bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing Interaction: The Crucial Role of Eye-Tracking Technology in Assessing Children with Profound Intellectual and Multiple Disabilities in Poland
Authors: Kochanowicz Aneta Maria , Pawłowski Leszek 
Published: December 2024

The Objective of the Research: This research focuses on the pivotal role of utilizing eye-gaze assistive technology (EGAT) in diagnosing individuals with profound intellectual and multiple disabilities (PIMD). The study included six children aged 5–12 with PIMD who do not use speech. The primary aim was twofold: first, to assess and validate diagnoses (certificates) issued by Psychological and Pedagogical Counselling Centres in Poland, which traditionally do not use eye-gaze assistive technology (NEGAT); second, to identify specific exercises from the Look to Learn and eyeLearn software that facilitate the examination of various cognitive abilities. These abilities include visual-spatial skills (e.g., perception ability, visual-auditory coordination, and precision of vision), language skills (both comprehension and expression), and logical thinking (ranging from cause-effect actions to making choices among multiple elements).
Research Method:
The study employed an action research approach with methodological triangulation, including:

Analysis of medical and therapeutic documents (certificates from Psychological and Pedagogical Counselling Centres)
Participant observation (both open and structured), and
The multiple (collective) case study method.

Sessions using EGAT were developed, and exercises that could be used to verify specific skills were selected. The PCEye Mini Track & Learn tool—featuring Gaze Point & Gaze Viewer—was used in the research.
Structure of the Article: The article is organized into eight sections: introduction; a brief overview of the current diagnostic procedures in Poland; objectives; methods; results; discussion on improving access to EGAT; and conclusions.
Research Findings and their impact on the Development of Educational Sciences: The findings indicate that diagnoses provided by Psychological and Pedagogical Counselling Centres in Poland may require reconsideration. By incorporating eye-gaze assistive technology (EGAT) and re-diagnosing six children previously identified as having profound intellectual disabilities, we identified previously unrecognized abilities in speech comprehension, logical reasoning, visual-spatial skills, and learning pace. The research brings attention to the necessity for standardized tests using eye-tracking technology to assess the intellectual functioning of children with disabilities.
Conclusions and Recommendations: It is recommended that Psychological and Pedagogical Counselling Centres be equipped with EGAT to ensure more accurate diagnoses of children suspected of having profound intellectual disabilities. The study advocates discontinuing the issuance of certificates indicating profound intellectual disability and instead implementing functional assessments using EGAT.
Student Engagement, Life Satisfaction, and Academic Burnout Among Polish Tertiary Students: A Mixed-Methods Analysis
Authors: Pietluch Arkadiusz , Trinder Magdalena , Dick-Bursztyn Marta 
Published: December 2024

Objective of the study: Given the scarcity of research in this area, the present study was carried out to examine the relationship between student engagement, life satisfaction, and academic burnout in the Polish academic setting. Additionally, a qualitative analysis was conducted to explore the factors that sustain student engagement.
Research method: This study uses both quantitative and qualitative methodologies. In Phase 1, Spearman’s rank correlation coefficient was used to analyze the relationship between the primary variables. In Phase 2, inductive thematic analysis was applied to qualitative data collected from seven respondents.
A short description of the context of the issue: Over the past two decades, educational researchers have become increasingly interested in the impact of positive factors on various aspects of human functioning (Dewaele et al., 2019). Despite extensive research in the area, it transpires that the nature of the relationship between some variables remains somewhat underexplored, including the interplay between student engagement, life satisfaction, and academic burnout. This study addresses this gap in the literature and delves into the factors that enhance student engagement within the Polish academic environment.
Research findings: The study identified a strong, negative correlation between levels of life satisfaction and several dimensions of academic burnout, including lack of engagement (-0.355) and fatigue (-0.454). The findings indicate that students who are content with their lives are significantly more likely to report higher academic engagement and are less susceptible to experiencing burnout. The qualitative analysis revealed three main sources of sustained engagement: a growing sense of personal agency, teacher approachability, and peer support.
Conclusions and recommendations: Given that the majority of participants reported difficulty in balancing their academic and personal responsibilities, it is recommended that academic curricula should be structured to facilitate a healthy balance between these domains. As this study shows that higher life satisfaction promotes student engagement, well-balanced curricula could not only contribute to higher life satisfaction among the active student population but also positively impact their academic involvement.
Giving Voice to the Invisible Through the Use of Participatory Videos to Communicate Community-level Vulnerability to Pelagic Sargassum Influxes in the Eastern Caribbean
Authors: Thomas Bethia , Cumberbatch Janice 
Published: December 2024

The islands of the eastern Caribbean have been experiencing unprecedented pelagic sargassum influx events for over a decade now, which has become a significant concern for the region. Several studies have been conducted on this phenomenon, highlighting the need for diverse management responses to address this issue. However, most countries, including Saint Lucia, have been primarily reactive in their approach towards managing sargassum strandings. They have failed to implement a structured and organised plan to manage the influxes of sargassum, resulting in an ad hoc and unplanned response (Brooks et al. 2018, CRFM 2019, Djakourè et al. 2017, Doyle and Franks 2015, Gower and King 2011, Hinds et al. 2016, Hu et al. 2016, Oxenford et al. 2016, Wang and Hu 2017). In 2017, a draft National Sargassum Management Plan was developed by the Government of Saint Lucia to address this issue. However, this Plan has several gaps and weaknesses, including a lack of consultation with the most vulnerable groups, who would be the most severely affected by sargassum influxes (Cox. Shelly-Ann, Oxenford, and McConney 2019). This is contrary to the approach that should be adopted while seeking to build resilience in communities. When dealing with physical constraints or discrimination, such as poverty, disability, and minority status, people usually have lower adaptive capacity. Therefore, their views and opinions should be considered while developing a Management Plan for sargassum influxes (Cutter, Mitchell, and Scott 2012, Yumarni et al. 2021). This research had a unique focus called the ‘Voice of the Invisible,’ which aimed to target the poor, disabled, women, and minority groups in three communities in Saint Lucia: Dennery, Praslin, and Micoud. These groups had been excluded from previous data collection processes for sargassum management, and their views had been ignored. This research allowed their ‘voices’ to be heard and their opinions to be captured. The approach was empowering and sought to be all-inclusive, bringing the ‘voice of the voiceless’ at the heart of the discussion. The forum aimed to enable community members to demand accountability and transparency from policymakers while building resilience in the communities (CANARI 2014).
Efficacy of premedication on post-endodontic pain: An umbrella review
Authors: Waje S. , Rao R. D. , Jain A. , Sachdev S. S. , Shah P. , Nemade T. 
Published: December 2024

AIM. To comprehensively analyze the information generated by earlier systematic reviews of studies on the effect of premedications on post-endodontic pain.METHODS. The systematic reviews published in the English language until 2023 were searched in the databases PubMed, Google Scholar, and Cochrane Library using the keywords were identified. from inception to August 2023. The methodological quality of the included articles was analyzed using AMSTAR 2 tool and ROBIS tool. The corrected covered area analysis was performed using the GROOVE tool.RESULTS. A total of n = 8 systematic reviews were identified. The included systematic reviews and meta analyses were conducted in the period 2018 to 2022. Two [25%] out of the eight included studies had meta analysis. According to the assessment of the AMSTAR 2 tool, one review had high quality, two reviews had moderate quality, two reviews had low quality, and three reviews had critically low quality. ROBIS analysis showed that all the studies had a low risk of bias. The CCA analysis performed with the GROOVE tool showed a high overlap of 11% among all the included studies.CONCLUSION. Premedication was found to be effective as a means of reduction of post endodontic pain, especially for acute pulpitis. Corticosteroids were generally found to be more effective than NSAIDs. The use of piroxicam or prednisolone would be the premedication of choice. Oral premedication had better compliance and efficacy compared to other routes of administration, although the onset of action and sustenance of the latter was superior.
REVIEW: GAMBARAN TINGKAT KESALAHAN PENGOBATAN PADA BEBERAPA RUMAH SAKIT DI INDONESIA
Authors: Adiningsih Martha , Hermanto Faizal 
Published: December 2024

A medication error is any preventable event that can cause or result in inappropriate medication use or harm to the patient. Medication errors can occur in several phases or stages, namely prescribing errors, errors in translating prescriptions, errors in preparing and dispensing drugs, and errors in administering drugs. The aim of this article is to review and identify various levels of medication errors in several hospitals in Indonesia
which are obtained from the percentage of medication errors. Based on a literature review conducted on 10 journals, article searches were carried out using two databases, namely Google Schollar and PubMed, the results obtained were that the most common medication errors occurring in several hospitals in Indonesia were the prescribing phase with a total distribution of levels of 7, then dispensing with a count of 2 and copying with a count of 1. Although medication errors remain a major challenge, with appropriate improvement efforts, patient safety in hospitals can be significantly improved)
Pengaruh Harga Jual dan Saluran Distribusi terhadap Volume Penjualan Kartu Perdana By.U Telkomsel pada CV. Sinar Telekom (Transputer) Lahat
Authors: Fytaloka Vemi , Mujari  , Pratiwi Dini 
Published: December 2024

This research aims to examine the influence of selling price and distribution channels on the sales volume of By.U starter packs at CV Sinar Telekom (Transputer) Lahat. The data analysis method used is quantitative using multiple linear regression, where the model equation is Y = a + b1X1 + b2X2 + eThe results of the t test analysis show that the selling price (X1) has a significant effect on sales volume (Y), while the distribution channel (X2) does not have a significant effect on buying interest (Y) for Telkomsel cards at CV. Sinar Telekom Lahat. Furthermore, the F test shows that simultaneously, selling price (X1) and distribution channel (X2) have a significant effect on sales volume interest (Y).. Conclusion, this research contributes to the understanding of the factors that influence the sales volume of Telkomsel cards in a specific business environment. The implications of the results of this research can be used as the basis for a more effective marketing strategy to increase interest in purchasing By.U Telkomsel starter cards in the local market.
Keywords: Selling Price, Distribution Channels, Sales Volume
MAKNA BUDAYA TRADISI CANGGET BARA
Authors: Hernawan Wawan , Basri Hasan , Marantaka Fransisca 
Published: December 2024

Penelitian ini membahas tentang makna budaya tradisi Cangget Bara studi kasus pada Lampung Sungkai di Kecamatan Sungkai Utara, Kabupaten Lampung Utara, Provinsi Lampung. Penelitian ini berupaya mengungkapkan Gambaran menyeluruh tentang Tradisi Cangget Bara pada budaya Lampung Sungkai di Sungkai Utara, perilaku bujang gadis dalam budaya Cangget Bara di Sungkai Utara, dan upaya masyarakat Lampung Sungkai melestarikan tradisi Cangget Bara sebagai budaya Lampung Sungkai. Penelitian ini dilakukan berlandaskan pada teori Sosiokultural yang menjadi alat untuk melakukan kegiatan komunikasi budaya. Teori sosiokultural terdiri dari sosialkultural interaksi simbolik, sosialkultural kontruksi sosial, dan sosiolinguistik. Penelitian ini dilaksanakan dengan menggunakan pendekatan kualitatif. Penelitian deskriptif kualitatif dilakukan untuk merangkum semua situasi kondisi dan fenomena yang terjadi di sekitar masyarakat yang kemudian menjadi suatu objek. Pengumpulan data dilakukan melalui wawancara mendalam dengan para ketua adat Sungkai Utara, perangkat Desa Negara Ratu dan para muli dan meranai. Penelitian ini memaparkan tentang makna budaya tradisi Cangget Bara. Hasil penelitian menunjukkan bahwaCangget Bara rnerupakan tradisi Lampung yang rnengandung makna untuk mengakrabkan muli meranai di setiap kampung maupun antar kampung dan saling mengenal antara muli dan meranai. Cangget Bara sebagai tarian khas orang Lampung Pepadun khususnya lampung sungkai, jika dicermati, tidak hanya mengandung nilai estetika (keindahan), sebagaimana yang tercermin dalam gerakan-gerakan tubuh para penarinya. Akan tetapi, juga nilai kerukunan dan kesyukuran. Nilai kerukunan tercermin dalam fungsi tari tersebut yang diantaranya adalah sebagai ajang berkumpul dan berkenalan baik bagi, kaum muda, laki-laki maupun Perempuan.Upaya yang dilakukan dalam melestarikan budaya Cangget Bara yaitu melalui sosialisasi dan mempelajari budaya Cangget Bara, memberikan informasi melalui jejaring media sosial dan melibatkan secara langsung bujang gadis dalam mengelola acara Cangget Bara.
Características clínicas y eventos quirúrgicos en niños con enfermedad por reflujo gastroesofágico tratados mediante Fundoplicatura de Nissen
Authors: Serrano Fernández Paulette , Barría Rodríguez Ana Gabriela 
Published: December 2024

Introducción: La Enfermedad por reflujo gastroesofágico presenta complicaciones que afectan la calidad de vida de los pacientes. Objetivo: Evaluar las características clínicas y eventos quirúrgicos en niños con enfermedad por reflujo gastroesofágico (ERGE) tratados mediante Fundoplicatura de Nissen. Metodología: Estudio retrospectivo de niños sometidos a Fundoplicatura de Nissen del 2015 al 2020. Resultados:14/21 niños tratados con funduplicatura Nissen fueron incluídos. La edad media fue de 3.5 (1 - 8.5). El 79% de los pacientes presentaban bajo peso severo. Todos los pacientes presentaban comorbilidades asociadas, siendo más frecuente los trastornos neurológicos. La indicación mas común de cirugía fue la neumonía por aspiración recurrente (93%), seguido por dificultad para alimentación (57%). Se realizaron 9 (64%) funduplicaturas abiertas con gastrostomía y 5 laparoscópicas (14%), 2 de ellas con gastrostomía. No hubo complicaciones intraopertaorias. Dentro de las complicaciones postoperatorias se registró 1 infección de sitio operatorio (7%) y 2 defunciones (14%). Conclusion: Nuestros resultados demuestran que los trastornos neurológicos y la pematuridad son las condiciones más comúnmente asociadas a ERGE en nuestro entorno. En los casos donde el tratamiento médico no funciona, la fundoplicatura de Nissen es el tratamiento de elección presentando baja tasa de complicaciones, principalmente cuando se ofrece un abordaje laparoscópico.
Le nez de Pangloss
Authors: Longo Giuseppe 
Published: December 2024

Cet article explore plusieurs questions : tout d’abord, celle du transfert de concepts issus de la physique classique et de la thermodynamique dans le champ de l’économie et de la biologie. Nous montrons que les concepts physiques, tout aussi utiles soient-ils, ne sont pas suffisants pour comprendre l’évolution des organismes vivants et le temps historique (et non thermodynamique) qui les caractérisent. Pour appréhender cette évolution, les concepts d’ex-aptation et de surcharge sont mobilisés. Ceux-ci permettent aussi de comprendre comment les organes artificiels ou exosomatiques peuvent jouer un rôle dans la transformation des organismes biologiques. Nous nous intéressons enfin à la question de l’exosomatisation numérique dans notre culture symbolique, en interrogeant les enjeux épistémologiques et politiques des nouvelles techniques mathématiques de l’intelligence artificielle et de l’apprentissage profond.
Study the relationship between serum lipid profile and bronchial asthma exacerbation
Authors: Elkordi Israa S.M.M. , Hafez Manal R. , Eid Hoda A. 
Published: December 2024

Background and aim
Asthma is triggered by allergic and oxidative stress that starts lipid peroxidation with stimulation to release of arachidonic acid from cell membrane.
This work aimed to study lipid profiles in bronchial asthma and to assess its use as a biomarker for its exacerbation.

Patients and methods
A total of 50 individuals with bronchial asthma participated in this case-control research. During both acute and stable asthma episodes, spirometric indices, arterial blood gasses, serum cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-c), and high-density lipoprotein cholesterol (HDL-c) levels were examined.

Results
In the acute phase, HDL was lower and LDL-c was greater in serum than in the stable period. TG, TC, and LDL-c were negatively linked in the acute phase, whereas HDL-c was favorably correlated with all spirometric indices. TG, TC, and LDL were negatively correlated with PaO2 and positively correlated with HCO3. HDL-c positively correlated with O2 saturation and PaO2, and negatively correlated with PaCO2 and HCO3. The most significant risk factors for dyslipidemia in acute phase were O2 saturation, PaO2, FVC%, HCO3, Forced Expiratory Flow (FEF) 25–75%, PaCO2, forced expiratory volume /forced vital capacity ratio. Serum HDL-c could be used to discriminate between acute and stable phases with 64% sensitivity, 68% specificity, 66.7% positive predictive value and 56.4% negative predictive value. Serum LDL could be used to discriminate between acute and stable phases with 70% sensitivity, 64% specificity, 66% positive predictive value and 68.1% negative predictive value.

Conclusion
Lipid profile was altered in asthma exacerbation. HDL-c and LDL-c could be used to discriminate between acute and stable asthma phases.
Evaluation of the etiological spectrum of obstructive jaundice in patients attending the Al-Azhar Assiut University Hospital Endoscopy Unit in the last five years
Authors: Moustafa Hamdy Mahfouz , Mohamed Ahmed Qasem , Nouh Ali Sayed Zarea 
Published: December 2024

Background and aim
The term ‘cholestasis’ refers to a condition in which the bile flow is reduced, either because of decreased secretion by hepatocytes or because of intrahepatic or extrahepatic bile duct blockage.
This study is intended to evaluate the Etiological Spectrum of Obstructive Jaundice in Patients attending the Al-Azhar Assiut University Hospital Endoscopy Unit in the last 5 years.

Patients and methods
Our study was a retrospective study in which we reviewed ERCP records from January 2017 to January 2022 to detect the etiology of biliary obstruction. The ERCP procedure was performed in the Endoscopy Unit of Al-Azhar Assiut University Hospital.

Results
Twenty patients (3.1%) had shrunken liver, splenomegaly, and calcular gall bladder suggesting that calcular obstructive jaundice could occur on top of liver cirrhosis. Abdominal US was diagnostic for the cause of obstruction in 400 patients (62.5%). We also found that patients who had hepatic focal lesions, abdominal lymphadenopathy, and/or dilated biliary channels without obvious stones or masses in the abdominal US needed to be re-evaluated with MSCT abdomen with contrast imaging (240 cases, 37.5%).

Conclusion
Although abdominal, multislice, computed tomography fills the gap in diagnosing biliary strictures, it is still far behind magnetic resonance cholangiopancreatography for revealing biliary pancreatic masses. Endoscopic retrograde cholangiopancreatography is highly effective for treating biliary blockage; in case of failure, we resort to either surgery or percutaneous transhepatic drainage.
Paradoxical Behçet’s Disease after Ixekizumab: A Case Report and Literature Review
Authors: Ren Yue-Kang , Ren Ling , Sun Wen , Liu Hong-Ye , Guo Shu-Ping 
Published: December 2024

Abstract
Behçet’s disease is a chronic inflammatory condition that affects multiple organs and systems. It is characterized by recurrent oral and genital ulcers. A previous study reported that the IL-17A inhibitor secukinumab can improve the skin and mucosal manifestations in patients with refractory Behçet’s disease. Additionally, secukinumab has been shown to effectively improve neurological symptoms when administered for Behçet’s disease. However, we report a case where Behçet’s disease occurred after the treatment of psoriasis with the IL-17A inhibitor ixekizumab. To summarize its clinical characteristics and treatment experience, we consulted relevant domestic and international literature and conducted a literature review. We concluded that anti-IL-17A treatment may lead to the development of Behçet’s disease. The reported cases are more likely to occur in middle-aged men with varying onset times. The main manifestations include oral and vulvar mucosal ulcers. Furthermore, the gut microbiota may be involved in paradoxical Behçet’s disease.
Assessing the Knowledge, Attitude, and Practice of Households in Darmian City with Regard to Municipal Solid Waste Management
Authors: Sahlabadi Fatemeh , Moodi Mitra , Sadani Mohsen , Gerayllo Sakineh , Mahmoodiyan Ahmah , Pour Hasan Mehran 
Published: December 2024

Abstract

Aim:
The purpose of this study was to investigate the knowledge, attitude, and practice of households living in Darmian city, South Khorasan, Iran, with regard to municipal solid waste (MSW) management.

Methods:
The quota sampling method was used based on Darmian city zoning. The questionnaire was included questions about knowledge, attitude, and practice in the MSW management domain. Data were analyzed by SPSS version 18 (SPSS Inc, Chicago) using descriptive statistics and appropriate nonparametric statistical tests.

Results:
The findings showed that the mean score of knowledge was 8.53 ± 2.46, of attitude was 16.60 ± 2.70, and of practice was 3.02 ± 1.10. It was found that the implementation of management plans could improve health and environmental aspects.

Conclusion:
According to the findings, the scores of knowledge and practice were higher among urban residents than rural ones. Therefore, proper planning for improving the cultural level of rural residents in this regard should be considered. To increase participation in waste separation and recycling practices, educational campaigns and mass media can be the used as one of the effective educational strategies.