bluuebunny/crossref_metadata_2025_split huggingface dataset:
Studi Kinerja Karyawan: Budaya Organisasi dan Stres Kerja Melalui Kepuasan Kerja Pada PT. Perkebunan Nusantara II (Persero) Medan
Authors: Harahap Fauzi Azhari , Nasution Asrizal Efendy 
Published: June 2023

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh budaya organisasi dan stres kerja terhadap kinerja karyawan melalui kepuasan kerja. Pendekatan penelitian menggunakan pendekatan kausal. Populasi dalam penelitian ini adalah semua karyawan. Sampel dalam penelitian ini menggunakan perhitungan slovin hingga diperoleh sampel sebanyak 54 responden. Teknik pengumpulan data menggunakan observasi, wawancara dan angket. Teknik analisis data menggunakan pendekatan kuantitatif melalui analisis uji outer model, inner model, dan uji hipotesis. Dalam penelitian ini, dilakukan pengolahan data dengan menggunakan program perangkat lunak Smart-PLS (Partial Least Square). Hasil penelitian menunjukkan bahwa budaya organisasi, stres kerja, dan kepuasan kerja memiliki pengaruh signifikan terhadap kinerja karyawan secara langsung. Selain itu, budaya organisasi dan stres kerja juga memiliki pengaruh yang signifikan terhadap kepuasan kerja. Budaya organisasi dan stres kerja secara tidak langsung memiliki pengaruh yang signifikan terhadap kinerja melalui kepuasan kerja.
ANALISIS BAURAN PEMASARAN TERHADAP KEPUTUSAN PEMBELIAN PRODUK THE BENALU OCHA
Authors: Vira Andika Yanti  
Published: June 2023

Penelitian ini bertujuan untuk menganalisis bauran pemasaran terhadap perilaku konsumen the benalu ocha. Metode analisis yang di gunakan adalah regresi logistic.Produk the benalu ocha tidak asing lagi bagi masyarakat Sumbawa karena sudah menjadi kebiasaan masyarakta dengan meminum air rebusan. Dari hasil spss bahwa nilai binary logistic bahwa menerima H0 atau yang berarti riwayat keputusan pembelian tidak memberikan pengaruh parsial yang signifikan terhadap keputusan pemebelian
Seroprevalence of Hepatitis B Virus Infection among Nursing Students in Karachi
Authors: Ali Javid , Ali Mahboob , Khalilullah  , Khan Rasheed Ahmed , Nasir Abdul , Faridullah  , Khan Shahida 
Published: June 2023

OBJECTIVE
To determine the prevalence of hepatitis B virus infection among nursing students.
METHODOLOGY
We conducted a cross-sectional study in eight nursing schools (Four private and Four public) in Karachi and selected randomly 25 diploma nursing students from each school of nursing. Venous blood was obtained from nursing students and was serologically tested using the ICT (Immunochromatographic Technique) method. A questionnaire form was used to obtain data related to the socio-demographic characteristics of the participants. Data was analyzed using SPSS version 21.
RESULTS
A total of 200 student nurses participated in this research study. Out of 200 student nurses in the study, 113 (56.5 %) were male, and 87(43.5 %) were female, 82 (41 %) . 1 % of the nursing students were serologically positive for HBV.
CONCLUSION
Health care workers are at high risk of getting viral hepatitis. A program for education about occupational risk factors and regular blood screening must be implemented in all healthcare setups of Karachi to reduce the burden of HBV infection.
Educación ciudadana y educación religiosa en Chile: una mirada societal a la crisis de las instituciones
Authors: Bravo Vega Fabián 
Published: June 2023

En el siguiente artículo se reflexiona sobre las correspondencias y tensiones internas de la educación ciudadana y la educación religiosa en la crisis de las instituciones en Chile. Para ello estableceremos una relación situada en el contexto de la modernidad latinoamericana. El argumento central de este trabajo plantea que, en la actualidad, ambas áreas curriculares se encuentran condicionadas por factores estructurales (societales) que descansan en una narrativa hegemónica sobre la modernidad occidental y que imposibilitan articular tanto el ejercicio ciudadano como la experiencia religiosa desde lo individual hacia lo social. Como estrategia teórico-analítica, se utiliza la categorización de Domingues (2009), que divide la modernidad de América Latina en tres fases. Finalmente, se destacan la importancia de los procesos de individuación en las últimas décadas, décadas, el factor generacional, el concepto de postsecularización y la necesidad de recomponer la narrativa moderna occidental para una comprensión más acorde a nuestro contexto sociohistórico.
De l’investissement dans les savoirs à la certification des compétences
Authors: Balas Stéphane 
Published: June 2023

Si Pierre Caspar a pensé de manière originale et riche la formation des adultes, que nous reste-t-il de son héritage ? En 2023, la formation est confrontée à des questions inédites, en particulier au changement de repère entre durée de formation et certification qui habille d’un nouveau jour les contradictions entre champ éducatif et champ économique. Ce repère même est aujourd’hui requestionné par l’émergence de nouveaux outils de certification portés par les acteurs du numérique. Comment concilier enjeux de certification des compétences et agilité des dispositifs ?
Readiness of Medical Students for Self-Directed Learning under Competency based Medical Education – A Cross-sectional Study
Authors: Anusha G , Nagaraj Chitra , Shobhitha D. , Anil R. 
Published: June 2023

Abstract

Introduction:
National Medical Commission (NMC) has introduced Competency-Based Medical Education (CBME) for undergraduates (UG) of medical stream in India. Self-directed Learning (SDL) has become a vital part of CBME curriculum, such that NMC mentions some SDL hours can go beyond office hours if required. Therefore, assessing SDL becomes important among the UG medical students (MBBS).

Objectives:
To assess the readiness towards SDL method among the medical students under CBME curriculum and to find out the factors associated with their readiness towards SDL method.

Subjects and Methods:
It was a cross-sectional study conducted among the MBBS students under CBME curriculum studying at PESIMSR, Kuppam. All the 300 students were included with 241 participating in the study. Abridged Fisher’s 29 item SDL readiness scale was used. Data were compiled and analyzed using the SPSS (version 23.0; SPSS Inc., Chicago, IL, USA).

Results:
Among 241 students, the SDL readiness was found be below average, average and above average in 2%, 66% and 32% respectively. The above average category of SDL readiness was higher (36.07%) among the 1st CBME batch of students than compared to the 2nd batch (27.7%). SDL was found to be statistically significantly associated (P < 0.05) with age, mode of admission, parents’ involvement in the learning process, stress in life and self-confidence of the students.

Conclusion:
The readiness to undergo SDL varies from student to student. Therefore, understanding their readiness is necessary to sensitize them regarding SDL method. By this, the students can achieve the SDL-based competencies in a better way.
Decision-making in Herpes Simplex viral keratitis grafts
Authors: Natarajan Radhika , Mohan Madhuvanthi 
Published: June 2023

Background:
Keratoplasty after healed herpes simplex viral keratitis is a challenge due to problems arising preoperatively, intraoperatively, and postoperatively.

Purpose:
In this video, we describe the necessary challenges and the steps, which can be taken to prevent and manage those cases of healed herpes simplex virus (HSV) keratitis that would require a keratoplasty.

Synopsis:
The video talks about both the typical and atypical features of HSV keratitis, clinical examination, the scenarios which would require a keratoplasty, problems arising intraoperatively and how to manage them, and finally how to approach these high-risk grafts postoperatively.

Highlights:
Our video highlights the diagnosis of HSV keratitis, which cases are ready for surgery, and preoperative, intraoperative, and postoperative considerations before corneal transplantation in healed HSV keratitis. Decision-making before corneal transplant in HSV grafts can become more structured if these points are followed.

Video Link:
https://youtu.be/xMT7Ki8vuc4

Key words: HSV, keratitis, keratoplasty
Incremental innovations in operation theaters
Authors: Tagare Shivraj , Nair Megha , Venkatesh R 
Published: June 2023

Background:
The field of ophthalmology has been built upon continuous innovations. COVID-19 pandemic has been an important driving force behind many innovations in ophthalmology and other branches of medicine. Innovations in ophthalmology has been a key to surgical progress. The process of promoting innovation in surgery is imperative in the evolving practice of ophthalmology.

Purpose:
In this video we demonstrate some incremental innovations in operation theaters which help in increasing the efficiency and improving the performance of a surgeon. These innovations also provide a more comfortable environment for the patient undergoing the surgery.

Synopsis:
A few incremental innovations that are described in our video also help in preventing the spread of COVID infection during surgery. This video also showcases a few wet lab innovations that help train residents in their surgical skills.

Highlights:
Use and reuse of simple materials make it cost effective and ecofriendly. These incremental innovations help in the smooth running of operation theaters. Thus, they are small improvements in the existing setup and help in creating a smooth and error free OT flow.

Video Link:
https://youtu.be/thFLvC-XykE

Key words: Cataract surgery, COVID pandemic, innovation, operation theatre
Age-related variations in corneal stress-strain index in the Indian population
Authors: Kenia Vaishal P , Kenia Raj V , Pirdankar Onkar H , Bendre Pradnya 
Published: June 2023

Purpose:To report age-related variations in corneal stress–strain index (SSI) in healthy Indians.Methods:It was a retrospective study where healthy Indian individuals aged between 11 and 70 years who had undergone corneal biomechanics assessment using Corvis ST between January 2017 and December 2021 were enrolled. Composite corneal biomechanical parameters and corneal SSI were abstracted from Corvis ST and compared across different age groups using one-way analysis of variance (ANOVA). Also, Pearson’s correlation was used to evaluate the association between age and SSI.Results:Nine hundred and thirty-six eyes of 936 patients with ages between 11 and 77 years with mean ± SD intraocular pressure (IOP) and pachymetry of 16.52 ± 2.10 mmHg and 541.13 ± 26.39 μs, respectively. Composite corneal biomechanical parameters such as deformation amplitude ratio max at 1 mm (P< 0.001) and 2 mm (P< 0.001), biomechanically corrected IOP (P= 0.004), stiffness parameter at A1 (P< 0.001, Corvis biomechanical index (P< 0.018), and SSI (P< 0.001) were found to be significantly different as a function of age group. We noted a statistically significant positive association of SSI with age (P< 0.001), spherical equivalent refractive error (P< 0.001), and IOP (P< 0.001) and a significant negative association with anterior corneal astigmatism (P< 0.001) and Anterior chamber depth (ACD) (P< 0.001). Also, SSI was positively associated with SPA1 and bIOP, whereas negatively associated with integrated radius, max inverse radius, and Max Deformation amplitude (DA) ratio at 1 mm and 2 mm.Conclusion:We noted a positive association of corneal SSI with age in normal healthy Indian eyes. This information could be helpful for future corneal biomechanical research.
Association of sunlight exposure with visual impairment in an Indian fishing community
Authors: Puthran Shwetha V , Biswas Sayantan , Karthikeyan Siddharth K , Thomas Jyothi 
Published: June 2023

Purpose:
Indian fishermen belong to a marginalized population and are continuously exposed to extreme occupational hazards and sunlight. A high prevalence of visual impairment (VI) is reported in the coastal fishing community. We aimed to investigate the association between VI and sunlight exposure measurement (SEM).

Methods:
In this cross-sectional observational study, 270 eyes of 135 participants were enrolled from a coastal fishing village. Participants underwent a comprehensive ophthalmic examination, which included best-corrected visual acuity (BCVA), and anterior and posterior segment examination. Ocular Surface Disease Index (OSDI) and SEM questionnaire were administered to estimate the level of dry eye and ultraviolet-B (UV-B) exposure, respectively. VI was defined as presenting visual acuity worse than 6/12 (logarithm of the minimum angle of resolution [logMAR] > 0.3).

Results:
The mean age and spherical equivalent were 50.56 ± 11.72 years (range: 18–80 years) and 0.36 ± 1.68 diopters (D) (range: -7.0 to +3.0 D), respectively. Age, SEM, OSDI, fishing as an occupation, and cataract were significantly associated with higher odds of VI in univariate analysis. Refraction, gender, education level, smoking status, amblyopia, systematic, and other ocular diseases were not significantly associated with VI. In the multivariate analysis, age, SEM, and presence of cataract remained significantly associated with a higher risk for VI. The area under the receiver operating characteristic curve values for age and SEM scores demonstrate a fair index of discrimination for the detection of VI.

Conclusion:
SEM level is directly associated with a higher risk of VI among fishermen. The fishing community might benefit from regular eye examinations and awareness about the harmful effects of sunlight exposure and preventive measures.
Surgical management for treatment-resistant cases of inflammatory exudative retinal detachment: Mission impossible?
Authors: Ratra Dhanashree , Pradhana Divya , Dutta Majumder Parthopratim 
Published: June 2023

Purpose:
To report the outcome of surgical intervention for inflammatory, exudative retinal detachment (ERD).

Methods:
A retrospective analysis of eyes with ERD that underwent vitrectomy.

Results:
Twelve eyes (10 patients) with ERD, non-responsive to medical therapy, underwent vitrectomy. The mean age was 35.7 ± 17.7 years. Five eyes (42%) had Vogt–Koyanagi–Harada disease, three (25%) had presumed tuberculosis (TB), two (17%) pars planitis, and one (8%) had sympathetic ophthalmia. The mean time of vitrectomy was 6.76 ± 4.1 months after onset. Six (50%) eyes had a recurrence, two settled with medical treatment, and four underwent re-surgery. The mean follow-up was 2.7 years. At the last visit, 10 (83.3%) eyes had attached retina; the best-corrected visual acuity (BCVA) had reduced to 1.6 ± 0.7 logarithms of the minimum angle of resolution (logMAR) from 1.3 ± 0.7 at baseline.

Conclusion:
Vitrectomy in ERD can act as an adjuvant to conventional medical therapy and help maintain structural integrity. Early vitrectomy may help preserve visual function.
Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema
Authors: Bhutia Chewang U , Kaur Prempal , Singh Karamjit , Kaur Sukhraj 
Published: June 2023

Purpose:
To determine the correlation between serum inflammatory and metabolic biomarkers of patients with diabetic retinopathy (DR) and diabetic macular edema (DME).

Methods:
Serum samples were obtained from 100 diabetic patients. Patients were divided into three groups: group 1 (patients with no DR, n = 27), group 2 (DR with DME, n = 34), and group 3 (DR without DME, n = 39). Serum concentrations of C-reactive protein (CRP) and interleukin-6 (IL-6) were measured by quantitative turbidimetric immunoassay and sandwich chemiluminescence immunoassay, respectively. Metabolic parameters such as glycated hemoglobin (HbA1c), total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), serum creatinine, and blood urea were determined by automated analyzer om-360 after standardization.

Results:
The levels of IL-6 and CRP differed significantly in patients with DR and without DR (P < 0.001 and P = 0.045, respectively). We also found a positive correlation between IL-6 and CRP with the severity of DR. When DR patients with DME were compared to patients without DME, only IL-6 was observed to be significantly elevated (P < 0.001). None of the metabolic markers correlated significantly with DR and DME.

Conclusion:
Significantly raised levels of serum inflammatory biomarkers can be used to elucidate the significant role of inflammation in the pathogenesis of DR. Therefore, circulating biomarkers can serve as diagnostic and therapeutic predictors for monitoring the onset and progression of DR and DME.
The Correlation between Dose Homogeneity Index and Target Volume in Intracavitary Brachytherapy Treatment Plans of Cervical Cancer Patients
Authors: Kaur Gurpreet , Dangwal Vinod Kumar , Gaur Garima , Grover Romikant , Kang Manraj Singh , Sheetal  , Singh Simrandeep , Garg Pardeep 
Published: June 2023

Aim:
The aim is to calculate and correlate dose homogeneity index (DHI) with the target volume of intracavitary brachytherapy (ICBT) plans for cervical cancer patients.

Introduction:
In the case of brachytherapy, the dose distribution is heterogeneous as a very high radiation dose gradient is there in the vicinity of the radiation source. To assess the treatment plans, one of the objective tools is DHI which can give a choice for making a favorable plan with maximum homogeneous coverage of tumor and protects normal tissues at the same time. In this study, DHI was calculated and correlated with clinical target volume.

Materials and Methods:
Forty-five treatment plans of ICBT of cervical cancer patients were generated. DHI was calculated for all these treatment plans. These treatment plans were divided into six groups according to the volume of clinical targets, and data were analyzed to find out the correlation between DHI and clinical target volume.

Results:
The minimum, maximum, and mean values of DHI for all the treatment plans were 0.0045, 0.4998, and 0.2389, respectively. The minimum and maximum values of DHI was seen for clinical target volume of 19.99 cc and 37.32 cc, respectively. The volume of the clinical target varied from 15.41 cc to 44.32 cc, with an average value of 30.5 cc.

Discussion:
The lowest value of DHI was seen in the group having the lowest clinical target volume and the highest DHI was seen in the group having the largest clinical target volume. These observations suggest that homogeneity was worsening as the volume of tumor increases.

Conclusion:
DHI may be a good indicator to assess the quality of treatment plan during the planning.
Predictive Value of Cervical Length Measurement on Transvaginal Ultrasonography in Determination of Preterm Delivery in a Nigerian South Western Tertiary Hospital
Authors: Olaniyan Voke Regina , Akinmoladun Janet Adetinuke , Aina Ifeoluwasemilojo , Adeyinka Abiodun O 
Published: June 2023

Introduction:
There has been an upsurge in the prevalence of preterm delivery globally and short cervix has been strongly associated with it. However, studies have shown that when it is detected early in mid-second trimester, preventive measures could be taken to forestall pregnancy loss.

Materials and Methods:
This prospective cohort study was conducted among pregnant women who presented for mid-trimester anomaly ultrasound scan between 18 and 24 weeks at the University College Hospital (UCH), Ibadan. The cervical length was measured with ultrasound machine through the transvaginal route and the patients were subsequently followed up till delivery.

Results:
One hundred and seventy-seven pregnant women with an age range between 21 and 44 years were recruited for the study. The incidence rate of mid-pregnancy short cervical length among the patients was 7.9%. The preterm delivery rate was 14.1%, and the association between it and short cervical length was statistically significant. The positive predictive value for preterm delivery when the <2.5 cm cervical length cut-off was used was 44%, the negative predictive value was 97.3%.

Conclusion:
The incidence of preterm delivery due to ultrasonographically detected short cervical length was significant among the women attending antenatal clinic in UCH, and there was a significant association with some of the risk factors such as previous preterm delivery and previous preterm premature rupture of membranes.
Tuổi mãn kinh trung bình và một số yếu tố liên quan ở phụ nữ mãn kinh đến khám tại Bệnh viện Phụ sản - Nhi Đà Nẵng
Authors: Nguyễn Đình Phương Thảo , Mai Thị Hiền , Lư Thị Thu Huyền 
Published: June 2023

Đặt vấn đề: Mãn kinh là một giai đoạn tự nhiên của tiến trình lão hoá, đánh dấu sự chấm dứt chức năng hoạt động của buồng trứng. Với tuổi thọ trung bình của phụ nữ ngày càng tăng, tuổi thọ trung bình hiện nay là 80 tuổi và tuổi mãn kinh trung bình là 51.
Mục tiêu: Xác định tuổi mãn kinh trung bình và tìm hiểu một số yếu tố liên quan đến tuổi mãn kinh ở phụ nữ mãn kinh đến khám tại Bệnh viện Phụ sản - Nhi Đà Nẵng.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 369 phụ nữ đã mãn kinh tự nhiên đến khám tại khoa Khám Sản của Bệnh viện Phụ sản - Nhi Đà Nẵng trong thời gian từ tháng 12 năm 2020 đến tháng 3 năm 2023. Nghiên cứu được tiến hành thông qua bộ câu hỏi phỏng vấn dành cho mỗi đối tượng nghiên cứu nhằm xác định tuổi mãn kinh trung bình và tìm hiểu một số yếu tố liên quan đến tuổi mãn kinh.
Kết quả: Tuổi mãn kinh trung bình là 49,95 ± 3,34. Phụ nữ làm nghề nội trợ có tuổi mãn kinh trung bình thấp hơn phụ nữ làm nghề khác. Phụ nữ có tình trạng kinh tế thuộc hộ cận nghèo và nghèo có tuổi mãn kinh trung bình thấp nhất. Phụ nữ có trình độ học vấn từ trung học phổ thông trở lên có tuổi mãn kinh muộn.
Kết luận: Tuổi mãn kinh trung bình là 49,95 ± 3,34. Có mối liên quan giữa nghề nghiệp, tình trạng kinh tế và trình độ học vấn với tuổi mãn kinh tự nhiên trung bình.
Kết quả dự phòng sinh non bằng vòng nâng cổ tử cung ở thai phụ mang đơn thai từ 14 - 32 tuần
Authors: Nguyễn Tuyết Trinh , Cao Ngọc Thành 
Published: June 2023

Mục tiêu: Sinh non là nguyên nhân tử vong hàng đầu ở trẻ sơ sinh và là một trong các mối quan tâm hàng đầu của các nhà sản khoa và nhi khoa vì để lại nhiều di chứng và biến chứng. Sử dụng vòng nâng Pessary để điều trị cổ tử cung ngắn được đề xuất lần đầu vào cuối những năm 1950 và đầu những năm 1960. Nhằm đánh giá kết quả dự phòng sinh non bằng vòng nâng cổ tử cung, chúng tôi tiến hành đề tài nghiên cứu với mục tiêu: (1) Khảo sát một số đặc điểm lâm sàng và cận lâm sàng các thai phụ có chỉ định đặt vòng nâng cổ tử cung. (2) Đánh giá hiệu quả của đặt vòng nâng và kết quả kết thúc thai kỳ.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang với 69 thai phụ được chỉ định đặt vòng nâng cổ tử cung tại Khoa Phụ sản, Bệnh viện Trường Đại học Y - Dược Huế và Khoa Phụ sản, Bệnh viện Trung ương Huế. Thời gian thu thập số liệu từ tháng 6/2020 đến 6/2022.
Kết quả: Tỷ lệ các thai phụ được đặt vòng nâng cổ tử cung không có triệu chứng lâm sàng chiếm 72,5%. 88,4% các trường hợp không có tác dụng không mong muốn sau đặt vòng, tăng tiết dịch âm đạo là tác dụng không mong muốn thường gặp nhất chiếm 7,2%. Tuổi thai trung bình khi sinh sau đặt vòng là 36,2 ± 4,3 tuần. Cân nặng trẻ khi sinh trung bình là 2531,9 ± 825,2 gr. Tiếp xúc với thuốc lá và biến đổi lỗ trong cổ tử cung, là các yếu tố được xác định có liên quan đến sinh trước 37 tuần với aOR lần lượt là aOR = 9,07 (95%CI: 1,69 - 48,55; p = 0,010), aOR = 15,13 (95%CI: 2,95 - 77,61; p = 0,001).
Kết luận: Vòng nâng cổ tử cung là phương pháp hiệu quả trong dự phòng sinh non, ít xâm lấn, tỷ lệ biến chứng thấp.