Miracle-dz/UniFAR-FTUs huggingface dataset:
Determinants of Blood Culture Use in Critically Ill Children: A Multicenter Qualitative Study

Introduction: Blood cultures are fundamental in diagnosing and treating sepsis in the pediatric intensive care unit (PICU), but practices vary widely. Overuse can lead to false positive results and unnecessary antibiotics. Specific factors underlying decisions about blood culture use and overuse are unknown. Therefore, we aimed to identify perceived determinants of blood culture use in the PICU. Methods: We conducted semistructured interviews of clinicians (M.D., D.O., R.N., N.P., P.A.) from 6 PICUs who had participated in a quality improvement collaborative about blood culture practices. We developed interview questions by combining elements of the Consolidated Framework for Implementation Research and behavioral economics. We conducted telephone interviews, open-coded the transcripts, and used modified content analysis to determine key themes and mapped themes to elements of Consolidated Framework for Implementation Research and behavioral economics. Results: We reached thematic saturation in 24 interviews. Seven core themes emerged across 3 Consolidated Framework for Implementation Research domains: individual characteristics [personal belief in the importance of blood cultures, the perception that blood cultures are a low-risk test]; inner setting [adherence to site-specific usual practices, site-specific overall approach to PICU care (collaborative versus hierarchical), influence of non-PICU clinicians on blood culture decisions]; and outer setting [patient-specific risk factors, sepsis guidelines]. In addition, outcome bias, default bias, and loss aversion emerged as salient behavioral economics concepts. Conclusions: Determinants of blood culture use include individual clinician characteristics, inner setting, and outer setting, as well as default bias, outcome bias, and loss aversion. These determinants will now inform the development of candidate strategies to optimize culture practices.
The role of microbiome analysis in precision medicine and personalized nutrition for improving health outcomes in Africa: a correspondence

Microbiome analysis has the potential to revolutionize precision medicine and personalized nutrition in Africa by identifying disease-causing organisms, predicting disease risk, and personalizing nutrition. Despite the potential benefits, there are several challenges to implementing microbiome analysis in the region, including a lack of infrastructure and resources, limited access to technology and data, and a lack of awareness and education. This paper reviews the potential of microbiome analysis for improving health outcomes in Africa, discusses the challenges and opportunities for implementation, and explores the future of microbiome analysis in precision medicine and personalized nutrition in the region. The development of partnerships between healthcare providers and technology companies, investment in research and development, and the development of targeted education and outreach programs are crucial for overcoming the challenges of implementing microbiome analysis in Africa and facilitating the development of locally relevant microbiome research.
Study the inhibitory effect of Genger and Altbek grain against the growth some pathogenic bacterial and fungal species

This study included the test of Antimicrobial activity for two types extracts, the first is effect of aqueous, alcoholic, fresh juice and powder ginger extract . The second is the aqueous and alcoholic extract of Altbek grain on sex bacterial species: Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus pneumonia, Proteus mirabilis, Escherichia coli, Klebsiella pneumonia and 3 fungal species belonging to the genus Candida: Candida albicans, Candida krusei, Candida glabrata . The results showed that both the aqueous and alcoholic for genger have high inhibited activity against p.mirabilis comparison all five tested antibiotics ,Also have the aqueous extract of ginger high activity against K . pneumonia when compared to all Antibiotics used in the study, either powder extract of genger have high inhibited activity against only P.aeruginosa while not showed any effective inhibition against bacterial and fungal species, also showed effective inhibition for alcoholic extract of genger against all fungal species, While not showed any effective inhibition for aqueous, juice and powder extract against fungal species. The study showed the aqueous and alcoholic Altbek grain have high effective activity against S.aureus comparison to Antibiotics: Cefotaxim, Norfloxacin and moderate effective when compared to Antibiotics: Amikacin, Ciprofloxacin, Augmentin, The aqueous and alcoholic genger extract have highly effective inhibition against S.pneumonia compared of Antibiotics: Norfloxacin, Augmentin, Cefotaxim and medium effective compared with Antibiotics: Amikacin, Ciprofloxacin, and did not appear any effective inhibition against all fungal species.
Helicobacter pylori infection Evluated by C14-urea Breath test and it`s Relation with age, sex and ABO/Rhesus blood Groups in Patients with Gastrointestinal complaints in Kirkuk City / Iraq.

There was significant difference between genders and H. pylori infection (P<0.05). From the 176 patients attending private laboratories in Kirkuk city for the period from 1/8/2016 to 1/4/2017, 86(48.86%) belonged to blood group O, 42(23.86%) to A, 41(23.29%) to B and 7 (3.97%) to AB and There was statistically significant difference (P<0.05) in the incidence of H. pylori infection between these groups, there was significant correlation between the presence of particular blood group in H. pylori positive patients related to the reported frequency of the blood groups in Kirkuk population, the correlation between the Rh factor and positive H. pylori patients was not significant to the frequency of the Rh factor in the population (88.06% Rh+ and 11.93% Rh-). the H. pylori positive test was slightly, but not significantly lower in comparison with the negitive H. pylori patients test values showed a highly significant difference (P<0.01) in H. pylori posative and H. pylori negitive patients. , in adults H. pylori infection depend upon gender, blood groups but they do not depend upon the Patients age or Rh factore. http://dx.doi. org/10.25130/tjps.24. 2019.064
Evaluation of the social-cultural competitiveness of cities based on sustainable development approach

The terms of competitiveness at the level of places and sustainable development were created in the 1980s and 1990s. In the beginning, most researchers emphasized the dimension of economic competitiveness, but in recent decades, other aspects of competitiveness, such as socio-cultural and environmental, have been highlighted. The aim of the present research is evaluation the social­­-cultural competitiveness in the city of Kermanshah based on a sustainable development approach. This research is descriptive and analytical, the TOPSIS model was used for data analysis, and Entropy was used to weight the indicators. After applying the weight of the indicators in the TOPSIS model, The research findings showed that the city of Kermanshah in the TOPSIS model, ranks 15th with a coefficient of 0.209; in the MABAC model, ranks 14th with a coefficient of -0.116 and in the EDAS model, ranks 14th with a coefficient of 0.122579271 is in the last and 14th position of socio-cultural competitiveness. The results showed that; Considering the nature of urban competitiveness, which is multidimensional, it is necessary to avoid a one-sided approach in urban competitiveness planning and to consider the socio-cultural, environmental, and security dimensions of urban competitiveness in an integrated manner. To improve the competitiveness of Iranian cities, while paying attention to the internal competitive advantages of the 15 studied cities, special attention should be paid to the fields of economic, environmental, socio-cultural, and security competitiveness. Each of these cities concerns their competitive role in transnational dimensions. This requires special attention to the national macro-plans.
Smart Lift – Intelligent lift service system

The paper presents the results of the development of an intelligent lift service software system that allows the detection of people and their numbers on each floor, the recognition of persons by assigning a conventional identity, the prediction of the destination floor for each user using facial detection applications and data forecasting based on the history of lift usage statistics.
Continuity and convergence of the percolation function in continuum percolation

We consider a percolation model on the d-dimensional Euclidean space which consists of spheres centred at the points of a Poisson point process of intensity ? The radii of the spheres are random and are chosen independently and identically according to a distribution of a positive random variable. We show that the percolation function is continuous everywhere except perhaps at the critical point. Further, we show that the percolation functions converge to the appropriate percolation function except at the critical point when the radius random variables are uniformly bounded and converge weakly to another bounded random variable.
Flexible association modelling and prediction with semi‐competing risks data

Semi‐competing risks data involve a non‐terminal event time, such as time to disease progression, and a terminal event time such as time to death. Existing methods for handling semi‐competing risks data often assume that the underlying association between the two event times follows a pre‐specified copula with unknown association parameters, which often correspond to the strength of association. In this article we propose a flexible association model that does not require pre‐specifying a copula. Therefore our methods facilitate a convenient and robust evaluation of the underlying association pattern, as well as the association strength. Furthermore the proposed association model leads to a robust estimator for the conditional survival probability of the terminal event given the non‐terminal event. The methods were also extended to handle left‐truncation. Both the association and survival estimators were shown to feature desirable asymptotic properties and satisfactory numerical performance. Our methods were successfully applied to a diabetes data set to study the association between time to diabetic nephropathy and time to death, and to predict the mortality rate given the onset time of nephropathy. The Canadian Journal of Statistics 44: 361–374; 2016 © 2016 Statistical Society of Canada
Fishbone-Induced Appendicular Perforation: A Rare Case Report of Amyand’s Hernia

Amyand’s hernia is a rare type of hernia where the appendix is found to be the content of the inguinal hernial sac. It is most often diagnosed intraoperatively wherein the appendix may be found healthy, incarcerated, inflamed, or perforated. Claudius Amyand performed a successful appendectomy on a patient with an appendix noted in the inguinal canal and this condition was hence named after him. The incidence of Amyand's hernia is rare in inguinal hernia patients. There are no defined guidelines for the management of Amyand's hernia but adequate resuscitation followed by immediate appendectomy is widely followed. Here is a case report of a 60-year-old male presenting to the Emergency Department with an irreducible right-side inguinal hernia with features of small bowel obstruction. On exploration, Amyand's hernia was identified with appendicular tip perforation due to an impacted fishbone with pyoperitoneum. Appendectomy was done through midline laparotomy with impacted fishbone removal from the hernial sac with tissue repair of the hernia. There are as such no reported cases of fishbone-induced appendicular perforation in an Amyand's hernia in the available literature. After the exploration, we found the management of the case challenging regarding the closure of the hernia.
Assessment of a Method to Model 2D Discontinuities with Enriched Finite Elements and Level Sets

The computational treatment of discontinuities within the framework of the finite element method (FEM) is a requirement for simulations of fracturing of solids and has become a challenging topic in computational mechanics. Particularly popular amongst the advanced schemes is the extended finite element method (XFEM) which is based on enrichment of shape functions and falls within the framework of the partition of unity method. Because there is no simple way to track the interface of discontinuities, the computer implementation of the XFEM is not as straightforward as the FEM. One method to solve the interface tracking problem is the level set method (LSM) which introduces another partial differential equation. The level set equation describes the change of an interface due to a known velocity field. To obtain its solution, the FEM can also be employed. This contribution investigates the XFEM-LSM technique with element enrichment and the integration of discontinuous elements for the modelling of cracks or material interfaces. Numerical experiments illustrate the capabilities and accuracy of the resulting formulation.
Formation and Reactivity of Copper Acetylacetone Bis(Thiosemicarbazone) Complexes

The complexation reaction mechanism of acetylacetone bis-thiosemicarbazone ligands (HacacR) with Cu is explored using a variety of physical methods. The complexes form via a complicated multistep mechanism that is initiated by ring opening of the pyrazoline form of the ligand and leads, ultimately in air, to an oxidised ketone form of the ligand. Tetradentate NS coordinated forms of the intermediate [Cu(acacR)] are stable only under anaerobic conditions. Upon exposure to air these complexes are cleanly oxidised to the ketone complex [Cu(acacRO)] as shown by X-ray crystallography, electrochemistry, UV/Vis and EPR spectroscopy. The behavior of these complexes contrasts with those of closely related bis-dithiocarbazate Schiff bases which stabilise Cu.
Effect of Cadmium chloride on the Liver, kidney and heart tissues and the protective role of pomegranate seed oil in male Albino rats.

This experiment was designed to identify the protective role of pomegranate seed oil against the toxicity of Cadmium chloride on the tissues of the liver, kidneys and heart, as it distributed 24 male rats to four groups. The results of microscopic examination of the target organs tissues many of histological lesions after treating animals with Cadmium chloride represented by necrosis, fatty degeneration and fibrosis around the central vein in the liver tissue, swelling of the glomeruli, necrosis of kidney tissue, necrosis within the myocardial fibers and hemorrhage within heart tissue . Mention the present result shown the results of the group treated with pomegranate seed oil with Cadmium chloride have been shown, returned of most tissues to the semi-normal state, with some negative effects of Cadmium chloride remaining
Investigation on Weighted Compact Fifth-order Nonlinear Scheme and Applications to Complex Flow

The Fourier analysis and applications of Weighted Compact Fifth-order Nonlinear Scheme, which is called as WCNS-E-5, are presented in this paper. Using weighted technique, the nonlinear adaptive solver automatically chooses the locally smoothest stencil, hence avoiding crossing discontinuities in the interpolations at cell-edges as much as possible. As one of the high-order WCNS developed before, WCNS-E-5 is of fifth-order accuracy in smooth region and third-order accuracy in the vicinity of discontinuities. By Fourier analysis the features of WCNS-E-5 are discussed in terms of dissipative and dispersive errors, the resolving efficiency and the multi-dimensional phase speed anisotropy in smooth regions. The analytical results show that WCNS-E-5 has better characteristics than EUW-5 in terms of dispersive and dissipative errors, and it also has the higher resolving efficiency than EUW-5 and e
The effect of toxoplasmosis infection in the concentration of interferon-ɣ and complementary proteins C3,C4 for parasite infected woman Toxoplasma gondii

The current study deals with measuring the level of interferon-ɣ لfor 9696عينة من النساء المرضى المراجعات لمستشفى صلاح الدين التعليمي في محافظة صلاح الدين للفترة sample of infected women with Toxoplasma gondii , whose attended Salah- El-Deen Teaching Hospital in Salah- El-Deen Governorate from 13/10لغاية /2016 to2017/4/2020/4/ 2017. The samples have been divided into50 50 infected عينة من النساء الحوامل المصابات بطفيلي pregnant women with ToxoplasmagondiiToxoplasma gondii وand 46 46 عينة كمجموعة سيطرة . women as a control group which included 2323 pregnant women 23and 23 عينة من النساء غير الحوامل من غير المصابات ب non – pregnant whose as not infectedT.gondii. وتبين من خلال الدراسة وجود اختلاف معنوي في مستوى الانترفيرونThe study shows significant difference in the level of interferon ɣ كاما بين النساء المصابات ومجموعة السيطرة اذ ارتفع مستوى الانترفيرونbetween the infected women group and control group . The level of interferon ɣ كاما بين النساء المصابات ومجموعة السيطرة اذ ارتفع مستوى الانترفيرونin infected women was higher compared with the control group 1.658 0.977 0.977 and ) (,ah 0.7650.765 0.524 0.524) بيكوغرام / مل على التوالي عند مستوى احتمالية pg. / ml, respectively, at the level of probability 0.01p< . 0.01>p. وفيما يخص قياس مستوى المتممينconcerning on to the measurement of the level of the complementary proteins C3 ,C4)C3, C4),فقد بلغت قيم It was shown the result exist variances moral if were valued in infection women ​​ofC3,C4) 0.3708 0.0107 0.0107 and) ( 0.38510.3851 0.0306 0.0306) ملغرام / ديسلتر على التوالي مقارنة بمجموعة السيطرة ( mg/dl, respectively, compared to the valued in non-infection women0.2528 0.2528 0.0463 0.0463 and) ( 0.2142 0.2142 0.06080.0608) ملغرام / ديسلتر على التوالي عند مستوى احتمالية mg/ dl, respectively, at the level of probability 0.01 p<. 0.01. > http://dx.doi. org/10.25130/tjps.24. 2019.067
Molecular characterization by PCR-ITS technique of Fusarium oxysporum isolated from tomato in Baghdad city

The present study aimed to estimate the pathogenesis of Fusarium oxysporum isolates and identify them by molecular technique Polymerase Chain Reaction-Internal Transcript Spacer (PCR-ITS). A total of thirty Fusarium oxysporum isolates were isolated from infected tomato plants and diagnosed depending on 'morphological characteristics. The pathogenicity test was performed for thirty Fusarium oxysporum isolates. So it was procedure steps that Genomic DNA was extracted from seven F. oxysporum isolates according to pathogenicity test by using'' ZR Fungal/Bacterial DNA'' MiniPrep™ kit. Seven F. oxysporum isolates showed high pathogenicity. The concentration and purity of the DNA extracted from the seven F. oxysporum isolates was (150 – 201) ng/µl and (1.4 -1.9) respectively. ITS gene was amplified by using PCR-ITS The sequencing results of amplified product of ITS gene from Fusarium oxysporum isolates indicated that all the seventh sequenced isolates where from one Formae speciales of Fusarium oxysporum as Fusarium oxysporum f. sp. Lycopersici. These results have been devoted to study genetic variability among the species involved in study. Molecular markers are highly important'' to focus on F. oxysporum isolates below'' the species level therefore, the DNA array containing "genus, species'' and forma specialis specific" detector'' for the detection and identification ''of F. oxysporum. Also, Cluster analysis and phylogenetic tree depending on genetic distance revealed the genetic relationship between the thirteen F. oxysporum isolates and confirmed sequencing analysis. Noraya.saad94@gmail.com
Survey of Secure IoT using Machine Learning Approach

The future Internet of Things (IoT) will have a deep economical, commercial and social impact on our lives. [1] The participating nodes in IoT networks are usually resource constrained, which makes them luring targets for cyber-attacks [1]. Internet of Things security is attracting a growing attention from both academic and industry communities. Indeed, IoT devices are prone to various security attacks varying from Denial of Service (DoS) to network intrusion and data leakage [2]. The disruptive acceleration of Internet of Things (IoT)is drastically modifying the current ICT landscape with a massive number of cellular IoT devices expected to be deployed in the next few years. IoT devices are taking over a variety of aspects of our current lives, such as health care, transportation, and home environments [2]. Key Words: IOT, Machine Learning, Cyber Security, Security Attacks, Security, data privacy
Digital Nomads as A Strategy to Accelerate the Religious Tourism Recovery in Post-Pandemic

This study aims to analyze the potential of Kudus Regency in implementing digital nomads as a strategy to accelerate Islamic religious tourism recovery after the COVID-19 pandemic. This research is important because even though pandemic control has gotten better, there is no guarantee that a virulent virus like COVID-19 will not emerge again and then have an impact on the tourism vacuum. To examine the potential of digital nomads in the Kudus Regency, the research results will be displayed using four aspects of tourism products including attraction, accessibility, amenity, and ancillary, and then discussed with SWOT as an analytical tool. This study uses a qualitative and descriptive approach where data collection is done by observation, interviews with seven informants, and focus group discussions with ten experts. The research results showed that: First, the attraction aspect is very promising because of the many and a varied number of Islamic religious tourism destinations in Kudus. Second, the accessibility aspect still needs improvement because the bus is the only mass public transportation option that directly reaches Kudus. Third, the amenities aspect requires adjustments to prices and health protocol standards. Fourth, the ancillary aspect is quite promising because health facilities, banking, and internet networks are wellavailable. Thus, attraction and ancillary become elements of strength (S), accessibility becomes weakness (W), and amenities become opportunity (O). However, attraction can also turn into a threat (T) if it is not managed properly because many tourist objects have died after the pandemic.