jimnoneill/paper-to-field-training huggingface dataset:
A case of facial hemangioma managed by magnesium sclerosing therapy.

Field: Medicine (Health Sciences)

An extensive hemangioma in the face of a 36-year-old woman was successfully managed by pure magnesium sclerosing therapy. A total of 53cm of pure (99.8%) magnesium wire, 0.5mm in diameter, was inserted into the tumor in four times over 15 months. Although no reduction of the mass was observed, the sclerosed tumor was easily separated and removed. The sclerosing effect on the tumor minimized bleeding and facial nerve injury could be avoided. Pathological examination showed the formation of thrombi and dense collagen fibers, confirming the sclerosing effect.
A successful pregnancy outcome in a known case of chronic kidney disease: a case report

Field: Medicine (Health Sciences)

Chronic kidney disease (CKD) is defined as altered renal structure, function and morphology or glomerular filtration rate<60 ml/min for a minimum of 3 months. CKD affects approximately 6% women in reproductive age group in developed countries. The incidence is 0.03%-0.2% in pregnancy and if not diagnosed and treated on time, it may lead to poor prognosis. We are reporting a case of G2P1L1 at 24 weeks period of gestation with gestational hypertension, she was also a known case of CKD for 9 years not on treatment. She was followed up regularly with a multidisciplinary approach and successfully managed.
Analisis Yuridis Kewenangan Perawat Dalam Pengobatan Bekam Pada Praktik Keperawatan Mandiri

Field: Health Professions (Health Sciences)

In providing cupping treatment, health workers must apply patient safety so that malpractice does not occur, because in this digital era everything suspected of malpractice has been widely glimpsed by justice enforcers considering the presence of complementary therapies currently still causing controversy about ethical or not when applied in nursing services. In addition, the standard operating procedures for complementary-alternative services have not been clearly described. The problem in this study is how the authority of nurses in cupping treatment in independent nursing practice, and how the legal protection of cupping treatment in independent nursing practice. This research method uses a normative juridical approach, with secondary data collection. To find out whether there is a synchronization between the applicable regulations and the practice in the field. The data obtained were analyzed qualitatively. Based on the results of the study, it was found that nurses have the authority to perform cupping treatment obtained from non-formal education as long as the nurse has competence in the field in question and this authority is also strengthened by the existence of authority in limited circumstances. Nurses who perform cupping get preventive legal protection, which is protected by state institutions through laws and regulations that apply to nursing practitioners.
The evolution and models of rural areas: a sustainable development approach

Field: Social Sciences (Social Sciences)

The paper focuses on the problem of choice and evaluation of rural areas with respect to sus-tainable rural development. The following research methods were employed: investigation and par-ticipation, case studies, modelling, expert evaluation. It can be concluded, that the historic evolution of the Lithuanian countryside is highly interrelated with social transformations. In addition, home-steads as well as their patterns are among the most important factors of formation of rural areas and landscapes. Indeed, the comparison of American, German, Danish, and Lithuanian rural models stressed the exclusive importance of traditions and mentality. Lithuanian rural model consists of homesteads, settlements, and villages. According to sustainable development approach, homesteads satisfies the economic and environmental criteria to the highest extent, whereas villages are peculiar with high social opportunities. However, the social as well as psychological attitudes of citizens re-main an important factor. JEL codes: Q010, Q100, Q150.
Moving Target Indication for Dual-Channel Circular SAR/GMTI Systems

Field: Engineering (Physical Sciences)

In a dual-channel circular synthetic aperture radar (CSAR) and ground moving target indication (GMTI) system, the antenna baseline is not parallel with the flight path due to a yaw angle. The angle causes a varying group-phase shift between the dual-channel signals and therefore degrades the correlation between the image pair. Therefore, the group-phase shift needs to be removed before channel equalization. To resolve the problem, the interferometric phase term was deduced and analyzed based on the geometry of a dual-channel CSAR system. Then, the varying phase term with respect to the Doppler frequency and the varying group-phase shift over the range were compensated for in the channel registration. Furthermore, blind channel equalization, including two-dimensional calibration and amplitude equalization, was applied to eliminate the amplitude and residual phase differences between the channels. Finally, the amplitude image obtained using a displaced phase center antenna (DPCA) was multiplied by the phase image obtained with along-track interferometry (ATI) to detect moving targets. The experimental results verified the effectiveness of the method for both uniform and non-uniform clutter suppression.
Understanding insulin and nutrition administration in glycemic control with the right side of the brain

Field: Medicine (Health Sciences)

Abstract

Background Critically ill patients frequently experience stress-induced hyperglycaemia, leading to increased morbidity and mortality. Glycaemic control (GC) with insulin therapy alone has proven difficult, due to significant inter- and intra- patient variability in response to insulin therapy. This study reviews the problem and analyses the impact of physiological dynamics and patient variability on outcome glycemia. Methods A graphical model of metabolic dynamics is used to analyse the impact of fundamental glucose flux dynamics on insulin and nutrition administration in the context of maintaining a glycemic goal. It is used to delineate the limits of ability in controlling insulin and/or nutrition administration to achieve safe, effective glycemic control in critical illness in the presence of low insulin sensitivity and high insulin sensitivity variability. Results Insulin saturation limits insulin-mediated glucose uptake. At low insulin sensitivity, maintaining a glycemic target level requires reduced nutrition administration due to saturated insulin-mediated glucose uptake. Metabolic insulin sensitivity variability leads to insulin-mediated glucose uptake variability, requiring reduced nutrition administration at low insulin sensitivity and higher insulin doses to mitigate the risk of hypo- and hyper- glycemia. Conclusions This work reviews the clinical glycemic control problem using a graphically-based physiological analysis to show the need to control nutrition administration, along with insulin, to achieve safe, effective control. These reductions are necessary for highly insulin resistant patients, a condition typically occurring early in ICU stay. Glycemic control should directly control nutrition in addition to insulin to optimise all avenues of glucose flux and thus ensure safe, effective glycemic control.
Lightning and electrical activity during the 2006 eruption of Augustine Volcano: Chapter 25 in <i>The 2006 eruption of Augustine Volcano, Alaska</i>

Field: Earth and Planetary Sciences (Physical Sciences)

Lightning and other electrical activity were measured during the 2006 eruption of Augustine Volcano. We found two phases of the activity, the explosive phase corresponding to the explosive eruptions and the plume phase. We classified the lightning into three types, vent discharges, near-vent lightning, and plume lightning. Vent discharges are small, 10 to 100 m sparks, that occur at rate as great as 10,000 s-1 at the mouth of the volcano during the energetic explosive eruptions. The vent discharges were observed six different times. Near-vent lightning appears to develop upward from the volcanic cone into the developing column during explosions. This lightning is small, in the range of 1 to 7 km, and short, 0.01 to 0.1 s. The behavior of the near-vent lightning indicates an overall positive charge in the ejecta. The plume lightning resembled intracloud thunderstorm lightning. Often it was branched, spanned more than 10 km, and lasted more than 0.5 s.
Hormones and Breast Cancer

Field: Medicine (Health Sciences)

BDICJOURNAL 755 in other cases due to the ulcerated nature of the surface of the tumour.We feel, therefore, that a biopsy is required for any cervix which has the clinical appearance of malig- nancy, despite an initial negative smear.As Professor McLaren has said, cervical smears from patients with irregular bleeding, in whom body cancer is suspect, are not in- frequently negative.We have found, however, that in such circumstances vaginal smears are frequently positive when a cervical scrape is negative, the exfoliated cells having been caught in the vaginal vault.When, therefore, body carcinoma is suspected, both cervical and vaginal smears should be examined before curettage.-Iam, etc.,
Reply to Jan T. Lifjeld et al.: Female agency and fitness benefits of mixed-paternity broods remain

Field: Biochemistry, Genetics and Molecular Biology (Life Sciences)

Microbial communities are found throughout the biosphere, from human guts to glaciers, from soil to activated sludge. Understanding the statistical properties of such diverse communities can pave the way to elucidate the common mechanisms ...Multiple ecological forces act together to shape the composition of microbial communities. Phyloecology approaches—which combine phylogenetic relationships between species with community ecology—have the potential to disentangle such forces but are often ...
4CPS-222 Impact of the establishment of assisted electronic prescription on the improvement of the unit-dose drug dispensation system

Field: Health Professions (Health Sciences)

Background

The aim of the unit-dose drug dispensation system (UDDDS) allows us to dispense the medication required for the patient for the following 24 hours once the prescribed treatment has been validated by the pharmacist.

Purpose

Evaluation of the impact on the effectiveness of UDDDS after the change from the preprinted prescription chart (PPC) to the assisted electronic prescription (AEP).

Material and methods

This study was performed in a general hospital (330 beds), in which 10 units of hospitalisation were counted on UDDDS. The schedule of the delivery of the medication carts was established at 3 pm, after the daily doctor's visit. We have compared the functioning of UDDDS during the third term of 2017 and 2018, analysing in this way the dispensation with PCC and AEP respectively. We have measured as efficacy parameters the number of validated prescriptions before 3 pm and the percentage of the returns of unused doses of medication. The data was collected by the Discover program and was analysed with GraphPad Prism.

Results

The media of patients in UDDDS per month was 251.1±19.09 and 245±20.90, with a total of 14 870 and 17 779 validated prescriptions in 2017 and 2018 respectively. The percentage of validated prescriptions before 3 pm was 71.79% in 2017 (PCC) in comparison with 86.95% in 2018 (AEP), supposing an increase of about 15.18%. The percentage of the returns of unused medication doses was 20.26±)0.83 in 2017 versus 20.21±0.48 in 2018, not showing significant differences between the years of comparison.

Conclusion

Our results show a significant increase in the percentage of validation in the optimal schedule after the implementation of AEP despite the small increase in activity. Assuming that the remaining 12%–13% of the prescriptions correspond to changes in the treatment and hospital admissions during the afternoon and night, we consider we satisfied the purpose of the study. The parameter of the returns of unused medication doses, however, show the need for continuing the evaluation of the procedures in order to obtain a greater effectiveness.

References and/or acknowledgements

No conflict of interest.
Conflict Transformation Efforts in the Southern Philippines

Field: Social Sciences (Social Sciences)

This chapter provides insights into how the disciplines of anthropology and political science offer important ethnographic, cross-cultural, and holistic perspectives on conflict resolution and peace education. The elicitive approaches of both Paulo Freire and John Paul Lederach and their perspectives on conflict resolution and transformation techniques closely resonate with our project approaches. We illustrate these perspectives by offering examples from collaborative efforts that Northern Illinois University has undertaken in two capacity-building projects within civil society in the war-torn region of the southern Philippines. Our chapter reviews the state of conflict resolution within the broader field of anthropology and political science, how these frameworks are enacted in our programs, and their implications for peace education in higher education.KeywordsCivil SocietyConflict ResolutionPeace EducationIndigenous YouthPeace StudyThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Maximum Transfusion Rates in Neonates and Infants

Field: Medicine (Health Sciences)

A common method of rapid transfusion in neonates and infants is to manually inject an appropriate volume of blood using a syringe connected to a 3-way tap in the infusion tubing. We measured the maximum infusion rates this technique could generate through small bore cannulae (22 ga-25 mm, 24 ga-19 mm), and compared the efficiency of a range of syringe sizes. We also compared infusion rates generated by this technique with those obtained using a pressure pump chamber in the giving set. The manual syringing technique using a 10 ml syringe was the most efficient for all the fluids tested, providing infusion rates through the 22 ga cannulae of 64 ml/min for packed cells, 73 ml/min for whole blood and 105 ml/min for 0.9% saline.
An empirical exploration of TQM, TPM and their integration from Indian manufacturing industry

Field: Business, Management and Accounting (Social Sciences)

Purpose The purpose of this paper is to comparatively assess the contributions of total quality management (TQM) and total productive maintenance (TPM) practices, exclusively and collectively, on manufacturing business performance. Design/methodology/approach Responses to survey questionnaires were collected using multiple modes of data collection. A total of 269 filled responses were collected and analyzed to ascertain the contribution made by exclusive and collective implementation of TQM and TPM practices on business performance. The respondent firms were grouped into three clusters based on early, in-transition and advanced stages of implementation of either or both TQM and TPM manufacturing practices. Comparative assessment of the impact of standalone TQM, standalone TPM and combined TQM–TPM manufacturing methods on business performance parameters have been evaluated using statistical tools within each cluster. Findings Evidences were found to support the supposition that integrated implementation of both TQM and TPM practices over a reasonable period of time contributes in delivering better business performance as compared to the standalone implementation strategy. Research limitations/implications The study has its own limitations because of its chosen research approach. As the data in this study were collected from production management personnel on the basis of their subjective evaluations, more comprehensive objective performance indicators shall be employed for comparative assessment of manufacturing practices in future studies. In-depth case studies are needed to further validate the findings of the research study. Practical implications The analytical results reveal that an integrated TQM–TPM strategic implementation can systematically contribute toward realization of significant improvement in manufacturing business performance parameters. The results of this study are vital for production managers and senior management personnel of manufacturing firms that have implemented TQM and are considering introducing TPM in their organization (or vice-versa). Originality/value This empirical study signifies the need for strategically aligning and managing various production improvement ideologies for realization of an organization’s growth and sustainability in a long run. In particular, this paper invigorates the discussion about improving the synergy between maintenance and quality functions in the organization for meeting the challenges of highly competitive market environment.
Synesthesia

Field: Psychology (Social Sciences)

Synaesthesia: A first-person perspective provides an autobiographic account of having multiple synaesthesiae for music, flavours, and odours. By looking at a specific case, we can examine how it affects the individual, its sometimes complex mechanics, and the concerns a given synesthete might have. The case study given here is somewhat of an anomaly: the synaesthete-author in question has lost and regained his synaesthesiae, has always been
Design of hybrid split-capacitors and split-inductors applied in positive output super-lift luo-converters

Field: Engineering (Physical Sciences)

The DC/DC conversion technology has been developed very fast over the decades, and many new types of DC/DC converters are designed. As a very important part of the DC/DC conversion technology, voltage-lift (VL) technology has been widely used in design of DC/DC converters, and the theory is maturely built. While the output voltage of this kind of converters only increases in arithmetic progression when more stages are added. By using super-lift (SL) technique, the output voltage will increase in geometric progression. In this paper, a novel approach is introduced – super-lift Luo-converters armed with split-capacitors and split-inductors. By replacing the original capacitors and inductors with these split elements the output voltage will be lifted to another higher level. This is a very important contribution to the conversion technology by Professor Luo Fang Lin. In this report, formulas and simulation results are presented and analyzed.
Immunestimulation by 4-imino-1,3-diazabicyclo(3.1.0.)-hexan-2-on (BM 06.002).

Field: Pharmacology, Toxicology and Pharmaceutics (Life Sciences)

The new cancerostatic substance 4-imino-1,3-diazabicycle- (3.1.0.)-hexan-2-on was investigated in DBF1 mice in respect to its effects on antibody producing B-lymphocytes and T-lymphocytes. It was shown that BM 06.002 has no definitive influence on immunocompetence when used at a low concentration (1 mg/kg). At higher concentrations of 5 up to 20 mg/kg a stimulation of T-lymphocytes was found which was constant at a concentration of 20 mg/kg for more than three weeks after the single injection of 20 mg/kg. Using the haemolytic plaque test, a stimulation of the antibody producing B-cells was observed on day 3 and 12 after treatment. On day 5 a transitory suppression of the lymphocyte functions was observed in both test systems.
Recorded Interviews with Cuban Officials

Field: Social Sciences (Social Sciences)

This chapter presents five interviews that Mills conducted with people in some way attached to the Revolutionary Government, four of them associated with the military. These were: Juan Arcocha, who worked for the newspaper Revolución, the official organ of the July 26 Movement that aimed to organize, guide, and disseminate revolutionary ideology to the Cuban people; two army captains who had long been involved in military and administrative capacities; Captain Isabel Rielo who was working at the Camilo Cienfuegos School City; and Comandante Dermidio Escalona who was military commander of Pinar del Rio province.
A Low-Cost Rail Warning System for Private and Farm Road Crossings

Field: Engineering (Physical Sciences)

Between 1993 and 2002, there was an average of 54 collisions per year at the approximately 28,500 private and farm grade crossings in Canada. The potential for significant human and material loss, particularly in the event of a collision between a passenger train and an industrial vehicle, has created a need for active warning systems at these low-volume crossings; however, the high cost of traditional active warning systems often prohibits their installation. This report summarizes the identification, testing, and evaluation of a low-cost, active warning system for private and farm grade crossings. Following a review of suppliers across Canada, the U.S., and Europe, Ontrack Innovative Solutions Inc. was selected to provide a prototype solar-powered system with the potential of meeting the goals of this project. Testing was carried out with the assistance of NB Southern Railway. The system was installed in April 2005 and evaluated until March 2007 to allow testing during two complete winter seasons. Once properly adjusted, the system proved to be capable of consistently detecting the presence of a train and providing adequate warning times to motorists.
A Novel Presenilin-1 Mutation Associated with Dementia and Spastic Paraplegia (P5-6.004)

Field: Medicine (Health Sciences)

Objective:

This case presents a patient with cognitive decline and spasticity associated with a previously unidentified pathogenic variant of presinilin1 (PSEN1).

Background:

Mutations in PSEN1 are the most common cause of familial Alzheimer's Disease (AD). Mutations in PSEN1 are highly penetrant with autosomal dominant inheritance, presenting at a young age and often with unusual features including spastic paraplegia (SP). We report a novel mutation found in our patient that is suspected to be the cause of his AD with associated SP.

Design/Methods:

Case Report:

A male presented initially with cognitive concerns in his 40s followed by gait impairment within 5 years. Now in his 50s, he has marked dementia and requires the use of a wheelchair. His examination is notable for disorientation to place and time, palilalia, and inability to reliably follow commands or provide history. Motor exam reveals pyramidal weakness and spasticity limited to the lower extremities. His mother had a very similar presentation of dementia and SP and died in her 40s.

Results:

Serum labs were unremarkable. Cerebrospinal fluid studies revealed a reduced A-Beta 42 to Total Tau index, consistent with AD. MRI demonstrated diffuse atrophy and FDG-PET demonstrated temporoparietal hypometabolism as well as asymmetric hypometabolism in the posterior cingulate. Genetic testing revealed a previously undescribed mutation in PSEN1 (p.Met270dup). Notably, mutations at both amino acids 269 and 271 have previously been reported as pathogenic, with the latter resulting in abnormal splicing at exon 8 which includes a portion of the catalytic domain.

Conclusions:

Although it is known that mutations in PSEN1 can be associated with AD with SP, we present a case with a novel mutation thought to be the cause of our patient's presentation. This variant has not been reported in the literature, and our case helps to highlight the importance of this previously unidentified variant. Disclosure: Dr. Ollesch has nothing to disclose. The institution of Dr. Frost has received research support from Simons Foundation. The institution of Dr. Frost has received research support from National Institutes of Health. Dr. Alshaikh has nothing to disclose.