bluuebunny/crossref_metadata_2025_split huggingface dataset:
Migrant workers in Thailand: Qualitative exploration of reporting workplace accidents and filing workers' compensation claims
Authors: Yotwilai Nawiya 
Published: November 2024

Introduction: Reporting accidents in the workplace is a method to prevent accidents and injuries. Reporting could influence to safety improvement regarding the diminution of workplace injuries. They were completed reporting along with accuracy influence filing workers' compensation claims. Employers and migrant workers often ignore reporting workplace accidents. This exploration aims to demonstrate migrant workers' proceedings with crucial barriers to reporting workplace accidents and filing workers' compensation claims.
Methods: The study conducted in-depth interviews involving the purposeful snowball sampling of 48 migrant construction workers who were employed legally and filed claims from 2019 to 2022 in Thailand. The interview process comprised semi-structured questions and probes with the flexibility to explore experiences for individual participants. The recorded information was transcribed into English. Transcripts were translated and coded in NVivo software.
Results: Migrant workers often misunderstood and disbelieved the workers' compensation system before accidents occurred. Geographical distribution caused unequal opportunities for healthcare access. Mobility prohibition tended toward negative effects with the high rate of underreporting workplace injuries. Incomplete reporting contributed to the denial of filing claims with additional risks of liabilities. The trouble of filing claims related to difficult communication due to insufficient language skills. Migrant workers decided to have a reliance on traditional medicine.
Conclusion: True reporting of workplace accidents can encourage employers to prevent future accidents. Migrant workers need to implement the regulations. The public agencies should provide an equal and effective system of workers' compensation.
Workplace aggression in the healthcare sector: a scoping review to facilitate the development and evaluation of effective de-escalation training programs
Authors: Corsi Martina , Perretta Salvio , Marino Riccardo , Doda Aleksandra , Buselli Rodolfo , Foddis Rudy 
Published: November 2024

Introduction: Workplace aggression is a challenge for preventive and occupational medicine and aggression management training is fundamental to any workplace violence prevention strategy. Despite the increasing interest that has been recently devoted to the importance of prevention of aggressive behaviors, international literature on the topic is huge but heterogeneous.
Methods: The authors tried to to analyze literature regarding this issue with the future goal of finalizing a de-escalation training course for healthcare workers, alongside a procedure for evaluating the effectiveness of the course that takes into account evidence synthesis.
Results: Although in recent years several studies have proposed different theoretical models of escalation of aggression and de-escalation techniques, what emerged is that no model can possibly account for all the factors and mechanisms involved in human aggression which present high levels of unpredictability.
Conclusion: Authors argue that common programs, regarding the understanding of aggression and of de-escalation strategies, are effective in some way as has already been evidenced anecdotally through literature references, and that de-escalation courses should be useful and should repeated over time with the main aim of empathic communication through practice. Further, literature evidence suggests that simulation scenarios should be preferred to test the effectiveness of a course rather than a paper test or self-assessment quality of the course, but the limit of the artificiality of the scenarios should be overcome.
Optimising our GIRFT acute regional lithotripsy service—Improving efficiency and access for those most likely to benefit
Authors: Hughes Charlotte M , Irving Stuart O , Tsiotras Alexios , Rustin Phillip , Finch William J 
Published: November 2024

Introduction: NICE recommends the use of extracorporeal shockwave lithotripsy (ESWL) for the primary, definitive management of ureteric stones that are unlikely to pass or are causing intolerable pain. Our department hosts an acute regional ESWL service for treatment of ureteric stones, as championed by GIRFT. A quality improvement project was undertaken to improve access and efficiency of our service. Methods: A prospective database of patients attending for ureteric ESWL January−March 2022 was used. Patients attending for their first treatment were included, and their complete stone episode was assessed. Data were gathered on stone characteristics, treatment timescales, and outcomes. Statistical analysis was performed using Fisher's exact and unpaired t-test. Results: One hundred and twenty patients were reviewed, of which 68 met inclusion criteria. Sixty-three percent of patients were treated, of which 91% experienced a successful stone clearance after a median of one treatment. 37% of patients were unable to be treated due to the stone not being localised; these patients had significantly smaller stones (5.2 mm versus 7.2 mm; p = 0.0017), lower density (607.9 HU [Hounsfield units] versus 767.8 HU; p = 0.0096) and a higher chance of spontaneous passage (Mimic Spontaneous Stone Passage score 60.9% versus 42.2%, p = 0.0017). Stone sizes <5 mm, density >500 HU, or Mimic Spontaneous Stone Passage score >60% are less likely to be localised. Patients referred from peripheral units waited significantly longer for their first treatment (17.1 days versus 7.4 days; p = 0.0118); however, they did not have a lower chance of treatment success (86% versus 91%; p = 0.6113). Discussion: We present a very effective service for those able to be treated. Parameters could be used, alongside individual clinical assessment, to consider patients primarily for a trial of conservative management. This would aim to reduce unnecessary attendances and thus, improve access and wait times for those most likely to benefit. Our results indicate that shorter wait times may not improve treatment success, but we anticipate benefit to patient experience. Further evaluation of longer wait for treatment should be conducted using patient-reported outcome measures.
Army spouses’ mental health treatment engagement: The role of barriers to care
Authors: Dodge Jessica R. , Sullivan Kathrine S. , Wortham Whitney , Nugent Katie , Castro Carl A. , Riviere Lyndon A. 
Published: November 2024

LAY SUMMARY Military spouses are exposed to unique stressors that could put them at greater risk for developing mental health issues. Understanding how to support them is important for military family well-being and service member retention. This study examines barriers to care that army spouses with at least mild mental health symptoms experienced and explores whether these barriers prevented them from seeking mental health treatment. Findings suggest military spouses experience a variety of barriers. Spouses experiencing mental health symptoms may struggle to get care if they have at least one child, are employed full- or part-time, or report greater stigma toward mental health care. Additional research is needed to better understand the complexity of barriers and how these barriers contribute to care over time.
Otorhinolaryngologic Manifestations of Long COVID-19 Infection Among Patients at the Quezon City General Hospital
Authors: Sison Ma. Nina Kristine , Cruz Emmanuel Tadeus 
Published: November 2024

Objective: To determine the otorhinolaryngologic manifestations of long COVID-19 infection among patients consulting at the Quezon City General Hospital.
Methods:
Design: Cross-Sectional Study
Setting: Tertiary Government Hospital
Participants:Patients aged 18 years old and above, who previously tested positive for the SARS-COV-2 Test, and consulted with otolaryngologic problems at the Outpatient department, Emergency Room, or were dmitted, or referred from other services to the Department of Otorhinolaryngology Head and Neck Surgery, from October 2022 to January 2023 were considered for inclusion.
Results: Out of 150 participants, 127 (84.67%) reported having otorhinolaryngologic symptoms. Five percent (5%) had ongoing symptomatic COVID-19 (4 to 12 weeks) and 11% had post COVID-19 syndrome (>12 weeks). Patients with long COVID-19 had rhinorrhea (54.51%), hyposmia (51.47%), dysgeusia (48.9%), anosmia (48.53%), sore throat (47.8%), ageusia (29.78%), tinnitus (23.53%), ear pain (23.53%), phantosmia (21.33%), and dizziness (11.76%). Out of 25 patients with long COVID, only 2 had pneumonia and 1 was hospitalized and eventually recovered.
Conclusion: This study showed a prevalence rate of 16% of long COVID-19 with rhinorrhea as the most prominent symptom. Long-term monitoring is essential and patients who had COVID should be advised to report any lingering illness which may subsequently develop. Physicians should be vigilant and aware of the clinical manifestations of long COVID in order to institute proper intervention.
Non-Invasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features – An Illustrative Case
Authors: Mirhan Clarisse Veronica , Rivera Jonathan , Carnate Jose 
Published: November 2024

A 54-year-old woman underwent total thyroidectomy for a one-year history of anterior neck mass. The specimen was a 29.88–gram thyroid gland that on sectioning showed a single 2.0 x 1.5 x 1.5 cm encapsulated nodule with tan-brown solid cut surfaces noted on the right thyroid lobe. No gross lesions were noted on sectioning of the isthmus and left thyroid lobe.
Microscopic examination showed a thinly encapsulated nodule composed of tightly-packed follicles. (Figure 1) Examination of the entire capsule did not show capsular or vascular invasion. The follicles were lined by follicular cells that had crowded and enlarged nuclei with pale chromatin and some nuclear membrane irregularities such as grooving. (Figure 2) There were no papillae, psammoma bodies, necrosis, mitotic figures and solid or trabecular architecture seen. Based on these features, the diagnosis rendered was non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP).
NIFTP is a term adopted in 2016 to replace the nomenclature of a thyroid tumor previously termed “non-invasive encapsulated follicular variant of papillary thyroid carcinoma (FVPTC)”.1 In the most recent edition of the World Health Organization (WHO) Classification of Tumors, NITFP is considered a low-risk follicular cell-derived neoplasm whose definition also reflects the diagnostic criteria of this tumor.2
Quality of slaughter products of young pigs for fattening using flour from apple pomace in composition of compound feed
Authors: Sobolieva S. V. , Gutyj B. V. , Zasukha Y. V. , Sobolev O. I. , Kuzmenko P. I. , Mazhilovskaya K. R. 
Published: November 2024

Today for zootechnical science are remain relevant issues of the rational use of non-traditional feeds in the diets of farm animals. Among the large number of non-traditional foods, apple pomace occupies a prominent place. Like the raw materials, they contain many valuable components: carbohydrates, fats, proteins, pectin substances, vitamins, acids, mineral elements and others. The inclusion of apple pomace in the diet of animals allows not only to increase their productivity and obtain a significant amount of meat and dairy products, but also to save a significant amount of grain fodder and prevent environmental pollution. The aim of scientific research was to study the quality of slaughter products of fattening young pigs for the use of apple pomace flour as a compound feed. Experimental studies were conducted on young pigs of a large white breed of French breeding. During the fattening period, the young pigs of the experimental groups were fed compound feed with different proportions of flour from apple pomace (5 %, 10 and 15 % by weight). The study of the chemical composition of the pigs' meat of the control and experimental groups did not reveal any significant difference between them. However, in the pigs' meat of the experimental groups, compared to the control group, the content of total moisture decreased by 0.4–0.6 % and the fat content by 0.1–0.5 %. In terms of protein content, the young animals of the experimental groups prevailed by 0.5–1.0 % of their peers from the control group. At the same time, there is a tendency to increase the energy and biological value of the meat of young pigs, which during the fattening period were fed apple pomace flour in the amount of 5 and 10 % by weight instead of barley grain As for the quality of adipose tissue, a slight increase in total moisture content by 0.1–0.8 % and a decrease in fat content by 0.5–1.7 % was observed in the young pigs of the experimental groups, compared to similar indicators in the control group. The results of studies of physical and chemical parameters of adipose tissue indicate some advantages of lard of young pigs of the control group. In particular, the melting temperature of pig fat in experimental groups was higher by 0.9–1.7 %, and the iodine number of fat was lower by 3.3–7.1 %, compared to the control group. Thus, the use of flour from apple pomace in the composition of compound feeds for fattening young pigs up to 15 % (by weight) will allow to save a part of expensive grain feed and thereby increase the efficiency of pork production without reducing the quality of products.
Breeding value of sows: selection criteria of highly productive animals and economic assessment of their use
Authors: Khalak V. , Gutyj B. , Bordun O. , Khmelova O. , Stadnytska O. , Kibenko N. , Kravchenko N. , Shcherbak O. , Ilchenko M. 
Published: November 2024

The purpose of the work was to investigate the indicators of own productivity of repair pigs and the reproductive qualities of sows of different intrabreed differentiation according to the BLUP index and the selection index of reproductive qualities of the sow (SIRQS) to determine the criteria for the selection of highly productive animals according to these indicators and to calculate the economic efficiency of their use in the conditions of controlled populations. The breeding value of the animals of the specified production group was determined by the BLUP index (maternal line) and the selection index of reproductive qualities of the sow (SIRQS).

It was established that repair pigs of the large white breed of the controlled population belong to the elite class according to their productivity (age of reaching a live weight of 100 kg, days; fatback thickness at the level of 6–7 thoracic vertebrae, mm). The leading indicators of multifertility (12.5 ± 0.24 – 13.1 ± 0.16 heads), the number of piglets at the time of weaning (10.5 ± 0.17 – 10.8 ± 0.14 heads), and the weight of the nest at the time weaning at the age of 28 days (82.2 ± 1.38 – 84.2 ± 1.03 kg) is characterized by sows of the first experimental group of intrabreed differentiation according to the BLUP index (maternal line) and according to the selection index of reproductive qualities of the sow (SIRQS). The leading indicator of high fertility (1.35 ± 0.021 – 1.38 ± 0.018 kg) and the minimum value of the index of evenness (homogeneity) of the sow's nest by live weight of piglets at the time of their birth (IVH0) (4.11 ± 0.202 – 3.52 ± 0.128 score) was found in sows of the III sub-experimental group. The coefficient of variation (Сv, %) of the reproductive qualities of sows of the large white breed of different breeding values, evaluated according to the BLUP index (maternal line) and the selection index of the reproductive qualities of the sow (SIRQS) ranges from 5.08 ± 0.625 to 25.83 ± 2.965 %. The coefficient of pairwise correlation (r) between the characteristics of the own productivity of repair pigs, reproductive qualities of sows, the BLUP index (maternal line), and the selection index of reproductive rates of the sow (SIRQS) ranges from –0.714 (tr = 19.04) to +0.985 (tr = 446.98). The use of sows of high breeding value, evaluated according to the BLUP index (maternal line) and the selection index of reproductive qualities of the sow (SIRQS) (I sub-experimental group), provides additional production at the level of +6.69 – +8.08 % and its value are + 240.14 – +319.47 UAH or +6.07 – +8.08 US dollars. The criterion for selecting highly productive animals of controlled populations according to the BLUP index (maternal line) is an indicator of 111.53–165.23 points, and the selection index of reproductive qualities of the sow (SIRQS) is 95.03–115.08 points.
Sex Specific Alterations In Autonomic Function In Patients With Irritable Bowel Syndrome.
Authors: Nayem Mohammad , Begum Noorzahan , Ferdousi Sultana , Rahman Md Maruf Ur , Rahman Md Mahbubur , Ahmed Mohammad Nesar Uddin 
Published: November 2024

Background: Autonomic nerve function impairment is related to development of Irritable Bowel Syndrome (IBS). Heart rate variability (HRV) is a useful tool to measure autonomic nerve function activity and also sympatho-vagal balance.
Objective: To assess autonomic nerve function activity by heart rate variability analysis in male and female patients with Irritable Bowel Syndrome.
Methods: This cross sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from 1st July 2010 to 30th June 2011. Ninety patients aged 20-50 years of both sexes with Irritable bowel syndrome were included in the study group. They were collected from the OPD of Gastroenterology in BSMMU. For comparison age and sex matched 30 apparently healthy subjects were also studied as control. The power spectral HRV parameters were recorded by a digital Polyrite. For statistical analysis independent sample t-test was performed as applicable.
Results: Mean resting pulse rate, mean HR, SBP, DBP, LF, LF norm and LF/HF were significantly higher and total power, HF, HF norm were significantly lower in female IBS group than male IBS group when compared to those of control.
Conclusion: This study concludes markedly lower parasympathetic with concomitant higher sympathetic activity and shifting of sympathovagal balance towards sympathetic predominance in female than that of male IBS patients.
J. Dhaka National Med. Coll. Hos. 2013; 19 (02): 19-23
Enteropathogenic Escherichia coli (EPEC) associated with diarrhea in children under 5 years of age
Authors: Saha Shimu , Jhora Sanya Tahmina , Paul Shikha , Hassan Munir 
Published: November 2024

This study has been undertaken to investigate the isolation of EPEC strains associated with diarrhea in children under 5 years of age.Two hundred and seventy two samples from patients with diarrhoea were collected from two tertiary care hospital. Esch. coli was isolated and identified from all the 272 samples from the patients using standard microbiological techniques. EPEC strains were identified on the basis of presence of bundle forming pilus (bfpA) gene. Among 272 samples 20 (7.35%) isolates were identified as EPEC on the basis of presence of bfpA gene detected by polymerase chain reaction. Maximum bfpA gene carrying EPEC strains (10%) were identified from 0-12 months age group. Rapid and reliable detection of EPEC in children under 5 years of age is required for successful microbiological surveillance and for treatment of EPEC mediated diarrhoeal disease.
J. Dhaka National Med. Coll. Hos. 2013; 19 (02): 32-35
Radiological Evaluation of Impacted Mandibular 3rd Molar
Authors: Khan Md Zubayer , Sadat S M Anwar , Khaled Abu Hasan Mohammad , Ahmed Mohiuddin 
Published: November 2024

Purpose: The purpose of this study was to assess impacted mandibular 3rd molar radiologically in 33 Bangladeshi patients.
Methodology: Radiographic evaluation (by orthopantomogram) of 53 impacted mandibular 3rd molar teeth of 33 Bangladeshi patients of ages ranged from 21 to 70 years was done who were conveniently selected from patients attended to department of Oral & Maxillofacial Surgery, Dhaka dental College Hospital & Confidence Dental Surgery, Dhaka.
Result: In the study of 33 patients, 21 (63.64%) were males and 12 (36.36%) were females. Out of 53 impacted teeth of 33 patients, highest number of mandibular third molars were in vertically position (39 teeth, i.e. 73.59%), followed by horizontal (8 teeth, i.e. 15.09%), mesio-angular (4 teeth, i.e. 7.54%), and disto-angular (1 tooth, i.e. 1.87%) position. Maximum number of third molars were at level A (29 teeth, i.e., 54.71%), followed by level B (18 teeth, i.e., 33.97%) and level C (06 teeth, i.e., 11.32%). 43 mandibular third molars were in class II relation (81.12%), followed by 8 teeth (15.09%) in class I relation and 2 teeth (3.78%) in class III relation.
Conclusion: The pattern of Impaction of mandibular 3rd molar is characterized by high prevalence in male. The most common type is vertical, the most common position is position A and the most common class is Class-II.
J. Dhaka National Med. Coll. Hos. 2013; 19 (02): 36-39
Integrasi Teknologi Untuk Pendidikan Inklusi di SLB Negeri Jombang Pembuatan Kamus Digital Kiratu
Authors: Ma'arif Iin Baroroh , Nur Luluk Choirun Nisak , Umardiyah Fitri Umardiyah 
Published: November 2024

Based on the results of the situation analysis in partner schools, it was found that the problems experienced by partners were a lack of innovation in classroom learning and a lack of resources that mastered technology in learning. This community service activity aims to provide understanding and improve the skills of Jombang State SLB teachers in creating interesting and innovative learning media by integrating technology into learning. The learning media that will be produced is a digital dictionary for deaf students (KIRATU). This activity takes the form of socialization and training. The methods used are classical and individual methods. This PKM activity was said to be successful because the media product produced was very suitable for implementation in the classroom after being tested in the field and received a positive response and appreciation from the teachers. Teachers' understanding and skills also increased after participating in this activity.Keywords: digital dictionary; inclusive students; KIRATU; technology Abstrak: Berdasarkan hasil analisis situasi di sekolah mitra, ditemukan bahwa permasalahan yang dialami mitra yaitu kurangnya inovasi dalam pembelajaran dikelas serta kurangnya sumber daya yang menguasai teknologi dalam pembelajaran. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan pemahaman serta meningkatkan keterampilan para guru SLB Negeri Jombang dalam membuat media pembelajaran yang menarik serta inovatif dengan mengintegrasikan teknologi kedalam pembelajaran. Media pembelajaran yang akan dihasilkan berupa kamus digital untuk siswa tuna rungu (KIRATU). Kegiatan ini berupa sosialisasi dan pelatihan. Metode yang digunakan yaitu metode klasikal dan individual. Kegiatan PKM ini dikatakan berhasil karena produk media yang dihasilkan sangat layak untuk di implementasikan di kelassetelah dilakukan ujicoba dilapangan serta mendapat respon positif dan apresiasi dari para guru. Pemahaman serta ketrampilan guru juga meningkat setelah mengikuti kegiatan ini.Kata kunci: kamus digital; siswa inklusi; KIRATU; teknologi