bluuebunny/crossref_metadata_2025 huggingface dataset:
Single versus bilateral mammary artery grafts in the setting of off-pump coronary revascularization: Survival benefit with bilateral mammary
Authors: Lopez-Marco Ana , Syed Aidil , Bn Mabel Phillips , Williams Jennifer , Phd John Hogan , George Joseph , Mansoor Junaid , Phd Michael Ghebre , Mehta Dheeraj
Published: March 2021

OBJECTIVE To compare postoperative and long-term results (angina,
myocardial and cerebrovascular events and coronary re-intervention)
using single versus bilateral internal mammary arteries (SIMA vs. BIMA)
in the setting of off-pump revascularisation (OPCAB) within a
single-surgeon practice. METHODS Retrospective analysis of all isolated
OPCAB performed in our institution by a single surgeon in the last 12
years.Two groups were analysed: SIMA (n = 681) and BIMA (n = 342). A
propensity score matching was performed to compare the groups, reducing
the sample to 684 patients.Follow-up (mean 6.5 ± 3.5 years) was done by
telephone interviews or clinical visits, registering also late mortality
and coronary re-intervention. Outcomes were compared to literature.
RESULTS Demographic characteristics differed between groups, with BIMA
offered predominantly to non-diabetic younger males (mean 59.4 years)
with less comorbidity. In-hospital mortality was 2% for the SIMA group
and 1% for BIMA (p = 0.18). Long-term mortality was also higher for the
SIMA group (2% vs. 1% at 1 year, p = 0.22 and 16% vs. 5% at 5 years,
p < 0.001). Sternal wound infection was similar in both groups
(2-3%). Long-term follow-up revealed good freedom from angina (94%)
with low rates of neurological and myocardial events (3%) or need for
repeated revascularisation (3%) in both groups. CONCLUSION BIMA offers
long-term survival benefit with similar postoperative complications.
Rates of deep sternal wound infection were comparable between the two
groups.Excellent outcomes can be achieved with OPCAB BIMA in real world
practice with adequate patient selection.
Cancer predisposition genes in Japanese children with rhabdomyosarcoma
Authors: Fukushima Hiroko , Suzuki Ryoko , Yamaki Yuni , Hosaka Sho , Inaba Masako , Morii Wataru , Noguchi Emiko , Takada Hidetoshi
Published: March 2021

Background: Rhabdomyosarcoma (RMS) is one of the most common soft tissue
sarcomas in children. Germline mutations in cancer predisposition genes
have been detected in approximately 10% of pediatric cancers. However,
the genetic background of RMS is still unclear, especially in Asian
children. Procedure: DNA was extracted from the peripheral blood of
children with RMS and cancer-associated genes analyzed using targeted
re-sequencing. Results: Twenty patients participated in this study. The
median age at diagnosis was 5.0 years. The male-to-female ratio was 3:2.
There were three deaths due to RMS. One patient developed a second
neoplasm. Nine patients had long-term co-morbidities. Five pathogenic
variants were found in four patients: one nonsense variant of DICER1,
one exon deletion of TP53, and three missense variants of LIG4 and MEN1.
Two of the four patients had a family history of cancer. Two patients
with missense variants of LIG4 had long-term co-morbidities of
drug-induced cardiomyopathy. This is the first report of germline
cancer-related gene variants with detailed clinical information in
Japanese children with RMS. The missense variants of LIG4, essential for
DNA double-strand break repair, were detected in two unrelated patients.
Conclusions: When this is the first report of the germline genetic
analysis of Japanese children with RMS, the frequency of the variant was
almost equivalent to that of previous reports from Western countries.
Unbiased exon sequencing may be useful to clarify the pathogenesis of
RMS in children and in predicting the clinical course of these patients.
Enterprise Resource Planning Tools Management in Private Higher Education in South Africa
Authors: Mithi Joseph , Govender Saths
Published: March 2021

In this research on Enterprise Resource Planning Tools Management in Private Higher Education in South Africa, the study objective was to determine critical issues influencing Enterprise Resource Planning (ERP) tools selection in academic management in Private Higher Education Institutions (PHEIs) in South Africa. A mixed-methods (qualitative and quantitative) research methodology was used to triangulate the results of the research from an interpretive position. The research analyzed and reported on subjective and quantitative data to ascertain knowledge about the participants’ recognition of critical issues affecting the management of ERP tools in academic management in PHEIs in South Africa. In this study, the following groups of participants were purposefully sampled: students, lecturers and management staff working in the three PHEIs in Gauteng. The study found that academic attainment in PHEIs could be enhanced through ERP tools management in ICT integration. The research outcomes suggest that there is enhanced coaching and students' personal interactions through online conference tools, a practice that may be backed up and carry the same weight and recognition as physical learning contact hours. Issues of integration in the selection of any robust, dynamic PHEI tools may call for a firm’s financial readiness and company-wide consultations with potential users of the system. Any HE ERP system that does not have a student portal, without integrated online issues of applications, checking of results, enhancement of teaching and learning but partly integrating one or two departments in isolation to others, may not be considered fit or robust as a higher educational ERP tool.
Diferentes possibilidades enunciativas no atendimento fonoaudiológico de um sujeito autista
Authors: Pimentel Laine Dos Santos , Oliveira Marcus Vinicius Borges
Published: March 2021

Introdução: O Transtorno do Espectro do Autismo (TEA) tem sido historicamente descrito, dentro da literatura das ciências da saúde, quase que unicamente como uma patologia. No entanto, este também pode ser encarado como uma condição que resulta em uma identidade profundamente diferente. Objetivo: Esta pesquisa visa compreender o papel das diferentes possibilidades enunciativas, tanto verbais quanto não verbais, no atendimento fonoaudiológico de um sujeito autista. Método: Trata-se de um estudo de caso de natureza qualitativa, de cunho explicativo, referente à análise do atendimento fonoaudiológico de um adolescente numa clínica escola de uma universidade pública. Apresentação do caso clínico: Partimos de uma abordagem dialógica fundamentada no pensamento do Círculo de Bakhtin, que compreende que o diálogo não se restringe somente àquilo que pode ser verbalizado no momento presente da enunciação, mas se trata de um processo contínuo e ininterrupto constituído pela linguagem ecoando responsivamente nos interlocutores. Por meio dessa abordagem, refletimos sobre os sujeitos autistas que pouco utilizam a fala, mas que vivem intensamente em um mundo verbal, utilizando diferentes possibilidades enunciativas para atingir o seu querer dizer. Neste caso estudado, destaca-se o uso de recursos digitais, da escrita, música e gestos como meios significativos e dialógicos. Considerações Finais: Por fim, buscamos contribuir para a ampliação do olhar sobre o TEA, revelando singularidades e potencialidades que não se encerram no sujeito estudado, mas incidem sobre as abordagens terapêuticas e a estruturação do espaço clínico fonoaudiológico.
Teleaudiologia: a contribuição do acesso remoto nos casos de implante coclear – uma revisão sistemática
Authors: Dourado Rayssa Pacheco Brito , Barreto Monique Antunes de Souza Chelminski
Published: March 2021

Introdução: A teleconsulta pode ser benéfica em diversos aspectos: social, econômico, terapêutico e normativo. Na audiologia, a realização da teleconsulta vem sendo bastante estudada em alguns serviços, principalmente, na programação remota de usuários de Implante Coclear. Objetivo: Investigar a aplicabilidade, vantagens e desvantagens da teleconsulta em audiologia para os usuários de Implante Coclear. Método: Trata-se de pesquisa de revisão sistemática em que foram realizadas buscas nas bases de dados sem limitação de ano. Foram selecionados e incluídos, somente estudos de intervenção não randomizados, estudos descritivos e estudo de caso. Para leitura na íntegra, foram avaliados os procedimentos de aplicabilidade da teleconsulta, descrição dos pontos positivos pelos pacientes, profissional ou entre profissional e paciente, além da descrição de suas desvantagens. Resultados: Foram incluídos quatorze estudos, da língua inglesa e português do Brasil. Foram encontrados estudos de seguimento remoto nos seguintes casos: mapeamento, testes de fala (mensurações de níveis T e C), técnicas e configuração de plataformas remotas e orientações fonoaudiólogicas. Conclusão: Há diversas maneiras que possibilitam o sucesso do Implante Coclear na teleconsulta como mapeamento, orientações e terapia. Os usuários referiram benefícios e satisfação como redução de custos entre outros. Os facilitadores referiram contribuição em sua atuação profissional como reabilitador, e especialistas sentiram-se seguros ao realizarem os procedimentos de mapeamento. As desvantagens foram: atraso na conexão, atraso do estímulo e, consequentemente, atraso nas sessões, longo tempo de reverberação do estímulo auditivo.
Investigação dos transtornos mentais na adesão à terapia de voz
Authors: Alves Ana Emília Ferreira , Silva Hêmmylly Farias , Bandeira Rafael Nóbrega , Almeida Anna Alice
Published: March 2021

Introdução: A falta de adesão à fonoterapia é comum na área de voz. Diversos fatores podem estar associados, porém poucos estudos se propuseram a estudar características emocionais dos pacientes. Objetivo: Verificar se o traço e estado de ansiedade, transtornos mentais comuns e sintomas vocais podem diferenciar pacientes com e sem adesão à fonoterapia em voz. Métodos: Estudo retrospectivo, de campo e quantitativo. Participaram 24 pacientes, com média das idades de 47,79 (+18.83) anos, distribuídos em: Grupo de pacientes que aderiram à fonoterapia (PAF) e pacientes que não aderiram à fonoterapia na área de voz (PNAF). Foram aplicados a Escala de Sintomas vocais (ESV), Self Reporting Questionnaire (SRQ) e Inventário de Ansiedade Traço-Estado. Resultados: Pacientes do PAF apresentaram médias de 34.20 (+10,67) e 39,53 (+11,09) para o traço e estado de ansiedade, respectivamente. Enquanto participantes do PNAF apresentaram médias de 33.89 (+10,34) e 45,22 (+9,34), respectivamente. No que se refere ao SRQ-20, pacientes do PAF obtiveram média de 5,93 (+3,99) e o PNAF de 7,33 (+3,66). Finalmente, o grupo PAF apresentou média de 56,54 (+27,51) e o PNAF de 46,38 (+15,80) para o escore total da ESV. Não foram observadas diferenças entre os grupos para o traço e estado de ansiedade, SRQ e escore total da ESV. Conclusão: Pacientes sem adesão à fonoterapia em voz apresentam menores graus de escolaridade, de sintomas vocais e escores mais elevados de transtornos mentais comuns. Entretanto não foram fatores decisivos para diferenciá-los quanto à adesão à fonoterapia vocal.
Kaiken virtaus
Authors: Tanhuanpää Ari
Published: March 2021

Pyrin lähestymään artikkelissani Georges Didi-Hubermanin materiaalisuuksia koskevaa ajattelua ottaen lähtökohdaksi Immanuel Kantin esikriittisen negatiivisia suureita koskevan tutkielman (1783) sekä Gilles Deleuzen teokset Bergsonisme (1966), Différence et répétition (1968) ja Le Pli. Leibniz et le baroque (1988). Viittaan myös Maurice Merleau-Pontyn Le Visible et l'invisible -teoksessaan (1964) esittämiin näkemyksiin, joiden pohjalta esitän, että se, mihin Didi-Huberman viittaa termillään visuel, olisi käännettävä ”näkyväisyydeksi”. Esitän, että visuel on luonteeltaan kontra-aktualisoituvaa, lientymättömän jännitteistä ja symptomaattista, aivan kuten materiaalisuudet ylipäänsä Didi-Hubermanin ajattelussa: dialektiikkaa ilman synteesiä.
Penerapan Metode K-Means Klustering Untuk Menentukan Kepuasan Pelanggan
Authors: Pradana Musthofa Galih , Nurcahyo Azriel Christian , Saputro Pujo Hari
Published: March 2021

Pengolahan data dapat dilakukan dengan banyak cara dan teknik. Peran data saat ini menjadi sangat penting bagi sebuah perusahaan atau penyedia layanan untuk pelanggan. Pentingnya data saat ini menjadikan proses pengolahan data dilakukan secara mandiri menggunakan metode-metode data mining yang ada. Beberapa metode yang dapat diterapkan diantaranya klasifikasi, prediksi maupun klustering. Masing-masing teknik tersebut memiliki hasil yang dapat dijadikan acuan evaluasi dan perencanaan yang lebih baik lagi. Penelitian ini menerapkan teknik klustering yaitu memisahkan dan mengelompokan data berdasarkan kluster. Dalam klustering ada banyak algortima atau metode yang dapat diterapkan, salah satunya adalah K-Means Klustering. Algoritma K-Means merupakan algoritma yang banyak digunakan untuk mengelompokan data. Hasil dari penelitian ini terbagi menjadi 2 kluster yaitu Kluster 0 yaitu puas dan Kluster 1 yaitu tidak puas ataupun netral. Pengelompokan kluster tersebut berdasarkan dataset yang dimiliki dimana responden mengisi data dan menghasilkan 2 jenis kluster tersebut. Adapun hasil dari proses klustering adalah sebanyak 1303 data masuk kategori kluster 0 atau sebesar 65% dan 697 data masuk kategori kluster 1 atau sebesar 35%. Kata Kunci— Data Mining, Klustering, K-MeansData processing can be done in many ways and techniques. The role of data is now very important for a company or service provider for customers. The importance of data now makes data processing carried out independently using existing data mining methods. Some methods that can be applied include classification, prediction and clustering. Each of these techniques has results that can be used as a reference for evaluation and better planning. This study applies clustering techniques, namely separating and grouping data based on clusters. In clustering there are many algorithms or methods that can be applied, one of which is K-Means Klustering. K-Means algorithm is an algorithm that is widely used to group data. The results of this study are divided into 2 clusters, namely Cluster 0, which is satisfied and Cluster 1, which is not satisfied or neutral. Clustering is based on a dataset that is owned by where the respondent fills in data and produces 2 types of clusters. The results of the clustering process are as many as 1303 data in the category of cluster 0 or 65% and 697 data in the category of cluster 1 or 35%. Keywords— Data Mining, Clustering, K-Means
Peningkatan Performa Pendeteksian Anomali Menggunakan Ensemble Learning dan Feature Selection
Authors: Sudiyarno Ripto , Setyanto Arief , Luthfi Emha Taufiq
Published: March 2021

Intrusion detection systems (IDS) atau Sistem pendeteksian intrusi dikenal sebagai teknik yang sangat menonjol dan terkemuka untuk menemukan malicious activities pada jaringan komputer, tidak seperti firewall konvensional, IDS berbeda dalam hal pengidentifikasian serangan secara cerdas dengan pendekatan analitik seperti data mining dan teknik machine learning. Dalam beberapa dekade terakhir, ensemble learning sangat memajukan penelitian pada machine learning dan klasifikasi pola, serta menunjukan peningkatan hasil kinerja dibandingkan single classifier. Pada Penelitian ini dilakukan percobaan peningkatan nilai akurasi terhadap sistem pendeteksian anomali, pertama dilakukan klasifikasi menggunakan single classifier untuk didapati hasil nilai akurasi yang nantinya dibandingkan dengan hasil dari ensemble learning dan feature selection. Penggunaan ensemble learning bertujuan untuk mendapatkan nilai akurasi yang terbaik dari single classifier. Hasil didapatkan dari nilai confusion matrix dan akan dilakukan pengujian dengan cara membandingkan nilai kedua metode diatas. Penelitian berhasil mendapatkan nilai akurasi single classifier (naïve bayes) yaitu 77,4% dan nilai ensemble learning 96,8%. Kata Kunci— ensemble learning, nsl-kdd, naïve bayes, anomali, feature selectionIntrusion detection systems (IDS) are known as very prominent and leading techniques for finding malicious activities on computer networks, unlike conventional firewalls, IDS differs in terms of identifying attacks intelligently with analytic approaches such as machine learning techniques. In the last few decades, ensemble learning has greatly advanced research in machine learning and pattern classification it has shown an improve in performance results compared to a single classifier. In this study an attempt was made to increase the accuracy of anomalous detection systems, first by classification using a single classifier to find the results of accuracy which will be compared with the results of ensemble learning and feature selection. The use of ensemble learning aims to get the best accuracy value from a single classifier. The results are obtained from the value of the confusion matrix and will be tested by comparing the values of the two methods above. The research succeeded in getting a single classifier accuracy value of 77,4% and ensemble learning 96,8%. Keywords— ensemble learning, nsl-kdd, naïve bayes, anomali, feature selection
Penerapan Protokol L2TP/IPSec dan Port Forwarding untuk Remote Mikrotik pada Jaringan Dynamic IP
Authors: Pratama Hedy , Puspitasari Nila Feby
Published: March 2021

Salah satu cara yang dilakukan untuk menjaga dan meningkatkan kualitas layanan yang diberikan oleh suatu Perusahaan XYZ, seorang administrator setiap saat memonitoring lalu lintas data dengan mengakses router dan access point untuk mengetahui kondisi jaringan. Hal tersebut hanya dapat dilakukan Administrator ketika sedang berada dalam jaringan lokal.  Permasalahannya, ketika Administrator berada pada jaringan publik, maka tidak dapat mengakses router dan perangkat access point yang ada. Hal ini dikarenakan IP publik yang didapatkan dari Provider utama bersifat Dynamic IP Public. Untuk mengatasi masalah tersebut dilakukan penelitian melalui metode NDLC dengan penggabungan sistem protokol VPN L2TP/IPSec dan port forwarding yang ada di mikrotik VPS. VPN L2TP/IPSec yang dapat membantu menghubungkan dua router yang berbeda dalam satu jaringan private yang aman dan memungkingkan data terenkripsi dengan aman. Penggunaan VPS untuk mendapatkan Static Public IP sehingga dapat di port forward untuk membuka akses terhadap perangkat pada jaringan lokal agar dapat diakses melalui jaringan publik melalui remote address VPN. Hasil pengujian penggabungan VPN L2TP/IPSec dan port forwarding dapat digunakan Administrator dari jaringan publik untuk melakukan remote router mikrotik dan wireless access point pada jaringan Dynamic IP Public. Sehingga memudahkan Administrator dalam memonitoring jaringan secara realtime meningkatkan kualitas layanan internet.Kata Kunci—VPN, L2TP/IP Sec, Port Forwarding, Dynamic IPAbstractOne way that is done to maintain and improve the quality of services provided by XYZ Company, is that an administrator will monitor data traffic by accessing routers and access points to find out network conditions at any time. This can only be done by the Administrator while on the local network. The problem is that when an Administrator is on a public network, it cannot access the existing routers and access point devices. This is because the public IP obtained from the main Provider is Dynamic Public IP. To overcome this problem, research was carried out through the NDLC method by combining the L2TP / IPSec VPN protocol system and the port forwarding in the VPS proxy. The L2TP / IPSec VPN helps to connect two different routers in a secure private network and allows encrypted data to be safe during the communication process between routers. The use of VPS is to get a Static Public IP so that it can be ported forward to open access to devices on the local network so that it can be accessed through a public network via a VPN remote address. The results of testing the merging of VPN L2TP / IPSec and port forwarding, an Administrator from a public network can use a remote router and a wireless access point on a Dynamic IP Public network. Making it easy for Administrators to monitor networks in realtime and improve the quality of internet services.Keywords—3-5 VPN, L2TP/IP Sec, Port Forwarding, Dynamic IP
Examination Management Systems: A Survey of User Acceptance Level in UiTM Cawangan Pulau Pinang
Authors: Othman Jamal , Kadar Rozita , Abdul Wahab Naemah , Warris Saiful Nizam
Published: March 2021

Examination Management Systems (EMS) is a comprehensive system developed using JAVA programming language for data processing and Microsoft Access for reporting purposes. This system has been used and implemented at several campuses including Universiti Teknologi MARA Cawangan Pulau Pinang, Permatang Pauh Campus. The core objective of this system is to improve the efficiency and reducing the operational risks. A survey has been conducted to examine the user acceptance level of UiTM Cawangan Pulau Pinang since implemented in 2014. Questionnaires have been distributed to chief invigilators at every session of examination for 10 semesters and results of analysis are reported and concluded.
Rheumatoid arthritis-associated interstitial lung disease – an underestimated, complex and interdisciplinary problem in everyday clinical practice
Authors: Majewski Sebastian , Makowska Joanna
Published: March 2021

Rheumatoid arthritis (RA) is a chronic, systemic inflammatory connective tissue disease affecting 0.5–1% of the general population. Interstitial lung disease (ILD) is a serious complication of RA, leads to a deterioration in the quality of life, increases the risk of hospitalization and premature death. The clinical course of RA-associated ILD (RA-ILD) varies from interstitial lesions involving little areas of the lung which do not lead to clinical symptoms, to progressive interstitial lesions that may lead to acute respiratory exacerbation, development of respiratory failure, and death. The main risk factor for the development of ILD in the course of RA, apart from older age and male sex, is the high activity of the underlying disease. Effective treatment of RA, aimed at the goal of remission, may therefore be a preventive method for the development of RA-ILD. Due to non-specific symptoms, the diagnosis of RA-ILD is often overlooked. Despite significant morbidity and increased risk of death due to RA-ILD, currently, we do not have any guidelines on the management of this clinical situation. Moreover, the problem is even more complicated due to the possibility of potential pneumotoxicity of many disease-modifying drugs and their unclear effectiveness regarding lung involvement in RA. Taken together, optimal management of a patient with RA-ILD is a clinical challenge. There is an urgent need to clarify several clinical aspects concerning the early diagnosis, monitoring, establishing indications for treatment, and choice of appropriate therapeutic management. In this work, we performed a scientific review of the current state of knowledge on RA-ILD and indicated the directions of future research needed aiming at improving patients’ care.
The role of experience, specialty certification, and practice ownership in the gender wage gap for veterinarians in the United States
Authors: Neill Clinton L. , Kakpo Ange Thomas , Mack Roger
Published: March 2021

OBJECTIVE

To explore the role of various factors in the wage gap between male and female veterinarians in the United States in 2016 and 2017.

SAMPLE

2,760 veterinarians across the United States.

PROCEDURES

Data from the Census of Veterinarians Survey administered by the AVMA Economics Division in 2016 and 2017 were analyzed. The Kolmogorov-Smirnov 2-sample test was used to determine whether a difference existed between male and female income distributions at various levels of experience. Quantile regression was performed separately for male and female respondents to determine the direct effects of individual factors on incomes and compare the effects of practice ownership versus nonownership on income.

RESULTS

Income distributions of men and women were unequal at lower experience ranges but equal at higher experience ranges. Income increased for men with each additional year of experience and with practice ownership. For women, practice owners in the lowest income quantile had a negative return to income; overall, their income benefited most from ownership in the form of partnerships. For certain groups, incomes of both genders were lower when they had absences from the workforce.

CONCLUSIONS AND CLINICAL RELEVANCE

Findings suggested that the largest source of gender income disparity for veterinarians was attributable to female practice owners earning less than their male counterparts. Indeed, women earned more from specialty certifications than from owning a clinic. To decrease income disparities between genders, ways should be identified to support women-owned practices and promote equal pay.
Clinical, diagnostic, and epidemiological features of a community-wide outbreak of canine leptospirosis in a low-prevalence region (Maricopa County, Arizona)
Authors: Iverson Sally Ann , Levy Craig , Yaglom Hayley D. , Venkat Heather L. , Artus Aileen , Galloway Renee , Guagliardo Sarah Anne J. , Reynolds Laura , Kretschmer Melissa JoAnne , LaFerla Jenni Margaret E. , Woodward Peter , Reindel Alison A. , Tarrant Sheena , Sylvester Tammy , Klein Ronald , Mundschenk Peter , Sunenshine Rebecca , Schafer Ilana J.
Published: March 2021

OBJECTIVE

To describe clinical, diagnostic, and epidemiological features of an outbreak of leptospirosis in dogs in Maricopa County, Ariz, from January 2016 through June 2017.

ANIMALS

71 case and 281 control dogs.

PROCEDURES

Cases were classified as confirmed, probable, suspect, or not a case on the basis of medical record data that fulfilled clinical, diagnostic, and epidemiological criteria. Potential exposures were assessed by owner survey. For the case-control investigation, control dogs were recruited through owner completion of a July 2017 survey. Summary statistics and ORs for case dog lifestyle factors were reported.

RESULTS

54 dogs were classified as confirmed and 17 as probable cases. For 4 dogs of a household cluster (5 confirmed and 3 probable), the highest microscopic agglutination titer was for serovar Djasiman (Leptospira kirschneri detected by PCR assay), and for 13 dogs of a community outbreak (49 confirmed and 14 probable cases), the highest titer was for serovar Canicola (Leptospira interrogans detected by PCR assay). The 44 case dogs included in the case-control investigation were 7.7 (95% CI, 3.5 to 16.7) and 2.9 times (95% CI, 1.3 to 6.6) as likely as control dogs to have visited dog daycare or to have been kenneled overnight at a boarding facility, respectively, 30 days prior to the onset of clinical signs or diagnosis.

CONCLUSIONS AND CLINICAL RELEVANCE

Diagnostic and epidemiological findings indicated 2 outbreaks. Transmission where dogs congregated likely propagated the community outbreak. Outbreaks of leptospiral infections can occur in regions of low prevalence, and a dog's exposure to areas where dogs congregate should be considered when making Leptospira vaccination recommendations.
Comparison of Safety Factor Values for Soderberg and DIN 743 Fatigue Analyses
Authors: Henriques Beatriz , Carvalho Mariana , Tavares Sérgio , De Castro Paulo
Published: March 2021

Fatigue phenomena are critical aspects of the life cycle of many components or structures. The variety of cyclic load situations led to the emergence, throughout the years, of different types of studies as high-cycle, low-cycle, and fatigue crack growth, among others. Particularly for machine elements, high-cycle fatigue situations are the more frequent, and simplified approaches taking into account the Soderberg criterion have been commonly used. Meanwhile, the German Institute for Standardization put forward a procedure for fatigue design of shafts, DIN 743, based on the use of Smith diagrams and considering separately the safety factor (SF) for static and for cyclic loads. The present paper compares Soderberg and DIN 743 approaches, focusing on SF obtained when load capacity is calculated considering equal correction factors in both methods. A set of representative situations was defined, and the comparison was carried out parametrically using Matlab software. The SF values of the Soderberg method were always found to be lower than those of DIN 743, indicating that the Soderberg method is more conservative than DIN 743.
Preparation of Amazonian Palm Tree Fiber (Manicaria saccifera Gaertn.) for Composite Materials
Authors: Sousa Monteiro Amanda , Dantas Denise , Yojo Takashi
Published: March 2021

In the last fifteen years, a new approach has emerged in the design field: the process of development of new materials and the involvement of designers as original creators, making use of underutilized local materials. This paper aims to describe the preparation of an Amazonian palm tree fiber (Manicaria saccifera Gaertn.) for the use at composites materials. The raw materials were extracted from the Marajó archipelago - Brazil by local communities that traditionally work with the material. The process involves the measure of weight, length, and thickness at six different points of the raw specimen; manual washing and cleaning; drying with stopping criterion; and visual analyses of the specimen with trimming and cutting, for the potential use at composites. The results for 80 specimens show that the method adopted allowed easy and quick preparation of the specimens and can be used for other local materials, respecting its characteristics.
PENDEKATAN METODE DESAIN BERBASIS PERILAKU DALAM DESAIN PROYEK POJOK HIJAU CITRA 6
Authors: Pratama Singgih , Epifania Priscilla
Published: March 2021

Third place as an inclusive social space for people has characteristics that represent their place. In the making of a third place, there are some factors that make the place feels inclusive and communal, which is configuration, connectivity, and integrated spaces. Other things that crucial for the creation of form is the people’s activities of its place. This research is made to present a design using behaviour methods. The methods that researcher used are: conducting some literature studies about everydayness, space syntax, and third place; second, do an observation on site then record the activities that happen on the site; third, list all the programs then use computation to make design layout alternatives; fourth, using the observations to make a scenario then mix it with computation design. By recording the activities of spaces and organizing the spaces with computation, it is expected the spaces that are made aren’t strange to its user,  and the spaces also have a character from the community itself. Keywords: architecture; behaviour; everyday architecture; space syntax; third place Abstrak Tempat ketiga atau third place merupakan salah satu ruang sosial yang inklusif bagi masyarakat sekitarnya dan memiliki karakteristik sesuai kawasannya. Dalam pembentukan tempat ketiga, terdapat beberapa faktor yang dapat membentuk tempat tersebut menjadi suatu kawasan yang inklusif dan komunal, diantaranya; konfigurasi, konektifitas, dan integrasi ruang. Salah satu hal penting yang perlu diperhatikan adalah penciptaan ruang di kawasan tersebut yang mengacu pada aktivitas masyarakat di sekitarnya. Penelitian ini bertujuan untuk memberikan suatu gagasan akan suatu metode desain berbasis perilaku dengan tahapan sebagai berikut, antara lain: pertama, studi literatur terkait arsitektur keseharian masyarakat di kawasan sekitar, space syntax, dan tempat ketiga yang sudah ada di daerah tersebut; kedua, melakukan observasi tapak serta mendokumentasikan berbagai macam aktivitas yang terjadi di tempat tersebut; ketiga, melakukan penyusunan program ruang yang selanjutnya dilakukan proses komputasi untuk menghasilkan alternatif desain pada peletakan organisasi ruang; keempat, membuat skenario ruang dengan hasil observasi aktvitas yang telah dilakukan kemudian diolah untuk dikombinasikan dengan hasil komputasi desain. Dengan melakukan pendataan aktivitas ruang keseharianserta peletakan ruang dengan metode komputasi,ruang yang terbentuk dapat memberikan karakterisitik kawasannya dikarenakan perilaku keseharian mereka mempengaruhi ruang serta aktivitas yang terjadi. Dengan melakukan metode ini diharapakan tempat ketiga pada kawasan menjadi tidak asing bagi para penggunanya dikarenakan ruang tersebut memiliki tanda-tanda yang dikenali penggunanya.
TEMPAT JAJANAN MAKANAN TERAPUNG DI KAPUK
Authors: Intania Natasha , Sukada Budi Adelar
Published: March 2021

Creating a gathering place, activities and interacting should pay attention to the needs of the surrounding environment and also the residents who will visit. By looking at the needs around, the village of Kapuk becomes a place that needs a container to meet the needs of gathering, activities and interacting and also by increasing the economic needs of the surrounding community.The floating food street where it is located in the floating village area is a place of the need. This food place can be used from people who need a workplace, especially housewives who are idle and for anyone who wants to visit. With the iconic shape of the building that divides the road, open in the middle and floating that can give the impression as if emerge from the water surface with a shell-like shape. With the choice of eateries that can be moved differently can make this place has its own uniqueness. The building has a main building that serves as a food retail and is also provided with several eateries and also has a supporting building as a dining option called a boat pod which contains a dining area, a pantry area and also a fishing area. The main building is glass coated for open view. The main structure is supported by curved steel ellipses and tied by floor plates. While supporting buildings can move with the help of solar panels and driven by generators. Keywords: culinary; floating; move; needs; neighbourhoodsAbstrakMewujudkan tempat berkumpul, beraktivitas dan berinteraksi harus memperhatikan kebutuhan lingkungan sekitar dan juga penghuni yang akan berkunjung. Dengan melihat kebutuhan sekitar, maka Kelurahan Kapuk menjadi tempat yang membutuhkan sebuah wadah untuk memenuhi kebutuhan berkumpul, beraktivitas dan berinteraksi dan juga dengan meningkatkan kebutuhan ekonomi masyarakat sekitar.Tempat Jajanan Makanan Terapung yang letaknya masih berada di dalam Kawasan Kampung Apung merupakan wujud tempat dari sebuah kebutuhan tersebut. Tempat Jajanan Makanan ini dapat digunakan dari masyarakat yang membutuhkan tempat kerja terutama ibu rumah tangga yang menganggur dan untuk siapa saja yang hendak berkunjung. Dengan bentuk bangunan yang ikonis yang membelah jalan, terbuka dibagian tengah dan terapung yang dapat memberikan kesan seakan muncul dari permukaan air dengan bentuk seperti kerang. Dengan adanya pilihan tempat makan yang dapat berpindah- pindah berbeda dapat menjadikan tempat makan ini memiliki keunikan tersendiri. Bangunan memiliki bangunan utama yang berfungsi sebagai retail makanan dan disediakan juga beberapa tempat makan dan juga memiliki bangunan pendukung sebagai pilihan tempat makan yang disebut pod perahu yang dimana berisi area makan, area pantry dan juga area memancing. Bangunan utama dilapisi kaca agar pandangan terbuka. Struktur utama didukung oleh elips baja lengkung dan diikat oleh plat lantai. Sedangkan bangunan pendukung dapat bergerak dengan bantuan panel surya dan digerakkan oleh generator.
WISATA EDUKASI IKAN SEBAGAI TEMPAT RUANG KETIGA
Authors: Winanta Winanta , Sukada Budi Adelar
Published: March 2021

AbstrakKehidupan pada daerah Jakarta utara penuh dengan aktivitas dan rutinitas keseharian dengan laut, karena sebagian besar masyarakat disana bekerja sebagai nelayan dan juga menjual hasil tangkapan dari laut. Jenis aktifitas wisata yang dapat dilakukan di Jakarta, lebih tepatnya di Jakarta utara yaitu wisata perairan antara lain yaitu renang, pemancingan, dayung perahu, olahraga air, dan perikanan wisata. Perikanan wisata adalah suatu pemanfaatan usaha perikanan sebagai obyek kunjungan wisata. Kegiatan perikanan wisata dapat berupa penangkapan ikan sebagai hobi (game fishing), pemancingan ikan sebagai hobi (sport fishing), berkunjung ke lokasi budidaya ikan hias yang dilengkapi dengan objek wisata berupa “display” ikan hias (ornamental fish). Tujuan proyek ini untuk mengedukasi masyarakat mengenai ikan dan meningkatkan kualitas sosial masyarakat. Program utama yang ditawarkan pada proyek ini terdapat area display aquarium sebagai edukasi ikan, dan juga penangkaran ikan untuk memberi perkembangbiakkan mengenai ikan, terdapat ruang santap terbuka untuk ruang makan yang disertai suasana ikan, serta dapat juga memancing ikan, dan area penunjang yaitu ruang auditorium sebagai edukasi dan juga tempat sosial bagi masyarakat untuk mengadakan acara maupun aktivitas sosial.Kata Kunci : arsitektur ; edukasi ; ikan ; sosial ; wisataAbstract Life in the North Jakarta area is full of activities and daily routines with the sea, because most of the people there work as fishermen and also sell their catch from the sea. Types of tourism activities that can be carried out in Jakarta, more precisely in North Jakarta, are water tourism, including swimming, fishing, rowing boats, water sports, and fishing tourism. Tourism fisheries are utilization of fishery business as an object of tourist visit. Tourism fishing activities can be in the form of fishing as a hobby (game fishing), fishing as a hobby (sport fishing), visit to an ornamental fish culture location that is equipped with an attraction in the form of "display" (ornamental fish). The aim of this project is to educate the public about fish and improve the social quality of the community. The main program offered in this project is the aquarium display area for fish education, and also fish breeding to provide reproduction about fish, there is an open dining room accompanied by the atmosphere of the fish, and can also fish fishing, and other supporting areas, is the auditorium as education and also a social place for the community to hold events and social activities. Keywords : architecture ; education ; fish ; social ; tourism
ARSITEKTUR LANSEKAP SEBAGAI KONSEP FASILITAS OLAH RAGA HIJAU KEMAYORAN
Authors: Damayanto Vincent , Husin Denny
Published: March 2021

The phenomenon of people living in the Kemayoran area is a modern society with various routines and activities as well as high mobility. The habit of this activity changes their psychology, especially people who live in dense areas. Kemayoran is a dense area of housing both vertical housing and horizontal housing, this has an impact on the behavior of people who live around this area. The issue in this area is that the inhabitants of the area are filled with people who are actively working and have the habit of living alone and not socializing. The problem that occurs in this area is the function of the communal place that has been prepared can not meet the needs of residents and the absence of open space as a meeting point between residents of vertical homes with horizontal residents. As a response to issues that occur in this region, the purpose of forming this project is to become an area attractor that can change the behavior of the surrounding community. The step used is to create an architecture as a modifier of human psychology where the selection of building materials, shapes, and circulation of buildings is formed so that it can influence the user's psychology. As well as combining elements of architecture with nature  to hide the existence of buildings from a very crowded environment. Keywords:  density;  landscape; psychologyAbstrakFenomena penduduk yang tinggal disekitar kawasan Kemayoran merupakan masyarakat modern dengan berbagai rutinitas dan aktivitas serta mobilitas yang tinggi. Kebiasaan aktivitas ini mengubah psikologi mereka terutama masyarakat yang tinggal di area yang padat. Kemayoran merupakan kawasan yang didominasi oleh hunian baik hunian vertikal maupun hunian horizontal. Hal ini berdampak terhadap tingkah perilaku masyarakat yang tinggal di sekitar kawasan ini. Isu pada kawasan ini adalah penduduk kawasan dipenuhi olah masyarakat yang aktif bekerja dan mempunyai kebiasaan untuk hidup menyendiri dan tidak bersosialisasi. Masalah yang terjadi pada kawasan ini adalahnya fungsi tempat komunal yang sudah disiapkan tidak dapat memenuhi kebutuhan penghuni serta tidak adanya ruang terbuka sebagai titik temu antara penghuni hunian vertikal dengan penghuni hunian horizontal. Sebagai sebuah respon terhadap isu yang terjadi pada kawasan ini maka  tujuan dari pembentukan proyek ini adalah menjadi sebuah attractor kawasan yang dapat mengubah perilaku masyarakat sekitar. Langkah yang digunakan yaitu membuat sebuah karya dan program arsitektur sebagai pengubah psikologi manusia dimana pemilihan bahan bangunan, bentuk serta sirkulasi bangunan dibentuk agar dapat mempengaruhi psikologi pengguna. Serta menggabungkan unsur arsitektur dengan alam dapat menyembunyikan keberadaan bangunan dari lingkungan yang sudah sangat padat.
FASILITAS KEBUGARAN JASMANI DI KELURAHAN KALIDERES
Authors: Vincent Vincent
Published: March 2021

Human social life connected with the growth of the city itself, day now people in common are individualist so the idea of third place come up by sociologist Ray Oldenberg. According to Ray Oldenberg place divide into three, first place is a home, second place – workplace, and third place the place where you can relaxing, hangout, and socialize with the other. Third place have an important role to strengthen social relation, but third place day now is more focus on commercial activities, for example mall, café (Starbuck), bar or restaurant (Mcd) with the target market is upper middle class people so it create sense of ‘unwilling’ to lower middle class people to come to  the same place. This problem could cause social gap and third place no longer open for everyone (neutral). To answer this problem, writer designing SPA & Wellness Facility at Kalideres as third place for people in Kalideres region. This facility provide relaxation facility that can be enjoyed for free nor paid. The free facility consist of park, gymnastics area and shallow water pool for relaxation, this free facility is intended so the lower middle class people at Kalideres can enjoyed the third place facility. For the paid facility consist of gymnastics facility, hair treatment, pantry and SPA (massage, bath and pool).Keyword : Facility; Neutral; Relaxation; Third PlaceAbstrakKehidupan sosial manusia berhubungan dengan perkembangan kotanya, saat ini masyarakat pada umumnya bersifat individualis sehingga muncul isu mengenai third place yang diciptakan oleh Sosiolog Ray Oldenberg. Menurut Ray Oldenberg place dibagi menjadi tiga, yaitu first place yang merupakan rumah, second place -tempat bekerja, dan third place yang merupakan tempat untuk bersantai (hangout), berelaksasi dan bersosialisasi. Third place mempunyai peran yang penting untuk mempererat hubungan sosial, akan tetapi third place yang kita temui hari-hari ini di Jakarta lebih fokus kepada aktivitas komersial seperti mall, café (Starbuck), bar atau restoran (Mcd) dengan target marketnya adalah orang menengah ke atas sehingga menimbulkan rasa ‘segan’ bagi orang menengah ke bawah untuk datang ke tempat yang sama. Hal ini kemudian menciptakan kesenjangan sosial dan membuat third place tidak bisa dikunjungi semua orang. Untuk itu menjawab persoalan ini, penulis merancang Fasilitas Kebugaran Jasmani di Kalideres sebagai third place bagi masyarakat Kelurahan Kalideres. Fasilitas ini menyediakan fasilitas relaksasi yang dapat dinikmati secara tidak berbayar maupun berbayar. Fasilitas yang tidak berbayar meliputi area taman, area senam dan area relaksasi di kolam air dangkal, hal ini bertujuan agar orang menengah ke bawah di Kelurahan Kalideres juga dapat menikmati fasilitas third place. Untuk fasilitas yang berbayar terdiri dari fasilitas GYM, salon, pantry dan SPA (pijat, pemandian dan kolam renang).
TEMPAT PENGEMBANGAN GRIT
Authors: Jonathan Hans , Hadiwono Alvin
Published: March 2021

One of the problems in human life is individualism. This is because humans spend too much time at work and at home, so they rarely do social activities, along with the existence of social media that causes people to socialize with each other. This particular problem will be discussed in "Open Architecture as Third Place" project, which discusses how to create a third place as a place for people to socialize with each other and also as a public information space. The issue raised in this project is about "Grit" where people can learn how to grow grits within themselves to achieve the goals they want to achieve in the future. The project location is on Jalan Tanjung Duren Utara. This site is quite strategic for this third place project because it is close to First Place and Second Place where this project can become a permeability. This third place project is wished for people to be able to grow grits in themselves so that they can achieve their goals in their lives and can achieve their life goals that they have set. The method used in research is Field Survey, Literature Study, and Precedent Study. The results obtained are the design of the building as a "Grit Improvement Space". The main program in this project is the Experimental Room, Workshop, and Exhibition along with the supporting programs namely Co-Working Space, Library, and Late Night Street Food. Keywords: grit; human; permeability; social  AbstrakPermasalahan dalam kehidupan manusia salah satunya individualisme. Hal ini disebabkan karena manusia terlalu banyak menghabiskan waktunya di tempat kerja dan di rumah, maka orang akan jarang sekali melakukan kegiatan sosial. Dengan adanya media sosial juga menyebabkan manusia bersosialisasi satu sama lain. Permasalahan utama yang akan dibahas di proyek ini adalah "Open Architecture sebagai Third Place" yang membahas bagaimana cara menciptakan tempat ketiga sebagai tempat untuk manusia saling bersosialisasi satu sama lain dan juga sebagai tempat publik informasi. Isu yang diangkat dalam proyek ini adalah mengenai "Grit" dimana orang dapat belajar cara menumbuhkan grit di dalam dirinya untuk mencapai goals yang mereka ingin capai di masa depan. Lokasi proyek berada di Jalan Tanjung Duren Utara. Tapak ini cukup strategis untuk proyek third place ini karena berdekatan dengan First Place dan Second Place sehingga proyek ini dapat menjadi rembesan (permeabilitas). Di proyek third place ini diharapkan orang bisa menumbuhkan grit dalam dirinya sehingga mereka bisa mencapai targetnya dalam hidup mereka dan dapat mencapai tujuan hidupnya yang telah mereka tentukan.  Metode yang digunakan dalam penelitian adalah Survey Lapangan, Studi Literatur, dan Studi Preseden. Hasil penelitian yang didapatkan adalah perancangan bangunan sebagai "Tempat Pengembangan Grit". Program utama dalam proyek ini adalah Experimental Room, Workshop, dan Pameran. Lalu juga ada program pendukung yaitu Co - Working Space, Library, dan Late Night Street Food.