bluuebunny/crossref_metadata_2025 huggingface dataset:
Dialogues as an Involvement Strategy in Kadare’s novel "The Fall of the Stone City"
Authors: Bregasi Majlinda , Nasi Manjola
Published: October 2024

Discourse is not just a form of language use, but also a cognitive and social accomplishment within a communicative context. This article aims to interpret dialogues in Kadare’s novel The Fall of the Stone City through a combination of methods of discourse analysis and conversation analysis. The object of this analysis are the direct dialogues, in which characters are represented through their own voice, and where the narrator evades his/her own intervention during the transmission of the character’s sensory experience and does not give to the reader an indication of any sort of privileged information regarding the condition of the character. The central focus of this analysis is involvement strategies, as the basic principle in both conversational and literary discourse. The spoken genre is characterized by fragmentation and involvement, whereas the written genre is characterized by integration and detachment. The comparison of spoken and written narratives suggests that normal conversation and literary discourse have many similarities between them. The examination of the dialogues in Kadare’s novel The Fall of the Stone City clearly shows that the author combines involvement with integration in building scenes and triggering emotions. He uses familiar strategies, like repair and repetition in creating coherence and involvement, which are intentional in creating meaning.
Spectrum of Ocular Tuberculosis in Tertiary Care Hospitals of Khyber Pakhtunkhwa Peshawar
Authors: Hafsa Bibi  , Fahad Zafar  , Mustafa Iqbal  , Shafiq Tanveer  , Faizan Luqman
Published: October 2024

Purpose:  To describe the spectrum of ocular tuberculosis (TB), highlight the difficulty in diagnosis and treatment of such cases encountered in a tertiary care hospital of Peshawar, Pakistan.
Study Design:  Descriptive Case series.
Place and Duration of Study: Khyber teaching hospital MTI Peshawar from Jan 2021 till July 2022.
Methods:  Eleven cases with Ocular tuberculosis are described. At presentation, complete history was taken and detailed examination was done including fundus examination and OCT macula. For diagnosis, a combination of Tuberculin skin test (TST) and Quantiferon-Gold was performed. On the basis of results of both tests Anti-TB treatment (ATT) was started and continued for an average of 9 months.
Results:  This study highlights the diverse ocular manifestations of TB in patients, even without a known history of systemic disease. Among 11 patients, 3 presented with panuveitis, 6 with posterior uveitis, and 2 with serpiginous-like choroidopathy with uveitis. Notably, only 2 had a known history of systemic TB. The patients were treated primarily with Anti-Tuberculosis Therapy (ATT) along with steroids or other adjunct therapies. Most cases showed improved vision and stable disease post-treatment, with visual acuity ranging from 6/24 to 6/6. However, two patients were lost to follow-up, leaving their outcomes unknown.
Conclusion:  In this case series, we explore different cases of Ocular Tuberculosis (OTB) seen at a busy hospital in Peshawar, Pakistan. There are variety of symptoms with which the patients present. The combined use of TST and Quantiferon-Gold proved an effective and affordable approach for diagnosis and timely initiation of ATT in ocular TB.
Comparison of Mean Surgically Induced Astigmatism in Manual Small Incision Cataract Surgery Using Frown Vs Chevron Incision
Authors: Abdul Basit  , Mir Zaman  , Khan Bakht Danyal , Muhammad Abdullah  , Saud Abdur Rehman
Published: October 2024

Purpose:  To compare the mean surgically induced Astigmatism(SIA) in Manual Small Incision Cataract Surgery (MSICS) using frown (inverted U) versus inverted V (chevron) incision.
Study Design:  Quasi experimental study.
Place and Duration of Study:  Hayatabad Medical Complex from 27th July 2018 to 27th January 2019.
Methods:  This study included 148 patients who were distributed into the Frown group (F) and Chevron group (C) by convenient sampling. Each group had 74 patients through block operative randomization. To eliminate bias, all the surgeries were performed by one surgeon having more than 5 years’ experience of MSICS. Pre-operative and Post operative keratometric readings were taken. SIA calculator was utilized, and data was analyzed through SPSS 26. Means and standard deviation for continuous variables like age and surgically induced astigmatism were calculated.
Results:  In Group F, mean surgically induced astigmatism was 1.14±0.65D and in Group C it was 0.87±0.55D. The independent T test revealed that the mean SIA was significantly lower in the Chevron group compared to the Frown group.The post operative visual acuities showed that the proportion of patients with postoperative 6/6 vision in the Chevron group was more as compared to group F.
Conclusion:  Chevron (inverted V) incision induces less postoperative mean surgically induced astigmatism than Frown (inverted U) incision in Manual Small Incision Cataract Surgery. These findings may have implications for cataract surgery techniques and may help in reducing postoperative astigmatism.
Serum MicroRNA-126-3p and Serum Vascular Endothelial Growth Factor for Vision Threatening Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients
Authors: Surasmiati Ni Made Ayu , KetutSuega  , Wira Gotera  , Desak Made Wihandani  , I Made Winarsa Ruma
Published: October 2024

Purpose:  To investigate the precise function of miRNA-126-3p in controlling the expression of the VEGF gene and the signalling cascade that it is linked to in patients with type 2 diabetes Mellitus (DM).
Study Design:  Cross-sectional analytical study.
Place and Duration of Study: Prof Ngoerah General Hospital as a tertiary hospital in Bali, Indonesia from January-April 2022
Methods:  This study involved 35 vision-threatening diabetic retinopathy (VTDR) and 30 non-VTDR patients of type 2 DM. After diagnosis of DR by vitreoretinal specialist, blood samples were drawn. Real-time polymerase chain reaction assays were performed to examine miRNA-126-3p and ELISA to detect VEGF. Continuous data were analyzed using median (minimum-maximum range) and categorical data were analyzed using percentages. The statistical analysis was conducted using SPSS for Windows version 25.0.Thedifference and relationship between the proportions were tested by the Chi-square test and logistic regression test.
Results:  In case group, there were 23 subjects (65.7%) with low serum miRNA-126-3p expression, while in the control group, there were 7 subjects (23.3%) with low serum miRNA-126-3p expression (OR=6.3; 95% CI 2.1-18.86). In the case group, 20 individuals (57.1%) had high serum VEGF levels of 71.6 ng/L, whereas in the control group, there were 6 individuals (20.0%) with high serum VEGF levels. There was a statistically significant difference between the two groups (OR=5.33; 95% CI 1.75-16.3).
Conclusion:  The miRNA-126-3p expression and serum VEGF levels are the risk factors for VTDR development in patients with type 2 diabetes.
Nd: YAG laser of Weiss Ring for the Treatment of Symptomatic Vitreous Floaters in Patients with Posterior Vitreous Detachment
Authors: Ghoghari Muhammad Kaunain , Razzak Hunain , Kamil Zeeshan , Rizvi Syed Fawad , Afsar Ali
Published: October 2024

Purpose:  To assess the effect of Nd: YAG laser vitreolysis of the Weiss ring in the management of symptomatic vitreous floaters in patients with posterior vitreous detachment in the outpatient department of a tertiary care hospital.
Study Design:  Quasi-experimental study.
Place and Duration of Study:  This quasi-experimental trial was conducted in the out-patient department (OPD) of The Layton Rahmatullah Benevolent Trust (LRBT) Tertiary Teaching Eye Hospital, Korangi, Karachi from February 2023 to July 2023.
Methods:  In this study, 75 eyes of 75 patients were selected using non-probability purposive sampling technique. Dilated fundus examination was performed and The National Eye Institute Visual Function Questionnaire 25 (NEI VFQ-25) was used and compared pre and post Laser Floater Treatment (LFT).
Results:  Out of 75 eyes, 65 patients were included in final analysis. Mean age was 54.63±4.1 years. Out of these, 69.2% were 48–56 years old and 56.9% were females. Mean number of shots were 160±15.53. Mean Pre-LFT, VFQ was 56±5.89 and post-LFT was 74±13.2. The mean difference pre versus post treatment was -18 units with p<0.001. Twenty patients complained of blurring of vision and one patient suffered mild retinal hemorrhage which resolved spontaneously, two patients were lost to follow up.
Conclusion:  Nd: YAG laser vitreolysis of the Weiss ring can be a quick, and effective treatment option in patients suffering from symptoms of vitreous floaters after a posterior vitreous detachment. However, more trials with large number of patients and longer follow up durations are required for generalization of results.
Comparative Analysis of AI Chatbots ChatGPT, Gemini, and Copilot’s Answers to Common Cataract Questions
Authors: Guner Sonmezoglu Busra , Sonmezoglu Halil Ibrahim
Published: October 2024

Purpose:  To compare the readability  and quality of the answers given by artificial intelligence (AI) chatbots to the twenty-five most frequent searches about cataracts on Google.
Study Design:  Cross sectional comparative study.
Place and Duration of study:  Serdivan State Hospital's Ophthalmology Department from March 2024 to April 2024.
Methods:  The word 'Cataract' was entered into Google Trends, and 25 trending searches made worldwide since 2004 were identified. These 25 trending searches were entered separately into AI programs. The answers were examined for quality using the Ensuring Quality Information for Patients (EQIP) test, while the readability was evaluated using the Flesch-Kincaid Reading Ease (FKRE) and Flesch-Kincaid Grade Level (FKGL).
Results:  The keywords searched most frequently were ‘Cataract surgery,’‘Eye cataract and 'After Cataract’. The EQIP category of all three AI chatbots was found to be 'serious quality issues.' When EQIP scores were compared, ChatGPT had a lower median value than Gemini and Copilot (p:0.001, p:0.007, respectively), while there was no significant difference between Gemini and Copilot (p:0.098). When FKRE values were compared, ChatGPT had a lower median value than Gemini and Copilot (p:0.001, p:0.001, respectively), with no significant difference between Gemini and Copilot (p:0.557). When FKGL values were compared, ChatGPT had a higher median value than Gemini and Copilot (p:0.003, p:0.001, respectively), with no significant difference between Gemini and Copilot(p:0.245).
Conclusion:  All three AI chatbots had an EQIP category of 'serious issues with quality .'The readability of all three was not at the recommended level.
IMPROVING THE ACCURACY OF GASES HEAT CAPACITY CALCULATION
Authors: Китаев Д.Н. , Куцыгина О.А.
Published: October 2024

При расчете и конструировании теплотехнических устройств точный расчет теплоемкости рабочего тела является первостепенной задачей, влияющей на значение количества теплоты и характеристики оборудования. В настоящее время продолжают использоваться подходы к вычислению теплоемкости, не обеспечивающие максимальной адекватности полученных результатов. Для метана, воздуха и водяного пара представлены аппроксимационные уравнения истинной изобарной теплоемкости от температуры в положительных диапазонах температур в виде полиномов преимущественно 8-й и 9-й степени, обеспечивающие максимальную точность аппроксимации. Полученные уравнения позволяют повысить точность инженерных расчетов, избежать ошибок, связанных с линейной аппроксимацией нелинейной функциональной зависимости теплоемкости от температуры.

When calculating and designing heat engineering devices, accurate calculation of the heat capacity of the working fluid is a primary task that affects the value of the amount of heat and the characteristics of the equipment. At present, approaches to calculating heat capacity that do not provide maximum adequacy of the results obtained continue to be used. For methane, air and water vapor, approximation equations of true isobaric heat capacity from temperature in positive temperature ranges are presented in the form of polynomials, mainly of the 8th and 9th degree, providing maximum accuracy of approximation. The obtained equations allow increasing the accuracy of engineering calculations, avoiding errors associated with the linear approximation of the nonlinear functional dependence of heat capacity on temperature.
ATIVIDADES COGNITIVAS E ENVELHECIMENTO COGNITIVO SAUDÁVEL
Authors: Pereira Fernanda Amaral , Oliveira Antônio José Figueiredo de
Published: October 2024

Nas últimas décadas, tem havido um aumento considerável na expectativa de vida, resultando no fenômeno do envelhecimento da população, o que implica no surgimento de variadas demandas. Dentre elas destacam-se as relacionadas aos processos cognitivos e à manutenção de suas funcionalidades na população idosa, considerando o aumento das possibilidades de declínios decorrentes do envelhecimento. Diante disso, o objetivo deste estudo é analisar e elucidar a relação entre atividades cognitivas e envelhecimento cognitivo saudável, explorando uma abordagem psicológica, visando aprofundar a compreensão acerca de como as atividades cognitivas podem ser utilizadas como instrumentos para promover e sustentar a funcionalidade cognitiva em indivíduos idosos. Para isso, realizou-se uma revisão de literatura nas bases SciELO, Pepsic e BVS, buscando por artigos publicados em português a partir de 2010 e, após a aplicação dos critérios de inclusão e exclusão, foram selecionados 14 artigos para compor as discussões. Os resultados apontam para a ênfase na memória enquanto componente cognitivo, chamando atenção para a necessidade de explorar outras funções. Ademais, psicologia desempenha papel importante na promoção da saúde cognitiva, enquanto a escolaridade influencia o desempenho, exigindo estratégias personalizadas e incorporação de atividades à rotina para preservar a saúde cognitiva dos idosos.
BAÚ DAS EMOÇÕES
Authors: Silva Élita Cristina Gabriel , Guimarães Júnior Ernani de Souza , Calisto Pamela Alves
Published: October 2024

O desenvolvimento das habilidades emocionais é de grande importância ser apresentado ainda na infância, para que se a pessoa se torne um adulto empático, com relações verdadeiramente saudáveis e dotado da Inteligência Emocional. Diante de tal importância, é relevante que a escola inclua o tema em suas práticas, abordando a questão das emoções junto aos alunos desde suas fases iniciais. O objetivo deste trabalho é descrever o projeto Baú das Emoções, demonstrando que as emoções fazem parte do universo infantil e que as crianças precisam aprender sobre essas emoções, para saber nomeá-las e falar sobre elas, adquirindo desde cedo habilidades socioemocionais. A metodologia empregada foi um estudo de caso realizado com crianças de 5 anos em uma escola municipal de Varginha. Também foi utilizada a pesquisa bibliográfica para fundamentação teórica. Após a aplicação do projeto as crianças mostraram-se capazes de nomear as emoções, falar sobre o que elas sentem, compartilham com os professores e colegas os sentimentos e emoções. O projeto mostrou-se significativo na vida das crianças e de suas famílias, o que se tornou nítido em suas falas e expressões.
India's Shift to Electric Mobility
Authors: Aadya Sharma
Published: October 2024

The Automotive sector is a pivotal contributor to India’s economic growth and contributes 49% to India’s manufacturing GDP. In FY24, the country produced approximately 49 lakh passenger vehicles, 9.9 lakh three-wheelers, 214.7 lakh two-wheelers, and 10.7 lakh commercial vehicles.
The world’s primary modes of transportation are facing two major problems: rising oil costs and increasing carbon emissions. As a result, electric vehicles (EVs) are gaining popularity as they are independent of oil and do not produce greenhouse gases. However, despite their benefits, several operational issues still need to be addressed for EV adoption to become widespread. This research delves into the evolution of EVs over time and highlights their benefits, including reducing carbon emissions and air pollution. India's transition from traditional internal combustion engines (ICE) to electric vehicles (EVs) is driven by a combination of environmental, economic, and policy factors. This shift is aimed at reducing the country's dependency on fossil fuels, lowering carbon emissions, and promoting cleaner air, particularly in urban areas plagued by pollution. Government initiatives such as the Faster Adoption and Manufacturing of Hybrid and Electric Vehicles (FAME) scheme.
Streamlining Procurement Processes with SAP Ariba A Case Study
Authors: Phanindra Kumar  , Venudhar Rao Hajari  , Abhishek Tangudu  , Raghav Agarwal  , Shalu Jain  , Aayush Jain
Published: October 2024

This case study explores the implementation of SAP Ariba to streamline procurement processes within an organization, highlighting the transformative impact of digital solutions on operational efficiency. As organizations increasingly seek to enhance their procurement strategies, the integration of SAP Ariba offers a robust framework for managing supplier relationships, optimizing sourcing, and ensuring compliance with regulatory standards. The study investigates the challenges faced by the organization prior to the adoption of SAP Ariba, including inefficiencies in manual processes, lack of visibility in supplier performance, and fragmented data management. Through the implementation of SAP Ariba, the organization experienced significant improvements in procurement cycle times, cost savings, and supplier collaboration. Key features of SAP Ariba, such as automated workflows, real-time analytics, and enhanced supplier onboarding, were pivotal in driving these improvements. This case study further evaluates the quantitative and qualitative benefits achieved post-implementation, including increased procurement accuracy, improved supplier engagement, and a strategic shift towards data-driven decision-making. The findings underscore the importance of leveraging advanced procurement solutions in today’s dynamic business environment, ultimately contributing to enhanced organizational agility and competitiveness. By examining the journey of this organization, the study provides valuable insights for other businesses considering similar digital transformations in their procurement processes.
The Types and Motives of Maxim Infringement in Agatha Christie’s Murder on The Orient Express Novel (Pragmatic Approach)
Authors: Darmawan Adhitya , Nada Humaida Rohmah
Published: October 2024

This study performs a pragmatic analysis of Agatha Christie’s "Murder on the Orient Express," focusing on the intentional types and motives behind Grice’s conversational maxims infringement strategies. This research is descriptive qualitative that uses document analysis from the dialogues where the characters strategically infringe the maxims and find the motive(s) behind every infringement. The motives are namely withholding information, providing misleading details, using ambiguity, and creating communicative effects. This research uses domain, taxonomy, componential analysis, and cultural theme as well as inductive technique for the data analysis technique. The results show that there are 118 infringements of the maxims that fulfill the types of all the maxim of quality, quantity, manner, and relevance as well as the motives This research finds out that the story is dominated by the infringement of the maxim of relevance to control information flow which aligns with the novel’s purpose as a crime-solving detective novel.
Channel Islands National Park: Terrestrial vegetation monitoring annual report?2019
Authors: Williams Cameron , Rodriguez Dirk , Rodriguez Dirk , Williams Cameron
Published: October 2024

Long-term ecological research is critical for evaluating past resource management actions and guiding future decisions. This report presents the data collected at Channel Islands National Park (CHIS) in 2019 as part of its terrestrial vegetation monitoring program. The program?s objective is to document long-term trends in the park?s vegetation communities consistent with the Mediterranean Network that also includes Santa Monica Mountains National Recreation Area and Cabrillo National Monument.
Monitoring at CHIS began in 1984 to observe vegetation recovery after the removal of nonnative ranched animals. In 2019, field data were collected from 132 out of the 144 transects scheduled. Analyzing all years of data together showed that annual rainfall correlated positively with percent cover of vegetation, and an apparent long-term decline in average percent cover of vegetation that started in the mid-1990s continued in 2019. Analyzing the 2019 dataset by itself provided more nuanced results. Seablite scrub and valley/foothill grassland had consistently low proportions of absolute cover and native richness, respectively, as well as relatively low overall richness. These communities may have been more susceptible to browsing/grazing in the past and currently resistant to passive recovery; both communities could benefit from targeted restoration efforts. Vegetation was, on average, tallest at Santa Cruz and Santa Rosa Islands due to the presence of tree-dominated communities. Perennial plant species achieved significantly higher percent cover at Santa Cruz, Santa Rosa, and San Miguel Islands compared to Santa Barbara Island. Native plant species attained significantly higher percent cover at Santa Rosa Island compared to Santa Barbara Island. Adult shrub density was significantly higher at Santa Cruz, Santa Rosa, and San Miguel Islands compared to Santa Barbara Island. Islands at more northwesterly positions generally supported higher biodiversity.
The tendency for vegetation height, cover of perennials and natives, shrub density, and biodiversity to each decline along a gradient from northwest to southeast indicates that moisture limitation is a strong driver of vegetation recovery after the removal of ranched animals. Moreover, moisture limitation at the park?s most southwesterly islands may interact with poor soils at Santa Barbara Island and seabird abundance at Anacapa Island to further inhibit recovery. Therefore, Santa Barbara and Anacapa Islands may benefit greatly from targeted native plant restoration. Santa Barbara Island?s high total cover contributed by a high proportion of nonnative species may render this island particularly resistant to recovery since a range of species responses to environmental disturbance can stabilize ecosystem processes.
Aos educadores matemáticos brasileiros: entrevista com a professora Elda Vieira Tramm
Authors: Jesus Gilson Bispo de , Madruga Zulma Elizabete de Freitas , Teixeira Jaylson
Published: October 2024

Apresenta-se, neste texto, uma entrevista realizada com a professora, pesquisadora e formadora Elda Vieira Tramm, membro do Grupo EMFoco (Educação Matemática em Foco). O objetivo é destacar e registrar a influência da professora Elda para a comunidade da Educação Matemática no Brasil, principalmente na Bahia. Inicia-se o texto com uma sucinta apresentação da professora, seguida da transcrição da entrevista, elaborada a partir de uma proposta semiestruturada, que ocorreu de forma presencial, em sua residência em Salvador, Bahia. Dentre outros pontos, foram abordadas questões relacionadas à atuação da professora Elda no tocante ao ensino de Matemática. Em seu relato, a professora Elda estava emocionada pela lembrança e valorização do seu legado, e feliz por ter algo a contribuir, a partir da sua experiência e trajetória de vida com a Educação Matemática no Brasil e no exterior (Holanda, Portugal e Angola).
Hubungan antara Ibu Bersalin yang Mengalami Preeklampsia dengan Kejadian Kematian Neonatal di RSUD Kabupaten Bekasi Tahun 2018
Authors: Khairiah Rahayu , Herawati Ita
Published: October 2024

AKB di dunia pada tahun 2012 sebesar 32 per 1.000 kelahiran hidup. Di Negara berkembag angka kematian bayi masih tergolong tinggi. Di Negara-negara maju kematian neonatal mencapai angka di bawah 25/1000 kelahiran. Berdasarkan SDKI 2012 Angka Kematian Bayi (AKB) sebesar 32 per 1.000 kelahiran hidup dan Angka Kematian Neonatal (AKN) adalah sebesar 19 per 1.000 kelahiran hidup. Jika dibandingkan dengan angka kematian bayi tahun 2010 sudah menurun namun masih jauh dari target Millenium Development Goals (MDGs) tahun 2015 untuk AKB yaitu 23/ 1.000 kelahiran hidup tugas kita semua sebagai tenaga kesehatan untuk menekan angka tersebut. untuk mengetahui hubungan ibu bersalin yang mengalami preeklamsia dengan kejadian kematian neonatal di RSUD Kabupaten Bekasi tahun 2018. Metode penelitian yang digunakan adalah metode analitik. Populasi dalam penelitian ini adalah seluruh ibu bersalin yang mengalami preeklamsia maupun yang tidak mengalami preeklamsia di RSUD Kabupaten Bekasi tahun 2018 dengan jumlah sempel sebanyak 240 responden. Ada hubungan yang bermakna antara preeklamsia dengan kejadian kematian neonatal atau H0 ditolak. Dengan P.Value= 0,001 (P<α 0,005).
Nasoangiofibroma juvenil: serie de casos y experiencia en el manejo endovascular y quirúrgico en un centro de cuarto nivel
Authors: Zapata Juan Camilo , Cruz Clavijo Sara Elizabeth , Vargas Rosales Gabriel , Vargas Rosales Andrés , Ramírez Laura Daniela , Uribe Torrado Juan Pablo , Jimenez Rozo Lina Maria , Vargas Ardila Pablo Alfredo , Mora Carolina , Caballero Restrepo Alberto Fabio
Published: October 2024

Introducción: el nasoangiofibroma juvenil (NJ) es un tumor benigno, muy vascularizado, observado en adolescentes varones, el cual tiene un comportamiento muy agresivo por su rápido crecimiento y extensión a estructuras adyacentes. El manejo es la resección quirúrgica de la lesión; sin embargo, debido a su alto riesgo de sangrado intraoperatorio, en los últimos años se optó por la embolización previa a la intervención, actualmente con materiales como líquido embólico (Onyx) y micropartículas, los cuales reducen las complicaciones. Objetivo: describir y evaluar el agente embolizante utilizado, arteria nutricia principal, porcentaje embolizado, tiempo transcurrido entre embolización e intervención quirúrgica, requerimiento de transfusión sanguínea, complicaciones y recurrencia relacionados con el sistema de clasificación de la UMPC. Materiales y métodos: estudio de tipo descriptivo, retrospectivo, en el que se tomaron un total de 9 pacientes con NJ confirmado por estudio histopatológico. El total de los pacientes recibieron manejo endovascular y, posteriormente, fueron sometidos a resección quirúrgica. Se identificaron 9 pacientes hombres con diagnóstico de NJ con una edad promedio de 19 años, quienes fueron sometidos a embolización transarterial; 5 casos con Onyx 18 y 4 casos con micropartículas de diferentes tamaños, obteniendo un porcentaje de obliteración del volumen tumoral del 85%; 2 casos de complicaciones, quienes requirieron transfusión de hemoderivados con posterior mejoría y 1 caso de recurrencia a los 12 meses. Conclusión: con base en esta experiencia, se pudo concluir que el manejo quirúrgico endoscópico, precedido por embolización bien sea con líquido embólico o micropartículas, es efectivo en el manejo de NJ.
Absceso cerebral secundario a colesteatoma invasivo del conducto auditivo externo: reporte de caso y revisión de literatura
Authors: Mosquera Ortiz César Augusto , Bernal Rojas Paula Alejandra , Vega Hernández Karin Dayana
Published: October 2024

Introducción: el colesteatoma es una condición que con frecuencia afecta al oído medio y la mastoides. Su ubicación es poco frecuente en el conducto auditivo externo (CAE). Caso clínico: hombre de 44 años con sintomatología crónica de hipoacusia, plenitud aural, otorrea izquierda, que fue remitido desde una zona rural por la exacerbación de la sintomatología y cefalea; requirió drenaje de absceso temporal izquierdo de urgencia. En la tomografía axial computarizada (TAC) de oídos se reporta ocupación mastoidea, con presencia de material de tejidos blandos y estenosis del CAE. Requirió petrosectomía subtotal, drenaje de absceso cerebral, resección de colesteatoma invasivo y obliteración del meato auditivo externo. Discusión: el diagnóstico de colesteatoma es fundamentalmente clínico. No obstante, en casos de estenosis del CAE, la evaluación requiere un análisis más exhaustivo. Conclusión: se deben generar intervenciones oportunas que permitan un diagnóstico temprano del colesteatoma en pacientes con estenosis del CAE.
Hipoacusia en mayores de 60 años y barreras de acceso a rehabilitación auditiva en Colombia
Authors: Ceron Perdomo Daniela , Ordoñez Ordoñez Leonardo Elías , Corredor Rojas Gloria Fernanda , Medina Parra Jorge Alexis
Published: October 2024

Introducción: existe una baja detección y rehabilitación de la discapacidad auditiva en adultos mayores. El presente estudio busca estimar la prevalencia de hipoacusia en adultos mayores de 60 años en Colombia y explorar la presencia de rehabilitación auditiva y las barreras de acceso a la misma. Metodología: estudio analítico y retrospectivo mediante un análisis secundario de la base de datos de la encuesta SABE, publicada en el año 2015 en Colombia. La encuesta utiliza una muestra representativa a nivel nacional, con un total de 23.694 adultos mayores. Resultados: se estima una prevalencia de cualquier grado de pérdida auditiva en el 31,73% de los adultos mayores colombianos, de los cuales el 14,35% se infiere que tendrían indicación para rehabilitación auditiva; de estos, solo el 14,35% presentaron rehabilitación auditiva a través de audífonos. La principal causa de no usar audífonos es la falta de prescripción médica. Conclusiones: se estima una prevalencia de pérdida auditiva en los adultos mayores colombianos del 31,73% y una rehabilitación auditiva solo del 14,35%, datos consistentes con los reportados a nivel mundial. La principal limitación para el uso de audífonos autorreferida por los participantes fue la falta de prescripción médica en el 51,15%, la cual podría relacionarse con las dificultades de acceso a la atención especializada en salud auditiva. Otras barreras se relacionan con diferentes dificultades administrativas e individuales de los participantes.
Upaya Pencegahan Pernikahan Dini Meningkatkan Generasi Berkualitas di Lombok Timur (Studi Kasus UPTD PPA Lombok Timur)
Authors: Susilawati Ratna
Published: October 2024

Pernikahan dini adalah pernikahan yang dilakukan oleh pasangan atau salah satu pasangan yang masih dikategorikan anak-anak atau remaja yang berusia dibawah 19 tahun. Menurut United Nations Childern’s Fund (UNICEF) menyatakan bahwa pernikahan usia dini adalah pernikahan yang dilaksanakan secara resmi atau tidak resmi yang dilakukan sebelum usia 18 tahun. Upaya mengurangi risiko pernikahan dini di Lombok Timur yaitu dengan memerintahkan kepada 254 kepala Desa di seluruh Kabupaten Lombok Timur tentang pencegahan pernikahan anak, sosialisasi kepada masyarakat, pembentukan satgas pencegahan pernikahan dini disetiap Kelurahan dan Desa, menerapkan wajib belajar 12 tahun, Bantuan beasiwa kepada siswa yang kurang mampu. Faktor penyebab terjadinya pernikahan dini yaitu faktor pendidikan, lingkungan, keluarga, ekonomi,  individu,  media masa. Dampak dari pernikahan dini itu sendiri yang pertama risiko bayi stunting, kematian ibu dan bayi, gangguan kesehatan, pernikahan tidak harmonis, kekerasan dalam rumah tangga, kemiskinan dan pendidikan terhambat.
PENGARUH KONSELING KELOMPOK DENGAN TEKNIK ASSERTIVE TRAINING TERHADAP AKTUALISASI DIRI
Authors: Maksud Amlul
Published: October 2024

Tujuan dari penelitian ini untuk menegaskan pengaruh dari konseling kelompok teknik assertive training terhadap aktualisasi diri. Penelitian ini menggunakan rancangan one-group pretes-posttest design. Subyek dalam penelitian ini sebanyak 8 orang siswa di SMK Negeri 2 Mataram yang terindikasi memiliki aktualisasi diri dengan kategori rendah. Data dikumpulkan dengan menggunakan angket aktualisasi diri. Analisis data menggunakan statistik uji t-test. Hasil dari penelitian ini menunjukkan bahwa konseling kelompok dengan teknik assertive training berpengaruh terhadap peningkatan aktualisasi diri siswa.
Dampak Broken Home Terhadap Minat Belajar Siswa
Authors: Suryadi Iwan Eka
Published: October 2024

ABSTRAKMinat belajar merupakan suatu dorongan, keinginan seorang anak dalam mengerjakan suatu pekerjaan atau upaya seorang anak untuk mencapai hasil belajar yang dilakukan dengan maksimal dan hasil belajar seorang anak akan maksimal atau tidak disebabkan oleh faktor kondisi yang ada didalam keluarga. Keluarga merupakan komunitas pertama bagi seorang anak, dimana nantinya keluarga sangat berperan penting dalam pembentukan mental atau karakter anak selain itu apa yang didapat oleh anak didalam keluarga akan berpengaruh pada pertumbuhan dan perkembangan anak baik dari segi fisik maupun psikisnya, terutama dimasa remaja anak. Ketika seorang anak remaja dihadapkan dengan kondisi keluarga broken homenmaka akan menimbulkan berbagai macam dampak salah satunya terkait minat belajar anak remaja. Penelitian yang digunakan kualitatif, dengan jenis penelitian fenomenologis. Populasi dalam penelitian ini berjumlah 12 orang dengan sample siswa berjumlah 3 orang informen utamasedangkan informen pendukung berjumlah 3 orang persatu siswa dengan teknik purposiv sampling. Metode pengumpulan data menggunakan wawancara, observasi, dokumentasi. Metode analisis data yang digunakan dalam penelitian ini menggunakan Miles dan Hurberman, Reduksi data, Displyai data dan Conclusion Drawing/Gambaran kesimpulan. Berdasarkan dari hasil penelitian mengenai dampak broken home terhadap minat belajar siswa maka dapat disimpulkan bahwa, dampak broken home sangat besar terhadap minat belajar siswa, dimana siswa broken home kurang maksimal dalam mengikuti proses belajarnya, kurangnya motivasi siswa dalam belajar, kurangnya rasa percaya diri siswa dalam mengerjakan suatu pekerjaan dan terahir terganggunya sikologis siswa.
Pengaruh Positive Self Talk Dalam Meningkatkan Motivasi Belajar Siswa
Authors: Hasmi Nurmaida
Published: October 2024

Penelitian ini bertujuan untuk mengetahui pengaruh positive self talk dalam meningkatan motivasi belajar siswa. subjek dalam penelitian ini berjumlah 7 siswa. Penggambilan sampel pada penelitian ini menggunakan purposive sampling. Metode pengumpulan data dalam penelitian ini menggunakan skala motivasi belajar yang dimodifikasi dari indriyastuti wulaningsih. Skala motivasi belajar berjumlah 24 aitem dengan alfa Cronbach koefisien 0,938 menunjukkan tingkat reliabilitas yang tinggi. Analisis data menggunakan analisis uji paired sampel t-tes melalui program SPSS Statistics versi 22. Hasil penelitian menunjukkan bahwa terdapat m=22,42, std=6,39 dengan p=< 0,05 menunjukkan bahwa positive self talk berpengaruh dalam meningkatkan motivasi belajar siswa.
Layanan bimbingan klasikal
Authors: Muhammad Abdullah
Published: October 2024

Penelitian ini berangkat dari permasalahan yang dihadapi siswa kelas X DPIB 2 Sekolah Menengah Kejuruan Negeri 1 Selong yakni masalah persiapan dalam memilih karir, yang disinyalir terjadi karena kurangnya pemahaman mendalam yang dimiliki siswa. Untuk persiapan karirnya Maka dari itu tujuan penelitian ini adalah untuk menganalisis pemahaman memilih karir pada siswa kelas X DPIB 2 Sekolah Menengah Kejuruan Negeri 1 Selong sebelum dan sesudah diberi layanan bimbingan klasikal serta untuk mengetahui efekivitas layanan bimbingan kelompok dalam meningkatkan pemahaman memilih karir pada siswa kelas X DPIB 2 Sekolah Menengah Kejuruan Negeri 1 Selong. Metode penelitian menggunakan penelitian eksperimen. Subyek penelitian ialah siswa kelas X DPIB 2 Sekolah Menengah Kejuruan Negeri 1 Selong. Teknik pengumpulan data menggunakan wawancara dan angket pemahaman pemilihan karir siswa. Data dianalisis dengan analisis deskripsi dan uji hipotesis menggunakan rumus T-test. Hasil penelitian menunjukkan data kondisi awal siswa sebelum mendapatkan layanan bimbingan klasikal masuk dalam kategori sedang dengan skor (43,65) dan kondisi siswa setelah mendapat layanan bimbingan klasikal masuk dalam kategori tinggi dengan skor (47,25). Terdapat pengaruh bimbingan klasikal untuk meningkatkan pemahaman memilih karir pada siswa dengan hasil t-hitung 9,25 ˃ t-tabel 2,042 yang artinya signifikan. Maka dapat dinyatakan bahwa layanan bimbingan klasikal dapat untuk meningkatkan pemahaman dalam persiapan memilih karir pada siswa kelas X DPIB 2 Sekolah Menengah Kejuruan Negeri 1 Selong.
Diesel Control Strategy in Dual-Fuel Engine
Authors: Bandyopadhyay Debjyoti , Sutar Prasanna S , Sonawane Shailesh B , Rairikar Sandeep D , Thipse Sukrut S
Published: October 2024

Dual-fuel engines are capable of operating using a mixture of two different fuels. Generally, the primary fuel is a gaseous fuel (CNG, LPG, Hydrogen), while diesel is used as a pilot ignition source, i.e. functioning on heat of compression and not a spark plug.
There have been a few dual-fuel engine strategies to control the speed of the engine based on varying loads, but these require the addition of complex mechanisms to the existing systems.
This paper discloses a methodology for controlling the diesel quantity during dual-fuel operation. According to the engine speed and accelerator pedal position, a gaseous fuel injector in the system injects a predetermined quantity of gaseous fuel. Based on the regulated quantity of gaseous fuel, the intake manifold creates an air-gas fuel mixture. The air-gaseous fuel mixture and a metered quantity of diesel are delivered to the combustion chamber via the intake manifold, fuel injection pump, and other components. The governor and fuel injection pump work together to measure the quantity of diesel according to speed and load conditions. During dual-fuel operation, the governor regulates engine speed by controlling the quantity of diesel delivered to the engine based on speed and load conditions.
Keywords: Dual-fuel, Control Strategies, Off-Road Engines, Combustion, Emissions, Diesel Replacement
Analisis Kompetensi Pedagogi Guru Pendidikan Agama Hindu Jenjang Sekolah Dasar Di Kabupaten Bangli
Authors: Wahyuni Ni Nyoman Tri , Prima Dewi PF Kadek Aria
Published: October 2024

The teacher is one of the determining factors of education quality. A professional teacher understands and can apply four competencies: pedagogical, professional, social, and personal competencies. This study aims to describe and analyze the pedagogical competencies of Hindu Religion subject teachers at the Elementary School level in Bangli regency. This research is classified as quantitative descriptive research. The research instrument used was a questionnaire on pedagogical competency consisting of five indicators. Data were analyzed descriptively. The results of the study indicate that the pedagogical competency of Hindu Religion subject teachers at the Elementary School level in Bangli regency overall falls within the category of sufficient. Among the five indicators, the indicator of deep understanding of the subject taught is categorized as good, while the other indicators are categorized as sufficient. This research can serve as a reference for formulating models or strategies for developing the competencies of Hindu Religion and Ethics teachers.
Dharmagita Dalam Pelaksanaan Upacara Yajña Di Kecamatan Tegallalang Kabupaten Gianyar
Authors: Piartha I Nyoman
Published: October 2024

Dharmagita in the religious and social life of Hindus is a form of offering sound art as a form of offering. Dharmagita is always present in Hindu religious ceremonies in Tegallalang District, giving the impression that the dharmagita accompanies the yajña. This research aims to examine the use of dharmagita in the yajña ceremony in Tegallalang sub-district, Gianyar district, and to discover the elements of Hindu philosophy contained in dharmagita. In general, this research aims to explore and provide a clear understanding of dharmagita and its use in yajña ceremony in Tegallalang District, Gianyar Regency, Hindu philosophy studies. This research uses three theories, functional structural theory, religious theory, and symbol theory to examine the dharmagita problem in Tegallalang district. This research is qualitative research with a phenomenological approach, which took the research location in the tegallalang sub-district, because it is seen from the phenomenon of socio-religious life in communities located in the transition area between sub-district and rural areas. The data sources in this research use primary data sources and secondary data sources. The results of this research confirm that dharmagita is a form of sound art offered to God in the yajña ceremony, including the god yajña, butha yajña, manusa yajña, pitra yajña, and rsi yajña ceremonies. Hindu philosophy in the dharmagita includes tattwa teachings which emphasize the divine aspect and have implications for increasing the sraddha and bhakti of the people in the yajña ritual.
High-Speed and High-Temperature Powder Metallurgy for Energy Efficiency and Environmental Protection
Authors: Karastoyanov Dimitar
Published: October 2024

The article examines various approaches to creating industrial products from metal powders using powder metallurgy methods. The advantages of powder-metallurgical methods for the production of details in comparison with classical methods are cited. Innovative grinding bodies and grinding media are presented. Possibilities of adding micro and nano elements are considered. A high-speed and high-temperature technology for obtaining wear-resistant materials is described. Possibilities for the utilization of waste materials - glass and electronic boards - were discussed. Applications in industry, medicine, and agriculture are presented.
Verstípus és stílustörténet: a magyar tájlíra három változata
Authors: S. Varga Pál
Published: October 2024

Topographical poetry is the characteristic lyrical text group of 19th century Hungarian literature; its history illustrates the impact of the contemporary style and norms defining the creation and reception of literary works and its changes on the formation of certain types of poems. In the background of the poem titled “Keszthely” and written by Dániel Berzsenyi between 1799 and 1803 we can discover the classicistic natural theory, supported by Descartes’s anthropological dualism, in which the distinction between Nature and Culture is essential; this gives the basis in the poem to identify the picturesque and agriculturally rich area around Lake Balaton with Helicon, the home of the Muses. Sándor Petőfi’s poem, “Az alföld” (“The Great Plain”) (1844) follows the unity theory of romantic anthropology and it uses the expansionist human model of romanticism. The poem presupposes the innate relationship of landscape and Self: the narrator loves his native land, the Great Plain with endless possibilities, because he received his fundamental characteristic from it, the desire for freedom. The poem “Nádas Tavon” (“On a Lake with Reed”) (1888) by János Vajda preserves the romantic relationship between the landscape and the Self but it renounces the interpretation of this relationship and by that it realises the limitations of poetic language.
Kortárs novella az irodalomórán
Authors: Kovács Szilvia
Published: October 2024

In secondary school literary education contemporary Hungarian literature directly appears at the end of 12th grade. Pixel by Krisztina Tóth can be an exceptionally interesting reading for students with its thematic emphases like social taboos and the proposal of the stereotypes of city life. This paper sets out to introduce the interpretational possibilities that were the outcome of the teaching process. Besides the interpretation of the volume composition based upon contemporary reception, I also propose methodological objectives that, if applied to certain texts, can help teacher trainees use the perspective system of narratopoetics in a reflected way. This paper wishes to explore short story series as interpretational possibility, as well as the understanding of certain excerpts taken out of the text based upon narrative position and logic, metaphoric storytelling, and the plot constructing dynamics of certain motifs.
A Qualitative Appraisal of Job Exits Pervasiveness among Small and Medium Businesses in South West Zone of Nigeria
Authors: Siyanbola Tejumade
Published: October 2024

This paper primarily examines the degree of Employee Turnover occurrence in the manufacturing and service SMEs in Southwestern Nigeria. The study adopted qualitative methodology, using interview technique to collect primary data from employees, owners and managers of the businesses. Forty-five in-depth interviews were conducted in the businesses in four of six southwestern states. The collected data was analysed using NVIVO Qualitative Data Analysis Software (QDAS). Research results revealed multiple exits of employees within a short period; exits also appeared common among professionals (e.g. accountants) and casual workers. Generally, high and frequent exits are rife amongst employees. Some of the complex reasons for leaving include inadequate remuneration, job casualisation, inability to provide for family members, poor condition of service, stress, victimisation and fear of the unknown. In conclusion, some owners and managers are still indifferent to the high level of employee turnover, creating the potential for further crises, including business collapse.
Artisanal Petroleum Refining and the Atmospheric Chemistry of the Lower Troposphere of the Niger Delta Region in Nigeria Using Satelite Signatures
Authors: Weli Vincent Ezikornwor , Fubara Alex Igbarima Alhamdu , Adegoke Jimmy , Ejims Grace
Published: October 2024

Artisanal refining activities in the Niger Delta Region (NDR) of Nigeria has contributed to the destruction of aquatic biota, flora and fauna in the lithosphere and has also compromised the chemistry of the atmosphere, aggravating respiratory health and climate change among other environmentally related issues. This study was undertaken to determine the Impact of Artisanal Petroleum Refining on the Atmospheric Chemistry of Niger Delta States in Nigeria using satellite signatures retrieved from the Nasa Giovanni earth data platforms,by using the basic analytical functions of the Grid Analysis and Display System (GrADS). The state(s) observed were Bayelsa, Rivers and Imo, while Bornu was selected from the northern region of the country as a control state. Parameters investigated include; oxides of carbon-(CO, CO2), methane-(CH4), oxides of Nitrogen-(NO2), oxides of sulfur-(SO2, SO4) and organic carbons (OCs). Time average map (TAM) and time series area average (TSAA) measurement tools were deployed on satellite platform channels such as (MERRA-2, OMI, AIRS, MODIS Aqua or MODIS Terra. Results revealed that CO, SO4, CH4, NO2 and organic carbons (OCs) had atmospheric concentration levels below WHO/FMEnv limits though higher in all the Niger delta states than Bornu state. SO2 surface mass concentration was higher in Niger delta region(NDR) whereas SO2 biomass emission was higher in Bornu state. Similarly, CO2 in free troposphere was higher in the NDR between (2002 – 2005) whereas in (2007- 2012) Bornu state showed a higher atmospheric concentration probable for biomass burning rather than for artisanal refining compared to the NDR. It is recommended therefore, that data generated from this study should be used to form part of environmental data bank which can serve as a guide for future research and studies on atmospheric pollution and air quality of the region.
Rainfall Dynamics and Trend in Central Nigeria for Thirty-Four Years (1986-2019)
Authors: Ugwu Ernest Benjamin Ikechukwu
Published: October 2024

A statistical study of rainfall dynamics and trend in central Nigeria for thirty-four (34) years (1986-2019) has been carried out. The data were obtained from the website of Nigerian Meteorological Agency., Abuja, Nigeria. We used the ET-SCI classification of rainfall rainy season. We found that total rainfall variability ranges between moderate variability in Gombe and high variability in Benin City. Variability in the frequency of rainfall during the period varies between zero variability in Jos and moderate variability at Benin City. In general, the variability in total and seasonal rainfall, and rainfall frequency appears to be dependent on latitude. Rainfall trend analysis shows that seasonal rainfall rises monotonically in all seasons except R99p season.