bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Chilled Saline Irrigation on SMILE Surgery
Authors: Li Yingli , Shen Yuan , Wang Yilin , Li Xue , Zhao Pengyue , Fu Min , Li Weili 
Published: April 2023

Purpose:
To investigate the effect of ultra-early visual correction and prognosis of myopic astigmatism after irrigation with the chilled balanced salt solution (BSS) during small incision lenticule extraction (SMILE) surgery.

Methods:
A prospective case-control study was enrolled from 202 patients (404 eyes) who had SMILE, and randomly divided into an intervention group and a control group (each group was 101 cases [202 eyes]). After lenticule extraction on SMILE, the corneal cap and the corneal incision were flushed with chilled saline in the intervention group, whereas the control group was flushed with room temperature saline. All patients in the two groups were examined for early complications before and 2 hours, 24 hours, and 7 days after surgery and the results were compared, and statistically analyzed, including the recovery degree of naked eye vision, ocular irritation symptoms, opaque bubble layer, diffuse lamellar keratitis (DLK), uncorrected distance visual acuity (UDVA), and corrected distance visual acuity.

Results:

The ocular irritation symptoms in the intervention group were milder than those in the control group at 2 hours after surgery, and the recovery of visual acuity at 2 and 24 hours after surgery was significantly faster than that in the control group, but there was no statistical difference in UDVA between the two groups at 7 days after surgery (
P
> .05). The incidence of DLK in the intervention group was lower than that in the control group, and the difference was significant (
P
= .041).

Conclusions:
Chilled BSS irrigation can reduce the emergency response of corneal tissue after SMILE, relieve ocular irritation, promote vision recovery, and relatively reduce incidence of early complications.

[
J Refract Surg
. 2023;39(4):282–287.]
Implementasi Tata Naskah Dinas Pada Kantor Kementerian Agama Kota Batam
Authors: S.H. Istiqomah 
Published: April 2023

Dalam suatu instansi pemerintahan tidak terlepas dengan kegiatan penciptaan arsip sesuai dengan pelaksanaan fungsi, tugas, dan tanggung jawabnya yang meliputi kegiatan pembuatan arsip dan penerimaan arsip sebagaimana disebutkan dalam Pasal 32 ayat (1) Peraturan Pemerintah Nomor 28 Tahun 2012 tentang Pelaksanaan Undang-Undang Nomor 43 Tahun 2009 tentang Kearsipan. Selanjutnya dalam ayat (2) disebutkan bahwa pembuatan dan penerimaan arsip sebagaimana dimaksud pada ayat (1) dilaksanakan berdasarkan tata naskah dinas, klasifikasi arsip, serta sistem klasifikasi keamanan dan akses arsip. Agar tercipta keseragaman dalam pembuatan arsip terutama naskah dinas, maka Kementerian Agama Republik Indonesia dalam hal ini sebagai instansi vertikal dari Kantor Kementerian Agama telah mengeluarkan kebijakan yaitu Keputusan Menteri Agama Nomor 9 Tahun 2016 tentang Pedoman Tata Naskah Dinas Pada Kementerian Agama. Penelitian ini bertujuan untuk menilai kesesuaian antara tata naskah dinas dalam pembuatan surat dinas yang diimplementasikan di lingkungan Kantor Kementerian Agama Kota Batam dan faktor-faktor yang mempengaruhinya. Adapun unit kerja yang menjadi sumber dalam penelitian ini adalah Unit Kantor Kementerian Agama per satuan kerja, unit kerja Kantor Urusan Agama Kecamatan, dan unit kerja Madrasah Negeri di lingkungan Kantor Kementerian Agama Kota Batam. Penelitian ini menggunakan metode deskriptif dan cara memperoleh data adalah dengan observasi dan dokumentasi. Pengujian validitas data dalam penelitian ini menggunakan triangulasi. Hasil yang diperoleh menunjukkan bahwa implementasi tata naskah dinas yang meliputi kelengkapan bagian surat, kode jabatan dan penomoran, bentuk dan format surat dinas, dan kewenangan penandatanganan surat belum semua unit kerja di lingkungan Kantor Kementerian Agama sesuai dengan KMA Nomor 9 Tahun 2016. Beberapa faktor yang mempengaruhi ketidaksesuaian implementasi tata naskah dinas tersebut antara lain kode jabatan dan klasifikasi arsip, kompetensi pegawai, pengawasan dan evaluasi, komitmen pimpinan, dan kebiasaan.
Arsip sebagai Simpul Pemersatu Bangsa
Authors: Utomo Djoko 
Published: April 2023

This paper tried to see archives in the context of life of a society, country, and nation. Based on the discussion, it can be concluded that archives play important roles in societies, countries, and nations. In fact, archives bind and tie the unity of the nation. It is a reality that cannot be denied. Truly, it is apposite with ANRI vision “functioning archives to bond the unity of the nation”. The purpose of this paper is to grow and bring up the passion toward our motherland, to raise unity among youngsters, and to put up the excitement that we are all brothers and sisters in one nation which nowadays that kind of feeling is getting lessen owingto the influence of the globalization.
Perancangan Aplikasi Pengolahan Data Nilai Siswa Berbasis Website
Authors: Widiatry Widiatry , Cordias Gebri Meizeri 
Published: April 2023

Education is very important for the future of Indonesia's young generation today. In order to give birth to a better Indonesian golden generation, teaching staff must have a benchmark of student values in the development of student values and activeness which is commonly called a report card. The lack of application of technology as a medium for managing report cards for teachers is still considered ineffective and also inefficient in terms of time. Besides that, there are many problems regarding the difficulty of parents to check report cards because they have very busy activities and busyness in work matters besides that teachers need special time to meet and discuss in preparing report cards so we need a system that can be accessed anywhere and anytime.
Report cards are one of the important documents for students. So it is necessary to be careful when storing it. Filling out a report card is also a troublesome thing for teachers. The teacher must fill in the lesson values as many students as there are in his class. Of course it is not efficient. Then a website-based report card value processing information system was created called E-Raport or Electronic Reportport. This system was developed using Sublime Text software, PHP, XAMPP, and MySQL database. This system is expected to make it easier for teachers to fill in value data and students in checking and storing report cards.
Toplumdaki Genç Yetişkinlerin Obeziteye Yaklaş ımının Değerlendirilmesine Yönelik Niteliksel Bir Çalışma
Authors: ATAOĞLU Beyza Nur , ÖNDER KUTLU Ceren , ACINIKLI Mehmet , YILDIRIM Muhammed , BÜYÜKYILMAZ Zeynep , HIDIROĞLU Seyhan , KARAVUŞ Melda 
Published: April 2023

Amaç: Bu araştırmayla genç yetişkinlerin obeziteye ve olası stigmaya ilişkin
bilgi, tutum ve yaklaşımlarının derinlemesine görüşmeler ile niteliksel olarak ortaya
konması amaçlanmıştır.
Yöntem: Araştırmada yarı-yapılandırılmış soru rehberi ile derinlemesine görüşme
yöntemi uygulanmıştır. Araştırmaya sağlık çalışanı olmayan genç yetişkinler
(18-35 yaş) gönüllülük esasıyla dahil edilmiştir. Görüşmeler Mayıs 2021’de
çevrimiçi olarak gerçekleştirilmiştir. Toplam 10 katılımcıyla görüşme yapılmıştır.
Yapılan görüşmelerin transkriptlerinin tamamlanmasının ardından görüşmeleri
yapan araştırmacılar tarafından Atlas.ti programı ile fenomenolojik analiz yapılarak
kod listesi oluşturulmuş, elde edilen kodlara göre ana temalar ve alt temalar
oluşturulmuştur.
Bulgular: Araştırmaya katılanların beşi erkek beşi kadın olup yaş ortalaması
32,9’dur. Katılımcıların yarısından fazlası obezitenin tanımına ilişkin gerçeğe
yakın bilgiye sahipti. Katılımcıların yarısı obez bireylerin arkadaşlık ilişkilerinin
obezitesinden etkilenmediğini ancak çoğunluğu romantik ilişkilerinin etkilendiğini
düşünmekteydi. Katılımcıların çoğunluğu obez bireylerde özgüven eksikliği
olduğunu düşünmekteydi. Katılımcıların neredeyse tamamı obez bireylerin fiziksel
güç gerektiren işlerde zorlanacağını ve neredeyse yarısı obez bireylere masabaşı
bir iş vereceklerini söylemiştir. Çoğunluk obezitenin hiçbir avantajının olmadığını
yalnızca bir katılımcı askere gitmemenin, bir katılımcı cinsel tacizi önlemenin ve
bir katılımcı çocuklukta heybetli durmanın avantaj olabileceği görüşündeydi. Katılımcılar,
ailenin bireyleri sağlıksız beslenmeye yönlendirmesinin yanında toplumun
yemek kültürünün de obezite gelişiminde etkisi olduğunu ifade etmişlerdir.
Katılımcıların çoğunluğu obez erkeklerin daha az stigmatize edildiğini, kadınların
ise bir kalıba sokulmaya çalışıldığını belirtmiştir. Obeziteye yönelik stigmatizasyonun
aşılması için katılımcıların yarısından fazlası toplumun eğitimi ve bilinçlendirilmesi
gerektiğini belirtmiştir.
Sonuçar ve Öneriler: Obez bireylerin eğitim ve çalışma hayatında diğer herkesle
eşit fırsatlara ulaşabilmesi önemlidir. Eğitim kurumlarının ve medyanın desteği
ile obezite farkındalığı arttırılarak stigmanın önüne geçilebilir.
Yaşlı Cerrahi Hastaları ve Kırılganlık Sendromu
Authors: ÖZŞAKER Esma 
Published: April 2023

Günümüzde yaşlı nüfusun artmasına paralel olarak yaşlı popülasyonda cerrahi
prosedürlerin oranı giderek artmaktadır. Yaşlı sayısındaki artışa paralel olarak
kırılganlık oranlarının da artış göstereceği ve ameliyat için başvuran kırılgan hasta
sayısının da artacağı beklenmektedir. Kırılganlık, birden fazla organ sisteminde
fizyolojik rezerv ve işlevdeki azalmadan kaynaklanan artan bir savunmasızlık durumudur.
Kırılgan bireyin stres faktörlerine dayanma yeteneği bozulur. Olumsuz
sağlık olayları ve ameliyat sonrası kötü sonuçlarla ilişkisi nedeniyle kırılganlık
cerrahide önemli bir konudur. Cerrahi süreç yaşlı hastaların çoğunda ameliyat
sonrası komplikasyonlara ve iyileşme durumlarında bozulmaya neden olurken,
kırılgan yaşlı hastalarda bu durum daha da önemlidir. Bu nedenle, ameliyat öncesi
dönemde hasta merkezli ve multidisipliner bir yaklaşımla kapsamlı bir geriatrik
değerlendirme yapılması önerilir. Ayrıca diğer bir önemli konuda, kırılganlığın erken
evrede tespit edildiğinde tersine çevrilebilen bir durum olmasıdır. Bu nedenle,
hemşirelerin ve diğer sağlık çalışanlarının kırılgan veya kırılganlık öncesi yaşlıyı
tespit etmeleri ve bu konuya yönelik önlemler almaları oldukça önemlidir. Kırılganlığın
tespitinde güvenilirliği kanıtlanmış birçok tarama testi, değerlendirme ve
ölçümler kullanılır. Bu derlemede, kırılganlık, risk faktörleri, özellikleri, değerlendirme
yöntemleri, cerrahi süreçte kırılganlığın etkileri ve kırılgan bireylerin yönetimine
ilişkin önerilere yer verilmiştir.
Yaşlı Bakımı ve Çocuk Gelişimi Önlisans Öğrencilerinin Etik Duyarlılık ve Akademik Öz Yeterlilik Düzeylerinin Belirlenmesi
Authors: ŞİMŞEKLİ BAKIRHAN Derya , ÇİFTÇİ Kader 
Published: April 2023

Amaç: Bu araştırmanın amacı Yaşlı Bakımı ve Çocuk Gelişimi ön lisans öğrencilerinin
etik duyarlılık ve akademik öz-yeterlilik düzeylerinin belirlenmesidir.
Yöntem: Araştırma Mart-Nisan 2022 tarihleri arasında tanımlayıcı ilişki arayıcı
tipte yürütüldü. Araştırmanın örneklemini Ardahan Üniversitesi Sağlık Hizmetleri
Meslek Yüksekokulu’na kayıtlı ve araştırmaya katılmayı gönüllü olarak kabul
eden 158 Yaşlı Bakımı ve Çocuk Gelişimi bölümü öğrencisi oluşturdu. Araştırma
‘’Öğrenci Tanıtım Formu’’, ‘’Ahlaki Duyarlılık Ölçeği (ADÖ)’’ ve ‘’Akademik
Öz-yeterlilik Ölçeği (AÖÖ)’’ ile çevirim içi anket yoluyla toplandı. Verilerin analizinde
SPSS paket programı kullanıldı. Verilerin değerlendirilmesinde sayı, yüzde,
ortalama ve korelasyon analizi yapıldı.
Bulgular: ADÖ genel ortalaması 59,85±30,52; otonomi, yarar sağlama, bütüncül
yaklaşım, uygulama ve oryantasyon alt boyutu ortalamaları ise sırasıyla
13,06±7,25; 8,54±4,92; 8,48±4,86; 7,90±4,79; 8,56±4,96 ve 6,86±4,37’di. AÖÖ genel
puanı 55,64±29,65; akademik sorunla baş etme, çaba ve planlama puanı ise sırasıyla
32,41±17,58; 11,69±6,52 ve 11,54±6,09’idi. Yaşlı Bakımı ve Çocuk Gelişimi
öğrencilerinin ADÖ, AÖÖ ve alt grubu puanları arasında anlamlı bir fark yoktur
(p
Aspek Hukum Keimigrasian Terhadap Orang Asing Yang Berada Di Indonesia
Authors: Sahetapy Tita Jolanda Anggraini , Peilouw Johanis Steny Franco , Hanafi Irma Halimah 
Published: April 2023

Introduction: Immigration is a matter of regulating the traffic of people entering or leaving the Territory of the Republic of Indonesia and its supervision in the context of maintaining state sovereignty.Purposes of the Research: Review and analyze the Regulations of Law Number 6 of 2011 concerning Immigration regarding the supervision of Foreigners in Indonesia.Methods of the Research: Scientific writing is carried out using research methods, with normative juridical research types, problem approaches using case approaches and law approaches, primary, secondary and tertiary sources of legal materials and techniques for collecting and managing legal materials using library research by searching and reviewing books. related to solving the problem in this writing.Results of the Research: Foreigners who enter illegally into the territory of the State of Indonesia are foreigners who enter without going through the inspection of immigration officials and without being accompanied by valid and still valid travel documents, this is a development burden for the government in solving these problems. This can be seen and studied in the Immigration Act by looking at the arrangements for the supervision of foreigners and the imposition of sanctions on immigration crimes committed. Immigration in carrying out its duties and authorities must be more assertive in handling and providing sanctions to foreigners who commit immigration violations and crimes in accordance with Law No. in giving sanctions to someone who commits an immigration crime.
The Neuroscience of Emotion Elicitation by Music
Authors: Kotireddy Vybhavi , Basrai Soraya , Tran Natalie , Tamdjo Ashley , Krehbiel Dwight 
Published: April 2023

At the intersection of music and neuroscience, the auditory system plays a critical role in human responses. Initial reception of music stimuli is followed by auditory processing, allowing people to perceive, interpret, analyze, and understand these sounds. This article will review the main stages in this sensory reception and processing of music in the nervous system and how they result in emotional responses. To aid in understanding the processing of music, the article briefly addresses the origins of music and its role in human history. Of particular interest are the aesthetic emotions – the feelings that arise as one evaluates the beauty, novelty, expressiveness, etc. of the music as one listens. We also consider whether the processing of these emotions in the brain leads to the experience of pleasure and reward in a fashion similar to that of basic survival-related behaviors such as eating and drinking. Finally, we consider brain disorders affecting the perception, evaluation, and emotional response to music.
Survey on the Influence of Living Environment Factors on Diagnosis of Idiopathic Pulmonary Fibrosis in Foshan
Authors: Huang Yadan , Liu Zhenpeng 
Published: April 2023

Purpose of the study: (a) investigate the relationship between the time and diagnosis of IPF and its influencing factors, (b) provide information from patients' real-life diagnostic experiences for the development of more rational diagnostic pathways and the introduction of more treatment options and technologies, and (c) improve the publics’ awareness of IPF and promote the prevention of IPF.
Methods of investigation: A questionnaire was designed to survey 37 patients with IPF in January 2022, including general information questionnaires and age, sex, time for diagnosis, etc. Ridge regression analysis was used to explore the factors influencing the length and difficulty of IPF diagnosis. In addition, 11 respiratory physicians were interviewed by online interview about the difficulty of IPF diagnosis, treatment options, and patient prognosis.
Results: The stress caused by the lack of formal diagnosis (B=0.617, p<0.001), the high cost of the diagnosis process (B=0.509, p<0.001), and the number of misdiagnoses or missed diagnoses (B=0.177, p<0.005) were significantly related to the length and difficulty of the IPF diagnosis (p<0.05).
Conclusions: The findings highlight the need for new appropriate, convenient, and economical diagnostic procedures to be developed and designed. Simultaneously, professionals should strengthen the dissemination of disease understanding among the susceptible population, improve understanding and attention to the patients' condition, and conduct more lectures on the basics of avoiding IPF to strengthen the knowledge, which can effectively improve the mental quality of the susceptible population, in conjunction with the advice given by the doctors in the interviews.
The Effect Of Safety Climate On Safety Behavior With Safety Motivation As An Intervening Variable On Contractor Workers In Pt X
Authors: Darius Tandiabang, Syamsiar S. Russeng, Lalu Muhammad Saleh  
Published: April 2023

Safety climate in the workplace and safety behavior of workers are concerned in order to assess what factors are the causes of safe action on workers. The purpose of this study was to analyze the effect of safety climate on safety behavior with safety motivation as an intervening variable in contractor workers at PT X. This type of research is analytical observational with a cross sectional design. The questionnaire was given to 380 respondents. The data were analyzed using path analysis to see the direct and indirect influence of safety climate on safety behavior. Result research shows, as many as 361 respondents (95%) with good safety climate, 367 respondents (96.9%) with good safety motivation, and as many as 348 respondents (91%) with good safety behavior. From the results of the path analysis, it was found that there was no direct influence of safety climate on safety behavior on contractor workers at PT X (p value >0.05). However, indirectly safety climate affects safety behavior through safety motivation (p value = 0.001). It is recommended to workers to continue to increase safety motivation so as to create safe and safe work behaviors.
Emergency Obstetric Complications During Labour And Delivery Among Mothers Attending Maternity Teaching Hospital /Erbil City/ Iraq. A Cross-Sectional Study
Authors: Mryam Yaseen Yaseen  
Published: April 2023

Background: Every year, over half a million women continue to lose their lives during pregnancy, childbirth and postpartum. Although, pregnancy and childbirth are a normal process Pregnancy can sometimes present life-threatening health problems for a mother and her baby. These problems are called obstetric emergencies. An obstetric emergency may arise at any time during pregnancy, labor and birth. This study aimed to determine the emergency obstetric complications which occurred during labor and delivery, and evaluate their associations with socio-demographic, obstetrical characteristics and fetal complications.
Methods: A descriptive cross-sectional study was conducted on 200 women who attended the delivery room of Maternity Teaching Hospital. The tool that used was an examiners-made questionnaire, containing 3 parts: demographic characteristics, obstetrical history, and emergency obstetrical complications which occurred during labor and delivery. The data were analyzed through frequency, percentage and Chi-Square test using the SPSS statistical program.
Results: Mean age of respondents was 30.15 years. We have found that the 39% of cases developed complication. Among the complications, most common problems: high blood pressure, postdated delivery, bleeding before delivery, difficult labor, premature rupture of membranes and prolonged labor respectively.
Conclusions: The burden of emergency obstetric complications during labor and delivery is high. Efforts should be made at both the community and hospital levels to increase awareness regarding emergency obstetrical problems and reduce its associated morbidity and mortality.
Analytical method validation of pooled TSH reagent in clinical biochemistry laboratory
Authors: Yadav Anurag , Reddy Ramlinga , S. S. Avinash , M. Malathi , Manaswini Yadav Anmol , Kumar L. G. Yadav Nanda 
Published: April 2023

Introduction and Aim: In today's world, laboratories are a crucial aspect of health-care services, and the biochemistry section contributes the most testing parameters. To our knowledge, this is the first attempt to verify and validate a pooled TSH reagent kit. The present study is aimed to pool and validate the pooled TSH reagent kit for testing and compare its performance with the intact manufactured supplied reagent kit.

Materials and Methods: Performed in a medium-sized biochemistry laboratory with a daily sample load of 1000-1200. Before disposal, the TSH reagent with the available dead-volume was pooled in a new kit. We gathered three used TSH reagent kits from the same lot series and pooled the dead-volume to generate one functioning reagent. Before assessing the analytical performance of pooled TSH reagent, this was placed onto the instrument, calibrated, and Quality control ran. The CLIA procedure for testing method specification was used to evaluate the reagent's performance, which included accuracy, precision, measurement range, reference range, recovery, interference, and method comparison.

Results: With a high degree of analytical precision, the obtained reference range was within the manufacturer's range (r2=0.99). Precision was comparable with the manufacturer claim; inter-assay variation (1.90% CV), Intra-assay variation (1.50% CV) and overall (1.33% CV). AMR found to be as true as established by the manufacturer - 0.005-100 µIU/mL. Internal quality control performance; level 2 & level 3 variations of 1.58% and 1.20% respectively.

Conclusion: A pooled TSH reagent was precise, accurate as compared to the manufacturer Reagent kit. This will reduce the number of the reagent procurement by the laboratory with documented high kit utility rate (Kit efficiency Index) ranging between 90-100%.
Ung thư biểu mô tế bào vảy phát triển trong trung thất: Những khó khăn trong xác định nguồn gốc khối u và chẩn đoán - báo cáo trường hợp lâm sàng
Authors: Công Cung Văn 
Published: April 2023

Chẩn đoán phân biệt các khối u trung thất cơ bản dựa trên giải phẫu và nguồn gốc của chúng. Trong phân loại của Tổ chức Y tế Thế giới (WHO) năm 2015, cập nhật 2021 các u trung thất được được chia thành 3 nhóm: Trung thất trước; trung thất giữa và trung thất sau. Về nguồn gốc các u trung thất qui nạp thành 3 nhóm lớn: (1) U tuyến ức (Tumours of the thymus); (2) U tế bào mầm trung thất (Germ cell tumours of the mediastinum) và (3) Các loại u lympho hệ tạo huyết (Haematolymphoid tumours of the mediastinum). Vị trí xuất hiện u thuộc các nhóm có thể chuyên biệt hoặc đan xen (ví dụ: U tuyến ức thường chỉ thấy ở trung thất trước; u tế bào mầm có thể xuất hiện ở nhiều vị trí). Biểu mô vảy là thành phần mô học bao phủ bề mặt ở rất nhiều cơ quan khác nhau trong cơ thể. Do vậy, ung thư biểu mô tế bào vảy (Squamous cell carcinomas - SCC) cũng có thể xuất hiện ở rất nhiều nơi, song SCC nguyên phát trong trung thất là rất hiếm. Trong phân loại u trung thất của WHO, SCC biểu hiện duy nhất trong phân loại ung thư biểu mô tuyến ức (Thymic carcinoma). Chúng tôi giới thiệu trường hợp bệnh khá đặc biệt với khối u SCC nằm trong trung thất giữa, chẩn đoán xác định gặp nhiều khó khăn. Bệnh nhân được phẫu thuật nội soi sinh thiết u, được chẩn đoán xác định SCC bằng mô bệnh học (MBH) và hoá mô miễn dịch (HMMD) song nguồn gốc u còn nhiều tranh luận. Ý kiến hội chẩn cho rằng u có thể xuất phát từ tế bào trung biểu mô lá thành màng phổi trung thất, bị dị sản vảy, cuối cùng trở thành SCC và có thể coi đây là trường hợp SCC nguyên phát của màng phổi (Primary Squamous Cell Carcinoma of Pleura - PSCCP), một trường hợp vô cùng hiếm gặp. Chúng tôi rất mong nhận được phản hồi từ các thầy cô, quý đồng nghiệp sau báo cáo ca bệnh này.