Miracle-dz/UniFAR-FTUs huggingface dataset:
Identifying Barriers to Accessing and Establishing Primary Care Services Among Insured Patients Who Are Super-Users Of Emergency Departments

Introduction: The overuse of the ED for management of chronic disease results in fragmentation of care, often duplicates services, and is costly. Barriers to accessing care in ambulatory care services may increase ED use for chronic disease management. There are few studies that have explored the barriers to accessing primary care services among both private and publicly insured adults. Purpose: The purpose of this qualitative descriptive study is to identify the barriers to accessing primary care services among insured individuals identified as using the ED for chronic disease management. Methodology: Qualitative descriptive method guided data collection and analysis. A purposive sample of insured adults from Family Medicine clinic participated in two focus groups. Data were collected through audio-­‐recordings of the focus groups and participant observation. The audio-­‐recordings were transcribed verbatim by a professional transcriptionist and reviewed by the research team members while listening to the audio-­‐recordings. Preliminary codes were developed and collapsed into themes. Preliminary Results: Although the purpose of this study was to identify barriers to accessing primary care services, the preliminary findings from this small sample suggest that there are not significant barriers to accessing primary care services. Participants did discuss factors that increased utilization of services in ambulatory care clinics, including reciprocal trusting relationships with providers, seamless entry into clinics, and strong support systems. Conclusions: Further research is needed to continue to explore possible barriers and facilitators to accessing primary care services among a larger population of ED super-­‐users. Additional research is needed with community members not engaged in any health care services. Disclosures: This study is supported by the Office of Grants and Research at the University of Kansas School of Nursing.
INFLUÊNCIA DAS CONEXÕES POLÍTICAS E DA EVIDENCIAÇÃO SOCIOAMBIENTAL NO CUSTO DE CAPITAL

O objetivo do estudo é verificar a influência das conexões políticas e da evidenciação socioambiental no custo de capital das empresas. A amostra da pesquisa foi composta de 275 empresas listadas na B3. Os achados revelam que: a) o nível de evidenciação socioambiental influencia positivamente o custo de capital das empresas, principalmente o custo de capital de terceiros; b) as conexões políticas, isoladamente, influenciam negativamente o custo de capital próprio e positivamente o custo de capital de terceiros; c) e moderam negativamente, a relação entre a evidenciação socioambiental e o custo de capital próprio. Portanto, as conexões políticas reduzem o retorno dos acionistas, criam restrições pelas instituições de crédito que exigem maior custo de capital e tornam-se maléficas para as empresas, ao coibirem o efeito das práticas socioambientais no retorno de capital próprio.
Analysis of Risk Factors for Type 2 Diabetes Mellitus Using Response Surface Methodology

Introduction : This study analyses the risk factors that affect glycosylated hemoglobin index in type 2 diabetes mellitus. The purpose of this study was to determine the relative importance of each factor and design a polynomial model for predicting blood glucose levels according to the factors influencing it. Methods : In this study, risk factors including weight, systolic and diastolic blood pressure, total cholesterol level and high-density lipoprotein level, were assessed among 403 subjects(170 males and 233 females) with age range of 19 to 75 years-old through interviews and tests. Then using Response Surface Methodology(RSM) technique that is based on the regression analysis, the most important risk factors effective on glycosylated hemoglobin index were determined and a polynomial model was introduced for predicting the level of this index. Results : The results show that at least 78 percent of changes of glycosylated hemoglobin index are described by risk factors of weight, systolic and diastolic blood pressure, total cholesterol, high-density lipoprotein, and remaining changes depend on other risk factors and genetic factors. Owing to these results, it can be declared that in men high-density lipoprotein and weight have the most and the least impact on the index value, respectively; while in women diastolic blood pressure and cholesterol level have the most and the least impact on the index value, respectively.
Media Attention and Selective Managerial Bad News Hoarding

This paper investigates whether media attention impacts the extent to which managers hoard bad news in general and whether the effect applies to conspicuous news, such as earnings news. We find that greater media attention escalates managerial bad news hoarding; however, such an effect does not apply to bad earnings news. These findings imply that managers selectively hoard bad news that is not as regulated and as conspicuous as earnings news. In the cross-sectional analyses, we find that typical corporate governance mechanisms are not effective in mitigating bad news hoarding; rather, we find that the effect of media attention on bad news hoarding is amplified when management is more short-term oriented.
Calming the Brain: Benzodiazepines and related drugs from laboratory to clinic

1. The Story of Modern Tranquilliser Drugs 2. Interaction of the Benzodiazepines with the GABA^OA Receptor 3. Structural Characterisation of the GABA^OA Receptor 4. Functional Characterisation of the GABA^OA Receptor 5. Structures of Benzodiazepine Recognition Site Ligands 6. Behavioural Pharmacology 7. Pharmacokinetic Determinants of Clinical Activity 8. Benzodiazepines Drugs in Sleep Disorders 9. Benzodiazepines as Anxiolytics 10. Benzodiazepines: Anticonvulsant and Other Clinical Uses 11. Conclusions
Small arms: No single solution

A thousand people die each day from gunshot wounds, and three times as many are left with severe injuries. If the death, injury and disability resulting from small arms were categorized as a disease, it would qualify as an epidemic. Yet the media and popular perception tend to suggest that gun violence is simply an unavoidable consequence of human cruelty or deprivation, rather than a public health problem which can be prevented or at least reduced.
Design and implementation of automatic aiming system based on YOLO

Automatic aiming system plays an important role in the military domain. Aiming at the present situation of automatic aiming system, a new control method for automatic aiming system is proposed. Firstly, Tiny YOLO (You Only Look Once) target detection algorithm is used to train and model for the target object, meanwhile the trained model is used to recognize and locate the target object. For the tracking failure problem caused by the short-term disappearance of the target because of high mobility, the Kalman filter algorithm is used to filter the target position and predict target motion. Also, the classical PID (Proportion Integration Differentiation) algorithm is used to control the automatic aiming system and realize the real-time tracking and aiming of the target object. Finally, the automatic aiming battery system was built for experiments and to monitor the running state of the system, and achieve accurate shooting within 3 meters of the battery. The results show that the system can accurately aim at the central position of the target object in the complex background environment, achieving expectations and having practical values.
Segmentación y precariedad del mercado de trabajo español: el caso de la población inmigrante de origen marroquí

Resumen Los años previos a la recesión económica se caracterizaron por una extraordinaria afluencia de población inmigrante hacia España, situando al país entre los primeros en recepción de inmigración internacional no forzosa. El crecimiento económico supuso un auge de la demanda de empleo en ocupaciones no cualificadas e intensivas en mano de obra, las cuales fueron ocupadas por población inmigrante como, por ejemplo, la procedente de Marruecos. El trabajo propone analizar la trayectoria laboral de los inmigrantes marroquíes en el mercado de trabajo español, desde el momento de llegada hasta el actual periodo de crisis económica. Para alcanzar dicho propósito se parte de la complementación metodológica, como modelo de obtención de la información (entrevistas en profundidad y microdatos de la Encuesta Nacional de Inmigrantes 2007), y de la teoría fundamentada, como modelo de análisis. Los resultados de la investigación muestran cómo estos inmigrantes, tras superar una primera etapa de «movilidad laboral descendente» en España, mejoran su situación laboral con los años de residencia (si bien nunca llegan a igualarse con la población autóctona). Sin embargo, esta «movilidad ocupacional ascendente» se ha visto truncada en los últimos años, produciéndose asimismo una segmentación y precarización del mercado de trabajo español.
Stellenwert der koronararteriellen Revaskularisation in der Herzinsuffizienztherapie

Zusammenfassung Die koronare Herzerkrankung (KHK) stellt mit circa 70% die häufigste Ursache für die Entwicklung einer chronischen Herzinsuffizienz dar. Als einziger kausaler Ansatz ist die Revaskularisation die wichtigste Therapie, um eine Verbesserung der kardialen Funktion und Gesamtprognose zu erreichen. Bislang liegen nur für die chirurgische Revaskularisation positive Daten aus randomisierten, kontrollierten Studien vor. Die Entscheidung hinsichtlich Bypassoperation oder perkutaner Koronarintervention ist eine klassische Fragestellung für das Heartteam, wobei neben dem klinischen Zustand und operativen Risiko des Patienten die Erreichbarkeit einer vollen Revaskularisation, die Koronaranatomie, Herzklappenerkrankungen und weitere Komorbiditäten mit einkalkuliert werden müssen. Bei Mehrgefäß-KHK kommt eine perkutane Koronarintervention infrage, wenn dadurch eine vollständige Revaskularisation erreicht werden kann und/oder das OP-Risiko als deutlich erhöht einzuschätzen ist. Weiterführende Therapieansätze bis hin zu kardialen Unterstützungssystemen und die Listung zur Herztransplantation sollten erst nach Revaskularisation erwogen werden.
The Role of Self-efficacy and Use of Teachers’ Feedback on Students’ Mathematics Performance in Tanzanian Secondary Schools

Self-efficacy has been found to have positive relationship with important educational variables such as choice of task, persistence, motivation, and academic performance. This study investigated the role of students’ mathematics self-efficacy and use of teachers’ feedback in improving mathematics performance among secondary schools in Tanzania. The study involved 2767 Form III students sampled from 48 secondary schools in Dar es Salaam and Kilimanjaro regions. A questionnaire was used to measure students’ mathematics self-efficacy and mathematics performance, while focus group discussions were used to explore students’ perceptions of the use teachers’ feedback. Data were analysed using structural equation modelling and content analyses techniques. Quantitative results showed that students reported high levels of mathematics self-efficacy and perceptions about the use of teachers’ feedback. Furthermore, students’ self-efficacy and use of teachers’ feedback jointly predicted their mathematics performance to a small extent. Focus group discussions results showed that students were both confident (59%) and unconfident (41%) about their ability to learn mathematics. Precisely, students conceived mathematics to be a simple (28%), interesting (31%), difficult (19%), and a challenging (19%) subject. Potential interventions to improve students’ self-efficacy in mathematics and the use of mathematics teachers’ feedback are recommended.
Twitter at the Hands of the Church

This qualitative study analysed how the Church utilised Twitter. The empirical material consisted of 937 individual tweets published in early 2017 and classified into three categories: tweets published by the Church, tweets published by other organisations and tweets published by individual persons. The latter two groups were re-tweeted by the Church reasoning their role as empirical research material. At the time of the study, the most topical issues were asylum seekers, equal-marriage laws and human rights. Qualitative content analysis was performed following a step-by-step approach. Networking was identified as the strategy for utilising social media. The results also showed that the way the Church acted in social media was interactive. The Church tweeted openly and encouraged people to join discussions.
Anthropometric predictors of dyslipidemia among adults in Saudi Arabia

Background: dyslipidemia and obesity are key independent modifiable risk factors for many non communicable chronic diseases. Patterns of association between these factors may help prevention and control. This study aims to assess the association between lipids profile and obesity among adults in Kingdom of Saudi Arabia and identify anthropometric predictors of dyslipidemia. Methods: data were collected and analyzed from a cross-sectional study using WHO STEPwise approach that included 4 990 Saudi adults aged 15- 64 years selected by stratified, multistage, cluster random sampling technique. Lipid profiles (cholesterol categories and triglycerides) were determined spectrophotometrically by colorimetric biochemical methods. Obesity was determined by calculation of body mass index (BMI=Kg/m 2 ), waist and hip circumferences and ratio and waist to height ratio. Results: the overall prevalence of obesity ranged from 33.8 to 44.4 % and the overall dyslipidemia prevalence ranged from about 25 to 44% depending on type of dyslipidemia and anthropometrics used. Prevalence of dyslipidemia and mean concentration of lipids profile were generally significantly higher in obese than non obese. The indicator waist/height ratio was the significant predictor for all types of dyslipidemia and all levels of serum lipids. Conclusions: the prevalence dyslipidemia and obesity are high and they are positively associated. Waist/height ratio was the most important predictor of dyslipidemia among adults.
Domain estimation under informative linkage

ABSTRACT A standard assumption when modelling linked sample data is that the stochastic properties of the linking process and process underpinning the population values of the response variable are independent of one another. This is often referred to as non-informative linkage. But what if linkage errors are informative? In this paper, we provide results from two simulation experiments that explore two potential informative linking scenarios. The first is where the choice of sample record to link is dependent on the response; and the second is where the probability of correct linkage is dependent on the response. We focus on the important and widely applicable problem of estimation of domain means given linked data, and provide empirical evidence that while standard domain estimation methods can be substantially biased in the presence of informative linkage errors, an alternative estimation method, based on a Gaussian approximation to a maximum likelihood estimator that allows for non-informative linkage error, performs well.
Training free error potential detection

Error potential detection systems typically have to be trained on each individual, often necessitating that users experience sub-optimal active system performance. In this work, by introducing neurophysiological knowledge to preprocess EEG, we present a training-free error potential detection system. Results demonstrate that a subset of error potentials may be discriminated with a high level of precision in previously unseen subjects.
Intensive use of IVF by large-scale dairy programs

Abstract The number of embryos produced by in vitro fertilization (IVF) has grown exponentially in recent years. Recently, for the first time, the number of embryos produced and transferred in vitro was significantly higher than the number developed in vivo worldwide. In this context, a particular boost occurred with ovum pick-up (OPU) and in vitro embryos produced in North America, and this technology is becoming more prominent for commercial dairy farms. However, despite many advances in recent decades, laboratories and companies are looking for methods and alternatives that can be used in collaboration with the existing process to improve it. Among the strategies used to improve the dairy industry are the use of genomic analysis for the selection of animals with desired traits or as an evaluation tool of oocyte and embryo quality, the optimization of the collection and use of gametes from prepubertal females and males, the effective use of sexed semen, and improvements in culture media and methods of embryo cryopreservation. Thus, this review aims to discuss the highlights of the commercial use of IVF and some strategies to increase the application of this technique in large-scale dairy programs.
Comprehensive Textbook of Intraoperative Trans-esophageal Echocardiography.

Major sections cover principles of echocardiography, intraoperative examination, critical care, coronary artery disease, valvular heart disease, thoracic aortic disease, congestive heart failure, interventional cardiovascular medicine, and noncardiac surgery. The text focuses on uses of TEE in surgical decision-making—preoperative, intraoperative, and postoperative—and includes specific clinical recommendations.
İzmir, Buca Gölet ve Buca Yedi Göller Suni Gölet Çevresi Rekreasyon Alanlarının Peyzaj Mimarlığı Açısından İrdelenmesi ve Geliştirilmesi Üzerine Bir Araştırma

Arastirmada Izmir ili Buca ilcesinde yer alan iki suni golet cevresi rekreasyon alaninin genel ozellikleri, sundugu aktiviteler ve bunlarin uygunluklari tartisilmistir. Elde edilen veriler dogrultusunda olusturulan kullanim deger analiz tablolari ile eksik yonler ortaya konulmus ve gelistirme onerilerinde bulunulmustur. Calisma sonucunda ortaya cikan sonuclar dogrultusunda yapilan oneriler, gelecekte de bu tip alan kullanim calismalarinda kullanilmak uzere sunulmustur
Target Therapy in Hematological Malignancies

Molecular target therapy is a recently rapid progress in the management of hematological malignancies. In myeloid neoplasm, the sensational response to treatment and the overall survival and quality of life improvement for treatment with tyrosine kinase inhibitors (TKI ) agents for patients with chronic myeloid leukemia and the introduction of Janus kinase (JAK)-2 inhibitors (ruxolitinib) may offer comparative advantage in myeloproliferative diseases of patients with polycythemia vera (PV), primary myelofibrosis (MF) and essential thrombocythemia (ET). The introduction of all-trans-retinoic acid (ATRA) and mylotarg for acute myeloid leukemia patients, have had major impacts on the treatment protocol plan and different other targeted therapeutic highly effective agents, including FLT3, histone deacetylase inhibitors and farnesyl trans-ferase. In malignant lymphomas and lymphatic leukemia the feature has been the presentation of rituximab, with critical enhancements within the treatment of chronic lymphocytic leukemia and non-Hodgkin’s lymphoma. The most recent 15 years has encountered a rapidly broadening interest and acknowledg-ment that leukemic stem cells, including an enhanced capacity to target them, may hold the way to enhanced reaction and diminished relapse rates over both lymphoid and myeloid disorders. Technical regulation for growing new personalized anticancer target therapy agents have changed and presently evaluated and screened.
Case studies in abnormal psychology

1. Adjustment Disorder 2. Panic Disorder 3. Obsessive Compulsive Anxiety Disorder 4. Post-Traumatic Stress Disorder 5. Major Depressive Disorder 6. Bipolar Mood Disorder 7. Schizophrenia 8. Stress-Related Disorder 9. Alcohol Dependence 10. Premature Ejaculation 11. Pedophilia 12. Borderline Personality Disorder 13. Antisocial Personality Disorder 14. Attention Deficit Hyperactivitiy Disorder 15. Bulimia Nervosa 16. Dementia of the Alzheimer's Type
Endocrinology in Clinical Practice

Interpretation of Biochemical Investigations. Genetic Mechanisms of Pituitary and Thyroid Neoplasia. Neuroendocrine Disease. Growth and Growth Disorders. Carcinoma of the Thyroid. Multiple Endocrine Neoplasia. Amenorrhea and Infertility.Hypogonadism, Erectile Dysfunction and Infertility in Men. Hirsutism and Virilization. Autoimmune Disease. Non-endocrine Thyroid Disease. Calcium Disorders and Bone Diseases. Endocrinology and Systemic Disease. Disorders of Fluid and Electrolytes.Endocrinology and Hypertension. Obesity. Psychoneuroendocrinology. Endocrine Emergencies. Appendix 1: Pituitary Function Testing. Appendix 2: Pharmacopeia.
Un legislatore severo, ma non troppo: la nuova riforma delle false comunicazioni sociali

L’Autrice commenta una recente sentenza della Corte di cassazione che si e pronunciata in ordine alla nuova figura criminosa delle false comunicazioni sociali, concludendo per l’effetto parzialmente abolitivo del nuovo testo approvato con la l. 27 maggio 2015, n. 69. Viene analizzata dapprima l’evoluzione della fattispecie, dalla vecchia formulazione alla nuova, e poi vengono approfonditi i singoli elementi: la rilevanza dei fatti materiali, l’elemento soggettivo e l’eliminazione delle soglie di punibilita. Infine, il contributo rileva anche con taglio critico l’approccio seguito dalla Cassazione all’indomani della nuova formulazione, sottolineando come ancora una volta, il legislatore prima e la giurisprudenza dopo, abbiano perso un’occasione nel dimostrare un incondizionato atteggiamento repressivo dello Stato in materia di falso.
Characterizing the Role of Different Childhood Trauma Subtypes in the Neuroendocrine Functioning of Youth: Implications for Adolescent Depression.

Adolescent depression is a major public health concern because childhood onset depression is associated with significant functional impairment and recurrent, chronic depression across the lifespan. A substantial proportion of depressed youth have been exposed to severe childhood maltreatment, and are shown to be less responsive to standard depression treatments. In comparison, depressed individuals without a history of trauma exposure are more likely to be treated effectively with psychotherapy and pharmacological interventions. This suggests that the mechanisms which underlie the development and maintenance of depression in individuals with a history of childhood trauma may differ from those without. In order to develop more effective treatments for adolescent depression, a better understanding of these mechanisms is necessary. One of the neurobiological mechanisms associated with the onset, course, and recurrence of depression is functioning of the HPA-axis, the body’s physiological stress response system. The purpose of this study was to characterize the interplay between exposure to childhood trauma and HPA-axis functioning, while also examining the role of childhood trauma in the HPA-axis dysregulation of depressed adolescents. METHODS: Participants in this study were a community sample of 138 youth (aged 9-16) and their parents. All parents completed a semi-structured diagnostic interview, the Early Trauma Inventory (ETI), and the Children’s Depression Inventory (CDI), while all youth completed a semi-structured diagnostic interview, a standardized laboratory stress protocol, the Socially Evaluated Cold Pressor Task, and completed a CDI. Each participant contributed 2 pre-stress and 5 post-stress salivary cortisol samples.