Miracle-dz/UniFAR-FTUs huggingface dataset:
The Impact Of Psychological Empowerment On Work Engagement Among University Faculty Members In China

Background: The primary aim of this research was to examine the role of psychological empowerment on the work engagement of university faculty members in China and the implica-tions for both faculty members and university administrators. The questions of the study focus on the level of psychological empowerment and work engagement of university faculty members and the correlation between psychological empowerment and work engagement. Materials and methods: Data were collected from a sample of 162 faculty members working at a China university. They were asked to complete two self-reported scales with good reliability and validity: the psychological empowerment scale (PES) and the Utrecht work engagement scale (UWES). The responses from the sample were analyzed using SPSS software. The descriptive statistics showed the participants ’ statistical characteristics, while independent sample t -tests and one-way analysis of variance (ANOVA) revealed group differences among university faculty members. Correlation analysis and multidimensional regression analysis demonstrated how psychological empowerment affected work engagement. Results: The total scores for the PES and UWES were both moderately high. Gender, age, degree attained, and professional ranking were associated with differences in levels of psychological empowerment and work engagement. The results con ﬁ rmed that psychological empowerment was positively correlated with all the dimensions of work engagement. The regression analysis results showed that the positive role of psychological empowerment in work engagement was mainly realized through two dimensions: meaning and competence. Conclusion: The study results revealed signi ﬁ cant group differences in the PES and UWES scores among university faculty members. Universities should give more support to younger and junior faculty. There is highly positive correlation between psychological empowerment and work engagement. University should recognize the role of psychological empowerment and create a supportive environment to promote faculty members ’ professional development, which, in turn, can increase universities ’ productivity.
A comprehensive rural health project in Jamkhed (India)

In this discussion of a comprehensive rural health project in Jamkhed India attention is directed to the following: how the project was conceived and initiated; the project area; the original health situation; the methods adopted (food and water take priority over health staff recruitment and training the health team approach the village health worker and the health center); the project in operation; the progress made (results of the project in a typical village and financial aspects; and current standing of the project (community involvement cooperation with the government coordinating the efforts of other agencies the multisectoral approach the use of community volunteers the use of income from curative services to support community health programs the changing role of the physician and the integration of indigenous practitioners). The following criteria were formulated for establishing a viable and effective health care system: local communities should be motivated and involved in decision making and must participate in the health program; the program should be planned at the grass roots and a referral system to suit the local conditions should be developed; local resources should be used to solve local health problems; and the community needs total health care and promotional preventive and curative care must be totally integrated. In 1961 the population of Jamkhed was 73153; it had risen to 86592 by 1971. The comprehensive rural health project at Jamkhed serves 40000 people in 30 villages. The project has penetrated all 30 villages and has reached the target population of the area. Adequate staff are recruited trained and reoriented for the task at hand. 20 villages have village health workers (VHWs) and more and more volunteers are coming forward to serve the remaining villages. Community kitchens are becoming popular and there are now 20 villages caring for 2500 children. Most children under age 5 are immunized with triple antigen and poliomyelitis vaccine. Villagers notice that their children are gaining weight and this had led individual farmers to make 350 acres of land available for nutritional programs. All 30 villages get safe drinking water from 40 deep tube wells. 522 women are regularly using oral contraceptives and 748 women and 301 men have undergone sterilization operations. The VHWs have convinced the mothers to accept antenatal care with over 50% of the pregnant mothers in the area receiving this care regularly. The project has been able to integrate leprosy care completely with general health services.
Evaluation and Measurement in High School Education

The study was aimed to find out from the teachers in Nigeria, their perception of the functionalism and their participation in the internal testing programme of Secondary Schools special reference to a State in Southern Nigeria. A sample of 1,000 teachers was randomly stratified from the entire teachers' population of 6,000 in Government-own Secondary Schools. The percentages and chi-square (P 2 ) statistical tools were used. The three hypotheses of the study were accepted at an alpha level of 0.05. There was no statistically significant relationships found between the teachers' perception of the internal testing programme in their schools and their participation in the whole exercises viz: their classroom instructional management functions; the guidance and counselling of their schools and the administration of their schools respectively. A suggestion for the training and re-training programmes of the teachers in measurement and evaluation, principles practice methods and capabilities were preferred in the study.
Quality control circle: a tool for enhancing perceptions of patient safety culture among hospital staff in Chinese hospitals.

OBJECTIVE To explore whether quality control circle (QCC) is associated with hospital staff's perceptions of patient safety culture (PSC). DESIGN A cross-sectional survey in 12 public hospitals from October to December 2018 and a longitudinal survey in one public hospital from November 2017 to November 2018. SETTING In 12 public hospitals from six provinces located in eastern, central and western of China, and one public hospital in eastern China. PARTICIPANTS In total, 811 and 102 hospital staff participated in the cross-sectional survey and the longitudinal survey, respectively. These participants included doctors, nurses, medical technicians and administrative staff. MAIN OUTCOME MEASURES Hospital staff's perceptions of PSC were measured by the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The association between QCC implementation and PSC was identified by univariate analysis and multiple linear regression analysis. RESULTS Univariate analysis showed that the staff from hospitals that had implemented QCC received significantly higher HSOPSC scores than those from hospitals where QCC had not been implemented (3.73 ± 0.61 vs. 3.57 ± 0.41, P < 0.05). The QCC implementation was a significant predictor in the established multiple linear regression model. One year after QCC implementation, the hospital involved in the longitudinal survey scored higher in HSOPSC than before (3.75 ± 0.42 vs. 3.60 ± 0.36, P < 0.001). CONCLUSIONS QCC implementation was positively associated with PSC and the former could promote the establishment of the latter. It is suggested that QCC can play an active role in enhancing PSC so as to further improve patient safety management.
The effect of chronic neuroglycopenia on resting state networks in GLUT1 syndrome across the lifespan

Glucose transporter type I deficiency syndrome (GLUT1DS) is an encephalopathic disorder due to a chronic insufficient transport of glucose into the brain. PET studies in GLUT1DS documented a widespread cortico‐thalamic hypometabolism and a signal increase in the basal ganglia, regardless of age and clinical phenotype. Herein, we captured the pattern of functional connectivity of distinct striatal, cortical, and cerebellar regions in GLUT1DS (10 children, eight adults) and in healthy controls (HC, 19 children, 17 adults) during rest. Additionally, we explored for regional connectivity differences in GLUT1 children versus adults and according to the clinical presentation. Compared to HC, GLUT1DS exhibited increase connectivity within the basal ganglia circuitries and between the striatal regions with the frontal cortex and cerebellum. The excessive connectivity was predominant in patients with movement disorders and in children compared to adults, suggesting a correlation with the clinical phenotype and age at fMRI study. Our findings highlight the primary role of the striatum in the GLUT1DS pathophysiology and confirm the dependency of symptoms to the patients' chronological age. Despite the reduced chronic glucose uptake, GLUT1DS exhibit increased connectivity changes in regions highly sensible to glycopenia. Our results may portrait the effect of neuroprotective brain strategy to overcome the chronic poor energy supply during vulnerable ages.
Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.
Lymph node mapping and involvement in endometrial cancer

Objectives: The aim of this study was to evaluate the outcome of pelvic and/or para-aortic lymph node dissection in patients with endometrial cancer with regard to lymph node positivity. Materials and Methods: Retrospective chart review of 125 women with pathologically proven endometrial carcinoma who underwent a systematic surgical staging including lymphadenectomy between January 2006 and January 2011 was performed. Patients' characteristics, histological findings, lymph node localization and involvement were analyzed. Detailed description of the extirpated and affected lymph nodes divided by area in the 125 patients with endometrial cancer were done. Results: The medical records for 125 patients were eligible for analysis. The mean number of all lymph nodes removed in operation was 38.9±14.194 (range 9 to 81 nodes). The mean number of pelvic lymph nodes (PLN) removed was 32±11.747 (range 9 to 75 nodes) and the mean number of para-aortic lymph nodes (PALN) removed was 7±5.123 (range 0 to 20 nodes). In the 24 patients with nodal metastasis, the mean number of all lymph nodes removed was 37.88±17.501 (range 9 to 81 nodes). The mean number of PLNs removed was 30.71±14.79 (range 9 to 66 nodes) and the mean number of PALNs removed was 7.17±4.198 (range 0 to 16 nodes). Nodal metastasis was shown in 24 (19.2%) patients. Isolated pelvic lymph node metastasis was shown in nine (37%) patients; isolated para-aortic lymph node metastasis was shown in one (4%) patient; both pelvic and para-aortic lymph node metastasis was shown in 14 (59%) patients. The most affected lymph node area was left external iliac artery with a ratio of 14%. Conclusions: In the field of gynecologic cancer surgery, for the determination of adequate number of lymph nodes to be retrieved, lymph node mapping plays a crucial role, and this issue should be investigated in studies performed with larger number of cases in order to standardize procedure of lymphadenectomy.
Longitudinal Analysis of Real-World Performance of an Implantable Continuous Glucose Sensor over Multiple Sensor Insertion and Removal Cycles

The Eversense® Continuous Glucose Monitoring (CGM) System, with the first long-term, implantable glucose sensor, has been commercially available in Europe and South Africa since 2016 for adults with diabetes. The performance of the sensor over multiple, sequential 90- or 180-day cycles from either real-world experience or clinical studies has not been previously published. The Eversense Data Management System (DMS) was used to evaluate the accuracy of General Data Protection Regulation (GDPR)-compliant sensor glucose (SG) values against self-monitoring of blood glucose (SMBG) from June 2016 through August 2019 among patients with at least four sensor cycles from European and South African health care practices. Mean SG and associated measures of variability, glucose management indicator (GMI), and percent and time in various hypoglycemic, euglycemic, and hyperglycemic ranges were calculated for the 24-h time period over each cycle. In addition, transmitter wear time was evaluated across each sensor wear cycle. Among the 945 users included in the analysis, the mean absolute relative difference (standard deviation [SD]) using 152,206, 174,645, 206,024, and 172,587 calibration matched pairs against SMBG was 11.9% (3.6%), 11.5% (4.0%), 11.8% (4.7%), and 11.5% (4.1%) during the first four sensor cycles, respectively. Mean values of the CGM metrics over the first sensor cycle were 156.5 mg/dL for SG, 54.7 mg/dL for SD, 0.35 for coefficient of variation, and 7.04% for GMI. Percent SG at different glycemic ranges was as follows: <54 mg/dL was 1.1% (16 min), <70 mg/dL was 4.6% (66 min), ≥70–180 mg/dL (time in range) was 64.5% (929 min), >180–250 mg/dL was 22.8% (328 min), and >250 mg/dL was 8.1% (117 min). The median transmitter wear time over the first cycle was 83.2%. CGM metrics and wear time were similar over the subsequent three cycles. This real-world evaluation of adult patients with diabetes using the Eversense CGM System in the home setting demonstrated that the implantable sensor provides consistent stable accuracy and CGM metrics over multiple, sequential sensor cycles with no indication of degradation of sensor performance.
Diet shapes cold-water corals bacterial communities.

Different cold-water coral (CWC) species harbor distinct microbial communities and the community composition is thought to be linked to the ecological strategies of the host. Here we test whether diet shapes the composition of bacterial communities associated with CWC. We compared the microbiomes of two common CWC species in aquaria, Lophelia pertusa and Madrepora oculata, when they were either starved, or fed respectively with a carnivorous diet, two different herbivorous diets, or a mix of the 3. We targeted both the standing stock (16SrDNA) and the active fraction (16SrRNA) of the bacterial communities and showed that in both species, the corals' microbiome was specific to the given diet. A part of the microbiome remained, however, species-specific, which indicates that the microbiome's plasticity is framed by the identity of the host. In addition, the storage lipid content of the coral tissue showed that different diets had different effects on the corals' metabolisms. The combined results suggest that L. pertusa may be preying preferentially on zooplankton while M. oculata may in addition use phytoplankton and detritus. The results cast a new light on coral microbiomes as they indicate that a portion of the CWC's bacterial community could represent a food influenced microbiome. This article is protected by copyright. All rights reserved.
Glecaprevir/pibrentasvir for patients with chronic hepatitis C virus infection: Real‐world effectiveness and safety in Taiwan

Large‐scale data regarding the real‐world effectiveness and safety of glecaprevir/pibrentasvir (GLE/PIB) for patients with chronic hepatitis C virus (HCV) infection were limited in East Asia. We aimed to evaluate the clinical performance of GLE/PIB in different HCV populations in Taiwan.
Antimicrobial Resistance And Molecular Characteristics Among Neisseria gonorrhoeae Clinical Isolates In A Chinese Tertiary Hospital

Purpose The resistance of N. gonorrhoeae to antimicrobial agents has been increasing year by year due to the overuse of antibiotics. The primary aims of the present study were to investigate the molecular characteristics of the clinical isolates of Neisseria gonorrhoeae and the resistance to azithromycin in a Chinese tertiary hospital. Methods From January 2014 to May 2017, a total of 55 clinical isolates of N. gonorrhoeae were collected. Genes associated with azithromycin resistance (AZM-R), including mutations in 23S rRNA alleles, the mtrR promoter and coding regions, and rplD and rplV were evaluated by PCR and DNA sequencing. All clinical isolates were subjected to N. gonorrhoeae multiantigen sequence typing (NG-MAST), while the AZM-R isolates were further characterized by multilocus sequence typing (MLST). Results The AZM-R rate in this study was 23.64% (13/55), and a single (A)-nucleotide deletion mutation in the mtrR promoter region, a G45D mutation in the mtrR coding region, a point mutation in rplD, and an A2047G mutation in 23S rRNA alleles were detected in 13, 4, 3 and 4 isolates, respectively; no mutations were found in rplV. There was no significant difference in the mtrR coding region mutation rate between the azithromycin-sensitive and AZM-R groups (P > 0.05); however, there was a significant difference in the mutation rate of the mtrR promoter region (P < 0.05). Among the 55 isolates studied, 43 distinct NG-MAST were determined, while the AZM-R isolates were allocated into 10 distinct MLST/NG-MAST combinations. All three isolates with high-level AZM-R belonged to the sequence types (STs) NG-MAST ST1866 and MLST ST10899. Conclusion N. gonorrhoeae clinical isolates from Wenzhou, eastern China, showed considerable genetic diversity. Measures should be implemented to monitor the spread of the NG-MAST ST1866 and MLST ST10899 N. gonorrhoeae clones, which exhibit high-level AZM-R in eastern China.
Multimodality treatment of brain metastases from renal cell carcinoma in the era of targeted therapy

In patients with renal cancer, brain metastasis is associated with poor survival and high morbidity. Poor life expectancy is often associated with widespread extracranial metastases. In such patients, a multidisciplinary approach is paramount. Brain metastases-specific therapies may include surgery, radiosurgery, conventional radiation and targeted therapies (TT) or a combination of these treatments. Some factors are important prognostically when choosing the best strategy: performance status, the number, size and location of brain metastases, the extension of systemic metastases and a well-controlled primary tumour. Failure of chemical therapy has always been attributed to an intact blood–brain barrier and acquired drug resistance by renal cancer cells. Recent studies have demonstrated objective responses with TT in a variety of cancer types, including renal cancer. In most cases, these agents have been used in combination and in conjunction with whole-brain radiation therapy and radiosurgery. Local control appears to be better with the combined method if the patient has a good performance status and may improve overall survival. This review summarizes current literature data on multidisciplinary approach in the management of renal brain metastasis with radiation, surgery and TT with an emphasis on potential better outcomes with a combination of current treatment methods.
TEACHER SCHOOL-BASED ASSESSMENT PRACTICES TO ENHANCE UNIVERSAL BASIC EDUCATION IN IJEBU-DIVISION OF OGUN STATE NIGERIA

The study investigated teacher factor in assessment towards enhancing universal Basic Education in Ijebu of Ogun State. The study attempted to find out how teachers assess their students and areas in which teachers need assistance. Three research questions were raised and answered in the study using descriptive research design. Participants were 120 teachers selected across the six local government areas in Ijebuland. A checklist developed and validated by the researcher was used to carry out the research; the checklist was titled Teacher Assessment Practices Information Checklist (TAPIC). Data were analyzed using appropriate descriptive and inferential statistics at 0.05 level of significance. Results revealed that teachers indicated the need for assistance on some assessment procedures such as: directing students to assess their own progress, skill of test construction and item development procedure. There exists a significant difference in the assessment practices of teachers with NCE and Degree, and those with differential professional status, experience and qualification. Recommendations include staff re-orientation to correct systematic defects on assessment practices.
RESEARCH ARTICLE ESTIMATING THE INTENSITY OF INFECTION WITH CRYPTOSPORIDIUM SPP IN IRAQI PATIENTS

This study aims to predict intensity profile of cryptosporidiosis and its relation with some factors which were age, gender, type of drinking water and fecal status, among 109 infected individuals lived in Baghdad. Results showed that age was significantly (P< 0.05) related with the intensity of infection, age group (10-19) years showed high percentage 62.5% of heavy infection compared with other age group, also fecal status was significantly (P< 0.05) related with the intensity of infection, diarrheic patients showed the high percentage of both moderate and heavy infection which were 47.76% and 37.31% respectively compared with non diarrheic patients , while both gender and source of drinking water were not related with the intensity of infection. Such findings indicate that intensity profiles varied according to some factors, and this model could easily be adapted to other parasitic infections.