Clear Vision Research Articles

Leadership Model in the Management of Public Service Agency State University

The aim of this research is to describe the leadership model in managing the Public Service Agency and the factors that hinder and support leadership in the management of the Public Service Agency at Universitas Negeri Manado (Unima). This research uses a descriptive qualitative approach, in the form of research with a case study method or approach (Case Study) with 5 research subjects. The research results show that the leadership model used in managing the status of Public Service Agency State Universities is the Mapalus leadership model. The name Mapalus is used based on similarities with Unima's vision, namely Superior and Innovative Unima based on Mapalus. The mapalus leadership model is a leadership approach that prioritizes collaboration, open communication, and synergy between leaders and team members. In this model, leaders not only command from above, but also work together with team members to achieve common goals. Leaders with this leadership model build strong relationships with team members, understand their needs and potential, empower them to achieve optimal performance, and encourage active participation in decision making and create a positive and inclusive work environment. Factors that hinder leadership in managing the Public Service Agency at Unima include resistance of team members and staff to change, lack of understanding of the implications of change, uncertainty regarding changes in status, lack of support from stakeholders, resistance to existing organizational culture and lack of resources or facilities. adequate. On the other hand, factors that support leadership include open and effective communication, understanding a clear vision, involving team members and stakeholders in planning and implementation, organizational culture that supports collaboration and innovation, developing new leadership skills through training and collaboration, ensuring decisions and actions reflecting stakeholder expectations and needs, support from internal and external parties, evaluating the impact of policies and decisions through collecting feedback and analyzing performance data, effective communication in overcoming resistance to change and constructive conflict management.

Evaluation of the Educaplus website and its influence on education

This study aimed to evaluate and determine if the Educaplus website contributes to the learning of mathematics in primary school students. The methodology consisted of a pretest to know the initial status of the teachers who made up the study sample and their skills and perceptions about the use of digital tools in mathematics. Then, training in Educaplus was applied as a complementary tool for mathematics training, and then a final evaluation to determine the teachers' receptivity to the incorporation of new methodologies in teaching. The research design allowed us to observe that the teachers' initial lack of knowledge prevented them from having a clear vision of the use of computer applications for mathematics. However, the training managed to change the panorama in the teaching community and improve perceptions.

Phosphorylation of chitin and chitosan: A review on its significance and various synthesis routes

Over the past few decades, chitin and chitosan, value-added biopolymers obtained majorly from seafood wastes, have been extensively evaluated and utilized for their application in plenty of domains such as biomedical, pharmaceutical, agricultural, food processing industries, fuel cells, wastewater curing, and flame retardants. A vast number of physical, chemical, and enzymatic approaches have been followed to improve the biological activities, biocompatibility, and physicochemical properties of chitin and chitosan. Among the innumerable modifications, this article focuses primarily on the importance of phosphorylation, as it intensifies not only water solubility but also tissue regeneration, flame retardation, ionic conductivity, metal chelation, and drug-carrying abilities. Furthermore, the aim of this review is to thoroughly assess various techniques that involve the use of phosphorylating agents such as phosphoric acid, phosphorus acid, phosphorus oxychloride, phosphorus pentoxide, and the grafting method to synthesize phosphorylated derivatives of chitin and chitosan, so that a clear vision can be provided to the reader aimed at choosing a best-fit method for phosphorylation.

How Community-Based Health and Social Care Professionals Support Unpaid Caregivers: Experiences From One Health Authority in Ontario, Canada.

In Ontario, Canada, rising rates of caregiver distress have been the 'canary in the coal mine' for a health system out of balance with the needs of an ageing population. Community-based health and social care professionals are well placed to play an important role in the caregiver support process; however, a gap has remained in the understanding of if and how caregiver support strategies are operationalized or experienced by community service providers (CSPs). The goal of this study was to describe how CSPs interpreted policy and how those interpretations may enable their work in supporting unpaid caregivers. Using a qualitative constructionist design, we interviewed 24 participants and reviewed 92 publicly available documents. Braun and Clarke's method of thematic analysis was used for analysis strategy. Four overarching themes were identified: (1) community care as a priority, (2) sidewalk accountability, (3) creative care planning through partnerships, and (4) challenges to care delivery. We found that the importance of caregivers to the health system was reflected in organizational policy and strategy. There is an opportunity to improve health outcome for caregivers and the population alike through strong leadership and a clear shared vision. Our findings also suggested that social capital was a significant factor in enabling providers in their work, leveraging long-standing relationships, and accumulated local knowledge to implement highly creative care plans.

The Leadership Role of The School Principal in Developing School Culture

This research aims to explore the leadership role of school principals in developing school culture as well as inhibiting and supporting factors in efforts to achieve effective schools. This research is qualitative research with a literature approach. Data was collected from various relevant journals. The research data that has been collected, analyzed through text study using content analysis techniques. The research results show that the principal's leadership has an important role in developing school culture. Some of the principal's leadership roles include; The principal's role as a person, educator, manager, administrator, supervisor, leader, creator of a conducive work climate, innovator and motivator. Apart from that, there are supporting and inhibiting factors in developing school culture. Supporting factors consist of a clear school vision and mission; Harmonious relations between school members; School curriculum; An active, conducive and enjoyable learning process really supports cultural development. Inhibiting factors consist of the negative personality of teachers and students; Lack of Funding Sources; Lack of Learning Facilities and Infrastructure; Lack of habit of caring about cleanliness and loving one's health. The conclusion of this research emphasizes the important role of school principals in developing school culture, and suggests school principals strive to reduce inhibiting factors and increase supporting factors in developing school culture.

The influence of leadership and financial performance on business sustainability in microfinance institutions

Microfinance institutions (MFIs) play a pivotal role in empowering marginalized communities by providing them with crucial financial services. The sustainability of these institutions is essential to ensure a sustained positive impact on the lives of the underserved. To explore the factors influencing MFI sustainability, this study conducts a systematic literature review of relevant articles published between 2015 and 2023, focusing on the roles of leadership and financial performance. The findings of the study reveal a compelling positive correlation between effective leadership and financial performance with MFI sustainability. A strong and visionary leadership within MFIs is found to foster a robust organizational culture, articulate a clear vision, motivate employees, and effectively manage risks. These leadership qualities, in turn, contribute significantly to improved financial outcomes for the institution. Conversely, the study highlights the integral role of strong financial performance in ensuring MFI sustainability. A well-performing financial structure not only instills trust among customers but also facilitates business growth and secures vital profits. These financial strengths are crucial pillars that fortify the overall sustainability of MFIs, enabling them to continue their mission of empowering marginalized communities. In conclusion, this study underscores the critical interplay between leadership and financial performance in driving MFI sustainability. The recommendations derived from the findings emphasize the importance of investing in leadership development within MFIs and implementing robust financial practices.

Architects of change: female Islamic school leaders in Australia & New Zealand

ABSTRACT This interpretive study centers the marginalized voices of female Islamic school leaders in Australia and New Zealand. Sharing perspectives on their experiences leading Islamic schools situated in evolving, heterogeneous communities – facing male dominance both within their communities and beyond, in the larger society – these women revealed that their work involves sophisticated conceptual reconciliation as part of nuanced leadership at multiple social levels. Semi-structured interview data enabled the construction of three themes whereby the school leaders described centering student development, balancing the demands of school boards, parents, and wider Muslim communities, and emphasizing intercultural communication with the indigenous Aboriginal and Maori and Western secular-dominant communities. The study echoes extant literature on challenges that Muslim women in leadership face, but it also builds upon that literature in illuminating some unique strengths. With a clear vision of both the challenges and the goals – including to nurture girl students toward leadership of mixed societies – these leaders described drawing from Islamic frameworks of values toward leading Muslim contributions to mainstream society.

ANALYSIS OF THE APPLICATION OF MALCOLM BALDRIGE CRITERIA (MBCFPE) TO BUSINESS ACTORS IN INDONESIA

This research explores the challenges and opportunities for Micro, Small and Medium Enterprises (MSMEs) in Indonesia, focusing on the implementation of the Malcolm Baldrige Criteria for Performance Excellence. Although the MSME sector in Indonesia is very large, limited capital, access to technology, and market reach hinder their competitiveness against larger companies. Along with that, the proliferation of online media adds complexity to the business landscape, demanding rapid adaptation. Strategic human resource management is emerging as a critical factor for long-term organizational development. The research uses the Malcolm Baldrige Award as a benchmark for performance appraisal, which includes leadership, strategic planning, customer focus, measurement and analysis, workforce focus, process management, and results. The study sampled six businesses, revealing the varying impact of these criteria on their performance. Key findings highlight the key role of leadership and customer-focus in influencing MSME outcomes, while other criteria show mixed and sometimes less significant effects. Full implementation challenges include a lack of a clear vision-mission statement, lack of organizational structure, and limited emphasis on product innovation. The research concludes with recommendations for MSMEs in Indonesia, emphasizing the importance of developing a clear vision, improving organizational structure, and increasing focus on innovation. These findings provide deep insight into the dynamics of MSMEs and offer strategic direction to navigate Indonesia's evolving business landscape.

Lens and solution properties in patients with and without midday fogging.

Midday fogging is a complication of scleral lens (SL) wear that interrupts clear vision during the course of wear. SLs can be made with a variety of gas permeable materials, sizes and surface treatments, and various solutions are available for storing the lenses and for filling them before application on the eye. Many of these factors have been implicated as possible contributors to midday fogging. This study explored the lens and solution properties in habitual SL wearers with and without midday fogging. In this prospective study, 48 habitual SL wearers were evaluated and asked to report whether they experienced midday fogging and if they removed their lenses during the day. They completed the Ocular Surface Disease Index (OSDI), which is a validated tool for dry eye assessment. Lens parameters (material, coatings and diameter) and lens storage and filling solutions were documented. Backward elimination of regression terms evaluated the lens and solution properties in those with and without fogging. OSDI scores were compared using the Mann-Whitney analysis. Collectively, the lens properties and solutions accounted for 27.7% of the variance related to midday fogging. None of the factors alone hada significant impact upon midday fogging. The median (interquartile range) OSDI score for those with fogging [37 (35)] was significantly different from those without fogging [10 (15)], with the scores corresponding to severe dry eye and normal eyes, respectively. SL wearers with midday fogging exhibited similar symptoms to patients with severe dry eye. Lens and solution characteristics may play a small role in patients with midday fogging, although changing just a single factor is not likely to impact its presence.

A Case for Hope in a Warming World

It is difficult to feel hopeful in a rapidly warming world. But hope is not just a feeling. It is an active verb, one that calls for courage, solidarity, a clear vision, and hard work. First, knowing that each fraction of a degree counts, humanity is called not to despair but to use every technology and means, technologies we already have. Second, we can be encouraged by a vision of a new world and society that works for everyone. Third, we can be heartened by nature’s resilience and an evolutionary theology that looks toward the future.

The Role and Responsibilities of Academic Leaders in Effectuating Quality, Impact, and Excellence by Innovation in Higher Education

<p>Innovation is critical for higher education in the 21st century. It can improve teaching and learning, increase research quality and impact, solve social problems, and bring more funding and collaboration. It can also boost the happiness and creativity of staff and students, who can follow their interests, try new things, and work with different people. But innovation is not simple. It requires a positive and supportive culture, a clear and shared vision, a strong and effective leadership, and a regular and systematic evaluation. This seeks to review the existing research on innovation in higher education, analyze and discuss how academic leaders can encourage and enable innovation in higher education, and to further provide some helpful and evidence-based suggestions for academic leaders and practitioners who want to innovate in higher education.</p>

Investigating the role of smart technologies, financial, and environmental innovations in tackling the ecological sustainability: a global pathway toward low carbon energy transition.

Since the beginning of the twenty-first century, the rapid development of modern technologies has brought unprecedented social prosperity to mankind as technologies penetrate every sector of the economy. These technologies have given a new dimension to the energy sector. The key purpose of this study is to investigate the crucial impact of technological revolutions, namely, smart grids, smart devices, financial innovations, and environmental innovations, on greenhouse gas emissions (GHGs). To this end, the study utilized data from European, Asian, Middle Eastern, and African countries and employed first- and second-generation methods, such as DOLS, FMOLS, and CS-ARDL models. The research shows that smart grids are the only factor in reducing GHGs, regardless of geographic division. Hence, linking smart grid resources to climate change goals requires short-term deployment strategies with a clear long-term vision and the fundamental goal of transforming the power structure into a net zero-emission system. The study also demonstrates that the emergence of ICT in electricity consumption has not yet reached a level that can promote environmental excellence. The study documented the critical role of financial innovation and environmental innovation in addressing environmental degradation.

The association between lifelines diet score (LLDS) with depression and quality of life in Iranian adolescent girls

BackgroundIt has been proposed that a greater degree of adherence to a healthy dietary pattern is associated with a lower risk of depression and a poor quality of life (QoL). The Lifelines diet score (LLDS) is a new, evidence-base scoring system to define the quality of diet. We designed a cross-sectional study to investigate the association between LLDS with depression and QoL in Iranian adolescent girls.MethodsA total of 733 female adolescents were recruited from Mashhad and Sabzevar cities, Iran. Depression and QoL were assessed utilizing the Beck Depression Inventory (BDI) and SF-12v2 questionnaires, respectively. The LLDS was defined by dividing intakes of 12 food groups with negative or positive health effects into quintiles ranging 12 to 60 points. To explore the association between LLDS with QoL and depression, logistic regression was used in crude and adjusted models.ResultsThe prevalence of depression and poor QoL was 24% and 49%, respectively. After adjusting for confounding factors, adolescent girls in the highest quartile of LLDS compared with the participants in the lowest quartile had a 42% lower probability of reporting depressive symptoms (OR: 0.58; 95% CI: 0.35–0.97, P = 0.03). In addition, the participants in the highest quartile of LLDS had lower odds of poor QoL compared with the subjects in the lowest quartile (OR: 0.65; 95% CI: 0.42–0.92, P = 0.04).ConclusionsThere is an inverse relationship between LLDS with risk of depression and poor QoL. Prospective and interventional investigations are needed to reach a clear vision.

Asymmetric imaging through engineered Janus particle obscurants using a Monte Carlo approach for highly asymmetric scattering media

The advancement of imaging systems has significantly ameliorated various technologies, including Intelligence Surveillance Reconnaissance Systems and Guidance Systems, by enhancing target detection, recognition, identification, positioning, and tracking capabilities. These systems can be countered by deploying obscurants like smoke, dust, or fog to hinder visibility and communication. However, these counter-systems affect the visibility of both sides of the cloud. In this sense, this manuscript introduces a new concept of a smoke cloud composed of engineered Janus particles to conceal the target image on one side while providing clear vision from the other. The proposed method exploits the unique scattering properties of Janus particles, which selectively interact with photons from different directions to open up the possibility of asymmetric imaging. This approach employs a model that combines a genetic algorithm with Discrete Dipole Approximation to optimize the Janus particles' geometrical parameters for the desired scattering properties. Moreover, we propose a Monte Carlo-based approach to calculate the image formed as photons pass through the cloud, considering highly asymmetric particles, such as Janus particles. The effectiveness of the cloud in disguising a target is evaluated by calculating the Probability of Detection (PD) and the Probability of Identification (PID) based on the constructed image. The optimized Janus particles can produce a cloud where it is possible to identify a target more than 50% of the time from one side (PID > 50%) while the target is not detected more than 50% of the time from the other side (PD < 50%). The results demonstrate that the Janus particle-engineered smoke enables asymmetric imaging with simultaneous concealment from one side and clear visualization from the other. This research opens intriguing possibilities for modern obscurant design and imaging systems through highly asymmetric and inhomogeneous particles besides target detection and identification capabilities in challenging environments.

Integrated care system leadership: a rapid realist review

PurposeGiven the complex nature of integrated care systems (ICSs), the geographical spread and the large number of organisations involved in partnership delivery, the importance of leadership cannot be overstated. This paper aims to present novel findings from a rapid realist review of ICS leadership in England. The overall review question was: how does leadership in ICSs work, for whom and in what circumstances?Design/methodology/approachDevelopment of initial programme theories and associated context–mechanism–outcome configurations (CMOCs) were supported by the theory-gleaning activities of a review of ICS strategies and guidance documents, a scoping review of the literature and interviews with key informants. A refined programme theory was then developed by testing these CMOCs against empirical data published in academic literature. Following screening and testing, six CMOCs were extracted from 18 documents. The study design, conduct and reporting were informed by the Realist And Metanarrative Evidence Syntheses: Evolving Standards (RAMESES) training materials (Wong et al., 2013).FindingsThe review informed four programme theories explaining that leadership in ICSs works when ICS leaders hold themselves and others to account for improving population health, a sense of purpose is fostered through a clear vision, partners across the system are engaged in problem ownership and relationships are built at all levels of the system.Research limitations/implicationsDespite being a rigorous and comprehensive investigation, stakeholder input was limited to one ICS, potentially restricting insights from varied geographical contexts. In addition, the recent establishment of ICSs meant limited literature availability, with few empirical studies conducted. Although this emphasises the importance and originality of the research, this scarcity posed challenges in extracting and applying certain programme theory elements, particularly context.Originality/valueThis review will be of relevance to academics and health-care leaders within ICSs in England, offering critical insights into ICS leadership, integrating diverse evidence to develop new evidence-based recommendations, filling a gap in the current literature and informing leadership practice and health-care systems.

Hybrid Contact Lenses in Children: a Case Series

Introduction : Refractive errors in children have experienced a significant increase in recent years. Contact lenses are a therapeutic option when spectacles can no longer provide maximum results. One of the most advanced design than suitable for children is Hybrid Contact Lenses (HCL). HCL feature a Rigid Gas Permeable (RGP) center surrounded by a soft ridge or skirt. This design enable the hard center to provide clear vision while the soft skirt offers the comfort and ease of a soft lens. However, this type of contact lens has not been widely used in Indonesia.&#x0D; Case Illustration : Three patients were prescribed HCL to correct their high refractive errors and amblyopia; 1. 5 years old female: OD: S-14.50 C-3.25x180 6/24 OS: S-12.5 C-3.50x10 6/24; 2. 5 years old female with anisometropia: OD: S-6.00 C-2.50x180 6/12 OS: S-0.75 C-2.000x170 6/6; 3. 8 years old male with pseudophakic eyes: OD: S-9.00 C-2.00x180 6/30 OS: S-8.00 C-2.00x175 6/30. Visual Acuity after 1 month of HCL average from 6/9 to 6/6 both eyes (BE).&#x0D; Discussion : In this study, we can notice several advantages of using HCL. The main outcome are significantly increased visual acuity and reduced amblyopia. HCL also has a higher comfort level compare to RGP Lenses, the soft hydrogel skirt really help the neophyte patient to ease their initial adaptation.&#x0D; Conclusion : Contact lenses are a mainstay of optical correction options for children with special refractive needs. Due to it's design and comfort, HCL is one of the most suitable contact lenses for children. Therefore, socialization and further introduction about this contact lens is needed.

Influence government, platform power and the patchwork profile: Exploring the appropriation of targeted advertising infrastructures for government behaviour change campaigns

The targeted digital advertising infrastructures on which the business models of the social media platform economy rest have been the subject of significant academic and political interest. In this paper, we explore and theorise the appropriation of these infrastructures — designed for commercial and political advertising — by the state. In the U.K., public sector bodies have begun to repurpose the surveillance and messaging capacities of these social media platforms, along with the influencer economy, to deliver targeted behaviour change campaigns to achieve public policy goals. We explore how frameworks of behavioural government have aligned with Internet platforms’ extensive infrastructures and the commercial ecologies of professionalised strategic marketing. We map the current extent of these practices in the U.K. through case studies and empirical research in Meta’s Ad Library dataset. Although the networks of power and discourse within the ad infrastructure are indeed acting to shape the capacities of the state to engage in online influence, public bodies are mobilising their own substantial material networks of power and data to re-appropriate them to their own ends. Partly as a result of attempts by Meta to restrict the targeting of protected characteristics, we observe state communications campaigns building up what we term patchwork profiles of minute behavioural, demographic, and location-based categories in order to construct and reach particular groups of subjects. However, rather than a clear vision of a ‘cybernetic society’ of reactive information control, we instead find a heterogeneous and piecemeal landscape of different modes of power.

Simple and secure thrombectomy without circulatory arrest for acute pulmonary embolism

BackgroundSurgical pulmonary artery thrombectomy is a well-established emergency treatment for massive pulmonary embolism (PE) in which fibrinolysis or thrombolysis are not effective. However, surgery for massive PE that requires peripheral pulmonary artery thrombus removal remains challenging. We established a simple and secure pulmonary artery thrombectomy method using cardiopulmonary bypass and cardiac arrest. In this procedure, the surgical assistant arm, typically used for coronary artery bypass grafting, is used to obtain a feasible working space during thrombectomy.Case presentationWe present seven consecutive massive PE cases that were treated with the present surgical method and successfully weaned from cardiopulmonary bypass or extracorporeal membrane oxygenation postoperatively.ConclusionsThis procedure can be used to prevent right ventricular failure after surgery as surgeons can remove the peripheral thrombus with clear vision up to the second branch of the pulmonary artery.

Kepemimpinan Yang Berdaya Dalam Mempersiapkan Dan Mengimplementasikan Perubahan Organisasi

This research aims to explore the role of empowered leadership in preparing and implementing organizational change. Qualitative methods were used in this study to gain an in-depth understanding of the experiences and perceptions of leaders and members of the organization regarding the changes that occur. The results showed that empowered leadership has a significant role in facing organizational change. Empowered leaders are able to identify change needs, communicate a clear vision of change, and build trust among organizational members. In addition, empowered leadership is able to motivate and mobilize organizational members, overcome obstacles that arise, and encourage active participation in change. During the change process, empowered leadership also plays an important role in building solid teams, supporting employee learning and development, and creating an organizational culture that supports change and innovation. The findings of this study provide an in-depth understanding of the importance of empowered leadership in preparing for and implementing organizational change. The implications of this research can be used as a guide for organizations in developing and strengthening empowered leadership to face change more effectively and achieve desired change goals. Keywords : Leadership; Empowerment; Change; Organization.

COMPARISON OF NONCONTACT A-SCAN AND ULTRASOUND A-SCAN IN THE MEASUREMENT OF AXIAL LENGTH IN MYOPIC SUBJECTS

Introduction: Myopia, which is also known as nearsightedness, is a common type of refractive error among the majority of the population. It is characterized by clear vision up close but blurry vision at a distance. Myopia is caused by an eyeball that is abnormally longer than normal and cornea that is too steeply curved. In both cases, images are focused in front of the retina instead of on it. With abnormal axial length of the eyeball, myopia has developed into a condition that threatens eyesight. Methodology: In this study, we compared the axial length measurements between non-contact biometry, and ultrasound A-scan among young myopic adults in UKM Kuala Lumpur campus. A total of 90 healthy myopic subjects (14 male and 76 female) with mean age of 22.03 ± 1.14 years were enrolled in this cross-sectional study. Clinical investigations that included visual acuity, refraction and axial length measurement using optical and ultrasound biometry were carried out. Results: The mean spherical equivalent refractive error, axial length measured by optical biometry and ultrasound were found to be -3.04 ± 1.61 D, 24.74 ± 0.90 mm and 24.50 ± 0.86 mm respectively. Paired sample t-test showed that subjects’ axial length measured by ultrasound A-scan were significantly lower than optical biometry (p &lt; 0.05). Negative and strong correlations were found between degree of myopia and axial length (rs = -0.609, p &lt; 0.001). Regression showed that axial length measurement accounted for a significant 33.5% of the degree of myopia, R² = 0.335, adjusted R² = 0.328, F = (1, 88) = 44.38, p &lt; 0.01. Conclusion: The results of this study demonstrated a significant difference in measurements of axial length using non-contact A-scan and ultrasound A-scan in myopic subjects, which must be considered during management of myopic patients.