bluuebunny/crossref_metadata_2025_split huggingface dataset:
Financing of Sustainable Development: Global Approach and National Solutions
Authors: Anosova L. A. , Kabir L. S. 
Published: December 2019

The article analyzes general reasons of formation of the sustainable development concept and “green” economics based on it, as well as examines the issues of effect of transition to “green’ economics on the financial markets and strategies of development of the countries.Aim. To systemize information about the role of sustainable development concept in designing the new model of economic growth.Objectives. To summarize the history of establishing the concepts of “sustainable development” and “green economics”, to find out transformations of financial markets and changes in the investment process caused by transition to “green” economics; to describe the developing system of the governing effect on investors and financial markets that is being established in transition to “green” economics; to summarize contemporary experience of the countries in terms of integration of the topic of sustainable development and “green’ economics into the national strategic plans.Methods. The features of financing of sustainable development in a global scale were identified and characterized by means of both methods of scientific inquiry, as well as its representation in the national policy of the countries.Results. Transformation of the concept of “sustainable development” stipulated by integration of ESG-criteria, as well as the concept of “green” economics was described. Areas of transformation effect of the concept of sustainable development on financial markets and investment behavior of the economic entities were dentified. Description of the system is proposed, through which the governing effect on investors and financial markets (structure, levels, and key companies) is made. Objectives of the countries that entered on the path of sustainable development and “green” economic growth are specified.The main areas and measures taken by the countries for establishing the policy of sustainable development financing are summarized.Conclusions. Despite that the countries significantly differ in quantitative and qualitative characteristics of the factors affecting development of the national priorities, they demonstrate similar approaches to establishing the policy aimed at financing of sustainable development.
Tratamento clínico da peri-implantite com manutenção do tecido de granulação
Authors: Clares Mario Dormani , Scilio Sarmento George 
Published: December 2019

Objetivos: O objetivo deste estudo foi avaliar uma abordagem não-cirúrgica da peri-implantite por meio de desbridamento mecânico e desintoxicação local, deixando o tecido de granulação nas cavidades do peri-implante.
Materiais e Métodos: Foi realizada uma análise dos resultados de 2 protocolos não cirúrgicos: desbridamento mecânico mais desintoxicação química com clorexidina a 0,2% e cloridrato de clortetraciclina (teste) e desbridamento mecânico sozinho (controle). As medidas foram coletadas no início, 3, 24 e 36 meses após o tratamento.
Resultados: Setenta e cinco implantes com peri-implantite foram incluídos. Em uma avaliação de 36 meses, a profundidade média da sondagem foi de 3,15 ± 0,32 mm para o grupo teste e 5,97 ± 0,90 mm para o grupo controle, sendo a diferença significativa. Uma melhora no nível ósseo marginal foi registrada para o grupo de teste, independentemente de o grupo controle mostrar uma perda óssea marginal adicional. O sucesso do tratamento foi de 100% no grupo teste e 31,4% no grupo controle.
Conclusão: O desbridamento não cirúrgico do implante por si só não pareceu eficiente no tratamento da peri-implantite. São necessários estudos longitudinais adicionais para avaliar a eficácia do desbridamento mecânico com desintoxicação química e remoção de tecidos de granulação contra o desbridamento mecânico somente com desintoxicação química.
Peranan Plasmafaresis pada Keracunan Bisa Ular Tipe Neurotoksik
Authors: Sumedi Agus 
Published: December 2019

Female 19-year old with severe general neuroparalytic, admitted in intensive care unit with respiratory failure. He suffer from snake bite during night sleeping 2 hours before arrived in emergency unit of RSCM hospital. In early after snake bite, patient complained nausea, dizziness, limb parasthesia then felt uncomfortable eyesight. During observation in emergency unit anti venom serum (AVS) was given immediately 2 vial (10 ml) in 250 ml normal saline for an hour and then 2 vials in 250 normal saline in 3 hours ,but about 3 hours post bitten, patient suffer from ptosis, opthalmoplegia and quadriplegia, respiratory shortness followed by respiratory arrest. We diagnosed it as respiratory failure and neuromotoric paralytic ec. snake venom intoxication. After intubation and second dose AVS, patient moved to ICU for mechanical ventilation support and further treatment. We did CVVHDF for three days, AVS shcedulles 6 vials in 24 hours for 6 days. Until 7 days stay in ICU there were neuroparalytic improvement but not progressively and patient still on ventilator. Pasmapharesis then performed at 8thand 12th day in ICU. Weaning process going on smoothly and patient extubated at 14th day. Patient discharged from ICU at 16th day with fully aware, normal heart rate and blood pressureand score muscle strength is 4 until 5. We concluded that the neurotoxin venom in this case destructed vesicles presynaptic of nerve terminalmake resistant to AVS and neostigmin. We suspect this patient was exposedto high dose and more toxic venom where released continuously from bite site tissue or lymph circulation to blood and threaten recovery process. Plasmapharesis improve neuroparalytic and sympathetic overactivity significantlyand decrease lenght of stay in ICU.
THE RELATIONS OF STRESS WITH CHANGES OF PATTERN MENSTRUAL CYCLE IN STUDENTS AT STIKES MURNI TEGUH MEDAN
Authors: Simanullang Rostime Hermayerni 
Published: December 2019

Introduction: The Process of menstruation can pose potential health problems of the female reproductive associated with fertility, namely the interference pattern of menstruation that can occur in some women from industrialized and developing countries. Expected women can cope with stress better so it doesn't affect the menstrual cycle. Objective: To determine the relations between stress with the pattern of the menstrual cycle on the student STIKes Murni Teguh Medan. Methods: this study used the analytical survey method with cross sectional approach. There are thirty-five samples are selected by using the total sampling technique. Chi Square test used to analyze the data in this study. This study done on January 2018. Results: Results of this study showed that Univariate analysis was conducted to determine the description of the respondents according to the variables studied in the form of frequency distribution tables, while the bivariate analysis using chi-square test to see the relationship of the variables studied and obtained a value of p = 0.000 or p <0.005. Conclution: There is a significant correlation between stress with changes in the pattern of the menstrual cycle on the student STIKes Murni Teguh Medan. From the data the level of stress the students need further attention because of the results of the research obtained there are 8 people (22.86%) who experienced severe stress when faced with problems in life.
Pendahuluan: Proses menstruasi dapat menimbulkan potensi masalah kesehatan reproduksi wanita berhubungan dengan fertilitas yaitu pola menstruasi yang dapat terjadi pada sebagian wanita dari negara industri maupun negara berkembang. Diharapkan wanita dapat mengatasi stress dengan baik sehingga tidak mempengaruhi siklus menstruasi. Tujuan: Untuk mengetahui adanya hubungan antara stress dengan perubahan pola siklus menstruasi pada mahasiswa STIKes Murni Teguh Medan. Metode: penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini meliputi para mahasiswa reguler semester I STIKes Murni Teguh Medan dengan jumlah siswa 35 orang pada Bulan Januari 2018. Pengambilan sampel menggunakan tehnik total sampling. Hasil: Analisis univariat dilakukan untuk mengetahui gambaran responden menurut variable yang diteliti dalam bentuk tabel distribusi frekuensi, sedangkan analisis bivariat menggunakan uji chi-square untuk melihat hubungan variable yang diteliti dan didapat nilai p = 0.000 atau p <0.005 Kesimpulan: Ada hubungan ada yang signifikan antara stres dengan perubahan pola siklus menstruasi pada mahasiswi STIKes Murni Teguh Medan. Dari data tingkat stress mahasiswa perlu perhatian lebih lanjut karena dari hasil penelitan yang didapat ada 8 orang (22.86%) yang mengalami stress berat ketika menghadapi masalah dalam hidup.
Hubungan Inisiasi Menyusui Dini (IMD) terhadap Status Gizi Bayi Dibawah Dua Tahun (BADUTA) di Puskesmas Malaka Kecamatan Lalabata Kabupaten Soppeng
Authors: Ali Aspiati Haji , Adam Arlin , Alim Andi 
Published: December 2019

Early Initiation Coverage (IMD) for Soppeng District based on survey data on nutritional status monitoring is still relatively low compared to the national target of 80%. So it is thought to have an impact on the prevalence of malnutrition by 22.6%, stunting 38.7%, skinny 7.7% and fat 4.5%. The purpose of this study was to look at the relationship between Early Breastfeeding Initiation and nutritional status of infants under two years at the Malaka community health centre, Lalabata District, Soppeng Regency, South Sulawesi Province. This study used a survey method with a statistical analysis approach and cross-sectional study design. The sample size in this study was 67 people which obtained through simple random sampling. This research was conducted in the working area of ​​the Malaka Health Center in Lapajung Sub-district, Lalabata District from April to June 2019. The data was processed by using the Kolmogorov-Smirnov test with a probability value of 95% in SPSS. The results of the analysis of nutritional status in infants under two years based on body weight according to the average age showed that 85.1% have good nutritional status, 10.4% less nutritional status and 4.5% over nutritional status. The nutritional status based on height according to the average age showed 65.7% had normal height, 19.4% short height and 7.5% poor height. Meanwhile, based on body weight according to a height, the result showed that 83.6% had normal weight, 11.9% under weight, and 3.0% overweight. From the results of the analysis it was found that there is no relationship between Early Breastfeeding Initiation (IMD) and the nutritional status of infants under two years in the working area of ​​the Malaka Puskesmas Lapajung Village. This happens because there are still many factors that affect nutritional status in addition to Early Breastfeeding Initiation. Therefore, it is better to conduct further research by adding research variables including sanitation and parenting.
Identifikasi Objek Wisata Potensial dan Strategi Pengelolaan dalam Mendukung Pendapatan Asli Daerah Pemerintah Kota Kupang
Authors: Kapioru Charles 
Published: December 2019

Penelitian ini dilakukan untuk mengetahui objek wisata apa saja yang ada di wilayah Kota Kupang, dan bagaimana strategi konservasi dan pengembangannya agar menjadi kota tujuan pariwisata. Saran penelitian menggunakan metode survei dilengkapi dengan pengamatan lapangan. Sampel (Dinas Pariwisata seni dan Budaya) 2 orang; pengelola usaha pariwisata 2 orang; Sampel masyarakat 6 orang yang ditentukan secara sengaja (purposive sampling) dan 10 orang wisatawan yang ditunjuk secara acak (acindental sampling) dijumpai pada objek wisata yang dikunjungi. Temuan penelitian: (1) Obyek wisata terdiri dari budaya peninggalan sejarah, museum, karya seni, gereja, masjid, murni dengan arsitek yang indah; objek ekowisata (hutan lindung; hutan mangrove; pantai, gua alam mata air alam; kawasan pertanian agrowisata) objek wisata lain dan objek wisata minat khusus. Kontribusi sektor pariwisata terhadap PAD sebesar
15,95% (2018) dengan rata - rata pertumbuhan per tahun sebesar 31%. (2) Langkah - langkah strategis: mengembangkan anggaran untuk pengembangan potensi wisata termasuk objek ekowisata; meningkatkan kualitas aparatur yang dapat mengatasi masalah pariwisata; meminimalisir kerusakan lingkungan yang timbul dari usaha pengembangan kawasan wisata; meningkatkan peluang promosi wisata melalui media on-line, media masa, brosur dan leaflet; tingkat partisipasi masyarakat mulai dari perencanaan hingga pelaksanaan kegiatan yang terkait dengan pengembangan kepariwisataan. Diluncurkan, pemerintah lebih proaktif dalam promosi dan membangun sinergi dengan pariwisata dan masyarakat sekitar objek wisata.
Alignment in Customized Laser in situ Keratomileusis
Authors: Kermani Omid 
Published: December 2019

ABSTRACT
PURPOSE: To identify fundamentals of beam alignment in customized laser in situ keratomileusis (LASIK) with a special focus on the Nidek NAVEX system.
METHODS: Analysis of Nidek specifications and recommendations for beam alignment with regard to a critical case example are presented. The potential impact of misalignment (tilt and defocus) is calculated. Cyclotorsional error evaluation in a normal LASIK population was performed by video image comparison. Potential problems of infrared-based eyetracking systems are discussed.
RESULTS: The laser beam should be aligned with reference to the line of sight (LOS) when customized segmental laser ablation is applied. Only in cases with significant offset between the LOS and the visual axis it is recommended not to use segmental ablation and to manually align the beam toward the visual axis. Eye drift (tilt) as well as defocus should be avoided since undercorrection and irregular astigmatism can result. Almost 30% of eyes in a normal LASIK population showed a torsional error of 5° to 10° (9% more than 10°) on video-based image comparison. Eye-trackers not only are defined by take-up speed and latency, but also by their sensibility (picking the real center of the pupil) and robustness (keeping it tracked during surgery). Errors due to parallax and reflex effects can systematically influence the performance of an eyetracker.
CONCLUSION: Correct alignment is difficult to achieve but is of fundamental importance in customized LASIK. Strict standardization and further improvement in the alignment strategy is necessary to achieve more consistent results in customized LASIK. [J Refract Surg 2004;20(suppl): S651-S658]
Comparison of Cross Cylinder Ablation Using the Optimized Ablation Transition Zone and the Torsion Error Detector for Correction of Astigmatism
Authors: Bharti Sudhank , Bharti Raka , Samantaray Dharitri 
Published: December 2019

ABSTRACT
PURPOSE: To compare the safety and efficacy of laser in situ keratomileusis (LASIK) in correcting high myopic astigmatism using two different ablation profiles using the Nidek EC-5000 CX II laser).
METHODS: Fifteen patients (25 eyes) had LASIK for compound myopic astigmatism, using the Optimized Ablation Transition Zone (OATz) ablation profile and activated torsion error detection (TED). Results were compared with those obtained with a cross cylinder ablation profile for myopic astigmatism.
RESULTS: For eyes treated with TED, on postoperative day 7, 76% had visual acuity equal to or better than baseline best spectacle-corrected visual acuity (BSCVA) and 56% of eyes had overcorrected astigmatism. On postoperative day 20, none of the eyes had residual astigmatism more than 1.00 D and 72% eyes were within ±0.50 D cylinder; 92% of eyes had residual astigmatism within 30° of the preoperative axis and 12% remained astigmatically overcorrected at 20 days. Eighty-eight percent of eyes were either fully corrected or had mild myopic astigmatism. Comparison of results with cross cylinder ablation showed that 24% had overcorrection and 60% of patients with high astigmatism were overcorrected up to 1.75 D and developed hyperopic astigmatism in the opposite axis. Results with the cross cylinder ablation profile were good up to 2.00 D of myopic astigmatism.
CONCLUSIONS: Correction of astigmatism using the OATz profile and TED with the Nidek EC-5000 CX II laser produced good results in high as well as pure astigmatism treatments, compared to the cross cylinder ablation profile. Ablation depth was greater in OATz with TED-based corrections. Overcorrections were less with OATz with TED, and residual astigmatism was at the same baseline axis, thereby increasing patient satisfaction. [J Refract Surg 2004;20(suppl):S663-S665]
One-year Results of Custom Laser Epithelial Keratomileusis With the Nidek System
Authors: Vinciguerra Paolo , Camesasca Fabrizio I , Torres Ingrid M 
Published: December 2019

ABSTRACT
PURPOSE: To evaluate long-term results of custom laser epithelial keratomileusis (LASEK) for correction of myopia and hyperopia using the Custom Ablation Transition Zone (CATz) software and hyaluronic acid masking fluid (Laservis) for final corneal smoothing.
METHODS: We conducted a prospective study of 297 eyes of 167 patients. All eyes had LASEK for correction of myopia or hyperopia. The Nidek EC-5000 excimer laser, FinalFit software, and CATz ablation profile was used in all eyes. Laservis was used as masking fluid to remove corneal micro-irregularities during the final phase of the treatment.
RESULTS: Mean preoperative spherical equivalent refraction was -5.46 ± 2.57 D (range -14.13 to +3.50 D). At 1 year after LASEK, mean spherical equivalent refraction was -0.15 ± 0.50 D (range -4.00 D to +1.00 D).
CONCLUSIONS: LASEK with the Nidek EC-5000 excimer laser, FinalFit and Custom Ablation Transition Zone (CATz) software, with corneal smoothing, was safe and effective at 1 year after surgery. [J Refract Surg 2004;20(suppL):S699-S704]
One-year Follow-up of Custom Phototherapeutic Keratectomy
Authors: Vinciguerra Paolo , Camesasca Fabrizio I 
Published: December 2019

ABSTRACT
PURPOSE: Phototherapeutic keratectomy is a safe and effective treatment for many superficial diseases of the cornea. We applied intraoperative, epithelium-free, topography-based corneal aberrometry as a basis for custom phototherapeutic keratectomy (CPK) in highly aberrated eyes with opacities or irregularities consequent to previous refractive treatment, ulcers, keratitis, trauma or corneal dystrophies.
METHODS: We evaluated eyes undergoing CPK for corneal opacities and or irregularities due to previous refractive treatment, keratitis, trauma, or corneal dystrophies, and treated 52 eyes of 50 patients. Customization was based on corneal topography-based aberrometry, performed intraoperatively after removal of corneal epithelium. Results were evaluated immediately and subsequent cycles of CPK were applied when necessary. Eyes were followed for 1 year.
RESULTS: For the 52 eyes of 50 patients, mean preoperative haze was of 1.7 ± 1.47 in eyes with previous refractive surgery. Mean preoperative corneal thickness (pachymetry) was 399.5 ± 127.1 µm. Mean preoperative spherical equivalent refraction was -1.13 ± 3.33 D (range -9.38 to +10.00 D). No eye reached 20/15 BSCVA, and only 59% could see 20/30 BSCVA. At the final, 12-month examination, mean spherical equivalent refraction was -0.38 ± 4.11 D (range -10.88 to +6.00 D). Eighty-eight percent of eyes reached 20/30 or better BSCVA, and 25% had 20/15 or better BSCVA. No eye developed corneal ectasia.
CONCLUSIONS: At 1 year after surgery, custom phototherapeutic keratectomy (CPK) provided a reliable tool for treatment of highly aberrated eyes, and provided a surgical alternative to penetrating keratoplasty. [J Refract Surg 2004;20(suppl): S705-S710]
A Test Eye for Wavefront Eye Refractors
Authors: Campbell Charles E 
Published: December 2019

ABSTRACT
PURPOSE: A multi-site study was conducted to test feasibility of a modified automatic refractor style test eye as a test device for wavefront refractors of various types and to determine whether a) they could be measured and b) when measurements could be made, to see if they were similar. This study did not attempt to assess which instrument most accurately measures the aberrations of the test eye or human eye.
METHODS: Three automatic refractor style test eyes were modified for use as test devices for wavefront refractors. One had a simple spherical front surface, and two had additional aberrations added. The test eyes and holder were circulated to 11 test sites where attempts were made to measure them with eight different wavefront refractor systems.
RESULTS: Eight (100%) of the eight wavefront refractor systems tested successfully measured the test eyes. The systems did not give similar results for the same test eye. In some cases, coma was reported where none was present. Differences in reported defocus values reflect different approaches for compensating for the dispersion of the eye. A corneal topography system could measure and recognize the aberrations of the test eyes as well as the wavefront refractor systems tested. Interferometry, on the other hand, did not prove to be a successful method to assess the surface of the test eyes.
CONCLUSIONS: The test eye design may be used as a test device for wavefront refractor systems. This type of test eye can detect systematic differences between various wavefront refractors and can serve as a useful calibration and comparison tool. [J Refract Surg. 2005;21:127-140.]
Involvement of Neural Adaptation in the Recovery of Vision After Laser Refractive Surgery
Authors: Pesudovs Konrad 
Published: December 2019

ABSTRACT
PURPOSE: To investigate whether the gradual improvement in unaided visual acuity commonly seen after laser refractive surgery is attributable, in part, to neural adaptation to blur.
METHODS: Unaided logMAR visual acuity was measured at presentation (blur adapted) and immediately after refraction and removal of refractive correction (correction adapted) in 26 patients with low myopic residual refractive error after laser in situ keratomileusis (LASIK). The difference in unaided visual acuity (correction adapted - blur adapted) indicates a dominance of practice effect (if negative) or blur adaptation (if positive). A combination of blur adaptation and practice effect is possible.
RESULTS: Overall, the mean unaided visual acuity at presentation (blur adapted) was 0.16 ±0.16 (mean±standard deviation) logMAR, and the mean unaided visual acuity immediately after refraction and removal of refractive correction (correction adapted) was 0.14±0.14 logMAR, giving a difference (correction adapted - blur adapted) of -0.02±0.06 logMAR. This difference was not significant (analysis of variance [ANOVA] F^sub 1,25^=0.204, P>.05), suggesting neither blur adaptation nor practice effect. However, during the first 10 weeks after surgery, the difference in unaided visual acuity was -0.07 ±0.05 logMAR, suggesting a practice effect. After 10 weeks, the mean difference was +0.02±0.05 logMAR, suggesting any practice effect is offset by blur adaptation. These values were significantly different (ANOVA F^sub 1,25^ =13.53, P<.01).
CONCLUSIONS: These data suggest that patients do not adapt to surgically induced blur, on average, until 10 weeks after LASIK. The reason for this delay is uncertain; perhaps instability of blur hinders adaptation during the early postoperative period. Part of the gradual visual improvement after LASIK appears to be due to neural adaptation to blur. [J Refract Surg. 2005;21:144-147.]
LASIK With an Inferior Hinge
Authors: Cosar C Banu , Sener A Bozkurt 
Published: December 2019

ABSTRACT
PURPOSE: To investigate the refractive results and corneal pachymetric changes after laser in situ keratomileusis (LASIK) with an inferior hinge.
METHODS: Forty-six eyes of 23 patients who underwent LASIK with an inferior hinge were involved in this prospective study. All patients had a complete ophthalmic examination including uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifest refraction, computerized corneal topography (Orbscan Il Corneal Topography System; Orbscan Ine, Salt Lake City, Utah), a ir- puff tonometry, slit-lamp examination of the anterior segment, and fundus examination.