bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sử dụng phương tiện truyền thông xã hội quá mức và hiệu suất công việc nhân viên ủy ban nhân dân quận Bình Thạnh, Thành phố Hồ Chí Minh
Authors: Trí Cao Minh , Thư Nguyễn Huỳnh Anh , Tú Lê Thị Ngọc 
Published: February 2022

Truyền thông xã hội là một trong những công cụ xây dựng cộng đồng, cho phép người dùng kết nối với người khác bất kể vị trí và thời gian. Người lao động sử dụng các ứng dụng truyền thông xã hội khác nhau để chia sẻ kiến thức, giải quyết vấn đề, hợp tác và giao tiếp trong các tổ chức (Aral, Dellarocas, & Godes, 2013; Landers & Schmidt, 2016), từ đó nâng cao hiệu suất công việc. Tuy nhiên, việc truy cập vào phương tiện truyền thông xã hội có nhiều khả năng dẫn đến việc sử dụng quá mức và vô tình tạo ra một môi trường làm việc căng thẳng hơn, dẫn đến kết quả tiêu cực trong các tổ chức (Cao & Yu, 2019).
Nghiên cứu này xác định sự tác động và mức độ tác động của các kiểu sử dụng quá mức khác nhau của mạng xã hội đối với hiệu suất công việc thông qua sự căng thẳng tại nơi làm việc của 328 người lao động tại Ủy ban nhân dân quận Bình Thạnh (Thành phố Hồ Chí Minh, Việt Nam), cụ thể là các trưởng phó phòng ban và nhân viên làm việc trong văn phòng, được khảo sát trực tuyến vào tháng 05 năm 2020. Tính hợp lệ và độ tin cậy của dữ liệu đã được kiểm tra bằng CFA và SEM.
Kết quả của nghiên cứu này cho thấy Sử dụng quá mức nhu cầu xã hội của phương tiện truyền thông xã hội tại nơi làm việc tác động mạnh nhất và đáng kể tới sự căng thẳng tại nơi làm việc. Kế đến là Sử dụng quá mức nhu cầu thụ hưởng và Xung đột công nghệ-công việc. Sự căng thẳng tại nơi làm việc có tác động ngược chiều với hiệu suất công việc. Tuy nhiên, Sử dụng quá mức nhu cầu nhận thức không có mối quan hệ với sự căng thẳng tại nơi làm việc. Một số hàm ý quản trị được đề xuất dựa vào kết quả nghiên cứu để có thể sử dụng hợp lý phương tiện truyền thông xã hội, từ đó cải thiện mối quan hệ và hiệu suất của người lao động.
Views of blind students and their academic work memorization
Authors: Penda Annie  
Published: February 2022

This manuscript aimed at establishing how students who are blind manage to remember what they are taught during the lecture hours at Kwame Nkrumah University. The objectives which guided this study aimed at determining how students who are blind remembered their academic work, establishing what helped students who are blind remembered their work and the consideration of what was most helpful to students who are blind in remembering their academic work. The researcher used semi-structured interview, document study and observation checklist to collect qualitative data from the sample of 3 (three) students. Through this study it was discovered on how learners who were blind remembered their academic work and this was through the use of internet, voice recorder, mobile phones and laptops with speech output, the use of group discussions and ordering of the work according to topics and subtopics. The study also revealed what helped the blind to remember their academic work and this was done through attending of lectures, recording of lectures, writing of notes, dictation by lecturers, practical examples given by lecturers during lecture hours, by being given summarized notes by lecturers, help from sighted students and the use of braille and use of their braille equipment. The study further found two most important things which helped learners who were blind remember academic skills, concepts and information being taught and these were done though hearing and listening attentively and it was aided by neural plasticity.
RISK FACTORS LEADING TO MAJOR LOWER LIMB AMPUTATIONS IN DIABETIC PATIENTS WITH FOOT ULCERS
Authors: Khan Kamran Hakeem , Ghani Fazal , Ahmad Kamran , Shahzad Mudassir 
Published: February 2022

Purpose: Foot ulceration in persons with diabetes is the most frequent precursor to amputation, which impairs their activities. The aim of this study was to describe factors that lead to amputation of a diabetic foot, and propose a management strategy to prevent major amputation.
Methods: Cross-sectional study was conducted at the Qazi Hussain Ahmad Hosptial, Nowshera Pakistan, from Jan, 2016, July 2021, and comprised patients of either gender having type 1 or type 2 diabetes and foot ulcers. The wounds were assessed according to Wagner wound staging and wound sepsis was evaluated in terms of local infection of the wound, leukocytosis and osteomyelitis of the bone. The glycemic control of these patients was assessed on presentation by measuring glaciated hemoglobin levels. Data was analyzed using SPSS 22.
Findings: Out Of the 450 patients, 263(60%) were males and 187(40%) were females. Majority patients 193(43%) were aged 40-70 years. All 450(100%) patients underwent some type of amputation. Of all the amputations, 301(67%) were done in patients with poor glycaemic control on presentation, and 187(41%) in those with stage 4 wound. Local wound infection, increased total leukocyte count and bone showing features of osteomyelitis were significantly associated with increased risk of lower extremity amputations (p<0.05).
Conclusion: With the proper glycemic control and early presentation and treatment, majority of amputations could be avoided in diabetic patients with foot ulcers.
To compare the efficacy of timolol maleate 0.5% vs fixed combination of timolol maleate 0.5%, and brimonidine tartrate 0.2% in control of raised intra ocular pressure in patients undergone Nd-Yag laser capsulotomy.
Authors: Ullah Ihsan , Israr Muhammad , Khan Jehanzeb , Khatak Mushtaq 
Published: February 2022

Purpose: The purpose of the study is to compare the efficacy of Timolol maleate alone vs fixed combination of Timolol maleate 0.5% with Brimonidine 0.2% in patients undergone Nd-Yag laser capsulotomy.
Methodology: 100 patients with posterior capsular opacification were enrolled though OPD. They were placed in 2 groups with 50 patients each. Group A received Timolol maleate 0.5% alone while group B received combination of timolol maleate with Brimonidine tartrate.
Results: In group A 3 patients developed acute raise of intraocular pressure despite of Timolol maleate use while goup B patients who received combination of Timolo maleate and Brimonidine had controlled intraocular pressure.
Conclusion: Fixed combination of Timolo maleate 0.5% and Bremonidine tartrate 0.2 % is more effective in controlling of IOP raise in patients undergone Nd-Yag laser capsulotomy for posterior capsular opacification then Timolo maleate0.5% alone.
Pengaruh Bimbingan Belajar (Les di Luar Sekolah) Pada Prestasi Belajar IPA Siswa Kelas VIIII MTs Jabal Noer Geluran Sidoarjo
Authors: Maiyanti Aziza Anggi , Laili Ummiy Fauziah 
Published: February 2022

Penelitian yang berfokus pada hasil belajar bidang studi IPA ini berujuan untuk mengetahui adakah pengaruh dari bimbingan belajar atau les yang diikuti beberapa siswa di suatu lembaga di luar jam sekolah pada hasil belajarnya di bidang studi IPA. Tindakan observasi penelitan dilakukan di MTs Jabal Noer Geluran Taman Kabupaten Sidoarjo yang menyasar pada kelas VIII tahun ajaran 2020-2021 alasan peneliti mengambil penelitian pada kelas VIII tahun ajaran 2020-2021 karena belum melaksanakan PTS ataupun ujian akhir semester. Dalam penelitain, peneliti mengggunakan jenis penelitian kuantitatif. Adapun populasi yang diambil dalam penelitian terkait adalah semua siswa kelas VIII MTs Jabal Noer Geluran. Data yang dikumpulkan peneliti untuk penelitian ini adalah menggunakan dokumentasi berupa nilai siswa dan teknik wawancara bebas. Selanjutnya model analisis data yang dipakai oleh peneliti adalah statistik Tes "t". dari penelitian ini menghasilkan adanya pengaruh les pada hasil belajar peserta didik dalam bidang studi IPA dan menunjukan adanya signifikansi nilai peserta didik yang mengikuti les dengan peserta didik yang tidak ikut les di luar jam sekolah. Hasil ini diperoleh setelah menghitung t hitung sebesar 2,23 dan membandungkannya dengan pada taraf signifikansi 5% yaitu 2,069. Dengan pengajuan hipotesis tidak ada signifikansi nilai antara peserta didik yang ikut les dengan peserta didik yang tidak ikut les ditolak.
Kata Kunci: Belajar, Bimbingan belajar, IPA, Prestasi belajar
Clinical Profile of Filipino Patients with Young-onset Gout
Authors: Osio-Salido Evelyn , Tee Michael L. , Tee Kenneth D. , Hernandez Ana Teresa S. , Santiago Angeline-Therese M. 
Published: February 2022

Objectives. Recent studies show that patients with young-onset gout present with visible tophi or nephrolithiasis on diagnosis. In the Philippines, where gout is prevalent, there is no published work on this subset of patients. This study presents the clinical characteristics of a cohort of Filipino patients with gout whose symptoms started at 30 years of age or younger.
Methods. The case records of all patients who fulfilled the 1977 American College of Rheumatology (ACR) criteria for gout seen in four adult rheumatology services were reviewed. We selected those whose age of onset of gout was at 30 years or younger. The demographic characteristics, medical history, laboratory parameters, and presenting manifestations were described.
Results. Six hundred sixty-nine records of patients with gout were reviewed; 101 (15%) fulfilled the young-onset gout criteria. The mean age of onset was 25±4.40 years (range 14-30), and the mean disease duration before diagnosis was 12.64±11.91 years. All of the patients were male and most were married; 76% were alcoholic beverage drinkers and 38% were smokers. A family history of gout was noted in 47%. Most patients (66%) were already on nonsteroidal anti-inflammatory drugs (NSAIDs), 24% on colchicine, and 14% on urate-lowering therapy before consult at the rheumatology clinic. By history, at onset, the most common pattern of joint involvement was monoarthritis (95%), affecting the ankles (60%), knees (52%), and 1st metatarsophalangeal (MTP) joint (51%). However, on the first rheumatology clinic visit, 34% of arthritis was polyarticular, more than 68% had more than three arthritis attacks per year, and there were tophi in 35%. The mean duration before visible tophi formation was 2.81±6.75 years. Around 21% had nephrolithiasis or a history thereof. The mean serum uric acid (SUA) was 9.18 mg/dL and the mean serum creatinine was 1.5 mg/dL. Thirty-seven percent had estimated glomerular filtration rate (GFR) <60 mL/min.
Conclusion. Young-onset gout was present in 15% of our patients and gout was familial in 47%. There was a delay in diagnosis of as long as ten years in most of the patients. On presentation at the rheumatology clinic, more than 34% had polyarticular arthritis, 35% had tophi, and 37% had low estimated GFR. This emphasizes the importance of awareness and prompt diagnosis to ensure correct treatment and prevention of complications
Outcomes of Seizures in Patients with Systemic Lupus Erythematosus in a Tertiary Government Hospital in the Philippines
Authors: Cortez Karen Joyce , Osio-Salido Evelyn 
Published: February 2022

Background. Seizures in patients with systemic lupus erythematosus (SLE) are uncommon but life-threatening; mortality rate is 25-29%. Seizure in a person with lupus may be due to lupus itself or other conditions. There are no published studies describing the causes and outcomes of seizures in Filipino patients with lupus.
Objective. To describe the causes and outcomes of seizure in a cohort of patients with lupus seen at Philippine General Hospital.
Methodology. We reviewed the medical records of patients with SLE) with a documented seizure and admitted between January 2016 and April 2019. History, physical examination and laboratory findings, and clinical course were obtained.
Results. We included 29 patients with 31 seizure events. They were all women, mostly single, of low socio-economic status, and had poor functional capacity. Lupus was active in 77.4% (24/31), commonly with mucocutaneous or hematologic manifestations. Seizures were generalized in 87 % (27/31). Prior to seizure, one-third had headache, fever, and vomiting. There were no neurologic localizing signs. Twenty-four seizure events (77%) occurred among patients with active lupus; 16 (67%) was attributed to neuropsychiatric systemic lupus erythematosus (NPSLE) and eight (33%) to other causes: infection (tuberculous meningitis and septic encephalopathy), posterior reversible encephalopathy syndrome (PRES), uremia, arrhythmia, and eclampsia. Seven seizures in inactive lupus were not SLE-related. Mortality rate was 28%; infection was the most common cause. Seizure resolved in 97%. Mean duration of hospitalization was 26.7 days. Patients were discharged improved from 19 seizure events (18 patients); 14 had follow-up consultations, three were readmitted. There was no seizure recurrence within 30 days of discharge. There was improvement in functional capacity.
Conclusion. The most common cause of seizure was NPSLE, followed by infection. Despite high rates of complete seizure resolution, poor outcomes were noted in almost half of the patients. Prolonged hospitalization was common. A high rate of mortality was observed. Infection was the most common cause of mortality.
A Philippine Tertiary Hospital Cross-sectional and Registry Feasibility Study: Gout Clinical Case Scenario
Authors: De Vera Ronaldo Q. , Penserga Grace G. , Lorenzo Jose Paulo P. 
Published: February 2022

Background. Gout is one of the most common arthritides affecting Filipinos; yet, there is a lack of updated local data and Clinical Practice Guidelines.
Objective. To describe Clinical Case Scenario (CCS) of Filipino patients with gout in a tertiary referral hospital seen over a year.
Design. Cross-sectional study.
Methods. Patients’ characteristics, risk factors, disease course, management, and CCS were obtained by a rheumatologist using a questionnaire. Descriptive statistics were used.
Results. One hundred eight patients were included with a median age of 58 (range 26–80) years. 106 were male (98%); and, 2 were female (2%) who were menopause and had chronic kidney disease (CKD). Most prevalent CCS were stages 9 (29%), 1 (16%), and 2 (15%). The majority of cases had tophi and belonged to CCS 4-9 (62%). This signifies that most patients had advanced gout. Consistent with international and local data: almost half had hypertension (46%), a third had CKD (36%). Most were ethanol drinkers (65%) and smokers (57%). Unexpectedly, not many were obese (10%) or had metabolic syndrome (2%). The initial joint involved was the ankle (52%) rather than the first metatarsophalangeal joint (40%). Almost half of the patients presented with two or more joint involvement (46%) than monoarthritis (54%). Patients with acute flare were most commonly prescribed NSAIDs (77%), followed by colchicine (62%). Most were prescribed allopurinol (44%) compared with febuxostat (37%) for urate-lowering therapy. Only 16% received patient education. Medication compliance was 65%, but follow-up compliance was less than 18%. Comparing the Filipino clinical profile to historical data suggests an increased incidence of gout in the young and an increase in comorbidity prevalence.
Conclusion. This study reports a cohort of Filipino gout patients. Comorbidities are similar to world figures but differ in the low incidence of obesity and metabolic syndrome. It also differs from literature in having the ankle as the most common initial joint presentation. Management and compliance were also described. As a pilot study for a registry, this study can be implemented at different institutions to broaden and monitor the ever-changing Filipino gout profile.
Recommendation. A larger sample size and a more extended observation period are recommended to estimate gout CCS prevalence, flare risk factors, and treatment response more accurately. Other outcomes that can be measured are mortality rates and etiologies for each CCS.
A Case of Elephant Extremities in a Filipino Male: Primary Familial Pachydermoperiostosis
Authors: Zamora-Abrahan Geraldine T. , Yasay Eric B. , Manalo-Igot Mary Ondinee , Lucero-Orillaza Hanna , Perserga Ester G. 
Published: February 2022

This is a rare case of primary pachydermoperiostosis (PDP). A 28-year-old Filipino male presented with a lifelong history of enlarged hands and feet. He eventually developed symmetrical swelling of the ankles and knees associated with leg heaviness and knee pain with difficulty with ambulation, hence consult. His eldest brother also had the same “elephant-like” extremities. He had cutis vertices gyrata with a thickened corrugated hair pattern, deep lines on the forehead, deepened nasolabial folds, enlarged extremities especially distally, with coarse, thick skin, and prominent clubbing. The nails were convex “watch crystal-like.” The wrists, knees, and ankles were tender and enlarged, with massive effusion of the knees. All joints were devoid of warmth and erythema.
Skeletal survey favored hypertrophic osteoarthropathy over acromegaly, with periosteal thickening of the metaphysis and digital clubbing. The filarial smear was negative for blood parasites. Skin biopsy showed keratoderma. Synovial fluid was non-inflammatory while arthroscopic synovial biopsy showed chronic inflammation eosinophilic amorphous tissue. Electrocardiogram, echocardiogram, thyroid function tests, complete blood count, peripheral blood smear, serum chemistries, coagulation tests, urinalysis, urine electrolytes, fecalysis, and chest CT scan were unremarkable. Whole abdomen ultrasound revealed the liver parenchymal disease. Hepatitis profile revealed chronic infection with hepatitis B, with low infectivity. The three major criteria for PDP (pachydermia, periostitis, and digital clubbing) were fulfilled. Possible secondary causes were either excluded or were non-contributory.
He was started on analgesics and anti-inflammatory medicines. Repeated arthrocenteses drained liters of synovial fluid per knee, and along with intra-articular steroid injections and compressive bandages, temporarily relieved his bilateral knee pain. He was referred to rehabilitation to maximize his range of motion and to address body image issues. The patient remains on regular follow-up for periodic arthrocentesis. The option of anti-VEGF treatment and arthrotomy was explored as possibilities but were not deemed practical.
PDP is a rare genodermatosis. Life span is not affected but the quality of life is dismal without supportive management, as there is no known cure. A multidisciplinary team composed of a rheumatologist, dermatologist, orthopedic surgeon, plastic surgeon, rehabilitation physician, and a psychiatrist should be available to assist in the needs of these patients.
Clinical Profile of Patients with Tuberculous Arthritis Admitted in a Tertiary Hospital in the Philippines
Authors: Poblete Jonnel B. , Manapat-Reyes Bernadette Heizel D. , Salamat Maria Sonia S. 
Published: February 2022

Background. Tuberculous arthritis is a rare extra-pulmonary manifestation of tuberculosis (TB) that can lead to significant disability when left untreated. This study described the clinical profile of patients with TB arthritis admitted in a tertiary hospital in the Philippines.
Methods. We reviewed medical records of 65 patients with TB arthritis admitted in the Philippine General Hospital from 2006 to 2019.
Results. Majority of patients were male (41, 63.0%) and the mean age upon diagnosis was 46.7 ± 1.7 years (20– 85). Majority (33, 50.8%) had underlying co-morbidities including hypertension (16, 24.6%), type 2 diabetes mellitus (10, 15.4%), and chronic kidney disease (8, 12.3%). A history of previous TB treatment (10, 15.4%), intake of immunosuppressive drugs (7, 10.8%), and trauma on affected joints (13, 20.0%) were also reported. Majority presented with chronic mono-arthritis (50, 76.9%) involving the knees (27, 41.5%) and hips (21, 32.3%) with a mean duration of symptoms of 20.9 ± 3.9 months. The most frequent initial diagnosis upon admission was septic arthritis (21, 32.3%). Confirmed septic arthritis (10, 15.6%), pulmonary TB (9, 14.3%), and disseminated TB (4, 6.3%) were also observed. Majority were diagnosed based on positive acid-fast bacilli (AFB) smear, polymerase chain reaction (PCR) for Mycobacterium tuberculosis, or synovium biopsy (34, 54.0%). Anemia (43, 68.3%) and elevated inflammatory biomarkers (erythrocyte sedimentation rate, ESR [36, 97.3%] and C-reactive protein, CRP [40, 87%]) were also seen in majority of patients. The most common radiographic findings on x-ray were joint space narrowing (42, 84.0%), soft tissue swelling (22, 44.0%), and erosions (21, 42.0%). The mean length of hospital stay was 23.8 ± 2.8 days (2–113). Majority underwent surgical interventions (35, 55.6%) including debridement (28, 80.0%) and arthrotomy (25, 71.4%). All received anti-tuberculosis treatment upon diagnosis.
Conclusion. Majority of patients with TB arthritis in this study were male, with mean age in the 5th decade of life, presenting with mono-arthritis, anemia, elevated inflammatory markers, and radiologic findings of joint narrowing. All patients received medical treatment while more than half underwent surgery. There should be a high index of suspicion for TB arthritis in a patient from an endemic country presenting with chronic mono arthritis in weight-bearing joints to prevent delay in diagnosis and significant joint destruction and disability
KEJENUHAN BELAJAR DAN STRESS AKADEMIK REMAJA DI MASA PANDEMI COVID-19
Authors: Depi Ulinta Br Ginting Sri , Daulay Wardiyah 
Published: February 2022

Masalah-masalah yang timbul selama pembelajaran dengan media daring selama pandemi Covid-19 yang dirasakan siswa akibat kejenuhan belajar seperti siswa menjadi suka marah-marah, tidak peduli terhadap tugas-tugas, tidak peduli dengan nilai, bosan, mudah tersinggung, gelisah, merasa gagal, merasa rendah diri, sering susah tidur, mudah sakit dan bahkan mengakibatkan stress.Kejenuhan belajar merupakan reaksi fisik dan psikis terhadap suatu tuntutan belajar dan dapat menimbulkan ketegangan, mengganggu stabilitas belajar serta mempengaruhi sistem hormonal tubuh. Penelitian ini bertujuan untuk mengeindetifikasi hubungan kejenuhan belajar dengan stress akademik, Mengidentifikasi kejenuhan belajar, Mengidentifikasi stres akademik pada remaja dimasa pandemi covid-19 di SMA 1 Kuala Kab Langkat. Teknik sampling purposivesampling yaitu pengambilan sampel berdasarkan kriteria tertentu dengan jumlah sampel yaitu 74 siswa.Instrumen penelitian yaitu lembar data demografi dan kuesioner hubungan kejenuhan belajar dengan stres akademik pada remaja dimasa pandemi COVID-19.Hasil penelitian menunjukkan pada data kategori reponden mayoritas prempuan (56,76%) usia 16 tahun (96,94%) pekerjaan orang tua petani/peternak (35,13%),pendapatan orang tua Rp2.700.000-Rp5.000.000 (66,22%),sistem belajar sendiri (81,08%) dan lama belajar 30-60 menit (48,65%) lalu analisis hubungan kejenuhan belajar dengan stres akademik pada remaja dimasa pandemi covid di SMA 1 Kuala Kab Langkat dengan menggunakan Uji Spearman diperoleh nilai p=0,001, angka ini lebih kecil dari nilai a (alpha)= 0,05 sehingga disimpulkan terdapat hubungan antara kejenuhan belajar dengan stres akademik pada remaja dimasa pandemi covid di SMA 1 Kuala Kab Langkat