bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Correlation Between Eye Strain on Visual Acuity with Refractive Error Among Children
Authors: Soundari Kannan Uma , Bhuvaneswari G , Perdita A. Helen. M. 
Published: February 2025

ABSTRACT

Background:
Visual impairment is a significant public health problem. Computer use by children especially school-aged children is growing rapidly. In these decades, therefore, extensive viewing of the computer screen can lead to eye discomfort, fatigue, blurred vision and headaches, dry eyes, and other symptoms of eyestrain. But nowadays, in this hazardous situation, visual impairment in children has negative impacts on socio-emotional competence and academic development. Uncorrected refractive error is the leading cause of vision loss.

Materials and Methods:
A true experimental study that met the inclusion criteria was randomly allocated into the study group (n = 85) and the control group (n = 85) sociodemographic variable and eye health variable assessed by structured questionnaire. Convergence insufficiency symptom survey assessed.

Results:
The experimental group exhibited a significant reduction in eye strain level and refractive error with improvement in visual acuity. In the post-test, the experimental group showed complete to moderate recovery compared to the control group. It showed the significance difference where P < 0.001. Pearson correlation analysis was used for refractive error between the groups. Refractive error was reduced − 0.5 diopters in each participants. There is a significant change in the experimental group considered as a P value < 0.001 statistically significant, respectively. In contrast, the control group had no significant improvement in visual acuity reduction in refractive error.

Conclusion:
This finding concludes that the children were having eye strain, which impacts the visual acuity could be incorporated with sociodemographic variables and eye health variables with convergence insufficiency symptoms among participants.
Determinants of Non-Communicable Diseases among Urban Low-Income Populations
Authors: Rawal Shridhar 
Published: February 2025

ABSTRACT

Background:
Non-communicable diseases (NCDs), including cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases, have emerged as significant health challenges among urban low-income populations.

Materials and Methods:
A cross-sectional study was conducted among 500 adults residing in urban low-income areas across three metropolitan cities. Data were collected through structured interviews and health screenings. Key variables assessed included dietary patterns, physical activity levels, smoking habits, alcohol consumption, body mass index (BMI), and blood pressure measurements. Statistical analysis was performed using logistic regression to determine the association between lifestyle factors and the presence of NCDs, with adjustments made for confounding factors such as age, gender, and education level.

Results:
Of the 500 participants, 47% were diagnosed with at least one NCD. A significant association was observed between a high BMI and the likelihood of developing NCDs (OR = 2.1, 95% CI: 1.4–3.1, P < 0.01). Poor dietary habits, particularly a high intake of processed foods, were prevalent in 62% of participants and were strongly correlated with NCD prevalence (OR = 1.8, 95% CI: 1.2–2.5, P < 0.05). Physical inactivity was reported by 55% of participants, further correlating with increased NCD risk (OR = 1.5, 95% CI: 1.0–2.2, P = 0.03). Smoking and alcohol consumption were also identified as significant risk factors.

Conclusion:
Interventions focusing on improving access to affordable healthy foods, promoting physical activity, and providing smoking and alcohol cessation support could play a crucial role in reducing NCD prevalence in these communities.
A New Approach to Haemodialysis: Nurse-Led Dual Intervention Eases AV-Fistula Puncture Pain and Discomfort
Authors: Jayaraman Divya Bharathi , Ethiraj Theranirajan , Rajendran Shankar Shanmugam , Anandhi Duraikannu , Elangovan Venba , Ramalingam Deepika , Ahamed Shabana 
Published: February 2025

ABSTRACT

Background:
Chronic kidney disease (CKD) affects approximately 10% of the global population and often progresses to end-stage renal disease, necessitating hemodialysis. Arteriovenous (AV) fistula puncture is a routine yet painful procedure, highlighting the need for effective pain management strategies.

Objective:
This study aimed to evaluate the effectiveness of a Nurse-Led Dual Intervention, combining cryotherapy and virtual reality, in reducing pain and discomfort during AV fistula puncture among hemodialysis patients.

Methods:
A randomized controlled trial was conducted with 60 hemodialysis patients assigned to either an experimental or control group. Pain and discomfort were assessed using McGill’s Pain Rating Scale and Borg’s Perceived Discomfort Rating Scale. The intervention involved the simultaneous application of cryotherapy and virtual reality distraction during AV fistula puncture, while the control group received standard care.

Results:
Post-intervention analysis demonstrated a 43.62% reduction in symptom scores in the experimental group compared to a 2.80% reduction in the control group. Significant decreases in pain intensity and discomfort scores were observed in the experimental group. Additionally, statistical analysis revealed meaningful associations between socio-demographic variables and pain management outcomes.

Conclusion:
The findings suggest that integrating non-pharmacological interventions, such as cryotherapy and virtual reality, can significantly improve patient comfort and quality of life during hemodialysis. Future research should explore the broader clinical applications of this dual intervention for pain management in various healthcare settings..
Effectiveness of Psychosocial Intervention on Psychological Well-Being and Quality of Life Among Women with Infertility
Authors: Rajamoorthy Geetha , Ethiraj Theranirajan , Rajendran Shankar Shanmugam , Kumar Venkatesh Madhan , Marudan Anbalagan , Lakshmanan Jayalakshmi , Marianathan Albeenasiril 
Published: February 2025

ABSTRACT

Background:
Infertility is a significant medical condition characterized by the inability to conceive after one year of regular, unprotected intercourse. It has profound psychological implications, affecting overall well-being and quality of life in affected women. Psychosocial interventions have been explored as potential strategies to improve psychological well-being and life satisfaction in this population.

Objective:
This study aimed to assess the effectiveness of psychosocial interventions in enhancing psychological well-being and quality of life among women experiencing infertility.

Methods:
A quasi-experimental pretest–posttest control group design was employed. A total of 120 participants were selected using a convenient sampling method. Data were collected using a sociodemographic scale, the Ryff Psychological Well-Being Scale, and the Fertility Quality of Life (FertiQoL) questionnaire. The intervention involved structured psychosocial support sessions, and pre- and post-intervention data were analyzed using descriptive and inferential statistics.

Results:
The results demonstrated a significant improvement in psychological well-being and quality of life post-intervention. The mean difference in psychological well-being scores was 25.39 (P = 0.01), while the mean difference in quality of life scores was 26.45 (P = 0.001), indicating a statistically significant positive effect.

Conclusion:
Psychosocial interventions play a crucial role in improving the psychological well-being and quality of life of women facing infertility. These findings suggest the need for integrating psychosocial support into infertility treatment programs to enhance overall patient outcomes.
Efficacy of Educational Intervention on Parental Expertise Regarding Prevention of Hypovitaminosis of Retinol (Vitamin A) and Vision Impairment Among Mothers of Preschool Children
Authors: Subbaiya Saranya , Ethiraj Theranirajan , Rajendran Shankar Shanmugam , Narayanasamy Vanitha , Periyasamy Umamaheswari , Selvaraj Felcy Emalda Mariya , Arumuga Sumathi 
Published: February 2025

ABSTRACT

Background:
Vitamin A deficiency (VAD) is a leading cause of childhood blindness in developing countries, contributing significantly to morbidity and mortality from common early-life illnesses, even at sub-clinical levels. The need for effective interventions to address VAD is critical, especially in communities where awareness is low.

Objective:
This study aimed to assess the impact of a community-based educational intervention on improving maternal knowledge about vitamin A and its role in preventing childhood blindness and related health issues.

Methods:
The study was conducted in Choolai, Chennai, during March and April 2024, over four weeks. A total of 100 mothers of preschool children were enrolled, with equal numbers assigned to an experimental group (receiving community-based educational intervention) and a control group (receiving standard treatment). Data was collected using a semi-structured questionnaire and the PRASHAT vision disability checklist. Statistical analysis was performed using SPSS version 22.

Results:
The pre-test scores for both groups were similar. However, post-intervention, the experimental group showed a significant improvement in knowledge, with coherence scores increasing from 13.90 to 23.54, compared to minimal improvements in the control group. Demographic factors, such as age, education, and occupation, were significantly correlated with the improvement in the experimental group.

Conclusion:
The study demonstrated that community-based educational interventions significantly enhance maternal knowledge about vitamin A, thereby reducing the risk of vitamin A deficiency and improving vision health among preschool children. These findings highlight the importance of such interventions in preventing hypervitaminosis and promoting optimal child health.
Comparison between Intratympanic Triamcinolone and Dexamethasone in the Management of Idiopathic Sudden Sensorineural Hearing Loss
Authors: Thejas Saai Ram , Prashanth Nampally , Deepthi Bathula 
Published: February 2025

Introduction:
Idiopathic sudden sensorineural hearing loss (ISSNHL) is a clinical entity characterized by an abrupt onset of hearing impairment, typically defined as a decrease of at least 30 dB across three contiguous frequencies in a Pure Tone Audiometry (PTA), occurring within a 72-hour period without an identifiable cause. This condition is a significant medical concern due to its unpredictable nature and potential for profound impact on communication, social interactions, and overall quality of life. Both Triamcinolone & Dexamethasone are synthetic glucocorticoids known for their potent anti-inflammatory properties, making it suitable for addressing the inflammatory components thought to contribute to cochlear damage in ISSNHL.

Materials and Methods:
Forty patients presenting to the Department of Otorhinolaryngology with Idiopathic Sudden Sensorineural Hearing loss confirmed by PTA were taken in the study on a strict inclusion and exclusion basis. Odd patients were grouped into Group A who received 20 mg Triamcinolone and even patients into Group B who received 4 mg Dexamethasone (both intra-tympanic). PTA was repeated after the standard course of treatment i.e. after 5 doses of therapy (one every third day) at the end of 15 days.

Observations and Results:
In Group A, the average hearing in the 20 patients before treatment was 51.45 dBHz which improved to 31.65 dBHz after treatment, thereby indicating a 38.49% improvement. In other words, hearing improved by 19.81 dB. In Group B, the average hearing in the 20 patients before treatment was 51.14 dBHz which improved to 30.98 dBHz after treatment, thereby indicating a 39.42% improvement. In other words, hearing improved by 20.16 dB. Discussion: ISSNHL is a medical emergency and the treatment has to be started at the earliest to recover hearing. Once intra-tympanic therapy has been started for ISSNHL, the other modalities are often not required. Triamcinolone and Dexamethasone both work efficiently in improving the hearing which is evidenced by an improvement of 20 dB in both groups.

Conclusion:
Triamcinolone and Dexamethasone are both inexpensive and provide similar results with almost no side effects. There is no statistical significance between both groups. The choice of the drug to be used for treatment can thus be left to either the surgeon or the patient.
A Case of Organophosphate Poisoning Diagnosed as Achondroplasia with Severe Calcified Aortic Stenosis
Authors: Sakhamuri Srikanth , Arora Aakash , Sirohi TR 
Published: February 2025

Achondroplasia is a genetic disorder characterized by abnormal bone growth, leading to disproportionate short stature. It is the most common form of dwarfism, with an incidence of approximately 1 in 15,000–40,000 live births. Etiology and Genetics: Achondroplasia is caused by mutations in the FGFR3 gene, which encodes the fibroblast growth factor receptor 3. This gene mutation is autosomal dominant, meaning only one copy of the altered gene is sufficient to cause the disorder. Most cases (about 80%) result from de novo mutations, where there is no family history of the condition. Pathophysiology: The FGFR3 mutation leads to an abnormality in the development and maintenance of bone and brain tissue. FGFR3 normally regulates bone growth by limiting the formation of bone from cartilage, especially in the long bones. The mutation causes this regulation to go awry, resulting in the characteristic shortened limbs and other skeletal abnormalities. Clinical Features: Individuals with achondroplasia have a distinctive appearance marked by:

Disproportionately short stature, with an average adult height of around 4 feetShort arms and legs, particularly the upper arms and thighsLarge head size with a prominent forehead (frontal bossing)Midface hypoplasia with a flattened nasal bridgeSpinal abnormalities, including lordosis and kyphosis.

Additional complications can include ear infections, sleep apnea, obesity, and spinal stenosis, which can cause pain and neurologic symptoms. Diagnosis is primarily clinical and based on characteristic physical features. Genetic testing can confirm the presence of FGFR3 mutations. Prenatal diagnosis is possible through ultrasound and genetic testing if there is a known risk. A 52-year-old male patient from Meerut city, Uttar Pradesh, presented to Lokpriya hospital with a history of ingestion of organophosphate (op) compound with vomiting, salivation, and shortness of breath for 1 day; clinical findings were suggestive of op poisoning and managed conservatively. Routine blood investigations and workup were done and were within normal range. The patient was short statured with height – 104 cm, arm span – 145 cm, weight of the patient – 42 kg; anteroposterior diameter of the chest – 12 cm, and transverse diameter of the chest – 18 cm; b/l chest expansion was reduced; clinically, diagnosis was made of achondroplasia. Radiological imaging (chest X-ray) was done which showed cardiomegaly, in both domes, and on examination, an incidental murmur was detected in the aortic area which was radiating to the right carotid suggestive of valvular heart disease; to confirm it, two-dimensional echo was done which revealed severe calcific aortic stenosis. This case highlights the importance of early diagnosis and multidisciplinary care in managing achondroplasia. With appropriate medical support, individuals with achondroplasia can lead healthy, productive lives. Ongoing research into targeted therapies may offer new treatment options in the future.
فاعلية اختلاف نمط الاختبارات المحوسبة في تنمية مهارات حل المسائل الحسابية والتفكير التأملي لدى طلاب المرحلة المتوسطة في المدينة المنورة
Authors: زهدي أيمن محمد 
Published: February 2025

تناولت الدراسة الحالية تأثير فاعلية اختلاف أنماط الاختبارات المحوسبة في تنمية مهارات حل المسائل الحسابية والتفكير التأملي في مقرر الرياضيات على عينة قوامها (60) طالب من طلاب المرحلة المتوسطة في المدينة المنورة، وقسمت العينة بالتساوي إلى مجموعتين تجريبيتين، تم تطبيق النمط الأول للاختبارات المحوسبة في حل المسائل الحسابية باستخدام الوسائط التعليمية اللفظية مع الصورة والصوت على المجموعة التجريبية الأولى، وتطبيق النمط الثاني للاختبارات المحوسبة في حل المسائل الحسابية باستخدام الوسائط التعليمية اللفظية مع الصورة على المجموعة الثانية. واستخدم الباحث المنهج شبة التجريبي، وحلل البيانات باستخدام اختبارات دلالة الفروق بين المجموعات المستقلة والمجموعات المرتبطة، وكشفت الدراسة عن مجموعة من النتائج من أهمها وجود فروق ذات دلالة إحصائية بين متوسطي درجات مجموعتي الدراسة وفقا لاختلاف نمط الاختبارات المحوسبة في الدرجة الكلية لمقياس مهارات التفكير التأملي ومعظم المهارات الفرعية في التطبيق البعدي لصالح المجموعة الثانية، وكذلك وجود فروق ذات دلالة إحصائية بين متوسطي درجات المجموعة الأولى في التطبيقين القبلي والبعدي في مهارة التحليل لصالح التطبيق البعدي، وعند المجموعة الثانية في مهارات التطبيق والتحليل والتقييم لصالح التطبيق البعدي.
فاعلية استخدام المقررات الإلكترونية المفتوحة واسعة الانتشار في تنمية التقييم الإلكتروني لدى طلبة الدراسات العليا بجامعة الملك عبد العزيز
Authors: عزب نوف , الحربي حنين , مهدلي دعاء 
Published: February 2025

هدفت هذه الدراسة إلى الكشف عن فاعلية استخدام المقررات الإلكترونية واسعة الانتشار MOOCs في تنمية الجانب المعرفي للتقييم الإلكتروني لدى طلبة قسم تقنيات التعليم بجامعة الملك عبدالعزيز بجدة ضمن الأبعاد التالية: (أنواع التقييم الإلكتروني – أساليب التقييم الإلكتروني) ولتحقيق هدف الدراسة تم استخدام المنهج الإجرائي بالتصميم شبه التجريبي ذو القياس القبلي والبعدي لمجموعة الواحدة مع عينة تم اختيارها بشكل عشوائي شملت عدد (33) طالب وطالبة بقسم تقنيات التعليم بجامعة الملك عبد العزيز خلال الفصل الدراسي الثاني للعام الجامعي 1444-1445هـ. تمثلت أداة الدراسة في اختبار التحصيل المعرفي للتقييم الإلكتروني، وبعد التحقق من خصائصها السايكومترية كصدقها وثباتها على الطلاب والطالبات، تم جمع البيانات ثم تحليلها باستخدام الإحصاء الاستدلالي. اسفرت النتائج عن وجد فروق ذات دلالة إحصائية عند مستوى دلالة (0.05 ) بين متوسطي درجات القياسين (القبلي والبعدي) لاختبار التحصيل المعرفي للتقييم الإلكتروني في بُعدي (أنواع التقييم الإلكتروني - أساليب التقييم الإلكتروني) لصالح التطبيق البعدي، يعزى ذلك إلى فاعلية استخدام المقررات الإلكترونية MOOCs ، واختتمت الدراسة ببعض التوصيات منها ضرورة الاستفادة من المقررات الإلكترونية واسعة الانتشار في التعليم الجامعي لتنمية المعارف والمهارات لدى طلبة الدراسات العليا بصفة عامة وطلبة قسم تقنيات التعليم بصفة خاصة.
Tinjauan Hubungan Budaya Organisasi dengan Penyalahgunaan Kekuasaaan
Authors: Raihan Chaerani Putri Budiman  
Published: February 2025

Penyalahgunaan kekuasaan adalah suatu bentuk dari penyalahgunaan wewenang. Wewenang yang seharusnya digunakan sebagai alat untuk menjalankan tugas, telah disalahartikan sebagai kekuasaan pribadi Padahal kewenangan yang diberikan dimaksudkan untuk mencapai tujuan suatu organisasi . Hubungan budaya organisasi dengan penyalahgunaan kekuasaan atau abuse of power.menjadi fokus penelitian ini. Metode yang digunakan dalam penelitian ini adalah studi pustaka dengan serangkaian kegiatan pengumpulan data yakni membaca , mencatat serta mengolah bahan penulisan Hasil penelitian menunjukkan bahwa terdapat faktor budaya organisasi yang positif dan negatif yang dapat berupa sikap kepemimpinan dan orientasi pada tugas dan target tertentu. Budaya organisasi negatif yang tidak menekankan nilai-nilai etis dan transparansi menciptakan ruang bagi perilaku yang tidak bertanggung jawab dan manipulatif terjadi penyalahgunaan kekuasaan dengan melawan etika. Untuk mencegah penyalahgunaan kekuasaan, organisasi perlu membangun dan mempertahankan budaya yang sehat dan etis dengan menerapkan nilai-nilai integritas, transparansi, dan akuntabilitas dalam setiap aspek yaitu menetapkan prosedur pelaporan yang jelas, memberikan perlindungan bagi pelapor dan memastikan bahwa kekuasaan tidak terkonsentrasi pada beberapa individu
Determinan Keputusan Berbelanja Online Pada Produk Cardinal Dimediasi oleh Variety Seeking
Authors: Hartono Drajat , Wulandari Iswahyuni , Fridatien Ericke , Wahdi Nirsetyo , Santoso Aprih 
Published: February 2025

Manusia saat ini menjadikan fashion sebagai gaya hidup bahkan kebutuhan mereka. Teknologi yang terus berkembang menyebabkan industri fashion mampu menjangkau konsumen dari beragam wilayah dan strata sosial. Riset ini bertujuan untuk menganalisis pengaruh harga, promosi serta kualitas produk terhadap keputusan pembelian online produk cardinal dimediasi veriety seeking. Riset ini menggunakan metode kuantitatif dengan analisis regresi. Pada riset ini, penulis memakai data primer dan pengambilan sampel menerapkan metode purposive sampling sehingga diperoleh jumlah sampel pada riset ini sebanyak 75 responden. Riset ini dianalisis dengan Partial Least Square (PLS). Hasil analisis data diperoleh bahwa harga dan promosi memiliki pengaruh signifikan terhadap keputusan berbelanja online. Sedangkan, kualitas produk tidak memiliki pengaruh signifikan terhadap keputusan berbelanja online produk Cardinal. Variety seeking mampu memediasi pengaruh harga, namun tidak mampu memediasi pengaruh promosi dan kualitas produk terhadap keputusan berbelanja online pada produk Cardinal. Peneliti masa depan yang akan menyelidiki isu-isu terkait dapat menggunakan temuan penelitian ini sebagai panduan. Studi ini juga dapat digunakan sebagai data penilaian untuk membantu pengelola bisnis lebih fokus pada kualitas produk dan promosi untuk memfasilitasi kampanye pemasaran dengan audiens yang lebih besar dan meningkatkan niat membeli konsumen..Kata Kunci: Harga, Promosi, Kualitas Produk, Variety Seeking
PENGARUH BEBAN KERJA DAN STRES KERJA TERHADAP KINERJA PEGAWAI DENGAN KOMITMEN ORGANISASI SEBAGAI VARIABEL INTERVENING PADA BPPKAD KABUPATEN REMBANG
Authors: Nurhidayati Anik , Wifiq Muhammad 
Published: February 2025

Tujuan dari penelitian pengaruh beban kerja, stres kerja terhadap kinerja melalui komitmen organisasi di BPPKAD Kabupaten Rembang ini untuk membuktikan pengaruh beban kerja, stres kerja terhadap kinerja pegawai melalui komitmen organisasi di BPPKAD Kabupaten Rembang. Penelitian ini diharapkan diharapkan dapat dijadikan masukan bagi pengembangan dalam bidang sumber daya manusia, yang berkaitan dengan beban kerja, stres kerja, kinerja pegawai dan komitmen organisasi sebagi variabel intervening. Hasil penelitian dan pembahasan; beban kerja berpengaruh positif tidak signifikan terhadap kinerja pada pegawai BPPKAD Kabupaten Rembang; stres kerja berpengaruh negatif tidak signifikan terhadap kinerja pegawai pada BPPKAD Kabupaten Rembang; beban kerja berpengaruh positif tidak signifikan terhadap kinerja pegawai malalui komitmen organisasi pada BPPKAD Kabupaten Rembang; stres kerja berpengaruh negatif tidak signifikan terhadap kinerja pegawai malalui komitmen organisasi pada BPPKAD Kabupaten RembangKata kunci: beban kerja, stres kerja, komitemen dan kinerja