jimnoneill/paper-to-field-training huggingface dataset:
Enhancing Nurse Practitioners’ Knowledge And Confidence In Addressing COVID-19 Vaccination Hesitancy

Field: Health Professions (Health Sciences)

AbstractProblem Statement: Unvaccinated individuals are at high risk of severe COVID-19 disease. In order to encourage patients to get vaccinated against COVID-19, healthcare providers need to be able to effectively address patient hesitancy regarding COVID-19 vaccination. Purpose: To increase the Nurse Practitioner’s ability to address patient hesitancy regarding COVID-19 vaccination. Methods: A COVID-19 vaccination education curriculum was developed, covering topics of COVID-19 vaccine general information, known COVID-19 vaccine misconceptions within the local community, communication strategies and techniques on how to respond to vaccine hesitancy, and a practice session using a communication strategy technique. A one-day training session was provided to the Waianae Coast Comprehensive Health Center (WCCHC) Na Lei Kukui Nurse Practitioner Residency Program 2021-2022 Cohort. Results: Increases in participants’ (N=4) overall group mean scores for knowledge and self-confidence were observed between pre- and post-surveys. Increases in pre- and post-test scores for most knowledge check questions were also noted. Comments received on program evaluations indicated that participants found the information and approach useful. Participants recommended the program for other nurse practitioner residents. Discussion: The COVID-19 vaccination education program showed promising results for increasing knowledge and self-confidence among nurse practitioner residents when engaging in vaccine communications with hesitant patients. A major limitation of the project included the small number of participants. However, the program was well received by the participants, and its positive reception suggests that the program may serve as a model for a robust vaccine education program to be used by the Na Lei Kukui Nurse Practitioner Residency Program.
Acute Monocytic Leukemia Blasts with Cuplike Nuclear Morphology: A Case Report

Field: Medicine (Health Sciences)

with monoblasts (AML-M5a subtype) with CD13 (99%), CD33 (97%), CD34 (99%), CD11c (54%), CD117 (91%), human leukocyte antigen (HLA)-DR (99%), CD4 (7%), CD14 (2%), and CD64 (1%). Chromosomal analysis showed the normal 46XX. The analysis of DNA revealed that blasts had the internal tandem duplication of the McDonough feline sarcoma viral oncogene (fms) like. We did not perform the mutation analysis of nucleophosmin 1 (NPM1) gene. Microscopic diagnosis revealed the blasts to be medium to large in size, and they had a pale cytoplasm with azurophilic granules. Since 10% of blasts had cuplike nuclear invaginations spanning over 25% of the nuclear diameter (see Figure 1), we considered that these blasts satisfied the criteria for AML-cuplike described by Kussick et al [1]. We did not perform electron microscopic observations of these blasts. Two courses of chemotherapy failed bone marrow blasts to attenuate less than 5% of all nuclear cells. The salvage chemotherapy brought about complete remission; thus, she underwent allo-peripheral blood stem cell transplantation (allo-PBSCT), wherein the donor was her HLA-matched brother. Although these treatments led to complete remission initially, the leukemia relapsed in the bone marrow 5 months after allo-PBSCT. Interestingly, 2% of blasts at relapse retained the cuplike nuclear
Identification of ventilated and submarine glacial meltwaters in the Amundsen Sea, Antarctica, using noble gases

Field: Earth and Planetary Sciences (Physical Sciences)

To delineate the glacial meltwater distribution, we used five noble gases for optimum multiparameter analysis (OMPA) of the water masses in the Dotson-Getz Trough (DGT), Amundsen Sea. The increased number of tracers allowed us to define potential source waters at the surface, which have not been possible with a small set of tracers. The highest submarine meltwater (SMW) fraction (~0.6%) was present at the depth of ~450 m near the Dotson Ice Shelf. The SMW appeared to travel beyond the continental shelf break along an isopycnal layer. Air-equilibrated freshwater (up to 1.5%), presumably ventilated SMW (VMW) and surface melts, was present in the surface layer (&lt;100 m). The distribution of SMW indicates that upwelled SMW, known as an important carrier of iron to the upper layer, amounts for 29% of the SMW in the DGT. The clear separation of VMW from SMW enabled partitioning of meltwater into locally-produced and upstream fractions and estimation of the basal melting of 53 – 94 Gt yr -1 for the adjacent ice shelves, assuming that the SMW fractions represent accumulation since the previous Winter Water formation. The Meteoric Water (MET) fractions, consisting of SMW and VMW, comprised 24% of those derived from oxygen isotopes, indicating that the annual input from basal melting is far less than the inventory of meteoric water, represented by MET.
Sacred spaces : alternative religion and healing in Glastonbury, England

Field: Social Sciences (Social Sciences)

From April 26 to July 27 1999 I conducted field research in Glastonbury England. During this period, I studied the manifestation of alternative religious beliefs and the provision of alternative healing in the context of seven alternative Bed and Breakfast accommodations. The following thesis probes issues relating to the manifestation of the alternative identity of these establishments, the characteristics of alternative healing in the B&B's, and the nature of health and healing as understood by proprietors of these accommodations. Further, I examine the importance of the physical, spiritual and symbolic landscape of Glastonbury to the practice of healing. I also discuss the nature of the town as a centre of 'alternative' pilgrimage in relation to the model proposed by anthropologist Victor Turner. Lastly, I explore the nature of tourism in Glastonbury and the tensions which exist between the alternative spiritual world of the B&B proprietors and the secular world represented by the Tourist Board.
An evaluation of efficacy of Lichtenstein mesh hernioplasty in emergency settings: a study in tertiary care hospital in Odisha

Field: Medicine (Health Sciences)

Background: Despite the high incidence, the technical aspects of hernia repair continue to evolve making it the most common operations performed by general surgeons. Lichtenstein mesh hernioplasty repairs all hernias without distortion of the normal anatomy and with no suture line tension. This study was performed to evaluate the outcomes of Lichtenstein mesh herinioplasty in emergency inguinal hernia patients.Methods: A 84 patients were operated for complicated (obstructed irreducible) inguinal hernia. A follow-up period of 6 months using the Quantitative and Qualitative Measurement Instrument for evaluation of Lichtenstein hernioplasty outcomes was completed for 44 emergency patients.Results: The age incidence of the hernia patients in the study group was 40% (25-35 years) followed by 24% (15-25 years). The anatomical position of the hernia in the study group was to the right having a dominant percentage of 72% followed by left (24%) with none in bilateral. Early postoperative complications in mesh repair (Lichtenstein hernioplasty) comprising of factors like wound infection (10%), hematoma (5%), seroma (10%) was significantly lower compared to tissue repair with wound infection (20%), hematoma (5%) and seroma (25%). Further mesh rejection in Lichtenstein hernioplasty was 0% for the study population. Similarly, late postoperative complications in Lichtenstein hernioplasty comprising of factors like wound dehiscence (4%), neuralgia (27%) was significantly lower compared to tissue repair with wound dehiscence (27%), neuralgia (41%).Conclusions: The study revealed that the use of polypropylene prosthesis in the emergency setting (obstructed hernia) is safe and outcomes are satisfactory.
BESTPAR: TOWARDS MINIMAL EFFORT IN BUILDING ENERGY SYSTEM SIMULATION PARAMETERIZATION

Field: Energy (Physical Sciences)

Model parameterization is a time-consuming and potentially error-prone task, in particular for large simulation models. While still many parameterizations are executed manually, we present a uniform method to minimize the parameterization effort and apply it to building energy systems. Using heat and temperature demands as input, we quantify the remaining parameters with physics-based relationships. Input parameters are either scalable or known by experts. Applying the presented method, the number of parameters decreases by 86 %. This decrease essentially reduces the implementation effort and the number of potentially incorrect parameters. Thus, we provide parameterizations of building energy systems with minimal effort.
The Dream of Interactivity in Children's Literary Media

Field: Arts and Humanities (Social Sciences)

This contribution approaches the concept of interactivity in relation to children's literary media, highlighting the historical relation between children's literature and innovation, the promise of interactivity as an ever-moving horizon of expectations in digital media, and the need for balance between technological and cognitive interactivity. Firstly, this chapter discusses the concept of interactivity within the context of reading, examining the types of interactivity at work in digital media and proposing transliteracy as an appropriate perspective to encompass them. Following a transliterary approach, the chapter then presents examples of children's literary media that can function as bridges between different modalities of reading, especially between print and digital literacy. From this double perspective, it will address the initiatives of libraries to preserve children's literature of the past in 'enriched' digital formats. And, subsequently, it will describe children's and young adults' electronic literature that explores the interactive potential of electronic textuality without losing sight of print's affordances. Given the hybridity of old and new media of post-digital literary artefacts, it becomes necessary to develop a model of reading that takes into account not only children's cognitive developmental states, but also the different types of interactivity at work simultaneously and the multiplicity of literacies necessary to approach them.
Investigating freshwater governance in a decolonization context: Knowledge, values and policies. The case of New-Caledonia

Field: Social Sciences (Social Sciences)

Freshwater supply is complex and contested in most Pacific Island countries. In particular, it is intertwined with questions of access, appropriation and control over land resources, considered together with sea resources as a principal source of wealth and identity in many island nations. In New Caledonia, freshwater governance faces a wide range of issues. The territory has also been engaged in negotiated decolonization since the political agreements of Matignon-Oudinot (1988) and Noumea (1998). In this specific context of continuing decolonization, New Caledonia still needs to develop its own competencies in Water management. Currently, New Caledonia's provinces have extensive powers to administer their territories, which interact with other governance levels (indigenous village, local community, government, the French state). This results in a complex web of legal competencies and multilevel policies which hampers the coordination of interests. Furthermore, Nickel-mining extraction, growing urbanization, complex land uses and scattered water rights continually raise new freshwater management challenges. Through the framework of continuing decolonization, this communication analyzes the dynamics of local governance conflicts related to heterogeneous water uses (settler agriculture, indigenous agriculture, mining activities) and to heterogeneous water laws and rights (especially between indigenous land, and public land). First, we identify the different levels and sites of water governance, and mapping the authorities, interest groups and informal stakeholders that are active in major arenas of water governance. Then, on the basis of a study case in the river of Pouembout, we analyze the emergence and of local governance conflicts through the lens of decolonization. Finally, we discuss the need to analyze the various processes of imaginary building, knowledge formation and implementation values associated with the access to, usage of, and governance of freshwater specifically on indigenous land.
The Cross-Level Effect of Shared Leadership on Tourism Employee Proactive Behavior and Adaptive Performance

Field: Business, Management and Accounting (Social Sciences)

Shared leadership has emerged as a new style that has been proven to contribute to employee performance. However, the underlying mechanism of shared leadership on employee performance and its possible correlates have not received sufficient academic attention in the literature. To narrow the related research gaps, the current study aims to establish a multi-level framework incorporating shared leadership, team reflexivity and employee performance, and examined the cross-level mediation mechanism between shared leadership and adaptive performance. A questionnaire survey consisting of 301 valid employees’ samples from 31 work teams in the hotel industry in China validated the proposed model. Multilevel analysis with Mplus was applied. The current study found that shared leadership positively influences team reflexivity, and share leadership influences employee’s adaptive performance through proactive behavior. The current study sheds light on the role of shared leadership in tourism organizations. The practical implications regarding how to improve the organizational environment to enhance productivity are further discussed.
丙型肝炎病毒核心蛋白对胆管癌细胞NFAT1基因表达的影响

Field: Medicine (Health Sciences)

目的 探讨丙型肝炎病毒核心蛋白（HCV C）是否通过调控转录因子NFAT1的表达参与肝内胆管癌的发展及恶性生物学行为。方法 构建表达HCV C核心蛋白的真核表达质粒pEGFP-N3-HCV C，通过瞬时转染pEGFP-N3-HCV C质粒，RT-PCR检测肝内胆管癌RBE细胞中NFAT1 mRNA的表达情况，Western blot检测NFAT1蛋白的表达情况，MTT法检测细胞增殖，流式细胞术检测细胞周期变化情况。 结果 转染HCV C后胆管癌细胞NFAT1基因的mRNA及蛋白表达明显上升，差异具有显著性（P<0.05）；HCV C能够促进细胞向G2/M期进展及使细胞增殖能力增加。结论 HCV C可上调胆管癌细胞中NFAT1基因的表达，促进细胞周期进展及胆管癌细胞增殖，可能与肝内胆管癌的发展有关。To explore whether hepatitis C virus core protein (HCV C) regulates the expression of NFAT1 to participate in the progression and malignant biological behavior of intrahepatic cholangiocarcinoma cells. The recombinant plasmid pEGFP-N(3)-HCV C and the empty vector pEGFP-N(3) were cotransfected with enhanced green fluorescent protein (EGFP) into RBE cells using liposome. Real-time PCR and Western blotting were used to examine the expression of NFAT1 mRNA and protein in the transfected RBE cells. MTT assay was used to evaluate the changes in the cell proliferation, and the cell cycle changes were analyzed by flow cytometry. HCV C transfection significantly enhanced the expressions of NFAT1 mRNA and protein in RBE cells (P<0.05) and promoted the progression of cell cycle into G(2)/M phase to accelerate the cell proliferation. Transfection with HCV C gene up-regulates NFAT1 expression and promotes the cell cycle progression and proliferation of intrahepatic cholangiocarcinoma cells, suggesting the involvement of HCV C in the progression of intrahepatic cholangiocarcinoma.
The access and return on investment dilemma in Big Science Research Infrastructures: A case study in astronomy

Field: Social Sciences (Social Sciences)

The question of who gets access to Big Science facilities and why this access is allocated is fundamental for both the scholarly study of Big Science and the constellation of actors that support, fund and lead big machines and big organizations. Policymakers face a variety of contradictions as facilities become larger and more costly, accumulate more international partners and face demands to show return on investment by producing the best science in combination with broader socio-economic impacts. This chapter explores these dilemmas by reviewing the issues in astronomy and applying an economic goods approach to scrutinize two common notions of return on investment: first, that returns should accrue primarily to individual scientists and institutions or communities that fund facilities; and second, that access to facilities represents a broader public good. We conclude that the challenges of defining access demands a conceptual framework to navigate these dilemmas in Big Science.
Atypical Femur Fractures: 81 Individual Personal Histories

Field: Medicine (Health Sciences)

AFF patients experienced delayed healing, prodromal pain, and persisting risk of a contralateral and/or other fracture. Femur pain evaluation in patients on long-term bisphosphonates may facilitate early diagnosis of stress AFFs, permitting intervention, thus reducing completed and/or contralateral or other fracture risk. The details of these histories will assist in counseling regarding prognosis after an initial AFF.
Optimization and Characterization of Lead Bioremediation by Strains of Microbacterium Oxydans

Field: Environmental Science (Physical Sciences)

Bioremediation as a bioprocess has great potential to reduce the toxicity of heavy metals such as lead (Pb) from contaminated sites. In this study, the Pb-bioremediation potential of Microbacterium oxydans CM3 and CM7 (individually and a mixture of both strains) was evaluated. To improve the Pb-bioremediation efficiency, the response surface methodology (RSM) was used to optimize the process factors responsible such as pH, temperature, and initial Pb concentration. The optimum condition for strain CM3 was observed at pH 6.81, temperature 35.31 °C, the Pb concentration of 337.35 mg/L, and the Pb removal was 60.42%. However, the strain CM7 showed the maximum Pb remediation at temperature 35.65, pH 5.28, the Pb concentration of 346.95 mg/L and the Pb removal was 59.05%. Among the studied bacteria, mixture culture (containing both strains) was more able to remove Pb than a single culture. Our result found that the Pb was precipitated as insoluble form at pH≥6.5 by M. oxydans strain CM3 and insoluble Pb-phosphate compound in the cell wall was confirmed using SEM and EDS. This study revealed that M. oxydans strain CM3 and CM7 have a high Pb remediation potential and could be used to remove Pb(II) from contaminated environments.
Simulation Research on Fuzzy Shift Strategy of Automobile

Field: Engineering (Physical Sciences)

In order to avoid shift cycle in the process of fuzzy control for automatic transmission shift,a new fuzzy control strategy was designed.A shift map obtained from an experiment was divided into an upshifting map and a downshifting map,and two corresponding fuzzy controllers,upshifting controller and downshifting controller,were designed.It was put forward that the controllers should work in the light of the acceleration,i.e.,the system is controlled by the upshifting controller when the acceleration is positive,and it is controlled by the downshifting controller when the acceleration is negative or zero.A simulation model was built to achieve the control strategy,and a simulation was carried out to validate the correctness and feasibility of the fuzzy shift strategy designed.The simulation result shows that an automobile with this shift strategy can effectively avoid shift cycle even if it is running in a complicated driving condition and this shift strategy can obtain the optimal power and economic performances.
Taxonomic significance of fruit and seed structure in the subfamily Cassinoideae (Celastraceae)

Field: Agricultural and Biological Sciences (Life Sciences)

The paper reports on the macro- and micromorphology and anatomy of fruits and seeds in 19 species representing 13 African and American genera of subfamily Cassinoideae (family Celastraceae). A diversity of carpological characters was identified: fruit type and peculiarities of its dehiscence; presence of trichomes on fruit surface; subtypes of pyrenaria (polymerous, olygomerous, dimerous, pseudomonomerous); number of seeds, morphology of the seed (shape, presence/absent of outgrowths); the ratio of parenchymatous (ground) and sclerenchymatous (supporting) cell elements in the pericarp, cell shape and number of cell layers in the seedcoat. Fruit and seed characters support the differences between genera, also reflect on their possible relationship. The traits revealed are also used to substantiate and support the recent taxonomic revision of many genera, primarily African. The array of revealed fruit and seed traits strongly support previous taxonomic decisions to define most genera of the subfamily Cassinoideae in a narrow sense. It is especially relevant in the taxonomy of the African representatives, characterizing among others the distinct indigenous flora of the Cape Floristic Region.
Thwarted belongingness, perceived burdensomeness, and acquired capability for suicide among university students of Bangladesh: Scales validation and status assessment

Field: Psychology (Social Sciences)

Identification of prior mental events of suicide attempts has immense importance in suicide prevention. However, it has not been studied in Bangladesh as there was no available psychometrically valid instrument measuring it.We aimed to test the psychometric properties of the interpersonal needs questionnaire (INQ-15) and acquired capability for suicide scale-fearlessness about death (ACSS-FAD) in Bangla along with the determination of the level of thwarted belongingness, perceived burdensomeness, and acquired capability for suicide.We collected data between 29 March and 14 April 2022 from 1,207 students of medical colleges and universities in Bangladesh by Google form. We assessed the psychometric properties of Bangla INQ and ACSS-FAD scales and examined factors associated with thwarted belongingness, perceived burdensomeness, and acquired capability for suicide.The mean age of the participants was 22.82 ± 1.68 (range 18-29) years, 51% were females, 84% were graduate students, and 92% were unmarried. Both of the scales revealed acceptable levels of reliability. Confirmatory factor analysis revealed a two-factor structure of Bangla INQ after dropping three items from thwarted belongingness domain (item 9, 11, and 12) and a single factor structure for Bangla ACSS-FAD after dropping three items (item 1, 4, and 6). Perceived burdensomeness was significantly higher in females, students with a history of mental illness, family history of suicide, and the history of suicidal attempts. Fearlessness about death was significantly higher among females, non-Muslim participants, and history of suicidal attempts.The current study revealed psychometric properties of two suicide scales (INQ and ACSS-FAD) in Bangla that can be used in subsequent studies. Prevention strategies targeting to females, persons with psychiatric disorder, history of previous attempt(s) should be prioritized specially among the young age group.
Wooden‐based materials: Eco‐friendly materials for direct mass spectrometric analysis and microextraction

Field: Chemistry (Physical Sciences)

Abstract Lignocellulosic materials have arisen as a sustainable alternative in microextraction techniques during the last 10 years. As they are natural materials, their use fits into some of the principles of Green Analytical Chemistry. Their inherent porosity, narrow shape, and rigidity permit their use in ambient ionization mass spectrometry techniques. In particular, the combination of wooden‐based materials and direct analysis gives birth to the so‐called wooden‐tip electrospray ionization mass spectrometry technique. This approach has been used for the direct analysis of complex samples, and as a streamlined tool for fingerprint quality analysis. Also, wooden‐based materials can be superficially modified to boost the interaction with target compounds, allowing their isolation from complex samples. This review describes the potential and applicability of direct analysis using lignocellulosic materials, as well as other alternatives related to their use in microextraction.