Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparación de la incidencia de complicaciones entre residentes y especialistas en la cateterización venosa central en un hospital universitario

Central venous catheterization is essential for the management of many patients. This procedure is made daily in the critical care units, operating rooms, and emergency rooms. It has inherent risks, which can lead to serious complications. During training, residents must develop abilities and skills to perform the procedure, following the protocols in order to avoid possible risks and complications. Objective: To evaluate the quality of theeducational process of central venous catheterization, in terms of safety for the patient in the Universitary Hospital Fundacion Santa Fe de Bogota. Methods: Analytic cohort study. All the patients subjected to central venous catheterization during the period October 1991 through October 2004 in Fundacion Santa Fe de Bogota were included. The incidence of major mechanical complications (pneumothorax, quilothorax and haemothorax) were compared, both in the specialists and residents groups. Additionally, a stratified analysis was made, according to the route of insertion as well as the incidence of catheter related bacteremia. Results: During the study period, 6532 catheters were inserted, of which 2860 (43.78%) were placed by specialists and 3672 (56.22%) by residents. Sixty major mechanical complications were registered, of which 38 belonged to residents and 22 to specialists. Relative risk: 0.73; CI 95 (0.40; 1.35). When the stratified analysis for the different routes of insertion was made, no statistical differences were found. Statistical differences were found in bacteremia related to the catheter among both groups. In the specialists group 14 bacteremias were reported while in the residents group, 96 bacteremias. Relative risk 0.19; CI 95% 0.11-0.33. Conclusions: During the process of central venous catheterization, the supervised training of residents, together with the strict accomplishment of the norms settled, is not an additional risk factor for the development of major mechanical complications: haemothorax, quilothorax and neumothorax. Nevertheless, aseptic techniques must be followed by the trainees.
UQTk Version 3.1.2 User Manual.

The UQToolkit (UQTk) is a collection of libraries and tools for the quantification of uncertainty in numerical model predictions. Version 3.1. 0 offers intrusive and non-intrusive methods for propagating input uncertainties through computational models, tools for sensitivity analysis, methods for sparse surrogate construction, and Bayesian inference tools for inferring parameters from experimental data. This manual discusses the download and installation process for UQTk, provides pointers to the UQ methods used in the toolkit, and describes some of the examples provided with the toolkit.
A practice about Brand ManagementProcess for Food and Beverage Establishments

While the brand management processes were being studied the feedbacks of these processes in terms of the catering sector and catering companies were researched. In this study, we focused to observe and evaluate catering establishments' and customers' points of view. In addition, in the food and beverage sector, the brand management and brand management approaches were evaluated by the parties involved in the brand management process. In particular, the goal this study is to review customers' evaluation about catering establishments. In this process, customers' approaches, catering establishments service types with the brand management process, the issues they care about and customers' reactions have been evaluated. At the same time, it has been tried to be understood how the brand management process of food enterprises and how the reactions of consumers are observed by obtaining information about the observations and experiences of the managers in food enterprises. In-depth interview method has been indigenized as a research method. Phenomenology from Qualitative Methods was preferred as primary source. For this purpose, interviews have been made with customers and managers. All information collected from books which published as a secondary source, in addition, scientific researches and articles were used.
Incidence of Reproductive Disorders in Frieswal Crossbred Cows

Anestrum is the common single cause for infertility in cattle. The data of 676 Frieswal crossbred cows during the period from 2001 -02 to 2005 -06 belonging to the Military Dairy Farm, Hyderabad was studied. The functional causes constituted the major incidence (68.64 per cent) among Frieswal crossbred cows. The percentage of incidence of reproductive disorders were reported.
Gaining resolution when creating imagery of aging

In seeking to support healthy aging, designers have struggled to reduce their assumptions and biases toward older adults, been seen to interpret the worlds of later life through unfiltered imagery, as well as engage with stigmas, ultimately diminishing the technologies they construct. This article seeks to critically analyse this state-of-the-art from a design research perspective while engaging with the growing interdisciplinary study of aging and technologies. Toward this, we proposition “resolution” as a concept indicative of the level of detail that seeks to characterize the fidelity that representations of later life have. This concept is explored through a cultural probe study that investigated the sentiments of several older Australians regarding the inequities and social isolation brought on by the COVID-19 pandemic. Providing a diary alongside photovoice and mapping tasks, the study captured perceptions of social technology, practices, networks, and wellbeing, offering a diverse and complex picture of aging and technology. Through reflexive thematic analyses of some of these materials, this case study offers designers pathways to understanding and including older adults in their work. In determining the resolution of these images of aging, we discuss how transparency about the limitations and qualities of such participatory methods through incorporating reflexivity can influence the degree of detail such imagery gains. Ultimately this concept builds on the notion of participation configuration, supporting designers to realize better images of aging and representations of later life.
An evolutionary game study of environmental regulation strategies for marine ecological governance in China

The choice of environmental regulation strategies for marine ecological pollution governance is vital for China’s promotion of collaborative marine ecological management. First, based on the assumption of limited rationality, we established a three-party evolutionary game model of China’s central government, local governments, and marine enterprises from the perspective of environmental policy to explore the dynamic evolution process of the game strategies of the three participants and the stability of the system equilibrium point. Second, we used numerical simulations to investigate how the incentive- and penalty-based policies of central and local governments have different effects on local governments and marine enterprises, respectively. Finally, we introduced a reputation loss model of public participation to explore the game strategy choices of the three parties under public participation. The finding reveal that (1) Local governments are more sensitive to the central government’s punishment policies than marine enterprises are. (2) Increasing the punishment of local governments on enterprises can simultaneously enhance the willingness of enterprises to govern and the willingness of local governments to implement. Moreover, the local governments policy of punishing enterprises was more direct and effective than that of the central government. (3) Although local governments subsidies for marine enterprises can increase their probability of governing marine ecology, they can also decrease local governments' willingness to implement. Finally, (4) Public participation can quickly promote the active governance of marine enterprises. Accordingly, the suggestions are proposed to maintain China's marine ecological security, e.g., the central government should focus on urging local governments to strictly implement marine environmental protection policies; local governments should take the lead in supervising and guiding marine enterprises; and all levels of government need to take measures to promote public participation in marine ecological governance.
The role and clinical utility of acute kidney injury biomarkers in the setting of renal transplantation

Aim: To evaluate the role and utility of acute kidney injury biomarkers in renal transplantation. Method: Analysis of levels of a panel of biomarkers in deceased organ donors correlated to renal graft outcome; ABO incompatible renal transplant recipients correlated to rejection and HLA incompatible renal transplant correlated to rejection. Results: The panel of biomarkers showed comparable ability to creatinine in predicting the outcome of the renal graft following transplant from deceased donors. Of the panel of biomarkers tested to predict rejection, notably NGAL and IP-10 had good ability to predict those HLAi recipients who subsequently developed rejection. Conclusion: Biomarkers previously identified in the context of AKI may have a role in the assessment of deceased organ donor suitability but more promisingly have an excellent ability to identify those patients at risk of rejection following HLAi transplant and would now benefit from evaluation in a wider population prior to adoption in a clinical trial.
The effects of dietary crude protein on fertility of broiler breeder males.

Fertility of Broiler Breeders (BBs) has been researched over many years with inconclusive findings. Genetic selection and improvements in growth traits have had negative effects on fertility of BB. One explanation is related to overweight birds, resulting in the inability of birds to copulate successfully, with no cloacal contact. The requirements of CP for egg production in BB females have been quantified, but there is less literature on how CP affects fertility in male BBs. The objective of this experiment was to investigate the effects of feeding BB males different dietary CP intakes (10.4, 12.4, 14.2, 17.8, 19.3 and 20.1 g CP/bird/day) on fertility in flocks with natural mating and in birds that were artificially inseminated (AI). Results showed that birds consuming 10.4 and 12.4 g CP/bird/day resulted in weight loss (between 24.9 and 23.6% and 26.5 and 22.4% below target BW) over the 29 weeks of the experimental period in both natural mating and individual pens respectively. Intakes of higher protein content (17.820.1 g CP/bird/day) however resulted in BW gain over the experimental period. Hatch percentage across all CP intakes throughout the duration of the study was found to be high, ranging between 75100 and 80-95 % in AI and naturally mated birds respectively, and not affected by CP intakes. Similar results for predicted fertility using the methods published by Brillard & Antoine (1990) and Wishart (1997) were found; however Brillard & Antoine (1990) is more lenient requiring less outer perivitelline layer (OPVL) sperm/mm 2 to pronounce an egg fertile. Improved fertility predictions could have been made by using examination of inner perivitelline layer (IVPL). There was a tendency for a superior response in predicted fertility from birds with a protein intake of 14.2 g CP/bird/day. This intake also least affected the BW of the male birds and thus 14.2 g CP/bird/day can be recommended for optimal BB male performance.
PROGRAM LATIHAN FISIK REHABILITATIF PADA PENDERITA PENYAKIT JANTUNG

Program rehabilitasi pada penderita gangguan jantung merupakan program multi fase yang dirancang untuk memulihkan gangguan jantung terutama gangguan pembuluh darah koroner jantung. Pada program ini pasien dilatih agar dapat kembali menjalankan hidup secara optimal dan produktif. Program ini didasarkan pada pengetahuan fisiologis, psikologis, sosial, vocational dan rekreasional. Program ini meliputi terapi latihan, konseling psikologis, terapi perilaku menuju gaya hidup sehat. Gaya hidup yang disarankan berupa menghentikan rokok, diet tinggi serat, rendah lemak dan manajemen stres. Dewasa ini terapi latihan cenderung dijadikan fokus dari keseluruhan program rehabilitasi. Pada pelaksanaannya, prinsip-prinsip pemprograman latihan (exer cise prescription) yang berlaku pada orang sehat juga berlaku pada penderita gangguan jantung. Walaupun demikian, mengingat terdapat keterbatasan fisiologis pada penderita gangguan jantung, program latihan harus memperhatikan status klinis dan riwayat kesehatan seseorang. Pada artikel ini akan dibicarakan pedoman pemrograman latihan rehabilitatif pada gangguan jantung. Pembahasan program latihan pada tulisan ini akan dibagi menjadi tiga fase utama yakni Fase Inpatient, Outpatient dan Pemeliharaan. Sebelum dilakukan program latihan rehabilitasi harus dipastikan penderita tidak memiliki kontraindikasi terhadap latihan. Fase inpatient dapat dilakukan dalam waktu 48 jam setelah serangan gangguan jantung. Program outpatient dapat dilakukan di pusat kesehatan maupun di rumah dengan dan tanpa pengawasan tergantung pada tingkat resiko gangguan jantung. Latihan pada fase pemeliharaan pada dasarnya identik dengan latihan pada individu normal dengan penekanan pada latihan aerobik. Kata Kunci: olahraga rehabilitasi, gangguan jantung
Just getting on with it: family experience of juvenile idiopathic arthritis

Introduction: A chronic condition does not just affect the individual diagnosed, but also their families. The process of adaptation, following the onset of symptoms, can be complex requiring flexibility from the family. This may be especially pertinent with Juvenile Idiopathic Arthritis (JIA) which is characterised by unpredictable flare-ups and an uncertain disease trajectory. Families negotiating JIA may be at an increased vulnerability of distress as a result of additional demands placed upon their resources. This may have implications for health services. It is therefore important to understand family experiences of living with a chronic condition in order to support families throughout the adaptation process. To date, the majority of studies have investigated individual family members’ reports in order to assess family functioning, but these investigations have neglected to study the family as a unit. Method: This study utilised a multiple-perspective case study design in order to explore family experiences of JIA. Two families were recruited from a paediatric rheumatology service in Leeds. Family group interviews were conducted and five of the seven participating family members completed follow-up individual interviews, which used a semi-structured interviewing format. Interviews were transcribed and an interpretative phenomenological approach was used to analyse each case study. A synthesis of the results was also conducted. Results: Four master themes were identified from the first family interviews. These were: negotiating power, not letting go: managing transitions, when the invisible becomes visible and just getting on with it. Four master themes were also identified from the second family: a positive outlook, being ‘normal’, power and empowerment and medications: friend or foe. Analysis also focused upon how both families negotiated their understandings of JIA. Five themes were identified following a synthesis of the case study data. These were: Just getting on with it and maintaining a sense of normality, battling, fighting and the negotiation of power, transitioning, JIA as a hidden condition and negotiating understandings. Discussion: The themes relating most significantly to the research aims: just getting on with it and maintaining a sense of normality, battling, fighting and the negotiation of power and negotiating understandings, from the synthesised data were discussed within the context of the existing chronic health conditions and family communication literature. The study’s methodological strengths and limitations were also presented following the discussion of the themes. Clinical implications relating to families experiencing JIA and services providing care to these families was discussed throughout the discussion chapter, and finally, recommendations for further research were outlined.
Aspectos geológicos de la biogeografía de Cuba

The Cuban autihochtonous flora and fauna most probably were stablished in the territory after M'ddle Eocene, when Cuba was already at its present position respect to Bahamas and North America, completely detached from South and Central Ame. rica. U the colonization was favoured by the former existence of terrestrial pathITURRALDE-VINENT: BIOGEOGRAFIA DE :cuéA 99 ways, then some of the Caribbean submarine promontories may have been used, when those areas were shallow banks, garland of islands, or eventually, emer�ed ridges. 11he arrival in Cuba of tbe ancestral forms of the authochtonous spec1es, probab1y to�k place during sorne of the E! }rly Upper Eocene, Late Oligocene, Middle to Upper Miocene, and Cuaternary regress10ns.
Oxidative Stress Under Phototherapy

ABS TRACT Jaundice is common among newborn babies and phototherapy (PT) is frequently used to treat pathologic hyperbilirubinemia. Although it is considered to be safe, the effects of PT on antioxidant systems are not well documented. The aim of this study was to investigate possible changes in antioxidant systems of full term otherwise healthy neonates during PT. A total of 111 newborn babies were included in this study. Fifty-six term infants who needed PT due to indirect hyperbilirubinemia constituted the patient group and 55 healthy term infants formed the control group. Levels of malondialdehide (MDA), superoxide dismutase (SOD), glutathione peroxidase (GPX), reduced glutathione (GSH), vitamin E, total antioxidant capacity (TAC) were measured before and after PT in patient group and during routine screening tests in control group. TAC significantly decreased after PT (1.42 ± 0.22 vs 1.29 ± 0.27 mmol/L) in patient group (p= 0.001). TAC was significantly higher in patients before PT compared to control group (1.42 ± 0.22 vs 1.02 ± 0.29 mmol/L) (p< 0.001). GPX was significantly lower and MDA was found significantly higher after PT in patient group (p= 0.009, p= 0.002). SOD, GSH and vitamin E remained unchanged after PT. In conclusion, PT thought to cause oxidative stress in term babies with jaundice. This effect of PT should be taken in to consideration during the management of infants with hyperbilirubinemia and unnecessary usage should be avoided.
Quality of Health Care After Adopting a Full-Replacement, High-Deductible Health Plan With a Health Savings Account: A Five-Year Study

This paper reports use of health care services related to health care quality over five years among over 18,000 individuals from a single large employer in the Midwestern United States that adopted an HSA-eligible health plan for all employees. It represents one of the longest observation periods reported with a full-replacement CDHP, and it is one of the few studies with a matched control group. The introduction of the HSA-eligible health plan had a negative impact on office visits for annual physicals, well-child visits, and preventive visits in the year that the plan was adopted. In the second year, office visits increased for HSA-eligible health plan enrollees, but were mostly unchanged for the comparison group. By the fourth year in the HSA-eligible health plan, office visits for annual physicals, well-child visits, and preventive visits were down slightly relative to the comparison group. Rates of LDL testing for adults with cardiovascular disease were reduced only in the first year of the HSA-eligible health plan. However, the introduction of the HSA-eligible health plan had a negative effect on medication monitoring for adults on select maintenance drugs not only in the first year that the new health plan was introduced, but in the following three years as well. The HSA-eligible health plan reduced avoidance of both antibiotics for adults with acute bronchitis and imaging services for adults diagnosed with low back pain. Both services are often considered unnecessary. Adoption of the HSA-eligible health plan was associated with a reduction in breast cancer, cervical cancer, and colorectal cancer screening in year one, although screenings for breast cancer and cervical cancer rebounded in year two. By year four, breast cancer screening was higher among enrollees in the HSA-eligible health plan than in the comparison group. In contrast, cervical cancer screening was lower among HSA-eligible health plan enrollees than the comparison group in year four. Throughout all of the study years, colorectal cancer screening was lower among HSA-eligible health plan enrollees than in the comparison group. The HSA-eligible health plan was not associated with a change in the percentage of adults receiving HbA1c testing until the fourth year. LDL testing was lower as a result of the introduction of the HSA-eligible health plan in all years.
Utilisation and Functional Components Evaluation of Ginger

Ginger is a Zingiberaceae plant having different purposes in the community and industry. The important parameters of quality of ginger are the functional components so the aims of this chapter are to review the utilisation of ginger in the community and industry and to evaluate the functional components of ginger and its products. Ginger ( Zingiber officinale Roscoe) has at least three types, i.e. big ginger, small ginger and red ginger. Fresh, dried and preserved ginger and also its extract, oleoresin and volatile oil were considered as basic products of the utilisation of ginger. Different formulas have been developed for drinks, culinary purposes, flavouring desert and herbal medicines. In folk medicines, ginger is used as remedy for warming body, gastritis and fracture condition. Based on scientific researches, ginger has been developed as anti-emetic, anti-inflammatory, analgesic and anti-influenza. Evaluation of chemical constituents of ginger and its products can be done qualitatively for authentication and quantitatively for standardization. This chapter consists of the utilisation of ginger based on empirical and scientific data, and the functional components evaluation consisting of authentication and standardization.
Pemanfaatan Radioisotop Untuk Mencegah Restenosis Pada Jantung

PENDAHULUAN Jumlah penderita penyakit jantung terus meningkat dari hari ke hari, diikuti dengan angka kematian yang menunjukkan kenaikan. Salah satu bentuk serangan jantung adalah terjadinya penyempitan pembuluh darah jantung yang mengakibatkan pasokan oksigen dan zat lainnya ke organ tersebut tidak lancar. Penderita penyempitan pembuluh darah ini dapat ditangani menggunakan metode angioplasty, yaitu metode penanganan dengan melebarkan pembuluh darah yang menyempit. Pembuluh darah dilebarkan dengan cara memasukkan balon yang dapat digelembungkan ke daerah penyempitan menggunakan catheter melalui pembuluh darah. Untuk mencegah terjadi- nya penyempitan kembali (restenosis), dipasang “penyangga” pembuluh darah (coronary stent) yang sering disebut dengan stent. Di Amerika Serikat, pemasangan stent dapat menurunkan terjadinya restenosis dari 50% menjadi 20%. Sedangkan di Jepang dilaporkan bahwa metode ini berhasil menurunkan terjadinya restenosis menjadi 30%. Penggunaan stent telah direkomendasikan oleh badan pengawas obat dan makanan Amerika Serikat, Food and Drug Administration (FDA) pada tahun 1994 [1,2]. Pemasangan stent ternyata belum mampu menuntaskan terjadinya restenosis. Penyempitan kembali setelah pemasangan stent dapat terjadi karena pertumbuhan sel secara tidak normal di daerah bekas penyempitan. Oleh sebab itu, terjadinya resteno- sis dapat dicegah dengan cara menekan pertumbuhan sel ini. Beberapa upaya telah dilakukan untuk menekan terjadinya pertumbuhan sel ini, diantaranya pemanfaatan radiasi pengion. Radiasi pengion telah terbukti efektif untuk menekan pertumbuhan sel dan diharapkan dapat menjadi solusi untuk tantangan ini [1,3].