Miracle-dz/UniFAR-FTUs huggingface dataset:
The Use of E-Learning Tools for Improving Hispanic Students' Academic Performance

Most research in higher education related to Hispanic students has focused on institutional-level strategies to determine ways of improving graduation and retention rates. Reports published by the U.S. Census Bureau, Department of Education, and Department of Labor have identified the growth of the Hispanic population in the United States as a challenge for both higher education and the future of the U.S. workforce as university retention, graduation rates, and grade point averages remain low for Hispanics, trailing whites and all other minority groups. At the same time, technology has proliferated in classrooms, institutions have proffered both online courses and complete degree programs, and instructors have increased the use of e-learning tools in both online and campus-based classes. To build upon a limited research base focused on Hispanic student success, the study reported in this paper was conducted at the classroom level in a Hispanic-serving higher education institution. It involved students in a Bachelor of Business Administration program undertaking both online and campusbased courses that made use of various e-learning tools, and examined the impact that technology acceptance constructs had on students' academic performance. Results indicated that three constructs – computer self-efficacy, ability to work independently, and time management – were statistically significant predictors of course performance for Hispanic students. Perceived value and age were used as control variables.
Prevalence of Risk Factors for Metabolic Syndrome in Adolescents

Main Outcome Measures: Metabolic syndrome was defined as having 3 or more disorders in the following measurements: waist circumference, blood pressure, fasting triglycerides, high-density lipoprotein serum cholesterol, and glucose. Results: About half of the participants had at least 1 disordered measurement, with an overall metabolic syndrome prevalence of 8.6% (95% confidence interval, 6.5%10.6%). Prevalence was higher in males (10.8%) than females (6.1%), and in Hispanic (11.2%) and white (8.9%) individuals than in black individuals (4.0%). In black females, there was a high prevalence of a large waist circumference (23.3%), but no component of metabolic syndrome dominated its diagnosis in black adolescents of either sex. A large waist circumference and high fasting triglyceride and low high-density lipoprotein serum cholesterol concentrations were salient factors in Hispanic and white adolescents of both sexes; high glucose concentrations were prominent among Hispanic and white males.
Does Grief Transfer Across Generations? In-Utero Deaths and Child Outcomes

While much is now known about the effects of physical health shocks to pregnant women on the outcomes of the in-utero child, we know little about the effects of psychological stresses. One clear form of stress to the mother comes from the death of a parent. We examine the effects of the death of the mother's parent during pregnancy on both the short-run and the long-run outcomes of the infant. Our primary specification involves using mother fixed effects--comparing the outcomes of two children with the same mother but where a parent of the mother died during one of the pregnancies--augmented with a control for whether there is a death around the time of the pregnancy in order to isolate true causal effects of a bereavement during pregnancy. We find small negative effects on birth outcomes, and these effects are bigger for boys than for girls. The effects on birth outcomes seems to be driven by deaths due to cardiovascular causes suggesting that sudden deaths are more difficult to deal with. However, we find no evidence of adverse effects on adult outcomes. The results are robust to alternative specifications.
STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea

Study objectives To determine the prevalence of obstructive sleep apnea (OSA) in adults with Down syndrome (DS), to investigate factors related to OSA severity and to identify which sleep questionnaire is the most appropriate for the screening of OSA in this population. Methods Cross-sectional study that consecutively included 60 adults with DS. All patients underwent type III polysomnography and clinical and laboratory data were collected; sleep assessment questionnaires were applied. Multiple linear regression models evaluated the associations between OSA severity (measured by the respiratory event index—REI) and clinical and laboratory data and sleep questionnaires (Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, BERLIN and STOP-Bang questionnaires). Results Results show that 60 (100%) adults with DS had OSA, with moderate-severe OSA identified in 49 (81.6%). At the multivariate linear regression, REI significantly correlated with hematocrit levels, BMI and STOP-Bang questionnaire (SBQ) results (P <0.001). The positive STOP-Bang ≥3 points) showed 100% of sensitivity (95%CI: 92.75–100%), 45.45% of specificity (95%CI: 16.75–76.62), positive predictive value of 89.09% (95%CI: 82.64–93.34%), negative predictive value of 100%, accuracy of 90% (95%CI: 79.49–96.24%) and OR of 24.29. Conclusions Adults with DS have a very high prevalence of OSA. Hematocrit levels, BMI and SBQ showed a strong correlation with OSA severity. The SBQ performed well in identifying moderate to severe OSA in this population. Considered together, these results point to the need to perform OSA screening in all adults with DS, and STOP-Bang may play a role in this screening.
Why Are Androgens Important For Prostate Development

Androgen steroid hormones, including testosterone and dihydrotestosterone, are produced by the male gonads and have substantial effects on almost every system of the male body including development of the sex-accessory glands, in particular, the prostate. During male sexual differentiation, androgens are necessary to properly pattern the embryonic prostate buds. Androgens are continuously important for adult prostate function and homeostasis. In the adult prostate, androgens are involved in regulation of inappropriate prostate growth during benign prostate hyperplasia and contribute to progression of prostate cancer. On the other hand, a number of studies indicate that androgen signaling is necessary to promote prostate induction and differentiation but is dispensable for glandular growth and branching. Thus, what is the role of androgens in development of the prostate? What are they important for and what not?
Assessment of physiological, biomechanical and structural correlates of age-related differences in the aerobic demand of walking of young females

The purpose of this study was to assess the collective influence of selected metabolic, gait, and morphological variables on age-related differences in the submaximal aerobic demand (VO2) of walking. Four age groups of seven females (ages 6,10,13 and 18 or 19) comprised the sample. Measurements of walking VO2, ventilatory equivalent, and step frequency at 1.56 m sec-1 and 0% grade, were obtained at 10-min intervals during three treadmill testing sessions totaling 70 minutes. Sitting metabolic rate was assessed over a 10-min time period following 10 min of seated rest. Limb morphology (thigh to shank ratio) was determined from measurements of limb volume using a water fill plethysmograph. Average vertical ground reaction forces and ground contact time were measured as participants walked across a force platform at 1.56 m-sec-1. Body surface area to mass ratio was predicted from knowledge of body height and mass. Analysis of variance (ANOVA) and Tukey post-hoc multiple comparison procedures were used to assess whether mean values of the dependent (walking VO2) and independent variables (ventilatory equivalent, step frequency, resting metabolic rate, limb morphology, average vertical ground reaction force, ground contact time and body surface area to mass ratio) were significantly different across age groups.
Monogenic diabetes – an unappreciated problem among physicians

Monogenic diabetes results from one or more mutations in a single gene. It is a relatively rare genetic condition, therefore, it was frequently unappreciated among clinicians. Consequently, monogenic diabetes is misdiagnosed as type 1 diabetes or type 2 diabetes. Such misclassification leads to an inappropriate treatment, often inconvenient for the patients, such as insulin injections with their permanent glycemic control. The correct diagnosis may completely change previous methods of treatment. Patients diagnosed with GCK mutations may be completely treated with adequate diet. HNF1A/HNF4A affected patients are extremely sensitive to low dose sulphonylureas. Moreover, the exact diagnosis has an impact on patients’ relatives. Mostly, misdiagnosing of monogenic diabetes is caused by its rare occurrence and insufficient training in this area among physicians. According to different studies it may comprise 1–4% of all cases of diabetes. The aim of this article is to emphasize that despite the fact that monogenic diabetes is an uncommon disease, it should always be considered in cases of diabetes with unusual course.
Effect of live oud music on physiological and psychological parameters in patients undergoing cardiac surgery

Background. Music therapy has emerged as a promising evidence-based adjuvant method of intervention. This study aims to assess the effect of live oud music on physiological and psychological parameters in patients undergoing cardiac surgery, pre- and post-operatively. Methods. Twelve patients undergoing cardiac operations were randomly allocated into either intervention group or control group, six patients in each group. Patients in the intervention group listened to 20 minutes of improvised and personally customized live oud music before and after surgery while patients in the control group heard the normal hospital sounds. While anxiety scores were assessed preoperatively, vital signs and pain scores were assessed postoperatively together with serum levels of cortisol, which was used as a surrogate marker of the stress response. Results. In the intervention group, pain scores and respiratory rates showed statistically significant reduction after listening to music (P values of 0.043 and 0.034 respectively). Additionally, heart rates, anxiety scores and serum cortisol levels showed borderline significant reduction in patients who listened to music with P values, 0.063, 0.066 and 0.068 respectively. These changes were not found in the control group. Conclusions. This preliminary study suggests a role of live oud music therapy in decreasing stress response of the patients undergoing cardiac surgery, in addition to its positive effects on pain perception and anxiety scores.
Epidemiological Aspects of Head and Neck Cancers in a Group of Iranian Population

Statement of Problem: Head and neck cancers occur in a wide variety of tissue types and sites, resulting in a complex range of malignancies cared by physicians in multiple specialties. Epidemiologic aspects of head and neck cancer in Iran have not been studied adequately. Purpose: The aim of this study was to represent epidemiological aspects of head and neck cancers in Kerman province in Iran. Materials and Method: In this retrospective epidemiological study, a total of 2211 cases of head and neck cancers were diagnosed in period 11-year. Data on all malignant head and neck cancers were included in this study. Information was obtained from the records of the 18 departments of histopathology in Kerman province. Results: The five most common sites were skin of the head and neck (46.81%), lymph nodes of head and neck (13.98%), larynx (13.48%), oral cavity and pharynx (12.21%), and thyroid (6.20%). Paranasal sinuses were the least common. The incidence rate of head and neck cancers was 10.12/100000 cases. Conclusion: Geographical or regional variations in the prevalence of head and neck cancer indicate that the socio-cultural lifestyles of a population play an important role in head and neck carcinogenesis. This study showed that the incidence rate of head and neck cancers was lower than that in many other countries. However, comparison between our findings with some other studies shows a relation consistency.
Educational demand on allergic diseases from 45 public health centers in Gyeonggi-do

Eun-Jung Jo, Mi-Yeong Kim, Yunbin Jeon, Ji-Won Kwon, Jung-Im Na, Sae-Hoon Kim, Chae-Seo Rhee, Sang-Heon Cho, Kyung-Up Min, Yoon-Seok Chang Department of Internal Medicine, Seoul National University College of Medicine, Seoul; Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul; Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam; Gyeongi-do Atopy Asthma Education Information Center, Seongnam; Departments of Pediatrics, Dermatology, and Otorhinolaryngology, Seoul National University Bundang Hospital, Seongnam, Korea
Hospital at Home: An Overview of Literature

The development of new management solutions is needed to generate great changes in the health sector, especially in addressing the current collision course between growing health care demands, rising costs, and limited resources. One of these solutions is the hospital at home (HAH). This article aims to explore the existing literature, regarding possible health gains and economical outcomes in HAH programs versus traditional inpatient hospitalization. A search of literature was conducted to identify papers regarding HAH programs and their respective health and economical outcomes. The concept of HAH encompasses different levels or care schemes. Several examinations and treatments can be carried out at home. Hospital at home may optimize patient flow and relieve pressure on hospital bed availability. However, questions are raised regarding the uncertainty of the efficacy of HAH and the limited evidence on which model setting is most appropriate.
An Analysis of Academicians’ Perceptions of Multicultural Education: A Turkish Experience

Abstract The purpose of this study is to investigate the perceptions and experiences of academic members’that working atcollege of educationon multicultural education. In this qualitative study, open-ended questions were formed and e-mail to participants from 83 universities in Turkey that have faculties of education. Atotal of 357 academics took part in the study. The open-ended questions which were e-mailed to academics have been thoroughly analyzed, interpreted, and evaluated by means of content and thematic analysis method. The findings of this study indicated that academics (92%) consider multicultural education as an advantageous form of education for Turkey. The results suggest that the disadvantages of multicultural education might stem from it not being offered by experts. Respondents also stated that to better prepare teachers who will offer multicultural education, the phenomenon of multiculturalism should be integrated to undergraduate curriculum and teachers should acquire skills such as empathy, tolerance, and democratic thinking.
Osteonecrosis del cóndilo femoral. Informe de 32 casos

RESUMEN. Se revisaron 32 casos de osteonecrosis idiopática espontánea del cóndilo femoral medial en 29 pacientes, 18 mujeres y 11 hombres, con una edad entre 60 y 73 años, tratados entre 1986 y 1992 con un seguimiento medio de 85 meses, presentándose a consulta entre uno y 36 meses (media cuatro meses) después del inicio de los síntomas. En el primer examen se tuvieron siete casos en el estadío I de Koshino, ocho casos en el estadío II, 11 en el estadío III y seis en el estadío IV. Cinco casos del estadío I pasaron al estadío II dentro de los tres meses después de la primera observación, mientras que en los otros dos los cóndilos se aplastaron y desarrollaron un modelo artrósico moderado del compartimiento interno en los cinco años sucesivos. De estos cinco casos y los ocho casos del estadío II del inicio, nueve casos evolucionaron hacia un estadío III dentro del año siguiente, con una degradación artrósica con el tiempo en todos los casos. En el estadío IV se presentó un deterioro artrósico y un aumento del varo de la rodilla. Los siete casos del estadío I y cuatro casos del estadío II (15%) con lesiones de menos de 3.5 cm, se trataron inicialmente en forma no quirúrgica evolucionando satisfactoriamente. En los tres casos del estadío II de superficie entre 3.5 cm y 5 cm tratados por artroscopía y perforaciones, se fracasó en dos casos, mientras que el tercer caso continúa en estadío II. Una osteotomía tibial valguizante de descarga se practicó en 20 rodillas en el estadío III, seis se relacionaron con injerto osteocondral autólogo fresco, siete (35%) presentaron un resultado aceptable. El agregar el injerto no mejoró el resultado. En 19 casos (60%) se realizó la colocación de prótesis total de la rodilla como tratamiento definitivo. Estos resultados y sus porcentajes son hechos comparables de la indicación de las prótesis en el tratamiento de las artrosis de rodilla.
Correction of Class II Malocclusion in a Late Adolescent Patient with ForsusTM (FRD) Appliance

Fixed functional appliances are non-compliance dependent devices, which can assist the correction of Class II malocclusion. The mechanics of the fixed functional appliances may vary depending on the type of device used. We report the observed biomechanical effects of using the ForsusTM Fatigue Resistant Device (FRD) fixed functional appliance. The patient was a 14-year-old female presented with a Class II division I malocclusion on a Class II skeletal base. The malocclusion was complicated by a 10mm overjet and increased traumatic overbite. She was treated with the ForsusTM FRD appliance worn for 5 months after the alignment with fixed appliances (0.022” X0.028” MBT prescriptions) and finished on a non-extraction base. Dento-alveolar changes were the main contribution to the correction of the malocclusion and simultaneously improved the patient’s profile in the end of treatment. In conclusion, ForsusTM FRD appliance can be suggested to effectively correct Class II malocclusion.
Prevalencia del riesgo de depresión y factores asociados en estudiantes de medicina de una universidad privada en Quito

Objetivo: estimar la prevalencia del riesgo de depresión e identificar factores asociados en estudiantes de medicina. Metodología: se entregó la encuesta del CES-D a 312 estudiantes de medicina de una universidad privada en Quito. La prevalencia del riesgo de depresión fue calculada mediante estadística descriptiva; se realizaron modelos de regresión logística binaria y multinominal para encontrar factores de riesgo. Los datos se procesaron con el programa IBM-SPSS Statistics Versión 20.Resultados: la prevalencia de estudiantes con riesgo de depresión fue de 55,8% (IC 95% 50%-61%), la prevalencia en mujeres fue 58.9% y en hombres, 51.2% (Valor P 0.18). Los factores de riesgo asociados a un aumento de la probabilidad de depresión fueron: edad menor a 20 años (ORa 2.42; IC 1.48-3.96), promedio de calificaciones menor a 2.99 (ORa 7.24, IC 1.49-35.3), promedio de calificaciones entre 3.00 y 3.19 (ORa 2.04; IC 1.03-3.99), antecedente de depresión familiar (ORa 1.80; IC1.00-3.24); mientras que, vivir con alguien en el hogar es protector (ORa 0.40; IC 0.20-0.80). Conclusiones: más de la mitad de estudiantes están en riesgo de depresión, siendo más frecuente en mujeres. Ser joven, tener un promedio de calificaciones bajo y antecedente familiar de depresión aumentan la probabilidad de riesgo de depresión; vivir con alguien en el hogar, la reduce. Las universidades deben realizar programas de vigilancia para reducir y disminuir el impacto de este problema.
High Speed Mechanical Thrombectomy: Complete Arterial Recanalisation before the End of rt-PA Thrombolysis

Early and complete recanalisation is the main goal to achieve in acute ischaemic stroke from arterial occlusion. Although intravenous (IV) thrombolysis is the standard therapy, its efficacy is limited in the setting of proximal arterial occlusion; however, systemic thrombolysis and endovascular therapy presents similar safety outcomes. Mechanical thrombectomy with the latest generation stent-retrievers allows a fast and a complete arterial recanalisation. We report a case of a patient with an acute basilar artery occlusion treated by a combined therapy (IV thrombolysis and mechanical thrombectomy). A complete recanalisation was rapidly obtained during the mechanical thrombectomy procedure, prior to termination of the IV thrombolysis. Early and complete recanalisation is the main goal to achieve in acute ischaemic stroke with arterial occlusion [1]. Intravenous (IV) thrombolysis is the standard therapy; however endovascular mechanical thrombectomy using stent-retrievers has been recently shown to provide fast, complete recanalisation [2]. We report here a case of a patient with an acute basilar artery occlusion, treated by a combined therapy (IV thrombolysis and mechanical thrombectomy). Complete recanalisation had been rapidly obtained during the mechanical thrombectomy procedure, prior to termination of the IV thrombolysis. A 56-year-old man developed an acute right hemiplegia and anarthria during a stenting procedure of a post-radiotherapy left extracranial internal carotid stenosis. Time of onset of symptoms was 16:15, and the patient was admitted to our stroke center at 18:20. NIH Stroke Scale (NIHSS) score on admission was 19 (right hemiplegia, anaesthesia, ophthalmoparesis and anarthria). An MRI was performed at 18:38 revealing a left latero-pontine infarct distal to an acute basilar artery occlusion. Due to the location of the occlusion, a combined therapy was initiated. First bolus dose of rt-PA (10 % dose, 5 mg) was administrated at 19:00 (165 min after the deficit onset). The femoral artery was punctured at 19:15 under local anaesthesia. Angiogram proved the persistence of a complete occlusion, 15 min after the first bolus of IV thrombolysis. The microcatheter was navigated and positioned in the right P1 posterior cerebral artery at 19:26. A Solitaire FR stent 4 x 20 mm was deployed at 19:40 and a complete recanalisation was observed at 19:46 (211 min after stroke onset, 31 min after femoral puncture and 46 min after initiation of rt-PA infusion). The IV thrombolysis ended at 20:00. The NIHSS score was 4 at 20:00 and 1 the next day.
MarkeTrak VIII: Reducing Patient Visits Through Verification & Validation

1it was determined that the number of patient visits to adjust hearing aids were highly correlated with real-world success. In comparing patients who experienced above- or below-average success with their hearing aids the following was discovered: ■ 76% of patients with above average success were fit in 1 or 2 visits compared to 40% of patients who experienced belowaverage success. ■ 47% of patients with below-average success required 4 to 6 visits to fit their hearing aids compared to only 7% of patients who experienced above-average success.