Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

Abstract Background : Musculoskeletal disorders account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains, predisposing them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists tend to spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and to the factors that contribute to these symptoms. Methods : An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic characteristics, workload, and workstation environments, and included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. Results were analyzed descriptively using the Chi-square test and logistic regression analysis. Results : The survey was completed by 198 participants (111 men and 87 women). Most participants were aged below 40 years. The proportions of radiology residents, specialists, and consultants who completed the survey were 40.9%, 27.3%, and 27.3%, respectively. Most participants spent 7-9 hours per day reviewing medical images. In total, 140 (70.7%) participants had experienced musculoskeletal symptoms in the week preceding the survey, whereas 176 (88.9%) participants reported having symptoms in the last 12 months preceding the survey. The normal daily activities of 15.2%, 14.6%, and 14.6% of survey participants were restricted in the last 12 months, due to neck, lower back, and shoulder pain respectively. Significant contributing factors for musculoskeletal symptoms included age, sex, number of hours spent reviewing medical images, and the type of medical images predominantly reviewed. A multivariable logistic regression analysis revealed that radiologists who spent most of their time performing ultrasound scanning or reviewing computed tomography images were at higher risk of developing musculoskeletal symptoms. Conclusions : Musculoskeletal symptoms are common among radiologists. The high prevalence rate among our study participants indicates the need for preventive actions, such as increasing awareness of this issue among practicing radiologists, educating practitioners about the adverse effects of prolonged sitting, and providing training to ensure proper ergonomic practices.

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Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

10.21203/rs.2.14209/v3 ◽

2019 ◽

Author(s):

Malak Al Shammari ◽

Ali Hassan ◽

Omran Al Dandan ◽

Mohammed Al Gadeeb ◽

Dalal Bubshait

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Multivariate Logistic Regression Analysis ◽

Musculoskeletal Symptoms ◽

Body Region ◽

Viewing Distance ◽

Cross Sectional

Abstract Background : Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods : An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results : The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions : Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.

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Musculoskeletal symptoms among radiologists in Saudi Arabia: a multi-center cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2933-1 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 4

Author(s):

Malak Al Shammari ◽

Ali Hassan ◽

Omran Al Dandan ◽

Mohammed Al Gadeeb ◽

Dalal Bubshait

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Multivariate Logistic Regression Analysis ◽

Musculoskeletal Symptoms ◽

Body Region ◽

Viewing Distance ◽

Cross Sectional

Abstract Background Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.

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Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

10.21203/rs.2.14209/v4 ◽

2019 ◽

Author(s):

Malak Al Shammari ◽

Ali Hassan ◽

Omran Al Dandan ◽

Mohammed Al Gadeeb ◽

Dalal Bubshait

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Multivariate Logistic Regression Analysis ◽

Musculoskeletal Symptoms ◽

Body Region ◽

Viewing Distance ◽

Cross Sectional

Abstract Background : Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods : An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results : The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions : Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.

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Methods of Radiology Reports Generation and Patterns of Associated Musculoskeletal Symptoms: A Cross-Sectional Multi-Center Study

10.21203/rs.3.rs-16289/v1 ◽

2020 ◽

Author(s):

Omran Al Dandan ◽

Ali Hassan ◽

Hind Alsaif ◽

Malak Al Shammari ◽

Danya Gari ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Musculoskeletal Symptoms ◽

Multivariable Logistic Regression Analysis ◽

Chi Square ◽

Cross Sectional ◽

Radiology Reports ◽

Multi Center Study

Abstract Objectives This study aimed to investigate the association between the methods used to generate radiology reports and the prevalence of musculoskeletal symptoms among radiologists. Additionally, we investigated the factors associated with the use of such methods. Methods An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic characteristics, work environment, and methods used to generate radiology reports and included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. Results were analyzed descriptively using the Chi-square test and logistic regression analysis. Results The survey was completed by 198 radiologists (111 men and 87 women), including residents (40.9%), specialists (27.3%), and consultants (31.8%). Most participants (71.2%) were aged below 40 years. In total, 140 (70.7%) participants had experienced musculoskeletal symptoms in the week preceding the survey. The most popular method used to generate radiology reports was typing using a keyboard, with 64.1% of participants using this method, followed by a handheld dictation device (49.5%). Radiologists with limited years of practice more frequently generated reports via keyboard typing, particularly those with <1-year of experience (35.8%). A multivariable logistic regression analysis revealed that radiologists who used handheld dictation devices were at higher risk of developing musculoskeletal symptoms. Conclusions Musculoskeletal symptoms are common among radiologists. Radiologists who use handheld dictation devices were particularly likely to report experiencing musculoskeletal symptoms. These devices were less commonly used among radiologists with fewer years of experience.

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Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

10.21203/rs.2.14209/v5 ◽

2019 ◽

Author(s):

Malak Al Shammari ◽

Ali Hassan ◽

Omran Al Dandan ◽

Mohammed Al Gadeeb ◽

Dalal Bubshait

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Multivariate Logistic Regression Analysis ◽

Musculoskeletal Symptoms ◽

Body Region ◽

Viewing Distance ◽

Cross Sectional

Abstract Background : Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods : An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results : The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions : Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.

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Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

10.21203/rs.2.14209/v6 ◽

2019 ◽

Author(s):

Malak Al Shammari ◽

Ali Hassan ◽

Omran Al Dandan ◽

Mohammed Al Gadeeb ◽

Dalal Bubshait

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Online Survey ◽

Multivariate Logistic Regression Analysis ◽

Musculoskeletal Symptoms ◽

Body Region ◽

Viewing Distance ◽

Cross Sectional

Abstract Background : Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods : An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results : The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions : Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.

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Pride, shame and health among adolescents – a cross-sectional survey

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2016-0107 ◽

2017 ◽

Vol 30 (6) ◽

Cited By ~ 1

Author(s):

Eva Randell ◽

Junia Joffer ◽

Renée Flacking ◽

Bengt Starrin ◽

Lars Jerdén

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Identity Development ◽

Logistic Regression Analysis ◽

Strong Predictor ◽

Well Being ◽

Multivariable Logistic Regression Analysis ◽

Protective Mechanism ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background Pride and shame are important emotions known to influence identity development and psychological well-being in adolescence. Research evidence indicates that self-rated health (SRH) is a strong predictor of future health. This cross-sectional study, conducted during 2008–2009, aimed to investigate the associations between pride, shame and SRH among adolescent boys and girls. Methods The study sample comprised 705 adolescents in Sweden aged 17–18 years (318 boys and 387 girls) who completed a questionnaire that included items on SRH, shame and pride (participation rate 67%). Logistic regression analyses (univariable and multivariable) were used to investigate the associations between pride and shame as separate and combined constructs on SRH, adjusting for potential confounders (country of birth, parental educational level, school experience, having enough friends, mood in family and being active in associations). Results Pride and shame separately were significantly associated with SRH in both genders. Logistic regression analysis of the pride-shame model showed that the odds of having lower SRH were highest in boys and girls with lower pride-higher shame. In a multivariable logistic regression analysis of the pride-shame model the odds of having lower SRH remained significant in boys and girls with lower pride-higher shame [boys: odds ratio (OR) 3.51, confidence interval (CI) 1.40–8.81; girls: OR 2.70, CI 1.22–5.96] and in girls with lower pride-lower shame (OR 2.16, CI 1.02–4.56). Conclusion The emotions of shame and pride are associated with SRH in adolescence. Experiencing pride seems to serve as a protective mechanism in SRH in adolescents exposed to shame. We believe that this knowledge should be useful in adolescent health promotion.

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Anaemia Prevalence and Contributory Factors among Children in Uttarakhand, India

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2020/v18i230184 ◽

2020 ◽

pp. 41-51

Author(s):

Shweta Suri ◽

Anuradha Dutta ◽

Rita Singh Raghuvanshi ◽

Anupama Singh ◽

C. S. Chopra

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Cross Sectional Study ◽

Health Concern ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

History Of

Background: In India, Anaemia among children is still one of the major nutritional problems of public health concern. Aim of the Study: The aim of the present study was to assess the prevalence of anaemia among Anganwadi children (3-6 years of age) and to determine the important risk factors associated with anaemia. Study Design: Cross-sectional study. Place and Duration of Study: Study was conducted among 390 Anganwadi children of Udham Singh Nagar district of Uttarakhand, during April, 2019- August, 2019. Methodology: In this cross sectional study, data on socio-demographic, socioeconomic, hygiene and dietary practices were collected using a self-structured questionnaire. Hemoglobin (Hb) and anthropometric measurements were carried out. Multivariable logistic regression analysis was employed to estimate the adjusted odds ratio (AOR). Results: A majority, 70.54% of the Anganwadi children were found to be anaemic, with higher prevalence among male children (51.30%) as compared to female children (48.70%). The mean hemoglobin concentration of children was 9.91 (±1.9 g/dl). Stunting was higher among males (54.83%) as compared to females (45.17%).Multivariable logistic regression analysis showed that anaemia was significantly associated with monthly income of family AOR (95% CI) 3.25(2.49, 4.00), mother's illiteracy AOR (95% CI) 1.98 (1.49, 2.46), history of anaemia in mother AOR (95% CI) 1.60(0.67, 2.52 ), history of worms in child's stool AOR (95% CI) 3.17(2.26,4.03), barefoot walking AOR (95% CI) 3.08(2.11,4.04) and lack of habit of hand washing AOR (95% CI) 1.55(0.98, 2.11). Conclusion: The prevalence of anaemia among children was high. Iron supplementation, nutrition education among mothers and overall personal hygiene are important to ameliorate their iron status.

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Workplace Violence Against Nurses in Psychiatric Hospital Settings: Perspectives from Saudi Arabia

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2019.19.01.005 ◽

2019 ◽

Vol 19 (1) ◽

pp. 19 ◽

Cited By ~ 3

Author(s):

Wafa Basfr ◽

Ahlam Hamdan ◽

Samia Al-Habib

Keyword(s):

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Workplace Violence ◽

Multivariate Logistic Regression Analysis ◽

Psychiatric Hospitals ◽

Multivariate Logistic Regression ◽

Violent Behaviour ◽

Cross Sectional

Objectives: Workplace violence (WPV) has become a world-wide concern. This study aimed to measure the prevalence of WPV among nurses working in psychiatric hospitals in Saudi Arabia. Methods: This cross-sectional study was conducted at three psychiatric hospitals in Saudi Arabia between March and May 2017. Participants completed a self-reported questionnaire which was used to measure the prevalence and explore the associated factors of WPV. A multivariate logistic regression analysis was also performed. Results: A total of 310 nurses (response rate: 62%) were included in this study. The prevalence of WPV against nurses was 90.3%, of which 57.7% had been exposed to both physical and verbal abuse. More nurses were exposed to WPV during the morning shift than the evening shift (58.4% versus 42.3%). Violent behaviour was exhibited mostly by the patients themselves (81.3%). Over half of the nurses (57.4%) required medical intervention in such cases. The majority of nurses felt either stressed (64.2%) or anxious (53.5%) and 34.2% felt depressed after the incident. Multivariate logistic regression analysis revealed that time of violence, source of violence, patient dissatisfaction with medical care and lack of organisational support for nurses were significantly associated with the occurrence of WPV in psychiatric units. Conclusion: WPV has reached an alarming rate among nurses in psychiatric hospitals in Saudi Arabia. It is crucial to invest in the prevention of WPV by constant training of workers and a mutual policy with the police and the civic prosecutor in Saudi Arabia on how to respond to violent psychiatric patients. Keywords: Workplace Violence; Psychiatry; Nurse; Mental Health; Saudi Arabia.

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