bluuebunny/crossref_metadata_2025 huggingface dataset:
FPGA Implementation of Area Efficient CMOS Multiplier using Fast Kogge Stone Look Ahead Logarithmic Adder
Authors:   Assistant Professor, Department of Electronics and Communication Engineering Sri Ramakrishna Institute of Technology, Coimbatore, India,, Malathi* L. , Bharathi Dr.A. ,   Professor & Head, Department of Information Technology Bannari Amman Institute of Technology, Erode, India, Jayanthi Dr.A.N. ,   Associate Professor, Department of Electronics and Communication Engineering Sri Ramakrishna Institute of Technology, Coimbatore, India
Published: December 2019

Though Multipliers play a major role in all digital processing systems, still there is a research challenge related with area, delay, power, speed and accuracy parameters. Basically multipliers contains more number of adders (i.e.,) multiplication is done by repetitive additions. Highest care should be taken on adders. Partial Products (PP) part is middle process between multiplier, multiplicand and final addition. Next one about the methodology that Serial/parallel, Pipeline/parallel, Floating/decimal, Array, Binary/BCD, Fixed/Variable, Gate Level/Transistor Level. All the predecessors are having more controversy parameters. The forthcoming research concentrated on parallel, pipelining, decimal, binary and transistor level.
Detection of EEG Signal and De-Noising for Hypoglycemia detection by Brain Wave Sensor
Authors:   Assistant Professor, Dept. of Electronics and Communication, Government Engineering College Raichur,, Sindagi* Praveena , P K Dr. Mahesh ,   Professor and HOD. Dept. of Electronics and Communication, ATME College of Engineering, Mysuru,
Published: December 2019

Electroencephalography (EEG) signs have remained proven an identical adaptable apparatus for recognition of dissimilar types of Brain infections. Nevertheless through footage of these signs, EEG records gets soiled by different clatter signs produced through supply line interfering, base-line-wander, probe association, muscle-movement etc. Such sound signs misinform analysis of brain that is not anticipated. To circumvent such problematic elimination of the sound signals been develop crucial. Owing to development of data and information equipment tele-medicine and e-health have developed prevalent in emerging and urbanized republics. In the examination drudgery we partake verified three dissimilar categories of adjustable filtering procedures to associate the presentations for scheming EEG signal as of arbitrary and Gaussian-noise. The main idea of the work is to interface the human brain signals and machine in an easy and cheapest manner to find out the various abnormalities in him. The methodology is as follows, we took brain-wave senor for acquiring of data from the person, and this is standard device available in market. The senor is connected to the laptop or system with the help of Bluetooth and the signals are acquired. The acquired signal will be a noisy signal which is to be de-noised and filtered for further process of detection. Random and white-Gaussian-noise is added with EEG signal and Adaptive filter with three different algorithms have been tested to reduce the noise that is added during transmission through the telemedicine system. Further based on the sum, mean and standard deviation parameters the individual is been evaluated the condition is been predicted. After an experimental learning of teenagers with type-1-diabetes (T1D), accompanying with hypoglycemic incident night, centroid, alpha-frequency condensed meaningfully and the centroid theta-frequency augmented meaningfully. The complete data remained prearranged hooked on a preparation set and examination customary arbitrarily designated. By means of proposed methodology, which was resultant as of teaching set through maximum log indication, projected blood-glucose summaries created a noteworthy relationship in contradiction of measured standards in assessment set.
An Efficient Adaptive Load Balancing Scheme for Mitigating Reduction of Quality-Based DDOS Attack on Cloud File Storage Environment
Authors:   Research Scholar, Saveetha School of Engineering, SIMTS, Chennai, India., Loganathan* V , Winster S Godfrey ,   Professor, Saveetha Engineering College, Chennai, India.
Published: December 2019

Availability of cloud resources to the cloud users is considered as the serious challenge that pose security essentialities during the process of on-demand service provision. Moreover, a specific type of attack named Reduction of Quality (RoQ)-based DDoS attack is determined to be vulnerable in the cloud computing since it exploits the benefits of the embedded adaptive load balancing and admission control methods of the environment. In this paper, an Efficient Adaptive Load Balancing Scheme-based on Wilcoxon–Mann–Whitney Hypothesis Test (EALBS-WMW-HT) is proposed for mitigating Reduction of Quality-based DDoS attack in order to minimize its influence for enhancing the degree of availability to the cloud users. This proposed EALBS-HT scheme uses the merits of statistical testing on the traffic flow and contributes to the detection of RoQ-based DDoS attack such that they does not disturb the inherent load balancing process of the cloud environment. The experiments of the proposed EALBS-HT scheme revealed an excellent detection accuracy, true positive rate and true negative rate with minimized false negative rate studied on par with the baseline approaches considered for analysis.
"Go Boy" Traditional Games to Improve Cardiovascular Endurance for Handicapped Children in Bengkulu Indonesia
Authors:   Bengkulu University, Bengkulu City, Indonesia,, Pujianto* Dian , Syafrial  ,   Bengkulu University, Bengkulu City, Indonesia,, Insanistyo Bayu ,   Bengkulu University, Bengkulu City, Indonesia,
Published: December 2019

This study examines the role of physical activity "Go Boy" in children with special needs, in aspects of physical fitness. This research is development research. The subjects of this study were children with special needs in the city of Bengkulu who attended the SLB Negeri Bengkulu City totaling 13 students. Data analysis techniques using the t-test. the results of this study indicate that the traditional game-based training program "Go Boy" can be used to improve physical fitness for children with special needs.
Process Parameters of Ultrasonic Machining
Authors:   Department of Mechanical Engineering, JSS Academy of Technical Education, Bangalore, India., B C * Rajathesh , G Vinay ,   Department of Mechanical Engineering, JSS Academy of Technical Education, Bangalore, India, Akki Shivayogi C ,   Department of Mechanical Engineering, JSS Academy of Technical Education, Bangalore, India., Nanjundeswaraswamy Dr T S ,   Associate Professor, Department of Mechanical Engineering, JSS Academy of Technical Education, Bangalore, India.
Published: December 2019

Ultrasonic machining is also known as Ultrasonic Vibration machining. It is one of the most widely used machining processes. Few key parameters of USM are abrasive size, the effect of slurry, effect of amplitude, the effect of frequency, effect of tool and work material, and etc. To obtain high results in terms of accuracy and precision, we need to consider the optimal value of these parameters. The optimal parameters vary depending on the situation.
Detection of False Report Injection At Wsns Based on Data Calibration in Iot Environment
Authors:   Department of Electrical and Computer Engineering, Sungkyunkwan University, Suwon, Republic of Korea., Kang* Ye-lim , Cho* Tae-ho ,   Department of Computer Science and Engineering, Sungkyunkwan University, Suwon, Republic of Korea.
Published: December 2019

Unlike ordinary dust, fine dust has a small particle size and is thus not well-filtered out of the human nose or bronchus. It accumulates in the human body where it can generate various respiratory and bronchial illnesses. If this fine dust is introduced into a room from the outside, the indoor air is worsened which has negative effects on the health of the people there. The continuous management of indoor air through air purification is necessary to protect the health of students, office workers, and others who spend most of the day indoors. Various air purification systems exist for this purpose, and research and development are actively progressing. This paper discusses an indoor air purification system that uses Internet of Things (IoT) based on Wireless Sensor Networks (WSNs). In such a system, false reports are generated when the number of sensor nodes compromised by an attacker exceeds the security threshold. The WSNs security protocol, Interleaved Hop-by-hop Authentication (IHA), cannot defend against such false reports, resulting in abnormal behavior of the IoT air cleaner. Therefore, a false report detection scheme that uses sensing data is proposed in this paper. When fine dust occurs, the WSNs and IoT air cleaner sense fine dust at the same time. The IoT air cleaner, which has normally received the WSNs event report, calculates the average and the deviation about the cumulative fine dust sensing data values of the WSNs and the IoT. Then, it compares the deviation for the current event with the deviation for the previous event to calculate the variation of deviation. If the variation of deviation is within a predetermined error range, it is determined that a normal event occurs. Otherwise, it is determined that the false report injection attack occurs and it is prevented from running abnormal behavior of it. In conclusion, this scheme not only improves security by preventing the IoT air cleaner from running abnormally, but also contributes to improved energy efficiency in the WSNs.
A Fuzzy Logic Based System for Secure Scrum
Authors:   Department of Computer Science and Engineering,Koneru Lakshmaiah Education and Foundation,Guntur,India., Parveen* Nikhat , Roy Arpita ,   Department of Computer Science and Engineering, Koneru Lakshmaiah Education and Foundation,Guntur,India., srilatha Yagna ,   Department of Computer Science and Engineering,Koneru Lakshmaiah Education Foundation,Guntur,India., Chaitanya  ,   Department of Computer Science and Engineering,Koneru Lakshaiah Education Foundation, Guntur,India., Hemanth  ,   Department of Computer Science and Engineering,Koneru Lakshmaiah Education Foundation, Guntur, India.
Published: December 2019

Software is a basic system that acts as a major key part in general functioning system like securing the need of performance and scope of the system. Here the security is given to unauthorized user as unauthorized client that casually gets the change or modification within the system by effecting the efficiency and functionality of the system. So in order to overcome this issue new improved software is taken that improves the system performance and security. the paper represents a new fuzzy logic based system for handling secured attribute and assessment in software. Based on this reason we propose PC1 and bugs dataset for fuzzy inference system can be used. This secured system model helps software engineers to select secured and safety software for the performance and ambiguity.
Various Performance Datum that Affect the Working of TEG
Authors:   Student of Mechanical Engineering, JIMS Engineering Management Technical Campus affiliated to Guru Gobind Singh Indraprastha University, New Delhi, India., Singh* Prabhjot , Bhola Simran ,   Student of Mechanical Engineering, JIMS Engineering Management Technical Campus affiliated to Guru Gobind Singh Indraprastha University, New Delhi, India., Choudhary Sanjeev ,   Student of Mechanical Engineering, JIMS Engineering Management Technical Campus affiliated to Guru Gobind Singh Indraprastha University, New Delhi, India., Kumar Dhruv ,   Assistant Professor, Mechanical Engineering, JIMS Engineering Management Technical Campus affiliated to Guru Gobind Singh Indraprastha University, New Delhi, India., Jha Dr. Devendra ,   Dean (Academics), JIMS Engineering Management Technical Campus affiliated to Guru Gobind Singh Indraprastha University, New Delhi, India.
Published: December 2019

“Waste heat recovery with thermoelectric power generators can improve energy efficiency & provide distributed electricity generation.” The strategy of how to recover this heat depends on the temperature of waste heat gases and economics involved. The energy lost in exhaust gases cannot be fully recovered. However, much of the heat could be recovered & loss minimizes by adopting ideal performance conditions at the system level. The performance of TEG relies on more factors than traditional Thermoelectric (TE) material performance metrics alone, Positioning within the automotive system, Module Structure and Electrical Performance of one whole Thermoelectric (TE) system decides the efficiency of heat recovered. This review discusses the performance of TEG in different practical cases & what could be the best arrangement of the array of modules, Placement or Positioning & Conditions for a TEG setup to work in an Automotive System."
An Examination of E-Loyalty for Online Purchase of Apparel among Y Generation
Authors:   Academician and teaching faculty at Lovely Professional University, Phagwara, Jasrai* Lokesh , Narula Shabnam ,   Associate Professor with Mittal School of Business, Lovely Professional University, India
Published: December 2019

Now a day, the internet has become a suitable platform for the trade of products and services. The growth of internet users was 481 million in 2017 and will reach approx. 829 million by 2021. Emergence of online shopping make India like hot bed which inviting the retailers to sell their products online. The boom sub category of online shopping is apparel industry in India. It also reaches to 24% of total online users. Rapid growth of online shopping has led to inspire e-loyalty among online shoppers. In Today’s era young generation has become very active in shopping apparel online. Online fashion market is estimated to reach $12bn to $14bn by 2020. This study measured the four constructs including e service quality dimensions i.e. Privacy, Efficiency, Fulfilment, System Availability and e-trust, e-satisfaction as e-loyalty antecedents. Structural Equation Modelling technique used to establish the relationship between the construct taken for the study. Findings revealed that there are four dimensions of e service quality that have inconsistent influence on e-satisfaction and e-trust. Efficiency is not significantly associated with the e-trust and e-loyalty. Fulfilment is observed as most grounded indicator for e-satisfaction and e-trust as well. Privacy is also the important driver to e-trust that leads to e-loyalty.
ANEMIA DISERITROPOIÉTICA CONGÊNITA TIPO II
Authors: Morais Larissa Jesus de , Andrade Reginaldo José
Published: December 2019

Introdução: A Anemia Diseritropoiética Congênita (CDA) é um grupo heterogêneo de doenças, caracterizadas principalmente pela diseritropoiese e eritropoiese ineficaz. O diagnóstico é de exclusão, ou seja, é necessário afastar todas as outras formas e causas de diseritropoiese congênita ou adquirida para se ter certeza de seu diagnóstico. Os pacientes, além da anemia (leve a moderada), podem apresentar icterícia, esplenomegalia e deficiência na resposta hematopoética (fator determinante da intensidade da anemia). A CDA tipo II, a forma mais frequente das anemias diseritropoéticas congênitas. A maioria é diagnosticada na infância ou eventualmente na fase adulta; poucos casos são diagnosticados ao nascimento. Muitos pacientes são frequentemente transfundidos. Objetivo: O presente artigo tem como objetivo apresentar caso de um paciente diagnosticado aos 18 meses de idade com anemia diseritropoética tipo II, submetido a transfusões frequentes, em uso de deferasirox( quelante de ferro) e ácido fólico. Materiais e métodos: A pesquisa tem caráter descritivo. Os dados foram obtidos através da análise do prontuário médico do paciente Conclusão: A CDA é uma enfermidade rara e de difícil diagnóstico. O tratamento de escolha, mais convencional, é a transfusão sanguínea programa ou intermitente, associada com uso de quelante de ferro
APRESENTAÇÃO DE NEUROBLASTOMA ECTÓPICO: RELATO DE CASO
Authors: Soares Mauricio Zandoná , Chagas Bruno Frison , Soares Haydée Beatriz Zandoná , Peron Cleiton Schweitzer , Soares Antonio Carlos De Andrade
Published: December 2019

O Neuroblastoma olfatório foi primeiramente descrito por Berger e Luc em 1924. É encontrada em incidência bimodal mais comumente encontrada nas faixas de idade dos 10 aos 30 anos e dos 50 aos 70 anos e constituem 3% dos tumores intranasais. É uma neoplasia que normalmente se apresenta no teto da cavidade nasal, podendo avançar localmente e/ou metastatizar. Sintomas principais incluem cefaleia, dor local, obstrução nasal, anosmia, epistaxe e rinorreia. Apresentamos um caso em que a paciente apresentava somente cefaleia bifrontal de forte intensidade, sendo realizada tomografia computadorizada de crânio, evidenciando lesão incomumente ocupando o espaço do interior do seio esfenoidal. Exérese da lesão foi realizada através de cirurgia endoscópica e a imunohistoquimica comprovou Neuroblastoma Olfatório de seio respiratório. Recebeu alta no segundo dia pós-operatório. Concluindo, deve-se investigar sempre até mesmo queixas comuns, identificando possíveis lesões precocemente, iniciando o tratamento em fases iniciais da doença e facilitando o seguimento e melhorando o prognóstico frente a esta doença.
SÍNDROME DE BLACKFAN-DIAMOND: UM RELATO DE CASO
Authors: Moscardi Spack Maria Vitória , Silveira Juliano Smaniotto , Andrade Reginaldo José
Published: December 2019

A síndrome de Blackfan-Diamond é uma rara anemia congênita, diagnosticada no início da infância. Os principais sintomas apresentados são anemia, anormalidades ósseas e dificuldade de ganhar peso. O diagnóstico é obtido por hemograma e aspirado de Medula Óssea. O tratamento consiste em corticoterapia, programa de transfusão sanguínea e transplante de medula óssea. No caso descrito, o paciente do sexo masculino, de 11 anos de idade, portador da síndrome com diagnóstico no primeiro mês de vida e refratário à corticoterapia, realiza transfusão sanguínea a cada 21 dias e espera por doador para transplante de medula óssea. O paciente em questão apresenta a maioria dos sintomas clássicos da doença, porém não é responsivo a um dos principais tratamentos. Apesar da refratariedade ao tratamento com corticoterapia, o paciente apresenta-se estável no programa de transfusão enquanto aguarda doador compatível para transplante de medula óssea.
PESQUISA DE CONSUMO DE BATATAS PROCESSADAS E DESENVOLVIMENTO E ANÁLISE SENSORIAL DE BATATA FUNCIONAL PRÉ ASSADA
Authors: Suguiura Alaides Sanae , Matuszevski Louise Marçal , Lovato Frederico Rodrigues , Da Silva Sabrine Zambiazzi , Bernardi Daniela Miotto
Published: December 2019

O presente estudo teve como objetivo estudo foi aplicar a pesquisa de consumo de batatas processadas e alimentos funcionais, bem como desenvolver e realizar a caracterização físico-química, microbiológica e sensorial de produtos funcionais similares à batata smile. A pesquisa de consumo foi realizada via Google Drive, sendo composta por 1º questões fechadas. Foram elaboradas 3 formulações diferentes, uma com adição de 20% linhaça (BFL), a segunda com 20% de aveia (BFA) e a terceira com 10% de linhaça e 10% de aveia (BFLA). Foram realizadas análises microbiológicas, físico-químicas  e sensorial.  A pesquisa de consumo e a análise sensorial foram realizadas com 257 e 134 indivíduos, respectivamente. Entre os produtos de batatas processadas e derivados, a batata frita foi apontada como mais consumida (46,7%). Entre os provadores, 69,3% acham a batata um alimento saudável e 74,3% relatam não achar a batata smile saudável. Em relação ao produto desenvolvido, as análises microbiológicas se mantiveram dentro do exigido pela legislação, bem como foi possível observar redução de carboidrato, aumento de lipídios, fibras e proteína. Os resultados da análise sensorial mostraram que houve diferença significativa entre as amostras, a BC foi a formulação mais aceita, obtendo um IA (%) de 90%, comparado a 69% BFA, 64% BFAL e 60% BFL. Portanto, o desenvolvimento de produtos inovadores e saudáveis neste setor tem grande relevância devido ao consumo acentuado de batatas processadas.
ANALISIS KEPUASAN PELANGGAN TERHADAP HASIL PENGEMBANGAN PRODUK LAMPU RUMAH DENGAN METODE QUALITY FUNCTION DEPLOYMENT (QFD)
Authors: Fatahilah Achmad , Trismawati Trismawati , Prihatiningsih Tri
Published: December 2019

Penelitian ini bertujuan untuk mengetahui kepuasan pelanggan terhadap hasil produk pengembangan lampu rumah berbasis mikrokontroler arduino yaitu produk lampu Fathlamp. Produk lampu fathlamp adalah produk lampu LED yang bisa dikendalikan dengan jarak jauh menggunakan smartphone android sebagai sakelar dengan memanfaatkan jaringan wifi. Dalam menganalisis kepuasan pelanggan, peneliti menggunakan metode QFD (Quality Function Deployment).Penelitian ini merupakan penelitian studi kasus yang dilakukan dengan pengambilan data melalui kuesioner, wawancara, dan dokumentasi. Subjek penelitian adalah konsumen pengguna lampu rumah dan data kuantitatif diolah secara deskriptif.Hasil penelitian menunjukkan bahwa hasil kepuasan pelanggan terhadap atribut produk lampu fathlamp yaitu konsumsi energi listrik lebih hemat dengan prosentase sebesar 18,88%, perawatan yang mudah dengan prosentase sebesar 17,48%, mudah dalam penggunaannya dengan prosentase sebesar 16,16%, bahan yang awet dan tahan lama dengan prosentase sebesar 14,11%, kecerahan cahaya dengan prosentase sebesar 12,9%, desain yang sederhana dengan prosentase sebesar 11,03%, harga yang terjangkau dengan prosentase sebesar 9,44%.
OPTIMALISASI BIAYA TRANSPORTASI PADA INDUSTRI MANUFAKTUR
Authors: Mujiono Mujiono , Junita S. Erni , Sujianto Sujianto
Published: December 2019

Optimasi biaya transportasi berarti mengeffisien dan mengoptimalkan biaya yang dikeluarkan mendistribusikan barang, sedangkan Metode transportasi adalah merupakan metode yang digunakan untuk mengatur distribusi dari sumber-sumber yang menyediakan produk yang sama, ke beberapa tempat tujuan yang membutuhkan transportasi secara optimal. Masalah transportasi merupakan metode program linear, sebuah teknik yang paling utama untuk menghitung biaya yang paling optimal dengan menggunakan jaringan pabrik dan produk dari beberapa sumber ke beberapa tujuan, sedangkan penelitian ini dilakukan pada industri manufaktur.Penelitian ini bertujuan untuk menentukan biaya dengan model transportasi secara optimal, agar supaya target perusahaan dapat terpenuhi dengan menekan biaya transportasi serendah mungkin, dengan menggunakan Metode Steping-Stone dibandingkan dengan program Quantitatif Manajemen(QM),bisa mengoptimalkan biaya hingga 41%.
PERANCANGAN MESIN ROL PLAT DENGAN METODE COLD ROLLING SKALA HOME INDUSTRY
Authors: I. Gultom Peniel , Heksa Galuh W. J.R.
Published: December 2019

Salah satu proses penting dalam manufaktur adalah proses pengerolan. Proses ini banyak digunakan dalam industri besar maupun kecil. Pada Usaha Kecil Menengah (UKM) bidang pembentukan logam (plat) salah satu permasalahan yang sering terjadi adalah proses pelengkungan plat besi. Peralatan yang digunakan kurang maksimal dan mesin roll plat yang beredar di pasaran relatif mahal dan besar.Dimensi ideal mesin roll plat untuk skala UKM dengan menggunakan metode pengerolan dingin (cold rolling) merupakan fokus utama dalam peelitian ini. Metode pengerolan dingin merupakan metode yang cukup efisien dan efektif yang bertujuan untuk menekan biaya produksi.Spesifikasi rancang bangun mesin roll plat dengan metode cold rolling dengan untuk UKM sebagai hasil penelitian ini adalah motor listrik yang memiliki daya 0,367 kW dan putaran 1400 rpm, transmisi sabuk-V yang digunakan Tipe B, nomor sabuk 37, panjang keliling sabuk 940 mm, jumlah satu buah dan rantai rol yang digunakan nomor rantai 50, rangkaian tunggal, 56 mata rantai, pitch = 15,875 mm. Putaran rol penekan adalah 7 rpm.
PELATIHAN MEMBUAT HANTARAN PERNIKAHAN PADA IBU-IBU RUMAH TANGGA UNTUK MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN
Authors: Anggraini Rini , Yuliarty Popy
Published: December 2019

Hantaran pernikahan atau sering disebut seserahan merupakan sesuatu yang umum dan harus ada dalam rangkaian pernikahan di Indonesia. Seserahan merupakan simbolisasi dari pihak mempelai pria sebagai wujud tanggung jawab kepada pihak keluarga terutama orang tua calon pengantin wanita. Pelatihan ini merupakan pelatihan tahap ke 2 dengan peserta yang berbeda. Permasalahan yang timbul adalah banyak para ibu yang tidak mengetahui cara membuat hantaran pernikahan dengan kreatif dan menarik, padahal keterampilan ini tentu sangat diperlukan untuk mereka sendiri ataupun dapat menjadi peluang jasa menghias hantaran pernikahan. Evaluasi pelaksanaan kegiatan pengabdian masyarakat ini dilakukan dengan cara penyebaran kuisiober kepada peserta yang berjumlah 10 orang. secara umum, kegiatan ini dapat dikatagorikan berhasil, peserta antusias mempelajari dan mempraktekkan materi pelatihan. Namun waktu pelaksanaannya kurang lama sehingga mereka minta waktu selanjutnya untuk belajar lagi ( Nilai rata-rata terendah pada pertanyaan nomor 4 dengan rata-rata 3.10)
Analisis Beban Kerja Menggunakan Metode Nasa - Task Load Index Pada Karyawan Telkom Applied Science School Bandung
Authors: Santika Sari
Published: December 2019

Telkom Apllied Science Schoolmerupakan salah satu fakultas pada universitas telkom yang memiliki jumlah progam studi lebih banyak dibandingkan dengan fakultas lain. Oleh karena itu perlu dilakukan perhitungan beban kerja pada karyawan bidang akademik pada fakultas tersebut untuk mengetahui seberapa besar beban kerja mental yang dialami oleh karyawan dan faktor apa yang mempengaruhi  beban kerja tersebut. Pengukuran beban kerja pada karyawan bidang akademik ini dapat menentukan langkah yang tepat untuk menjaga produktivitas kerja. Salah satu metode yang dapat mengukur beban kerja mental adalah NASA-TLX. Metode ini membagi beban kerja menjadi 6 aspek elemen kerja. Dalam pengukurannya metode NASA TLX dibagi menjadi dua tahap, yaitu melakukan perbandingan tiap skala dan melakukan pemberian nilai terhadap pekerjaan. Hasil dari perhitungan NASA-TLX pada karyawan bidang akademik berada pada tingkat beban kerja yang berat. Elemen beban kerja yang paling dominan pada karyawan tersebut adalah temporal demand dan effort
Analisis Predictive Maintenance Mesin Overhead Crane PT. Bromo Steel Indonesia
Authors: Sofian Hadi  , Dayal Gustopo Setiadjit  , Laksmana Dimas Indra
Published: December 2019

Permasalahan yang sering terjadi pada proses produksi di PT. Bromo Steel Indonesia yaitu kerusakan pada mesin overhead crane.Kerusakan yang terjadi pada mesin tersebut, mengakibatkan dampak buruk bagi perusahaan, dimana terhentinya proses produksi. Tujuan dalam penelitian ini adalahmemperbaiki Standart Operating Prosedure.Berdasarkan hasil penelitian dalam memperbaikiStandard Operating Procedure (SOP) dalam hal perawatan dan pemeliharaan mesin dengan metode Risk Based Maintenance yang berdasarkan pemilihan komponen kritis dari frekuensi kerusakan, mahalnya harga komponen, skala probabilitas dan identikasi resiko, kemudian dianalisis dalam risk register, untuk dilakukan mitigasi resiko dari hasil rating risk. Hasil penelitian ini memperbaiki sistem perawatan di PT Bromo Steel Indonesia dengan melihat skala prioritas kerusakan mesin sehingga pihak perusahaan dapat menentukan kebijakan dalam meminimalisir kerugian dari resiko yang akan terjadi.
Does the Medical College Admission Test (MCAT) predict licensing examination performance in the Canadian context?
Authors: Raman Maitreyi , Lukmanji Sara , Walker Ian , Myhre Douglas , Coderre Sylvain , McLaughlin Kevin
Published: December 2019

Background: Research on the predictive validity of the Medical College Admissions Test (MCAT) on licensing examination performance is varied in its conclusions, with only a few studies examining this relationship in a Canadian context. We assessed the predictive validity of the MCAT on successful performance on the Medical Council of Canada Qualifying Examination (MCCQE) Part 1 by students attending the Cumming School of Medicine.   Methods: Prospective data were collected on MCAT score and sub-section scores, MCCQE decision, multiple mini interview (MMI) performance, gender, and age. The cohort was divided into a derivation cohort (2013 and 2014) and validation cohort (2015 and 2016). Students were dichotomized into pass or fail on MCCQE. Multiple logistic regression in which our dependent variable was MCCQE Part I examination success at the first attempt was used, and potential explanatory variables were age, gender, MCAT total score, and sub-scores for the biological sciences (MCAT-BS), physical sciences, and verbal reasoning, GPA, and MMI ratings.Results: For the derivation cohort MCAT-BS was associated with success on the MCCQE Part I. The odds ratio for this association of 1.37 (95% confidence interval [1.01, 1.85], p = 0.04). When we applied the MCAT-BS to our validation cohort the odds ratio of MCCQE Part I examination success was 1.42 [1.10, 1.83], p = 0.007) and the area under the ROC curve was 0.66 [0.54, 0.79]).Conclusion: The MCAT-BS predicted successful performance on the MCCQE Part 1 Examination in the Canadian setting.
Building a CTU Orientation Handbook iPad® application for first-year residents
Authors: Chan James , Desjardins Isabelle , Rashidi Babak , Jiang Di Maria , Yang Fan
Published: December 2019

Background: The General Internal Medicine Clinical Teaching Unit (CTU) is a challenging rotation for new residents and the optimal format of orientation has not been determined. We hypothesized that an iPad®application (app) would be a useful reference tool after residents completed their traditional large group orientation. Methods: Postgraduate year 1 (PGY1) residents were sent a link to download the free app one week before the start of their rotation. A pre-usage survey at initial login collected basic demographics. Usage data was collected to determine the sections, duration, and the timeframe from which the app was utilized.Results: Pre-usage survey data revealed that 63% of participants were female, 69% felt the app would improve orientation, and 94% were comfortable using mobile technology for medical education. Usage data showed “Teaching Sessions and Schedules,” “The Consult Note,” and “Admission Orders” were the three sections most commonly used. The most usage was during the evening call shift (10pm to 6am), followed by the morning shift (6am to 5pm).   Conclusion: The CTU Orientation App was a useful supplement to the traditional orientation. Researchers may not be able to predict what content would be most valuable in an iPad® app, thus pre-development needs-assessments and usage feedback are crucial.
Delivering on the promise of competency based medical education – an institutional approach
Authors: Dagnone Damon , Stockley Denise , Flynn Leslie , Egan Rylan , Van Wylick Richard , McEwen Laura , Walker Ross , Reznick Richard
Published: December 2019

The Royal College of Physicians and Surgeons of Canada (RCPSC) adopted a plan to transform, over a seven-year horizon (2014-2021), residency education across all specialties to competency-based medical education (CBME) curriculum models. The RCPSC plan recommended implementing a more responsive and accountable training model with four discrete stages of training, explicit, specialty specific entrustable professional activities, with associated milestones, and a programmatic approach to assessment across residency education. Embracing this vision, the leadership at Queen’s University (in Kingston, Ontario, Canada) applied for and was granted special permission by the RCPSC to embark on an accelerated institutional path. Over a three-year period, Queen’s took CBME from concept to reality through the development and implementation of acomprehensive strategic plan. This perspective paper describes Queen’s University’s approach of creating a shared institutional vision, outlines the process of developing a centralized CBME executive team and twenty-nine CBME program teams, and summarizes proactive measures to ensure program readiness for launch. In so doing, Queen’s created a community of support and CBME expertise that reinforces shared values including fostering co-production, cultivating responsive leadership, emphasizing diffusion of innovation, and adopting a systems-based approach to transformative change.
Seeing beyond variables: applying a person-centered approach to identifying regulation strategy profiles among Finnish preclinical medical and dental students
Authors: Vilppu Henna , Laakkonen Eero , Mikkilä-Erdmann Mirjamaija , Kääpä Pekka
Published: December 2019

Background: High-quality learning during medical school and beyond requires appropriate study strategies and taking responsibility for one’s studies, thus self-regulation of one’s learning. In contrast to traditional studies focusing on a variable-centered approach, a person-centered approach to regulation strategies was utilized.       Methods: The participants were 162 Finnish medical and dental students who answered the regulation scale of the Inventory of Learning Styles at three measurement points. First, the functionality of the scale was analyzed in Finnish medical education context. Latent profile analyses were used to examine regulation strategy profiles. Last, the connections of these profiles with the study success were investigated.Results: The analyses yielded a three-factor solution, which was reliable across time. Four profiles of regulation strategies were identified and they were found to be connected to study success: Students with the lowest self-regulation and increasing lack of regulation performed worse than the other groups.Conclusion: The use of a person-centered approach along with variable-centered approach increases understanding of the complex nature of learning in higher education. Person-centered approach could be used as a tool for supporting student learning and to help early diagnosing of learning difficulties, since it enables individualization of students with different regulation strategy profiles.
PedLER: Pediatric Longitudinal Experience with Residents
Authors: Weidman Danielle , Scott Ori , Jewitt Natalie , Jamal Alisha , Harel-Sterling Maya , Au Hosanna , Punnett Angela
Published: December 2019

Pediatric Longitudinal Experience with Residents (PedLER) is a unique program at the University of Toronto, designed to foster formal mentorship between pediatric residents and first-year medical students.
Does a Canadian diabetes curriculum work for future physicians in China? Lessons from the Ottawa Shanghai Joint School of Medicine
Authors: Kobza Alexandra , Dong Ying , Arnaout Amel
Published: December 2019

Background: The Ottawa Shanghai Joint School of Medicine (OSJSM) is a campus of the University of Ottawa Medical School in Shanghai, China. This collaboration allowed us to study whether a Canadian curriculum is suitable for the Chinese population. The aim of this study is to evaluate: 1) The OSJSM diabetes curriculum; and 2) The relevancy of the content for the Chinese population.Methods: The diabetes curriculum content was evaluated using a curriculum comparison between the University of Ottawa, OSJSM, and the Shanghai Jiao Tong School of Medicine (SJTSM). A literature search compared the diabetes populations in Canada and China. Interviews determined how physicians and patients manage diabetes.Results: The diabetes curriculum at the OSJSM is identical to that of the University of Ottawa. Canada and China have a similar diabetes prevalence, diagnostic criteria, and management. Although both countries utilize the same screening guidelines for diabetes and its complications, patients in Canada are more likely to adhere to these recommendations.Conclusion: This study suggests that the diabetes content of the University of Ottawa curriculum remains relevant in China. A greater emphasis on the importance of screening for disease complications in the curriculum may facilitate making this a priority for patients and healthcare providers in China.
Murmurs: the journal of art and healing
Authors: Danilewitz Marlon , Zumrova Andrea , Bloom Lynn , Blaskovits Farriss
Published: December 2019

In an era of unprecedented physician burnout and disconnection, there is growing recognition of the importance of integrating the study of humanities in medicine. Emerging research has underscored the importance of reflective writing and creativity in bolstering physician resilience. The publication “Murmurs Magazine,” therefore, should be of great interest to medical educators. This publication was developed and continues to be managed by medical students as a forum for creative expression and reflection.
Addressing culture within healthcare settings: the limits of cultural competence and the power of humility
Authors: MacKenzie Lauren , Hatala Andrew
Published: December 2019

As Canada continues to grow in diversity, health care providers will be encouraged to become more aware of cultural differences and their impact on health (7-9). The adoption of cultural competence teaching within medical curriculum was an important step. However, this approach does not fully capture the complexity and dynamism inherent to culture, and fails to acknowledge the culture(s) of biomedicine we are situated in as care providers. Without recognizing the role of culture in biomedical practice, we cannot fully implement a patient-centered approach to care. Applying the concept of cultural humility and its critical self-reflection is an important next step towards meaningfully addressing culture within the clinic.
The encounter
Authors: Zhao Nova
Published: December 2019

We know that homelessness is a nation-wide problem in Canada. What may be often forgotten, especially by those of us unfamiliar with poverty and deprivation, is how homelessness affects a person’s health. In this essay, I narrate a chance encounter with a homeless man that taught me the difficulties homeless people face in accessing, navigating, and benefiting from the health care system. We need to rethink how we health care providers respond to the homeless, and medical students can help lead the change.
Perceptions of effective leadership in a medical school context
Authors: Bharwani Aleem , Kline Theresa , Patterson Margaret
Published: December 2019

Background: There have been calls for the development of leadership attributes in healthcare practitioners through leadership development programs. However, understanding how leadership is conceptualized is needed to assure effective participant-centred leadership development programs. The purpose of this study was to elucidate how the construct of leadership is conceptualized by multiple stakeholder groups associated with medical school leadership programs.
Methods: We conducted a total of 77 semi-structured interviews with six major demographic groups: Trainees (n= 16), Mid-Level University Leaders (n= 10), Clinician Leaders (n= 17), Senior University Leaders (n= 10), Medical Scientists (n= 12), and Senior Leaders, external to the University (n = 12) to address the research question.
Results: Content analyses revealed that the leaders were expectedto create a compelling vision and a foster a motivating culture within the organization. Integrity and a sense of passion about leading were viewed as being principal characteristics of a leader. The twin skills of technical competence and communication were endorsed as most important for a leader. Finally, leaders are expected to be accountable for outcomes.
Conclusion: Medical school leadershiptraining programs should strive to incorporate these characteristics, given their broad appeal to diverse interest groups.
Patient involvement in resident assessment within the Competence by Design context: a mixed-methods study
Authors: Moreau Katherine , Eady Kaylee , Jabbour Mona
Published: December 2019

Background: Patients can contribute to resident assessment in Competence by Design (CBD). This study explored the extent, nature, as well as the facilitators and hindrances of patient involvement in resident assessment within and across Canadian specialty/sub-specialty/special programs that are transitioning or have transitioned to CBD.     Methods: We used a two-phase sequential explanatory mixed-methods design. In Phase 1, we surveyed program directors (PDs). In Phase 2, we interviewed PDs from Phase 1.Results: In Phase 1, 63 (62.4%) respondents in the CBD preparation stage, do not know if patients will be involved in resident assessment, 21 (20.8%) will involve patients, and 17 (16.8%) will not involve patients. Of those in the field-testing or implementation stages, 24 (72.7%) do not involve patients in resident assessment, five (15.2%) do involve patients, and four (12.1%) do not know if they involve patients. In Phase 2, 12 interviewees raised nine factors that facilitate or hinder patient involvement including, patients’ interests/abilities, guidelines/processes for patient involvement, type of Entrustable Professional Activities, type of patient interactions in programs, and support from healthcare organizations.Conclusion: Patient involvement in resident assessment is limited. We need to engage in discussions on how to support such involvement within CBD.
Prescribing competency assessment for Canadian medical students: a pilot evaluation
Authors: Holbrook Anne , Liu J. Tiger , Rieder Michael , Gibson Michelle , Levine Mitchell , Foster Gary , Perri Dan , Maxwell Simon
Published: December 2019

Background: The knowledge and ability to prescribe safely and effectively is a core competency for every graduating medical student. Our previous research suggested concerns about medical student prescribing abilities, and interest in a standardized assessment process. Methods: A multi-year cross-sectional study evaluating the feasibility, acceptability, and discriminative ability of an online prescribing competency assessment for final year Canadian medical students was conducted. Students at nine sites of four Ontario medical schools were invited to participate in an online one-hour exam of eight domains related to prescribing safely. Student feedback on perceived fairness, clarity, and ease of use formed the primary outcome. Exam performance and parity between schools were the secondary outcome.  Results: A total of 714 students completed the assessment during spring final review courses between 2016 and 2018. Student feedback was more favourable than not for appropriateness of content (53.5% agreement vs 18.3% disagreement), clarity of questions (65.5% agreement vs 11.6% disagreement), question layout and presentation (70.8% agreement vs 12.2% disagreement), and ease of use of online interface (67.1% agreement vs 13.6% disagreement). Few (23.6% believed their course work had prepared them for the assessment. Mean total exam score was 70.0% overall (SD 10.4%), with 47.6% scoring at or above the pass threshold of 70%. Conclusion: Our prescribing competency assessment proved feasible, acceptable, and discriminative, and indicated a need for better medical school training to improve prescribing competency. Further evaluation in a larger sample of medical schools is warranted.
Scaffolding for assessment success: using gradual release of responsibility to support resident transition to competency-based medical education
Authors: Pero Rebecca P. , Marcotte Laura
Published: December 2019

In competency-based medical education (CBME), assessment is learner-driven; learners may fail to progress if assessments are not completed. The General Internal Medicine (GIM) program at Queen’s University uses an educational technique known as scaffolding in its assessment strategy. The program applies this technique to coordinate early assessments with specific scheduled learning experiences and gradually releases the responsibility for assessment initiation to residents. Although outcomes of this innovation are still under investigation, we feel it has been valuable in supporting resident assessment capture and timely progression through stages of training.  Other residency training programs could easily implement this technique to support the transition to Competency by Design.
Kaleidoscope heart
Authors: Mazzola Rosetta
Published: December 2019

I am an enthusiastic amateur photographer, taking great pleasure in capturing landscapes but also dabbling in portrait and still life photography. This image was inspired by my daily bicycle commute to and from UBC's Point Grey campus during my first semester of medical school in the fall of 2016. Every day, I cycled through the ever-changing landscape of Vancouver. While we were studying cardiology, in my mind’s eye, the colourful leaves falling from the trees formed the chambers and vessels of a heart. This playful fantasy reminded me of the importance of maintaining an open mind in recognizing patterns when diagnosing patients in medicine.
Congestive heart failure
Authors: Zhao Xuan
Published: December 2019

I felt an urge to create a piece that depicted the current state of our natural world using an analogy from medicine. The impact we have had on the natural environment has been like a disease. Current economies prioritize consumerism and expansion, congesting our world (the heart) with garbage and infecting our air, soil, and water with waste products. The belief we have a “right” to exploit the earth (right heart) has led to the rapid deterioration of what is “left” of the natural world (left heart). Like congestive heart failure, we currently have no single cure for climate change, but that doesn't mean we can't create solutions for the future. In the words of David Attenborough at the 2019 World Economic Forum: “We need to move beyond guilt or blame, and get on with the practical tasks at hand. If people can truly understand what is at stake, I believe they will give permission for business and governments to get on with the practical solutions. And as a species, we are expert problem solvers. but we’ve not yet applied ourself to this problem with the focus that it requires. We can create a world with clean air and water, unlimited energy, and fish stocks that will sustain us well into the future. But to do that, we need a plan.”
FORMATION OF MEDIACULTURE SKILLS IN STUDENTS DURING VOCATIONAL TRAINING
Authors: Ivanova O. A
Published: December 2019

The article addresses the problem of the formation of media culture skills inengineering students who studyin secondary vocational education programs. The problem is considered in the context of forming a media-cultural personal space, which determines the future professional activity and interaction of a professional in a media-cultural environment, mediating the successful functioning of a subject in the ‘state-society-industry’system of relations. The localization of this issue is determined by the need to identify the features of the formation of media culture skills, while the specifics of maturity of such skills would cover a range of a single media culture space, including the timely processing, use, and handling of information that affects the level of formation of an individual’s media culture. The article emphasizes the importance of media culture skills for engineering students enrolled in secondary vocational education programs. The future technical professionals are considered as subjects (as well as cultural subjects), whose professional activity is regulated by the principles of technical rationality and whose media-cultural level mediates the effectiveness of the society-industryrelations within the ‘state-society-industry’ system of relations. The study used methods of historical and cross-cultural analysis, systematization and classification. The specific features of the media-cultural space in modern realityare revealed. The studysubstantiates the need for the formation of media culture skills as factors for improving the mediacultureawareness of a modern professional as the carrier of individual consciousness. The main groups of features characterizing the classification set of media culture skills are identified and described.