Miracle-dz/UniFAR-FTUs huggingface dataset:
Lymphoma masquerading as advanced prostate cancer with lymphadenopathy

A 79-year-old gentleman with a T4 Gleason 9 prostate cancer (PCa) developed progressive relapsed disease following sequential hormonal therapy (initially with oestrogen patches in the PATCH trial, followed by LHRH analogue therapy). Staging investigations revealed multiple bony metastases on isotopic bone scan, and extensive bilateral cervical, left axillary and mediastinal lymphadenopathy in chest CT (Figure 1). A clinically enlarged left-sided cervical lymph node was biopsied and revealed diffuse large B-cell lymphoma (Figure 1). Despite the initiation of R-CHOP chemotherapy, he died from respiratory complications secondary to compression of main airways associated with progressive lymphadenopathy.
Caracterización del riesgo familiar total y tipo de familia en pobladores de un asentamiento humano de un distrito de Lima Norte

OBJECTIVES: This paper aims to determine the relationship between the characterization of Total Family Risk and Family Type in a slum population in northern Lima. MATERIALS AND METHODS: The method used was quantitative, descriptive and cross-sectional design. The population was 540 families consisted of 540 families. Data-collection was given between the second semester of 2014 and 2015 involving nursing students. Started an interview with the head of the family. The instrument used was Questionnaire RFT 5:33, which was adapted and validated to our reality. RESULTS: Globally, most families are within the vulnerable class (52.4%), vulnerable families are predominantly in the “social economic situation” and “child management” dimensions. In the family type 1, vulnerable families predominate in the dimensions “socio economic situation” and “child management, while in the family type 2 the vulnerable family is mainly in the dimensions” socio economic situation “and” health services and practices“. There is an association between total family risk and family type. CONCLUSIONS: It was concluded that, although in our study we found low frequency of highrisk families more than half of the families are vulnerable. Furthermore, it could identify a similar number of families with low risk, which justifies the continuation and strengthening of multidisciplinary and inter-institutional participation to eradicate, neutralize or reduce the risks in families.
Vertigo Presentations in the Emergency

Vertigo is among the most common reasons that patients present to the emergency department. Even though the cause is typically a benign disorder, management decisions can be challenging because some sinister causes—such as stroke—can mimic benign peripheral vestibular disorders. Fortunately, common benign peripheral vestibular disorders all have characteristic features enabling a bedside diagnosis. Thus the most effective way to ‘‘rule-out’’ a central disorder is to ‘‘rule-in’’ a specific peripheral vestibular disorder. In this article, the author emphasizes the key elements of the bedside examination and describes a method for managing vertigo patients in the emergency department.
Effects of body condition, food intake and temporary calf separation on the duration of the post-partum anoestrous period and associated LH, FSH and prolactin concentrations in beef cows

An experiment was conducted to examine factors affecting the length of the post-partum anoestrous period and associated effects on LH, FSH and prolactin. Forty-six cows (24 Hereford × Friesian and 22 Blue-Grey) ranging in body condition score at calving from 1·50 to 2·75 were used. They were individually fed chopped barley straw and concentrate at either 50 (low) or 91 (high) MJ metabolizable energy per day from calving. At 34 days post partum half the cows were separated from their calves for 48 h. The duration of the post-partum anoestrous period was estimated from progesterone concentrations in thrice weekly blood samples. Blood samples were collected every 20 min for 10 h periods immediately prior to calf separation, during the last 10 h of calf separation and 1 week later. All samples were analysed for LH, and every third sample was analysed for FSH and prolactin. There were no significant effects of genotype, feeding level or calf separation on the length of the post-partum anoestrous period. There was a negative association between body condition score at calving and the length of the anoestrous period, with each unit increase in body condition score reducing the anoestrous period by 43 (s.e. 20) days. There was some evidence that feeding level affected the number of thin cows (body condition score ≤2·25 at calving) which were still acyclic at the end of the experiment, but not the number of fat cows (body condition score ≥2·5 at calving). FSH levels were not affected by any of the factors examined. Prolactin concentrations were higher in fatter cows, in cows on the higher level of feeding and in Blue-Grey cows. Prolactin concentrations decreased during the period of calf separation. Genotype and feeding level had no effect on LH concentration or LH pulse frequency. LH pulse frequency was increased ( P It is suggested that the effect of body condition on the duration of the post-partum anoestrous period i s mediated through effects on LH pulse frequency.
Nutritional counseling to individuals with diabetes mellitus in the Primary Health Care

Introduction: Diabetes mellitus (DM) is a global public health problem, and nutritional counseling is one priority strategy to control this disease. Objective: to analyze the effectiveness of individual nutritional intervention in people with DM. Method: this was an intervention study with the before and after perspectives, for 12 months, including adults and elders with destabilized DM referred for nutritional counseling in the Basic Health Unit. The intervention, based on nutritional counseling, consisted of individual sessions with an interval of 30-50 days and was analyzed by anthropometric and food intake evolution. Results: 11 overweight patients were evaluated, most women with a high prevalence of nutritional inadequacies. After the intervention, a reduction per capita in sugar (p = 0.03) and salt (p = 0.05) consumption were observed. Conclusion: The nutritional intervention showed poor results. We suggest the implementation of new intervention studies that evaluate the cost-effectiveness of an educational instrument that could be commonly used throughout the health care team in order to achieve greater effectiveness.
The centre and periphery of conscious thought

This paper is about whether shifts in attention can alter what it is like to think. I begin by taking up the hypothesis that attention structures consciousness into a centre and a periphery, following Watzl’s (2014, 2017) understanding of the distinction between the centre and periphery of the field of consciousness. Then I show that introspection leads to divided results about whether attention structures conscious thought into a centre and a periphery – remarks by Martin (1997) and Phillips (2012) suggest a negative answer, whereas remarks by Maher (1923) and Chudnoff (2013) suggest a positive answer. Lastly, I argue that there is behavioral evidence that lends weight to the “yes” side of the introspective dispute. My argument makes use of Garavan’s (1998) study of forming and maintaining two mental counts at once.
Ankle instabilities: conservative treatment modality

Akut ayak bileği yaralanmalarının tedavisi ve rehabilitasyonundaki temel amaç, kronik fonksiyonel instabiliteyi önlemektir. Kronik instabiliteler sonucu morbidite ve yetersizliğe olan eğilim potansiyeli nedeniyle, şiddetli yaralanmalar, tanısı konulduktan sonra en uygun şekilde tedavi edilmelidir. Kronik fonksiyonel instabiliteler, mekanik instabilite ve peroneal kas zayıflığı ile birliktedir. Ayak bileği yaralanmalarının rehabilitasyonu dört fazdan oluşur. İlk faz ağrı ve ödem kontrolü ve eklem stabilizasyonuna odaklanılan akut fazdır. Başlangıç tedavisi koruma bileşenlerini, dinlenme veya immobilizasyonu, buz, kompresyon ve elevasyonu içermelidir. İmmobilizasyonun süresi bağ yaralanmasının şiddetine bağlıdır. Elektroterapi ve bantlama yöntemleri, ödemi azaltma ve stabilizasyon etkilerinin her ikisi için de kullanılabilir. İzometrik egzersizler, ikincil kas atrofilerini azaltmak için önerilir. Rehabilitasyonun ikinci fazı, inversiyon ve eversiyon başlangıçta minimal düzeyde tutulsa da, normal eklem hareket açıklığını tekrar kazanmayı amaçlar. Bu dönem, aynı zamanda, peronealleri ve dorsifleksörleri kuvvetlendirme egzersizlerini ve Aşil tendonunu germe egzersizlerini içerir. Üçüncü faz, proprioseptif egzersizler ile fonksiyonel eğitimden oluşur. İzokinetik ve eksantrik egzersizler ayak bileği kuvvetlendirme programında önemli bir yer tutar. Dördüncü fazda çeviklik ve dayanıklılık egzersizleri ve propriosepsiyon eğitimi ile rehabilitasyon tamamlanır. Dördüncü faz aynı zamanda aktivitelere ve spora dönüş için hazırlık eğitimini içerir.
B to O erythrocyte conversion by the recombinant α-galactosidase

BACKGROUND: Human group O red blood cells have great benefit in specialized transfusion areas such as armed conflict and natural calamity. The group B antigen differs structurally from group O antigen only by the addition of one terminal alpha-linked galactose residue. In this study we aimed to remove the terminal galactose from group B red blood cell to get group O red blood cell. METHODS: alpha-galactosidase cDNA was cloned by RT-PCR from Catimor coffee beans grown on Hainan Island of China. The vector for alpha-galactosidase cDNA expression was constructed and transferred into Pichia pastoris cells by electroporation. The transgenic cells were cloned by fermentation and the recombinant alpha-galactosidase was purified by ion exchange chromatography. After studying the biochemical characters of alpha-galactosidase, we have used it in converting human erythrocytes from group B to group O. RESULTS: The purity of recombinant alpha-galactosidase was higher than 96%, which was thought to be suitable for the use of blood conversion. Enzymatically converted human group O red blood cells (ECHORBC) exhibited membrane integrity, metabolic integrity, normal cell deformation and morphology. There were no coagulation between ECHORBC and any group of human blood. The ECHORBC will keep normal structure and function for a period of 21 days at 4 degrees C in monoammoniumphosphate nutrient solution. Experiments with Rhesus monkeys and gibbons showed that transfusion of enzymatically converted erythrocytes was safe. CONCLUSION: ECHORBC can be easily obtained from group B red blood cell by alpha-galactosidase digestion. This study suggests that ECHORBC could be transfused to patients safely and efficiently.
Utilization of community-based services among families with children with a mental disorder

Families of children with a mental disorder typically have many stressors due to their children's behavioral functioning. These families do not always choose to receive community-based services that are intended to decrease the stressors within the families and prevent the children from being placed out of the families' homes. This study investigated the relationship between clients' functioning during their initial assessment provided by Victor Community Support Services (VCSS), compared to their functioning when they were discharged from VCSS based on the families' utilization of community-based services. This is a data analysis study. Data was extracted from 45 closed VCSS case files of families living in San Bernardino County from the period of July 1, 2005 until July 31, 2006.
Design of carbon nanotube field effect transistor (CNTFET) small signal model

The progress of Carbon Nanotube Field Effect Transistor (CNTFET) devices has facilitated the trimness of mobile phones, computers and all other electronic devices. CNTFET devices contribute to model these electronics instruments that require designing the devices. This research consists of the design and verification of the CNTFET device's small signal model. Scattering parameters (S-parameters) is extracted from the CNTFET model to construct equivalent small model circuit. Current sources, capacitors and resistors are involved to evaluate this equivalent circuit. S-parameters and small signal models are elaborated to analyze using a technique to form the small signal equivalent circuit model. In this design modeling process, at first intrinsic device's Y-parameters are determined. After that series of impedances are calculated. At last, Y-parameters model are transformed to add parasitic capacitances. The analysis result shows the acquiring high frequency performances are obtained from this equivalent circuit.
Cerebral Hyperperfusion Syndrome after Carotid Endarterectomy

Cerebral hyperperfusion syndrome (CHS) after carotid endarterectomy is a rare,serious complication of carotid endarterectomy.If not treated properly,hyperperfusion syndrome can result in severe brain edema,cerebral haemorrhage or even death.This review will outline the current knowledge of CHS,including the definition,pathophysiological basis,risk factors,examinations and therapies.It will help clinical doctors to prevent this potentially severe complication.
Body shape and eating disorders in a sample of students in the Basque Country: a pilot study

Objetivo. Estudiar el grado de insatisfaccion con la imagen corporal (IC) y los sintomas de trastomos alimentarios (TA) en estudiantes del pais vasco. Metodo. Una muestra intencional formada por 969 estudiantes de 11-18 anos, 508 chicas y 461 chicos, cumplimentaron el Body Shape Questionnaire (Cooper, Taylor, Cooper y Fairbum, 1987), el Eating Attitudes Test (Garner y Garfinket, 1979) y la escala de insatisfaccion corporal del Eating Disorders Inventor (Garner, OImstead y Polivy 1983). Resultados. La prevalencia de sintomas de trastomos alimentanos hallada es del 7,1 % de las chicas y el 2,4% de los chicos. La preocupacion por la imagen corporal aparece en el 32,5% de las chicas, aumentando con la edad, y el 8,9% de los chicos. En ambos sexos la relacion entre la preocupacion por la IC y el indice de masa corporal (IMC) es positiva. Discusion. Estos resultados confirman estudios anteriores y reafirman la necesidad de evaluar sistematicamente estos aspectos en la poblacion preadolescente y adolescente, cara a realizar campanas de prevencion.
A survey of community college institutional initiatives designed to improve performance on the Florida College-Level Academic Skills Test

By legislative mandate, Florida publicly-supported college and university students must demonstrate, via acceptable performance on the College-Level Academic Skills Test, that they are eligible for award of associate-in-arts degrees and matriculation in university upper divisions. The CLAST, designed to assess possession of basic academic skills, consists of four subtests: computation, writing, reading and essay. The essays are graded by teams of judges; the other subtests are objective and machine scored. This study was designed to identify and describe salient features of public community college management, teaching and student support innovations which were instituted in response to the CLAST mandate. Senior academic administrators plus English and mathematics department chairs at each of Florida's 28 public community colleges were surveyed regarding institutional innovations, faculty and administrator attitudes toward the CLAST, uses of aggregate CLAST data and practices which enhance CLAST performance. Nine of the colleges were visited for purposes of observation and follow-up interviews with faculty and staff.
Proximal-Type Epithelioid Sarcoma: Report of Two Cases with Unusual Location and Review of the Literature

Proximal-Type Epithelioid Sarcoma: Report of Two Cases with Unusual Location and Review of the Literature Epithelioid sarcoma usually occurs at the distal extremities of young adults. The proximal-type variant is characterized by a more aggressive course and resistance to treatment. We report two extremely rare cases with unique sites of origin. Due to anatomical issues, in both cases, a one-piece resection was not performed. Both presented a local relapse without any metastasis. Given the rarity of the disease, every report is fundamental for a future characterization of its features.
A duplicação do número de mãos de sinais da Libras e seus efeitos semânticos

According to Xavier (2006), there are signs in the Brazilian sign language (Libras) that are typically developed with one hand, while others are made by both hands. However, recent studies document the communication, with both hands, of signs which usually use only one hand, and vice-versa (XAVIER, 2011; XAVIER, 2013; BARBOSA, 2013). This study aims the discussion of 27 Libras' signs which are typically made with one hand and that, when articulated with both hands, present changes in their meanings. The data discussed hereby, even though originally collected from observations of spontaneous signs from different Libras' users, have been elicited by two deaf patients in distinct sessions. After presenting the two forms of the selected signs (made with one and two hands), the patients were asked to create examples of use for each of the signs. The results proved that the duplication of hands, at least for the same signal in some cases, may happen due to different factors (such as plurality, aspect and intensity).
Observation of the Effect of Human Albumins in Acute Severe Cerebral Infarction Patients

Objective To appraise the effect of Human Albumins in the acute severe cerebral infarction patients. Methods Eighty acute severe cerebral infarction patients were divided into 2 groups. Conventional therapy was applied in the 2 groups, and Human Albumins was used conventionally in treatment group(n=44), whereas it was used in control group(n=36) only when serum albumin was less than 25g/L. Following treatment for 2 weeks, Scandinavian Stroke Scale and Glasgow Coma Scale were evaluated, and the incidence of complications was compared in the 2 groups. Results After treatment, clinical neurologic impairment score of treatment group was significantly lower than that of control group(P0.05). Coma scale of treatment group was significantly higher than that of control group(P0.05). The incidence of complications, such as pulmonary infection, renal dysfunction, stress, ulcer and hypoproteinemia, was all higher than that of control group(P0.05). Conclusion Human Albumins was significant effective for acute severe cerebral infarction patients and could decrease the incidence of complications of severe cerebral infarction patients.
A physical activity and nutrition education program in elementary schools: Target population needs, barriers and facilitators to healthy eating and physical activity

A PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAM IN ELEMENTARY SCHOOLS: TARGET POPULATION NEEDS, BARRIERS AND FACILITATORS TO HEALTHY EATING AND PHYSICAL ACTIVITY By Simone A. Wilson The global childhood obesity crisis, especially in the low-income (LI) minority population, has motivated interest in interventions addressing important lifestyle behaviors such as healthy eating (HE) and physical activity (PE). Understanding the perceived barriers (PB) and facilitators (FA) to HE and PA experienced by children (Chld.) and parents/primary caregivers (PPC) is important for intervention success. Based on the Social Cognitive Theory and grounded theory, a mixed method (quantitative and qualitative) study was conducted among (n=27) 5 grade LI elementary Chld. and 11 PPC to assess: dietary quality (DQ), PA and related behaviors, weight (wt.) and health perceptions, food security, child and PPC wt. status, family nutrition (Nutr.) and PA, as well as PB and FA to HE and PA. The prevalence of overweight and obesity was 59% for Chld. and 90% for PPC. Food insecurity was reported by 41% of Chld. and DQ (Healthy Eating Index-score) for both Chld. and PPC needed improvement (64/100). For PA, 81% of Chld. were not meeting the recommendation. For both Chld. and PPC the major FA to HE and PA were media (exergames and televised Nutr. and PA embedded programs), the PA & HE (PE-Nut) program and community access. The major barriers were neighborhood safety, accessibility to rec-centers, lack of community modeling of healthy lifestyles, time and monetary constraints. Family ecology was found to promote a positive understanding as well as enhance misconceptions of Chld. regarding health, HE, and PA. PE-Nut and other similar programs are therefore much needed to facilitate as well as ensure accuracy of messages/understanding in this and perhaps other target populations. Copyright by SIMONE A. WILSON 2014
Back Again: ICU Readmissions

program for patients with chronic obstructive pulmonary disease did not result in a reduction in admissions for acute exacerbations of chronic obstructive pulmonary disease and, unexpectedly, showed increased overall mortality. Source: Fan VS, Gaziano JM, Lew R, et al. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations. A randomized, controlled trial. Ann Intern Med, 2012;156:673–683.
Relationship Between Expression of ESM-1 and MMP-3 and Invasion and Metastasis of Human Hepatocellular Carcinoma

Objective To explore the relationship between expression of ESM-1 and MMP-3 and invasion and metastasis of human hepatocellular carcinoma(HCC). Methods The expression levels of ESM-1 and MMP-3 in 40 specimens with HCC(test group) and 15 specimens of liver tissue of intrahepatic bile duct stone(control group) were detected by immunohistochemistry and an image-analysis system.The relativity between the expression of ESM-1 and MMP-3 and clinicopathologic features and the correlation between the expression of ESM-1 and MMP-3 were analysed.Results ESM-1,MMP-3were expressed at high level in all 40 specimens,but not expressed in liver tissues of 15 specimens with intrahepatic bile duct stone.There was significant difference of expression of ESM-1 and MMP-3 between test group and control group(P 0.05). The expression of ESM-1 in HCC tissues was positively correlated with the level of preoperative serum alpha-fetoprotein(AFP),cirrhosis,tumor size,the histological differentiation,venous invasion and TNM stage(P 0.05 ). The expression of MMP-3 was positively correlated with the HBV infection,tumor size,venous invasion,histological differentiation and TNM stage(P 0.05). The mean gray scale of ESM-1 was positively correlated with that of MMP- 3(r=0.641,P0.05). Conclusions ESM-1 and MMP-3 may be used as the new useful predictors of invasion and metastasis in patients with HCC.
Water Governance in India: Evidence on Water Law, Policy, and Administration from Eight Indian States

Water governance is a widely acknowledged as an important factor for sustainable development. This study attempts to assess if the water governance in eight Indian states has improved after the announcement of the United Nations Sustainable Development Goals (SDGs). We utilize the Institutional Decomposition and Analysis (IDA) framework developed by Saleth and Dinar. Using survey data from two periods and 152 respondents, we calculate the scores on 17 indicators of water law, policy, and administration. We found that average scores on water law, policy, and administration have increased between the first and the second survey. We attributed this improvement to the fact that the Indian government is paying special attention to the provision of clean drinking water after the announcement of the SDGs. We also calculated nominal and weighted water governance indices (WGIs) for eight Indian states. This study made an important contribution to the existing water governance literature by capturing improvements in the water governance scores of eight Indian states after the announcement of the SDGs.