Miracle-dz/UniFAR-FTUs huggingface dataset:
Autonomic Hemodynamic Control in Pregnancy-Induced Hypertension

Objective: To elucidate the role of the parasympathetic and sympathetic control of circulation in pregnancy-induced hypertension (PIH) and to investigate whether the short-term regulation of blood pressure is disturbed in PIH.Methods: The Valsalva maneuver, the deep breathing test, the active orthostatic test, and the isometric handgrip test were used to study the autonomic circulatory control in 14 patients with PIH and 14 healthy pregnant controls. The Finapres® method was used to assess blood pressure continuously and noninvasively during the tests.Main Outcome Measures: The heart rate and blood pressure responses to standard cardiovascular reflex tests.Results: The Valsalva maneuver reduced the systolic blood pressure significantly more in PIH than in healthy pregnant controls (-19% vs. -10%, P = 0.02). In the orthostatic test the rise in diastolic blood pressure (20% vs. 29%, P = 0.03) and in the heart rate (19 bpm vs. 24 bpm, P = 0.05), and the max/min ratio (1.31 vs. 1.48, P = 0.04) were smaller in.
Flexicurity: Explaining the Development of a European Concept

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Use of Platelet-Rich Fibrin Membrane in the Treatment of Gingival Recession: A Systematic Review and Meta-Analysis.

BACKGROUND The aim of this systematic review is to evaluate the effects of platelet-rich fibrin (PRF) membranes on the outcomes of clinical treatments in patients with gingival recession. METHODS Articles that were published before June 2015 were searched electronically in four databases without any date or language restrictions and searched manually in regular journals and unpublished studies. The eligibility criteria comprised randomized controlled trials (RCTs) and prospective controlled trials with follow-up periods of ≥ 6 months that compared the performance of PRF to other biomaterials in the treatment of Miller Class I or II gingival recessions. For the meta-analysis, the inverse variance method was used in fixed- or random-effect models, which were chosen according to heterogeneity. The estimates of the intervention effects were expressed as the mean differences in percentages or millimeters. RESULTS Six RCTs and one prospective clinical trial are included in this review. Root coverage (RC) and clinical attachment level (CAL) did not differ significantly between the analyzed subgroups (P = 0.57 and P = 0.50, respectively). The keratinized mucosa width (KMW) gain was significantly greater (P = 0.04) in the subgroup that was treated with connective tissue grafts. CONCLUSION The results of the meta-analysis suggest that the use of PRF membranes did not improve the RC, KMW, or CAL of Miller Class I and II gingival recessions compared with the other treatment modalities.
Physical Activity and Blood Pressure in Adolescents

This paper reviewed the available research literature to determine the role of exercise training in reducing resting blood pressure in adolescents. Similar to the adult population, there is little evidence to support the efficacy of exercise training for reducing resting blood pressure in normotensive adolescents, although several studies reported small decreases in either or both systolic and diastolic pressure. In hypertensive adolescents, aerobic-type exercise training consistently reduced both systolic and diastolic pressure, but seldom to completely normal levels. Resistance training has not been studied as extensively, but may be of some benefit. It is recommended that chronic aerobic and strength activities be part of an overall health maintenance program.
THE EFFECT OF CARE PLAN BASED ON NUTRITION AND EXERCISE ON DEEP VEIN THROMBOSIS IN PATIENTS UNDERGOING LOWER LIMB ORTHOPEDIC SURGERY IN URMIA IMAM KHOMEINI HOSPITAL IN 1391

Venous thrombosis is a major cause of death in the hospital, which is largely preventable. Patients undergoing orthopedic surgery have a higher risk of deep vein thrombosis. Nursing non-pharmacologic approaches in the prevention of deep vein thrombosis in patients' care is a priority. This study aimed to determine the effects of diet and exercise programs on the incidence of deep vein thrombosis in patients undergoing orthopedic surgery of the lower limbs. Materials & Methods: In this study, one hundred patients with fractures of the lower limb that underwent orthopedic surgery was admitted to the orthopedic ward of Urmia Imam Khomeini Hospital. The patients who were eligible, were randomly assigned in sports, nutrition, nutrition / exercise and control groups. Data collected through demographic information questionnaire, Caprini Risk Assessment Model and color Doppler ultrasound. Then the Data were analyzed with Chi-Square test, One Way ANOVA, Relative Risk(RR), Absolute Risk Reduction (ARR) tests. Results: Results showed that there was significant difference in the incidence of deep vein thrombosis among the four groups after intervention (P <0/05). Care plan in nutrition, exercise and exercise / nutrition was beneficial in the prevention of deep vein thrombosis (RR=0/092). Conclusion: Implementation of the care plan based on nutrition and exercise in patients undergoing orthopedic surgery of the lower limb has been effective for prevention of deep vein thrombosis and it is recommended to apply these interventions in the care of these patients.
Effects of Smoking Intervention and the Use of an Inhaled Anticholinergic Bronchodilator on the Rate of Decline of FEV1

Objective. —To determine whether a program incorporating smoking intervention and use of an inhaled bronchodilator can slow the rate of decline in forced expiratory volume in 1 second (FEV 1 ) in smokers aged 35 to 60 years who have mild obstructive pulmonary disease. Design. —Randomized clinical trial. Participants randomized with equal probability to one of the following groups: (1) smoking intervention plus bronchodilator, (2) smoking intervention plus placebo, or (3) no intervention. Setting. —Ten clinical centers in the United States and Canada. Participants. —A total of 5887 male and female smokers, aged 35 to 60 years, with spirometric signs of early chronic obstructive pulmonary disease. Interventions. —Smoking intervention: intensive 12-session smoking cessation program combining behavior modification and use of nicotine gum, with continuing 5-year maintenance program to minimize relapse. Bronchodilator: ipratropium bromide prescribed three times daily (two puffs per time) from a metered-dose inhaler. Main Outcome Measures. —Rate of change and cumulative change in FEV 1 over a 5-year period. Results. —Participants in the two smoking intervention groups showed significantly smaller declines in FEV 1 than did those in the control group. Most of this difference occurred during the first year following entry into the study and was attributable to smoking cessation, with those who achieved sustained smoking cessation experiencing the largest benefit. The small noncumulative benefit associated with use of the active bronchodilator vanished after the bronchodilator was discontinued at the end of the study. Conclusions. —An aggressive smoking intervention program significantly reduces the age-related decline in FEV 1 in middle-aged smokers with mild airways obstruction. Use of an inhaled anticholinergic bronchodilator results in a relatively small improvement in FEV 1 that appears to be reversed after the drug is discontinued. Use of the bronchodilator did not influence the long-term decline of FEV 1 . ( JAMA . 1994;272:1497-1505)
Retrospective epidemiological review on L. pneumophyla

During the first annual control on hospital infections, was observed a curious but explainable trend regarding evidence of Legionella pneumophyla isolated by water systems in numerous public and private nosocomial structures. After first massive isolation of L. pneumophyla strains at the beginning, a considerable reduction of isolates was noted, due to a program based on control and surveillance of water supplies, with regards to the aspectatives. But, in these last years a recurrent presence of isolates of L. pneumophyla was noted, despite all procedures used for the control of these bacteria.
Gender: does it have role has a role in glycaemic control in Caucasians with well- controlled type 2 diabetes?

Background: Type 2 diabetes is costly to manage and thus it is important to know if management of blood glucose and HbA1c are meeting clinical targets in both men and women. There is conflicting published data on the gender equality of blood glucose and HbA1c management in type 2 diabetics. Objective: The purpose of this work was to review the literature on gender equality in blood glucose management and to test the hypothesis that management of blood glucose and HbA1c would meet clinical targets in Cape Breton, Nova Scotia, irrespective of gender in well controlled Caucasian type 2 diabetic patients. Design, Setting and Participants: Fasting serum insulin and insulin sensitivity levels were determined in order to assist in the explanation of the glucose and HbA1c results in people with diabetes. Patients were asked to give a fasting blood sample on each of two occasions three months apart. Results: There were no differences between males and females in each of fasting serum glucose (FSG) and HbA1c levels as well as fasting serum insulin concentrations and in insulin sensitivity at visit 1 or 2. However, each of FSG and HbA1c levels were slightly higher than clinical targets. Modestly elevated serum insulin and lower insulin sensitivity were consistent with the FSG and HbA1c levels. This contrasts with some of the existing literature pointing out the need for a much larger study to be done in Cape Breton. Conclusion: It is concluded that blood glucose management among people with well controlled type 2 diabetes in Cape Breton, Nova Scotia may be close to clinical targets irrespective of gender. A further lowering of HbA1c and FSG may be in order. However, this was only a very small study and a much larger one would answer whether there is gender equality in FSG and HbA1c among persons with well controlled type 2 diabetes on Cape Breton Island.
differences between two japanese health-promotion programs on measures of health and wellness

We implemented and compared two 10-month health education programs in Minowa town and Matsumoto city, Nagano prefecture, Japan. The Matsumoto city cohort underwent a program of monthly classroom activities (CA group), whereas the Minowa town cohort were not only subjected to classroom activities but also performed 90-min strength and weight training once a week and were termed the classroom/training (CT) group. We measured anthropometric, blood pressure, physical fitness, blood chemistry, and brain function variables. All participants were provided pedometers and were encouraged to walk. Monthly seminars included education regarding yoga, exercise, blood pressure, nutrition, and other health-related topics. In total, 92 healthy participants were included in the CA group [age, 66.5 Â± 5.4 years (mean Â± standard error of mean); 30 males and 62 females] and 46 healthy participants were included in the CT group (mean age 62.7 Â± 4.7 years; 22 males and 24 females). We observed significant differences between the average number of steps walked in the CA (7241.7 Â± 113.6) and CT (8686.7 Â± 167.2) groups. Both the groups both showed significant improvements in anthropometric, blood pressure, physical fitness, blood chemistry, and brain function tests; however, the CT group showed markedly greater improvement after the health education program than before participation. In conclusion, the CT program had added benefits over the CA program because of the higher average amount of walking (approximately 1,400 steps) and the inclusion of a weekly weight-training activity.
To eat or not to eat meat. That is the question

Meat is a well accepted food with appreciable appealing. Due to its high nutritional value it plays a central role in human development. Meat/meat derivates are important sources of proteins, minerals and vitamins. Their nutritional importance is paralleled to their economic impact. Paying attention to the social alarm originated by a recent publication of WHO about the relationship between red and/or processed meat consumption and cancer, this paper reviews the following aspects: a) the present consumption of meat/meat products in Spain; b) the contribution of their macro/micronutrients to the recommended dietary allowances; c) the obliged use of additives (e.g. nitrites and nitrates) to warrant the food safety, and their daily intake. In addition health risks derived from a high consumption, as well as the most appropriate culinary uses in order to reduce the formation of toxic products (e.g. N-nitrosocompounds) are commented. Due to the huge variety of available meat products, this paper concludes that any generalization should be avoided. We also emphasize about the advantages of consuming meat/meat products in the frame of a Mediterranean diet, rich in vegetables, fruits, and bioactive compounds.
Antipsychotic Medication Use in the Elderly Patient

The use of antipsychotic medications in the elderly can be very complex and is ever changing. Consideration must be given to not only the physiologic and functional changes normally associated with age but also to the latest data on safety and adverse outcomes associated with using these agents. Because of new and changing information, this article will review the effects of aging, side effects of antipsychotic medications, and the current issues surrounding their use in elderly patients for those clinicians who are not specialists in this area of practice.
Avances en el conocimiento y manejo de las dislipoproteinemias

A review of the lipidic and non-lipidic cardiovascular risk factors is done. The increase of LDL, VLDL, IDL cholesterol, non-HDL triglycerides and lipoprotein(a) as well as HDL cholesterol decrease were considered as main lipidic cardiovascular risk factors. Dyslipoproteinemias are classified as primary and secondary. Primary dyslipoproteinemias are inborn errors of lipid metabolism, familiar or non-familiar, including common hypercholesterolemia, combined familiar hyperlipidemia, familiar hypercholesterolemia, familiar hypertrigliceridemia, VLDL remanents hyperlipidemia and primary quilomicronemia. The secondary dyslipoproteinemias are produced by various diseases, including hypotiroidism, diabetes mellitus, nephrotic syndrome, chronic biliary obstruction, renal insufficiency and so on; there are some drugs that modify lipid metabolism such as alcohol, beta-blockers, diuretics, progestagens, corticosteroides, and many others. It is emphasized that the fasting lipid profile alone is not sufficient to determine the lipidic metabolic disorder, and it is suggested the convenience of conducting postprandial studies. In the therapeutic handling it is necessary to consider the diet and physical exercises; and when these measures are not sufficient, try to normalize the lipid profile by using drugs such as hydroxi-metil-glutaryl coenzime A inhibitors and fibric acids derivatives. Therapeutic interventions, supported by results of multicentric international mega-studies, have shown a decrease in the prevalence of the cardiovascular events and the related morbidity and mortality.
Predictors of work-related repetitive strain injuries in a population cohort.

OBJECTIVES We assessed predictors of work-related repetitive strain injuries using data from 4 waves of the Canadian National Population Health Survey. METHODS Participants were 2806 working adults who completed an abbreviated version of the Job Content Questionnaire in 1994-1995 and did not experience repetitive strain injuries prior to 2000-2001. Potential previous wave predictors of work-related repetitive strain injuries were modeled via multivariate logistic regression. RESULTS Female gender (odds ratio [OR] = 1.98; 95% confidence interval [CI]=1.24, 3.18), some college or university education (OR=1.98; 95% CI=1.06, 3.70), job insecurity (OR=1.76; 95% CI=1.07, 2.91), high physical exertion levels (OR = 2.00; 95% CI = 1.29, 3.12), and high levels of psychological demands (OR = 1.61; 95% CI = 1.02, 2.52) were all positively associated with work-related repetitive strain injuries, whereas working less than 30 hours per week exhibited a negative association with such injuries (OR=0.2; 95% CI=0.1, 0.7). CONCLUSIONS Modifiable job characteristics are important predictors of work-related repetitive strain injuries.
The nutritional basis of the fetal origins of adult disease

It is now widely accepted that the risks of a number of chronic diseases in adulthood may have their origins before birth. Such diseases include non insulin-dependent diabetes mellitus, hypertension and coronary heart disease. Professor David Barker and colleagues in Southampton have produced a large proportion of the data in this field over the last decade, 1 although the relationship between early life events and adult disease had been raised many years earlier. 2 Most of this work has been based on epidemiological studies wherein cohorts of subjects whose birth records were available have been traced into adulthood. They have shown that measurements made on babies at birth, including birthweight, length, body proportions and placental weight, are strongly related to either later disease incidence (coronary heart disease mortality, noninsulin-dependent diabetes) 3,4 or risk factors for those diseases (hypertension, glucose intolerance, hyperlipidaemia). 1,5,6 Such relationships have been shown to hold in many different populations and are apparent from early childhood. 7,8 The basis of these epidemiological observations is proposed to be that of programming. That is, an event operating at a critical or sensitive period results in a long-term change in the structure or function of the organism. Programming is a well-established biological phenomenon, and there are many common and well-known examples. Female rats given testosterone during the first 4 days of life develop a male pattern of gonatotropin secretion after puberty, and despite normal ovarian and pituitary function, fail to develop normal patterns of female sexual behaviour. 9 Administration of androgen at 10 days of age has
Use of serum pituitary antibodies to improve the diagnosis of hypophysitis

Lymphocytic hypophysitis is characterized by an extensive infiltration of lymphocytic cells. Pituitary biopsy is the gold diagnostic standard for lymphocytic hypophysitis but the disease occurs with moderate or without pituitary enlargement. The role of antipituitary antibodies (APA) in autoimmune hypophysitis is still discussed due to various methodological difficulties. Indirect immunofluorescence, a widely employed method to detect APA at this time produces highly variable results due to the use of human or animal pituitary substrates. For many years the authors have conducted a re-evaluation of APA by immunofluorescence in patients with other autoimmune diseases and in patients with apparently idiopathic hypopituitarism, using pituitary from young baboons as substrate but considering a predetermined cut-off of the titer and immunofluorescence pattern. This procedure allowed us to find out those with autoimmune pituitary impairment and to foresee the kind of future hypopituitarism in those with pituitary function still normal. Moreover, in APA positive patients, the use of a second step of a double immunofluorescence method allowed identification of the pituitary cells targeted by APA, verifying the correspondence with the kind of hypopituitarism, also when present in subclinical stage. However, to carry out an international workshop comparing the detection of APA by immunofluorescence using different substrates could contribute to verify the best choice to improve the sensitivity and specificity of this method.
Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey.

OBJECTIVES We examined the relationship between acculturation and sun safety among US Latinos. METHODS We used linear regression models to analyze data from 496 Latino respondents to the 2005 Health Information National Trends Survey. Using sunscreen, seeking shade, and wearing protective clothing were the primary outcomes and were assessed by frequency scales. Acculturation was assessed with a composite index. RESULTS In bivariate models, acculturation was negatively associated with use of shade and protective clothing and positively associated with sunscreen use (all, P < .004). In adjusted models, acculturation was negatively associated with seeking shade and wearing protective clothing across gender and region of residence (all, P < .05). CONCLUSIONS Our results demonstrated both adverse and beneficial effects of acculturation on Latinos' risk behaviors relating to skin cancer. Education about sun safety is needed for all Latinos and should be tailored to different levels of acculturation. Initiatives for Latinos who are not yet acculturated could focus on reinforcing existing sun-safe behaviors and presenting new ones, such as use of sunscreen; initiatives for highly acculturated Latinos might require more resources because the objective is behavior modification.
Fault Detection Methodology in Wireless Sensor Network

In recent years, the more intellectual services are distributed using the Wireless Sensor Networks by incorporating with the consumer electronic devices. Typically, the service afford by the Wireless Sensor Networks are estimated for more than a few months or even a number of years with unattended and continuous service. But the major problem for this estimation is the reliability of hardware. To overcome this problem and also to perceive failures in different components of hardware, software based- overhead minimum fault detection method is used. Moreover the sturdiness of Wireless Sensor Network is improved by accurate and timely detection of fault nodes. So a new algorithm is proposed called Fault Detection Based on Clustering approach (FDBC) which increases scalability of the system and decrease load of network detection. By using this algorithm WSN initially clustered based on a protocol, called Low Energy Adaptive Clustering Hierarchy (LEACH) protocol and later consistency of cluster head nodes are verified. In the experimental results the permanent and transient faults are detected and using FDBC algorithm energy consumption is reduced.
Thymic Hypoplasia due to a Bis‐diamine

Bis(dichloroacetyl)diamine is capable of producing characteristic congenital malformations in high incidence. Wistar rats were given 200 mg/day of bis‐diamine via a gastric tube on gestation days 9, 10 and 11. The fetuses of 14, 16, 18, 20 days and new born rats were examined using light and electron microscopes as well as rat T‐cell surface markers. The thymus rudiment in rats treated with bis‐diamine has been compared to the normal at each stages.