bluuebunny/crossref_metadata_2025 huggingface dataset:
Japanese Language Interest on Nursing Students toward Intention to Work in Japan at Stikes Pemkab Jombang
Authors: Nahariani Pepin , Ratna Kikis Widya , Kolifah Kolifah , Noviana Iin , Rosmaharani Shanti
Published: March 2020

Introduction: In Indonesia, the working prevalence of nurses was that 95% worked in the country and 5% were working abroad. The government provides opportunities for nurses who want to work in Japan through networking (Indonesia Japan Economic Partnership Agreement). However, there isn’t a lot of interest due to the lack of knowledge of the Japanese language. This study aimed to analyze the Japanese language related to the nursing students’ interest concerning working in Japan.Methods: The design of the study was correlational research with a cross-sectional approach which was conducted between May 31st and June 1st, 2016. The population consisted of nursing Bachelor’s program students and the population totaled 41; the samples totaled as many as 37. The data collection used Japanese observation test scores and questionnaires.Results: The results showed that most of the 75.6% got a good score (B). Nearly half (48.6%) of them were intending to work in Japan and 2.7% got great scores, also with the intent to work Japan. Based on the test results, the statistical value = 0.798 that the ρ value> α (0.05).Conclusion: This means that there is no correlation between the Japanese language and the nurse’s working interest related to Japan. The recommendation in this study is the implementation of an active Japanese language course. Further research should analyze the factors that affect the interests of Indonesian nurses when it comes to working in Japan.
The Impact of Perceived Organizational Support (POS) for Increasing the Intention to Stay: A Systematic Review
Authors: Prakosa Mira Melynda , Dewanti Nisa , Purwanza Sena Wahyu
Published: March 2020

Background: Nurse turnover is a problem that occurs in hospitals. The high turnover of nurses in health facilities can have a negative impact on the needs of the patients and on the quality of the health services. The turnover of nurses thus becomes a serious challenge to the efficiency, effectiveness and productivity of the health services. The aim of the systematic review was conducted to examine the impact of perceived organization support when it came to increasing the intention to stay.Method: A systematic search was conducted using articles from Scopus, Science Direct and SAGE. The search identified 15 original articles and full texts published between 2014 and 2019.Result: Nurses with high perceived organizational support with their organization have a lower intention to leave the organization. POS is the key predictor of turnover intention.Conclusion: POS can reduce turnover, especially for nurses. The positive perception of the organization can decrease turnover intention. POS that is felt strongly will affect the work performance of the nurses by increasing their intention to stay. This can the reduce hospital costs when it comes to having to recruitment new nurses.
Self Affirmation Reduces the Anxiety, LDH and Troponin I in the Clients with Coronary Heart Disease (CHD)
Authors: Padoli Padoli , Suwito Joko , Hariyanto Tanto
Published: March 2020

Introduction: Positive self affirmation is one of the psychological interventions that can be applied to the treatment of coronary heart disease; its effect is currently unknown. The purpose of this study was to prove the effect of self affirmation on anxiety, troponin I and LDH in coronary heart disease patients.Methods: The type and design of the study was quasi-experimental with a non-randomized post-test control group design. Thirty patients with coronary heart disease who were treated in the Camelia room of Dr Soetomo Hospital who had been selected were divided into 2 groups. The first group was given self affirmation twice / day for 20 minutes and the second group had standard care as the control group. After the intervention, anxiety measurements were taken, in addition to the measurement of troponin I and LDH.Results: The results showed that self affirmation reduced anxiety (ρ = 0.03), decreased troponin I (ρ = 0.003) and decreased the lactate dehydrogenase (LDH) levels (ρ = 0.006).Conclusion: Self-affirmation improves the client’s emotions, preventing damage to the heart muscle cells. This is reflected by a decrease in the troponin I and LDH levels which are indicators of heart muscle damage.
Factors That Influence Professional Quality of Life (Pro-QOL) on Clinical Nurses
Authors: Handini Febrina Secsaria , Patarru' Fitriyanti , Weu Basilius Yosepfus , Heryyanoor Heryyanoor , Purwanza Sena Wahyu
Published: March 2020

Introduction: Nurses are professionals that work by involving cognitive and emotional aspects simultaneously when providing nursing care, which provides both positive and negative experiences. These experiences can affect nurses' professional quality of life (Pro-QOL). Professional quality of life has three dimensions, namely burnout (BO), compassion satisfaction (CS) and Secondary Traumatic Stress (STS). This paper presents a systematic review of the literature that examined factors that influence the professional quality of life on clinical nurses.Methods: Articles are obtained from the Scopus, Science Direct and Emerald databases using keywords Compassion Satisfaction, Burnout, Secondary Traumatic Stress, Nurse. The search identified 69 articles and 15 relevant research articles published between 2014-2019.Results: The results show that the inability of nurses to control the core of self-evaluation and the five-factor model (FFM) of personality traits, high workload, pressure in the work and imbalance between rewards and work, coping nurses and poor emotional support, rejection and giving up behavior can increase the number of those with compassion fatigue.Conclusion: The results show that the inability of nurses to control the core of self-evaluation and the five-factor model (FFM) of personality traits, high workload, pressure in the work and imbalance between rewards and work, coping nurses and poor emotional support, rejection and giving up behavior can increase the number of those with compassion fatigue.
Effectiveness of Self-Management Education based on Information Technology (IT) in Chronic Kidney Disease Patients
Authors: Husna Innani Wildania , Yahya Qolbi Nur Qoidah , Widiyani Masita , Sholihin Sholihin
Published: March 2020

Introduction: Chronic Kidney Disease (CKD) has a slow progression in the treatment process. The use of IT (information technology) media as an innovation to support health education in patients with chronic kidney failure to improve their knowledge and self-management nowadays is becoming a trend.Methods: We analyzed the literature to identify the effectiveness of IT using as education media on chronic kidney disease patients. Articles were obtained by PRISMA approach from Scopus, ScienceDirect, CINAHL, PubMed, and Proquest limited to the 5 years; from 2013 to 2018 and obtained 12 articles with RCTs design study. We identified interventions based on IT devices such as smartphones, PDAs (Personal Digital Assistant), computer-based applications, telehealth, film, SMS, and website-based applications.Results: This studies assessed 12 journals. According to the outcomes, there were 38 outcomes in total which are divided into three groups. They were 13 clinical outcomes, 14 caring process outcomes, and 11 usability and feasibility outcomes.Conclusion: Overall, the percentage of intervention which had a positive effect on the outcomes was about 47%. Smartphone and computer-based technologies are the most effective to help the patient find information about aspects related to caring, self and disease management which are recommended by the health care team.
Music Therapy and Bibliotherapy to Reduce Child Anxiety When Given Intravenous Therapy
Authors: Heryyanoor Heryyanoor , Muhsinin Muhsinin , Rahmawati Rahmawati , Patarru' Fitriyanti , Handini Febrina Secsaria , Weu Basilius Yosepfus
Published: March 2020

Introduction: Children often experience anxiety when undergoing the treatment process at the hospital. Efforts to reduce such anxiety can be done with music therapy and bibliotherapy. This study aims to analyze the differences in the effectiveness of music therapy and bibliotherapy in reducing anxiety in children before getting intravenous therapy.Methods: The research design was quasi-experimental, with the pretest and posttest approach. The population was 178 with 32 samples, each of the 16 respondents were given music therapy and bibliotherapy using a purposive sampling technique. Data were collected with observation sheets from the adoption of the HAM-A scale, analyzed by the Wilcoxon test and independent T test at a significance level of p ≤ 0.05.Results: There were differences in children's anxiety when getting intravenous therapy before and after music therapy and bibliotherapy with p = 0.001 (p <0.05), and there was no difference in the effectiveness of the two p values = 0.91 (p> 0.05), but the average bibliotherapy reduced anxiety by 65%, and music therapy by 57%.Conclusion: Bibliotherapy can be given as complementary therapy in children before intravenous therapy.
Effectiveness of Cognitive Behavioral Therapy to Reduce Depression, Anxiety and Stress among Hospitalized Patients with Congestive Heart Failure in Central Java
Authors: Hudiyawati Dian , Prakoso Ajie Maulana
Published: March 2020

Introduction: Psychological problems in patients with heart failure are the result of a combination of the influence of behavior and interactions with physiological responses, which if not handled properly will contribute to worsening clinical symptoms and have a higher risk of rehospitalization. The objective of the study was to evaluate the effects of cognitive behavior therapy (CBT) on psychological symptoms among CHF patients.Methods: This was a quasi-experimental, pretest-posttest control study that applying a CBT to overcome depression, anxiety, and stress. Thirty eligible respondents were recruited and were randomly divided into a case group and waiting list group. Psychological symptoms of respondents were measured using Depression, Anxiety and Stress Scale – 21 questionnaires (DASS-21). Chi-square was used to compare demographic data between groups and T-test analysis was used to describe changes in mean scores between and within groups. Both groups had similar characteristics and psychological symptoms level at baseline.Results: The mean score of depression, anxiety and stress showed a significant difference within the group after the intervention (p<0.05).Conclusion: A recent study found that CBT was effective to reduce psychological symptoms among CHF patients. Based on the study results it can be highlighted that it is important for nurses to provide brief CBT to hospitalized patients in an effort to reduce short term psychological symptoms.
Relationship Between the Application of a Full Day School System and Stress Levels in Junior High School
Authors: Heru Maulidiyah Junnatul Azizah , Jatimi Atika , Fiddaroini Fakhrun Nisa , Syamsudin Achmad
Published: March 2020

Introduction: This research presents the relationship between the schools which implemented full day school and which did not apply the full day school to the level of stress students in junior high schools. This was influenced by the existence of regional autonomy as part of government policy and orientation toward quality education institutions.Methods: This research used a quantitative correlational approach to obtain the significance of the relationship between the variables examined.  The sampling technique used  purposive sampling, with samples of 37 students for a group of cases and 37 students to control groups. Data analysis was conducted using the Kolmogorov Smirnov test.Results: The results showed that in the case group there were 83.78 experiencing mild stress and 16.22 experiencing moderate stress, while in the control group there were 89.19 experiencing mild stress, and 10.81 experiencing moderate stress with P- value 0.000 (<0.05).Conclusion: The conclusion of this study is that more moderate stress levels are found in students who apply the Full Day School System in Junior High School.
The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang
Authors: Wahdatin Alif , Puspita Dyah Wiji , Abdurrouf Muh.
Published: March 2020

Introduction: Weaknesses in applying therapeutic communication are still a problem for nurses. This affects the quality of nursing services that have an impact on patient satisfaction. The purpose of this study was to identify the relationship between therapeutic communication and postoperative patient satisfaction.Methods: This research method was an analytical survey method used a cross sectional approach. Respondents in this study were postoperative patients who were treated in RSISA inpatient ward with 127 patients.  Sampling technique that use was simple random sampling. The data analysis technique in this study used the Spearman test.Results: The results showed that the majority characteristics of respondents had female 61.4%, age 50-64 (33.8%), employment of private employees 24.4%, senior secondary education 37.0%. The results also showed that most therapeutic communication was in the good category (54.3%) and patient satisfaction in the category was very satisfied (52.8%). The results of this research showed that there was significant relationship between therapeutic communication and postoperative patient satisfaction with p-value 0,000 (p-value <0.05).Conclusion: The implications of this research can be a reference in increasing the ability of nurse therapeutic communication so that patient satisfaction with nursing services increases.
Development The National Institutes of Health Stroke Scale (NIHSS) for Predicting Disability and Functional Outcome to Support Discharge Planning After Ischemic Stroke
Authors: Patrama Agit Putra , Tresno Tejo , Purwanza Sena Wahyu
Published: March 2020

Introduction: A discharged stroke patients with disability from hospital need special identify in order to obtain a meaningful quality of life, to improve the functional status of patient’s life quality can be started immediately at admission patient in health sevices. The initial discharge planning was carried out to explore patient’s needs during inpatient and discharge with the National Institutes of Health Stroke Scale (NIHSS). NIHSS as a predictor model to discharge stroke patient with disability , need to identify effectivity of it  to improve the functional status of patient’s life quality with stroke.Methods: Search of journal articles used PECOT framework in the database; Sciencedirect, CINAHL, Elseiver, Sage, Scopus, Ebscohost, and Medline with limitations of publication time is in the last 15 years (2004-2019) by including keywords Natioanal Institutes of Health Stroke Scale, discharge planning, ischemic stroke.Results: There are 10 journals according specified criteria design that discuss the interventions of discharge planning model patient stroke.Conclusion: NIHSS can be applied to predicting disability and functional outcome status of patient’s life quality with stroke.
The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients
Authors: Sukartini Tintin , Asmoro Candra Panji , Alifah Nandani
Published: March 2020

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.
Attitude of Nurses Related to The Implementation of Patient Safety in The Intensive Care Unit
Authors: Nihayati Hanik Endang , Gunawan Gunawan , Wahyuni Erna Dwi Dwi , Purwanza Sena Wahyu , Arifin Hidayat
Published: March 2020

Introduction: The error events in the Intensive Care Unit (ICU) were caused by nurses focusing more towards collaborative intervention with other medical staff and workload documentation which was not optimal. The purpose of this study was to determine the predisposing factors related to the implementation of patient safety in the ICU.Methods: This study was a descriptive analytic correlational study. Sample size was determined by purposive sampling and obtained 26 nurses. The independent variables were the predisposing factors and the dependent variable was the implementation of patient safety.  Instruments used were a questionnaire and observation sheet. Analysis was performed using Spearman's Rho and Logistic Regression.Results: Spearman’s Rho showed there was a significant correlation between knowledge (p=0.019) and attitude (p=0.040) towards implementation of patient safety. There was no significant of motivation (p=0.073) towards the implementation of patient safety. Logistic Regression showed the dominant factor in implementation of patient safety was attitude.Conclusion: Predisposing factors, that include knowledge and attitude, had a significant effect on the implementation of patient safety, but still required high motivation in the implementation of patient safety. In addition to knowledge and good attitude, nurses are expected to improve motivation in the implementation of patient safety.
Pemanfaatan City Tour sebagai Sumber Belajar dalam Mata Pelajaran Tour Guiding di Kelas XI Jurusan Usaha Perjalanan Wisata di SMK Negeri 57 Jakarta
Authors: Nadia Qurotha  , RA Murti Kusuma Wirasti  , Santi Maudiarti
Published: March 2020

This study aims to describe the utilization of city tour on tour guiding subject in grade XI tourism program at SMK Negeri 57 Jakarta. The method used in this study is descriptive qualitative with case study approach and data collection techniques through questionnaire, interview, observation and documentation. The result of this study indicates that the teacher has taken advantage of city tour as a source of learning on tour guiding subject grade XI. Data obtained are described in percentage and narrative analysis. The utilization of city tour is described through the six steps of utilization model ASSURE which includes 1) Analyze learners, 2) Select objective, 3) Select method, media and materials, 4) Utilize media and materials, 5) Require learners’ participation, 6) Evaluate and revise.
A New Decline-Curve-Analysis Method for Layered Reservoirs
Authors: Jongkittinarukorn Kittiphong , Last Nick , Escobar Freddy Humberto , Maneeintr Kreangkrai
Published: March 2020

This study presents a new method to improve production forecasts and reserve estimation for a multilayer well in the early stages of production using the Arps (1945) hyperbolic decline method to model the decline rate of each layer. The method can be applied to both oil and gas wells.

The new approach generates the profiles of the instantaneous decline rate (D) and instantaneous decline-curve exponent (b) from the historical flow rate (q). Because of the inherent noise in the production data, a regression technique is applied to smooth the flow-rate data, and the analysis is performed on the smoothed data. History matching is performed not only on the profile of q but also on the profiles of D and b. This results in the unique decline parameters (qi,Di, and b) for each layer.

For a multilayer well, the values of D and b vary with time, which means that the well's performance cannot be modeled using a conventional single-layer-well approach. Furthermore, the well-known nonuniqueness problem from history matching is magnified in a multilayer well: Many models can successfully match the production profile in the short-term but fail to match it in the longer term. Only the correct model can match the profiles of q, D, and b over both the short-term and the long-term. The proposed method provides the correct unique decline parameters (qi,Di, and b) for each layer, during the early stages of production, and these parameters are then valid for the life of the well. The method works well for both synthetic examples and actual field data.

The novelty of the new methodology is the ability to provide the decline parameters for each layer at an early stages of production that can then be used for production forecasting in the long-term. The nonuniqueness problem from history matching is solved.
Methicillin Resistant Staphylococcus aureus nasal carriage and associated factors in a rural tertiary hospital in Eastern Uganda: A prospective cross-sectional study
Authors: Thembo Nobert , Masifa George , Kamugisha Gerald , Nabitaka Robinah , Akais Benjamin , Olupot-Olupot Peter , Muhindo Rita , Kiyonga Edward , Ampaire Lucas
Published: March 2020

Background: Asymptomatic carriage of Methicillin-Resistant Staphylococcus aureus (MRSA) can predispose the host to a wide array of infections that can be difficult to treat due to antibiotic resistance. To inform public health strategies, the study sought to describe MRSA nasal carriage frequencies and the associated factors concerning nasal carriage among patients attending Mbale Regional Referral Hospital (MRRH). Methods: Nasal swabs were obtained from consented (aged >15years) participants presenting to the hospital for medical care between January and April 2018 [L1] . Direct Culture of swabs was performed on blood agar and then incubated at 37℃ for 24 hours. Identification of S. aureus was done using conventional biochemical tests. Phenotypic screening and confirmation of MRSA was done using cefoxitin disc (30µg) test and MICs on the Phoenix M50 instrument respectively. Patient demographic characteristics and the MRSA nasal carriage risk factors were collected using a pre-tested questionnaire. Results: Overall, majority of the participants were in-patients (138, 63.3%) with the proportions of both females and males among the participants being 154/218 (70.6%) and 64/218 (29.3%) respectively. Mean age for both female and male participants was 40.16 (SD± 17.04) years respectively. S . aureus nasal carriage rate among the participants was 22.9% (50/218), with 57.9% (29/50) of the harboured strains phenotypically expressing methicillin resistance ( mecA mediated). Phenotypic co-expression with i nducible clindamycin resistance and vancomycin resistance was displayed in 45.5% (23/50) and 2% (1/50) of the studied isolates respectively. Colonisation with MRSA did not show any significant relationship with all the studied factors. Conclusion : There was a moderate S. aureus nasal carriage among the participants in Mbale Regional Referral Hospital with a highly noted phenotypic expression of methicillin resistance among the isolated S. aureus strains. The studied factors were not significantly associated with the rate of MRSA nasal carriage. For surveillance purposes to combat future outbreaks, there is a need to do a larger study to better draw generalizable conclusions of carriage in the population. [L1] This is an important statement. I suggest that we reinstatate it if we are still in recommended word count
Sweet cherry fruit cracking: follow-up testing methods and cultivar-metabolic screening
Authors: Michailidis Michail , Karagiannis Evangelos , Tanou Georgia , Sarrou Eirini , Karamanoli Katerina , Lazaridou Athina , Martens Stefan , Molassiotis Athanassios
Published: March 2020

Background: Rain-induced fruit cracking is a major physiological problem in most sweet cherry cultivars. For an in vivocracking assay, the ‘Christensen method’ (cracking evaluation following fruit immersion in water) is commonly used; however, this test does not adequately simulate environmental conditions.Herein, we have designed and evaluated a cracking protocol, named ‘Waterfall method’, in which fruits are continuously wetted under controlled conditions. Results: The application of this method alone, or in combination with ‘Christensen method, was shown to be a reliable approach to characterize sweet cherry cracking behavior. Seventeen cherry cultivars were tested for their cracking behavior using both protocols, and primary as well as secondary metabolites identification was performed in skin tissue using a combined GC-MS and UPLC-MS/MS platform. Significant variations of some of the detected metabolites were discovered and important cracking index–metabolite correlations were identified. Conclusions: We have established an alternative/complementary method of cherry cracking characterization alongside to Christiansen assay.
A Novel Rind Puncture Technique to Measure Rind Thickness and Diameter in Plant Stalks
Authors: Seegmiller Will H , Graves Jadzia , Robertson Daniel J
Published: March 2020

Background: Measurements of rind and culm thickness and stem radius / diameter are important to biomechanical, ecological and physiological plant studies. However, many methods of measuring rind thickness and diameter are labor intensive and induce plant fatality. A novel rind puncture methodology for obtaining measurements of rind thickness and diameter has been developed. The suitability of the new method for implementation in plant studies is presented. Results: The novel rind puncture technique was used to obtain measurements of rind thickness and diameter for samples of Poison Hemlock (Conium maculatum). The rind puncture measurements were strongly correlated with caliper measurements (R2 > 0.97) and photographic image analysis measurements (R2 > 0.84). The capacity for high throughput measurements using the rind puncture technique was determined to exceed that of caliper measurements and image analysis techniques. Conclusions: The rind puncture technique shows promise as a high throughput method for determining rind thickness and diameter as it is cost effective and non-lethal. The authors are currently working to develop a custom handheld apparatus to allow the novel rind puncture method to be used in field work. High throughput field-based measurements of rind thickness and diameter are needed to help address the problem of stalk lodging (failure of grain crops to remain upright until harvest).
Behavioural risk factors for non-communicable diseases amongst adults aged 18 years and above in Collins Chabane Municipality of Vhembe District in Limpopo Province, South Africa
Authors: motadi selekane , Sambo Charmaine , Nesengani Nthovhedzeni , Ndalani Thembuluwo , Mutakuseni Rilwele
Published: March 2020

Background: Tobacco use, alcohol consumption, physical inactivity, unhealthy diet and obesity are the behavioural risk factors for non-communicable diseases. To determine behavioural risk factors for non-communicable diseases amongst adults aged 18 years and above in Collins Chabane municipality of Limpopo province, South Africa. Methods: This study included 365 participants recruited from Collins Chabane municipality of Vhembe district, Limpopo province, South Africa. Municipality was selected using simple random sampling and convenience sampling was used to choose participants. Anthropometric measurements were measured following standard techniques. Data on dietary intake was collected using Food Frequency Questionnaire. Permission and clearance were obtained and participant’s rights were respected. Results: About (24.4%) of participants consumed alcohol in the current study. Males were more likely to consume alcohol as compared to female counterpart (54.6% vs. 3.3 %) Gender has a large effect on alcohol consumption. Cramer’s V = 0.58. The prevalence of alcohol consumption was higher in male (22.8%) as compared to (1.6%) female counterparts. The prevalence of underweight, overweight and obesity was 7.7%, 29.8%, and 11.3%, respectively. Majority 61.1% of the participants had sedentary lifestyle in the current study. About 13.9% of the participants smoked cigarette in the current study. Of all participants who smoked cigarette 10.1% initiated smoking at the age of less than 19 years Conclusion: Behavioural risk factors such as smoking, alcohol consumption, consumption of over required amount of sugar, sodium, protein, energy, carbohydrates, excessive fats intake, physical inactivity, overweight, obesity exist among people in Collins Chabane municipality.
Understanding the Barriers to Nurses Error Reporting and Disclosure: A Mixed Methods Study
Authors: Najafpour Zhila , Arab Mohammad , biparva somayeh , Yaseri Mehdi , Hatamizadeh Maryam , Goudarzi Zahra , Bahramnezhad Fatemeh , Shayanfard Kamran
Published: March 2020

Background: Ensuring that nurses report errors and disclose related outcomes to patients is a movement toward creating a culture of transparency. Different factors might contribute to the tendency to under-report or to disclose. This study aim to investigate the barriers of the reporting and disclosing of medical errors via nurses’ perceptions.Methods: A mixed methods study were used to identify barriers of error reporting and disclosing. For the aim of this study, a total of 491 nurses participated in the quantitative phase and 22 nurses in the qualitative phase, Iran, 2018. The data for the quantitative phase was collected based on a questionnaire and were next analyzed by descriptive and analytical statistics. Through a scenario-based method, the qualitative data were gathered and analyzed based on content analysis approach.Results: The results showed that the most important perceived barriers with the highest impacts coincided with educational(64%), motivational(64%), and managerial factors (62%) and the univariate analysis showed a significant correlation between error-reporting mechanisms, education, and consequences of reporting errors domains and independent variables(p < 0.05). Based on SEM analysis, the most important perceived barriers were educational and motivational domains (ES:1.33, SE:0.16). Interview results were classified into three categories: error perception, error reporting, and error disclosure. In fact, 55% of the interviewed nurses identified the existence of at least one error in scenarios and 66% of participants stated that they had reported errors. Overall 83% of the participants recruited had negative attitude toward full disclosing the errors to patients.Conclusions: Our results highlight the multifactorial aspects in error reporting and disclosing. Lack of knowledge about error and its reporting, inappropriate feedback and weakness in supportive actions represent the inhibitors of reporting and disclosing errors. Actually, a guideline should be formulated on error disclosure to increase transparency and improve communication with patients.
Research on Space-time Blocking Matrix Algorithm Based on Frequency Diverse Array
Authors: Liao Yanping , Wu Zenan
Published: March 2020

Because the beam pattern of the conventional phased array or MIMO radar is only related to the angle dimension, it is difficult to suppress the incident interference when it is in the mainlobe or at the same angle of the desired signal. According to the development demand of mainlobe anti-interference technology. In this paper, a space - time blocking matrix processing algorithm based on FDA is proposed. The algorithm gives the specific structure of the blocking matrix, which can not only avoid the interference of the same angle and different distances, but also eliminate the interference signal in the direction of the mainlobe without affecting the energy of other incident signals, so as to ensure the good shape of the beam pattern. The simulation results show that the algorithm can successfully suppress the mainlobe interference and has good beam-conformal.
The effects of synbiotic supplementation on metabolic factors and systemic inflammation in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled study
Authors: Velayati Aynaz , Kareem Iman , Sedaghat Meghdad , Sohrab Golbon , Nikpayam Omid , Hedayati Mehdi , Abhari Khadijeh , Hejazi Ehsan
Published: March 2020

Background: Type 2 diabetes is a common metabolic disorder in the world, and it has become a challenge for the health system. Some studies have indicated the desirable effects of synbiotics on metabolic factors in patients with diabetes. Aim: This study aimed to determine the effect of synbiotic supplementation on metabolic factors and systemic inflammation in patients with type 2 diabetes mellitus. Methods: In this randomized, double-blind controlled trial, 50 patients with type 2 diabetes randomly allocated to the synbiotic (containing Bacillus coagulans + Lactobacillus rhamnosus + Lactobacillus acidophilus and fructooligosaccharide) or placebo groups to received one sachet daily for 12 weeks. Glycemic index, Lipid profile, and hs-CRP measured at the beginning of the study and the end of the 12th week. Results: After 12 weeks, supplementation means a change of Hip circumference (HC) significantly decreased in the synbiotic group compared to the placebo group (-0.85±1.89 vs. 1.23±3.98). Although systolic blood pressure (SBP) and diastolic blood pressure (DBP) at the end of trial declined in the synbiotic group compared to baseline, respectively p=0.03, p=0.01. Analysis of covariance demonstrated that synbiotic supplementation during 12 weeks significantly reduced glycemic factors including fasting blood glucose (FBG), insulin, homeostatic Model Assessment for Insulin Resistance (HOMA-IR), β-cell function (HOMA-β) (p<0.05) and inflammatory index, hs-CRP (p<0.05) compared to placebo. Conclusion: The current study indicated Synbiotic supplementation could improve glycemic index, systemic inflammation and blood pressure in patients with type 2 diabetes. So correcting the intestinal microbial flora can be a new therapeutic approach to treating this disease. Trial registration: IRCT, IRCT20100524004010N27. Registered 7 January 2019, https://www.irct.ir/trial/36535
Impact of Cardiovascular Screening Tests in Patients with Type 2 Diabetes Mellitus without Previous Histories of Cardiovascular Disease: 5-year Clinical Outcomes.
Authors: Antoku Yoshibumi , Takemoto Masao , Mito Takahiro , Shiiyama Ryuta , Otsuka-Morisaki Hiroko , Tanaka Atsushi , Maeda Yasutaka , Tsuchihashi Takuya
Published: March 2020

Background We previously reported that, among the asymptomatic patients with type 2 diabetes mellitus (T2DM) without history of cardiovascular disease (CVD), up to 19% of the patients with myocardial ischemia were detected by cardiovascular screening tests (CVSTs). We concluded that the CVSTs in patients with T2DM may be one of the most effective strategies to find CVD in those patients. Thus, the aim of the study was to assess the long-term clinical outcomes of CVSTs in patients with T2DM without previous histories of CVD. Methods Six hundred fifty-seven out-patients with T2DM who received CVSTs at least more than one time or not at all from April in 2014 to March in 2019 were defined as the S group or NS group, respectively. The data in 2104 and 2018 were collected from the medical records, and compared between the S and NS groups. Results This study revealed that, in the out-patients with T2DM in our hospital over those 5 years; 1) the frequency of receiving CVSTs was significantly increasing, 2) in accordance with that increase, the frequency of the internal use for CVD of statins, anti-platelets, and renin-angiotensin system inhibitors, which are well-known as medications for preventing CVD, was significantly increasing, 3) however, there was only a small increase in the internal use of sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptors, which are well-known to suppress cardiovascular events in patients with T2DM, 4) LDL-cholesterol and triglycerides significantly improved more in the S group than the NS group, 5) highly sensitive C-protein, which is one of the strongest predictors of CVD, was significantly suppressed by CVSTs, 6) the progression of renal dysfunction was significantly more suppressed in the S group than the NS group, 7) in an inverse proportion to the CVST increase, the frequency of acute coronary syndrome, cerebral infarctions, 4-point major adverse cardiovascular events, and admissions due to heart failure were significantly decreasing, and 8) finally, the frequency of all-cause mortality was significantly suppressed during those 5 years. Conclusions Thus, it may be important to continue CVSTs in out-patients with T2DM without a previous history of CVD for several years.
Assessing the determinant Factors leading to Academic Staffs' level of Satisfaction and Turnover Intention in Universities, In Case of the Amhara Region, Ethiopia.
Authors: Berhie Kidanemariam Alem , Mohammed Kasim , Arega Yibeltal , Melese Dessie , Ibrahim Adem , Hussen Jemila
Published: March 2020

Background: Job satisfaction is the most interesting field for many researchers to study work attitude in workers. Employee job satisfaction is fulfillment, gratification, and enjoyment that comes from work. The main objective of this study is to identify and analyze the determinant factors leading to academic staff’s satisfaction and turnover intention in the Amhara regional state universities.Methods: The study was conducted in seven Amhara regional state government universities. Cross-sectional stratified sampling design was used. The stratum is based on these seven universities in Amhara regional state. In this investigation, ordinal logistic regression model was used.Results: The study covers 620 respondents from September 2016 up to August, 2017. The sample staffs surveyed from UOG, BDU, Wollo, Debre-Birihan, Debre-Markos, Debre-Tabor and Welidiya University were 21.3%, 23.7%, 9.4%, 7.6%, 14.5%, 12.1% and 11.5%, respectively. From these total respondents, 34.4% were satisfied with their job. From the total sample staff surveyed in the study, 26.0% were dissatisfied. 9.2%, 29.8% and 0.6% of the respondents were very dissatisfied, neutral and very satisfied in their jobs, respectively. 38.5% of the respondents were very eager to leave their job areas.Conclusions: The independent variables sex, age, place of birth, employer University, job position, responsibility, advancement, salary, achievement, work condition, work itself and turnover have significant relation with an academic job satisfaction.
Comparative transcriptome analysis identifies jasmonic pathway genes related to anther dehiscence in Solanum melongena L.
Authors: Wang Zhimin , Zhang Shaowei , Yuan Chao , Niu Yi , Tang Qinglin , Wei Dayong , Tian Shibing
Published: March 2020

Background: Anther indehiscence is an important form of functional male sterility that can facilitate the production of hybrid seeds. However, the molecular mechanisms of anther indehiscence-based male sterility in eggplant (Solanum melongena L.) have not been thoroughly explored. Therefore, we performed RNA-seq analysis to investigate the molecular mechanisms of anther dehiscence in eggplant. Results: We used transcriptome sequencing and qRT-PCR assays to compare the anthers of normally developing (F142) and anther indehiscent (S12) eggplant. We identified 2670 differentially expressed genes between lines. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses identified 31 differentially expressed genes related to hormone biosynthesis. We therefore measured the contents of the phytohormones jasmonic acid (JA), IAA, GA3 and ABA in S12 and F142. There were no significant differences in IAA, GA3 or ABA levels between S12 and F142. However, JA levels were significantly lower in S12 than in F142. Five key genes in the JA signaling pathway were differentially expressed in S12 vs. F142. Of these, SmJAZ and SmJAR-like were significantly up-regulated and SmDAD1, SmLOX and SmCOI1 were down-regulated in S12 vs. F142. In DNA-protein interaction studies, SmLOX, SmAOC, SmOPR3, SmCOI1 and SmJAZ1 failed to be enriched on the chromatin of SmDAD1. Protein–protein interaction studies identified a direct interaction between SmDAD1 and SmLOX, but SmDAD1 failed to interact with SmAOC, SmOPR3, SmCOI1 and SmJAZ1. Conclusion: JA is an essential factor affecting anther dehiscence in eggplant. SmDAD1 interacts with SmLOX to alter JA levels, thereby regulating anther dehiscence. Our data represent a valuable resource for further exploring the regulatory mechanisms underlying anther dehiscence in eggplant.
Predictive value of two polymorphisms in ABCB1, rs1045642 and rs1128503, in prognosis following taxane-containing chemotherapy: A meta-analysis
Authors: Chen Quanyao , Lin Wanlong , Yang Jianhui , Lin Min , Lin Xiuxian , Huang Jiangfeng , Weng Yiyin , Guo Jujiang , Chen Yao
Published: March 2020

Background: Although taxane-containing chemotherapy is widely used to treat solid tumors, genetic polymorphisms can influence the chemotherapeutic response. This meta-analysis was conducted to determine the correlation between two polymorphisms in ABCB1 , rs1045642 and rs1128503, and survival of patients administered taxane-containing chemotherapy. Methods: PubMed, Web of Science, Embase, Wanfang database, VIP database, and China National Knowledge Infrastructure database were used to obtain articles published up to August 2019 describing the association between the ABCB1 rs1045642 and rs1128503 polymorphisms and survival. A meta-analysis was conducted using R 3.6.1 software to determine the pooled hazard ratio (HR) and 95% confidence intervals (95% CI). Furthermore, publication bias was assessed, and sensitivity analysis was performed to validate the analysis. Results: Fifteen studies involving 3320 patients were included in the meta-analysis. The summary results showed that the effect of the C1236T polymorphism on progression-free survival remained significant in the heterozygote model (HR 0.81; 95% CI: 0.67–0.98) and homozygote model (HR 0.71; 95% CI: 0.58–0.88). Compared to the C1236 TT phenotype, the CC genotype was associated with a poor overall survival (HR 0.72; 95% CI: 0.53–0.97). Finally, subgroup analysis suggested that different areas, tumor types, and treatment regimens influence patient survival. Conclusions: Patients who are ABCB1 rs1045642 and rs1128503 T gene carriers show a survival benefit with taxane-containing chemotherapy.
Spatial, Temporal, and Spatiotemporal Variation of Malaria Incidence and Risk Factors in West Gojjam Zone From 1 July 2013- 30 June 2018, Northwest Ethiopia, 2019.
Authors: Bayih Eniyew Tegegne , Gelaye Kassahun Alemu , Zeleke Awrajaw Dessie , Damtew Alebachew Shimelash , Asmare Biachew Asmare , Demil Yikeber Argachew , Lamore Yonas Lamore , Temesgen Tegegne Temesgen , Melessie Biruk Demissie
Published: March 2020

Background: Malaria is a life-threatening acute febrile illness which is affecting the lives of millions globally. Its distribution is characterized by spatial, temporal, and spatiotemporal heterogeneity making detection of the space-time distribution and mapping high-risk areas useful to effectively targeting hot spots of malaria for intervention. Methods : Time series cross sectional study was conducted using data obtained from weekly malaria surveillance reports stored in the Amhara Public Health Institute from 1 July 2013-30 June 2018. Climatic variables were obtained from West Amhara Meteorological Agency. All districts were included and geo-coded and the spatial data was created in ArcGIS10.2.2 software. Global and local spatial autocorrelation were used to test the hypothesis and to detect hot spots respectively. The Poisson model was fitted to determine the purely spatial, temporal, and space-time clusters using SaTScan™9.6 software. Spearman correlation, bivariate, and multivariable negative binomial regressions were used to analyze the relation of the climatic factors to count of malaria incidence. Result: The study revealed spatial, temporal, and spatiotemporal heterogeneity of malaria incidence. Jabitenan, Quarit, Sekela, Bure, and Wonberma were high rate spatial cluster of malaria incidence hierarchically. Spatiotemporal clusters were detected. A temporal scan statistic identified one risk period from 1 July 2013 to 30 June 2015. Monthly average temperature was positively but monthly average rainfall and monthly average relative humidity were negatively correlated to count of malaria incidence at all lag-months. The adjusted incidence rate ratio showed that monthly average temperature and monthly average rainfall were independent predictors for malaria incidence at all lag-months. Monthly average relative humidity was significant at 2 months lag. Conclusion: Malaria incidence had shown spatial, temporal, spatiotemporal variability in West Gojjam zone. Mean monthly temperature and rainfall were directly and inversely associated to count of malaria incidence respectively. Considering these space-time variations and risk factors (temperature and rainfall) would be useful for the prevention and control and ultimately achieve elimination. Keywords: Spatiotemporal Variation, Malaria Incidence, Risk Factor, West Gojjam, Ethiopia
The treatment of distal radius fractures accompanying dorsally displaced free fragments beyond the watershed line with turning radius and distal volaris radius system plate fixation via the distal palmar approach
Authors: Jia Zhaofeng , Wang Shijin , Jiang Wei , Li Chuangli , Lin Jiandong , Liu Qisong , Li Guangheng , Hu Xinjia
Published: March 2020

Background: Although distal radius fractures (DRFs) are clinically common, DRFs accompanied by dorsally displaced free fragments beyond the watershed line are much less so. At present, it is very difficult to fix and stabilize the displaced free fragments far away from the watershed line with a plate. Our aim was to investigate the clinical effect of DRFs with distally displaced dorsal free mass treated with distal volaris radius (DVR) combined with turning of the radius via the distal palmar approach. Methods: From 2015 to 2019, 25 patients with distal radius fractures associated with dorsally displaced free fragments beyond the watershed line were selected and treated with distal volaris radius (DVR) combined with turning of the radius via the distal palmar approach. This study involved 14 males and 11 females, with an average age of 34.5 years (ranging from 21 to 50 years). The mean follow-up period was 16.5 months (ranging from 12 to 22 months). The dorsal displacement of the free fragments was analyzed by X-ray and three-dimensional computed tomography, allowing characterization of postoperative recovery effects by radial height, volar tilt and radial inclination. For the follow-up, we evaluated effects of the surgery by analyzing range of motion (ROM); Modified Mayo Wrist Score (MMWS); and Disabilities of Arm, Shoulder and Hand (DASH) score. Postoperative wound recovery and complications were also monitored to evaluate the clinical therapeutic effects of the surgical procedures. Results: X-ray showed that all patients showed reduced fractures, well-healed wounds and recovered function with no obvious complications. Based on the follow-up, patients had a mean radial height of 10.5mm (ranging from 8.1 to 12.6 mm), mean MMWS of 78.8° (ranging from 61 to 90°), mean DASH score of 16.25 (ranging from 11 to 21), mean ROM for volar flexion of 76.5° (ranging from 62 to 81°), mean ROM for dorsiflexion of 77.1° (ranging from 59 to 83) and mean VAS score of 1.4 (ranging from 1 to 3). Conclusion: Treatment of distal radius fractures with accompanying dorsally displaced free fragments beyond the watershed line with turning of the radius and the DVR plate system via the distal palmar approach is effective and has no obvious complications.