Miracle-dz/UniFAR-FTUs huggingface dataset:
Radiographic manifestations of tuberculosis : a primer for clinicians

Para recibir la certificación de educación continua por estudio independiente del módulo, Radiographic Manifestations of Tuberculosis: A Primer For Clinicians, 2nd Edition, favor de seguir las siguientes instrucciones: • Complete la información de registro. • Conteste las preguntas contenidas en el módulo utilizando la hoja de contestaciones provista. • Escriba la fecha y firme la solicitud. • Envíe la solicitud debidamente completada y un giro postal por la cantidad de $25.00 a nombre de la Universidad de Puerto Rico a la siguiente dirección: División de Educación Continua y Estudios Profesionales (DECEP) Oficina A 451 PO BOX 365067 San Juan, PR 00936-5067 Usted recibirá una certificación de educación continua al obtener 70% o más en el resultado de la prueba. Para información adicional sobre el proceso de certificación y métodos de pago alternos puede comunicarse a DECEP al 787-758-2525 ext. 1411, 1474, 1475.
Handbook of Neonatal Infections: A Practical Guide

Pathogenesis and Epidemiology. Immunity. Clinical Manifestations. Rapid Laboratory Diagnosis. Microbiological Diagnosis. A Rational Approach to Antibiotic Use. Supportive Therapy for Septic Babies. Meningitis. Pneumonia. Osteomyelitis and Septic Arthritis. Urinary Tract Infection. Infections of the Eye. Intestinal Infections. Infections with Specific Bacteria. Fungal Infections. Viral Infections. Congenital Infections. Surveillance and Managing Outbreaks. Prevention. The Mother: Obstetric Aspects. Immunisations. Neonatal Care in Non-Industralized Countries. Clinical Pharmacology.
Holding on to home : designing environments for people with dementia

In this pioneering book in the newly emerging field of architectural design and dementia, Uriel Cohen and Gerald Weisman set forth a program of practical design principles linked to specific therapeutic goals. People with dementia live in environments ranging from their own homes to community-based group homes and long-term care facilities. 'Holding On to Home' addresses key issues for the planning and modification of all these settings. The book is equally useful to caregivers, nursing home and adult day care planners and administrators, architects, and interior designers, as well as to students and practitioners of geriatrics and gerontology.
Efficacy of a Magnetic Drug Delivery System and Development of an Orthotopic Lung Tumor Imaging Model

viii LIST OF FIGURES . xv LIST OF TABLES . xvii CHAPTER 1: INTRODUCTION AND BACKGROUND . 1 Lung Cancer: A 20 And 21 Century Problem . 1 Current Therapies For NSCLC . 4 Limitations To Current Therapies For NSCLC . 5 The Pulmonary Drug Delivery Approach . 6 Advantages Of The Pulmonary Drug Delivery Approach . 7 Limitations Of The Pulmonary Drug Delivery Approach . 8 Physiological Factors Affecting Inhaled Therapeutic Effectiveness . 9 Use Of Dry Powders To Generate A Pulmonary Immune Response . 9 MicroAnd Nanoparticles As Drug Delivery Vehicles . 10 Brief History Of Magnetic Particle Targeting . 11 Superparamagnetic Iron Oxide Nanoparticles (SPIONS) . 12 Formulation Of Inhalable Dry Powders . 12 Factors Influencing Inhaled Microparticle Deposition . 14 Mechanisms Governing Particle Deposition . 16
No fatigue related to prostate cancer examination : A qualitative study

Prostate cancer is one of the most common cancers among men worldwide with a life time risk of being diagnosed around 15%. Far more men have to undergo examinations (biopsy) for the suspicion of cancer. Fatigue is one of the most common symptoms associated with cancer and its treatment, anxiety and depression is considered to be a promoting source. Anxiety and uncertainty according to eventual cancer diagnosis may cause fatigue. The aim of present study was to identify and describe what fatigue means to the men undergoing an examination for the suspicion of prostate cancer. Eleven men undergoing examination for suspect prostate cancer were interviewed. Verbal transcripts were analyzed using interpretation by Gadamer’s hermeneutical approach. The findings showed that around the time of prostate cancer examination and waiting for the result, the men in this study reported that they did not perceive fatigue. Hence, there were some men expressing fatigue related to worries. The major theme was Everyday fatigue, similar to frailty. The men described that everyday fatigue is a part of normal life. Further two clusters, Personality and Anxiety, were identified contributing to fatigue. The men who experienced fatigue in this study seemed to be influenced of harassment caused among other things by mortal fear related to other diseases presently and in the future.
Developing Business Models for Using Mobile Phones to Strengthen Preventative Healthcare in South Africa

Background: South Africa’s health sector has not yet shown enough improvement to reach the Millennium Development Goals related to health. One of the problem areas is the low infant and child vaccination coverage in certain areas of South Africa. The use of mobile phones in health care (mHealth) has the potential to strengthen the primary health care system through improved information management. Objectives: Possible business models are to be proposed for a mobile health solution for vaccination (MHSV) within the public health sector of South Africa. Methods: Osterwalder and Pigneur’s business model canvas are applied to an MHSV, with the support of literature. Findings are validated through interviews with experts in relevant fields. Results: Business models were developed for the public and private sectors. The possible effect of the National Health Insurance (NHI) on these models was also predicted. Conclusions: Buy-in from multiple stakeholders is required, together with a client that will provide funding for the development of the MHSV.
Generation of Solid Models with Surface Properties from Scanned Triangular Meshes of Castings

Reverse engineering which is a process to create solid models of products from their physical models using 3D scanning is necessary to produce high quality products. The models resulting from the reverse engineering are used in re-design, duplication, performance analysis, inspection and so on. On the other hand, castings are used in a wide range of machining products. Castings consist of casting surfaces and machining surfaces, and in the use of the castings, precise machining surfaces are required. However, precision is often not strictly required for the casting surfaces. Therefore, a reverse engineering method based on the separation of casting and machining surfaces has the potential to realize efficient reverse engineering of castings. Moreover, the solid models with rich surface information, such as casting surface, machining surface, screw thread surface, through hole, small feature and so on, are suitable for efficient use of the solid models. Much research on reverse engineering has been conducted in the last several decades [2-3],[5], however, efficient reverse engineering based on the surface separation and creation of solid models with rich surface information considering the application of solid models have not been realized. A research develops the reverse engineering method based on the surfaces separation for castings [4], however, the methods can only extract planar and cylindrical surface from castings, therefore, additional surface extraction and recognition methods are required for generation of solid models with surface information. In this paper, an efficient generation method of solid models with surface information based on the surface separation [4] from the scanned triangular meshes of castings is proposed. The proposed method consists of the following functions, and the overview of our method is shown in Fig. 1. 1) Separation of the scanned triangular mesh surfaces into casting surfaces and machining surfaces, and extraction of machining planar surfaces and cylindrical surfaces [4] 2) Extraction of the screw threads, through holes, and small features between the machining surfaces 3) Boundary modification of the casting surfaces for solid model generation, and alignment of the machining surfaces 4) Creation of the solid model from the extracted surfaces using Boolean operation
Metabolic and endocrine problems of the horse

Acute and Subacute Laminitis. Equine Hyperlipaemia. Diseases of the Pituitary Gland, Including Hyperadrenocorticism. Disorders of Adrenal Gland Function. Disorders of Thyroid Gland Function. Equine Rhabdomyolysis Syndrome. Hyperkalaemic Periodic Paralysis. Metabolic Manifestations of Hepatobiliary Disease in Horses. Equine Renal Disease. Endotoxaemia. Fluid and Electrolyte Abnormalities: The Role of Exercise and Oral Fluids. Clinical Assessment of Nutritional Status of the Horse.
Detecting Baryon Acoustic Oscillations with HI Intensity Mapping using MeerKAT

Future radio surveys as the Square Kilometer Array (SKA) and its precursor, the "Meer" Karoo Array Telescope (MeerKAT), will map the Neutral Hydrogen (HI) in large areas of the sky using the intensity mapping (IM). HI IM is currently one of the most promising ways of accessing the Large-Scale Structure of the Universe. The distribution of matter in the Universe not only encodes its composition but also how it evolves and its initial conditions. An effect on the matter distribution that will be detected by the SKA on the post re-ionization Universe are the Baryonic Acoustic Oscillations (BAO). While it has been shown that in single dish mode the SKA can measure the BAO peak in the radial 21cm power spectrum at low redshifts, this possibility has not yet been studied in detail for the MeerKAT. In this thesis we construct a set of full sky simulations to test how well MeerKAT will be able to extract the BAO wiggles along the line of sight. These simulations are done for the frequencies corresponding to MeerKAT L-band. The maps combine the cosmological HI signal, systematic noise, cosmological foregrounds and the instrumental telescope beam. A model-independent estimator is used to extract the BAO wiggles by subtracting a smooth polynomial component from the 21cm radial power spectrum. We test with simulations if this estimator is biased and the signal to noise of the extraction. We conclude that we are able to remove contaminants and recover the cosmological HI signal while not risking the recovery of the BAO signal. We investigate the effects of varying the sky area and the observational hours on the signal to noise ratio for the BAO wiggles. We found that for a HI IM experiment using MeerKAT, the optimal sky area to detect the BAO along the line of sight is 50% of the sky. With a signal-to-noise ratio of 3.37. This can be achieved with 2000 hours of exposure time. http://etd.uwc. ac.za/ http://etd.uwc. ac.za/
Use of Multinational Registries to Assess and Compare Outcomes of Patients with an Acute Coronary Syndrome: A Dissertation

Background Acute coronary syndromes (ACS) are a major cause of mortality and morbidity in the developed world. By 2020, ACS will be the leading cause of morbidity and mortality worldwide, largely due to substantial increases in ACS burden in developing countries. The developing world has been under-represented in international ACS registries. The Arabian Gulf area is a part of the developing world where little is known about the epidemiology of ACS. The first aim of the dissertation is to compare ACS patient characteristics, current practice patterns, and in-hospital outcomes in the Arabian Gulf area to a large multinational sample. Patients with an ACS suffer numerous clinical complications that worsen their prognosis. Cardiogenic shock (CS) is the most serious complication of ACS and the leading cause of in-hospital death. Despite advances in therapies; CS hospital mortality rates continue to exceed 50%. The second aim of the dissertation is to describe the characteristics of patients presenting with ACS complicated by cardiogenic shock, their management, and outcomes in a large multinational sample. In recent years, ACS has been increasingly affecting younger patients. While marked age-related differences have been observed in the risk of developing as well as the prognosis of ACS, few studies however examined time trends in the epidemiology of ACS in young adult patients. The third aim of the dissertation is to examine trends in frequency rates, patient characteristics, treatment practices, and outcomes in young adults hospitalized with an ACS. Methods Data from two large multinational registries of patients hospitalized with an ACS were used for this investigation. Nearly 65,000 patients were enrolled in the Global Registry of Acute Coronary Events (GRACE) between 2000 and 2007, while 6,700 patients participated in the Gulf Registry of Acute Coronary Events (Gulf RACE) in 2007. Results Aim1: Patients in Gulf RACE were significantly younger and were more likely to be male, diabetic, and smoke Compared to GRACE. Patients in Gulf RACE were less likely to receive evidence based therapies. Short-term mortality rates were comparable between the two patient cohorts. Aim2: Compared to patients with no CS, patients with CS were more likely to be older, female, have a history of diabetes, and heart failure. Patients with CS were less likely to receive effective cardiac catheterization and adjunctive cardiac medications. In-hospital case-fatality rate of patients with CS were 59.4%. While in-hospital mortality declines over the study period, incidence rates only showed minor declines. Aim2: Baseline characteristics of patients Conclusions …
Trajectories of nitrate input and output in three nested catchments along a land use gradient

Abstract. Increased anthropogenic inputs of nitrogen (N) to the biosphere during the last few decades have resulted in increased groundwater and surface water concentrations of N (primarily as nitrate), posing a global problem. Although measures have been implemented to reduce N inputs, they have not always led to decreasing riverine nitrate concentrations and loads. This limited response to the measures can either be caused by the accumulation of organic N in the soils (biogeochemical legacy) – or by long travel times (TTs) of inorganic N to the streams (hydrological legacy). Here, we compare atmospheric and agricultural N inputs with long-term observations (1970–2016) of riverine nitrate concentrations and loads in a central German mesoscale catchment with three nested subcatchments of increasing agricultural land use. Based on a data-driven approach, we assess jointly the N budget and the effective TTs of N through the soil and groundwater compartments. In combination with long-term trajectories of the C–Q relationships, we evaluate the potential for and the characteristics of an N legacy. We show that in the 40-year-long observation period, the catchment (270 km2) with 60 % agricultural area received an N input of 53 437 t, while it exported 6592 t, indicating an overall retention of 88 %. Removal of N by denitrification could not sufficiently explain this imbalance. Log-normal travel time distributions (TTDs) that link the N input history to the riverine export differed seasonally, with modes spanning 7–22 years and the mean TTs being systematically shorter during the high-flow season as compared to low-flow conditions. Systematic shifts in the C–Q relationships were noticed over time that could be attributed to strong changes in N inputs resulting from agricultural intensification before 1989, the break-down of East German agriculture after 1989 and the seasonal differences in TTs. A chemostatic export regime of nitrate was only found after several years of stabilized N inputs. The changes in C–Q relationships suggest a dominance of the hydrological N legacy over the biogeochemical N fixation in the soils, as we expected to observe a stronger and even increasing dampening of the riverine N concentrations after sustained high N inputs. Our analyses reveal an imbalance between N input and output, long time-lags and a lack of significant denitrification in the catchment. All these suggest that catchment management needs to address both a longer-term reduction of N inputs and shorter-term mitigation of today's high N loads. The latter may be covered by interventions triggering denitrification, such as hedgerows around agricultural fields, riparian buffers zones or constructed wetlands. Further joint analyses of N budgets and TTs covering a higher variety of catchments will provide a deeper insight into N trajectories and their controlling parameters.
Engineering Cadres and Synergy Challenges in Nigeria: A Perspective

Engineering family is such a scientific field that has to work as a unit without progress and development suffers in any society. Each engineering family cadre rests on the other to form a synergy upon which transformational strength is dependent as experienced in developed countries. However, in Nigeria there are myriads of challenges facing engineering profession, especially technical and vocational training institutions and their public acceptability, ranging from governmental to societal challenges thereby limiting its growth and development. In this work, the root challenges that confront engineering profession in terms of cadre structure imbalance are analyzed. The trend in terms of educational training mostly desired by individuals and the relative causes and effects are also reviewed. Overall, impact of these challenges on the society are x-rayed in terms of infrastructural and technological development, indigenous engineering professionals’ availability, and cadre structure imbalance. Solutions as to ways of correcting these identified anomalies, in order to bring about healthy and functional relationship among engineering cadres in Nigeria for the general development of the country are suggested in this work.
Asthma prevalence in school children in Lane County, Oregon

approved: Catherine M. Neumann Asthma prevalence in children under age 18 has risen steadily in the U.S. since the mid1970s. Most researchers attribute this increase to air pollutants, socioeconomic status or urban residence. This study examined asthma prevalence in Lane County, Oregon, using children's asthma hospital discharges (1990-1995), and data from 10 of 16 school districts. The overall asthma prevalence in Lane County was 5.8%, ranging from 1.9% (coastal Siuslaw District) to 10% (urban, industrial Bethel District). Asthma prevalence during 1988-1997 was examined for the largest school district, Eugene 4J (43% of the total study population). Eugene 4J is divided into four regions: North, South, Churchill, and Sheldon. The largest asthma prevalence increase during this time was detected in North Region (2.5%-8%), while the overall district prevalence nearly doubled (3.3 %6.2 %). No correlation was found between socioeconomic status and asthma prevalence, and there was not a consistent pattern between asthma prevalence and location of each school district (urban vs. rural). Two out of the three urban school districts had higher asthma prevalence than five of the rural school districts. However, three school districts did not follow this pattern, either being lower than expected for an urban area or higher than expected for a rural area. Asthma hospitalization rates increased for most children between 1990 and 1995, with a 20-fold increase for ages 15-19 years. The results of this study show an increase in prevalence and severity of asthma in school children in Lane County. Further studies are warranted to investigate the contribution that geography, meteorology, and proximity to industry have in asthma prevalence in Lane County. Redacted for Privacy
Are Acquirers Efficiently Priced? Evidence from Subsequent Earnings Announcements

We adopt a model-free measure of long-run abnormal returns, the subsequent earnings announcement-period abnormal returns, to examine the price efficiency of acquirer stocks involved in mergers and acquisitions. We find strong evidence of both overreaction and underreaction. First, the market underreacts to acquirer valuation information. Overvalued acquirers earn lower returns at the announcement period as well as during the long-run period following the announcement. Second, in deals involving public targets, the market underreacts to stock payment information, as both announcement-period abnormal returns and long-run returns are lower when stock is used to pay for acquiring public targets; in private deals, the market overreacts to stock payment information, as announcement-period abnormal returns are higher if stock is paid for private targets but the long-run returns are significantly lower. There is also evidence that the market incorporates information regarding asset relatedness mostly over the longer term. The overall evidence suggests that acquirers are not efficiently priced at the announcement period.
Changing Water Management Practice in Canterbury to Address Sustainability Limits

Irrigation expansion in Canterbury has led to sustainability limits being reached for water availability and cumulative effects of land use intensification. Increasing water availability through storage was proposed, but there was strong community opposition to impacts of storage and further intensification. Effects-based institutional arrangements proved inadequate to address these issues. The regional council introduced a strategic approach based on nested adaptive systems and collaborative governance. A regional water strategy was developed through a multi-stakeholder steering group under the Canterbury Mayoral Forum and with extensive community engagement. Zone committees were established to develop zone implementation programmes. Farmer collectives are being established for operational delivery of water management targets. Farmers develop farm management plans to meet property-level outcomes, which are independently audited. Strategy investigations demonstrated that focusing on new development would not achieve sustainable development; rather, existing users also had to improve. Water use efficiency improvements were more cost-effective than new storage. Furthermore, different forms of storage, such as managed aquifer recharge, were identified to avoid adverse effects on main stems of alpine rivers. Proactive measures were needed to address water quality degradation, biodiversity loss, Mäori involvement and ecological restoration. A systems perspective and a governance change from regulatory to collaborative have improved water management. However, they also identified issues concerning affordability of proactive measures, equity in allocation, and need for a public infrastructure agency. Uneven implementation of measures has led to some groups withdrawing from the collaborative process.
Strategic targeting of cropland management using watershed modeling

Effective water-quality protection should target Best Management Practices (BMPs) on watershed areas that contribute most to water-quality impairment instead of the typical voluntary implementation of practices, which may not be better than a random distribution of BMPs within a watershed. This paper demonstrates a strategic approach for targeting watershed areas to maximize water-quality benefits from BMP implementation. Almost half of the Smoky Hill River Watershed, Kansas, USA is cropland, a major sediment and nutrient source. The impacts of reduced tillage, edge-offield vegetative filter strips, and contoured-terraced practices on erosion and nutrient loads both overland and at the watershed outlet were evaluated using either random or targeted implementation, based on simulated average subbasin erosion rate. The targeted approach was more effective in reducing sediment and nutrients, both at subbasin and watershed levels. Annual average overland pollutant load reductions of 10% required BMP adoption on less than half the land area with targeted versus random placement. The benefits of targeting were greater for initial increments of BMP adoption and decreased as implementation area increased.