bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-Term Outcomes of Cataract Surgery: Analysis of Visual Acuity and Intraocular Pressure in a Tertiary Care Center
Authors: Nursalim Ade J. , Sumual Vera , Chietra Andrew , Emily Ardelia , Rusli Richardo 
Published: October 2024

Abstract: Posterior capsule opacity (PCO) is a common complication following cataract surgery, caused by the proliferation of residual lens epithelial cells. This study aimed to evaluate the long-term effects of Nd:YAG laser capsulotomy on intraocular pressure (IOP) and visual acuity in PCO patients. This was a retrospective descriptive study. Samples were 24 patients diagnosed with PCO who underwent Nd:YAG laser capsulotomy at Prof. Dr. R. D. Kandou Hospital, Manado, from January 1, 2022, to January 1, 2024. The study recorded pre- and post-procedure IOP and best-corrected visual acuity (BCVA) data. Descriptive analysis, including paired t-tests, was used to assess changes in IOP and BCVA over an average follow-up period of 19.2 months. The results showed a statistically significant improvement in BCVA (p=0.000), with mean values improving from 0.72 to 0.27 LogMAR. A significant reduction in IOP was also observed (p=0.015), with long-term IOP remaining stable. A weak correlation was found between follow-up duration and IOP variation (p=0.02). In conclusion, Nd:YAG laser capsulotomy significantly improves visual acuity and stabilizes intraocular pressure in the long term for PCO patients, suggesting its effectiveness in managing post-cataract surgery complications.
Keywords: posterior capsule opacity; Nd:YAG laser capsulotomy; intraocular pressure; visual acuity; cataract surgery

Methods: A retrospective descriptive study was conducted on 24 patients diagnosed with PCO who underwent Nd capsulotomy at RSUP Prof Dr. R. D. Kandou Central Hospital, Manado, from January 1, 2022, to January 1, 2024. The study recorded pre- and post-procedure IOP and Best-Corrected Visual Acuity (BCVA) data. Descriptive analysis, including paired t-tests, was used to assess changes in IOP and BCVA over an average follow-up period of 19.2 months.

Results: The study revealed a statistically significant improvement in BCVA (p = 0.000), with mean values improving from 0.72 to 0.27 LogMAR. A significant reduction in IOP was also observed (p = 0.015), with long-term IOP remaining stable. A weak correlation was found between follow-up duration and IOP variation (p = 0.02).

Conclusion: Nd capsulotomy significantly improves visual acuity and stabilizes IOP in the long term for PCO patients, suggesting its effectiveness in managing post-cataract surgery complications.
The Use of English Listening Lesson Library Online as Teaching Media by Vocational High School Teacher
Authors: Indriani Yulia , Limbong Effendi , Hermagustiana Istanti 
Published: October 2024

This study delves into the features of ELLLLO ( English Listening Lesson Library) used by the vocational high school teacher, with a focus on exploring her attitudes toward it through Makhlouf & Bensafi (2021) theory. This qualitative case study utilized semi-structured interviews and observations, collecting data from a vocational high school teacher at SMKN 3 Tenggarong through purposeful sampling. There are The five features used by teacher with different method and purposes concluded from the Observations and Interview. Then, Thematic analysis was employed to analyze the data to find the teacher;’s attitude. Then, the vocational teacher’s attitude towards using ELLLO in teaching listening was both positive and negative. She could provide receptive and productive skills in one media and it was easier for her to prepare for the class. The teacher’s attitude was also supported by her students' reactions who were more motivated to learn English using ELLLO. In contrast, the teacher feels upset to the pronunciation menu which is not yet available on ELLLO. The study found that ELLLO is an application that not only provides audio recording but also a grammar spot menu and quiz inside it. It appears that it was good to bridge the students’ and teachers’ needs at SMKN 3 Tenggarong.
Destination Resources and the Growth of Cruise Tourism in Mombasa County, Kenya
Authors: Muruga Solomon , Ndubi Edgar , Kivuva Alex 
Published: October 2024

Kenya is focused on being a piece of the voyage transport circuit. Towards this end, a first voyage terminal whose development is in progress in Mombasa will be finished inside the 2018 – 2022 period. The overall study goal was to determine the relationship between destination resources and the growth of cruise tourism in Mombasa County, Kenya. Cross sectional survey research design will be used in this study. The location of the study was Mombasa County where cruise tourism has developed roots in Kenya. The study was anchored on Dwyer & Kim model on destination competitiveness and Freeman stakeholder theory. Population of the study consisted of 340 respondents drawn from managers of tourism enterprises and senior managers at Kenya Ports Authority (KPA), Kenya Tourism Board (KTB), Ministry of Tourism and Wildlife, as well as coast tourism and hospitality associations. The gathered information was analysed by use of descriptive statistics; mean, mode, median, standard deviation, tables, figures, rates and frequencies. The SPSS 28 was used to analyze the data. Plausible results of the investigation were that port's inalienable attributes, foundations, and travellers assets are just a portion of the variables deciding journey the travel industry advancement hence significant that the administrative structure that bolsters the improvement of this industry and that neighbourhood open and private organizations cultivate compelling associations with voyage lines and mastermind programs guaranteeing a satisfactory progression of journey vacationers every year. The quantitative findings revealed a significant positive relationship between destination resources and the growth of cruise tourism, supported by a high R Square value of 0.794 and a significant F value of 1099.616 (p < 0.001). In conclusion, the study revealed significant relationships between destination resources and the growth of cruise tourism in Mombasa County. To enhance cruise tourism, stakeholders should focus on optimizing destination resources. Recommendations include continuous infrastructure development, targeted marketing campaigns, and community engagement. The study contributes valuable insights for policymakers, industry players, and researchers to foster sustainable growth in Mombasa's cruise tourism sector.

Submitted

19th Jul 2024

Reviewed

29th Sep, 2024

Accepted

5th Oct 2024

Published

20th Oct 2024
A EDUCAÇÃO DE SURDOS E A ESCOLA CIDADÃ INTEGRAL NA PARAÍBA (2016 A 2023)
Authors: Souza Antonia Luana Demetrio de , De Lima Niédja Maria Ferreira 
Published: October 2024

A proposição deste artigo é apresentar uma revisão sistemática sobre a educação de surdos e a Escola Cidadã Integral, na Paraíba, no período de 2016 a 2023. O levantamento de trabalhos foi realizado a partir de dois lócus epistêmicos: as reuniões da Associação Nacional de Pesquisa em Educação (Anped) e o Catálogo de Teses e Dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). O estudo evidenciou o foco de pesquisas sobre a Escola Cidadã Integral em instituições públicas da Paraíba. Supomos que tal foco se deve porque o modelo Escola Cidadã Integral faz parte de um programa regional, o Programa das Escolas Cidadãs Integrais, específico da Paraíba, que foi criado em parceria com o Instituto de Corresponsabilidade pela Educação, no ano de 2015, tornando-se em 2018, uma política de estado, sendo ampliado para toda a Rede Estadual de Educação. Nenhum estudo abordou a ECI na escola de surdos: ECIAC, o que revela a necessidade de indicação de outros estudos, visando aprofundar essa questão. Além disso, revela que a ECI é um modelo de escola concebida para ouvintes, em sua maioria feito por ouvintes, que não é direcionado para as pessoas surdas. Mesmo diante da mudança em seu projeto político pedagógico, destacamos a importância da ECIAC, enquanto uma escola pública bilíngue para surdos, na constituição do ser surdo e na educação das pessoas surdas de Campina Grande/PB e das demais cidades circunvizinhas, resultado de um esforço coletivo e participativo de todos os segmentos da escola, que, há 40 anos, configura-se como um espaço de resistência face à mudança para o referido modelo de escola e perante às políticas que reforçam a pedagogia das competências e a padronização das escolas.
Perfil do Conhecimento Sobre Higiene Alimentar em Estudantes da Saúde
Authors: Duarte Fernanda Maria Tischner , Bottini Pietra Micena , Horvath Barbara Sackser , Ferreira Anderson Felipe , Mecabo Grazielle 
Published: October 2024

A pesquisa aborda o conhecimento sobre Doenças Transmitidas por Alimentos (DTAs) e práticas de higiene alimentar, especialmente à luz das experiências vivenciadas durante a pandemia de COVID-19. Após a autorização da universidade e aprovação do Comitê de Ética, foram entrevistados 300 participantes de cursos da área da saúde por meio de um questionário online, que explorou práticas higiênico-sanitárias e conhecimento sobre DTAs. Os resultados mostraram que 86% dos participantes eram mulheres e 84,6% tinham entre 18 e 28 anos; 16% da amostra desconhece o conceito de DTAs; 84% relataram já ter sentido sintomas sugestivos de DTA. Quando questionados sobre métodos de higienização, 44% optaram pelo uso de hipoclorito de sódio diluído em água; 58% dos participantes relataram a higienização de alimentos antes da pandemia, aumentando para 83% durante a pandemia, o que reflete uma maior conscientização sobre a importância da higiene. O estudo conclui que, apesar dos avanços no conhecimento sobre higiene alimentar, ainda há lacunas a serem abordadas. A pandemia elevou a conscientização, mas a manutenção das práticas higiênicas é vital para a segurança alimentar. Assim, a educação contínua em higiene deve ser priorizada.
EVOLUSI BANK KONVENSIONAL DALAM PERSPEKTIF TEORI PUSH PULL MOORING
Authors: Pradila Arfir , Teofilus Teofilus 
Published: October 2024

This study aims to identify differences in customer perceptions of push and pull factors in switching from conventional banking services to digital banking at Bank Mandiri Tanjung Perak Branch in Surabaya. The research methodology involves questionnaires for quantitative data collection and documentation to support the data. Analysis is conducted using the Push Pull Mooring (PPM) theory to evaluate the influence of Service Quality, Perceived Ease of Use, and Lifestyle on customers' Switching Intention. The findings indicate that for customers with less than 5 years of transaction experience, service quality and ease of use of digital services influence their intention to switch. For customers with more than 5 years of experience, service quality and ease of use have different impacts on switching intention. The t-test results show that switching intention is not significantly influenced by the duration of use (P value 0.93), but lifestyle significantly affects preference for digital services (P value 0.003). Perceived ease of use does not show a significant difference between the two groups (P value 0.716), while service quality shows a significant difference (P value 0.014). The application of these research findings to other Mandiri branches needs to consider demographics, strategy adaptation, and continuous evaluation. Bank Mandiri can optimize its services by focusing on customer retention, lifestyle, ease of user experience, and improving service quality. Understanding the interaction effects between these variables helps Bank Mandiri adapt holistic and customer-oriented strategies. Thus, Bank Mandiri can enhance its competitiveness in an increasingly dynamic market.
Xeinabot: A Spoken Intelligent Agent approach Using Hidden Markov Model with Chatbot Technology in Android Environmen
Authors: Saber Suaad , Abbas Xeina , Hamady Noor 
Published: October 2024

The present study describes the designing and its execution of xeinabot, a public domains spoken smart agent in an Android system. The primary goal of this work is to design and construct a personal agent that combines chatbot technology and statistical methods for speech search. The former uses Hidden Markove System Algorithmic procedures and the N-gram technique for Automatically Speech Recognition, while the latter relies on chatbot systems for Speech Recognizing and uses Multinomial Naïve Bays Method for classification and brute force search for matching patterns. The main objective of this strategy is to create an agent that convinces people into thinking they are speaking with a human when, in reality, they are speaking with a machine. utilizing chatbot technology to make advantage. After evaluating roughly 500 phrases on various subjects, the evaluation findings show very good results and, in the majority of circumstances, the agent behaves like a person. The success task (correct voice recognition and speech understanding) amounts to 86.6%.
Numerical solution of singular Poisson equations using sinc approximation
Authors: Al sagheer Aya Nadhim Abdul Hasan 
Published: October 2024

Abstract
In this article, we use the Sinc approximation to solve the single Poisson problem (where the first derivative or higher order does not have an exact answer on the border of the boundary). We have examined the Sinc Galerkin approximation to solve the single Poisson problem, and finally, to solve the Poisson problem, we will use the sinc collocation method and in this method, we will reach a linear system. By carefully choosing the length of the steps and the number of nodal points, we will solve this system with two methods, with the orthogonalization technique, a numerical approximation will be obtained. Its accuracy can be exponential and of order where is a transaction parameter and c are a constant independent of N. In the final part, we will give some numerical examples of single Poisson problems.
Demencia con Cuerpos de Lewy y Afasias progresivas primarias: criterios diagnósticos actuales
Authors: Ollari Juan , Berrios Waleska , Blanco Romina , Ciufia Natalia , Colli Liliana Patricia , Deschle Florencia , Fernández María Cecilia , Rubiño Valeria , Labos Edith 
Published: October 2024

El espectro de enfermedades neurodegenerativas que afectan principalmente a la cognición y el comportamiento abarca desde la enfermedad preclínica asintomática hasta el deterioro cognitivo muy leve y la demencia franca. En este artículo se procedió a la revisión de los criterios actuales para el diagnóstico de la demencia con cuerpos de Lewy, segunda causa más frecuente de demencia neurodegenerativa en personas mayores de 65 años luego de la enfermedad de Alzheimer (EA) y las afasias progresivas primarias que se distinguen por producir un compromiso temprano y aislado de las funciones lingüísticas, y en cuya evolución desarrollan un síndrome complejo caracterizado, además del compromiso del lenguaje, por la presencia de deterioro cognitivo progresivo, trastornos de conducta y compromiso de los sistemas motores. También pueden representar la forma de comienzo de una variante atípica de la enfermedad de Alzheimer (EA), no siendo raras las formas mixtas o no caracterizables.
Developing Children's Social Empathy as a Means of Preventing Bullying
Authors: Mardhiyah Ulfa Ainul , Hidayana Avita Febri 
Published: October 2024

Empathy is one of the risk factors and solutions to bullying behavior, This can be an alternative for some parties in handling bullying cases, namely by fostering social empathy by parents, communities and schools. Social empathy must be introduced and trained from early childhood including elementary school age, Considering that bullying cases occur quite a lot in the environment of elementary school-age students. This study aims to identify bullying behavior among Madrasah Ibtidaiyah students, Dealing comprehensively with the cultivation of social empathy attitudes and to know the role of family and environment in influencing the development of empathy. The strategy we use in this study is to first find the problems that exist in the institution, Then we study to be able to get solutions to existing problems. In finding and reviewing existing problems, we use qualitative descriptive methods. Based on the results of the study, there are still children who have low empathy. This happens partly because; the presence of errors in the parenting process, the influence of the community environment and peers, and because children have experienced physical and psychological violence. Therefore, from the school side, there needs to be steps that are able to increase children's social empathy
Climate Change Effects in Stock Markets
Authors: Ju Yupei 
Published: October 2024

Climate change significantly impacts global stock markets through both short-term extreme weather events and long-term climate shifts. This study examines the relationship between CO2 emissions and stock returns across 19 countries from 2001 to 2020 using regression analysis. The findings also reveal a positive correlation between CO2 emissions and stock returns, indicating that investors anticipate higher returns to offset climate-related risks. This suggests that higher CO2 emissions drive investor expectations for increased returns to compensate for potential economic losses. The study highlights the importance of balanced emission reduction strategies and promoting green finance to support sustainable economic growth. Additionally, it underscores the need to integrate climate risks into financial decision-making, offering valuable insights into the financial implications of climate change and guiding policymakers and investors in addressing these challenges. By providing empirical evidence on the link between CO2 emissions and stock returns, this research enriches existing knowledge and emphasizes the financial risks and opportunities presented by climate change. The study's results align with the carbon risk premium theory, which posits that investors demand higher returns from companies with higher carbon emissions. This study advocates for policies that balance economic growth with environmental sustainability, promoting green finance initiatives to facilitate the transition to a low-carbon economy and mitigate the adverse effects of climate change on financial markets.
COMPARING THE CLINICAL OUTCOMES OF LUMBAR TRANSFORAMINAL VS INTERLAMINAR EPIDURAL STEROID INJECTIONS IN A REGISTRY COHORT
Authors: YOUNIS W , AZIZ L , DAR SR , CHAUDHARY WA , BAKAR A , NAEEM B 
Published: October 2024

Epidural steroid injections are a safe and effective treatment for acute low back pain associated with radicular pain. Objective: The main objective of the study is to find the clinical outcomes of lumbar transforaminal vs interlaminar epidural steroid injections in a registry cohort. Methods: This prospective cohort study was carried out at Ghurki Trust Teaching Hospital, Lahore, over one year, from June 2023 to June 2024. A total of 185 patients were included in the study. Patients aged >18 years and presented with symptoms of lumbar radiculopathy due to lumbar disc herniation, spinal stenosis, or degenerative disc disease were included in the study. Results: The mean age of the TFESI group was 45.6 ± 10.3 years, while the ILESI group had a mean age of 46.2 ± 9.8 years (p = 0.67). The gender distribution was also comparable, with 55 males and 37 females in the TFESI group, and 58 males and 35 females in the ILESI group (p = 0.78). Baseline pain intensity (VAS score) and disability (ODI score) were similar between the two groups, with no significant differences in VAS (7.6 ± 1.1 vs. 7.5 ± 1.2, p = 0.58) or ODI (52.4 ± 10.2 vs. 51.9 ± 9.9, p = 0.71). In the TFESI group, 52.2% of patients had lumbar disc herniation, compared to 49.5% in the ILESI group (p = 0.69). Lumbar spinal stenosis was diagnosed in 32.6% of patients in the TFESI group and 34.4% in the ILESI group (p = 0.81). Conclusion: It is concluded that both lumbar transforaminal epidural steroid injections (TFESI) and interlaminar epidural steroid injections (ILESI) are effective in the management of lumbar radiculopathy, leading to significant reductions in pain and improvements in functional outcomes.
PERINATAL OUTCOME IN SUCCESSFUL VAGINAL BIRTH AFTER CESAREAN SECTION
Authors: HAQ W , BAWAR R , BANO S , GUL F 
Published: October 2024

Successful vaginal birth has been reported in 60%–80% of cases reported in published studies of women attempting vaginal birth after a previous Cesarean section. The recommended criteria for selecting candidates suitable for VBAC are potentially applicable in tertiary centers in developing countries, but there are many inadequacies in meeting them in our environment. VBAC avoids major abdominal surgery, lowers the women’s risk of postpartum morbidities like fever, blood transfusion, infections, and shorter hospital stay, and encourages earlier breastfeeding and better bonding between mother and neonate. Objectives: To determine the frequency of perinatal outcomes in successful vaginal birth after cesarean section (VBAC). Methods: Descriptive, case series study in the Department of Obstetrics & Gynecology, Lady Reading Hospital, Peshawar from August 2020 to February 2021. A total of 207 pregnant women with singleton pregnancy of cephalic presentation with successful vaginal birth after cesarean of gestational age 37-41 weeks were included. Patients with multiple pregnancies, ruptured uterus, placenta previa, and fetal malpresentation were excluded. After taking informed consent, all women were followed till delivery and perinatal outcome i.e. low birth weight, Apgar score<7 at 1 minute, and NICU admission was noted. Results: The age range in this study was from 18 to 40 years with a mean age of 29.32 ± 4.57 years. The majority of the patients 104 (50.24%) were between 31 to 40 years of age. The mean gestational age was 38.33 ± 1.17 weeks. The mean parity was 2.11 ± 0.82. In my study, the frequency of perinatal outcome in successful vaginal birth after the cesarean section was as follows; low birth weight in 15.94%, APGAR score<7 at 1 minute in 9.67%, and NICU admission in 14.01% neonates. Conclusion: This study concluded that the frequency of perinatal outcome in successful vaginal birth after cesarean section was as follows; low birth weight in 15.94%, APGAR score<7 at 1 minute is 9.67%, and NICU admission in 14.01% neonates.
Pengaruh Gaya Kepemimpinan Kiai Terhadap Peningkatan Motivasi Belajar dan Pemahaman Ilmu Nahwu Santri
Authors: Prayogi Muhammad 
Published: October 2024

Kiai leadership is the center of change and control for the learning conditions in the boarding school. Good leadership from a good leadership of a kiai is able to realize a good quality of education for students. The purpose of this study is to detect how the influence of the kiai's leadership style on the increase in learning motivation and understanding of kiai's leadership style on increasing the motivation to learn and understanding of nahwu knowledge of santri. This research is expected to be able to provide input for the management of the boarding school in order to can develop ways of leading that have an impact on improving the quality of education. quality of education. This type of research is quantitative, using observation and questionnaire data collection methods. questionnaire. The results of the study stated that the kiai's leadership style led to students by fostering discipline, providing motivation and giving awards it leads to the type of democratic leadership style. It leads to the type of democratic leadership style. Furthermore, it was found that the kiai's leadership style had an effect on the students' learning motivation by 0.424 with a positive sign. While the effect on students' understanding of nahwu is 0.813 with a positive sign. This means that the influence of the kiai's leadership style on these two variables can have an impact towards improvement