Miracle-dz/UniFAR-FTUs huggingface dataset:
Caregivers’ Experiences in Providing Care for Muslim Patients with Terminal AIDS

This phenomenological study aimed to describe and explain the caregivers’ experiences in providing care for Muslim patients with terminal AIDS. Informants included ten primary caregivers of Muslim patients with AIDS, knowing that the patients were in the terminal stage, and providing care for at least 1 month. Data were obtained using in-depth interviews and non-participant observation. Data were analyzed using van Manen’s guideline. The caregivers described the meaning of caring as 1) doing everything for extending life of their loved one, 2) doing the best they could make the patient live happily at the end of life, 3) taking close care of both body and mind like nurturing a child, and 4) caring for the patient to live worthly as a normal person. Caring for the dying patients with AIDS could be divided into 3 phases, including 1) the end of life care phase; caring behaviors in this phase included providing hygiene and comfort care, encouraging adequate diet/food, supervising patients’ adherence to medication, alleviating suffering symptoms, being with the patients, supporting patients’ needs, empowering patients’ will to live, keeping the HIV diagnosis confidential, staying in remembrance of Allah, and preventing HIV infection from care; 2) the terminal and the last day phase; caring behaviors during this phase included letting the patients be with their loved one, helping patients finish unfinished business, asking for forgiveness, staying in remembrance of Allah at the last breath; and 3) the bereavement phase; caring behaviors during this phase included reading Quran, keeping mourning, and passing merit to the dead. The informants reported both negative and positive impacts as a result of caring for the patients. Negative consequences were: 1) restlessness and poor physical health, 2) emotional suffering such as stress, anxiety, discouragement, being easily irritated, 3) loss of income and being indebt, 4) social isolation, and 5) not being able to perform religious practices as usual. Positive consequences were: 1) being proud of being a caregiver, and 2) gaining good experience. The results of this study provided directions and suggestions for improve the quality of care for the Muslim patients with terminal AIDs and their families.
Genetic correlations between claw health and feet and leg conformation traits in Swedish dairy cows

With the fast increase in dairy herd size over the last decades, and a change from tie stalls to free stalls it is imperative from an economic and welfare point of view to have a good claw health reducing the risk for lameness. Of Swedish Red (SR) cows and Swedish Holstein (SH) 5.9 % and 8.1 %, respectively, are culled due to feet and leg diseases (Swedish Dairy Association, 2008) and genetic selection for better claw health is desirable. Among most common claw diseases occurring as herd problems dermatitis (DD) and heel horn erosion HH are hygiene related diseases and sole haemorrhage (SH) and sole ulcer (SU) are related to laminitis which is a metabolic and trauma related disease. An earlier Swedish study failed to use reports from veterinary practitioners on lameness and proposed to use records collected at maintenance claw trimmings (Ral et al., 1995). Claw diseases, locomotion, abnormal claw conformation and treatments have now been recorded by Swedish claw trimmers on a voluntary, national basis since 2002. Heritabilities of claw diseases are low, as for other diseases, ranging from 1 to 10 % across traits (Naeslund et al., 2008, Van der Waaij et al., 2005). However, conformation traits for feet and leg have considerably higher heritability (Boelling et al., 2007; PerezCabal & Alenda, 2002; Wiggans et al., 2004). The aim of this study was to investigate correlations between claw diseases and feet and leg conformation traits as an alternative for indirect genetic selection for improved claw health. 2. Material and Methods
Reverse sphincterotomy of the minor papilla via the major papilla for chronic pancreatitis with incomplete pancreas divisum

A 35-year-old man presented with recurrent abdominal pain due to chronic alcoholic pancreatitis. Magnetic resonance cholangiopancreatography showed a dilated tortuous main pancreatic duct with incomplete pancreas divisum. Endoscopic retrograde cholangiopancreatography (ERCP) was carried out and the major papilla was cannulated with a cannulatome and 0.035-inch guidewire. After contrast opacification of the main pancreatic duct, when deep cannulation was attempted, the guidewire became coiled in the direction of the accessory duct (▶Fig. 1). Cannulation via the minor papilla was therefore tried, but it was unsuccessful. The cannulatome with the guidewire was then used for cannulation via the major papilla; the guidewire was negotiated into the minor pancreatic duct and through the minor papilla, followed by the cannulatome over the guidewire. Reverse sphincterotomy of the minor papilla was performed and the cannulatome and guidewire were removed (▶Fig. 2, ▶Video1). This was followed by deep pancreatic duct cannulation via the minor papilla, which showed a dilated, tortuous duct with ectatic side-branches. A 7-Fr, 10-cm single-pigtail stent was deployed into the pancreatic duct across the minor papilla (▶Fig. 3). The patient improved symptomatically and was asymptomatic at the 6 month follow-up. Minor papilla sphincterotomy is a routinely performed endoscopic therapy for pancreatitis associated with pancreas divisum. It was first described by Cotton in 1980 [1]. Pancreas divisum is a common anatomical variant of the pancreatic duct. Warshaw et al. proposed its anatomical classification into three types: (i) classic pancreas divisum; (ii) pancreas diE-Videos
The Implant Biologic Pontic Designed Interface: Description of the Technique and Cone-Beam Computed Tomography Evaluation.

PURPOSE The study aims to evaluate clinically the thickness of the alveolar ridge mucosa underneath a zirconia implant-supported restoration with a modified ovate pontic. MATERIALS AND METHODS Sixty-five patients, 32 women and 33 men (mean age: 65.5 years; range 38-81), were included. A total of 383 implants (303 in the maxilla; 80 in the mandible), supporting 81 full or partial fixed dental prostheses (65 in the maxilla; 16 in the mandible), were either cement- or screw-retained. Three years after loading, a total of 219 pontic sites (153 in the maxilla; 66 in the mandible) were measured, and the thickness of the alveolar ridge mucosa between the prosthetic surface and the underlying bone crest were recorded. RESULTS The overall implant and prosthesis survival rates at 3 years were 98.7% and 100%, respectively. No implant complications were reported, scoring a cumulative implant success rate of 100%. In the maxilla, the overall mean thickness of the alveolar ridge mucosa was 2.32 ± 0.57 mm. In the mandible, the overall mean thickness of the alveolar ridge mucosa was 2.20 ± 0.62 mm. There was no statistical difference between the overall mean values in the maxilla and mandible (p = .471). CONCLUSION This radiologic retrospective study suggests the existence of a physiological barrier, named prosthetic biological width, underneath a novel pontic-designed restoration.
Bending properties of stainless steel dynamic compression plates and limited contact dynamic compression plates

Summary The equivalent bending stiffness and bending strength of the stainless steel DCP and stainless steel LC-DCP were compared. Three plates, of each size, were tested destructively in ‘four point bending’. All of the LC-DCP were significantly less stiff and less strong than the comparable size DCP, with the exception of the 4.5 mm narrow LC-DCP which was significantly stronger and more stiff than the 4.5 mm narrow DCP (p <.01). The design advantages of the LC-DCP are ease and versatility of plate application and improved cortical blood flow which one assumes promotes fracture healing. Also, the lower recorded stiffness of the LC-DCP may be advantageous in that it decreases the stress protection of the plated bone. Since optimal strength and stiffness of bone plates are currently unknown, the clinical relevance of the decreased strength and stiffness of the LC-DCP has yet to be determined. Stainless steel LC-DCP and DCP of various sizes were tested in four point bending to ascertain equivalent bending stiffness and bending strength of each type of plate. The LC-DCP were consistently less stiff and strong than their DCP counterparts (p <.01) with the exception of the 4.5 mm Narrow LC-DCP which was stronger and more stiff than the 4.5 mm Narrow DCP. In general, as plate size increased. the difference between the two plate designs decreased. If it can be shown that there is not any detrimental effect on fracture healing, the design features of the LC-DCP make it a desirable choice for most fracture applications.
Uveale Melanomzellen unter oxidativem Stress – Einfluss von VEGF und VEGF-Inhibitoren

Zusammenfassung Hintergrund Die Rolle des oxidativen Stresses bei Krebserkrankungen ist komplex. Während die durch ihn ausgelösten pathologischen Veränderungen an der Krebsentstehung beteiligt sind, kann er in späteren Stadien das Absterben von Tumorzellen fördern und sogar Metastasierungen eindämmen. Krebszellen zeigen durch ihren veränderten Metabolismus häufig eine verstärkte Bildung von radikalen Sauerstoffspezies, was sie anfällig für zusätzlichen oxidativen Stress macht. Dies ist ein wichtiger Wirkmechanismus von verschiedenen Chemotherapeutika und von therapeutisch eingesetzter ionisierender Strahlung. Das uveale Melanom ist der häufigste primäre Tumor im adulten Auge. Für die bei etwa 50 % der Patienten auftretenden Metastasen sind zurzeit leider keine wirksamen Behandlungsoptionen verfügbar. Der Primärtumor kann aber mit gutem Erfolg mit ionisierender Strahlung behandelt werden. Eine wichtige Nebenwirkung ist hierbei die Strahlenretinopathie, die wiederum mit VEGF-Antagonisten (VEGF: Vascular endothelial Growth Factor) behandelt wird. Eine Therapie des Primärtumors mit Anti-VEGF-Substanzen wird ebenfalls in der Literatur diskutiert. Über eine solche Anwendung liegen bisher nur wenige Daten vor, es ist aber eine paradoxe Verschlechterung der Situation bei einem uvealen Melanommodell in der Maus unter Anti-VEGF-Therapie berichtet worden. Methoden In einer Studie haben wir den Einfluss von VEGF und dem VEGF-Antagonisten Bevacizumab auf das Überleben von 5 unterschiedlichen uvealen Melanomzelllinien, die mit oxidativem Stress (Wasserstoffperoxid) behandelt worden sind, untersucht. Im Weiteren haben wir uns die Expression relevanter Proteine sowie den Einfluss von Bevacizumab auf das Proliferationsverhalten der Zellen und auf das Angiogeneseverhalten von Endothelzellen in einer Kokultur mit uvealen Melanomzellen angesehen. Ergebnisse Wir konnten in dieser Studie zeigen, dass nicht nur VEGF, sondern paradoxerweise auch der VEGF-Antagonist Bevacizumab uveale Melanomzellen vor einem Zelltod durch oxidativen Stress schützen kann. Bevacizumab zeigt darüber hinaus keinen Einfluss auf die Proliferation der Zellen und ist nur bedingt in der Lage, angiogene Strukturen in diesem System zu verhindern. Schlussfolgerungen Die Protektion der uvealen Melanomzellen vor oxidativem Stress durch Bevacizumab ist, gerade in Anbetracht des Wirkprinzips der ionisierenden Strahlung, durch oxidativen Stress in den Tumorzellen einen Zelltod auszulösen, ein besorgniserregender Befund, der gegen eine Verwendung von Anti-VEGF bei uvealem Melanom spricht.
Local Antibiotic Therapy in the Treatment of Bone and Soft Tissue Infections

Bone and soft tissue infections are serious problems in orthopedic and reconstructive surgery. Especially, chronic osteomyelitis is a difficult infection to treat and eradicate. Long term parenteral antibiotics with multiple surgical debridements are often required for effective therapy (Cierny & Mader, 1984). Therefore, it is understandable that continuous efforts are being made and complete one or other element in the treatment of bone and soft tissue infections.
What underlies Ukraine's mortality crisis?

Ukraine has the fastest de-population rate in Europe. Here, declining fertility rates combined with high mortality is resulting in declining life expectancies. While there are indications of improvements in some health indicators (infant mortality, maternal mortality etc.), many health problems especially those pertaining to chronic illnesses persist and high mortality rates are now largely due to premature deaths from chronic illnesses among the adult population. Ukrainians, especially working age males, are not only dying younger but also have fewer years lived in full health relative to their European counterparts. These changes in the age and gender structure of the population have significant social and economic consequences. The report is organized as follows. The next chapter takes a closer look at the prevalence of chronic disease and conditions among adult Ukrainians through various lenses, to better understand inequalities in health outcomes. Here, health seeking behaviors are reviewed with a specific focus on barriers to seeking care. In chapter three, a special focus is on hypertension and obesity, two chronic conditions that underlie some of the leading causes of death and disability, i.e. ischemic heart disease and stroke where biomarkers were used to confirm diagnosis or identify new cases. Here, level of awareness of one's health status is reviewed as is treatment and compliance among those with chronic diseases who seek care. In chapter four, patterns of health behaviors are reviewed that place Ukrainians at risk for chronic diseases, such as smoking, heavy or binge drinking and physical inactivity, in order to identify differences health behavior, socio-economic characteristics associated with health behaviors and regional variation. The final chapter discusses policy options for increasing awareness of health risks related to unhealthy behaviors, as well as compliance to treatments when diagnosed with one, thus strengthening health outcomes.
Elder Care in Occupational Therapy

Health Promotion and Preventive ProgramsThe Good Practice Guide to Therapeutic Activities with Older People in Care SettingsIntroduction to Occupational TherapyOccupational Therapy in Oncology and Palliative CareThe Pool Activity Level (PAL) Instrument for Occupational ProfilingLegal Aspects of Occupational TherapyOccupational Therapy with EldersOccupational TherapyOccupational Therapy with EldersOccupational Therapy and Older PeopleElder Care in Occupational TherapyLondonOccupational TherapyThe Activity Year BookOptions for Aged Care in ChinaOccupational Therapy in Community-Based Practice SettingsCommunity Programs for the Depressed ElderlyRelatives' and Nursing Home Staff's Experiences of and Views on Each OtherOccupational Therapy and the Older AdultOccupational Therapy with Elders E-BookSensory Integrative Approaches in Occupational TherapyOccupational Therapy and Duchenne Muscular DystrophyThe Role of Human Factors in Home Health CareGroup and Individual Work with Older PeopleWork in America: N-ZThe Encyclopedia of Elder CareOccupational Therapy with Aging AdultsThe Mentally Impaired ElderlyThe Professional Identity of the Educational Planner HAdam CurleOccupational employment and Wages, May 2005Occupational Therapy for Older PeopleOccupational TherapyNursing Older PeopleHealth Promotion and Preventive ProgramsRehabilitation Medicine for Elderly PatientsEvaluation and Treatment of the Psychogeriatric PatientOccupational Therapy with Elders eBookCommunity Practice in Occupational TherapyOccupational Therapy and Older PeopleThe Encyclopedia of Elder Care
Equity in the finance and delivery of health care : an international perspective

This volume presents the results of research which represent a significant contribution to the knowledge of equity in the finance and delivery of health care in ten countries. It compares the experience of nine European countries and the US using a consistent methodology to draw out comparable results from ten very different health care systems. Such an approach facilitates not only a greater understanding of the performance of the health care systems of other countries but also the identification of the lessons that can be learnt from international comparisons. In recent years it has been recognized that many health and health care problems are similar across many countries and their solution can be usefuly informed by the abandonment both of isolation and the belief that an individual country's problems are unique. The contents of this book demonstrate that given efficient research teams, research funding can produce both significant new knowledge of direct relevance to the reform of health care systems world-wide, and also collaborative, mutually informative work between Europeans and others living outside the EEC.
Implant treatment choice after extraction of a vertically fractured tooth. A proposal for a clinical classification of bony defects based on a systematic review of literature.

OBJECTIVES The objectives of this study were to propose a classification for the bone defects resulting after extraction of a vertically fractured tooth and to review the existing literature about the treatment of such kind of defects by means of dental implants in combination with regenerative procedures. MATERIALS AND METHODS An electronic search was performed on biomedical databases using a combination of appropriated search terms combined through the use of Boolean operators. All articles concerning the treatment of peri-implant bone dehiscences and fenestrations through guided bone regeneration (GBR) with at least 6 months follow-up were eligible. Outcomes data extracted from the selected articles were summarized using descriptive tables. A classification of the bone defects associated with vertical root fracture (VRF) was also proposed. RESULTS A total of 33 articles were included in the review. Twenty-three articles (814 implants) were about bone dehiscence treatment, ten articles presented the treatment of fenestrations, and ten (429 implants) adopted vertical bone augmentation. The percentage of bone filling was variable among different procedures and defect classification. The use of resorbable membrane was associated with better outcomes than the use of non-resorbable ones. CONCLUSIONS Guided bone regeneration for the management of bone defects in the presence of a VRF of the extracted tooth is a viable treatment option. The assessment of bone defect geometry prior to a tooth extraction could be clinically relevant for evaluating the feasibility and the success of immediate implant placement as well as the need of GBR.
Melanoma en la práctica privada en México: un diagnóstico oportuno

Background: Early detection of melanoma is of utmost importance, since it leads to a reduction of mortality, morbidity and treatment costs, with public education, full-skin examination and the use of dermoscopy playing an important role in this process. There is little epidemiological data available about melanoma in Mexico; the published observational studies are almost exclusively based on public hospitals’ data and do not mention the patients’ chief complaint nor the usefulness of full-skin examination with dermoscopy. We have undertaken this study aiming to provide data from the setting of a private dermatology practice. Objectives: To report the patients’ chief complaint and to compare the melanoma thickness in patients who sought attention for the suspicious lesion with those incidentally found on full-skin exam with dermoscopy, as well as collate and share our clinical, epidemiological and histopathological data of patients with melanoma, as encountered in our private dermatology center. Material and method: A retrospective study was made in a private dermatology center including the case-notes of all patients with melanoma of the skin, within the last 5 years, covering the period from November 2009 to December 2014, looking at the following patient variables: Sex, age, phototype and presenting complaint; as well as variables related to the diagnosed lesion; these included localization, histopathological type and Breslow index. We used descriptive statistics to analyze the data. Results: Fifty-two consecutive patients with melanoma were included, with a male:female ratio of 1.7:1 and a median age of presentation of 62 years. Most had phototypes I and II (57.7%); 42.3% (22) sought attention for the lesion resulting in melanoma, 40.4% (21) were consulted for skin cancer screening, and 17.3% (9) had a different presenting complaint. The commonest lesion location was the trunk (34.6%; 18); the most frequently observed histological subtypes were Melanoma in a private practice setting in Mexico: An early diagnosis Conclusiones: la mayoria de los pacientes se diagnosticaron en estadios tempranos, los melanomas que se detectaron al realizar el examen de piel completa y el estudio dermatoscopico fueron mas delgados, por lo que concluimos que es importante que el dermatologo o medico de primer contacto de informacion acerca de la prevencion y diagnostico oportuno del melanoma y realice una exploracion clinica y dermatoscopica integral del paciente. Consideramos que hay un subregistro de melanoma en Mexico porque encontramos un numero importante de casos en nuestra practica privada. Palabras clave: melanoma, epidemiologia, practica privada, dermatoscopia, diagnostico oportuno.
The end of the unique myocardial band: Part II. Clinical and functional considerations

Two of the leading concepts of mural ventricular architecture are the unique myocardial band and the myocardial mesh model. We have described, in an accompanying article published in this journal, how the anatomical, histological and high-resolution computed tomographic studies strongly favour the latter concept. We now extend the argument to describe the linkage between mural architecture and ventricular function in both health and disease. We show that clinical imaging by echocardiography and magnetic resonance imaging, and electrophysiological studies, all support the myocardial mesh model. We also provide evidence that the unique myocardial band model is not compatible with much of scientific research.
Counseling Children and Adolescents in Schools

"Counseling Children and Adolescents in Schools" is a text and workbook designed to help aspiring school psychologists and counselors gain the necessary theoretical background and skill set to work effectively with youth in schools. The dual focus on school counselors and school psychologists provides students a broader view of the different mental health professionals in the schools, with an emphasis on collaboration.
Effect of vitamin D treatment on antimicrobial peptides in asthma patients and healthy controls

Vitamin D deficiency has been linked to asthma because of the proposed role of vitamin D in inflammation control and host defense against infection. Antimicrobial peptides (AMPs) are effector molecules of the innate immune system, and their expression may be decreased by allergic inflammation. Vitamin D increases expression of AMP in vitro, but its effects on AMPs levels in asthma patients are unknown. Hypothesis: AMP levels in nasal secretions of patients with allergic asthma are lower than those in controls and can be restored by vitamin D substitution. Methods and results: 20 allergic asthma patients and 20 controls (18-45 yrs) were included. The influence of allergic asthma on AMPs was assessed in a case control design, and the effect of 7 days daily oral treatment with 2 mcg 1,25(OH)2D3 active vitamin D (calcitriol) on AMPs was assessed in a placebo-controlled cross-over study. The levels of the AMPs HNP1-3 and NGAL were significantly lower in asthmatics, whereas there was a trend for LL-37 (table 1). Treatment with 1,25(OH)2D3 significantly increased HNP1-3 and there was a trend for an increase in LL-37 and NGAL. Conclusion: Levels of AMPs are lower in nasal secretions in asthmatics, and treatment with active vitamin D increases these levels.