bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perspectives of practitioners on support for caregivers of children with intellectual disability
Authors: Molefe Lebogang L. , Sehularo Leepile A. , Koen Daleen M. 
Published: August 2024

Background: Children with profound intellectual disabilities are unable to do anything for themselves and require full-time care in healthcare facilities. While caring for children, secondary caregivers become overwhelmed. Coupled with little or no support, the overwhelming work affects their psychological, social and financial well-being. Mental healthcare practitioners have perspectives on conditions under which secondary caregivers work and how can they be supported. Little is known about such perspectives.Objectives: This study aims to explore and describe the perspectives of mental healthcare practitioners regarding the conditions under which secondary caregivers of children with profound intellectual disabilities work and how can they be supported.Method: A qualitative-exploratory-descriptive and contextual research design was adopted using a non-probability purposive sampling technique. This study was conducted in Gauteng province. Semi-structured individual interviews were performed to collect data. Content data analysis and ATLAS.ti were used to analyse the data.Results: Knowledge and skills development, stress reduction, resources and motivation were themes that emerged.Conclusion: This study explored and described the perspectives of mental healthcare practitioners regarding the conditions under which secondary caregivers of children with profound intellectual disabilities work and how can they be supported. If implemented, perspectives can improve the holistic well-being of secondary caregivers.Contribution: This study broadened an understanding of how secondary caregivers can be supported. Future researchers can use study results to develop programmes, intervention strategies and frameworks to support secondary caregivers.
Critical analysis of drivers of employee engagement and their impact on job performance
Authors: Al-Haziazi Mohammed 
Published: August 2024

Orientation: This study examines the impact of drivers of employee engagement on job performance and investigates the relationship between employee engagement and job performance.Research purpose: The purpose of this study is to assess how various factors, such as job characteristics, organisational support, support from superiors, rewards, recognition, and organisational justice, influence employee engagement and subsequently affect job performance.Motivation for the study: The researcher is motivated by the need to understand the drivers of employee engagement and their implications for job performance in organisations, particularly in the context of the Sultanate of Oman.Research approach/design and method: The study was conducted based on a closed-ended questionnaire across various industries in the Sultanate of Oman, focusing on three levels of management: junior, middle, and senior. Non-probability convenience sampling was utilised. The study employed models of drivers leading to employee engagement and assessed their impact on job performance.Main findings: The study reveals that drivers of employee engagement significantly affect job performance across all levels of management. Job characteristics and rewards and recognition emerged as strong predictors of job performance.Practical/managerial implications: Organisations are encouraged to prioritise the development and nurturing of employee engagement, fostering a two-way relationship between employers and employees. Engaged employees contribute to higher retention rates, increased productivity, profitability, growth, and customer satisfaction.Contribution/value-add: This study provides valuable insights into the relationship between employee engagement and job performance in the Sultanate of Oman, offering guidance for the development of effective employee engagement strategies aimed at improving organisational outcomes.
Proverbs 31:10–31: An antithesis of pre-exilic Hebrew womanhood?
Authors: Nyarko-Mensah Paul , Human Dirk J. 
Published: August 2024

The priests and scribes were familiar with the process of applying a manuscript or prophecy to a current context to produce relevant material for the era. It is most probable that the scribes and/or priests during the post-exilic Persian period reinterpreted the prophecies of Isaiah and Amos against the moral and social decay of the women of the Hebrew nation during the 8th century BCE to create an antithesis of that situation in the form of the virtuous woman of Proverbs 31:10–31. The similarity of words in the poem and the writings of Ezra could suggest that Ezra might have had a hand in the writing or editing of the poem in Proverbs 31:10–31.Intradisciplinary and/or interdisciplinary implications: The study brings Old Testament and Ancient Near Eastern studies together, with both elucidating each other.
Die Stellenbosche Heyns: Nagedink oor die vroeë, middel en latere jare van ’n akademiese loopbaan
Authors: Conradie Ernst M. 
Published: August 2024

This contribution is structured in the genre of an academic letter to a deceased colleague, in this case Prof. Johan Adam Heyns (1928–1994). He was appointed for a short period from 1966 to 1970 as a senior lecturer at the Faculty of Theology at Stellenbosch University. This contribution offers a reappraisal of this period in the academic career of Prof. Heyns. His main focus at the time, in line with his teaching duties, was on apologetics and, to some extent, also ethics. The author engages with Prof. Heyns’s views at the time and offers a sixfold mirror to position this phase of his career, namely in terms of the tensions between orthodoxy and modernity, between the philosophical influence of Henk Stoker and the theological influence of Herman Bavinck, and between the implementation of apartheid and the struggle against that. This mirror is held up in order to reflect on the early, middle and later stages of any academic career including that of the author, to contrast the radiance and risk of youthful academic rigour and the wisdom but also the rigidity that may come with mature age.Intradisciplinary and/or interdisciplinary implications: The research done, is not of an interdisciplinary nature. This article contributes to a growing corpus of literature assessing the legacy of Prof. Johan Adam Heyns.
Narratives and counter-narratives as ways of creating religious tolerance
Authors: Strydom Maryke , Beyers Jaco 
Published: August 2024

This article explored the utilisation of counter-narratives in tertiary education settings with regard to pseudo-events connected to big world events. The occurrence that this article focused on was the pseudo-events connected to the Israel–Hamas war that started in October 2023. These pseudo-events refer to a surge in Islamophobic and anti-Semitic hate crimes in countries outside the warzone. Two narrative examples are given that can be utilised within education settings; however, educators can look beyond the given examples and utilise other counter-narratives. Creating awareness of surges in discriminatory occurrences with the use of counter-narratives may increase humanisation and intersectional awareness in students.Intradisciplinary and/or interdisciplinary implications: This article was written from a religious studies perspective, with the aim of increasing religious tolerance within societies. This article is based on a quantitative literature review and narrative theories.
Perspectives of Buruli Ulcer Patients toward Informed Consent – An Insight from Nigeria
Authors: Meka Ijeoma Angela , Kanu Okezie Obasi , Adagba Kenneth O. , Offor Jonah , Emodi Nwamaka R. , Iseoluwa-Adelokiki Adebola O. , Meka Anthony O. 
Published: August 2024

Introduction:
Informed consent is a basic ethical requirement in situations involving sharing of patients' data. It supports and upholds the ethical principle of respect for persons and individual autonomy. For Buruli ulcer (BU) patients, associated stigma renders them vulnerable, hence the need for emphasis on additional protection by ensuring obtaining informed consent before third party use of their data. The authors therefore sought to determine willingness of these patients to give informed consent to the third party use of their data before and after treatment.

Methodology:
This cross-sectional study was carried out between February and August, 2019. The study involved BU patients from three endemic states in Nigeria. Data were collected using pretested, researcher-administered semi-structured questionnaires.

Results:
A total of 92 respondents participated in the study. The median age was 23.5 years (range 4–74 years) with the age group <15 years being the modal age group 36 (39.13%). About a quarter of the respondents (23.91%) had suffered some form of discrimination in the course of their disease. Majority 86 (93.48%) were favorably disposed to allowing the use of their data for donor drive, policy development, and teaching/training purposes. A significant greater proportion of respondents 90 (97.83%) were willing to give consent for the use of their oral interview as against pictures and videos both in the pre- and post-treatment periods.

Conclusion:
The present study provides evidence that majority of the respondents were positively inclined to give consent to use of their data by a third party. However, intrusion into privacy and anonymity were major concerns for the respondents.
The Relationship between Body Weight and Dietary Habits with Respect to the Timing of Puberty among Saudi Children and Adolescents
Authors: Shahatah Mashael AbdulAziz , Jadkarim Alaa Mubarak , Banjar Revan Zeiny , Kabli Yousof O. , Milyani Asmaa A. , Al-Agha Abdulmoein E. 
Published: August 2024

Objective:
The objective is to investigate the timing of pubertal onset as determined by the development of secondary sexual characteristics in relation to body weight and dietary patterns among Saudi females.

Methods:
Children/adolescents visiting general and endocrinology pediatric clinics in King AbdulAziz University Hospital were invited to participate in this study. Female subjects between the ages of 5 and 20 years were included in this study, and those with syndromic disease, chronic comorbidities, endocrinopathies, organic causes of precocious puberty, positive family history of early pubertal onset, and under chronic medication were excluded from the study. Data were collected through clinical interviews with the consent of the legal guardians, and physical examinations were conducted.

Results:
A total of 164 females were investigated. The mean age of thelarche, adrenarche, and menarche was 10, 11.3, and 12.2 years, respectively. We found a significant correlation between higher weight standard deviation and an earlier age of both thelarche and adrenarche. In addition, daily consumption of fast foods was significantly associated with an earlier menarchal age. Consumption of nonorganic poultry was linked to early thelarche.

Conclusion:
Efforts should be directed to increase public and community awareness that fast food consumption, inorganic poultry, and higher body weight are important modifiable factors that lead to an earlier onset of female puberty across different parameters: breast development, adrenarche, and menstruation.
Quality Improvement Project to Assess Patient Satisfaction Towards Outpatient Services of a Tertiary Care Teaching Hospital, South India – A Cross-sectional Study
Authors: Nilakantam Sathish Raju , Madhu B. , Prasad M. C. , Dayananda M. , Basavanagowdappa Hathur , Bahuguna Jayati , Rao Jagiri Narotham 
Published: August 2024

Background:
Patient satisfaction survey is a valuable tool to measure the outcomes of care rendered by hospitals. Outpatient department (OPD) is a very crucial area of any hospital services as huge number of patient's visits this area for clinical services. Information about quality of services in OPD will serve two purposes, i.e., identifying areas of improvement in the services offered and highlighting the need for corrective actions. Patient satisfaction is the key determinant for assessing the quality of patient care and is the desired outcome of every hospital. The present study was conducted to measure the levels of patient satisfaction and to ascertain any service gaps in OPD of a tertiary care teaching hospital, Mysuru, India.

Materials and Methods:
This cross-sectional, descriptive study was conducted among 600 patients using a structured questionnaire for assessing the levels of patient satisfaction.

Results:
The overall satisfaction rate in this study was 97.2%, with major satisfiers being clinical care provided by doctors and nursing staffs and few patients were not satisfied with cleanliness of toilets and medications' availability.

Conclusion:
Patient satisfaction survey may be a good audit tool and it should be used to improve the standard of services. According to the patient's opinion, the study showed good satisfaction with respect to reception and registration services, physical facilities, doctor's services, nursing services, laboratory services, and pharmacy services. Few deficient areas are identified in terms of service delivery and the same will be bridged as early as possible to achieve universal patient satisfaction.
Prevalence of Obstructive Sleep Apnea in Diabetic Patients
Authors: Singh Ankita , Chaudhary Shyam Chand , Gupta Kamlesh K. , Sawlani Kamal K. , Singh Abhishek , Singh Abhishek B. , Verma Ajay K. 
Published: August 2024

Context:
Obstructive sleep apnea (OSA)-related hypoxemia stimulates release of acute-phase proteins and reactive oxygen species that exacerbate insulin resistance and lipolysis and cause an augmented prothrombotic and proinflammatory state which can leads to premature death.

Aims:
This study aims to study the prevalence of OSA in diabetic patients.

Setting and Design:
It was a cross-sectional study, done over a period of 1 year in a tertiary care hospital.

Materials and Methods:
A total of 149 type 2 diabetic patients were enrolled after taking written consent. All patients were subjected to STOP BANG questionnaire and patients falling in intermediate-high risk (score 3–8), were taken for overnight polysomnography to confirm the diagnosis of OSA (apnea hypopnea index ≥ 5).

Statistical Analysis Used:
Statistical Package for Social Sciences (SPSS) Version 21.0 statistical analysis software.

Results:
Fifty-five percent of our diabetic population were having OSA. The age of patients enrolled in the study ranged between 30 and 86 years and prevalence increases with an increase in age groups. Majority (61.7%) of our cases were males. Incremental trend in weight, body mass index (BMI), neck circumference, and waist circumference of OSA cases were found with increasing in severity of OSA. Mean levels of raised blood sugar and HbA1c were higher in severe OSA cases.

Conclusions:
OSA has a high prevalence in patients with type 2 diabetes mellitus. Patients with type 2 diabetes should be screened for OSA, even in the absence of symptoms, especially in individuals with higher waist circumference and BMI.
Cervical Cytopathological Changes in Pregnancy
Authors: Rasheed Fatima Abubakar , Yakasai Ibrahim Adamu , Takai Idris Usman , Yusuf Ibrahim , Ibrahim Usman Muhammad 
Published: August 2024

Background:
Cervical cancer is the leading cause of death among women in developing countries. It is preventable through effective cervical cancer screening program. However, in Nigeria, screening programs are opportunistic and coverage is insufficient to make an impact.

Aim:
This study assessed the cervical cytopathological changes among pregnant women at booking using liquid-based cytology (LBC) in Aminu Kano Teaching Hospital (AKTH).

Methodology:
This was a cross-sectional study that was carried out at the antenatal Clinic of AKTH, Kano, Nigeria. A total of 161 pregnant women who fulfilled the criteria and gave their consent were recruited into the study using systematic sampling technique at booking for antenatal care. LBC was employed using standard procedure and samples sent to histopathology department for analysis. Pro forma developed for the study was used to obtain the socio-demographic and reproductive characteristics of the women and the risk factors for abnormal cervical cytology.

Results:
Out of the 161 pregnant women that had cervical cytology screening using LBC on their first prenatal visit during the study, 22 had abnormal cervical cytology, giving a prevalence rate of 13.7%. Out of this, six (27.3%) were atypical squamous cells of undetermined significance, 3 (13.6%) were Atypical Squamous Cells, Cannot Rule Out HSIL (ASC-H), 11 (50.0%) were low-grade Squamous Intraepithelial Lesions while 2 (9.1%) were high grade squamous intraepithelial lesions. Negative smears were seen in 104 women (64.6%). Inflammatory and other conditions of the cervix which are technically negative smears made up the remaining 21.7%. There was a statistically significant association between cervical cytology results and advanced age (P < 0.01), increasing number of lifetime sexual partners since coitarche (P < 0.01), high parity (P < 0.01), absent previous Pap test (P < 0.027), previous history of sexually transmitted infections (P < 0.040), and positive HIV status (P < 0.001). Following binary logistic regression, advanced maternal age, increasing number of sexual partners, high parity, and positive HIV status stood out to be independent predictors of premalignant lesions of the cervix in pregnancy in this study.

Conclusion:
Advanced maternal age, increasing number of sexual partners, high parity, and positive HIV status stood out to be independent predictors of premalignant lesions of the cervix in the study. Routine cervical cytology screening using LBC should be offered to all antenatal clients in our setting to increase coverage and detection rate of preinvasive lesions of the cervix, and/or pregnant women with increased risk of abnormal cervical cytology from this study.
COVID-19 infection-triggered complicated childhood-onset systemic lupus erythematosus
Authors: Jose Priya , Kotai Ramesh , Raja Jude Antonieo , Kommu Peter Prasanth Kumar 
Published: August 2024

Abstract
The COVID-19 pandemic in children had a variable presentation in each wave globally, ranging from flu-like symptoms to death due to multi-organ dysfunction. Even though systemic lupus erythematosus (SLE) is a rare chronic autoimmune disease with multisystem involvement, its correlation with an altered immune response post-COVID infection is still debatable. We report an 11-year-old boy who presented with fever, arthritis, a skin rash, tender lymph nodes, positive antinuclear antibodies, and anti-double-stranded DNA. The SLEDAI-2000 scoring was 11, which indicated an active disease of childhood SLE with lupus nephritis and Kikuchi disease possibly triggered by COVID-19. There are no similar reports in the literature for children or adults. COVID-19-triggered complicated SLE should be suspected in all children with prolonged fever and multisystem involvement. More research is needed to determine the autoimmune disease trigger.
Intolerance to uncertainty among the medical professionals in Central Kerala – Did COVID-19 make us intolerant?
Authors: Varghese Sangeetha Merrin , John Anulekha Mary , Abraham Jithin Mathew , Ann Irene , Abraham Alena T. , Mateethra George Chandy , Thomas Pramod , Thomas George , Thomas Mini Sarah , Benjamin Anoop Ivan 
Published: August 2024

Abstract

Background:
With the COVID-19 threat that was looming large, uncertainty prevailed in every sphere of life. Medical professionals were feverishly trying to contain the pandemic and were under tremendous mental pressure. Intolerance to uncertainty (IU) is well known to affect the behavior of health-care professionals and is associated with lower levels of confidence and a propensity to behave overcautiously, leading to undue stress and anxiety. We assessed the IU and worry of health-care workers in a teaching institute in Central Kerala, during the COVID pandemic.

Methodology:
An online cross-sectional survey was done using the IU survey-12 scale and an ultra-brief version of the Penn State Worry Questionnaire, after conducting a pilot study. The form was sent to the doctors’ and nurses’ WhatsApp groups both in English and Malayalam translation attached to each question. Data were analyzed using the SPSS software version 21. The Chi-square test and logistic regression analysis were done.

Results:
A total of 431 participants took part in the survey. Their mean age was 34.54 ± 8.6 years. The study showed that 27.8% of the participants had high levels of IU. Troublesome worry was a problem in 10.4%. Logistic regression analysis showed that “Worry” and “being a nurse” were the factors that were significantly associated with high levels of IU.

Conclusion:
Although some IU is expected at the time of a pandemic, 27.8% of health-care professionals being intolerant is a matter of concern. It is high time we break the cycle of events – Worry and IU, that leads to stress but rather make the health workers resilient and tolerant, spreading positive uplifting influences throughout our communities, much faster than the virus.
Study of microvessel density in breast carcinoma with CD34 immunostaining – An institutional experience in Puducherry
Authors: Vinayagamoorthi Vigneswaramoorthi , Ivan Erli Amel , Revathi G. , Sriram V. , Gandhi Ramya , Mohan Reenaa , Arokiam Roy 
Published: August 2024

Abstract

Background:
Breast carcinoma is one of the most common neoplasms in women. It is most commonly seen in the age group of 30–90 years of age. The evaluation of microvessel density is one of the frequently used methods to quantify intratumoral angiogenesis in breast cancer.

Methodology:
Analytical cross-sectional study was done in the Department of Pathology, Sri Manakula Vinayagar Medical College and Hospital for 1½ years after getting ethics committee approval. All cases diagnosed with breast carcinoma in the Department of Pathology were included, and the sample size was 62. The study tools used were requisition form, Hematoxylin and Eosin, and immunohistochemistry CD34 staining in the excised specimen.

Results:
It was found the present study included 62 cases of modified radical mastectomy done for various grades and stages of breast carcinoma. The common age group in this study was found to be 40–60 years (40 cases). The most common quadrant involved by the tumor is the upper outer quadrant (31 cases). In this study, 48 cases (77.42%) had tumor size of 2–5 cm, 10 cases had tumor size of >5 cm and 4 cases had tumor size of <2 cm. The most common type of tumor seen in this study is invasive ductal carcinoma (IDC) Not otherwise specified (NOS). The most common tumor grade present in this study is grade II tumors (38 cases). In this study, the correlation of histopathological grade with tumor size and microvessel density was found to be statistically significant (P < 0.05).

Conclusion:
In this study, a higher mean microvascular density value is seen in Grade III tumor and the value decreased as the tumor grade decreases. In the future, antibodies specific to proliferating endothelium, together with the development of automated image analysis, may improve the accuracy and value of measuring angiogenesis-induced microvessel density. Then, these specific antibodies can be used in used in targeted therapies.