Miracle-dz/UniFAR-FTUs huggingface dataset:
Health Promotion for People with Disabilities: A Primer for Rehabilitation Counsellors

To engage in the community and the workplace requires physical, mental, and social health and wellbeing. Health promotion is a crucial rehabilitation counselling function for the health and wellbeing of people living with chronic illness and disability (CID). This exploratory review seeks to examine theories and models of motivation applicable to health promotion interventions in rehabilitation counselling practice. Although no single theory can address all the potential variables affecting people with CID's health behaviours, Bandura's (1977) concept of self-efficacy and outcome expectancy appear to be the most common factors in the health promotion models we surveyed. Among theories of motivation, only self-determination theory specifically includes a motivation variable, autonomy (internal and external motivation). We developed a diagram to depict a model, including all the theories and models covered in this exploratory review and identify commonalities among their constructs. This diagram can be used by rehabilitation counsellors to apply theories and models of motivation in case conceptualisation, formulating clinical hypotheses, developing treatment plans, and selecting and implementing evidence-based health promotion interventions for their clients.
MOTIVASI MAHASISWA DALAM BELAJAR BAHASA INGGRIS DI PERGURUAN TINGGI

Pada proses pembelajaran, motivasi memiliki peranan yang penting karena motivasi dapat menumbuhkan minat dalam belajar. Penelitian ini akan dilakukan pada mahasiswa semester 1 program studi D3 Perpustakaan FKIP Untan dengan tujuan untuk mendeskripsikan motivasi mahasiswa dalam belajar bahasa Inggris dan faktor-faktor yang mempengaruhi motivasi mahasiswa dalam belajar bahasa Inggris. Penelitian ini merupakan penelitian deskriptif, yaitu menggambarkan kejadian yang telah ada dengan menggabungkan kuantitatif dan kualitatif. Teknik pengumpulan data yaitu kuesioner, observasi, dan wawancara. Subjek penelitian ini adalah mahasiswa semester 1 program studi D3 Perpustakaan FKIP Untan yang mengikuti mata kuliah Bahasa Inggris Dasar. Hasil penelitian menunjukkan bahwa mahasiswa semester 1 program studi D3 Perpustakaan FKIP Untan memiliki motivasi yang tinggi dalam belajar bahasa Inggris, yang terdiri dari faktor internal dan eksternal.
Ca 2+ - and ‘depolarization’-induced Ca 2+ release in skinned smooth muscle fibers

Sudden change in ionic composition of a solution bathing skinned smooth muscle fibers made it possible to release the Ca“ present in the internal store of the fibers. The release of Ca“ from the storage site could be facilitated by Ca“ when the skinned fibers were exposed to solutions with Ca2+ above 3 >< 10"“ M. Thus two mechanism, i.e. Ca2+ release induced by ‘depolarization’ and Ca2+ release induced by Ca“ itself, operate in smooth muscle.
Perception analysis of students and faculty of a self-directed learning module in biochemistry in a north Indian medical college

Introduction: Self Directed Learning (SDL) is one of the key components of adult learning theory proposed by Malcolm Knowles. SDL is an important tool for making medical students lifelong learners. Health professionals need to be self-directed learners to keep pace with exponentially increasing medical knowledge. Aim: This study aims to study the perception of students and faculty towards a recently conducted SDL module for first phase students in Biochemistry. Materials and Methods: The SDL was implemented in 2 sessions. In Session 1 a case scenario of jaundice was presented to the students. Students were asked to formulate learning objectives. The students were provided resource materials and a WhatsApp group was created to motivate the students for self-directed learning and for clarifying any doubts from the students. The students were given 4 days to learn the topic on their own and regular reminders of the timeline were posted on the group. One day before Session 2 students were assessed by 5 MCQs using an online quiz. Session 2 was conducted 5 days later during a 2 hour tutorial slot as a Fishbowl Session. Afterwards, the post-discussion assessment questionnaire was distributed to students and perception analysis questionnaire was distributed to the students and faculty. Results: An overwhelming majority of the students [84%] have found SDL as a more interesting and enthusiastic way of learning. Majority of students found SDL an enjoyable form of learning that gives ample opportunity to interact with the faculty. Students felt that fish bowl discussion helped them to open up and speak in peer group which certainly boosted their self-esteem and confidence and helped them develop the communication skill. 86% students found that application of clinical knowledge is easier when topic is learned in SDL module. Keywords: Curriculum, Education, Medical, Clinical Competence, Students, Medical.
X-Ray Spectral Shape Variation in Changing-look Seyfert Galaxy SDSS J155258+273728

We analyze the X-ray, optical, and mid-infrared data of a “changing-look” Seyfert galaxy SDSS J155258+273728 at z ≃ 0.086. Over a period of one decade (2009–2018), its broad Hα line intensity increased by a factor of ∼4. Meanwhile, the X-ray emission in 2014 as observed by Chandra was about five times brighter than that in 2010 by Suzaku, and the corresponding emissions in the V-band, mid-infrared W1 band brighten by ∼0.18, 0.32 mag, respectively. Moreover, the absorption in X-rays is moderate and stable, i.e., N H ∼ 10 21 cm − 2 , but the X-ray spectrum becomes harder in the 2014 Chandra bright state (i.e., photon index Γ = 1.52 − 0.06 + 0.06 ) than that of the 2010 Suzaku low state ( Γ = 2.03 − 0.21 + 0.22 ). With an Eddington ratio being lower than a few percent, the inner region of the accretion disk in SDSS J155258+273728 is likely a hot accretion flow. We then compile from literature the X-ray data of “changing-look” active galactic nuclei (AGNs), and find that they generally follow the well-established “V”-shaped correlation in AGNs, that is, above a critical turnover luminosity the X-ray spectra soften with the increasing luminosity, and below that luminosity the trend is reversed in the way of “harder when brighter. ” This presents direct evidence that CL-AGNs have distinctive changes in not only the optical spectral type, but also the X-ray spectral shape. The similarity in the X-ray spectral evolution between CL-AGNs and black hole X-ray binaries indicates that the observed CL-AGNs phenomena may relate to the state transition in accretion physics.
Una mirada actualizada del enfoque y tratamiento del dolor neuropático crónico en el paciente con lesión medular

El dolor neuropatico asociado a lesion medular se define como un dolor cronico secundario a una lesion o enfermedad que afecta el sistema somatosensorial; es una patologia frecuente de origen central, que genera un impacto negativo en la calidad de vida, la funcion fisica, el animo y la rehabilitacion. El enfoque y tratamiento del dolor neuropatico cronico es un desafio para el medico fisiatra. La mayoria de los pacientes cursan con un dolor grave de dificil manejo. La eleccion del metodo farmacologico segun el nivel de recomendacion, el proceso interdisciplinario, el uso de terapias coadyuvantes y los procedimientos intervencionistas son herramientas determinantes para el exito del tratamiento.
Coexistence of iron deficiency and thalassemia trait: a study in antenatal females

Background: Thalassemia is most common genetic disorder worldwide and about 7% of world population is carrier. The prevalence of Beta thalassemia trait (BTT) is 3.5–10% in India. The National Family Health Survey (NFHS-3) of 2011 reveals the prevalence of iron deficiency anemia (IDA) as 70–80% in children, 70% in pregnant women, and 24% in adult men. As both of them are close differential diagnosis and both can coexist together, this study aims to detect hemoglobinopathies in pregnant women and quantify the effect of iron deficiency on HbA2 levels in order to improve the detection of β thalassemia trait with and without iron deficiency. Methods: Hb, RBC indices, and peripheral smears of 90 pregnant females with microcytic hypochromic blood picture were studied. Serum ferritin and HPLC (High Performance Liquid Chromatography) was performed. The results were analysed statistically by using SPSS version 16.0. Results: 93.3% patients had HbA2 <2%, 4.44% had >4.0% which characterise BTT and remaining 2.22% had between 3.0%-4.0%. HbA2 <2.0% may be seen in IDA, ATT, HbH disease and Delta thalassemia. 91.11% had reduced serum ferritin and 2.22% had normal ferritin levels. Conclusions: This study reveals that there is frequent occurrence of iron deficiency anaemia in patients with thalassemia traits. This can substantially invalidate the diagnosis of the latter. Hence, iron deficiency should be identified and rectified in patients with suspicion of thalassemia trait.
MedBike: Virtual Reality for Remote Cardiac Rehabilitation

Exercise-based cardiac rehabilitation (exCR) is a key element of a multi-disciplinary cardiac rehabilitation program towards the care of patients with acute or chronic cardiac disease. Many studies have shown that patient’s adherence to these programs is low despite evidence that such programs can improve outcomes and critical cardiac event reduction. New strategies to improve adherence to exCR programs are now being tested using non-hospital solutions that relies on VR gaming technologies. This paper presents such a system called MedBike which allows patients to perform an exCR program at home while being monitored in real-time by a remote clinician. The paper describes the technical aspects of the system, its pros and cons, various gamification strategies, and a recent usability study.
Emerging polyanionic and organic compounds for high energy density, non-aqueous potassium-ion batteries

Potassium ion batteries (PIBs) as promising energy storage candidates have attracted increasing attention due to the low-cost and abundant potassium resources. Despite numerous emerging electrode materials, the development of PIBs has consecutively encountered major challenges compared with lithium-ion batteries (LIBs) and sodium-ion batteries (SIBs), such as low reversible specific capacities, inferior cycling stabilities, and unsatisfactory energy densities. In light of this, we provide a state-of-the-art review on the development of emerging classes of cathode materials, especially for polyanionic composites and organic compounds, with the aim of achieving high energy density for non-aqueous PIBs. First of all, we highlight the recent development of electrode materials towards non-aqueous PIBs with the discussion on their existing problems and the potential solutions. Then, the recent advancements in polyanionic and organic compounds towards achieving high energy density of PIBs are provided. We focus on their structure–performance relationships with a comparison of their electrochemical properties, and further promising investigations of these types of cathode materials are identified and discussed as well. Finally, personal perspectives on future optimization on cathode materials towards realizing the real applications in PIBs are constructively discussed.
Endoscopic cyclophotocoagulation (ECP) for open angle glaucoma and primary angle closure

BACKGROUND Glaucoma is a leading cause of irreversible blindness. A number of minimally invasive surgical techniques have been introduced as a treatment to prevent glaucoma progressing. Among them, endoscopic cyclophotocoagulation (ECP) is a cyclodestructive procedure developed by Martin Uram in 1992. OBJECTIVES To evaluate the efficacy and safety of ECP in people with open angle glaucoma (OAG) and primary angle closure whose condition is inadequately controlled with drops. SEARCH METHODS We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Trials Register) (2018, Issue 6); Ovid MEDLINE; Ovid Embase; the ISRCTN registry; ClinicalTrials.gov and the WHO ICTRP. The date of the search was 12 July 2018. SELECTION CRITERIA We searched for randomised controlled trials (RCTs) of ECP compared to other surgical treatments (other minimally invasive glaucoma device techniques, trabeculectomy), laser treatment or medical treatment. We also planned to include trials where these devices were combined with phacoemulsification compared to phacoemulsification alone. DATA COLLECTION AND ANALYSIS Two review authors planned to independently extract data from reports of included studies using a data collection form and analyse data based on methods expected by Cochrane. Our primary outcome was proportion of participants who were drop-free (not using eye drops). Secondary outcomes included mean change in IOP; proportion of participants who achieved an IOP of 21 mmHg or less, 17 mmHg or less or 14 mmHg or less; and proportion of participants experiencing intra- and postoperative complications, We planned to measure all outcomes in the short-term (six to 18 months), medium-term (18 to 36 months), and long-term (36 months onwards). MAIN RESULTS We found one ongoing study that met our inclusion criteria (ChiCTR-TRC-14004233). The study compares combined phacoemulsification with ECP to phacoemulsification alone in people with primary angle closure glaucoma. The primary outcome is intraocular pressure (IOP) and number of IOP-lowering drugs. A total of 50 people have been enrolled. The study started in February 2014 and the trialists have completed recruitment and are in the process of collecting data. AUTHORS' CONCLUSIONS There is currently no high-quality evidence for the effects of ECP for OAG and primary angle closure. Properly designed RCTs are needed to assess the medium and long-term efficacy and safety of this technique.
Nonstationary distributions and relaxation times in a stochastic model of memristor

We propose a stochastic model for a memristive system by generalizing known approaches and experimental results. We validate our theoretical model by experiments carried out on a memristive device based on multilayer structure. In the framework of the proposed model we obtain the exact analytic expressions for stationary and nonstationary solutions. We analyze the equilibrium and non-equilibrium steady-state distributions of the internal state variable of the memristive system and study the influence of fluctuations on the resistive switching, including the relaxation time to the steady-state. The relaxation time shows a nonmonotonic dependence, with a minimum, on the intensity of the fluctuations. This paves the way for using the intensity of fluctuations as a control parameter for switching dynamics in memristive devices.
Information Behavior of Fracture Therapist in Citapen Village, West Bandung Regency, Indonesia

Citapen village is a fracture clinic village that applies traditional medicine rich of local knowledge. The fracture therapist has a different paradigm with local health institution. Therefore, this research aims to discover the information behaviour of (bone) fracture therapist. This research uses a qualitative approach with a case study method through interview, observation, and literature review. The research results show the needs of traditional medicine information are related to economic, social and cultural needs. The information seekers are searching for traditional medicine information from both internal and external sides. In information evaluation, the therapist searches information on the traditional medicine in Citapen Village, which is then applied to the patients, from one to another. The existence of traditional medicine which is rich in local knowledge in Citapen village has not been appropriately documented. However, the information is still able to be well memorized by being inherited from generations. Even though there are many clinics built in the village, when it comes to bone fracture, many people will go to fracture therapist to get traditional medicine.
UNDESIRABLE CONSEQUENCES OF INCREASED WATER TEMPERATURE IN DRINKING WATER DISTRIBUTION SYSTEM

The article is focused on the description of problems that can be caused by increased temperature of drinking water in public drinking water distribution system (DWDS). Increased water temperature is an actual issue that the water industry has had to address in recent years, particularly as a result of the ongoing climate change. In recent years, long periods with high air temperatures have been more frequent than before. High air temperatures warm soil horizons and this results in an undesirable increase in drinking water temperature in water mains. Temperature is a physical, sensible indicator of water quality that affects a variety of chemical, biological, and microbiological processes in water. Therefore, the optimum temperature range of 8–12 ° C, which is to be achieved by the drinking water in the DWDS, is set by Decree of Ministry of Health of the Czech Republic no. 252/2004 Coll. Long-term high level of water temperature also contributes, among other things, to the development of the microbiological component of water in the DWDS and to the deterioration of organoleptic characteristic such as unpleasant odour or taste. The paper summarizes the technical regulations that are designed to provide the recommended water temperature in the DWDS, as well as the specific consequences and operating faults that may occur when water temperature is outside the optimum range of values. In view of the conclusions of available studies focused on predicting the future climate in the Czech Republic, it can be assumed that in the near future more frequent problems of operation can be expected in water supply systems due to unacceptable drinking water temperature. Above all, there will be water quality disturbances involving temporary deterioration of organoleptic, biological and microbiological indicators.
The past, the present and the future of UK breast reconstruction-are our practices outdated in 2020?

Gland Surg 2020 | http://dx.doi. org/10.21037/gs.2020. 02.03 In 2019 British plastic surgeon Ranjeet Jeevan published an overview of an important body of work which has informed and shaped reconstructive breast practice in the UK titled “Reconstructive utilisation and outcomes following mastectomy surgery in women with breast cancer treated in England” in the Annals of the Royal College of Surgeons England (1). Much of this work relates to decade old data in a rapidly evolving surgical field, and yet many of the key findings remain relevant to present day practice. Geographical variations in provision of breast cancer reconstructive services and outcomes across England persist (2). Patchy provision of information regarding breast reconstruction to patients remains and age still influences decisions about care (3). Despite these challenges there has been considerable progress in breast and reconstructive surgical practice. Over the past decade reconstructive options have expanded along with the number of breast surgeons able to apply aesthetic techniques to breast cancer surgery, coined “oncoplastic surgeons”. The routine use of Latissimus dorsi flap (LD flap) based reconstruction has decreased, giving way to implant and acellular dermal matrix (ADM)-based reconstruction (4,5). Implant-ADM procedure is faster and technically less challenging. LD flaps are increasingly regarded as a salvage option (6). In order to identify and address challenges in breast and reconstructive surgery data sources should be examined. Some of the findings quoted in Jeevan’s paper were extracted from Hospital Episode Statistics (HES) data, described by NHS Digital as a “data warehouse” collected by non-clinical coders for payment and commissioning of UK healthcare (7). HES data rely on the completeness and accuracy of coding; the latter depends on clinician input which has hitherto been poor. A survey of over 1,000 UK consultants (attending physicians) in 2012 highlighted poor clinical engagement with coding, with only 21% of NHS consultants reported being involved in clinical coding (8) Recognising the deficiencies in HES data; Jeevan undertook a challenging national prospective audit on reconstruction including over 18,000 patients. He not only analysed decision-making and outcomes but very importantly patient reported outcomes. The approach taken in the US has been to create a National Surgical Quality Improvement Program (NSQIP) database to “measure and improve the quality of surgical care” (9). Ideally, future planning should include a British database like NSQIP. A notable observation has been that other similar Western countries such as the US are outperforming the UK in immediate breast reconstruction (IBR) rates, reporting 54% in invasive cancer and 63% in DCIS. Clear socioeconomic and ethnic divides are also reported in an insurance and privately funded American system (10,11). Editorial Commentary
Mechanisms and Clinical Implications of Vascular Calcifications in Chronic Kidney Disease

Chronic kidney disease (CKD), a major public health problem that affects up to 10–13% of the general population worldwide, imposes considerable socio-economic burden due to both the need for renal replacement therapy and, even more important, the negative influence on the overall patients’ health status. Cardiovascular (CV) diseases are the main cause of death in CKD patients and are triggered not only by the traditional CV risk factors but also by specific, uremia-related, factors. Among these, calcium-phosphate and bone metabolism disorders play a central role. Abnormalities of mineral metabo - lism occur early, evolve silently as the kidney function deteriorates, and are associated with CV morbidity and mortality, mainly by the development of valvular and vascular calcifications. This chapter aims to summarize the recent knowledge on the types and mechanisms of arterial calcifications, as well as their clinical implications, in the setting of CKD. The issue is significant for both nephrologists and cardiologists and could be an example of the requirement for interdisciplinary collaboration in the medical practice.
Epidermodysplasia verruciformis associated with peripheral T-cell lymphoma, squamous cell carcinoma, and langerhans cell histiocytosis

Epidermodysplasia verruciformis (EV) is an extremely rare autosomal recessive genodermatosis characterized by abnormal susceptibility to human papilloma virus (HPV) infection. The inability to terminate HPV infection leads to widespread and persistent wart-like and macular skin lesions. The extent of cutaneous inivolvement and progress of the lesions vary considerably, but the persistence of skin lesions throughout the life is a characteristic feature of EV. The interaction among potentially oncogenic HPV genotypes, ultraviolet radiation, altered immunity, and genetic factors will lead to the development of nonmelanoma skin cancers in 30%–60% of cases. Although there is lifelong increased risk of squamous cell carcinoma, the association with hematological or solid malignancies is rare. Literature search shows very few isolated reports of non-Hodgkin's lymphoma, astrocytoma, thymoma, adenocarcinoma intestine, and leiomyosarcoma in patients with EV. Herein, we report a case of EV with an uncommon occurrence of peripheral T-cell lymphoma, squamous cell carcinoma, and Langerhans cell histiocytosis. EBV-associated squamous cell carcinoma carries increased number of viral proteins and this may play role in cell immortalization, chromosomal destabilization, and activation of telomerase. The development of lymphoma and Langerhans cell histiocytosis may be due to the defect in immune system and due to the oncogenic potential of the virus. These point to the importance of regular long-term follow-up of EV patients for the possible cutaneous and extracutaneous malignancy.