthood: a prospective study of adjustment.

OBJECTIVE To prospectively examine psychosocial functioning in young adulthood for children and adolescents with anxiety disorders. METHOD This 8-year prospective study compared psychosocial functioning in young adults (mean age 22 years) who had histories of early-onset anxiety disorders, comorbid anxiety and depressive disorders, or no history of psychiatric illness (NPI). Follow-up interviews assessed subjects' residential, educational, occupational, and marital status; utilization of mental health services; and psychological status RESULTS Anxious subjects without histories of depression were less likely than NPI controls to be living independently. Anxious-depressed subjects were less likely than controls to be working or in school; more likely than purely anxious subjects to utilize mental health services; and more likely than both anxious and control subjects to report psychological problems, most frequently depression. CONCLUSIONS Overall, results suggest that children with anxiety disorders are relatively well adjusted in young adulthood. However, a history of comorbid depression is prognostic of a more negative outcome.
Practice improvement requires more than guidelines and quality measures

Increasing emphasis on improving health care quality has led to a variety of programs that require neurologists to be familiar with the concept of systematic quality improvement. While they vary in extent, these quality improvement programs and their attendant costs now have implications for physician payment and certification. In response to these factors, the American Academy of Neurology is establishing a clinical quality data registry. This article reviews evidence demonstrating the ability of quality improvement initiatives to improve care, the role of clinical quality data registries in the identification and mitigation of gaps in care, and the principles to be considered in development of registry-based quality improvement programs. It addresses the key question: Is the effort worthwhile?
GaAs dual-gate MESFET's

Performance of GaAs dual-gate MESFET, including high-frequency noise behavior, was analyzed on the basis of Statz's model. Under the design considerations developed from the analysis, fabrication and characterization of a prototype device were carried out. The present analysis was confirmed to reproduce satisfactorily the performance observed. Minimum noise figure and associated gain observed in the device with two 1-µm gates were; 1.2 dB and 16.7 dB at 4 GHz, 2.2 dB and 16.3 dB at 8 GHz, and 3.2 dB and 12.6 dB at 12 GHz, respectively. More than 35-dB gain controllability was also obtained at 8 GHz.
Cementing all-ceramic restorations: recommendations for success.

BACKGROUND Several all-ceramic restorative systems of various compositions, properties and indications are available to the dental practitioner. Because of the large number of systems, the dental team faces questions and decisions when choosing the appropriate system and the appropriate means of cementation. OVERVIEW The authors present a brief overview of the cementation options for various types of all-ceramic restorations. In this article, they discuss the cementation of current all-ceramic restorations and make clinical recommendations tailored to each type of ceramic. CONCLUSION AND CLINICAL IMPLICATIONS The clinician must have a good understanding of the ceramic type to determine whether a restoration should be cemented adhesively or nonadhesively. Other variables, such as isolation and preparation design, also influence the cementation choice. Various ceramic types demand different surface treatments before cementation. Choosing and applying the appropriate surface treatment and cementation procedure will contribute to long-lasting restorations. The literature is lacking in clinical trial results that validate current in vitro data regarding cementation of all-ceramic restorations.
A 96-dB CMOS programmable gain amplifier for Low-IF GPS receiver

A programmable gain amplifier (PGA) was designed for a low-IF GPS receiver. Linearity method which was based on the differential degeneration and gm boost structure was used in the circuit. Transistors which were working in the sub-threshold region were applied in the built-in DC-offset correction circuit. This PGA provided a 96-dB digitally controlled gain range with a step of 6-dB, and the overall gain accuracy was 0.03 dB. The 3dB bandwidth of the PGA was 300 MHz. The noise figure at the maximum gain was 23.7dB. The IIP3 was -5dBm for the minimum gain. The PGA was implemented in a 0.18 um CMOS process and approximately occupied 0.097 mm2. This PGA consumed 3.5 mA at a 1.8 V supply.
HISTOCHEMICAL DEMONSTRATION OF SULFATED MUCOSUBSTANCES AND CATIONIC PROTEINS IN HUMAN GRANULOCYTES AND PLATELETS

Histochemical staining methods visualize sulfated mucosubstance in numerous small granules of early neutrophil leukocytes in appropriately processed human bone marrow smears. These reactive granules presumably constitute the counterpart in human neutrophils of the mucosaccharide-rich primary granules in rabbit heterophils. Neutrophils at a late developmental stage in human marrow or buffy coat smears reveal few or no granules with such reactivity. Strong staining for sulfated mucosubstance is readily demonstrable in numerous large cytoplasmic granules in human eosinophils. This reactivity diminishes but does not disappear during maturation of the eosinophil and its single population of cytoplasmic granules. Granules of human basophils at all developmental stages stain for sulfated mucosubstance. Platelets in human buffy coat smears reveal evidence for sulfated mucosaccharide. The mucosaccharide-containing granules of the three myeloid series also disclose acidophilia at high pH indicative of the presence of strongly cationic proteins.
Theoretical Guidelines for a Psychology of Rural Development

Many processes related to rural development have a strong psychosocial component. Yet, there exists no specific psychosocial theoretical framework for addressing them. In this paper, then, we present a set of theoretical guidelines for analysing rural development processes and interventions from the perspective of psychology. In doing so, we draw upon an Actor-Oriented Approach and address concepts commonly used in rural development studies, such as human agency, social interfaces, worldviews, rationales and strategies, and explore their psychosocial dimensions. This enables us to advance a psychosocial understanding of the complexity and multi-determination that characterises processes of rural development, and thus in this way to add a new perspective to rural development studies.
Impact of influenza B lineage-level mismatch between trivalent seasonal influenza vaccines and circulating viruses, 1999-2012.

BACKGROUND Influenza B virus strains in trivalent influenza vaccines are frequently mismatched to the circulating B strains, but the population-level impact of such mismatches is unknown. We assessed the impact of vaccine mismatch on the epidemiology of influenza B during 12 recent seasonal outbreaks of influenza in Finland. METHODS We analyzed all available nationwide data on virologically confirmed influenza infections in all age groups in Finland between 1 July 1999 and 30 June 2012, with the exclusion of the pandemic season of 2009-2010. We derived data on influenza infections and the circulation of different lineages of B viruses during each season from the Infectious Diseases Register and the National Influenza Center, National Institute for Health and Welfare, Finland. RESULTS A total of 34 788 cases of influenza were recorded. Influenza A accounted for 74.0% and influenza B for 26.0% of all typed viruses. Throughout the 12 seasons, we estimated that 41.7% (3750 of 8993) of all influenza B infections were caused by viruses representing the other genetic lineage than the one in the vaccine. Altogether, opposite-lineage influenza B viruses accounted for 10.8% of all influenza infections in the population, the proportion being highest (16.8%) in children aged 10-14 years and lowest (2.6%) in persons aged ≥70 years. CONCLUSIONS The population-level impact of lineage-level mismatch between the vaccine and circulating strains of influenza B viruses is substantial, especially among children and adolescents. The results provide strong support for the inclusion of both influenza B lineages in seasonal influenza vaccines.
Improving Web Search Results with Explanation-aware Snippets - An Experimental Study

In this paper, we focus on a typical task on a web search, in which users want to discover the coherency between two concepts on the Web. In our point of view, this task can be seen as a retrieval process: starting with some source information, the goal is to find target information by following hyperlinks. Given two concepts, e.g. chemistry and gunpowder, are search engines able to find the coherency and explain it? In this paper, we introduce a novel way of linking two concepts by following paths of hyperlinks and collecting short text snippets. We implemented a proof-of-concept prototype, which extracts paths and snippets from Wikipedia articles. Our goal is to provide the user with an overview about the coherency, enriching the connection with a short but meaningful description. In our experimental study, we compare the results of our approach with the capability of web search engines. The results show that 72% of the participants find ours better than these of web search engines.
Streptokinase for acute myocardial infarction in the elderly.

BACKGROUND Acute myocardial infarction is one of the leading causes of death in the elderly, however clinical data reveals a disproportionately lower use of thrombolytics because of fear of complications especially intracranial haemorrhage. Our objective was to evaluate the safety of most commonly used thrombolytic streptokinase in elderly patients presenting with acute myocardial infarction. METHODS This descriptive case series was conducted at Punjab Institute of Cardiology, Lahore from September to December 2012 (4 months). One hundred elderly patients presenting with acute myocardial infarction were randomly selected for the study keeping in view the inclusion and exclusion criteria. All patients were thrombolysed with streptokinase within 12 hours of onset of symptoms and were monitored and investigated for electrical, mechanical and biochemical complications. RESULTS Out of one hundred patients 77 (77%) were males gnd 23 (23%) were females. Mean age was 73.39±5.29 years. The two most common complications of streptokinase were hypotension (33%) and bleeding (19%). Major bleed occurred only in 3 (3%) patients. No patient developed intracranial haemorrhage. Other complications included arrhythmias (6%), allergic reactions (4%), raised LFTs (6%) and raised RFTs (7%). No patient died of streptokinase related complications. CONCLUSIONS Use of streptokinase for acute myocardial infarction should not be discouraged in the elderly.
The evaluation and management of acute concussion differs in young children

Background There are many reasons why concussion in children needs to be considered different from adults. The Zurich (2008) recommendations on the management of concussion in children are restricted to children less than to 10 years of age. It does not include recommendations for children aged 5–10 years. The aim of this study is to review the current literature on (1) concussion assessment at the sideline and during recovery stages, especially in the age group 5–15 years, and (2) the management of concussion in children and adolescents. Methods A literature review using the MEDLINE database was undertaken. Articles were selected that included evaluation and/or management in children aged 5–15 years. Results There are no sideline assessment tools validated for use in this age group. There are a number of different symptom scales that have been validated during different stages of the follow-up assessment in children. No single paediatric concussion assessment tool has been validated for use from sideline through to all stages of recovery. Reliability studies have been published on Balance Error Scoring System in children, but validity studies in this age group have not been published. The management of concussion includes withdrawal from play on the day and cognitive and physical rest. The priority of concussion management in children is to return to learn; while this is usually rapid, there are some children in whom a graduated return to school is required, which should include a number of accommodations. Conclusions A young child is physically, cognitively and emotionally very different from adults, and requires the use of a different set of tools for the diagnosis, recovery-assessment and management of concussion. Age-specific, validated diagnostic tools are required, and management of concussion in children should focus attention on return to learn before considering return to play.
Quick Buddy-Subcube Compaction in Hypercubes

After repeated subcube allocation and deallocation, the hypercube system tends to become fragmented, which can be taken care of by using subcube compaction. Basic buddy-subcube compaction deals with compacting free buddy-subcubes with the same dimension concurrently. All migration paths are pairwise disjoint and contain no links of active subcubes, so that task migration can be performed without suspending the execution of other jobs. This paper considers quick buddy-subcube compaction in that not only can free subcubes with two adjacent dimensions be compacted concurrently, but two disjoint paths can be established between every pair of source-target nodes. Parallel subcube compaction with two concurrent dimensions apparently speeds up subcube compaction by a factor of two. The use of double disjoint paths between each pair of source-target nodes also speeds up subcube compaction by a factor of nearly two. Thus, our approach can speed up subcube compaction by a factor of nearly four.
Spermicide, cryptic female choice and the evolution of sperm form and function

Sperm competition and cryptic female choice profoundly affect sperm morphology, producing diversity within both species and individuals. One type of within‐individual sperm variation is sperm heteromorphism, in which each male produces two or more distinct types of sperm simultaneously, only one of which is typically fertile (the ‘eusperm’). The adaptive significance of nonfertile ‘parasperm’ types is poorly understood, although numerous sperm‐heteromorphic species are known from many disparate taxa. This paper examines in detail two female‐centred hypotheses for the evolution and maintenance of this unconventional sperm production strategy. First, we use game theoretical models to establish that parasperm may function to protect eusperm from female‐generated spermicide, and to elucidate the predictions of this idea. Second, we expand on the relatively undeveloped idea that parasperm are used by females as a criterion for cryptic female choice, and discuss the predictions generated by this idea compared to other hypotheses proposed to explain sperm heteromorphism. We critically evaluate both hypotheses, suggest ways in which they could be tested, and propose taxa in which they could be important.
Design, Test, and Validation of a Refrigerant-Based Cold-Gas Propulsion System for Small Satellites

Due to the size constraints imposed on small satellites, designing a propulsion system to meet mission requirements, within budget constraints, presents a significant challenge. The Missouri University of Science and Technology is currently developing a lowcost, two-phase propulsion system using the refrigerant R-134a as a propellant that can be stored at low pressures while still providing sufficient performance to meet mission goals. In order to validate R-134a as a safe and affordable propellant for small satellites, preliminary calculations were made and confirmed through rigorous testing. These results validate R-134a as a viable propellant for small satellites.
[Estimation of regional myocardial sympathetic neuronal function with I-123 metaiodobenzylguanidine (MIBG) myocardial images in patients with cardiomyopathy].

I-123 Metaiodobenzylguanidine (MIBG) is taken up by myocardial sympathetic neuronal endings. Sympathetic neuronal function in 10 patients with cardiomyopathy under stable state were studied by using MIBG and Tl-201 (Tl) SPECT images with 50% cut off level. For myocardial imaging MIBG and Tl were simultaneously injected and collected (dual injection and dual collection mode; Dd mode). Four hours delayed images were also collected. Three types of abnormal findings were noted in MIBG images in combination with Tl images. 1) Enhancement of regional MIBG washout with otherwise normal MIBG and Tl uptake in infero-lateral wall were noted in 5 patients with history of congestive heart failure (Pathophysiologically acceleration of regional sympathetic neuronal function was suspected. Mean washout ratio is 63 +/- 7% vs. 45 +/- 10% in normal region). 2) In 3 patients with dilated cardiomyopathy increase of MIBG/Tl (M/T) ratio was noted in basal septal wall (Sympathetic neuronal function is abnormally accelerated in the region with depressed coronary perfusion. Exaltation of regional sympathetic neuronal function was suspected. Mean M/T ratio is 1.6. Tentative normal range is from 0.8 to 1.20). 3) In 2 patients with dilated cardiomyopathy under severe congestive heart failure defects of MIBG uptake with normal Tl uptake were noted (Sympathetic neuronal function was depleted in spite of normal coronary perfusion. Depletion of myocardial catecolamine was suspected. M/T ratio is 0.75 and 0.7 respectively). Heterogeneous abnormality of sympathetic neuronal function was noted in MIBG images. This findings corresponded to report about heterogeneous myocardial catecholamine concentrations in hearts of recipients of transplantation. (ABSTRACT TRUNCATED AT 250 WORDS)