Miracle-dz/UniFAR-FTUs huggingface dataset:
[False diagnosis in prenatal sonography - analysis of causes and formulation of conclusions for the quality management of prenatal sonographic diagnostics].

AIM Aim of this study, carried out in a single third level gynaecological centre, was a detailed analysis of all cases with foetal anomalies not detected prior to 24th gestational week. Based on our results, we wanted to work out recommendations towards improving quality in prenatal ultrasound in Switzerland. METHODS Retrospective survey (by means of our clinical database and a questionnaire) including all foetuses and neonates with morphological or functional anomalies which had been scanned in the Prenatal Ultrasound Unit of the University Hospital of Zurich in the year 2001. RESULTS 50,8 % of the 185 cases were detected prior to 24 weeks, 36,2 % in the third trimester and 13 % after delivery. 26,0 % were classified as "missed, although detectable prior to 24 weeks" (group A) and 23,2 % of the cases as "not detectable prior to 24 weeks" (group B). A great majority of the missed cases were cardiac malformations and skeletal anomalies. As primary causes for the missed cases doctors mentioned unfavourable position, oligohydramnios and multiple pregnancies. Scanning at gestational stages not recommended in the screening time-table as well as not following a checklist was responsible for 20 % of all missed diagnoses, whereas ultrasound equipment was not a major problem. CONCLUSIONS The current 11-14 weeks' and 20-23 weeks' scan in Switzerland allows, at best, a 75-80 % detection rate of congenital anomalies prior to 24 weeks. Some 20 - 25 % of abnormalities appear as late as the last trimester, the majority being urogenital malformations. Roughly one third of early detectable malformations are currently missed, heart defects and skeletal anomalies being the leading causes. The detection rate could be improved by strictly following the Swiss guidelines.
Poison control center experience with tianeptine: an unregulated pharmaceutical product with potential for abuse

Abstract Background: Interest in tianeptine as a potential drug of abuse is increasing in the United States. We performed a retrospective study of calls to the New York State Poison Control Centers (PCCs) designed to characterize one state’s experience with tianeptine. Methods: Data were gathered from existing records utilizing the poison center data collection system, Toxicall® entered between 1 January 2000 through 1 April 2017. Information regarding patient demographics, reported dose and formulation of tianeptine, reported coingestants, brief narrative description of the case, disposition, and case outcome was collected. Results: There were nine reported cases of tianeptine exposure. Seven were male with a mean age of 27. Three reported therapeutic use of tianeptine and five reported intentional abuse. One case was an unintentional pediatric exposure. Doses were reported in three cases; 12.5 mg in a pediatric unintentional exposure, and 5 and 10 g daily in the two reports of intentional abuse. Of note, five patients complained of symptoms consistent with opioid withdrawal. In one of two cases in which naloxone was administered, an improvement in mental status and the respiratory drive was noted. Outcomes reported in Toxicall® were minor in two cases, moderate in five cases, major in one case, and not reported in one case. Conclusions: These cases, reported to the New York State PCCs should alert readers to the potential for tianeptine abuse, dependence, and withdrawal.
PHOTOCATALYTIC DEGRADATION OF RESORCINOL OVER ZnO POWDER THE INFLUENCE OF PEROXOMONOSULPHATE AND PEROXODISULPHATE ON THE REACTION RATE

M. Maria Berjilia 1 , S. Manikandan 1 and K.B. Dhanalakshmi 2 . 1. Department of Chemistry, Government Arts College, Ariyalur621 713, Tamil Nadu, India. 2. Department of Chemistry, Arignar Anna Government Arts College, Musiri 621 211 Tamil Nadu, India. Manuscript Info Abstract . Manuscript History
Selection in 2D and 3D environments with levels of precision and progressive refinement

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A New Computational Framework for Efficient Parallelization and Optimization of Large Scale Graph Matching

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Hybrid Multilayer Receiver based MAC Protocol for Green Wireless Sensor Networks

Traditional Wireless sensor networks rely on a limited energy source, mostly batteries. But most applications need nodes to be an autonomous and continuous operation for months or years. Power consumption by sensor node is the most important part of WSN. MAC protocols help in reduction of power consumption which increases the node lifetime. But it can extend the lifetime to a certain point only, finally, we have to replace the battery. Energy harvesting along with the duty cycling come to the rescue, but now the MAC layer needs to be redesigned. In battery-based WSN the major emphasis is on lifetime only but Green Energy harvesting based protocol focus on effective energy utilization and improving the quality of the network. In this paper, new MAC protocol is designed known as Hybrid multilayer receiver initiated MAC protocol customized for the solar energy.
Incidence of Acute Ischemic Stroke With Visible Arterial Occlusion

Supplemental Digital Content is available in the text. Background and Purpose: Because of several methodological limitations, previous studies focusing on the prevalence of large vessel occlusion in ischemic stroke (IS) patients provided conflicting results. We evaluated the incidence of IS with a visible arterial occlusion using a comprehensive population-based registry. Methods: Patients with acute IS were prospectively identified among residents of Dijon, France, using a population-based registry (2013–2017). All arterial imaging exams were reviewed to assess arterial occlusion. Annual incidence rates of IS (first-ever and recurrent events) and IS with a visible occlusion were calculated. Results: One thousand sixty cases of IS were recorded (mean age: 76.0±15.8 years, 53.9% women). Information about arterial imaging was available in 971 (91.6%) of them, and only preexisting dementia was independently associated with having missing information (odds ratio=0.34 [95% CI, 0.18–0.65], P=0.001). Among these patients, 284 (29.2%) had a visible arterial occlusion. Occlusion site was the anterior circulation in 226 patients (23.3% of overall patients with available data) and the posterior circulation in 58 patients (6.0%). A proximal occlusion of the anterior circulation was observed in 167 patients (17.2%). The crude annual incidence rate of total IS per 100 000 was 138 (95% CI, 129–146). Corresponding standardized rates were 66 (95% CI, 50–82) to the World Health Organization and 141 (95% CI, 118–164) to the 2013 European populations. The crude annual incidence rate of IS with a visible arterial occlusion per 100 000 was 37 (95% CI, 33–41) and that of IS with a proximal occlusion of the anterior circulation was 22 (95% CI, 18–25). Corresponding standardized rates were 18 (95% CI, 10–26) and 10 (95% CI, 8–13) to the World Health Organization population, and 38 (95% CI, 26–50) and 23 (95% CI, 19–26) to the 2013 European population, respectively. Conclusions: These results will be helpful to plan the need for thrombectomy-capable stroke center resources.
Demanding Choices: Opinion, Voting, and Direct Democracy

Referenda on important public policy questions have come to play a central role in policy making in many states. Referenda, or ballot propositions, have resulted in limits on taxation and limits on the number of terms of elected officials, and have dealt with bilingual education, campaign finances, and affirmative action, in states all over the country.Shaun Bowler and Todd Donovan present a searching and original examination of how voters make decisions in direct referenda. The authors ask if voters have some information about the issue easily at their disposal and if they make choices that seem sensible given their interests and the information they have. Looking at the way voters respond to different kinds of questions, the authors suggest that while direct democracy has its failings, the flaws do not necessarily lie with citizens being "duped," nor with voters approving propositions they do not want or do not understand at some basic level.As cynicism about government has increased many have sought to take policy questions out of the hands of elected officials and put the questions directly before the voters for decision. And yet many are skeptical about the ability of voters to make intelligent decisions about complex policy issues. This important book demonstrates that voters are capable of responding thoughtfully to referenda questions.This book will appeal to students of contemporary American politics and electoral politics.Shaun Bowler is Associate Professor of Political Science, University of California at Irvine. Todd Donovan is Associate Professor of Political Science, Western Washington University.
State as a stakeholder

In this paper, we want to focus on the interactions of shareholder theory, stakeholder theory, institutional theory and agency theory in terms of corporate social responsibility. We will specifically study this issue in the context of commercial banks in the financial sector. Financial firms appear to be subject to strong technical and institutional pressures. They are also more opaque and subject to heavier regulation than their non‐financial counterparts. It appears that the application of agency‐based assumptions to the financial sector is inadequate in explaining corporate governance and related social responsibility practices. In this context, the structure of asymmetric information seems to be more complex and multi‐dimensional. It takes place first between the depositors, the bank and the regulatory authorities; second, between the shareholders, the bank and the regulatory authorities; last, between the borrowers, the managers and the regulatory authorities. These parties also constitute the firms’ stakeholders. In this respect, the state appears to be a major stakeholder and it is in a position to affect all other bank/stakeholder relations through its regulations and participation in the financial sector. These are the factors that intensify institutional pressures in this sector. The institutional embeddedness inherent in a special context is likely to affect stakeholder position and attitudes. Therefore, this paper aims to investigate the conflicting nature of being a stakeholder under institutional pressures and it articulates the factors that determine the behavior of the state as a stakeholder in shaping corporate social responsibility practices of firms.
C-reactive protein: A differential biomarker for major depressive disorder and bipolar II disorder

Abstract Objectives We aimed to examine whether the C-reactive protein (CRP) level could be used to differentiate between major depressive disorder (MDD) and bipolar II disorder (BD II). Methods Ninety-six healthy controls, 88 BD II and 72 MDD drug-naïve patients in their major depressive episodes were enrolled. The fasting plasma level of high-sensitivity CRP was assessed at baseline and after treatment. Results The BD II patients presented significantly higher 17-item Hamilton Depression Rating Scale (HDRS) scores and CRP levels at baseline when adjustment for age, gender, and body mass index (P < 0.001 and P < 0.001, respectively). After treatment the CRP levels remained significantly different (P < 0.001), although the HDRS score was not significantly different between the BD II and MDD patients. A receiver-operating characteristic analysis showed that a baseline CRP level of 621.6 ng/mL could discriminate between BD II and MDD, with an area under the curve of 0.816 and a sensitivity and specificity of 0.699 and 0.882, respectively. Furthermore, the baseline CRP level greater than 621.6 ng/ml had 28.2 higher odds of a diagnosis of BD II (P < 0.001, 95% confidence interval: 10.96–72.35). Conclusions The level of CRP plays a role of biomarker to differentiate between MDD and BD II depression in both their depressed and euthymic state.
Influence of Iron on Immunity and Disease Resistance

Iron deficiency anemia characterized by lethargy, pallor, and loss of breath upon exertion and asymptomatic tissue level iron deficiency are the most common nutritional deficiencies in the world. Iron requirements are relatively high in infants, children, and pregnant women due to rapid growth and in all females of reproductive age due to menstrual blood loss. In many diets the supply of iron is low and bioavailability is very poor. The result is that iron deficiency and the more severe iron deficiency anemia are very common in these age and sex groups in both developing and developed countries and across socioeconomic groups. For many years the paradoxical relationship between iron deficiency anemia and infectious disease has been recognized. On the one hand, population groups with a high incidence of iron deficiency anemia have been observed to have a high rate of infectious diseases. On the other hand, iron overload produced by administering large doses of iron parenterally or orally, has been associated with increased infection. This apparent paradox results from a combination of: a delicate balance between the iron requirements of the host and of the invading microorganism; and, the role of iron in mounting an effective immune response in the host. Microorganisms require iron for growth in concentrations which are generally available in tissues of vertebrates. Iron chelators, known as siderophores, are produced by bacteria, fungi, and algae to obtain iron from the environment. Powerful physiological processes in vertebrate hosts withhold iron from invading microorganisms. If the supply of iron in the host is so high that the physiological processes to withhold it are exceeded, the invading microbes can succeed in obtaining iron for growth and will flourish producing active infection. While it has been generally believed that iron is required for the host to mount an effective immune response and destroy infectious and antigenic agents, the exact mechanisms by which iron functions in immunity are still unclear. The focus of the research reported here has been to explore the role of iron in individual components of the immune response. Considerable research has been done demonstrating that in human populations where iron deficiency occurs there is increased infection and immune responses are defective. A recently published chapter reviews the body of research related to iron and human immune responses. ' In most of these field studies published in the 1970s, many confounding variables were present. Most of the groups studied suffered from multiple nutrient deficiencies, parasitic infestations, and unhygienic conditions. In addition, most of the subjects studied were hospitalized for severe illness resulting from malnutrition. It is most difficult to conclude from these types of studies that iron was the singular parameter causing the diminished immune response. Nor was it possible to establish cause and effect relationships. The approach taken in this laboratory is to use a clearly defined and controlled animal model to identify where and how iron is functioning in the immune
N-Acetylcysteine for the Management of Anemia and Oxidative Stress in Hemodialysis Patients

Background/Aims: To explore the efficacy of oral N-acetylcysteine (NAC) supplementation for anemia and oxidative stress in hemodialysis (HD) patients. Methods: Of the eligible patients (n = 325) in an outpatient HD unit, 49 received NAC 200 mg orally thrice a day during the first 3 months, while the other 276 patients not receiving NAC were observed. Results: During the 4-month study, 11 patients receiving NAC withdrew but had no severe adverse effects, while 49 patients not receiving NAC had negative confounding events. Thus only the data of the remaining patients, 38 taking NAC and 227 not taking NAC, were analyzed for efficacy. The demographic and laboratory data of both groups were similar at baseline. When the erythropoietin dosage was stable throughout, only the NAC group had a significant increase in hematocrit, accompanied with a decrease in plasma levels of 8-isoprostane and oxidized low-density lipoprotein. Analyzed as a nested case-control study, NAC supplementation was also found to be a significant predictor of positive outcomes in uremic anemia. Conclusions: Oral NAC supplementation may be a promising therapy for uremic anemia and oxidative stress in HD patients.
The Torres Indigenous Hip Hop Project: evaluating the use of performing arts as a medium for sexual health promotion.

ISSUE ADDRESSED The Torres Indigenous Hip Hop Project (the Project) was conducted in the Torres and Northern Peninsula Area of Queensland during early 2010. This paper provides a critical analysis of project outcomes and identifies criteria that may form a suitable framework for the assessment of proposals for sexual health promotion using performing arts-based approaches in Aboriginal and Torres Strait Islander settings. METHODS A case study method was used. The first phase of analysis assessed whether project objectives were met using data collected during project planning and implementation. The second phase used these findings, augmented by interviews with key personnel, to respond to the question 'How could this be done better? '. RESULTS The Project required significant human and organisational implementation support. The project was successful in facilitating event-specific community mobilisation. It raised awareness of sexual health disadvantage and engaged effectively with the target group. It laid important groundwork to progress school-based and community mechanisms to address regional youth disadvantage. Against these benefits are issues of opportunity cost and the need for ongoing resources to capitalise on the opportunities created. CONCLUSIONS With substantial support and planning, such approaches can play an important role in engaging young people and bridging the gap between clinical interventions and improvements in health deriving from community-driven strategies. SO WHAT? This paper contributes to existing literature by identifying key elements of an effective approach to using performing arts in sexual health promotion in Aboriginal and Torres Strait Islander settings. It also provides guidance when consideration is being given to investment in resource-intensive health promotion initiatives.
Back to caring after being hurt: The role of forgiveness

While the topic of forgiveness has only recently started to receive empirical attention, little research has been conducted to examine the notion that forgiveness predicts pro-relationship responses, motivated by a willingness to set aside personal well-being to enhance the well-being of the partneror relationship. The purpose of the present research was to examine whether forgiveness predicts prorelationship responses, and whether it does so above and beyond commitment to the offender. Consistent with hypotheses, three studies revealed that forgiveness is significantly associated with (a) willingness to accommodate (i.e. to respond constructively rather than destructively when the partner has engaged in a potentially destructive act), (b) willingness to sacrifice, and (c) level of intended cooperation. Moreover, these associations were independent of commitment to the offender, providing initial evidence for the unique role of forgiveness in understanding pro-relationship motivation and behaviour. Finally, the results of Study 3 suggested that forgiveness restores, rather than increases, levels of pro-relationship motivation, compared to baseline levels of pro-relationship motivation. Copyright # 2004 John Wiley & Sons, Ltd. John has been involved in a romantic relationship with Cathleen for a long time, he feels strongly committed to her, and in general, everything is going very well between them. However, once, when they were in a bar with friends, Cathleen publicly divulged a secret of John’s. All their friends enjoyed the secret and had to laugh, but John thought this was far from amusing and felt that the situation was quite embarrassing for him. He felt deeply hurt by Cathleen and they had a big fight about this incident. Although they talked it over and Cathleen expressed her regrets that same night, nowadays, when he is thinking about the incident, John still experiences some anger and feelings of resentment towards Cathleen: John has not been able to fully forgive Cathleen for this incident. When they are interacting, people sometimes offend and hurt each other, whether they are intimate partners, family, friends, or acquaintances. What is the impact of such offences on the functioning of the relationship? How do people maintain their interpersonal relationships, despite these sometimes deeply hurtful moments within the relationship? Will it be easy for John to engage in pro-relationship behaviour toward Cathleen? How will John react if Cathleen again acts in some destructive way?
Computer methods for non-invasive measurement and control of two-phase flows: a review study

Nowadays, the application of advanced technologies in modern production systems is the main trend of development and technological progress in many industrial sectors. It is due to the still growing trends of energy-saving and production quality enhancement. Wherever in the production process the phase mixture is transported and it is not optimal or not economic, there is a need to develop a system which would be able to prevent any construction disaster, unexpected production line stopping or situation where for reasons of bad flow parameters, the final product is defective. This paper studies various sensors, measurement techniques and computer methods for signal processing and analysis to diagnose and control two-phase flows. Due to the possibility that the invasive measurement disturbs the process and changes it parameters and behavior especially in the location just after the measurement point and simultaneously does not provide any information about these changes it is unreliable for the diagnosis or control. Therefore, the non-invasive techniques commonly used for measurement of flows parameters are described. Depending on the industrial demands many of applications examples for non-invasive two-phase flows measurement and monitoring are given. This description for identifying the flow parameters is divided into features categories of this phenomena as void fraction distribution, velocity profile and flow regime. However, from these methods the high accuracy and short processing time is expected. The continued observation and monitoring of the process abnormalities can provide valuable information about its dynamic state and allow for real-time and automatic monitoring and control. Therefore, the development of advanced process control is one of the most important challenges to keep the flow regime on the given level and for instant and long-term energy saving, quality improvement.