jimnoneill/paper-to-field-training huggingface dataset:
Immediate Results of Small Bowel Crohn’s Disease Surgery

Introduction: Despite the progress made in the medical management of Crohn's disease (CD), a vast number of patients are operated on at least once in their lifetime. Although this is a mild disease that occurs mainly in young patients with little comorbidity, CD surgery is accompanied by significant postoperative morbidity (PO). This study aims to analyse the PO complications of the small intestine's CD and look for the risk factors for its occurrence. Patients and methods: this is a single-centre prospective study that collected 83 files of patients operated on for CD of the small intestine for 28 months (May 2017 - September 2019). All patients had histologic confirmation of CD. Isolated anoperineal and colorectal forms were excluded from this work. PO morbidity is defined by all complications occurring during the first 30 days of PO. A statistical analysis of PO morbidity was performed as a function of 12 parameters: age; sex; comorbidity; history of abdominal surgery; history of surgery for CD; haemoglobin level (Hb &lt;or&gt; at 10 mg/dl); albumin level (&lt;or&gt; at 34g / l); BMI (&lt;or&gt; at 19); ASA score; mode of surgery (cold vs emergency); intra-abdominal abscess; operative procedure (resection-anastomosis vs resection-stoma). Statistical analysis was performed first univariate and then multivariate (SPSS 16 software). Results: These were 56 women and 27 men, with a sex ratio of 2. The mean age of the patients was 35 years (13-65). The overall PO morbidity rate was 26%; this morbidity was surgical in 86%, septic in 89.5% and intra-abdominal septic in 50% of cases. Complications were major (CMPO) in 39.5% of cases. The mode of emergency surgery was an independent risk factor for the occurrence of complications (p = 0.005). Conclusion: Small intestine CD surgery is associated with very high PO morbidity. The mode of emergency surgery is an independent risk factor for the onset of PO complications. Patients who require surgery should be operated on as elective or scheduled surgery. The indications for emergency surgery for CD are sporadic.

Topic: Inflammatory Bowel Disease
Subfield: Genetics
Field: Biochemistry, Genetics and Molecular Biology
Domain: Life Sciences
Ethics of Sport and Athletics: Theory, Issues, and Application

Part I Moral Theory in Sport and Athletics * Chapter 1: Moral Reasoning: An Introduction * Chapter 2: Ethical and Unethical Behavior in Sport * Chapter 3: Moral Education and Development through Sport Part II Moral Application in Sport and Athletics * Chapter 4: Performance-Enhancement Issues in Sport * Chapter 5: Violence in Sport: Ethically Acceptable Boundaries * Chapter 6: Race Equity in Sport * Chapter 7: Gender Equity in Athletics with an Emphasis on Title IX * Chapter 8: Ethical Issues in Interscholastic and Intercollegiate Sport Outcomes * Chapter 9: Ethical Decision Making of Sport Managers

Topic: Doping in Sports
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Improving job tenure outcomes for people with disabilities: The 3M modelRehabilitation Counseling

The need for job retention services in rehabilitation is clearly indicated in statistics on unemployment and job loss rates for people with disabilities. In this article, information is provided on a three-part job retention model (the 3M model) containing the con-structs of match, maturity, and mastery. The thesis of the article is that individuals with disabilities are more likely to retain employment when rehabilitation counselors provide retention services compatible with the 3Ms. Counselors can help people with disabili-ties (a) establish the prerequisite job–person match, (b) meet career maturity chal-lenges, and (c) demonstrate mastery of novel workplace problems.

Topic: Coral and Marine Ecosystems Studies
Subfield: Ecology
Field: Environmental Science
Domain: Physical Sciences
Principles in early reconstructive surgery of severe thermal burns of the hands

Journal Article Principles in early reconstructive surgery of severe thermal burns of the hands Get access Byron Smith, Byron Smith Major M.C., U.S. Army Search for other works by this author on: Oxford Academic Google Scholar Carleton Cornell, Carleton Cornell Major M.C., U.S. Army Search for other works by this author on: Oxford Academic Google Scholar Charles L Neill Charles L Neill Major M.C., U.S. Army Search for other works by this author on: Oxford Academic Google Scholar British Journal of Surgery, Volume 33, Issue 130, October 1945, Pages 155–159, https://doi.org/10.1002/bjs.18003313012 Published: 06 December 2005

Topic: Reconstructive Surgery and Microvascular Techniques
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
An 113DB-Link-Budget Bluetooth-5 SoC with an 8dBm 22%-Efficiency TX

We present a high link budget Bluetooth Low-Energy (BLE) SoC supporting Bluetooth 5 new features. A conduction-angle-reduced 8dBm power amplifier utilizing a real-time output waveform symmetry feedback (SFB) is proposed to achieve both high efficiency and robust harmonic suppression capability. The spurious emission during the startup of the TX is suppressed by a preset function of the SFB. The RX with a MODEM supports Bluetooth 5 long-range modes. Using only a total of 9 off-chip components the proposed SoC achieves 113dB link budget and 22% TX efficiency including MODEM and PMU with a 3V supply. The SoC is compliant with the FCC regulations over PVT conditions.

Topic: Radio Frequency Integrated Circuit Design
Subfield: Electrical and Electronic Engineering
Field: Engineering
Domain: Physical Sciences
Introduction of Department of Resforative Science (Master Course), Graduate School of Kawasaki University of Health and Welfare

The report outlines the Department of Resforative Science, Graduate School of Kawasaki University of Health and Welfare; organization and characteristics of education, general information on an entrance examination, curriculum and its characteristics, school work and teaching staffs, the situation of freshmen, and research content of graduate school students.

Topic: Sinusitis and nasal conditions
Subfield: Otorhinolaryngology
Field: Medicine
Domain: Health Sciences
Preliminary evaluation of the effect of vaccination with modified live bovine viral diarrhea virus (BVDV) on detection of BVDV antigen in skin biopsies using immunohistochemical methods

Immunohistochemical (IHC) testing of skin biopsies (ear notch samples) is a method to identify cattle persistently infected (PI) with bovine diarrhoea virus (BDV). Skin biopsies were taken from 90 calves upon arrival (day 0) at a feedlot, and on days 14, 28 and 42 following arrival. Calves were vaccinated with modified live virus (MLV) BDV vaccine on days 1 and 14 following arrival. Additional samples were obtained from 50 of the calves between days 1 and 10 when they were treated for bovine respiratory disease. Immunohistochemical testing for BDV antigen was performed on all samples. One calf was positive for BDV antigen by IHC techniques on 5 skin biopsies. This calf was also positive by virus isolation (VI) on the buffy coat of a blood sample obtained on day 42 following arrival. All samples from the remaining calves were negative when tested with the IHC method. Other tests, VI and polymerase chain reaction, used to identify PI cattle may give positive results in cattle recently vaccinated with MLV BDV vaccine. This study suggests that IHC testing of skin biopsies may be advantageous over other tests to identify PI cattle recently vaccinated with MLV BVDV.

Topic: Animal Disease Management and Epidemiology
Subfield: Agronomy and Crop Science
Field: Agricultural and Biological Sciences
Domain: Life Sciences
Laparoscopic Surgery for Intrahepatic Cholangiocarcinoma: A Focus on Oncological Outcomes

Background: The aim of the present study was to analyze the long-term outcomes of laparoscopic and open surgery for intrahepatic cholangiocarcinoma (iCCA) in a series, collected in a tertiary referral center with a high annual volume of laparoscopic activity. Methods: Between January 2004 and June 2020, 446 liver resections (LR) were performed for iCCA: of these, 179 were performed by laparoscopic surgery (LS) and 267 with the open approach. The two groups were matched through a 1:1 propensity score using covariates representative of patient and disease characteristics. The study and control groups were compared, with specific attention given to oncological outcomes (rate of R0, depth of resection margins, overall and disease-free survival, rate, and site of recurrence). Results: The number of retrieved nodes, rate, and depth of negative resection margins were comparable between the two groups. The interval time between surgery and subsequent adjuvant treatments was significantly shorter in LS patients. No differences were shown even in the comparison between the LS and the open group in terms of median disease-free and overall survival. Moreover, the disease recurrence rate was comparable between the LS and the open groups (45.2% versus 56.7%), and the recurrence pattern was similar. Conclusions: The minimally invasive approach for iCCA was once again confirmed to be associated with advantages in terms of intraoperative and short-term outcomes, but was also proven to be oncologically non-inferior to the open counterpart. In the present study, overall and disease-free survival were found to be similar between the two approaches.

Topic: Cholangiocarcinoma and Gallbladder Cancer Studies
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
New Technology Meets an Old Teaching Challenge: Using Digital Video Recordings, Annotation Software, and Deliberate Practice Techniques to Improve Student Negotiation Skills

Abstract There is a world of difference between teaching negotiation theory, which pertains to conceptual understanding, and teaching negotiation skills, which pertain to actual behavior in real-world situations. The principle of reflective practice is widely used for theoretical instruction. Deliberate practice, however, is a more powerful model for skills training. Cognitive scientists have discovered that subjects will learn skills best when they perform well-defined tasks at appropriate levels of difficulty, and when they are given immediate feedback, an opportunity to correct their errors, and an opportunity to practice until the tasks become routine. To satisfy the deliberate practice conditions for large graduate-level negotiation courses (some as large as seventy students), students were assigned to use webcams with their laptop computers to video record their negotiation exercises. Before each exercise, students were assigned to prepare for and to concentrate on performing two or three well-defined tasks. Students reviewed these recordings and commented on their performances in a journal before uploading the videos and journals to an assigned network folder. The instructor and teaching assistants then reviewed the journals and specified portions of the videos and provided individual written feedback to the students. The instructors found that student negotiating skills have improved significantly using this new system. In comparison with earlier semesters, students also felt they were involved in a more intense and personal learning experience. A majority of students reported they intend to apply the principles of deliberate practice in their professional lives after graduation. The authors have found this method continues to challenge their ability to identify and describe the skills used by expert negotiators. As an addition to this new methodology, two of the authors have spearheaded the development of video annotation software, known as “MediaNotes,” to help students and instructors review, comment upon, and learn from video recordings of negotiations. Based on their experiences using the software to support deliberate practice, the authors expect this tool to initiate a significant advance in our ability to recognize and describe expert negotiation behavior and in students’ ability to improve their negotiating skills.

Topic: Conflict Management and Negotiation
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
CHLORAMPHENICOL (CHLOROMYCETIN®) AND AUREOMYCIN

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal

Topic: Antibiotics Pharmacokinetics and Efficacy
Subfield: Pharmacology
Field: Medicine
Domain: Health Sciences
Energy Cost Of A Basic KettlebellTM Training Protocol

KettlebellTM training is a relatively ancient form of strength training that has been highly regarded among the Russian military and Eastern European power lifters for many years. Most recently, it has gained popularity among athletic strength coaches and recreationally active individuals as a novel way to enhance functional strength and positively impact cardiovascular endurance. However, to our knowledge this form of training with handheld weights has not been systematically investigated. PURPOSE The purpose of this pilot study was to assess the energy cost and intensity of a basic KettlebellTM training protocol. METHODS Ten subjects, mean age 30.2 ± 10.6 years, participated in a maximal treadmill test to assess VO2max. Participants subsequently performed 5 sets of 10 repetitions of two-armed swings, snatches, and clean and presses using a 4, 8, 12 or 16 kg KettlebellTM. Metabolic data were collected by a metabolic measurement system. The data were analyzed using simple descriptive statistics. RESULTS Training intensity in metabolic equivalents (METS) was 4.9 ± .88. The mean caloric expenditure and oxygen uptake values were 4.97 ± 2.02 kcal/min and 14.25 ± 3.08 ml/kg/min. Total energy expenditure during the session was 297.91 ± 121.13 kcal. Associated heart rate response during the training session was 122.08 ± 21.13 bpm that corresponded to 64.29 ± 11.74% of maximal heart rate. The training intensity relative to VO2max was 32.96 ± .08%. CONCLUSIONS Although intensity as assessed by heart rate appeared to be high enough to improve cardiovascular fitness pursuant to the ACSM recommendation, the training stimulus of 32% of VO2max was less than the ACSM recommendation of ± 55%. However, a basic KettlebellTM training protocol may be an alternative activity for achieving the Surgeon General's recommended amount (150–200 kcal/day) and intensity (3–6 METS) of physical activity for improving health.

Topic: Cardiovascular Effects of Exercise
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Essential trauma care capacity for road traffic injury in five provinces in Vietnam

Background In Vietnam, injury is the leading cause of death in children under 18, and road traffic accidents are the fifth leading cause of death. Essential trauma care for road traffic injury (RTI) is very important in Vietnam. Objectives To assess injury situation and the existing level of essential trauma care (ETC) capacity for RTI in five provinces. Design and Subjects A cross-sectional study was conducted in 15 districts in 2008. We studied 17 district hospitals, 60 commune health stations, 3000 village health workers and volunteers (VHW). Results The injury mortality in 2008 were different between provinces, ranged from 21.17 to 40.69/100 000 (year-1). Road traffic accidents were the leading cause of injury (41.6%). The 20–59 group had the highest proportion of injury (63.6%). Three out of five provinces have an emergency medical centre. Commune health stations and district hospitals provided trauma care for 8.5% and 30.7% of injured cases respectively. Less than 40% of district hospitals and 30% of commune health stations had enough equipment for ETC. From 8.8% to 37% of VHW were provided some basic first aid equipment. Only 36.7% of VHW had provided first aid for RTI and 31.2% of VHW were trained on first aid for RTI. Conclusion The results reveal that RTI is a major health problem in five provinces and the ETC capacity for RTI is weak. Study results may assist decision-makers in identifying interventions to improve ETC capacity.

Topic: Emergency and Acute Care Studies
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Chloroprocaine 10 mg/ml for low‐dose spinal anaesthesia in perianal surgery – a randomised dose finding study

Background Low‐dose spinal anaesthesia is a safe and reliable anaesthesia technique in outpatient perianal surgery. Regarding its short duration of action and its trend to hyperbaric characteristics, plain chloroprocaine 10 mg/ml seems to be ideal to perform low‐dose spinal anaesthesia. The aim of this trial was to determine the optimal dosage of chloroprocaine for this indication. Methods Hundred and twenty patients undergoing perianal surgery were enrolled and randomly allocated to receive 10, 20 or 30 mg of chloroprocaine 10 mg/ml intrathecally. Patients had to sit upright for at least 10 min after injection. We measured the expansion of sensory and motor block and the times until voiding, walking without assistance and home discharge. Results The expansion of the sensory ( P ≤ 0.0059) and the motor block ( P ≤ 0.0086) gained with increasing doses. At a dose of 30 mg the incidence of a profound, clinically relevant motor block was significantly higher compared to 10 and 20 mg ( P ≤ 0.0004). In the 10 mg group two patients suffered from nociceptive pain due to an incomplete block and five patients announced discomfort during procedure. Doses of 10 and 20 mg led to a significantly earlier discharge compared to 30 mg ( P = 0.0003; P = 0.0406). Conclusion Plain chloroprocaine 10 mg/ml can successfully be used for low‐dose spinal anaesthesia in perianal outpatient surgery. Regarding the unfavourable motor block and later discharge‐times in the 30 mg group on the one hand and the block‐failures in the 10 mg group on the other, 20 mg can be recommended as the optimal dose.

Topic: Anesthesia and Pain Management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Complex Congenital Heart Disease in an Infant - A Case Report and Review

Congenital heart disease (CHD) often poses a great diagnostic challenge for physicians. Despite antenatal diagnostic tests advancing to a great level, accurate diagnosis and treatment of congenital heart diseases is mandatory. These diseases range from mild to severe life-threatening scenarios sometimes having vague presentations making diagnosis even more difficult. Early diagnosis and treatment are usually lifesaving.1 Congenital heart diseases can often be classified as cyanotic and acyanotic based on clinical presentation. After birth, fetal structures like foramen ovale, ductus venosus and ductus arteriosus are no longer required for survival and they begin to close.2 Persistence of such structures after birth is a sign of congenital heart diseases. High mortality contributing diseases which require prompt intervention include hypoplastic left heart syndrome (HLHS), coarctation of aorta (COA), interrupted aortic arch (IAA), transposition of the great arteries (TGA), total anomalous pulmonary venous return (TAPVR), critical aortic stenosis (AS) pulmonary atresia (PA) and tricuspid atresia (TA).3 They contribute to significant mortality amongst neonatal age groups. Recognition of congenital heart diseases based on clinical fractures like cyanosis, tachycardia, tachypnoea, irritability, refusal to feed stabilisation and prompt referral to tertiary cardiac centre are critical to improve outcomes in neonates with CHDs, seizures, murmur etc is diagnostically challenging but lifesaving. Life-threatening CHDs may perhaps present with cyanosis, respiratory distress, shock or collapse; all of these are also frequent clinical presentation of various respiratory problems or sepsis in newborn. Early diagnosis and prompt treatment are the only life saving measures.

Topic: Cardiac Structural Anomalies and Repair
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
The Hotel Industry, Texas Stadium and Hotel Occupancy Taxes: A Report to the Irving Convention and Visitors Bureau Board of Directors

This report discusses the hotel industry, Texas stadium, and hotel occupancy taxes. The Board of Directors of the Irving Convention and Visitors Bureau commissioned the Center for Economic Development and Research at the University of North Texas to examine several facets of the hotel industry, Texas Stadium and hotel occupancy tax receipts in the City of Irving. This report summarizes the findings of that examination.

Topic: Finance, Taxation, and Governance
Subfield: Management, Monitoring, Policy and Law
Field: Environmental Science
Domain: Physical Sciences