Categorize Research Articles

The Cost of Caring: ICU workload stressors and the Saudi Arabian nurse

Purpose: The purpose of this paper is to share insights, research findings and discuss key issues related to workload factors and their influence on the wellbeing of ICU nurses working in a Saudi Arabian hospital. Design/methodology/approach: The authors used a mixed method approach and using a convergent parallel mixed methods design which included separate analysis of the quantitative and the qualitative data, which were collected separately. Within this mixed methods design, the two different types of the data were synthesized for a deeper understanding of the current topic.his paper will focus on the qualitative dataset of the study. A purposive, non-probability sampling strategy was used to recruit nurses to participate in the semi-structured interviews about their workplace experiences.All consenting registered nurses, with a current and valid Saudi Council Registration, who were able to speak English, were included in the study. Tesch’s method of data analysis was used to code and categorize data to construct a shared understanding reflective of the experiences of participants and the researcher as both constructing the meanings given. Findings: The findings from the study were aligned to the JDR Model and provided evidence that ICU nurses experienced various workload factors influencing their wellbeing and productivity. These high job demands lead to strain and health impairment, associated with decreased job satisfaction amongst staff working in the ICUs of Saudi Arabian hospitals. The researcher was therefore able to propose and develop guidelines for the implementation of a comprehensive managerial framework that explicated workload factors and its influence on well-being among the ICU nurses. Research limitations/implications: The limitation that was faced by the researcher was the timeline for conducting the current research, which was governed by the University’s policies and protocol. The recruitment of participants, included ICU nurses within a group of critical care units of one hospital and excluded nurse managers. This could potentially limit the generalizability of the findings to managers at other clinical areas in the hospital regarding their perceptions of the workload and well-being among nurses in general. Despite some of these limitations, the following conclusions could be drawn and recommendations made based on these conclusions. Practical implications: Healthcare organisation across the globe is challenged to achieve nurse workforce stability, safety, and well-being. It was evident that the participants experienced many workload challenges that influenced their wellbeing within the various ICUs. This study sets out the key messages for health care managers to empower and to meet the needs of ICU nurse related to health and well-being. The findings formed the foundation for management contribution to provide improved and seamless support to the health and well-being of ICU nurses. This approach is a guide to support the nurses to work collaboratively with all key professionals and stakeholders to deliver improved quality of life and health outcomes for both the nurses and the patients under their care. Originality/value: This paper explores the various dimensions of workload factors as experienced by Saudi Arabian ICU nurses and its influence on their wellbeing. The authors were able to explore these dimensions from a national and international perspective within a from diverse and multicultural population base.

Secuencias narrativas y enseñanza de vocabulario en la escuela primaria

Fil: Menti, Alejandra Beatriz. Universidad Nacional de Cordoba. Facultad de Lenguas. Centro de Invest.Linguisticas; Argentina. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Conicet - Cordoba; Argentina

As artes marciais, entre o esporte e a educação: uma análise a partir do Taekwondo

As artes marciais são práticas motrizes que tendem não só evidenciar como também exaltar prerrogativas que transcendem a dimensão esportiva. Em outras palavras, muitas das modalidades de lutas carregam consigo um estilo de vida que vai muito além do aspecto competitivo. Objetivo: dito isso, essa pesquisa teve como objetivo analisar a conjugação entre a dimensão formativa-educacional e esportiva das modalidades de luta, utilizando como caso paradigmático o Taekwondo. Metodologia: para a realização desta pesquisa, foi utilizado como laboratório empírico de nossas análises, páginas da web de espaços de treinamento de Taekwondo da região sul do Brasil (Rio Grande do Sul, Santa Catarina e Paraná). Em termos analíticos, os sites investigados foram analisados de acordo com a análise de conteúdo proposta por Bardin. Resultados: após o levantamento e categorização dos dados, verificou-se que os espaços de oferta da modalidade procuram enfatizar em suas páginas na web as potencialidades formativas do Taekwondo. Conclusão: em outros termos, há claramente um esforço dos agentes em ressaltar a filosofia subjacente à modalidade, que apresenta benefícios para além do campo esportivo.

Customer categorization using a three-dimensional loyalty matrix analogous to FMEA

The purpose of this study is to present and explain a new customer segmentation approach inspired by failure mode and effect analysis (FMEA) which can help classify customers into more accurate segments.,The present study offers a look at the three most commonly used approaches to assessing customer loyalty:net promoter score, loyalty ladder and loyalty matrix. A survey on the quality of restaurant services compares the results of categorizing customers according to these three most frequently used approaches.,A new way of categorizing customers through loyalty priority number (LPN) is proposed. LPN was designed as a major segmentation criterion consisting of customer loyalty rate, frequency of purchase of products or services and value of purchases. Using the proposed approach allows to categorize customers into four more comprehensive groups: random, bronze, silver and gold – according to their loyalty and value to the organization.,Survey will bring a more accurate way of categorizing customers even in those sectors where transaction data are not available. More accurate customer categorization will enable organizations to use targeting tools more effectively and improve product positioning.,The most commonly used categorization approaches such as net promoter score, loyalty ladder or loyalty matrix offer relatively general information about customer groups. The present study combines the benefits of these approaches with the principles of FMEA. The case study not only made it possible to offer a view of the real application of the proposed approach but also made it possible to make a uniform comparison of the accuracy of customer categorization.

Camellia Sinensis Mouthwashes in Oral Care: a Systematic Review.

Herbal products are increasingly growing in the oral care market. Some of the related herbal compounds in this field have considerable clinical evidence for use in mouthwashes in their background. Camellia sinensis or tea plant has attracted numerous researchers of dentistry and pharmaceutical sciences, in recent years, for its biologic and medicinal properties. The effects such as anti-septic, anti-oxidative, and anti-inflammatory activities have made this plant a suitable candidate for preparation of mouthwashes. In this systematic review, we tried to find, evaluate, and categorize the sparse evidence in medical literature about Camellia sinensis mouthwashes. We explored three scientific databases with keywords including tea, dental care, Camellia sinensis, and mouthwashes and found 69 relevant studies including 41 randomized controlled trials (RCTs), which are generally proposing anti-microbial, anti-plaque, and analgesic indications for these tea formulations. Considering the main trend in clinical evidence and favorable safety profile, Camellia sinensis products are able to act as antiseptic, anti-plaque, and anti-inflammatory agents and can be used as useful mouthwashes in the future clinical studies and practice.

Penerapan Terapi Aktivitas Kelompok (TAK) Terhadap Kepatuhan Pasien Diabetes Mellitus dalam Pengobatan di UPT Diabetes Center Kota Ternate

Diabetes mellitus (DM) yang juga dikenal sebagai “kencing manis” adalah penyakit metabolik yang ditandai dengan hiperglikemia akibat disfungsi sekresi insulin, kerja insulin, atau keduanya. Maluku Utara merupakan salah satu Provinsi di Indonesia dengan prevalensi sekitar 1,1% (Riskesdas, 2013). Pada bulan Januari sampai dengan Desember 2016 rata-rata kunjungan pasien DM per bulan adalah 163. Kepatuhan terhadap pengobatan pasien DM merupakan faktor penting untuk mencapai tujuan pengobatan dan efektif untuk mencegah beberapa komplikasi DM, terapi yang tepat dapat membawa banyak dampak positif bagi Kesehatan atau kesembuhan pasien yaitu kepatuhan pasien dalam mengkonsumsi obat dalam jangka waktu lama, bahkan seumur hidup penderita DM. Penelitian ini bertujuan untuk mengaplikasikan Kegiatan Terapi Kelompok pada kepatuhan pengobatan pasien DM di wilayah kerja Pusdalops Kota Ternate tahun 2019. Penelitian ini merupakan penelitian kualitatif deskriptif. Subjek penelitian ini adalah pasien di wilayah kerja Pusdalops Kota Ternate. Pertama, pengumpulan data dengan melakukan observasi, wawancara, Focus Group Discussion (FGD), dokumentasi kemudian dianalisis dengan mengkategorikan data, mendeskripsikan ke dalam unit-unit, mensintesis, mengorganisir ke dalam pola, menentukan apa yang penting untuk dipelajari dan membuat kesimpulan. Hasil penelitian menunjukkan bahwa tidak ada perbedaan yang signifikan antara sebelum dan sesudah penerapan Group Therapy Activities terhadap kepatuhan minum obat (pValue = 0,814). Secara statistik umur, jenis kelamin, tingkat pendidikan dan riwayat DM sebelumnya juga tidak memiliki hubungan yang bermakna terhadap kepatuhan minum obat (pValue> 0,05).

COMPUTED TOMOGRAPHY FEATURES OF THE PATIENTS WITH COVID-19: TYPICAL AND ATYPICAL FINDINGS

Amaç: Bu çalışmada COVID-19 tanısı alan hastaların toraks bilgisayarlı tomografi (BT) sonuçlarını inceleyip, tipik ve atipik bulguları literatür eşliğinde sunmayı amaçladık. Araçlar ve Yöntem: Hastanemize mart ve nisan aylarında başvuran ve reverse transkriptaz-polimeraz zincir reaksiyo-nu (RT-PZR) ile COVID-19 tanısı alan hastaların toraks BT’leri retrospektif olarak değerlendirildi. Akciğer parankim bulgularından buzlu cam sahaları, konsolidasyon, vasküler genişleme, fibrozis, nodül, septal kalınlaşma (crazy pa-ving), ters halo, plevral effüzyon ve mediastinal LAP bulguları araştırıldı. Parankimdeki tutulum yerine göre bilateral-unilateral, periferik-santral, üst-orta-alt loblardaki odak sayılarına göre lezyonların dağılımı değerlendirildi. Bulgular: PCR pozitif olan 53 hastanın (ortalama yaş 48,38±20,97) 14’ünde (% 26) toraks BT’de bulgu yoktu. BT’de bulgusu olan 39 hastada (%74), tipik bulgulardan buzlu cam sahası (%85), konsolidasyon (%56), buzlu cam ve konso-lidasyon birlikteliği (%59), vasküler genişleme (%28) izlendi. Atipik bulgulardan nodül (%20), septal kalınlaşma (%30), fibrozis (%10), plevral efüzyon (%8), hava bronkogramı (%18), ters halo bulgusu (%5) saptandı. Hastalarımız-da mediastinal LAP saptanmadı. Toraks BT’de bilateral, orta ve alt zonlarda periferik yerleşimli multifokal odaklar tipik tutulum şekliydi. 14 hastada toraks BT negatif olup herhangi bir bulguya rastlanmadı. Sonuç: Toraks BT, COVID-19 hastaları için tanıya yardımcı çok önemli bir yöntem olup parankim tutulumunun tipik ve atipik bulgular şeklinde kategorize edilerek değerlendirilmesi tanı sürecini kolaylaştırabilir.

Categorizing the Village Community for Career Education

Categorizing the Village Community for Career Education

The Comparability of Measures in the Ageism Module of the Fourth Round of the European Social Survey, 2008-2009

Age is an important dimension that is used by people to categorize others. Age-based discrimination is directed toward specific age groups (young and old). In spite of their importance, attitudes toward the elderly have hardly been studied from a cross-country perspective. The fourth round of the European Social Survey (ESS) from 2008-2009 offers, for the first time, the opportunity to study ageism and attitudes toward age groups from a cross-country perspective (European Social Survey Round 4 Data, 2008). However, this opportunity also bears the risk of drawing wrong conclusions, if the scales measuring ageism are not comparable across the countries under study. Such comparisons require measurement equivalence across countries. In the current study, utilizing ESS fourth round data from 29 European countries we examine the cross-country measurement equivalence properties of two concepts that are measured by multiple indicators in the module: (1) competence and warmth and (2) experience of age discrimination. We test for measurement equivalence using two analytical methods: multi-group confirmatory factor analysis (MGCFA) and the alignment optimization. Our findings suggest that cross-country comparisons of these measures are trustworthy. We briefly discuss cross-country differences in competence and warmth and experience of age discrimination. Finally, we underline the importance of testing the cross-group equivalence of measurement instruments before using them in different groups (such as countries) so that meaningful substantive conclusions can be drawn.

Nurses' experiences on self-protection when caring for COVID-19 patients

Background and Aim: COVID-19 as a pandemic disease caused many deaths across the world and imposed considerable pressure on health care systems as well as healthcare providers This study was conducted to clarify the elements and dimensions of experiences among nurses when caring for COVID-19 patients Methods: This qualitative study was performed using the content analysis method in 16 nursing staffs that were responsible for caring for patients with COVID-19 selected by purposive sampling in April 2020 Deep semi-structured interviews in experimentation format was used to collect data All interviews were recorded and typed in the MAXQDA software and then analyzed by eight steps including writing interviews, determining the semantic units, text coding, matching codes with text, categorizing and developing categories, reviewing the categories, identifying the subthemes and reporting the findings Results: Overall, 223 codes were extracted from the interviews and after the integration of similarities three key themes including personal protection, structural protection and safety problems were obtained indicating participants' experiences on self-protection when Conclusion: Themes such as personal protection, structural protection and safety problems are the most important concerns raised when nurses caring for COVID-19 patients and should be considered when planning to protect nursing health © 2020 Baqiyatallah University of Medical Sciences All rights reserved

FAHPBEP: A Fuzzy Analytic Hierarchy Process Framework in Text Classification

With the availability of websites and the growth of comments, reviews of user-generated content published on the Internet. Sentiment Classification is one of the most common problems in text mining, which applies to categorize reviews into positive and negative classes. Pre-processing has an important role when these textual contexts employed by machine learning techniques. Without efficient pre-processing methods, unreliable results will achieve. This research probes to investigate the performance of pre-processing for the Sentiment Classification problem on three popular datasets. We suggest a high-performance framework to enhance classification performance. First, features of user's opinions are extracted based on three methods: (1) Backward Feature Selection; (2) High Correlation Filter; and (3) Low Variance Filter. Second, the error rate of the primary classification for each method calculated through the perceptron. Finally, the best method selected through the fuzzy analytic hierarchy process. This framework is beneficial for companies to observe people's comments about their brands and for many other applications. The current authors have provided further evidence to confirm the superiority of the proposed framework. The obtained results indicate that on average this proposed framework outperformed its counterparts. This framework yields 90.63 precision, 90.89 accuracy, 91.27 recall, and 91.05% f-measure.

Hanging Radiograph in Idiopathic Scoliosis Patients:Significance as a Preoperative Stress X-Ray

Introduction: Before corrective surgery for idiopathic scoliosis, the stress x-rays are indispensable to collect information regarding the reducibility of deformity, deciding fusion levels, and categorizing curve types and so on. The hanging radiograph has not been conducted preoperatively so far as known. The objective of this study was to investigate retrospectively the significance of the hanging radiograph for prediction of the curve correction with surgical procedure by comparing with the side-bending and the traction radiographs. Methods: The subjects enrolled in current study were 22 cases of idiopathic scoliosis who performed posterior instrumentation and fusion by ISOLA method between 2008 and 2014. They included 2 males and 20 females, with a mean age of 16 years and 8 months. The type of curves by Lenke classification were type 1 in 20 cases, type 2 in 1 case, and type 3 in 1 case. We investigated the correction rates of main thoracic curves in side-bending, traction, and hanging positions and compared them with that after surgery. In addition, correction indices were also calculated and compared among these stress x-rays. Results: The correction rate after surgery was 65.9% that was statistically higher than those in side-bending (44.2%), traction (46.6%), and hanging (22.1%) positions. There were statistical correlations between the correction rates after surgery and in side-bending position (R=0.73) and those after surgery and in traction position (R=0.57). However, there was no statistical correlation between the correction rates after surgery and in hanging position (R=-0.01). With regard to the correction indices, that in hanging position (3.67) was statistically higher than those in side-bending (1.51) and traction (1.45) positions. Conclusion: The correction rates in side-bending and traction positions seem to be useful to estimate the amount of curve correction before surgery whereas, that in hanging position did not have any significance as preoperative evaluation.

On the Safety Hierarchy and Hierarchy of Controls

History reveals an ever-increasing caboodle of protective measures for assuring an acceptable level of safety for both new product designs and for the remediation of man-made and natural hazards. Some seventy years ago, safety professionals began to functionally categorize these safety tools and rank the categories according to their perceived effectiveness. At first, the resulting hierarchies were designated Safety Hierarchies; later updated versions are now referred to as Hierarchies of Controls. To characterize Hierarchies, sixty-six references were surveyed that were published after 1952. Each of these design recipes begin with the admonition “Eliminate the hazards.” All of the hierarchies were created using consensus or speculation, not research. We establish that the Safety Hierarchies and the Hierarchies of Controls are merely rules of thumb, not theorems. Generally, different hierarchies give rise to different designs. The principal strength of both Hierarchies is their replacement of the myth of colloquial safety as “freedom from harm” with a realistic technical definition of safety as an “acceptable level of risk” that is systematically achievable however tortuous.

A Qualitative Study on Alcohol and Drug Abuse among Undergraduate (University Students) in The Coastal Region of Kenya

BACKGROUND: Substance use poses a significant threat to the health, social and economic fabric of families, communities and nations. In Kenya, alcohol and drug abuse has been identified as a hindrance to education, development and by extension, to national development. Alcohol and drug abuse has been associated with crime and indiscipline e.g. poor class attendance, poor performance, school dropout and destructive strikes that lead to damage the institution property or even death. Alcohol and drug abusers are also likely to lower their morals and engage in risky sexual activities that can lead to sexually transmitted diseases including HIV infection and AIDS. OBJECTIVES: The aim of this study therefore was to explore on the perceptions and the magnitude of substance abuse among undergraduate (University students) in the two public Universities in the coastal region of Kenya. Also find amicable solutions to curb the menace that can destroy the future of a generation aged between 18–29 years at the peak of their life. METHODOLOGY: This was a qualitative study involving undergraduate (University students), dean of students and counsellors from Pwani University and Technical University of Mombasa. Focus Group Discussions(FGDs) and Key informant interviews were used to collect data. The number of KIIs was guided by data saturation. Thematic analysis was done by identifying, coding, and categorizing patterns or themes found in the data. RESULTS: The problem of alcohol and substance abuse among undergraduate students was a reality. The commonly abused substances were alcohol, miraa (khat), marijuana (cannabis) and cigarettes. Some of the factors predisposing students to abuse drugs were; easy accessibility to drugs, peer pressure, availability of funds, excess freedom, male gender, stress, not being active in religious activities, poor parenting and the African culture that uphold substances such as alcohol as an acceptable social drink. Participants noted that alcohol and drug abuse had led to various negative effects. The major ones affecting the students being poor performance, risky sexual behaviour, and mental disturbances. Participants suggested that Universities ought to intensify awareness campaigns to sensitize students against substance use. CONCLUSION: The commonly abused substances were alcohol, marijuana, miraa (Khat) and tobacco. Alcohol and drug abuse has left a negative impact among undergraduates (university students). The main consequences being; discontinuation of studies, mental disturbances and risky sexual activities. All stakeholders must take action creating awareness among students on the negative effects of substance abuse. Universities should set up programs with an aim to curb substance abuse in the institutions of higher learning. The government should reinforce the set laws and regulations and deal with trafficking of illicit substances into the country. Keywords: Alcohol and drug abuse, substance abuse, undergraduate students, qualitative study, Kenya

How Literature Saves Lives

I learned to read when I was six years old, and the first sentence my mother helped me construct was “I can read!” I felt empowered. Ten years later, I woke up one day, with one blind eye. I couldn’t see for a week, and at school, I was called “Blind Girl.” That’s when I realized how people label each other, categorize each other, and reject anything that looks different. By the time I was eighteen, I was diagnosed with Multiple Sclerosis (MS), which is a neurological illness that can affect any part of the body. You may wake up blind one day, paralyzed the next; but not all people with MS are in wheelchairs. My doctor, however, did tell my parents that I would end up in a wheelchair, and that it was pointless to pursue higher education. But because I felt like there was a ticking bomb, the shadow of loss looming behind me, I took everything two steps at a time. I ran as fast as I could, and realized that I wanted to teach literature. Sometimes, as cliche as this might sound, we give up on our dreams. Or, we put them on hold. But when dreams are threatened, when you feel that loss is inevitable, you have a choice: you either give up, or fight harder than ever before. There were days where I struggled to write my essays, and as you all know, literature majors need their hands to write. We write and write. I needed to learn how to find different ways of holding the pen, managing my exams, and still attempting to keep my chin up. It was no easy task.

Identification of EMCI in MR Brainstem Structure Using Fractal Measures and Random Forest Approach.

In this work, an attempt has been made to assess the texture variations of brainstem occurring in the Early Mild Cognitive Impairment (EMCI) condition. Fractal dimension is calculated for the segmented brainstem volume using Higuchi's and Detrending moving average (DMA) method. These measures are validated using Random forest classifier. DMA shows better performance when compared to Higuchi's method in categorising EMCI stage. Thus, the proposed approach using brainstem image's DMA fractal measures with random forest can be used in diagnosis of EMCI.

Accountability practices in research and publication ethics on the web. Linguistic and discursive features

With the large increase in the amount of published research being carried out throughout the world, potential is mounting for ethical practices to take a back seat in the apparent frequency of reported cases of scientific misconduct. While these cases erode the credibility of scientific research and public trust in the publication process, they often delineate accountabilities between conflicting parties and require organisational and institutional responses to good research practices based on fundamental, ethical principles of research integrity. In this paper, I explore the linguistic and discursive features of research and publication ethics in a representative corpus of misconduct cases as a genre created and maintained by the Committee on Publication Ethics (COPE) organisation over its website. Using a combined framework of methodological perspectives from functionally-defined criteria of discourse and genre categorizations (Askehave, Swales 2001; Bhatia 2004; Swales 2004) alongside evaluation (Hunston, Thompson 2000) and stance-taking (Biber et al. 1999; Hyland 2005), this study looks at the discourse organisational structure of texts with identifiable communicative moves and associated language use to unveil the types of social actors’ relations and identities constructed through “Action”, “Representation” and “Identification” (Fairclough 2003) of the social events and practices in question via recontextualization and interdiscursivity (Bhatia 2004, 2017; Fairclough 2003; Sarangi, Brookers-Howell 2006). Linguistic and rhetorical choices made on recontextualized and representational features of text reveal how cases set the tone for accountability between the social actors (parties) involved in matters of research ethics, and how they allow the organisation to take responsibility for the integrity of their research conduct by fostering a climate of responsible practices and adjusting party accountabilities. Attending to both linguistic and discursive features, the communicative practices of the case genre authenticate the competing social relations, identities, values or interests of the parties in this kind of discourse representation, and align the institutional action, identity and values of the organisation with social norms when legitimising its commitment to create and preserve conditions for ethical principles and professional standards essential for a range of responsible practices of research publishing.

Health Smart Homes: New Challenges.

Health Smart Homes provide various forms of assisted living support, by monitoring the activities and health status of their occupants to generate flows of information and sometimes interventions involving the occupants and their careers. Technologies of varying complexity must be combined to produce the underlying Health Smart Home system, and processing of the resulting data may require methods of varying sophistication. These aspects have been well studied, but no widely-adopted approaches for practical implementation of systems or systematic processing of data have been developed. Also, the integration of Health Smart Home services with the overall health care system has not been regularized. This paper identifies and categorizes the emerging high-level challenges beyond those in the basic technical and algorithmic spaces. These challenges will influence future directions for Health Smart Homes and their wider adoption and integration with health systems.

EMOTION BASED MUSIC PLAYER (EMOTIFY)

Music has become an integral part of everybody's life. We currently have a variety of music applications that can be connected to the internet and view suggested or related songs based on the playlist of the user, enabling users to exchange playlists and categorize songs into different genres.This paper proposes a system which would help the user identify their emotions through facial analysis and be able to listen accordingly to the best suited songs. This speeds up the process of finding the best suited songs by eliminating the manual work. Our proposed system uses Microsoft emotion recognition for facial analysis, a system that has already analyzed emotions and has the MicrosoftFace API which has analyzed over 1 million faces and presents an average true positive value up to 60 %. This API helps capture and evaluate emotion from an image in the application. Within this system, computer vision components are usedto assess the emotion of the user by facial expressions. The camera of the device captures the user's image. The system can assess the user's emotions and map to predefined playlists based on the captured emotions.

Los ambientes acuáticos en arqueología

Fil: Prates, Luciano Raul. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. Division Arqueologia; Argentina