Miracle-dz/UniFAR-FTUs huggingface dataset:
Long-term dementia care : staff experiences and family satisfaction

This thesis focuses on the care of people with dementia in long-term care settings. It considers both the experiences of staff working with people with dementia in such settings as well as the perceptions and satisfaction of family members of people with dementia who reside in long-term care. It is hoped that these papers will contribute to understanding how staff working with people with dementia in long-term care settings can be supported to improve the quality of care provision to this population. Chapter 1 is a systematic literature review investigating the staff factors which contribute to family satisfaction with ongoing care provision for their relatives with dementia who reside in long-term care. Empirical evidence from 14 articles was critically evaluated in order to identify relevant staff factors which contribute to family satisfaction. Relevant staff factors in three broad areas were found to contribute to family satisfaction with care provision for their relatives with dementia. Each area is explored and consideration is given to the implications for future research and clinical practice. Chapter 2 is an empirical study exploring the lived experience of healthcare assistants working with clients with dementia in residential care homes. Interpretative Phenomenological Analysis was used to analyse the data derived from semi-structured interviews with eight healthcare assistants. Three superordinate themes and nine subordinate themes emerged following the data analysis. Each theme is explored and consideration is given to the implications for future research and clinical practice. Chapter 3 is a reflective account of the researcher’s personal experiences of working with people with dementia. It explores the change in the researcher’s perceptions and attitude towards working with people with dementia as their knowledge and experience has increased over time and the impact that this has had on their outlook regarding working with people with dementia in the future.
Quality of life and health behaviours of patients with low back pain

The aim of this study was to assess the quality of life and health behaviours and to analyse the relationship between the quality of life and health behaviours in the group of patients with low back pain (LBP). Material and methods: The research was conducted on a sample of 52 patients with LBP (29 female and 23 male, M(age) = 48.96±15.86). The tool used for assessing the quality of life was the Quality of Life Questionnaire (WHOQoL-BREF, Polish version), whereas the methodological basis for investigating health behaviours was the Health Behaviour Inventory (HBI). Results: The analysis revealed that the General Index of Intensity of Health Behaviours (GIIHB) was high in 30.8%, average in 40.4% and low in 28.8% of the respondents. Statistically significant positive relationships were observed between: (1) Positive Thinking (HBI) and: Overall Quality of Life (R=0.42), General Health (R=0.29), Psychological domain (R=0.46) and Environmental domain (R=0.44); (2) between Proper Nutritional Habits (HBI) and Overall Quality of Life (R=0.38), Psychological domain (R=0.28), Environmental domain (R=0.30); (3) between Health Practices (HBI) and: Overall Quality of Life (R=0.31) and Psychological domain (R=0.28); (4) between Preventive Behaviours (HBI) and two domains: Psychological domain (R=0.34) and Environmental domain (R=0.34). GIIHB for the respondents in general was a factor that significantly differentiated quality of life in Psychological domain (p=0.031) and Environmental domain (p=0.026). Conclusion: In general, positive correlations concerning quality of life and health behaviours of the respondents were observed between the Psychological domain and all categories of health behaviours (HBI). Furthermore, positive correlations were found for Overall Quality of Life and Environmental domain with most of HBI categories. In light of these findings, it should be indicated that the focus during therapies for patients with LBP aimed to improve their quality of life should be on education in the field of health behaviours.
Effects of microalgal diet on the population growth and fecundity of the cyclopoid copepod
 Paracyclopina nana

Funding information EU (FEDER), French Gouvernement, the Region Hauts-de-France and IFREMER, Grant/Award Number: CPER MARCO 2015-2020; University of Lille Abstract This study investigated the effects of seven microalgal diets, including single-species diets of Rhodomonas salina (R), Tisochrysis lutea (T), and Pavlova lutheri (P), twospecies diets (R + T, T + P, and R + P), and a threespecies diet (R + T + P), on the cyclopoid copepod Paracyclopina nana growth, stage composition, and ovigerous female size and fecundity. Experiments were conducted in 10-L beakers starting with nauplii from a 300-L culture population. After 15 days of feeding, the R + T diet induced the greatest total population growth, particularly for copepodites and all female stages (preadult females, females, and ovigerous females). The R diet followed by R + T also generated the greatest individual size and clutch sizes in ovigerous females. Overall results show that the diets leading to the highest total population growth and clutch sizes in P. nana included R. salina. Conversely, P. lutheri was not a very effective microalga to enhance P. nana productivity in culture. Current results are the first to show that R. salina is a suitable
Perception of Medical Staff of Al-Azhar University in Assiut towards Problem Based Learning Approach = تقبل أعضاء هيئة التدريس بكلية الطب (أسيوط) جامعة الأزهر لطريقة التدريس المبنية على أسلوب حل المشكلات

Background: Problem-based learning (PBL) is now a well established method in medical education in many medical schools in the world. Assessing knowledge and perception of the medical staff towards PBL is important, particularly in medical colleges which have not yet introduced this method. Objective: Assessing knowledge, attitude, and practice of the medical staff at Faculty of Medicine (Assiut), Al-Azhar University towards problem-based learning approach. Methods: A cross-sectional study was conducted at the previously mentioned setting during the study year 2015/16 where the PBL teaching method was still un-applied. All medical staff (n= 178) of the college was invited to participate in this study. Relevant data about staff characteristics as well as their knowledge, attitude and practice towards PBL were collected through a predesigned structured questionnaire. Results: The overall response rate of the medical staff was 74.7% (133 out of 178). The proportion of staff having good knowledge about PBL was (69.2%) with the highest percentage of good knowledge was insignificantly observed among staff aged 50+ years(83.3%), male staff (70.2%) and staff of academic departments (74.2%), while professors had significantly the highest percentage(85.3%) of good knowledge. There was also an overall favorable attitude (88%) among the staff towards PBL. The mean score of favorable attitude was insignificantly higher among staff aged 50+ years, female staff and staff of academic departments, while assistant professors had significantly the higher mean score of favorable attitude than other staff grades. A small proportion of the studied staff (7.5%) has practiced PBL before. Conclusion: A reasonable proportion of the medical staff was found to have good knowledge and favorable attitude towards PBL, while previous practice of PBL was low among the staff. Preparing educational courses about PBL as newly suggested teaching methods is recommended for all staff in terms of its definition, advantages and outcome for the college development and quality of the teaching process.
E-Concordance: A Blended Learning Practice for Teaching Oriental Languages & Literature

Concordance is a search tool giving list of all the words along with text in which they are used by an author in a published work Both printed and electric concordances of certain holy books such as Bible, Quran, or renowned literary works like that of Shakespeare’s in English, or of Rumi’s in Persian and Iqbal in Urdu etc. are prepared. Concordance is usually used to get comparatively quicker access to a certain published content to study the literary style of that very author. It is experienced that this tool can be effectively useful to teach language as well. This study is made to assess the effectiveness and challenges of using e-concordance as a research tool to teach oriental languages and literature. This study is limited to the concordances of Allama Iqbal’s poetic works in Persian and Urdu languages only. Both electronic and printed concordances of both the Persian and Urdu poetic works of Allama Iqbal are available. It has been observed that printed concordances are found comparatively more effective in terms of accuracy of results than that of e-concordance. A serious focus is recommended to develop both printed and e-concordances of more and more published classical and modern work.
Exploration des facteurs impliqués dans l'immunosenescence et l'inflammation chronique après transplantation rénale : focus sur le rôle potentiel de la translocation bactérienne digestive et les modifications du microbiote intestinal

Notre equipe a precedemment rapporte que l'utilisation d'un traitement d'induction lympho-depletant [les globulines anti-lymphocytaires polyclonales (GALP)], peut entrainer une lymphopenie T CD4 persistante chez certains transplantes renaux. Celle-ci est associee a certaines anomalies biologiques telles que la presence d'un syndrome inflammatoire chronique. Ce travail de these s'interesse aux facteurs impliques dans l'induction de ces anomalies puisqu'elles sont associees a une augmentation de l'incidence d'infections, de maladies cardiovasculaires et de deces, habituellement retrouves chez les personnes âgees. Nous avons montre que les GALP entrainent une diminution de la fonction thymique et une expansion de lymphocytes T a un stade avance de differenciation pouvant traduire une immunosenescence prematuree. Par ailleurs, une rupture de la barriere intestinale semble favoriser la translocation bacterienne digestive et l'activation d'une inflammation chronique observee en transplantation, via les lipopolysaccharides liberes dans la circulation peripherique. La composition du rnicrobiote intestinal pourrait jouer un role dans l'initiation, le maintien et la severite de l'inflammation. Nous avons observe des modifications du microbiote apres transplantation et apres l' antibioprophylaxie utilisee en transplantation. Les mecanismes a l'origine de toutes ces observations restent a elucider mais ce travail permet d'ameliorer la comprehension des facteurs impliques dans le developpement de l'immunosenescence et de l'inflammation chronique en transplantation renale, ouvrant potentiellement la voie a d'interessantes perspectives therapeutiques.
Technology-Facilitated Intimate Partner Abuse: a qualitative analysis of data from online domestic abuse forums

This article reports on a qualitative analysis of data gathered from three online discussion forums for victims and survivors of domestic abuse. The analysis focussed on technology-facilitated abuse and the findings cover three main themes, namely, 1) forms of technology-facilitated abuse being discussed on the forums, 2) the ways in which forum members are using technology within the context of intimate partner abuse, and 3) the digital privacy and security advice being exchanged between victims/survivors on the forums. The article concludes with a discussion on the dual role of digital technologies within the context of intimate partner abuse, on the challenges and advantages of digital ubiquity, as well as on the issues surrounding digital evidence of abuse, and the labor of managing digital privacy and security.
ASSESSMENT OF TWO OR MORE ANTIBIOTICS REGIMEN VERSUS ONE OR NO ANTIBIOTIC REGIMEN IN POST-OPERATIVE SURGERY

Objective: Surgical site infections [SSI] are the leading cause of hospital-acquired infections. The objective of this study was to evaluate whether surgical site infections can be reduced with two or more antibiotics regimen versus one or no antibiotic regimen in post-operative surgery. Methods: The patients were grouped into 2 groups. Group A (two or more antibiotics regimen) and Group B (one or no antibiotic regimen). Then the patients were followed on 1st, 2nd, 3rd and 4th week respectively after surgery to check for any surgical site infection by direct interviewing the patients. Results: The overall surgical site infection rate was 48.3 % (58 out of 120 patients). However, this study was more dominated by female patients–there were 63% female patients compared to 37 % male patients enrolled in this study. Also, the post-operative surgical site infection was comparatively observed more in female patients than in male. General surgery department too had many gynaecology related patients followed by Orthopaedic and Endocrinology surgeries. Results revealed that the patients in Group A (Two or more antibiotics) had significantly lower number of surgical site infections when compared with Group B (One or no antibiotics) with p<0.001. Conclusion: Our study concludes that patients receiving two or more antibiotics had significantly less number of post-operative surgical site infections when compared to patients receiving one or no antibiotics and following two or more antibiotics can reduce the excess hospital cost.
‘No, I cannot just walk away’: government career entrenchment in China

Despite compromised work morale, Chinese public employees generally feel reluctant to quit a public service job. The present study looks deeply into government career entrenchment, defined here as “public employees’ perceived career immobility due to the concern for alternative career availability and substantial losses upon career shifting. ” By using mixed methods, the authors identify and measure four distinctive types of government career entrenchment, namely, emotional cost, career investment, limited alternatives, and extrinsic rewards. Evidence further shows that emotional cost and extrinsic rewards are more associated with positive work attitudes, while career investment and limited alternatives are more related to negative work attitudes. At the end of the article, we discuss how the developed government career entrenchment scale can be used for future research. Points for practitioners The findings show that public employees choose to remain in public service for various reasons. Those who remain in order to secure extrinsic rewards have positive work attitudes, whereas those who remain due to limited job alternatives have poor work attitudes. Special attention should be given to employees entrenched by limited alternatives and career investment.
Clinical-Diagnostic Correlations in Laryngopharyngeal Reflux (LPR). The Role of Peptesttm

LaryngoPharyngeal Reflux (LPR) is a term recently described, classified among the “extra-esophageal disorders”, caused by another pathology called “Gastro-Esophageal Disease” (GED). Pepsin has been recognized as the true marker and the responsible factor of mucosal damage. The clinical-instrumental diagnosis of LPR is mainly based upon video laryngoscopy exam, pH-measuring, pH-impedance measuring, using “score” questionnaires, designed to establish the presence of specific symptoms (Reflux Symptom Index – RSI) and endoscopic signs (Reflux Finding Score – RFS). The evidence of the role of pepsin associated to the LPR helped to develop new technologies, able to detect the presence of that enzyme within the saliva; this device is called PeptestTM The aim of the present study was to correlate the qualitativequantitative values of salivary pepsin (using PeptestTM) with symptoms and signs obtained from RSI and RFS. The final goal is to validate this enzyme immunoassay method using LPR diagnostic tools. Seventy-five patients were recruited (41 females, 34 males) aged between 12 and 71 years old, (average age 45 years). All patients performed anamnesis, including food habits analysis, RSI evaluation, rhinofibrolaryngoscopy exam with RFS calculation and PeptestTM. Highly comparable results were obtained in all of the 75 patients undergoing double detection of PeptestTM, with LFD measure (T band intensity) and pepsin concentration (ng/ml). Statistically significant correlation concerning symptoms and saliva pepsin concentration was demonstrated as well as the relationship between objective signs and saliva pepsin concentration. The PeptestTM could become the “Gold standard” in all cases LPR pathology suspicion and may allow revealing the symptoms of that pathology at its early onset, avoiding dealing with more invasive methods and helping to adopt the correct therapeutic follow-up as soon as possible.
Khat Intertwined Liver Damage

Herb-induced medical illnesses including hepatotoxicity has now become a global medical and pharmacological issue. Although perceived as safe, many consequences had been associated with chronic Khat consumption. The association between the consumption of the plant Catha edulis (Khat) and acute liver injury, chronic hepatitis and cirrhosis had evidently occupied the literature. Khat induced hepatotoxicity has been recently asserted by reports of khat-induced hepatic venous thrombosis. Still remaining in the shadow is the natural history of Khat related liver damage.
Applied Behavior Analysis: Dispelling Associated Myths

Applied behavior analysis (ABA) is a widely studied and often used approach to working with human behavior. However, there are numerous myths surrounding what ABA is, who is it for, and how it is implemented. The purpose of this article is to identify, explain origins of, and dispel seven common myths about ABA.
Reasons for Permanent Teeth Extraction in Al-Madinah Al- Munawarah

Aim: The purpose of this study was to determine the reasons for extraction of permanent teeth in Al-Madinah Al- Munawarah. Methods: A questionnaire was distributed to 180 dental students and dentists at Taibah university dental clinic to record the patient's information, the extracted tooth number, and the reason for extraction. Collected data were analyzed using Statistical Package for Social Sciences software (SPSS) and Chi-square test was used to compare between different variables. Results: Caries and its sequelae were the primary cause of extraction in all age groups (from 10-to > 60). The highest percentage of extraction due to caries and its sequelae was in (30-39) age group, whereas lowest percentage were in age groups (10-19) and (> 60 years). The number of extractions in females was higher than males in all groups except in-group of patients above 60 years. First molars were the most extracted teeth in both arches. Conclusion: Advanced caries was the main cause of extraction in all age groups, while periodontal diseases followed by prosthetic reasons were the most common causes in patients above 40 years old.
Nutritional Approaches for Functional Bowel Disorders in an Integrative Medicine Clinic

Introduction Functional bowel disorders (FBDs) are gastrointestinal (GI) conditions based on patient-reported symptoms. Irritable bowel syndrome (IBS) is the most common FBD and despite extensive research on IBS, pathophysiology, etiology, and treatments for FBDs are still being researched. Treatment of FBDs involves a range of therapies including pharmaceutical treatments, psychological treatment, and lifestyle interventions like physical activity and dietary interventions. The evidence for efficacy of lifestyle interventions is still sparse. Integrative Medicine (IM) is a medical specialty that emphasizes lifestyle interventions, including dietary therapies. Studying lifestyle interventions in an IM clinic is useful because IM therapies are often sought out in addition to conventional medical treatment, thus patients may be more motivated to follow recommendations given by providers. The aims of this study include describing the interventions for FBDs in an IM clinic at an academic medical center (University of Kansas (KU)), and determining if the FBD interventions were effective. Finally, because little is known about the nutritional status (micronutrient) of patients with FBDs, we describe the vitamin and mineral status (vitamins B6, B12, D and zinc, magnesium and copper) of FBD patients. Methods This was a retrospective chart review in a population of 74 IM patients at KU IM. Charts were reviewed to collect data about FBD interventions, demographics, symptoms measurement (via medical symptoms questionnaire (MSQ), and micronutrient status. Results IM providers used 9 common interventions: elimination diets, vitamin/mineral supplementation, GI-related supplementation (probiotics, etc.), magnesium supplementation, non-dietary lifestyle intervention, GI-related prescriptions, water, referral to other healthcare providers, and fermented foods. The 3 most common interventions for patients with FBDs were (in descending order): elimination diets, vitamin/mineral supplementation and GI-related supplementation. FBD interventions by IM practitioners were effective (75.4% of patients had symptom improvement).
Frequency of Hyperuricemia Inpatients with Backache in General Population

Objective: To determine frequency of hyperuricemia in patients with backache in general population and to compare the results with international studies. Study Design: cross sectional Descriptive Case Series. Place and Duration: In outdoor patients of medicine department Allied hospital Faisalabad, from 01-08-2016 to 31-01 -2017. Methodology: Adult patients of either gender with low backache were Included in the study. Patients of chronic renal failure and osteomalacia patients were excluded. Nonprobability consecutive sampling technique was used. After enrolment of patients according to criterion an informed consent was taken. Uric acid level was checked in all patients. Uric acid level 4 to 5.7mg/dl for females and 47.0mg/dl for males were taken as normal. Results: We included 100 patients. Age ranged from 12-80 years (mean =40.50±15.2years). Out of these100 patients 17% patients were having hyperuricemia. Among patients regarding age distribution 57% were below age 40 and 43% were above age 40. In above 40 years age group hyperuricemia was seen in 76.47%(13pts) In below age 40 years group 23.53% (4pt) had hyperuricemia. The p value is (.002) significant indicating an important relationship between age above 40 and hyperuricemia. Out of 100 patients regarding gender distribution 54 %were females and 46 % were males. Amongst 17%patients having hyperuricemia 64.7 %(11pt) were female and 35.3 % (6pt) were male and P value regarding gender distribution was 0.331. Conclusion: hyperuricemia is common in Pakistani population and needs to be considered in most of patients with backache especially females who are more predispose to this condition.