bluuebunny/crossref_metadata_2025_split huggingface dataset:
Workplace Violence among Nurses in Public Hospitals in Vietnam: A Cross-sectional Study
Authors: Sinh Minh Do  , Anh Thi Lan Mai  , Mai Thi Thuy Vu  
Published: September 2023

Workplace violence causes negative impacts on the health of nurses, and the prevalence of workplace violence against nurses is rising globally. Studies to date in Vietnam have only concentrated on describing the frequency of types of violence within a specific healthcare facility with small sample sizes. This study aimed to determine the prevalence, impact and responses to workplace violence among registered nurses in public hospitals in Vietnam. This was the first nationwide study that has been carried out. A cross-sectional study design using an online questionnaire was conducted to achieve the study objectives with 2543 nurses working in 163 public hospitals. The frequency distribution and percentages were employed to describe the prevalence of workplace violence and nurses’ responses. The researchers also used the average value of the total score of each question to rank the impacts of workplace violence on nurses.
The rate of workplace violence was 30.8%, of which physical and psychological violence were 5.3% and 29.7%, respectively. Among the types of psychological workplace violence, verbal abuse was the most common. The primary violent offenders were patients and caregivers. The biggest impact of workplace violence on nurses included always feeling stressed at work, decreased job satisfaction, and signs of stress or depression. The most common methods of responding to workplace violence were telling the perpetrator to stop or trying to defend themselves. These findings provide information for hospital leaders, health administrators and the Ministry of Health to reduce workplace violence against nurses. This can be done by increasing training on workplace violence management for nurses, creating a safe working environment to decrease the potential risks, and developing an appropriate system for reporting and responding to workplace violence incidents.
Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study
Authors: Nuttapol Chaihan  , Bunthan Winthanyou 
Published: September 2023

Patients with critical illnesses and on intubation cannot express their needs through verbal language. Thus, nurses and other healthcare professionals might not meet their needs, resulting in frustration and more stress for nurses and patients. This situation may interfere with patients’ recovery. In this quasi-experiment study, we developed and tested the effectiveness of the Needs Communicative Digital Technology Program. Sixty participants who were critically ill and intubated were recruited from an intensive care unit of a secondary care hospital in a province close to Bangkok, Thailand. They were alternately assigned weekly to the experimental (n = 30) and control groups (n = 30). The experimental group received the program for 48 hours, including the usual care in the intensive care unit. The control group received only usual care in the intensive care unit. Questionnaires for data collection were a demographic data form, the Met Needs Questionnaire, and theEffectiveness of Communication Questionnaire. Data were analyzed using descriptive statistics, a chi-squared test, a Fisher exact test, a t-test, and ANCOVA.
Findings revealed that after 48 hours of program implementation, the experimental group had significantly higher mean scores on met needs and effective communication than before starting the program and higher than that of the control group. Thus, it can be concluded that this program effectively met the needs of intubated people with critical illnesses with advanced technology and communication strategies that can be used easily, conveniently, and quickly. Nurses can use this program in practice and further evaluate its effectiveness before widespread use in the country.
Analisis Experiential Marketing, Kepercayaan Merek dan Harga Terhadap Keputusan Pembelian Produk Cat Jotun pada CV. Asia Maju Rantauprapat
Authors: Ritonga Mulkan , Rahma Muti'ah  
Published: September 2023

The purchase decision is the main goal or purpose of selling a product. This study aims to analyze the influence of marketing experience, price and brand trust on purchasing decisions. This study was conducted using a descriptive quantitative research method with data collection using a research tool in the form of questionnaires distributed directly to respondents. The subjects of this study include consumers who purchased Jotun brand paint products from CV. Asia Maju Rantauprapat during the period specified by the author. Determining the sample size used the purposive sampling technique with a total of 65 consumers. To analyze and analyze the research data, it was carried out using the computer program SPSS version 20 with instrumental testing, classical hypothesis testing, multiple regression analysis and hypothesis testing. Research results show that marketing experience, price and brand trust have a positive and significant impact on purchasing decisions. At the same time, marketing experience, price and brand trust have a positive and significant impact on purchase decisions with a contribution of 0.888 or 88.80% and the remaining 11.20% is influenced by other factors. Other factors were not considered in this study.
Peran Pengasuh dalam Pembinaan Moral Santri melalui Peraturan Asrama di SMP Islam Integral Luqman Al-Hakim 02 (Islamic Boarding School Batam) Tahun Pelajaran 2018/2019
Authors: Hariyanto Hariyanto 
Published: September 2023

Tulisan ini merupakan hasil penelitian penulis terhadap perkembangan pendidikan disebuah pondok pesantren. Latar belakang penelitian ini adalah Dalam perkembangan pendidikan di pondok pesantren dipengaruhi oleh dinamika pendidikan yang ada di masyarakat. Oleh karena itu peran pengasuh sangat dibutuhkan dalam membantu pembentukan moral santri di SMP Hidayatullah Boarding School Batam. Untuk itu dalam menghadapi dahsyatnya gelombang budaya dan peradaban yang tidak sesuai dengan nilai-nilai ajaran agama, maka dalam hal ini lembaga pesantrenlah sebagai alternatif pertahanan yang kokoh. Nilai-nilai moralitas yang diajarkan di pesantren memiliki pengaruh positif terhadap perkembangan moral santri. Adapun yang menjadi titik fokus masalah dalam penelitian ini adalah Bagaimana peran pengasuh dalam pembinaan moral santri melalui peraturan asrama di Hidayatullah Boarding School Batam.
Sehngga pada tulisan ini hendaknya dapat menunjukkan: (1) Peran Pengasuh Dalam Pembinaan Moral Santri Melalui Peraturan Asrama di Hidayatullah Boarding School Batam: peran pengasuh sebagai supervise, peran pengasuh sebagai kontrolling, peran pengasuh dalam menjalankan sistem, peran pengasuh sebagai pembina, peran pengasuh sebagai motivator, peran pengasuh sebagai penasehat. (2) Peraturan Asrama SMP Hidayatullah Boarding School Batam: disiplin ibadah, peraturan keamana, peraturan kebersihan, dan belajar malam.
Study of thrombopoietin levels in some Egyptian patients with chronic liver diseases secondary to the hepatitis C virus
Authors: Ezzat Enayat O. , Suliman Somayh E. , El-Yazeed Samiha Abo , Ahmad Fatma M. , Said Sahar K. 
Published: September 2023

Abstract
Introduction
The hepatitis C virus (HCV) is a leading cause of chronic liver disease (CLD), cirrhosis, and hepatocellular carcinoma, as well as the most common indication for liver transplantation in many countries.

Purpose
This work was carried out to study of thrombopoietin (TPO) level in Egyptian patients with chronic hepatitis C and liver cirrhosis with HCV.

Patients and methods
This work was conducted on 40 patients proved to have chronic liver disease due to chronic HCV infection by positive HCV antibody by enzyme-linked immunosorbent assay, PCR for HCV RNA, abdominal ultrasonography, and histopathological examination. Twenty of these patients had chronic active hepatitis C (CAH) and the other 20 patietns had liver cirrhosis. Fifteen apparently healthy individuals (negative for HCV antibody) were included in a control group. None of the patients had received interferon therapy. Patients with other causes of CLD, chronic renal disease, diabetes, endocrinal hematological, and other debilitating diseases were excluded. All the patients studied were subjected to the following: complete medical history, full clinical examination, laboratory investigations including complete blood picture, liver function tests, fasting blood sugar, 2 h postprandial, HCV antibody and PCR for RNA of HCV; serum TPO level, abdominal ultrasonography, and liver biopsy for histopathological examination.

Results
Our results showed a highly significant reduction in the platelet count in patients with CAH (192.55 ± 41.02) and cirrhotic patients (159.800 ± 86.189) in comparison with (322.67 ± 38.12) the control group (P < 0.01). There was nonsignificant increase in TPO in patients with CAH (115.93 ± 71.66) and a significant decrease in TPO in cirrhotic patients (77.504 ± 64.576) in comparison with (107.98 ± 52.53) the control group. In the cirrhotic patients, there was a significant positive correlation between TPO and platelet count, whereas there was no correlation between TPO level and liver enzymes (alanine aminotransferase and aspartate aminotransferase) in all patients. In addition, a significant decrease in TPO was found in cirrhotic patients in comparison with CAH patients.

Conclusion
Serum TPO level was elevated in patients with chronic viral C hepatitis as a compensatory response to the reduction of platelet count with still functionally active liver cells, but as the disease progress to cirrhosis which also is associated with thrombocytopenia, TPO production is impaired, with failure to compensate the low platelet count aggravating thrombocytopenia.
Cardiovascular changes in dipper and nondipper hypertension in perimenopausal women: time-dependent effects of antihypertensives
Authors: Refaie Wael Ragheb , Refaie Ehsan , Abd El Hady Nagy , Tantawy Salah , Elewa Ahmad 
Published: September 2023

Abstract
Background
The lack of a decrease in nocturnal blood pressure to up to 10% of the daytime measure is termed as nondipper (ND) hypertension. It is a cardiovascular (CV) risk factor with increased CV morbidity and accelerated target organ damage especially in women. The beneficial effect of restoring the ND state by administering antihypertensives (chronotherapy) at bedtime rather than on awakening is still debated.

Objectives
The aim of this study was to determine the extent of ND hypertension and the magnitude of CV morbidities among perimenopausal women in comparison with an identical dipper group. The study also intended to determine the administration time-dependent effect on the ND state.

Study design
The study included a cross-sectional part and a prospective randomized part.

Patients and methods
One hundred and thirty perimenopausal women who were not known to be hypertensive, with an office blood pressure repeatedly exceeding 140/90mmHg were included. After obtaining informed consents, complete history was taken and clinical examination was carried out. The included patients underwent 12-lead ECG and echocardiography, and the carotid intima–media thickness was measured. Besides the routine urine and blood analysis, analyses to obtain levels of lipids, HbA1-c, serum thyroid stimulating hormone, coagulation factors (factor VIII, fibrinogen), urinary albumin excretion, and C reactive protein were also carried out. Ambulatory blood pressure of all patients on a nonworking day was monitored. The studied patients were classified as dippers and NDs. The ND patients were randomly assigned to treatment with angiotensin receptor blockers (ARBs). Half of the ND patients received their dosage at bedtime and the others received the same dosage on awakening for 6 months, after which the ambulatory blood pressure was remeasured.

Results
ND hypertension was detected in 61.5% of patients, its occurrence being significantly higher among women with hot flashes, those with postural hypotension, obese women, and among women with elevated HbA1-c, fibrinogen, cholesterol, C reactive protein and urinary albumin excretion levels. There was significant prolongation of the QTc interval and QT dispersion with a significant increase in the interventricular septal dimension and carotid artery intima-media thickness in the ND group. Disappearance of the ND phenomenon occurred in 80% of patients receiving therapy with ARBs at bedtime.

Conclusion
ND hypertension is common among perimenopausal women, especially those with hot flashes, postural hypotension, and higher BMIs and HbA1-c levels, and is associated with many CV risk factors. Chronotherapy with ARBs at bedtime is more efficient in restoring the circadian rhythm of blood pressure compared with that on awakening.
Double-chambered left ventricle
Authors: Ali Islam F.H. , Tohamy Khalid Y. , Akbar Mousa 
Published: September 2023

AbstractWe describe a rare congenital anomaly in a 39-year-old woman who was referred for a preoperative echocardiographic assessment in February 2012. A double-chambered left ventricle was suspected on transthoracic echocardiography and was confirmed by transesophageal echocardiography.
Apolipoprotein B level and diabetic microvascular complications: is there a correlation?
Authors: Rizk Mary N. , Aly Hala , Samir Pierre , Mofty Hala el , Allah Osama K. 
Published: September 2023

Abstract
Introduction
Dyslipidemia has long been implicated in diabetic complications. However, many subgroups have been considered to be responsible. Furthermore, a cause and effect relationship has long been debated. Apolipoprotein B (Apo B) is an exact measure of the total number of very low-density lipoprotein and low-density lipoprotein particles; thus, total plasma Apo B is a reliable surrogate for actual low-density lipoprotein particle number irrespective of its size. Hence, it is a better indicator of the correlation between dyslipidemia and diabetic microvascular complications.

Aim of the work
Our aim is to study the correlation between Apo B and diabetic microvascular complications, namely, nephropathy and retinopathy.

Materials and methods
A cross sectional study was carried out of 56 diabetic patients, 36 men and 20 women, both type 1 and 2, who were chosen randomly from the outpatient Endocrinology Clinic in Cairo University. Serum creatinine, estimated glomerular filtration rate, urine albumin/ creatinine ratio (A/C ratio), and Apo B levels were determined. Groups were divided according to the A/C ratio as follows: no proteinuria (A/C ratio<30mg/g), incipient proteinuria (30–300mg/g), and overt proteinuria (>300mg/g). We performed fundus examination as well as fluorescein angiography in patients with retinopathy. Patients on dialysis, HBA1c more than 7.5, on lipid-lowering treatment, or with familial hyperlipidemia were excluded. Calculations were carried out using the SPSS v.10 statistical software.

Results
We found a significant positive correlation between Apo B levels and microvascular complications. Apo B was higher with overt nephropathy than incipient nephropathy (1.75 ±0.38), and higher in patients with incipient nephropathy (1.4± 0.48) than in patients without nephropathy (1.02 ± 0.34, P<0.01).
A highly significant correlation was detected between the grades of retinopathy and the Apo B level. Finally, a significant positive correlation was detected between the presence of maculopathy and Apo B. Apo B levels were significantly higher in the presence of both nephropathy and retinopathy (1.26 ± 0.389) than in the absence of both complications (0.77± 0.361, P<0.05).
Conclusion
Apo B levels are strongly correlated to diabetic microvascular complications. The higher the degree of nephropathy, the higher the Apo B level. The presence of more than one microvascular complication correlates positively with high levels of Apo B. This suggests the possible use of Apo B as a sensitive biomarker of the presence of early diabetic microvascular complications.
Assessing speech intelligibility in a group of Egyptian dysarthric patients
Authors: Refai Mohamed Sadek , Aziz Azza Adel , Osman Dalia Mostafa , El-Shafee Shahinaz Farag 
Published: September 2023

EnAbstract
Background
Improving speech intelligibility in dysarthric patients is considered the primary goal of therapeutic intervention.

Aim
This study aimed at examining factors affecting speech intelligibility in four Arabic-speaking dysarthric groups using perceptual and instrumental techniques in order to gain a better understanding of the important factors contributing to reduced speech clarity in these patients.

Methods and procedures
Participants included 30 male Egyptian dysarthric patients (patient group) and 30 male age-matched healthy individuals (control group). The patient group was subdivided–on the basis of the neurological examination and investigation that had been carried out previously at the Neurology Department, Kasr el Aini Hospital–into four subgroups; spastic, ataxic, flaccid, and hypokinetic (having Parkinsonism). Speech samples consisting of spontaneous speech and a standard reading passage (that the participants were asked to repeat after the assessor) were used to obtain the following variables: speech rate (number of words per minute), Speech Intelligibility Score, number of nonintelligible words per minute, dysphonia grade, percent of consonants correct, percent of vowels correct, Nasalance Score, fundamental frequency, jitter, shimmer, harmonic-to-noise ratio, duration of /a/, first and second formant frequency values for three corner vowels /a/, /i/, and /u/, voice onset time of /b/, /t/, /k/, stop gap of /t/, /t/, /d/, /d/, and duration of /s/ and /∫/. The study examined the differences between the healthy control group and the different dysarthric groups for each variable as well as the correlation between speech intelligibility and each variable within each dysarthric subgroup.

Outcomes and results
The Speech Intelligibility Score was the highest for flaccid dysarthria and the lowest for ataxic. Results revealed significant differences between the control group and each of the patient groups studied for all subjective measures as well as most of the instrumental measures that were included in the study. A significant positive correlation was found between speech rate and speech intelligibility in patients with ataxic and flaccid dysarthria. However, a negative correlation was found between speech rate and speech intelligibility in patients with hypokinetic dysarthria. A significant negative correlation was found between speech intelligibility and jitter, F1 and F2 of /u/, stop gap of /t/, /t/, /d/, and /d/, and /s/ duration in spastic, ataxic, and flaccid groups. In addition, a significant negative correlation was found between shimmer and speech intelligibility in the ataxic group and between Nasalance Score and speech intelligibility in the flaccid group.

Conclusion and implications
Factors contributing to reduced speech intelligibility vary from one type of dysarthria to the other.
Clinical evaluation of central auditory processing functions in the elderly
Authors: Hamada Soha Mohamed , El Sebie Besher Amal , Omara Abir Abdel Moneim , Latif Salwa Mahmoud Abdel 
Published: September 2023

EnAbstract
Background
Central auditory processing dysfunction is a general term that is applied to individuals whose hearing in quiet settings is normal or almost normal, and yet who have substantial hearing difficulty in the presence of auditory stressors such as competing noise and other difficult hearing situations. It is noticed that the prevalence of central auditory processing dysfunction increases with age.

Objectives
Evaluation of the effects of aging on central auditory processing in elderly individuals who report good hearing sensitivity.

Methodology
Thirty elderly individuals ranging in age from 60 to 75 years, right-handed, and who reported good hearing sensitivity participated in this study. The results of the synthetic sentence identification with an ipsilateral competitive message (SSI–ICM) and staggered spondee words (SSW) tests were compared with those of 15 young adults ranging in age from 20 to 40 years with normal hearing sensitivity as a control group.

Results
The findings of the study showed a statistically significant difference between the control group and the elderly group in terms of SSI, with a lower percentage in the elderly group. The results of the SSW test showed that there was a significant difference in scoring between competing and noncompeting conditions, with more affection in the competing condition in both the control and the elderly groups. When we compared the control group and the elderly group in terms of the SSW error score in the competing condition in both ears, it was found that there was a statistically significant difference between the two groups, with more error scores in the elderly group.

Conclusion
Central auditory processing is affected by aging as shown by the lower percentage of results of the SSI–ICM test and more errors in the SSW test mainly in the competing conditions relative to the control group.
Is an intratympanic injection of corticosteroids effective in the treatment of otitis media with effusion?
Authors: Reda Ramez , Wageh Wael , Sabry Ramez , Abdelmonem Mohamed Sherif A. 
Published: September 2023

EnAbstract
Objectives
Chronic otitis media with effusion (OME) is a worldwide major health problem for both children and adults. The aim of this study is to test the effectiveness of intratympanic injection of corticosteroid in the treatment of chronic OME.

Study
The study was applied on 14 patients (24 ears) who had failed medical treatment and had recurrence after surgery or patients who refused surgical treatment.

Methods
These patients received 4 intratympanic injections of dexamethasone. Approximately 0.5 ml of dexamethasone was injected in each time. Subjective assessment for symptomatic improvement was done and objective assessment was done by pure tone audiometry and tympanometry 3 months after the last injection.

Results
At the end of follow up period, no patient had noticeable improvement in hearing, aural fullness nor tinnitus. Also, pure tone audiometry and tympanometry revealed no noticeable improvement in any patient.

Conclusion
It was found that intratympanic injection of dexamethasone is not effective in management of chronic OME.
Transoral, minimally invasive, video-assisted technique for lingual thyroid
Authors: Kamal Elsharawy , Abd El-Fattah Ahmed M. 
Published: September 2023

EnAbstract
Introduction
Lingual thyroid is a rare developmental congenital anomaly. Symptoms may not develop unless the gland enlarges because of gland hypertrophy or malignancy. When removal is advocated, most proposed techniques are invasive and associated with substantial morbidity.

Materials and methods
The approval of the Otolaryngology Department Research and Ethics Committee, Mansoura University, to perform an analysis of a new minimally invasive surgical technique for the management of a case of obstructive lingual thyroid gland was obtained before study commencement. Careful preoperative assessment of the diagnosis of the lingual thyroid gland included an 131I scan and an MRI of the head and neck with and without gadolinium.

Results
A transoral, minimally invasive, video-assisted thyroidectomy, using Harmonic shears, was performed on a 22-year-old man with a longstanding lingual thyroid that had begun to cause dysphagia and upper airway obstruction. The procedural time was 85 min, and the estimated blood loss was 20 cm3. The patient tolerated a regular diet with minimal discomfort and was discharged home within 24 h.

Conclusion
The combination of the transoral endoscope-guided technique with Harmonic vascular control is considered a surgically minimally invasive satisfactory option in well-trained hands familiar with such tools.