bluuebunny/crossref_metadata_2025_split huggingface dataset:
Visual outcomes of cataract surgery and associated factors on outreach sites in Ethiopia: A multi-center study, 2022
Authors: Bizuneh Zewdu Yenegeta , Mengistu Mulugeta Ayana 
Published: December 2024

Abstract

INTRODUCTION:
The outcomes of cataract surgery for an individual or for a defined population are as important as measuring the number of surgical operations performed. The most important measure is the visual outcome. Therefore, the aim of this study was to describe the visual outcomes after cataract surgery and to analyze the factors that are related to visual outcomes of cataract-operated eyes.

MATERIALS AND METHODS:
A hospital-based cross-sectional design study was conducted on 1623 patients from June 2020 to August 2022 in Ethiopia at five general hospitals. Data were entered into Epi Info version 7 and were analyzed by SPSS version 23. The binary logistic regression model and adjusted odds ratio with 95% confidence level were used to identify the significant factors associated with the visual outcome. Variables with P–value ≤0.05 were considered statistically significant.

RESULTS:
Around 1412 participants had participated, giving a response rate of 87.0%. Two-thirds of study participants, 929 (66%), before cataract surgery had poor visual acuity, and after completion of the surgery, 56.1% of operated eyes had achieved good visual acuity, 24.9% of eyes had borderline visual acuity, and the remaining 19.0% of cataract-operated eyes had poor visual acuity. With multivariate logistic regression, long follow-up time (AOR = 2.7, 95% CI [1.12–5.24], P = 0.001), absence of ocular comorbidities (AOR = 3.22, 95% CI [1.25–4.5], P = 0.02), and absence of postoperative complications (AOR = 3.6, 95% CI [1.9_6.1], P = 0.0001) were positively and significantly associated with good visual outcomes of cataract-operated eyes.

CONCLUSION:
Although there is significant improvement in the visual acuity, in this study, the visual outcomes of cataract surgery were significantly low as compared to the standard set by the World Health Organization (WHO). Longer follow-up time, ocular co-morbidities, and post-operative complications were positively and significantly associated with visual outcomes following cataract-operated eyes.
Subepithelial melanocytic lesions in pterygium: A rare association
Authors: Stephen Mary , Periyandavan Jayasri 
Published: December 2024

Abstract
Pterygium is a wing-shaped fold of fleshy growth extending from the conjunctiva into the cornea. Most patients will have only minimal complaints, but can cause disturbances in vision due to astigmatism and by crossing the visual axis. Pterygium is caused by multiple factors, and ultraviolet light exposure plays a critical role. Most cases can be managed without complications. Pterygium often occurs with ocular surface abnormalities manifesting as dry eye, and limbal stem cell deficiency has been observed, but pterygium is very rarely associated with any pigmented lesions. We report a rare association of benign conjunctival melanocytic naevus within pterygium and its management. To our best knowledge, this association is not common and should be evaluated thoroughly to rule out malignant conditions.
PENGEMBANGAN WEBSITE SEBAGAI INTEGRASI TEKNOLOGI INFORMASI UNTUK TRANSFORMASI PENDIDIKAN DALAM OPERASIONAL PERPUSTAKAAN
Authors: Satria Andy , Salamah Salamah 
Published: December 2024

Penggunaan teknologi sistem informasi memudahkan manusia dalam memperoleh, mengelola, dan menyimpan data serta informasi secara lebih efisien. Perpustakaan di SMA Swasta Dharmawangsa, yang berlokasi di Jl. KL. Yos Sudarso No.224 Kota Medan, Sumatera Utara, masih menggunakan proses manual dalam pencatatan data buku dan pembuatan laporan. Proses manual tersebut berpotensi menyebabkan kesalahan pencatatan, laporan yang tidak akurat, dan membutuhkan waktu yang lebih dalam pencarian data yang dibutuhkan. Penelitian ini bertujuan untuk mengembangkan aplikasi perpustakaan berbasis website guna mempermudah pengelolaan data di perpustakaan sekolah. Metode penelitian yang digunakan adalah metode kualitatif dengan pengumpulan data melalui wawancara dan observasi. Sementara itu, metode pengembangan sistem menggunakan Waterfall, yang mencakup tahapan analisis kebutuhan, perancangan sistem, implementasi, integrasi, pengujian, dan evaluasi hasil. Hasil penelitian ini diharapkan mampu mengoptimalkan pengelolaan data perpustakaan secara lebih efisien dan akurat, serta mempercepat proses pencarian informasi di lingkungan sekolah.
Legal Protection for Human Rights Defender in Indonesia
Authors: Siagian Daniel Alexander , Muktiono  , Prasetyo Ngesti Dwi 
Published: December 2024

Legal protection of human rights defenders in Indonesia is crucial for the state to fulfil, promote and develop human rights. This research focuses on the reformulation of legal obscurity in regulations that have not legitimised the protection of human rights defenders. Various forms of vulnerability of human rights defenders in fact lead to human rights violations such as Criminalisation, Victimisation, Anti-SLAPP (Strategic Lawsuit Against Public Participation), Cyber Attacks and physical attacks intended for human rights defenders which reinforce Impunity. The facts show that the activities of human rights defenders are very vulnerable, it is appropriate to require legal protection in each of their activities. The vulnerability of the activities carried out by human rights defenders, which basically aims to contribute to the quality of State administration in promoting human rights, shows that protection for human rights defenders is important to be reformulated. By considering several important issues that are the focus of the research, the protection of Human Rights Defenders consists of, for instance, legal protection, which is not only related to the establishment of laws and regulations that guarantee the protection of Human Rights Defenders, but also to the elimination of laws that have the potential to threaten, restriction and violate Human Rights Defenders, guarantees and support for the activities of Human Rights Defenders, including the effectiveness of Human Rights Defenders in the process of advocacy, such as the right to information, communication with both government and non-government organisations, and recognition of Human Rights Defenders' advocacy. This also covers the guarantee of defenders' right to immunity for their advocacy activities.
Increasing The Quality Of Lecturer Service Through Strengthening Servant Leadership, Empowerment, Work Motivation, And Job Satisfaction: An Empirical Study Approach using Path Analysis and SITOREM Analysis
Authors: Anwar Syairi , Hardhienata Soewarto , Sunardi Oding 
Published: December 2024

The purpose of this study is to find ways and strategies to improve service quality by analyzing the influence of other variables on service quality. Other variables are Servant Leadership, Empowerment, Work Motivation, and Job Satisfaction. Furthermore, it was found that ways and strategies to improve the quality of lecturer services found were used as recommendations to related parties, namely the Head of BPSDM of the Ministry of Transportation. This research method uses the path analysis method to see the direct and indirect effects between variables and the SITOREM method to determine the order of priorities and recommendations for improvements that need to be made. The research population was 327 Higher Education Lecturers of the Ministry of Transportation. The research sample was 181 respondents determined by the Taro Yamane formula. Sampling is done by Proportional Random Sampling. The results of the path analysis (1) there is a direct positive influence of servant leadership on service quality of = 0.265, (2) there is a direct positive influence of empowerment on service quality of = 0.143, (3) there is a direct positive effect of work motivation on service quality of = 0.192 , (4) there is a direct positive influence of job satisfaction on service quality of = 0.151, (5) there is a direct positive influence of servant leadership on work motivation of = 0.245, (6) there is a direct positive influence of empowerment on work motivation of = 0.228, (7) there is a direct positive influence of servant leadership on job satisfaction of = 0.268, (8) there is a direct positive influence of empowerment on job satisfaction of = 0.245, (9) there is an indirect positive influence of servant leadership on service quality through work motivation of = 0.339, (10) there is an indirect positive influence of empowerment on service quality through work motivation of = 0.0242, (11) there is an indirect positive influence of servant leadership on service quality through work motivation of = 0.345, (12) there is an indirect positive influence of empowerment on service quality through work motivation of = 0.246. The results of SITOREM analysis show that there are indicators of service quality variables, servant leadership, empowerment, work motivation and job satisfaction that are prioritized for improvement, including indicators (1) Accountability, (2) Listening, (3) Organizational Procedure), (3) Achievement, (4) Progress, (5) Working Condition, (6) Responsibility, (7) Status, (8) Confession, (9) Compensation, (10) promotion, (11) Salary, (12) work colleague, (13) Supervision, (14) Job condition, (15) Jobs, (16) involves, (17) Communication, (18) reward, (19) responsiveness, (20) tangible.
ANALISIS PENGEMBANGAN ORGANISASI KANTOR AREA PELAYANAN VI PERUMDA AIR MINUM
Authors: Soebarini Siti Zaleha 
Published: December 2024

Penelitian ini bertujuan untuk mengetahui Pengembangan Organisasi dan masalah-masalah yang dihadapi dalam pengembangan organisasi pada kantor Area Pelayanan VI Perusahaan Umum Daerah Air Minum Kota Makassar. Jenis penelitian yang digunakan adalah jenis penelitian kualitatif. Pendekatan Penelitian adalah Studi Kasus.
Hasil penelitian menunjukkan pengembangan organisasi pada kantor Area Pelayanan VI Perusahaan Umum Daerah Air Minum Kota Makassar, sudah dilakukan melalui: a) Pengembangan SDM; b) Pengembangan teknologi; (c) Struktur organisasi sudah ada berdasarkan visi dan misi kantor. d) Penataan fisik sudah cukup baik. Masalah-masalah yang dihadapi dalam Pengembangan organisasi pada Kantor Area Pelayanan VI Perusahaan Umum Daerah Air Minum Kota Makassar, antara lain : a) kurangnya komunikasi dan koordinasi, b) faktor alam dan musibah, c) adanya konflik dan kesalahpahaman antar pegawai, d) penyalahgunaan terhadap fungsi material, e) terjadinya kebocoran air, masih adanya penggunaan meter air yang tua (seharusnya sudah menggunakan yang baru), f) kurangnya pelatihan, g) kecemburuan sosial antar pegawai, dan g) tidak tersedianya dana darurat bagi peningkatan kinerja pegawai.
MODIFIKASI WAKTU LUANG PEKERJA PEREMPUAN DI KAFE (STUDI DESKRIPTIF DI RUANG JURNALIS PEREMPUAN MAKASSAR)
Authors: Arifin Zulkifli , Amin Rahma 
Published: December 2024

Nongkrong di coffee shop bagi kaum perempuan di sejumlah literasi dan beberapa hasil penelitian yang pernah dilakukan, dianggap sebagai perilaku gaya hidup konsumtif untuk memanfaatkan waktu luang untuk sejenak merefresh pikiran dari penatnya aktivitas dan rutinitas pekerjaan. Coffee shop bahkan bagi kalangan perempuan sosialita dianggap sebagai tempat untuk bersantai, nongkrong dan bersosialisasi, hiburan, serta menunjukkan eksistensi diri sebagai perempuan kelas atas dan modern. Namun berbeda dengan kelompok pekerja perempuan yang tergabung dalam Ruang Jurnalis Perempuan (RJP), hampir setiap hari jurnalis perempuan ini mengunjungi kafe yang satu ke kafe yang lainnya, bukan untuk bersantai dan menikmati waktu luang, melainkan mencari tempat yang lebih nyaman untuk menyelesaikan tulisan liputan. Penelitian ini menggunakan tipe studi kasus di Komunitas Juang Jurnalis Perempuan (RJP) dari berbagai platform media di Makassar, menggunakan wawancara semi terstruktur. Tujuannya untuk mengetahui bagaimana modifikasi waktu uang dan perilaku konsumtif tidak menjadi satu-satunya motivasi seseorang mengunjungi kafe dan nongkrong berjam-jam lamanya, melainkan seiring semakin kompleksnya jenis pekerjaan baru dengan sistem kerja lebih fleksibel, ruang-ruang bersantai untuk mengisi waktu libur kini menjadi tempat paling nyaman untuk bekerja.
OPTIMALISASI PROGRAM CSR PT VALE INDONESIA DALAM PENGEMBANGAN UMKM
Authors: Latief Maryam N Azizah , Ibrahim Muh Akmal , Yunus Muh , Pauzi Rizal 
Published: December 2024

Penelitian ini bertujuan untuk menganalisis bagaimana optimalisasi Program Corporate Social Responsibility PT. Vale Indonesia Dalam Pengembangan UMKM Di Kabupaten Luwu Timur. Penelitian ini menggunakan pendekatan kualitatif deskriptif. Teknik pengumpulan data yang dilakukan melalui pengumpulan data reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa efektivitas Program Corporate Social Responsibility PT. Vale Indonesia Dalam Pengembangan UMKM Kabupaten Luwu Timur berdasarkan teori efektivitas program menurut Campbell J.P (1974) belum optimal. hal ini karena dalam hal keberhasilan program masih banyak yang perlu di sempurankan dan masih kesulitan dalam hal pemasaran produk UMKM. Kemudian pada indikator keberhasilan sasaran tidak semua binaan UMKM PT. Vale Indonesia merasakan dampak dari program karena masih terdapat pelaku UMKM yang tidak serius dalam mengikuti program. belum adanya kepuasan terhadap program karena tidak ada bantuan dalam hal permodalan, hanya pelaku UMKM yang aktif terlibat yang merasa puas akan program. Input dan Output masih bermasalah karena galeri kareso yang dihadirkan untuk pemasaran sepi pengunjung dan letaknya kurang strategis dan belum tercapai sesuai dengan tujuan yang telah diharapkan sebelumnya. Adapun untuk optimalisasi program CSR yakni harus ada sistem yang selektif memilih UMKM yang akan dibina, penguatan karakter wirausaha, perlu adanya SOP khusus, fasilitas dan layanan pemasaran yang efektif dan bantuan modal
IMPLEMENTASI KEBIJAKAN PELAYANAN ADMINISTRASI TERPADU KECAMATAN DALAM UPAYA PENINGKATAN KUALITAS PELAYANAN PUBLIK DI KECAMATAN MAKASSAR KOTA MAKASSAR
Authors: Rosmini Rosmini , Hasran Hasran , Rahman Rahman , Bachtiar Bachtiar 
Published: December 2024

Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisis impelmentasi kebijakan Pelayanan administrasi dalam upaya peningkatan kualitas pelayanan public d Kecamatan Makassar Kota Makassar. Penelitian ini menggunakan metode deskriptif kualitatif Teknik pengumpulan data adalah menggunakan teknik observasi, wawancara dan dokumentasi, dengan jumlah informan sebanyak 8 orang dengan rincian 3 orang dari perangkat kecamatan dan 5 orang dari masyarakat, sedangkan teknik analisis data menggunakan reduksi data, penyajian data serta penarikan kesimpulan. Penelitian ini menggunakan teori Implementasi dan teori pelayanan publik. Adapun peraturan yang digunakan yang terkait dengan pelayanan publik yakni UUNo.23Tahun 2014 tentang Pemerintahan Daerah, UUNo.25 Tahun 2009 tentang Pelayanan Umum serta KepMen PAN No.63 Tahun 2003 tentang Pedoman Penyelenggaraan Pelayanan Publik, serta Peraturan Walikota Nomor 40 Tahun 2012 Tentang Pelimpahan Sebagian Kewenangan Bupati/Walikota Kepada Camat diLingkungan PemerintahKota Makassar.
Berdasarkan hasil analisis, dapat disimpulkan bahwa adanya kebijakan Pelayanan Administrasi Terpadu Kecamatan (PATEN) di Kecamatan Makassar cukup efektif dan memberikan manfaat kepada masyarakat terutama mengenai pelayanan administrasi.Pelaksanaan PATEN di Kecamatan Makassar juga telah sesuai dengan ketentuanyang berlaku sesuai yang diamanatkan oleh Permendagri Nomor 04 Tahun 2010 Tentang Pedoman Pelayanan Administrasi Terpadu Kecamatan. Maskipun pada pelaksanaannya terdapat beberapa kekurangan yang perlu mendapat perhatian seperti kelengkapan sarana dan prasarana ruang tunggu namun hal tersebut pada dasarnya tidak menghambat proses pelayanan di kantor kecamatan Makassar.
Implementasi Pemasaran Business Model Canvas (BMC) untuk Peningkatan Kemandirian UMKM Lipa’Sabbe di Kabupaten Wajo
Authors: Guna Darman  , Tri Septiani  , Jumadi  , Sema  
Published: December 2024

Usaha Mikro, Kecil, dan Menengah (UMKM) berperan dalam menunjang perekonomian suatu negara meningkatkan kesejahteraan melalui kewirausahaan. Lipa’Sabbe merupakan salah satu jenis sarung sutera khas yang dijadikan usaha untuk peningkatan kesejahteraan masyarakat Bugis Kabupaten Wajo Sulawesi Selatan. Namun pemasaran produk Lipa’Sabbe masih sangat terbatas dan berdampak terhadap penurunan pendapatan. Terbatasnya pemasaran karena belum mengenal business model canvas (BMC), padahal BMC sudah banyak diterapkan dalam produk makanan dan minuman. Meskipun model BMC sudah diterapkan, namun penerapan pemasaran BMC pada UMKM Lipa’Sabbe belum dilakukan di Kabupaten Wajo. Tujuan penelitian ini untuk mengetahui strategi penerapan pemasaran Lipa’Sabbe menggunakan BMC untuk meningkatkan kemandirian UMKM di Kabupaten Wajo. Penelitian ini dilakukan pada bulan Juni 2024 di Kota Sengkang Kabupaten Wajo. Informan penelitian ini adalah 1 orang pemilik usaha UMKM Lipa’Sabbe dengan memiliki jumlah karyawan 10 orang. Penelitian ini adalah penelitian kualitatif. Metode penelitian menggunakan data primer berdasarkan temuan wawancara langsung dengan informan. Analisis data yang digunakan menggunakan kanvas model bisnis yang terdiri dari sembilan blok: segmen pelanggan, proposisi nilai, saluran, hubungan pelanggan, aliran pendapatan, sumber daya utama, aktivitas utama, kemitraan utama, dan struktur biaya. Penelitian ini menunjukkan bahwa penerapan pemasaran BMC membawa manfaat yang signifikan bagi UMKM lipa’ sabbe.Kesimpulan penelitian yaitu upaya dalam menjaga kuantitas dan kualitas Lipa’Sabbe selalu memerlukan pengelolaan yang baik, peningkatan kemampuan pemasaran untuk mencapai daya saing UMKM yang lebih tinggi, berupaya untuk tetap kompetitif dan mengoptimalkan kinerjanya dengan fokus pengendalian biaya, inovasi, dan efisiensi.
Prospects for the use of intranasal nanoscale polymer delivery systems for drugs and antidotes in extreme medicine
Authors: Fedotova E. V. , Krivorotov D. V. , Radilov A. S. 
Published: December 2024

Introduction. The development of improved formulations of antidotes and remedies, which can be used not only by qualified medical personnel, but also in self- and mutual assistance, is an urgent task for extreme medicine.Objective. Evaluation of the possibility of using nanoscale polymer delivery systems for medicines and antidotes intended for intranasal administration (into the nasal cavity) in extreme medicine.Discussion. The main submicron-sized polymer carriers which are promising as the basis for the creation of an intranasal form of antidotes are identified. The bioavailability of the substance delivered is dependent on the physico-chemical properties of the carrier, the conditions for its production, as well as physiological and anatomical factors. Data is presented regarding possible ways of correcting these factors in order to increase bioavailability. Examples of the use of polymer nanocarriers in the treatment of poisoning with heavy metals and rocket fuel components, as well as lesions caused by radioactive substances, are presented. It is shown that carriers (dendrimers, cyclodextrins) can act as antidotes in certain cases. The study presents a list of antidotes approved for use within the territory of the Russian Federation, for which the development of intranasal forms is possible, taking their physico-chemical and pharmacokinetic properties into account.Conclusions. Following a review of literature sources, the most promising submicron-sized polymer carriers for the intensification of intranasal delivery of drugs and antidotes are herein proposed: dendrimers, liposomes, nanocapsules, nanoparticles, and cyclodextrins. Using the list of antidotes approved for use in the Russian Federation as an example, promising drugs that can be potentially developed on the basis of these carriers are proposed.
The long time suspension trauma: a review
Authors: Camlet K. , Maciejczyk A. , Krupa K. , Kaźmierski W. , Kocur K. , Ziobro A. , Ziomek M. , Kaźmierska A. , Lis A. 
Published: December 2024

Introduction. Suspension trauma, also referred to as a harness-induced pathology or suspension syndrome, occurs when an individual is suspended motionless in a harness. Potentially fatal outcomes of such a condition consist in venous pooling, cerebral hypoperfusion, and rhabdomyolysis.Objective. To review literature sources on the key mechanisms of suspension injury and potential methods for improving the safety of people at risk.Results. This condition, recognized since the 1970s, affects individuals involved in activities requiring harness use, such as climbing and industrial work. Recent studies have emphasized the need for immediate horizontal positioning during rescue to restore blood flow and prevent complications. Proper management of hyperkalemia and rhabdomyolysis has become a crucial focus in treatment protocols. Additionally, recognition of the role of the Bezold–Jarisch reflex in cardiovascular collapse highlights the importance of comprehensive rescue strategies. Advances in harness design are also noted as significant preventive measures.Discussion. The findings indicate that while early management strategies focused on preventing sudden blood return to the heart by maintaining an upright position, more recent insights emphasize the importance of prompt horizontal repositioning. The role of neurocardiogenic factors, such as the Bezold–Jarisch reflex and the influence of rhabdomyolysis-related hyperkalemia, on outcomes has been recognized. This shift reflects an increased awareness of comprehensive rescue protocols that might mitigate risks associated with reflow syndrome and cardiovascular instability.Conclusions. The progress in understanding suspension injury has significantly improved prevention and treatment protocols. Immediate adjustment of the victim to a horizontal position, proper treatment of complications (for example, hyperkalemia), and improved design of safety systems — all play a key role in minimizing deaths. Further studies should be aimed at investigating the main pathogenetic mechanisms of suspension syndrome and development of advanced rescue methods for improving the safety of people at risk.
Lung cancer immunotherapy: Status quo, problems, and prospects
Authors: Ozerskaya Iu. V. , Yusubalieva G. M. , Zhukova О. А. , Zykov К. А. , Baklaushev V. P. 
Published: December 2024

Introduction. Lung cancer is the leading cause of cancer mortality in men and women. Due to its high prevalence and significant recurrence rate after standard therapy, the search for new methods of lung cancer treating is an urgent task. A promising treatment strategy is immunotherapy that elicit immune response against tumor cells.Objective. Evaluation of the clinical efficacy and prospects for the safe use of immunotherapy in malignant neoplasms of the pleural cavity.Discussion. The introduction of immunotherapeutic approaches, including adoptive cell therapy with tumor-infiltrating lymphocytes (TIL) or CAR-T cells, the development of neoantigen vaccines, oncolytic viruses, in combination with chemotherapy and blockade of immune checkpoints (ICP) have shown optimistic results in preclinical studies and are currently at different stages of clinical trials for safety and efficacy.Conclusions. Immunotherapy of lung cancer is a promising area of adjuvant therapy. For clinical introduction, immunotherapeutic approaches should be further investigated to increase their effectiveness and minimizing side effects by combining different therapies, improving bioengineered and cellular drugs, and reducing the cost of treatment.