bluuebunny/crossref_metadata_2025 huggingface dataset:
Data Driven Analysis of Insurance Claims Using Machine Learning Algorithm
Authors: Dr. Velmurugan. K  , Mr. K. Pazhanivel  , Divyasree. R  , Gowtham. E  , Guruharan. S
Published: May 2023

The insurance industry is undergoing major changes with the integration of big data and artificial intelligence technologies. The design and research of an insurance survey claims system based on big data analysis aims to improve the efficiency and accuracy of insurance claims processing. The system uses image recognition, computer vision systems, language recognition, and other AI technologies to analyze case information and accelerate the speed of insurance claims settlement. The system also includes an intelligent customer service feature that uses AI algorithms such as language processing and big data statistical analysis to provide processing suggestions to policyholders. The system implements an individualized insurance service that collects, stores, and analyzes data on policyholders to create personalized insurance products and perform precise marketing. Big data analysis in the insurance personalized service primarily uses association rule analysis, classification and clustering analysis, and change and deviation analysis to improve the service. The one-click reporting function simplifies the reporting process for policyholders, allowing them to report a case from anywhere at any time. The intelligent claims processing feature separates liability in claims cases and deals with non-controversial cases through the use of AI, shortening the processing time and reducing manpower costs. The insurance survey and claim system has undergone five iterations under an agile development model and has achieved the goals of personalized insurance services, one-click reporting, intelligent claims processing, and intelligent customer service. The practical application results demonstrate that the system can improve the efficiency and accuracy of insurance claims processing while also providing policyholders with a more convenient and personalized experience. In conclusion, the design and research of an insurance survey claims system based on big data analysis has the potential to revolutionize the insurance industry and greatly benefit both insurance companies and policyholders
CBT (Computer Based Test) Dan Pelatihan Pembuatan Soal HOTS (High Order Thinking Skills) Untuk Guru-Guru Sma Negeri 1 Pantai Labu Deli Serdang
Authors: Fuadaturrahmah, Riski Safitri Indri Dayana,
Published: May 2023

Sebagai Salah satu tugas guru sebagai pendidik professional di merdeka belajar adalah menilai hasil belajar siswa menekankan pada bakat dan minat siswa. Guru harus mampu mengerti tentang CBT (Computer Based Test)  dan membuat soal HOTS (high order thinking skills) dalam menilai siswa menekankan ke bakat dan minat siswa. Perangkat penilaian pembelajaran berupa kisi-kisi penilaian, item butir soal tes berbasis HOTS (high order thinking skills), pedoman peskoran, dan pedoman penilaian. Berdasarkan realita di lapangan dan hasil survey awal di SMA Negeri 1 Pantai Labu, Deli serdang terdapat beberapa permasalahan terkait penilaian pembelajaran tersebut. Adapun permasalahan penilaian pembelajaran antara lain guru hanya fokus terhadap penilaian ranah kognitif saja, kemampuan guru dalam menyusun perangkat penilaian masih rendah, guru belum mampu menyusun item butir soal yang berkualitas, penilaian hanya berfokus pada hasil tanpa mempertimbangkan penilaian proses, dan penilaian yang dilakukan masih mengandung unsur subjektivitas. Berdasarkan hasil survei awal di SMA Negeri 1 Pantai Labu, Deli serdang guru-guru belum mampu menyusun perangkat penilaian pembelajaran dengan tepat. Banyak guru yang masih melakukan penilaian pada ranah kognitif saja dan mengabaikan penilaian afektif dan psikomotorik. Penyusunan item butir soal sebagai instrument penilaian ranah kognitif siswa juga belum tepat. Soal yang disusun guru sebagian besar masih menggunakan soal low order thinking skill (keterampilan berpikir rendah). Atas dasar itu dilakukan Pengabdian kepada Masyarakat dengan tujuan menyusun perangkat penilaian pembelajaran dengan tepat. PkM ini dilaksanakan pada 19 Mei 2022 melalui pelatihan tatap muka. Hasil yang diperoleh yaitu adanya peningkatan pemahaman dan ketrampilan guru terkait menyusun perangkat penilaian pembelajaran dengan tepat. Sebelum adanya pelatihan, rata-rata pemahaman guru tentang CBT (Computer Based Test)  (computer based test)  dan pembuatan soal HOTS (high order thinking skills) memperoleh nilai  60, sedangkan setelah diberi pelatihan menjadi 80. Keterampilan guru dalam membuat menyusun perangkat penilaian pembelajaran juga meningkat dibuktikan dengan produk berupa kisi-kisi penilaian, item butir soal tes berbasis HOTS (high order thinking skills), pedoman peskoran, dan pedoman penilaian yang wajib dibuat oleh peserta pelatihan.
Kegiatan Ramadan Positif Di Lingkungan SMA Negeri 63 Jakarta
Authors: Rizkan Gaffara Ghefra
Published: May 2023

Penelitian ini bertujuan untuk mengetahui (1) pelaksanaan aktivitas ramadhan di lingkungan  dalam menumbuhkan pendidikan karakter civitas kampus, (2) pengaruh pelaksanaan aktivitas ramadhan itu sendiri terhadap pendidikan karakter, (3) faktor pendukung dan penghambat pelaksanaan aktivitas ramadhan dalam menumbuhkan pendidikan karakter di SMA Negeri 63 Jakarta. Metode yang digunakan dalam penelitian ini adalah metode deskriptif analisis ditunjang dengan data yang diperoleh melalui penelitian kepustakaan dan penelitian lapangan. Sedangkan untuk metode pengumpulan data, peneliti menggunakan observasi, wawancara, dokumentasi dan kuesioner. Lalu, semua data yang telah diperoleh, diproses melalui beberapa tahap proses, dimulai dari reduksi data (mengambil data yang dibutuhkan), display data (menyajikan data), lalu terakhir verifikasi data (menarik kesimpulan). Untuk menguji keabsahan data, maka peneliti menggunakan prosedur cek ulang secara cermat, ketekunan pengamatan dan triangulasi data. Hasil dari penelitian ini menunjukkan bahwa aktivitas ramadhan yang terdapat pada Universitas Esa Unggul sangatlah beragam dan bermacam-macam jenis kegiatan didalamnya yaitu seperti; Tarhib Ramadhan, Mabit Qur’an, dan Pidato/Kultum.
Pengembangan Media Pop Up Book Materi Teknologi Transportasi Di Kelas IV SD
Authors: Sukmawarti Restia Anetri,
Published: May 2023

Penelitian ini bertujuan untuk (1) Mengembangkan media pembelajaran berupa Pop Up Book materi teknologi transportasi di kelas IV SD. (2) Jenis penelitian ini adalah penelitian pengembangan (Research and Development) menggunakan model ADDIE (Analysis, Design, Development, Implement, and Evaluation), namun penelitian ini hanya dilakukan sampai dengan tahap pengembangan (development). Penelitian ini dilaksanakan di SD Negeri 064991 Medan Amplas. Instrument pengumpulan data yang digunakan adalah angket. Subjek dalam penelitian ini adalah 3 validator (2 dosen ahli dan 1 guru). Jenis data dalam penelitian ini berupa data kualitatif dan data kuantitatif. Hasil validasi angket berupa  pengembangan media Pop Up Book materi teknologi trasnportasi dikelas IV SD. Berdasarkan hasil validasi ahli materi oleh dosen ahli menunjukkan rata-rata total skor 74,7% dengan kriteria “Baik”. Pada hasil validasi ahli media oleh dosen ahli menunjukkan rata-rata total skor 91,8% dengan kriteria “Sangat Baik”. Kesimpulan penelitian ini adalah Pop Up Book yang dikembangkan sudah sangat layak digunakan atau diterapkan dalam proses pembelajaran.
Pengaruh Model Pembelajaran Auditory, Intellectually, Repetition (AIR) Terhadap Prestasi Belajar Siswa Kelas X Pada Mata Pelajaran Fiqih Di MAS Al-Washliyah Pangkalan Brandan
Authors: Diani Syahfitri Elfira, Muhammad Saleh,
Published: May 2023

This study focuses on the discussion of the effect of the auditory, intellectually, repetition (AIR) learning model on the learning achievement of class X students in the subject of fiqh at MAS Al-Washliyah Pangkalan Brandan. In this study the authors used a type of quantitative research that is associative. The number of research respondents was 38 students who were in the religion class. Data processing using Microsoft Office Excel and SPSS applications. The results of the study explain that there is a significant influence between the effect of the Auditory, Intellectually, Repetition (AIR) learning model on the learning achievement of class X students in the subject of jurisprudence at MAS Al-Washliyah Pangkalan Brandan. This is obtained through the results of hypothesis testing, namely tests that show a significance value of less than 0.05 (0.000 <0.05) and tcount > ttable (4.499 > 2.02809) so that there is an effect of variable X on variable Y. Auditory learning model , Intellectually, repetition applied by the teacher affects the learning achievement of class X students in fiqh subjects at MAS Al-Washliyah Pangkalan Brandan by 34.2% while the rest is influenced by other variables such as intelligence, interest, talent, motivation, environment, and etc. There is a positive or parallel relationship between the Auditory, Intellectually, Repetition (AIR) learning model and student achievement, the better the application of the Auditory, Intellectually, Repetition (AIR) learning model is carried out, the learning achievement of class X students in fiqh subjects at MAS Al- Washliyah Pangkalan Brandan will get better too, and vice versa if the application of the Auditory, Intellectually, Repetition (AIR) learning model is not good or bad, the learning achievement of class X students in fiqh subjects at MAS Al-Washliyah Pangkalan Brandan will decrease.
Die Grüne Dimension
Authors: Röhl Thomas
Published: May 2023

In der Lebensmittelindustrie gilt es Produktionen zu automatisieren, transparente Abläufe zu schaffen, Markttrends einfach umzusetzen und nachhaltig mit Ressourcen umzugehen – und das alles bei höchster Produktqualität.
Präzision verhindert Produktverschwendung
Authors: Laux Matthias
Published: May 2023

Die Zahl der Haustiere ist während der COVID-19-Lockdowns auf vielen Kontinenten stark gestiegen, da viele ihre Arbeitstage zu Hause verbrachten. Kombiniert mit einer Bevölkerung, die immer mehr über Lebensmittel und Inhaltsstoffe weiß, verlangen Haustierbesitzer immer mehr von ihrer Tiernahrung.
„Druckfarben und Lacke sind viel mehr als nur bunte Farbe“
Authors: Laux Matthias
Published: May 2023

Siegwerk, ein Familienunternehmen in der sechsten Generation, ist einer der international führenden Hersteller von Druckfarben und individuellen Lösungen für Verpackungen, Etiketten und Kataloge. Der Konzern beschäftigt weltweit gut 5.000 Mitarbeiter in mehr als 30 Landesgesellschaften und hat seinen Hauptsitz in Siegburg bei Köln.
„Rote Zahlen schreiben viele in der Branche“
Authors: Lenders Dirk
Published: May 2023

Unternehmensberater Klaus Martin Fischer rät der Wurstbranche, ihre Produktion dem rückläufigen Konsum anzupassen und den Unterbietungskampf gegenüber dem Handel aufzugeben.
EU untersucht Handelsallianzen
Authors: Mende Jan , Bender Hanno , Falker Gerrit-Milena
Published: May 2023

Die europäischen Handelsallianzen werden wieder zum Politikum. Die EU-Kommission geht Beschwerden der Industrie über die Kooperationen nach. Vor dem Hintergrund der Reform der sogenannten „Horizontal Leitlinien“ gewinnt die Untersuchung an besonderer Brisanz.
Das verschwundene Geld
Authors: Hebben Miriam
Published: May 2023

In Zeiten knapper Kassen und hoher Beschaffungskosten diskutieren Getränkehersteller erneut über eine Erhöhung der Pfandsätze auf Mehrwegflaschen und -kästen. Ein ambitioniertes Projekt – das mit Uneinigkeit in der eigenen Branche beginnt. Miriam Hebben
Rewe baut Abholangebote stärker aus
Authors: Bökamp Lena
Published: May 2023

Rewe zeigt sich mit der Nutzung seiner Abholangebote sehr zufrieden und will den Service vor allem in Innenstädten 2023 noch weiter ausbauen. Den großen Handling-Aufwand und die damit verbundenen hohen Kosten nimmt der Händler dabei in Kauf.
Werbe-Euros im Food-Handel rollen
Authors: Rück Daniela
Published: May 2023

Der LEH investiert trotz schwieriger konjunktureller Lage nach wie vor in klassische Werbeformen, wie die Zahlen des 1. Quartals von Nielsen Media belegen. Procter, Ferrero, L’Oréal sparen in den ersten drei Monaten.
Vegan alleine reicht nicht mehr
Authors: Ingelmann Anja
Published: May 2023

Gesund, nachhaltig, vegan: Süßwaren und Snacks sollten mehr als einen Trend bedienen. Dabei gewinnt ein Punkt stark an Relevanz.
Kunststoffverpackungen werden nachhaltiger
Authors: Hancker Mara
Published: May 2023

Recyclingfähigkeit, Verarbeitung von Regranulaten, „Lightweighting“ und Mehrweg: Die Hersteller von Kunststoffverpackungen wie auch die Politik drehen beim Übergang vom linearen Wirtschaften zu einer Kreislaufökonomie an mehreren Stellschrauben.
„Nennen Sie es besser nicht ,Wurm‘!“
Authors: Schindler Barbara
Published: May 2023

Informationsdefizite und mittelmäßige Produkte sind für Dr. Sonja Floto-Stammen mitverantwortlich, dass sich Insekten bisher nicht im europäischen LEH durchsetzen können.
Risikomanagementplan für eine Wasserwiederverwendung
Authors: Mohajeri Shahrooz , Kestin Mario , Kaufman Daniel
Published: May 2023

Verbundpartner aus Praxis und Forschung erproben in der kürzlich gestarteten Umsetzungs- und Verstetigungsphase innerhalb des vom BMBF geförderten Projekts „Flexitility“ bis September 2024 Konzepte der dezentralen Zwischenspeicherung von Trinkwasser und der Wasserwiederverwendung zur landwirtschaftlichen Bewässerung.
Heart Failure management: Updated guidelines
Authors: Harrington Deedra , McDonald Lenahan Christy , Beacom Robin
Published: May 2023

New guidance highlights the critical role nurses play in patient education, medication adherence, and healthy lifestyle promotion.
O Brasil dos poucos donos de grandes extensões de terras: uma aproximação com a pedagogia feudal entre suseranos e vassalos, analogia, metáfora ou elementos feudais
Authors: Duarte Marcelo Barboza
Published: May 2023

A história humana possui seus processos e especificidades no e do tempo e espaço, com certas rupturas e continuidades de certos processos e elementos. Podemos citar como exemplo: Os tipos e modos de desigualdades, sistemas escravistas e sistemas coloniais etc. Mas, não sendo igual ou da mesma forma. Há especificidades e características ligadas ao tempo e ao espaço contextual. Porém, sem dúvidas, há acontecimentos e fatos históricos que ocorrem com certas semelhanças e características entre passado e presente, ainda que dentro dos seus respectivos contextos. Logo, a cada época e contexto social, político, econômico, cultural, religioso e histórico, podemos observar certas semelhanças, entre ‘o ontem e o hoje. ’ A exemplo, o Sistema Feudal que ocorreu em muitos continentes e países, e em tempos específicos e com suas especificidades contextuais. Desse modo, como já mencionado, parecem que certos elementos ou resquícios de fatos históricos anteriores ou passados se evidenciam em outras épocas e contextos. Não que sejam os mesmos sistemas, nem tampouco a continuidade deles, mas apenas semelhanças e características que parecem ‘ir e vir. ’ Diante de tais fatos, seus problemas e consequências; debruçamo-nos em fontes sobre o Sistema Feudal Europeu dos séc. X ao XIV d. C. para compreendermos elementos, eventos e episódios que vêm ocorrendo na contemporaneidade brasileira, com algumas semelhanças com o Sistema Feudal. Fundamentalmente, no que diz respeito às terras, grandes latifundiários, religião, política, economia e rituais. Assim, identificamos que: a) Religião, Política e ‘poder’, tanto no feudalismo quanto nas relações políticas atuais no Brasil, continuam na perspectiva de defender a propriedade privada de grandes extensões de terras nas mãos de poucos; b) manter e reproduzir as ideias conservadoras e ‘moralistas’ dos grupos que detém o ‘poder político e econômico’; e c) naturalizar a pobreza e a miséria da população como destino ou normal-natural, bem como atribuir às conquistas econômicas e materiais dos grandes latifundiários a algo divino ou determinado.
Interpretation the Influence of Hydrometeorological Variables on Soil Temperature Prediction Using the Potential of Deep Learning Model
Authors: Elsayed Salah , Gupta Meenu , Chaudhary Gopal , Taneja Soham , Gaur Harshit , Gad Mohamed , Hamdy Eid Mohamed , Kovács Attila , Péter Szűcs , Gaagai Aissam , Schmidhalter Urs
Published: May 2023

The importance of soil temperature (ST) quantification can contribute to diverse ecological modelling processes as well as for agricultural activities. Over the literature, it was evident that soil supports more than 95% of living habitats and food production on earth, and this demand will increase to 500 years’ times in expected consumption in 2060. This paper aims to analyses the contrastive approach to predict the ST of a certain region with the help of different machine learning models, including Random Forest (RF), Support Vector, Neural Network (NN), Linear Regression (LR) and Long Short-Term Memory Network (LSTM). The study was utilized the hourly humidity, dew point, rainfall, solar radiation, and barometer readings for the formulation of the models. Various performance criteria were employed to evaluate the prediction skills of the models and the results depicted that the promising ability belong to LSTM despite the acceptable prediction accuracy achieved by other models. The modelling outcomes revealed that LSTM model attained the lowest root mean square error (RMSE = 3.3255) decreased the average prediction error by 6% with regards to NN (RMSE = 3.4796), SVM (RMSE = 3.5766), and RF (RMSE = 3.8128), and improved the prediction accuracy of LR by 15%. The model is in compliance with the latest machine learning industry standards and allows low-cost experimental performances on low powered edge computing devices.
Competency-Based Approach and Writing Skills Development in Cameroon Secondary Schools
Authors: Yolande Obono Edou , Ngwa Peter
Published: May 2023

The purpose of this study is to examine how competency-based approach influences of writing skills development in Cameroon secondary schools. The coherence of the didactics of writing, as a subdiscipline of the didactics of French, comes from the analysis and description of teaching and learning writing at secondary school, where “French” as a discipline contains, along with grammar, spelling, reading, literature. It adopted a descriptive survey research design. Random sampling method was used to sample 12 secondary schools and study respondents from the accessible population of the study. A sample of 276 respondents comprising 12 principals and 48 teachers and 216 form 3 students was used for the study. Questionnaires, interviews and observation schedules were used to collect data from the respondents. Reliability of the instruments was established through test re-test method. A Pearson correlation coefficient (r = 0.75) thus the instruments were internally consistent and would test what is required to be tested. The findings indicate that the competency-based approach influences of writing skills development in Cameroon secondary schools.
Design and Kinematics Analysis of the Reduction Mechanism for Hub Drive System
Authors: Zhuo Hao
Published: May 2023

Distributed hub drives electric vehicles highly integrate the drive motor, deceleration mechanism, etc. in the wheel. As a key component of the hub drive system, the structure and performance of the reduction mechanism will directly affect the driving and safety of the vehicle. How to realize the integrated design of the reduction mechanism and other parts of the hub drive system in limited wheel space is one of the basic problems to be solved in hub drive system design. In this paper, the NGW-type planetary mechanism is used as the hub reduction mechanism, combined with other parts of the hub drive system to design the specific structure of the planetary reduction mechanism, establish the kinematic model of the reduction mechanism, and carry out the kinematic simulation analysis.
Comorbid Diseases, Decreased PaO2/FiO2 Ratio, Increased Ferritin, Decreased Liver and Kidney Function as Risk Factors for Mortality in COVID-19 Patients
Authors: Latuheru Yorike Elizabeth , Rai Ida Bagus Ngurah , Sajinadiyasa I Gede Ketut , Candrawati Ni Wayan , Kusumawardani Ida Ayu Jasminarti Dwi , Arisanti Ni Luh Putu Eka , Artana I Gusti Ngurah Bagus
Published: May 2023

Background: Comorbid disease, a ratio of partial pressure of oxygen (PaO2) to a fraction of inspired oxygen (FiO2) (P/F ratio), ferritin serum, liver function, and kidney function correlate with mortality; hence, these factors are suggested as the prognostic markers in COVID -19. This study aims to analyze comorbid diseases, decreased PaO2/FiO2 ratio, increased ferritin, and decreased liver and kidney function as risk factors for mortality in COVID-19 patients. Methods: An analytic observational study with a match case-control design. Analysis was performed univariate, bivariate with the chi-squared test, and multivariate analysis using binary logistic regression analysis. Results: The subjects of the study were 220 people. The comorbid disease and the mortality of COVID-19 patients (p=0.038, OR=2.737, 95% CI 1.020 to 7.342), PaO2/FiO2 ratio to COVID-19 patient mortality (p=0.000, OR=43.1 95% CI 19.461 to 95.478), ferritin serum levels to COVID-19 patient mortality (p=0.000, OR=53.3, 95% CI 21.014 to 135.110), decreased liver function to COVID-19 patient mortality (p=0.000, OR=62.4 95% CI 25.323 to 153.567), decreased kidney function to COVID-19 patient mortality (p=0.000, OR=1389.7 95% CI 170.8 to 11307.2). The most dominant variable related to the death of COVID-19 patients is the decreased kidney function with an OR value of 722.447 (95% CI 33.356 to 15647.243). Conclusion: Risk factors of mortality of COVID-19 patients are comorbid disease, decrease in PaO2/FiO2 ratio, increase in ferritin, decrease in liver function, and decrease in kidney function. Of all these, the most dominant risk factor related to the highest mortality rate among COVID-19 patients is the decrease in kidney function.
Characteristics and Risk Factors in Pediatric Tuberculosis Patients at Pasirian Hospital, Lumajang, East Java
Authors: ‘Azam Muhammad Tholhah , Prihastuty Nurul Yudhi
Published: May 2023

Background: Tuberculosis is a disease caused by Mycobacterium tuberculosis. Malnutrition is also a significant risk factor in developing pediatric tuberculosis. Indonesia is one of the top four high-burden countries for tuberculosis listed by the WHO. The prevalence of pediatric tuberculosis is about 1% of the total population. However, the data on the majority of risk factors for pediatric tuberculosis in Indonesia is still scarce. Aim: This research aims to describe the risk factors for pediatric tuberculosis in Indonesia. Method: This is a single-centre, cross-sectional research involving pediatric tuberculosis patients who underwent treatment in Pasirian Hospital, East Java. We collected demographical data and risk factors for pediatric tuberculosis using questionnaires and data from medical records. Result: The most prevalent risk factors for pediatric tuberculosis is contact with the positive case (87.1%), Lymph node enlargement (77.4%), and positive radiological finding (74.2%). Conclusion: This study describes the risk factors associated with pediatric tuberculosis in Pasirian Hospital. The result of the study shows that most patients had contact with positive cases, enlarged lymph nodes, and positive radiological findings.
Mother’s Knowledge and Attitudes about KADARZI with Toddler Nutritional Status
Authors: Maulidya Rizki , Maisara Elvi , Fadhilah Khayatol , Syakur Shaburin , Yusri Yusri
Published: May 2023

Housewives’ knowledge about KADARZI is essential to improving the nutritional status of toddlers aged 1–5. Toddlers at that age are especially vulnerable to nutritional issues like malnutrition. The purpose of this study was to see the relationship between mothers’ knowledge and attitudes about nutritionally conscious families KADARZI and the nutritional status of toddlers. This study used an analytical survey research design with a cross-sectional approach. Sampling using purposive sampling techniques in 103 respondents of children under five aged 1-5 years. Data collection using questionnaires is followed by data analysis using chi-square tests. Data collection using questionnaires with data analysis using chi-square tests. The results obtained that of the 103 respondents of housewives who have toddlers, 64 of them predominantly have knowledge of good KADARZI with good nutritional status totaling 63 people (98.4%) and poor nutritional status totaling very few only 1 person (1.6%). Furthermore, after conducting statistical tests with bivariate analysis, a p-value of 0.001 was obtained, which showed a p-value of 0.001 < α (0.05), which means that there is a relationship between knowledge about KADARZI and nutritional status in toddlers. Then, the relationship between attitudes about KADARZI and the nutritional status of toddlers with a total of 103 respondents among housewives was obtained from 73 respondents, among whom predominantly had a positive attitude about (KADARZI) with good nutritional status in toddlers totaling 62 people (84.9%) and malnutrition status totaling 11 people (15.1%). After conducting statistical tests with bivariate analysis, a p-value of 0.002 < α (0.05) was obtained, so it can be concluded that there is a relationship between attitudes about (KADARZI) and nutritional status in toddlers.
Endometrial Stromal Sarcoma - A Rare Gynecological Malignancy
Authors: Ishfaq Maria , Rafique Saima , Javeed Saima , Yasmeen Tahira
Published: May 2023

Endometrial stromal sarcoma is rare gynecological malignancy. A proper preoperative diagnosis is difficult and most of cases diagnosed on histopathology. This is case of endometrial stromal sarcoma infiltrating to both ovaries that is stage II A.A 44year old female presented with complaint of irregular heavy vaginal bleeding and history of loss of weight, appetite and altered bowel habits. Clinical diagnosis of Leiomyosarcoma was in mind but on histopathology endometrial stromal sarcoma infiltrating to both ovaries confirmed.
Maternal Age, Nutrition and Literacy; Targeting the Root Cause for Undernutrition in Children under the Age of Two Years.
Authors: Bari Attia , Mushtaq Nabila , Jawed Rashidah , Ullah Habib , Rathore Ahsan Waheed
Published: May 2023

Objective: To analyze the risk factors for child undernutrition in mothers of malnourished children under the age of 2 years.

Methods: This cross-sectional study was conducted at the Pediatric Medicine Department of The Children’s Hospital Lahore from January to December, 2019. A total of 210 malnourished children in the age bracket of 2 months to 24 months and accompanying mothers admitted in the Stabilization Center for nutritional rehabilitation were included. Demographic characteristics of children and their mothers were taken.

Results:

Out of a total of 210 children there was slight male preponderance 116 (55%). Mean age of children was 8.89 + 6.74 months.  During first six months of life, only 31 (15%) were exclusively breast fed and in six months or older children weaning food was not started at appropriate age in 91 (43%). Illiteracy was more in mothers as compared to fathers 140 (66.7%) vs 82 (39%). Half 104 (49.5%) of the mothers had satisfactory BMI of 18.5-23 kg/m2 and remaining were either severely under nourished or overweight/obese. With advancing age significantly more mothers were obese 17% as compared to 2.4% in younger age (18-25 years) (p= 0.007).  Improper weaning practice was significantly more in mother of younger age group (p=0.023). A significant number of children who were older than six months of age and in whom weaning was not started at appropriate age had WHZ score <-3SD (p=0.019). There was no association of maternal nutrition, maternal/paternal education with the nutritional status of children (p=>0.05).

Conclusion: Maternal illiteracy and both undernutrition and overweight/obesity were prevalent among the mother of undernourished children under the age of two years. Improper weaning was the major contributing factor in child’s malnutrition and improper weaning practice was significantly more in mother of younger age group.
Burden of Obesity and Diabetes Mellitus in Low Income Area of Lahore.
Authors: Khan Shehnaz , Kazmi Tahseen , Muneeb Muhammad , Farhat Saira , Shahid Noor
Published: May 2023

Objective: To find prevalence of obesity, diabetes and pre-diabetes and its association with non-communicable diseases in a local community of Mughalpura, Lahore.

Methodology: A cross-sectional study was conducted at Mughalpura Division, Lahore, Pakistan from January to June, 2021. The demographic details and data on blood sugar levels were collected from 380 participants using cluster sampling. Blood sugar ratio level was obtained as a key factor for observing diabetes and pre-diabetes. A test of association was used to observe the significant relation between diabetes with Basal Metabolic Index.

Results: The average age of the participants was 46.0 + 12.6 SD (in years). Almost two-third of the participants were female and majority of participants were Punjabi. Among the total participants, 293 (77.1%) had normal blood sugar level, whereas 25 (6.6%) were pre-diabetic and 62 (16.3%) were diabetic. The under-weight participants were 10 (2.6%), 86 (22.6%) were normal, 143 (37.6%) were over-weight and 141 (37.1%) were obese.

Conclusion: High prevalence of diabetes among obese individuals was found in a poor community of Mughalpura. Most of them were obese females. Significant association was found between systolic hypertension, diabetes and obesity.
Hubungan Pengetahuan dan Sikap Ibu Post Partum Dengan Perawatan Payudara Di Puskesmas Serbelawan
Authors: Zuidah Zuidah
Published: May 2023

Perawatan payudara adalah tindakan yang dilakukan untuk merawat payudara terutama pada masa nifas agar dapat memperlancar produksi ASI. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu nifas terhadap perawatan payudara di Puskesmas Serbelawan tahun 2021.

Desain penelitian ini adalah deskriptif dengan pendekatan cross-study bagian. Populasi dalam penelitian ini sebanyak 60 orang dengan teknik pengambilan sampel dengan cara accidental sampling selama 2 minggu sehingga sampel dalam penelitian berjumlah 20 orang. Hasil penelitian didapatkan bahwa pengetahuan ibu nifas sebagian besar berada pada kategori cukup sebanyak 9 responden (45%), sedangkan sikap dalam kategori cukup 9 responden (45%) perawatan payudara ibu nifas sebagian besar berada pada kategori cukup sebanyak 9 responden (45%). Koefisien korelasi product moment (rxy) sebesar 0,809 termasuk dalam kategori hubungan sangat kuat. Selanjutnya nilai p value merupakan taraf signifikan 0,00 < 0,05 yang berarti hipotesis diterima artinya ada hubungan antara pengetahuan dan sikap ibu nifas terhadap perawatan payudara di Puskesmas Serbelawan tahun 2021. Disarankan untuk meningkatkan pengetahuan dan sikap terhadap perawatan payudara dan menerapkannya dalam kehidupan sehari-hari dan menghindari komplikasi kepada ibu nifas, agar perawatan payudara dapat optimal bagi kesehatan ibu dan bayi
Pengaruh Perendaman Kaki Dengan Air Garam Terhadap Penurunan Skala Nyeri Reumatik Pada Lansia Di UPT Lanjut Usia Cirebon
Authors: Priyono Habib
Published: May 2023

Rematik adalah penyakit yang menyerang persendian dan tulang atau jaringan penyangga di sekitar persendian. Penyakit ini menimbulkan banyak keluhan, yaitu: nyeri pada kaki, lutut, pinggang, tangan, leher, dan di berbagai persendian lainnya. Penatalaksanaan nyeri pada lansia yang menderita rematik bertujuan untuk mengurangi nyeri atau menghilangkan nyeri pada lansia. Penelitian ini merupakan penelitian pra eksperimen dengan desain pre and post test. Tujuan penelitian untuk mengetahui pengaruh rendam kaki dengan air garam dalam menurunkan skala nyeri pada lansia yang mengalami nyeri rematik di UPT bakti sosial lansia dan balita di wilayah Binjai Medan tahun 2016. Sampel penelitian adalah penelitian ini berjumlah 20 responden, dan dilakukan pengukuran skala nyeri sebelum dan sesudah. setelah merendam kaki dalam air garam. Pengaruh merendam kaki dengan air garam dalam mengurangi skala nyeri pada pasien rematik akan dianalisis menggunakan uji T dependen. Hasil penelitian berdasarkan uji T dependen diperoleh nilai signifikansi sebesar 0,000 (p-value < 0,05) menunjukkan adanya perbedaan skala nyeri yang signifikan antara sebelum dan sesudah merendam kaki dengan air garam. Nilai rata-rata yang diperoleh sebelum perendaman dalam air garam adalah 4,60 dengan standar deviasi 1,536, dan setelah perendaman rata-rata 0,20 dengan standar deviasi 0,410
Pengaruh Konsumsi Madu Terhadap Nafsu Makan Anak Usia Toddler Di Wilayah Kerja Puskesmas Jati Karya Binjai
Authors: Purba Jesmo Aldoran
Published: May 2023

Pertumbuhan dan perkembangan anak mulai melambat pada usia toddler. Pertumbuhan tubuh dan otak pada tahun kedua lebih lambat daripada umur sebelumnya. Madu merupakan zat manis alami yang dihasilkan lebah sebagai sumber energi dan bahan yang diubah menjadi lemak dan glikogen dan madu dapat meningkatkan nafsu makan pada balita yang menderita kurang energi protein

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh konsumsi madu terhadap pola makan anak usia toddler di Wilayah Kerja Puskesmas Jati Karya Kota Binjai Tahun 2021. Jenis penelitian ini bersifat quasi eksperimen yaitu untuk mengetahui pengaruh antara dua variabel dengan jumlah sampel sebanyak 38 orang ibu mempunyai anak usai toddler dimana analisa data disajikan dalam bentuk distribusi frekuensi dan analisa uji paired sample t test

Hasil penelitian diperoleh bahwa terlihat perbedaan nilai mean pola makan anak usia todler sebelum dan sesudah sebesar 0,35. Hasil uji statistik didapatkan nilai . P.value = 0,002. Berdasarkan hasil diatas dimana nilai sig = 0,002 jadi apabila nilai p <  atau 0,002 < 0,05 maka dapat disimpulkan bahwa ada pengeruh yang signifikan antara konsumsi madu terhadap nafsu makan anak usia todler di Wilayah Kerja Puskesmas Jati Karya Kota Binjai Tahun 2021 sebelum dan sesudah pemberian madu.

Kesimpulan dalam penelitian ini adalah ada pengaruh konsumsi madu terhadap nafsu makan anak usia toddler (1-3 tahun) di Wilayah Kerja Puskesmas Jati Karya Kota Binjai Tahun 2021. Melakukan survey secara berkala di setiap wilayah kerja agar diperoleh data yang akurat mengenai jumlah Status Gizi pada anak usia toldher dan dapat dilakukan tindakan-tindakan untuk mengurangi ataupun menurunkan angka gizi buruk pada anak usia toldher akibat menurunya nafsu makan
Pengaruh Lidah Buaya Terhadap Luka Dekubitus Di Desa Bandar Rejo Kecamatan Bandar Masilam Kabupaten Simalungun
Authors: Purba Jesmo Aldoran , Suherni Suherni
Published: May 2023

Diabetes mellitus merupakan penyakit kronis akibat pankreas tidak dapat memproduksi insulin sehingga terjadi kenaikan kadar gula dalam darah. Salah satu komplikasinya adalah luka kaki diabetik. Perawatan luka menggunakan lidah buaya dapat membantu penyembuhan luka diabetik. Tujuan penelitian untuk mengetahui Pengaruh Lidah Buaya Terhadap Luka Dekubitus di desa Bandar Masilam, Kabupaten Simalungun. Desain penelitian menggunakan Pra-Experiment dengan One Group Pra-Postest Design. Populasi penelitian adalah seluruh pasien diabetes mellitus sebanyak 32 responden yang diambil dengan teknik total sampling. Penelitian diperoleh melalaui uji statistic menunjukan  rata-rata kesembuhan luka dikubitus sebelum pemberian lidah buaya adalah 3,06 dengan standar deviasi 0.246. Sesudah pemberian lidah buaya di dapatkan  rata-rata  luka dikubitus adalah 2,56 dengan standar deviasi 0.504 dan uji t sebesar 5,568. Terlihat perbedaan nilai mean volume kesembuhan luka dikubitus sebelum dan sesudah sebesar 0,5. Hasil uji statistik didapatkan nilai p.value =  0,000 dimana 0,05.  Kesimpulan penelitian ini adalah terdapat Pengaruh Lidah Buaya Terhadap Luka Dekubitus di desa Bandar Masilam, Kabupaten Simalungun. Disarankan lidah buaya dapat diaplikasikan dalam perawatan luka untuk mempercepat proses penyembuan pada luka diabetik
Pengaruh Pemberian Terapi Inhalasi Dan Oksigenasi Terhadap Kepatenan Jalan Nafas Pada Pasien Asma Bronkial Di Ruang Rawat Inap RSU Sundari
Authors: Sari Youlanda , Sidabutar Rina Rahmadani
Published: May 2023

Serangan asma timbul dan dapat berlangsung beberapa menit, beberapa jam, sampai beberapa hari, dan hilang dengan obat. Tujuan penelitian ini untuk mengetahui pengaruh terapi inhalasi dan oksigenisasi terhadap kepatenan jalan nafas pada pasien asma bronkial. Desain Penelitian ini adalah quasy eksperimen. Penelitian dilakukan di Ruang Rawat Inap Rumah Sakit Umum Sundari. Populasi penelitian sebanyak 30 orang yang dibagi menjadi 2 kelompok. Kelompok intervensi 15 orang dan kelompok kontrol 15 orang. Analisis data dilakukan secara univariat dan bivariat dengan menggunakan uji independent sample t-test pada tingkat kepercayaan 95% (=0,05). Hasil Berdasarkan penelitian menunjukkan bahwa kepatenan jalan nafas pada pasien asma bronkial di Ruang Rawat Inap RSU Sundari pada kelompok intervensi sebagian besar dalam kategori baik 86,7%. Kepatenan jalan nafas pada pasien asma bronkial di Ruang Rawat Inap RSU Sundari pada kelompok kontrol sebagian besar dalam kategori baik 53,3%. Terdapat pengaruh (perbedaan) antara pemberian terapi inhalasi dan oksigenisasi kepatenan jalan nafas pada pasien asma bronkial di Ruang Rawat Inap RSU Sundari, diperoleh nilai t hitung ttabel (2,550 2,048) dan taraf signifikan p= 0,021 0,05. Disarankan kepada perawat di Ruang Rawat Inap RSU Sundari untuk menerapkan terapi inhalasi dan oksigenisasi terhadap kepatenan jalan nafas pasien asma bronkial.
Pengaruh Terapi Musik Terhadap Penurunan Tekanan Darah Tinggi Pada Lansia Di Kelurahan Kebun Lada Wilayah Kerja Puskesmas Kebun Lada Binjai
Authors: Purba Jesmo Aldoran , Situmorang Trinita
Published: May 2023

Pensiun merupakan masa yang tidak dapat dihindari bagi seorang pekerja. Kesiapan seorang individu dalam menyesuaikan diri dengan masa pensiun tergantung dari kesiapan dari individu itu sendiri dan lingkungannya.Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kondisi pada lansia pensiunan di wilayah kerja Pustu Dataran Tinggi Binjai tahun 2018. Penelitian ini termasuk dalam penelitian kuantitatif dengan jenis korelasional yaitu rancangan penelitian yang digunakan untuk menelaah hubungan antara dua variabel pada situasi atau kelompok subjek dengan jumlah sampel sebanyak 43 orang lansia pensiun dimana analisa data disajikan dalam bentuk distribusi frekuensi, analisa univariat dan bivariat melalui uji statistik Spearman Rank (Rho).Hasil penelitian diperoleh bahwa berdasarkan hasil uji statistik Spearman Rank (Rho) menunjukan ada hubungan persiapan hari tua dengan kondisi kondisi pada masa pensiunan dimana Sig 0,01 (0,001 0,01). Ada hubungan antara pengalaman masa lalu dengan adaptasi pada pensiunan pensiunan dimana Sig 0,01 (0,000 0,01). Ada hubungan dari kebutuhan dengan kondisi pada pensiunan pensiun kepuasan dimana Sig 0,01 (0,002 0,01).
The Future of Blockchain Tech in Transactional Business
Authors:   Business and Technology University, I. Chavchavadze Avenue N82, 0162, Tbilisi, Georgia, Dzidzikashvili David , Kheladze Maia ,   Business and Technology University, I. Chavchavadze Avenue N82, 0162, Tbilisi, Georgia
Published: May 2023

"This paper represents an attempt at a thorough analysis of the complexity of blockchain technology & cryptocurrencies while reviewing the core aspects of the development stages that this growing market has undergone and where it may lead. Additionally, we provide a review of current obstacles and advantages for wider adoption of such disruptive tech in banking & fintech industries for its potential for fast, cheap and secure transactions and mass utilization prospective. Considering such benefits and advantages, we have to ask the question of whether there is a need for the middleman transaction participants in the future digital economy. In order for this innovative and disruptive tech to become truly global, we need to go through four phases of development presented in the development matrix. Using various examples, our analysis puts the blockchain tech & crypto at the current second development phase. The main obstacle to move from the second to the third, and subsequently, the fourth and final phase remains the absence of unified legal framework and regulations in key global economies such as the United States and the European Union. Once the legal foundation is established by the G20 economies, regulating cryptocurrency use, trading and taxation, the transition to this final phase should be rapid, and will be followed by mass adoption, with more than a quarter global population fully utilizing and enjoying the benefits of blockchain tech innovation and cryptocurrencies."
Deep-Pathfinder: A boundary layer height detection algorithm based on image segmentation
Authors: Wijnands Jasper S. , Apituley Arnoud , Alves Gouveia Diego , Noteboom Jan Willem
Published: May 2023

Abstract. The mixing layer height (MLH) indicates the change between vertical mixing of air near the surface and less turbulent air above. MLH is important for the dispersion of air pollutants and greenhouse gases, and for assessing the performance of numerical weather prediction systems. Existing lidar-based MLH detection algorithms typically do not use the full resolution of the ceilometer, require manual feature engineering, and often do not enforce temporal consistency of the MLH. To address these limitations, a novel MLH detection approach has been developed based on deep learning techniques for image segmentation. The concept of our Deep-Pathfinder algorithm is to represent the 24-hour MLH profile as a mask and directly predict it from an image with lidar observations. Therefore, range-corrected signal data was obtained from Lufft CHM 15k ceilometers at five locations in the Netherlands that were part of the operational ceilometer network. Input samples of 224 × 224 pixels were extracted, each covering a 45-minute observation period. A customised U-Net architecture was developed with a nighttime indicator and MobileNetV2 encoder for fast inference times. The model was pre-trained on 19.4 million samples of unlabelled data and fine-tuned using 50 days of high-resolution annotations. Qualitative and quantitative results showed competitive performance compared to two benchmark models: the Lufft and STRATfinder algorithms. Existing path optimisation algorithms have good temporal consistency, but can only be evaluated after a full day of ceilometer data has been recorded. Deep-Pathfinder retains the advantages of temporal consistency but can also provide real-time estimates. This makes our approach valuable for operational settings, as real-time MLH detection better meets the requirements of users such as in aviation, weather forecasting and air quality monitoring.
Millennial and orbital-scale variability in a 54,000-year record of total air content from the South Pole ice core
Authors: Epifanio Jenna A. , Brook Edward J. , Buizert Christo , Pettit Erin C. , Edwards Jon S. , Fegyveresi John M. , Sowers Todd A. , Severinghaus Jeffrey P. , Kahle Emma C.
Published: May 2023

Abstract. The total air content (TAC) of polar ice cores has long been considered a potential proxy for past ice sheet elevation. Recent work, however, has shown that a variety of other factors also influence this parameter. In this paper we present a high-resolution TAC record from the South Pole (SPC14) ice core covering the last 54,000 years and discuss the implications of the data for interpreting TAC from ice cores. The SPC14 TAC record shows multiple features of interest, including (1) long-term orbital-scale variability, (2) millennial-scale variability in the Holocene and last glacial period, and (3) a period of stability from 35 ka to 25 ka. The longer, orbital-scale variations in TAC are highly correlated with integrated summer insolation (ISI), corroborating the potential of TAC to provide an independent dating tool via orbital tuning. Large millennial-scale variability in TAC during the last glacial period is positively correlated with past accumulation rate reconstructions as well as the δ15N of N2, a firn thickness proxy. These TAC variations are too large to be controlled by direct effects of temperature and too rapid to be tied to elevation changes. We propose that grain size metamorphism near the firn surface is likely to explain these changes. We note, however, that at sites with different climate histories than the South Pole, TAC variations may be dominated by other processes. Our observations of millennial-scale variations in TAC show a different relationship with accumulation rate than observed at sites in Greenland.
Chemical Composition-Dependent Hygroscopic Behavior of Individual Ambient Aerosol Particles Collected at a Coastal Site
Authors: Wu Li , Eom Hyo-Jin , Yoo Hanjin , Gupta Dhrubajyoti , Cho Hye-Rin , Fu Pingqing , Ro Chul-Un
Published: May 2023

Abstract. This study investigated the hygroscopic behavior of individual ambient aerosol particles collected at a coastal site of Jeju Island, Korea. The particles' size change along with phase transitions during humidification and dehydration processes, and their chemical compositions, were determined by optical microscopy and scanning electron microscopy-energy dispersive X-ray spectroscopy (SEM-EDX), respectively. Of the 39 particles analyzed, 24 were aged sea-spray aerosols (SSAs) with diverse mixing ratios of Cl- and NO3-. The ambient SSAs exhibited multiple deliquescence and efflorescence transitions that were dominantly influenced by NaCl, NaNO3, MgCl2, Mg(NO3)2 and organic species covering the surface of the aged SSAs. For Cl-rich SSAs with X(Na, Mg)Cl > 0.4, although some particles showed very slow water uptake at low RHs = ~30 %, two major transitions were observed during the humidification process, firstly at RH = ~63.8 %, regardless of their chemical compositions, which is the mutual deliquescence relative humidity (MDRH), and secondly at RH = 67.5–73.5 %, depending on their chemical compositions, which are the final DRHs. During the dehydration process, the Cl-rich SSAs showed single-stage efflorescence at RH = 33.0–50.5 %, due to simultaneous heterogeneous crystallization of inorganic salts. For Cl-depleted SSAs with X(Na, Mg)Cl < 0.4, two prompt deliquescence transitions were observed during the humidification process, firstly at MDRH = 63.8 % and secondly at RH = 65.4–72.9 %. The mutual deliquescence transition was more distinguishable for Cl-depleted SSAs. During the dehydration process, step-wise transitions were observed at efflorescence RHs (ERHs) = 24.6–46.0 % and 17.9–30.5 %, depending on their chemical compositions. Additionally, aged mineral particles showed partial or complete phase changes with varying RH due to the presence of SSAs and/or NO3- species. In contrast, non-reacted mineral and Fe-rich particles maintained their size during the entire hygroscopic process. The mixture particles of organic and ammonium sulfate (AS) exhibited lower deliquescence and efflorescence RHs compared to pure AS salt, highlighting the impact of organic species on the hygroscopic behavior of AS. These findings emphasize the complexity of atmospheric aerosols and the importance of considering their composition and mixing state when modeling their hygroscopic behavior and subsequent atmospheric impacts.