bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengembangan Sistem Informasi Pemungutan Pajak Reklame Berbasis Website Menggunakan Metode Scrum Pada Badan Pendapatan Daerah Kabupaten Lombok Barat
Authors: Arsyawalfa Muhammad Imam , Handriyantini Eva
Published: March 2022

Badan Pendapatan Daerah Kabupaten Lombok Barat harus melakukan suatu inovasi dalam mengotimalkan pemungutan Pajak Reklame untuk mengimbangi pertumbuhan penyelenggaraan periklanan yang cukup pesat serta untuk memenuhi tuntutan masyarakat akan ketersediaan sarana pelayanan perpajakan yang lebih efektif dan efisien. Salah satu inovasi yang harus ditempuh adalah dengan melakukan transformasi adminsitrasi manual menuju penerapan sistem informasi. Tujuan penelitian ini adalah untuk mengembangkan Sistem Informasi berbasis Website dengan metode Scrum yang dapat mempermudah Badan Pendapatan Daerah dan Wajib Pajak dalam proses pemungutan Pajak Reklame di Kabupaten Lombok Barat. Sistem informasi berbasis website dikembangkan untuk memudahkan para pengguna karena dalam proses pengelolaan data dan informasi lebih cepat, dapat diakses setiap waktu dan dimanapun pengguna berada serta fitur yang tersedia hanya dapat diakses oleh user dan admin yang telah ditentukan. Dalam pengembangan sistem menggunakan Metode Scrum yang memprioritaskan kebutuhan Badan Pendapatan Daerah sebagai pengguna yang terlibat secara aktif dalam setiap tahap pengembangan. Tahapan penyusunan fitur terbagi dalam beberapa product backlog yang direalisasikan melalui proses sprint backlog dengan pertemuan secara intensif dengan pengguna. Metode Scrum sangat mendukung keberhasilan  penelitian ini karena dapat dilaksanakan dalam waktu singkat, biaya murah serta sistem dapat dirubah sewaktu-waktu sesuai kebutuhan pengguna. Dari rangkaian kegiatan peneltian disimpulkan bahwa Pengembangan Sistem Informasi berbasis website dengan Metode Scrum yang terdiri dari fitur pelayanan, fitur pendataan, fitur penetapan dan fitur penagihan dapat membantu Badan Pendapatan Daerah dan Wajib Pajak dalam proses pemungutan Pajak Reklame di Kabupaten Lombok Barat.
Sistem Pakar Identifikasi Gangguan Pencernaan Anjing Dengan Metode Forward Chaining Berbasis Android
Authors: Rafif Nabiladika Naufal , Isyriyah Laila , Purwiantono Febry Eka
Published: March 2022

Anjing merupakan hewan peliharaan yang kurang populer di Indonesia, banyak anjing di Indonesia yang ditelantarkan dan membutuhkan pertolongan. Banyak pula pemilik anjing yang kekurangan informasi akan penyakit-penyakit anjing, padahal banyak penyakit yang jika tidak segera ditolong oleh pihak medis, bisa menimbulkan komplikasi penyakit, atau bahkan jika sangat terlambat menimbulkan kematian. Minimnya sumber informasi yang akurat mengenai anjing peliharaan membuat banyak orang bergabung dengan komunitas pemilik anjing, tentu saja disitu terdapat beberapa miss informasi dan informasi yang tidak akurat. Berdasarkan penelitian dari luar maupun dalam negeri, jenis kasus penyakit anjing yang masuk rumah sakit hewan adalah masalah pencernaan. Sekitar 35% dari data anjing yang dirawat di rumah sakit hewan mengidap penyakit pencernaan. Dengan adanya penelitian ini diharapkan orang orang yang mencari informasi mengenai anjing dapat terbantu dan sehingga anjing yang sakit dapat segera mendapat pertolongan pertama.
Sistem Pendukung Keputusan Pemberian Reward Bulanan Teknisi Pasang Baru Indihome Menggunakan Metode Weighted Product Studi Kasus PT Telkom Akses Kepanjen
Authors: Saputro Firman Adi , Isyriyah Laila
Published: March 2022

PT.Telkom Akses Kepanjen merupakan anak perusahaan Badan Usaha Milik Negara PT Telkom Indonesia yang bergerak dibidang jasa layanan teknologi informasi dan komunikasi dengan produknya yang bernama Indonesia Digital Home (INDIHOME). Aktifitas pemasangan, penanganan gangguan, maintenance, serta migrasi jaringan menjadi tanggung jawab PT. Telkom Akses sebagai anak perusahaan PT Telkom Indonesia yang dipercaya untuk mengelola jaringan akses. Guna meningkatkan pendapatan perusahaan PT Telkom Akses melalui sektor pemasangan baru (PSB) diperlukan pengelolaan sumber daya manusia yang baik oleh menejemen agar kinerja teknisi dapat berjalan sesuai visi dan misi perusahaan. Untuk menjaga kinerja optimal tersebut perusahaan dapat memperhatikan  hal yang paling utama yakni pemenuhan kebutuhan pegawai khususnya teknisi. Salah satunya dengan memberikan reward sebagai bentuk penghargaan atas kinerja teknisi serta untuk meningkatkan etos kerja teknisi. Tetapi sistem pemberian reward yang berjalan hanya berparamater pada satu kriteria yaitu jumlah perolehan pasang baru atau provisioning strart (PS) sehingga key performance indicator (KPI) tidak masuk dalam parameter penilaian. Sistem pendukung keputusan pemberian reward teknisi pasang baru indihome dengan menggunakan metode weighted product sangat membantu manajemen untuk proses pemberian reward bulanan kepada teknisi pasang baru indihome dengan menggunakan beberapa parameter diantaranya PI to PS, FFG, TTI ,Validasi data, Absensi, Kehadiran foto briefing, Ketepatan kehadiran dan izin kerja. Hasil dari penerapan sistem pemberian reward dengan menggunakan metode weighted product terhadap beberapa parameter ini dapat menghasilkan nilai reward yang lebih kompetitif dan bervariatif antar teknisi dan sangat membantu pihak manajemen PT Telkom Akses Kepanjen dalam menentukan penerima reward serta sebagai bahan evaluasi terhadap kinerja teknisi pasang baru indihome.
Perancangan Desain User Interface dan User Experience pada STIKI PMB Online dengan Menggunakan Metode User-Centered Design
Authors: Setiawan Rosandi Fila , Widodo Sugeng , Zulkarnain Adnan
Published: March 2022

PMB STIKI Online memanfaatkan website sebagai media untuk memberikan informasi terkait perkuliahan di STIKI Malang. Pengembangan sebuah website harus melalui beberapa pedoman usability untuk memastikan tujuan website tersebut dapat dicapai. Pendekatan penelitian dilakukan menggunakan user-centered design dengan melibatkan pengguna pada proses perancangan untuk menghasilkan website yang dapat diterima pengguna. STIKI PMB Online sebelumnya belum pernah dievaluasi terkait komplain dari calon mahasiswa tentang sulitnya menemukan informasi yang ingin didapatkan. Permasalahan yang terdapat pada STIKI PMB Online tersebut diharapkan dapat terselesaikan pada solusi desain yang akan dilakukan. Penelitian ini membahas mulai dari penetapan konteks penggunaan dan spesifikasi kebutuhan pengguna, analisis permasalahan, perancangan desain solusi, dan hasil evaluasi desain. Hasil penelitian ini menunjukkan bahwa permasalahan yang terjadi dapat terselesaikan dengan aturan desain yang terdapat dalam standarisasi usability.
Aplikasi Berbasis Crowdsourcing Guna Mengetahui Kondisi Jalan Di Kota Malang
Authors: Hidayat Syahdan , Sakaria Setiabudi , Kristanto Bagus Kristomoyo
Published: March 2022

The city of Malang as a city of education and tourism has seen an increase in the number of vehicles that can cause, among others, road congestion, air pollution, waste of fuel and road damage. The road that is often jammed if left unchecked will have an impact on the smooth journey and satisfaction of road users. Along with the development of information technology, this can be overcome with applications based on Geographic Information Systems and crowdsourcing, where road users can see road congestion through their mobile devices in real time. Research related to the Design of a Geographic Information System to Monitor Road Conditions Utilizing Twitter Social Media has been carried out but is limited to Twitter users[5]. To overcome the road congestion, a crowdsourcing-based application solution is needed. Based on this problem, a crowdsourcing-based application with Java and PHP languages is needed and uses a MySQL database. The advantage of this application is that it can display information on road congestion, alternative routes in Malang City to the Malang City Transportation and Traffic Police Office and road users directly at the point of congestion through their devices.
Sistem Pakar Diagnosa Penyakit Gigi Dan Mulut Pada Manusia Menggunakan Metode Forward Chaining Dan Certainty Factor Berbasis Web
Authors: Kurniawan Imas , Isyriya Laila , Tirtana Arif
Published: March 2022

Pemahaman Penyakit Gigi dan Mulut pada manusia untuk mayarakat awam masih rendah. Masyarakat masih mengandalkan keahlian seorang pakar secara manual dengan biaya yang ditanggung cukup mahal. Untuk meminimalisir biaya dan memudahkan konsultasi dibutuhkan sebuah sistem yang dapat memprediksi penyakit gigi dan mulut yang sedang dideritanya tanpa harus pergi ke dokter gigi dan mulut terlebih dahulu. Sistem pakar untuk memprediksi penyakit gigi dan mulut adalah sebuah aplikasi yang dapat membantu masyarakat awam dalam mendiagnosa atau memprediksi penyakit gigi dan mulut. Sehingga masyarakat dapat meminimalisir biaya dan memudahkan konsultasi. Pada Penelitian ini digunakan metode forward chaining untuk penyusunan rule dan ditambahkan metode certainty factor (CF) yang digunakan untuk menghitung nilai kepastian agar hasil yang diputuskan lebih jelas, Hasil dari sistem pakar ini adalah satu penyakit yang mempunyai nilai kepastian terbesar. Dari angka-angka yang diperoleh dapat dipastikan bahwa analisis dengan menggunakan metode wawancara mendapat hasil kepastian paling besar jika dibandingkan dengan kedua metode lainnya.
Sistem Pakar Diagnosa Penyakit Pada Kucing Menggunakan Metode Forward Chaining Berbasis Android
Authors: Prayuda Rahadian Aditya , Prastiningtyas Diah Arifah , Tirtana Arif
Published: March 2022

Zoonosis adalah penyakit atau infeksi yang diderita oleh hewan dan secara alamiah ditularkan di antara hewan vertebrata dan manusia. Berkembangnya zoonosis dalam beberapa tahun terakhir menjadi tanda bertambahnya ancaman penyakit yang mematikan bagi manusia yang ditularkan oleh hewan. Sampai saat ini, terdapat tidak kurang dari 300 penyakit hewan yang dapat menulari manusia. Populasi kucing peliharaan di Indonesia berkisar 15 juta ekor dan termasuk peringkat kedua peningkatan jumlah populasinya sedunia sebesar 66% [1]. Namun hal ini tidak diimbangi dengan pengetahuan pemeliharanya dan ketersediaan dokter hewan yang mencukupi. Tujuan penelitian ini adalah untuk membantu para pemilik hewan peliharaan khususnya kucing untuk dapat mengetahui lebih awal tentang penyakit yang mungkin menyerang kucing mereka melalui gejala-gejala yang timbul. Dalam pengembangannya, sistem ini memperoleh data dari seorang pakar dokter hewan di Kota Malang dimana terdapat 16 penyakit yang dapat didiagnosa oleh sistem dengan 61 gejala yang ada. Pengembangan sistem ini dimulai dari studi literatur, pengumpulan data, analisis data, perancangan sistem, hingga proses implementasi sistem dan pengujian validitas. Dari rangkaian penelitian di atas, diperoleh tingkat keakuratan sistem yang mencapai 90% yang berarti sistem sudah dapat mendiagnosa penyakit kucing berdasarkan gejala dengan baik dan sesuai dengan tujuan penelitian.
Implementasi k-Means Untuk Sistem Informasi Penyebaran Penyakit Epidemi Di Kota Malang
Authors: Masruri Dyas Irvan , Widodo Sugeng , Purwiantono Febry Eka
Published: March 2022

Epidemi adalah penyakit yang penularannya sangat cepat di daerah yang luas dan menimbulkan banyak korban sehingga diperlukan perawatan dan perhatian intesif di daerah yang terkena dampak epidemi secara cepat waktu dan tepat. Ada banyak penyakit menular yang terjadi di Kota Malang, salah satunya adalah Demam Berdarah Dengue (DBD). Dengan adanya informasi yang cepat dan jelas dapat membantu Dinkes Kota Malang dalam mengambil keputusan terkait penanggulangan penyakit epidemi. Sehingga peneliti membuat sistem informasi geografis penyebaran penyakit epidemi menggunakan algoritma k-means berbasis web yang akan menyajikan informasi terkait penyakit epidemi di Kota Malang. Untuk menghitung algoritma k-means diperlukan kriteria sebagai variabel dan dalam penelitian ini kriteria yang diambil adalah jumlah penderita di setiap kelurahan selama setahun. Dari kriteria tersebut akan menghasilkan 3 kelompok yang dideklarasikan menggunakan C1 sebagai daerah aman, C2 sebagai daerah sedang, dan C3 sebagai daerah rawan. Hasil dari pengelompokkan tersebut kemudian disajikan dalam bentuk peta Kota Malang dengan bantuan MapBox. Dalam peta tersebut kelompok C1 ditandai dengan warna hijau, kelompok C2 dengan warna kuning, dan kelompok C3 dengan warna merah.
Low Anterior Rezeksiyon Yapılan Hastalarda Hayat Kalitesi
Authors: GÜRLÜLER Ercüment , ŞEN Murat , YALÇIN İlker , KIZILASLAN Oğuz , IŞIK Özgen , YILMAZLAR Tuncay
Published: March 2022

Bu çalışmanın amacı Low Anterior Rezeksiyon Sendromu (LARS) ile yaşam kalitesi (QOL) arasındaki ilişkiyi değerlendirmektir. Kliniğimizde rektum kanseri nedeniyle ameliyat olan hastalar çalışmaya dahil edildi. Çalışma periyodu arasında toplam 52 hastaya rektal rezeksiyon uygulandı, 24 hasta çalışma dışı bırakıldı, 28 hasta çalışmaya dahil edildi. Yaşam kalitesi (QOL), Avrupa kanser yaşam kalitesi araştırma ve tedavi anketi-C30 (EORTC QLQ C-30) ve bağırsak fonksiyonları LARS skoru kullanılarak değerlendirildi. Kliniğimizde 19 Ocak 2017-31 Mart 2019 tarihleri arasında rektum kanseri nedeniyle ameliyat edilen ve sfinkter koruyucu cerrahi uygulanan tüm hastalar retrospektif veri tabanından alınmıştır. Polikliniğimizde takiplerine devam eden ve ankete katılmak isteyen hastalar çalışmaya dahil edilmiş ve hastalarla yüz yüze anket yapılmıştır. LARS ve QOL arasındaki ilişki analiz edilmiştir. Majör LARS olan hastaların oranı %53,7'dir. QOL, LARS ile yakından ilişkiliydi. Majör LARS hastaları ile majör LARS olmayan hastalar arasında global sağlık durumları ve fonksiyonel ölçekleri (fiziksel, rol, duygusal, bilişsel, sosyal) açısından anlamlı bir fark vardı. Anastomoz seviyesi (alçak anastomoz) majör LARS için önemli bir risk faktörüydü (p
A thermodynamic analysis of optimization schemes for a heat-power cogeneration system
Authors: Ning Zhe , Ju Wenping , Hu Bo , Lv Kai , Zhou Guiping , Ma Tingshan , Wang Yan , Yang Rongzu
Published: March 2022

To overcome the strong thermoelectric coupling in a coal-fired combined heat and power plant (CCHPT), three optimization schemes are investigated. These include low-pressure turbine little steam operation (LLPEH), extracting steam from high pressure turbine (HP-LPEH), and integrating the LLPEH and HP-LPEH (HP-LLPEH). These are employed for enhancing the plant�s heat and electricity supply flexibility using steam extracted between the intermediate- and low-pressure turbines to provide heat (LPEH). The thermodynamic and economic performance of the schemes when applied to a 330MW coal-fired combined heat and power plant were evaluated and compared. The comparison reveals the highest heat supply capacity, highest heat to electricity ratio, and lowest standard coal consumption for the HP-LLPEH scheme, while the LPEH exhibits the highest thermal efficiency.
Phononic, electronic, elastic and thermodynamic properties of ScSi under high pressure via first principles calculations
Authors: Sun Jin-fang , Chen Shao-Bo , Yao Kai-li , Chen Ying , Yao Xing-xing
Published: March 2022

In present paper, we perform first principles based on density functional theory to investigate the effect of high pressure on phononic, electronic, elastic and thermodynamic properties of ScSi. It is found that phonon dispersion curve of ScSi has no virtual frequency within a given pressure range from 0 GPa to 35 GPa, indicating that the material is thermodynamically stable. When a given pressure is larger than 40 GPa, ScSi is thermodynamically instable and will occurs phase transition. Band structure and density of states confirm that ScSi is metallic. The elastic constant Cij increases with increasing pressure, and meets the Born�s criterion, which shows that ScSi possesses mechanical stability. Meanwhile, the ductility and toughness of material increase with increasing pressure, which is very conducive to industrial applications. In addition, Debye temperature and sound velocity increase linearly with pressures, indicating that appropriate pressure can improve elasticity, hardness, melting point and specific heat.
Magnetization behaviour of Fe3O4–water and γ-Fe2O3–water magnetic nanofluids
Authors: Alsangur Rahime , Doğanay Serkan , Turgut Alpaslan , Çetin Levent
Published: March 2022

Magnetic nanofluids are colloids that contain magnetic nanoparticles dispersed in a base fluid. In the presence of the external magnetic field, they can be magnetized and manipulated. Moreover, their thermophysical properties may be tuned. Therefore, it is important to investigate the magnetization behaviour of them. For this purpose, magnetization behaviours of magnetite (Fe3O4)-water and maghemite (γ-Fe2O3)-water which are commonly used in the available literature were investigated by a vibrating sample magnetometer (VSM). Various samples with different volume concentrations for Fe3O4-water (1 and 2%) and γ-Fe2O3-water (1.1 and 2.2%) nanofluids were used in the measurements. The results indicated that γ-Fe2O3-water magnetic nanofluid has higher saturation magnetization values than Fe3O4-water magnetic nanofluid. The measurements also pointed out that as the volume concentration increases, the magnetization of both magnetic nanofluids increases as well.
Mechanical properties evaluation of banana fibre reinforced polymer Composites: A review
Authors: Gairola Surya P , Tyagi Yogesh , Gupta Nitin
Published: March 2022

In today's fast-developing world, the use of composite materials is closely related to environmental pollution, renewable and biodegradable resources. A researcher is looking for environmentally friendly materials. Natural and synthetic fibres come in a wide range of shapes and sizes. Natural fibres include jute, straw wheat, rice husk banana fibre, pineapple leaf fibre, cotton, Sisal, Coir, Oats, and Bagasse. Every year, 13.5 tonnes of banana fibre are produced in India. Teabags, paper, and polymer composite reinforcement are just a few of the applications for banana fibre. This article focuses on the manufacture of banana fibre with epoxy and a variety of other natural fibres. By combining banana fibre with some current technology, waste will be reduced, and energy efficiency will be increased, all while supporting sustainability. Banana fibres are covered in this work, along with their uses, applications, and mechanical qualities, as well as how banana fibre might improve mechanical properties.
Parion Hristiyanlık Tarihine Yeni Bir Katkı: Parion Başpiskoposu Ioannes in Kurşun Mührü
Authors: OYARÇİN Kasım
Published: March 2022

Çalışmanın konusunu, 2009 yılında Parion’da bulunmuş, kentin başpiskoposu Ioannes’e ait bir Bizans kurşun mührü oluşturmaktadır. Çalışmada sırasıyla; Parion’un Hristiyanlık dönemi, mührün kullanımı ve ikonografik özellikleri ele alınmıştır. Ayrıca mührün ortaya çıktığı yapı hakkında, mührün kontekstindeki numismatik ve diğer arkeolojik veriler ışığında değerlendirmeler yapılmıştır.
Parion, deniz ticaretine uygun jeopolitik konuma ve iki adet doğal limana sahip olması sayesinde MÖ 8. yüzyıldan MS 14. yüzyıla kadar önemli bir liman ve ticaret kenti olarak kesintisiz yerleşim görmüştür. MÖ 8. yüzyılda bir Hellen kolonisi olarak kurulan Parion’a, Roma Cumhuriyet Dönemi’nin sonlarında, Iulius Caesar tarafından koloni statüsü verilmiştir. Bizans Dönemi’nde ise kent, Hristiyanlık inancının güçlü bir şekilde temsil edildiği bölge içerisinde önemli bir piskoposluk merkezi olmuştur. MS 4. yüzyılın başlarında piskoposluk merkezi olan Parion, MS 640 yılında başpiskoposluk merkezi statüsüne yükselmiş ve bu statüsünü MS 13. yüzyılın sonlarına kadar korumuştur. Yaklaşık bin yıla yakın bir zaman piskoposluk merkezi konumuna sahip olan Parion kentine görevlendirilen piskoposlarla ilgili veriler oldukça yetersizdir. Parion’da görev yapan piskoposlarla ilgili üç adet modern çalışmada toplam 21 piskoposun adı belirlenmiş olmasına rağmen, Başpiskopos Ioannes’in adı üç çalışmada da geçmemektedir. Ancak Başpiskopos Ioannes’in MS 1072 yılında Parion’da görev yaptığı bilgisinin piskoposluk listelerinde mevcut olduğu, yapılan synod listeleri taramaları sonucunda anlaşılmıştır. Parion piskopos mühürleriyle ilgili veriler de oldukça yetersiz olup yalnızca dört örnek yayımlanmıştır; MS 9. yüzyılda piskoposluk yapmış Euthymios’a ait mühür, MS 11. yüzyıl piskoposu Konstantinos’a ait mühür, muhtemelen MS 11.-12. yüzyılda görev yapmış fakat üzerinde piskoposun adı yazmayan bir mühür ve MS 12. yüzyıl piskoposu Niketas’a ait müzayede kataloglarında yer alan bir mühür. Parion antik kenti uzun süre piskoposluk merkezi olmasına ve birçok piskoposun görev yapmasına rağmen, kente ait piskopos mühürleri ile ilgili çalışmaların yetersiz olması nedeniyle yapılacak her bilimsel yayın, Anadolu sigillografi çalışmalarına katkı sunacaktır. Bu çalışma kapsamında ele alınan ve çok tanınmayan bir Parion Başpiskoposu Ioannes’e ait mühür ise hem Parion’un Bizans Dönemi hem de sigillografi çalışmaları açısından oldukça önemli bir yere sahiptir.
The Paradox of Inequality: Factors Influencing Income Inequality in the Philippine Setting
Authors: Miguel Ma. Mikaela Margaux , Molod Corinne Joyce , Velardo Kate Ann , Pigao Kevin Jamir F.
Published: March 2022

In the Philippines, income inequality is one of the country's most serious issues. This study aims to look at some of the factors that influence income inequality in the Philippines; Educational spending, GDP per Capita, and tax revenue. These are the Philippine elements that have a significant impact on this study; On how citizens pay their taxes, the state of the country's GDP, and its educational priorities. The importance of these elements will be discussed in this study to eliminate income inequality in the Philippines and for every Filipino citizen to develop in their lives. Secondary data will be used ranging from 2000-2019. The results show that all independent variables are significant to each other, with an R-squared of 0.988. The results also show that GDP had the most significant relationship with Income inequality compared with the other variables.
Survival and toxicity outcomes of induction chemotherapy followed by concurrent chemoradiotherapy compared with concurrent chemoradiotherapy alone in inoperable stage III and IVA/B head and neck cancer
Authors: Talukdhar Sajib Kumar , Alam Sarwar , Bari Md Abdul , Shams Mohammad Jahan , Islam Md Sohidul , Sharmin Sadia , Bhuiyan Md Zillur Rahman , Uddin Mollah Md Nazir
Published: March 2022

Concurrent chemoradiotherapy with or without induction chemotherapy is widely practiced in inoperable stage III and IVA/B head and neck cancer. The aim of this study was to investigate the survival and toxicity outcomes of induction chemotherapy combined with concurrent chemoradiotherapy versus concurrent chemoradiotherapy alone in inoperable stage III and IVA/B head and neck cancer patients. From June 2018 to July 2020, 86 patients participated in a quasi-experimental study. Patients were purposively assigned to one of the two arms (arm A or arm B). Arm A got induction chemotherapy and concurrent chemo- radiotherapy, while arm B got only concurrent chemoradiotherapy. According to our findings, the 2-year progression-free survival rate in arm A was 48.8% vs 37.2 % in arm B (p-value=0.042), and the 2-year overall survival rate in arm A was 65.1 % versus 60.5 % in arm B (p-value= 0.416). There were no statistically significant variations in treatment-related toxicities between the two groups (p-value > 0.05). In conclusion, inoperable stage III and IVA/B head and neck cancer patients who got induction chemotherapy plus concurrent chemotherapy had a better progression-free survival rate than those who received concur- rent chemoradiotherapy alone.
BSMMU J 2021; 14(4): 144-147
Association of vitamin D and insulin resistance among the adults with newly detected prediabetes attending in a tertiary care hospital of Bangladesh
Authors: Khan Murshed Ahamed , Fariduddin Md , Selim Shahjada , Alam Mohammad Masum , Morshed Md Shahed , Ghani Md Habibul
Published: March 2022

Several studies have found an inverse association between vitamin D level and insulin resistance (IR) causing prediabetes and diabetes. So the current study was done to find out the association between serum vitamin D level and IR among adults with prediabetes. This cross-sectional study was carried out in 140 newly detected adults with prediabetes according to ADA 2018 criteria. The 25(OH) D cutoffs to define deficiency and insufficiency were used according to Endocrine Society (USA) criteria, measurement of vitamin D & insulin (fasting) was done by chemiluminescent microparticle immunoassay (CMIA). Data were analyzed using SPSS (version 22.0) and presented as table and figure. P-value ≤0.05 was considered significant. In this study, most of the population was 30 years and above (73%). The Male-female ratio was 1:7, the majority of participants came from urban areas (81%) and it was observed that there was an increasing trend of insulin resistance across increasing severity of vitamin D deficiency though it was not statistically significant (p= 0.74). In conclusion, vitamin-D deficiency/insuffi- ciency is common among individuals with prediabetes in our country, but there were no associ- ation had been found between vitamin D and insulin resistance in individuals with prediabetes
BSMMU J 2021; 14(4): 157-162
A 8-years old girl presented with huge tongue, drooling of saliva, difficulty in swallowing, mastication, dysarthria and anterior open bite
Authors: Asaduzzaman - , Uddin Md Wares , Uddin Helal , Mehanaz Nazia , Das Suvasish , Tanni Faria Tabassum
Published: March 2022

Abstract not available
BSMMU J 2021; 14(4): 163-166
Effect of Levothyroxine on Oxidative stress and Lipid Profile in Hypothyroid Patients
Authors: Rahman Falguni Binte , Zubery Md Husnaion , Hossain Md Mosharruf , Ara Shahin , Alam Tarifat
Published: March 2022

Background & Objective: Hypothyroidism is a common endocrine disorder and requires lifelong treatment. The present study was designed to evaluate the impact of levothyroxine (LT4) on the oxidative stress and metabolic state by assessment of malondialdehyde (MDA) level along with lipid profile in hypothyroid patients.

Methods: This cross-sectional analytical study was conducted in the Department of Pharmacology & Therapeutics, Rajshahi Medical College in collaboration with the Institute of Nuclear Medicine & Allied Sciences (INMAS), Rajshahi between July 2018 to June 2019 to compare malondialdehyde (MDA) level and lipid profile among hypothyroid patients, normal individuals and levothyroxine treated hypothyroid patients. The study included 20 newly-diagnosed hypothyroid patients, 20 Levo-treated hypothyroid patients and 20 healthy controls of both sexes.

Result: The MDA level was significantly highest in newly diagnosed hypothyroid patients among the three groups (p < 0.001). The mean of MDA level of hypothyroid patients, LT4-treated hypothyroid patients and normal healthy controls were 10.0 ± 2.13 μmol/l, 5.88 ± 1.90 μmol/l and 2.66 ± 0.61 μmol/l respectively. Significantly higher values of total cholesterol (TC) (198.5 ± 19.2 mg/dl), triglycerides (TG) (147.0 ± 14.5 mg/dl), low density lipoprotein-cholesterol (LDL-C) (133.9 ± 19.7 mg/dl), and a significantly decreased value of high density lipoprotein-cholesterol (HDL-C) levels (35.1 ± 3.67 mg/dl) were observed in newly-diagnosed hypothyroid patients as compared to those in Levo-treated hypothyroid patients and normal healthy individuals (p = 0.009).

Conclusion: The MDA level is significantly raised which suggests that people with hypothyroidism have high risk of free radical damage and risk of development of atherosclerosis, which may lead to coronary heart diseases (CHD). Treatment with LT4 significantly improves oxidative stress and corrects lipid profile but not up to the normal level. Addition of lipid lowering drugs and supplementation with antioxidants to traditional LT4 therapy can be tested to see further improvement in outcome parameters.

Ibrahim Card Med J 2021; 11 (1): 48-53
Outcome of Planned Vaginal Birth at Term after One Previous Caesarean Section
Authors: Hoque Humaira , Sultana Chowdhury Shamima , Laizu Hoshneara , Wareshuzzaman Md , Hossain Farhat
Published: March 2022

Background & objective: Pregnant women with a previous caesarian section may be offered either vaginal birth or elective repeat caesarian section (ERCS). Detailed antenatal counseling and methodical intrapartum management of women are the key factors for success of planned vaginal birth after caesarean (VBAC). The present study was undertaken to determine the incidence of successful vaginal birth and the maternal and perinatal complications in patients undergoing planned vaginal birth after one previous caesarean section.

Methods: This prospective observational study was carried out in the Department of Obstetrics and Gynaecology, Sir Salimullah Medical College & Mitford Hospital (SSMC & MH), Dhaka over a period of one year between January to December 2016. A total of 96 term pregnant women, aged 20 – 35 years, having previous experience of one lower uterine caesarean section with spontaneous onset of labour, vertex presentation of the fetus and adequate pelvis were consecutively included in the study. The main primary outcome variable was fate of trial VBAC (successful vaginal delivery either spontaneous or assisted or ERCS). The secondary outcome variables were maternal and perinatal complications (morbidity and mortality).

Result: Over 55% of the women under trial VBAC were 25 – 30 years old with mean age of the women being 26.8 ± 3.7 years. Nearly three-fifths (58.3%) of the women were of normal BMI, 40.6% were overweight. None of the women was obese. Only 15% women had gestational age 40 weeks. The mean interval between the current and the previous births was almost 3 years. In terms of primary outcome, over 60% of the planed VBAC were successfully delivered (52.2% spontaneously and 9.3% with the aid of forceps and vacuum extraction). While maternal complications were uterine rupture (6.2%), hysterectomy (6.2%) and haemorrhage needing transfusion (14.6%), neonatal complications were respiratory distress syndrome (17.7%), perinatal death (10.4%), hypoxic ischemic encephalopathy (4.2%) and sepsis (8.3%).

Conclusion: The study concluded that planned VBAC is appropriate for majority of women with a singleton pregnancy of cephalic presentation who have had a single previous lower segment caesarean section (LSCS). However, as the maternal complications (like hysterectomy, haemorrhage etc.) and the perinatal complications including death were much high, utmost caution is advised in selecting the right candidate for VBAC so that the incidence of successful VB could be maximized and complications minimized.

Ibrahim Card Med J 2021; 11 (1): 54-61
Updates from Important Trials in Cardiology of 2021 (January – June)
Authors: Cader F Aaysha , Khan Saidur Rahman
Published: March 2022

Critical appraisal of scientific publications is an important skill that must be acquired by the contemporary cardiologists. The preliminary step to a good critical appraisal is a sound understanding of the important aspects of a trial. In this issue of the Ibrahim Cardiac Medical Journal’s “Journal Scan”, we are first providing a brief summary of late-breaking randomised controlled trials published and presented at American College of Cardiology (ACC) Scientific Sessions 2021, and EuroPCR 2021, both of which were held virtually. We look at the important points to be derived from both potentially practice-changing trials, as well as key neutral trials of relevance in the above-mentioned meetings. In keeping with a critical appraisal format, each trial is introduced with its background and aims, PICO (Population, Intervention, Comparator, Outcomes) Criteria, main results and concluding remarks. Ibrahim Card Med J 2021; 11 (1): 86-95
Pengembangan Bahan Ajar Cerita Rakyat Berbasis Komik Untuk Penanaman Kemampuan Literasi Siswa Sekolah Dasar Kabupaten Rejang Lebong
Authors: Anggara Yudha A. , Muktadir Abdul , Winarni Endang Widi
Published: March 2022

Penelitian ini bertujuan untuk mengembangkan bahan ajar cerita rakyat berbasis komik dan efektivitasnya dalam penanaman kemampuan literasi siswa sekolah dasar Rejang Lebong. Jenis penelitian ini menggunakan metode penelitian dan pengembangan atau research and development (R&D). Subyek penelitian siswa kelas V SDN 85 Rejang Lebong sebagai kelas kontrol, siswa kelas V Al-Latif SD Unggulan Aisyiyah Rejang Lebong sebagai kelas eksperimen I dan kelas V SDN 10 Curup sebagai kelas eksperimen II. Berdasarkan uraian hasil penelitian dan pembahasannya, dapat disimpulkan bahwa (1) Pengembangan bahan ajar diawali dengan melakukan studi pendahuluan melalui wawancara guru dan siswa. Kemudian hasil wawancara tersebut disesuaikan dengan teori dan observasi untuk menjadi suatu draft model yang akan divalidasi oleh ahli. Draft model yang telah direvisi kemudian diujicobakan secara skala kecil dan skala besar. Setelah itu dilakukan pengujian produk final dengan teknik tes (pretest-postest) dan dianalisis gain scorenya. (2) Bahan ajar cerita anak berbasis komik efektif untuk penanaman kemampuan literasi siswa. Skor gain pada kelas eksperimen yaitu 0.63 untuk aspek pengetahuan dan 0.57 untuk aspek keterampilan, sedangkan pada kelas kontrol skor gainnya yaitu 0.16 untuk aspek pengetahuan dan 0.16 untuk aspek keterampilan.
Analisis Butir Soal Ujian Sekolah Mata Pelajaran Ilmu Pengetahuan Sosial Kelas VI SDN Kota Bengkulu Tahun Pelajaran 2019/2020
Authors: Yusnia Yusnia , Badeni Badeni , Djuwita Puspa
Published: March 2022

This study aims to describe the proportion of the cognitive level, affective level, logically and empirically the question items on the School Examination in Social Sciences subjects for the sixth grade students of SDN Kota Bengkulu for the 2019/2020 academic year. This type of research is descriptive research. The subjects in this study were students of class VI SDN 53, SDN 18, and SDN 29 Bengkulu City. The object of this research is the suitability of the questions and answer keys, answers to the school exam. The research instrument used is in the form of a document in the form of a cognitive level report analysis sheet, and an affective level report analysis sheet, questions and answer keys, answers to school exams. The data analysis uses the population level cognitive affective level on the items analyzed, the percentage is calculated, as well as descriptive analysis of material aspects, construction, and language by asking for validation from analysis experts/ experts using Aiken V. The results show that: 1) The proportion of cognitive levels, including levels understand (C2) as many as 14 items (35%), the level of implementing (C3) is 9 items (22.50%), the level of analysis (C4) is 15 items (37.50%), and the level of understanding (C5) as many as 2 items (5%); 2) The proportion of the affective level, including the response level (A2) as many as 1 item (2.5%), the respect level (A3) as many as 3 items (7.5%) and the organizing level (A4) as many as 3 questions (7, 5%); 3) the quality of the items logically based on the results of the validation of material aspects, construction, and language. 40 multiple choice test items show the information displayed in the range> 0.8 with the category "very valid" in accordance with the principles of assessment, namely fair, open, comprehensive and continuous, systematic, reference criteria, and accountable; and 4) The quality of the items empirically, the validity results show that 39 items are valid and 1 item is invalid, the reliability test results are 0.735 so it can be interpreted that these items have a high level of reliability, the results of the difficulty level test show that 15 items Medium category questions (37.5%) and 24 items in the easy category (60%), the results of the distinguishing power test showed that 5 items were in the good category (12.5%), 34 items were in the sufficient category (85%) in accordance with the principle Output, namely valid, objective, open, systematic, and based on criteria. Thus it can be denied that the quality of the School Examination items in the Social Sciences subject grade VI SDN Kota Bengkulu for the 2019/2020 academic year is good in terms of the statement of cognitive level, affective level, quality based on logical and empirical tests.
Pengembangan Panduan Praktikum IPA Untuk Meningkatkan Kemampuan Berpikir Kritis Mahasiswa Program Studi PGMI Fakultas Tarbiyah dan Tadris IAIN Bengkulu
Authors: Sugiarti Sugiarti , Koto Irwan , Hambali Daimun
Published: March 2022

This research aims to develop practical and practical guidelines for basic science concepts to improve critical thinking skills of students of the PGMI Faculty of Tarbiyah and Tadris IAIN Bengkulu who are valid and practical. The research subjects of R & D were 15 students, 7 lecturers and researchers themselves, while the object of this research was a practical guide for basic science concepts courses. This study uses a development model with 4-D procedures recommended by Thiagarajan (1974). In the 4-D development model, there are 4 steps taken to produce a learning development product. The stages include define, design, develop, and disseminate. However, the development of a practical guide for basic science concepts was carried out until the development stage. The instruments used were questionnaires and interview guides for needs analysis, expert validation sheets, legibility test sheets and practicality test sheets. The results showed that the practical guidelines for the basic concepts of science developed were valid, practical and suitable to be used to improve students' critical thinking skills.
Pengembangan Media Pop Up Book Berbasis Cerita Rakyat Rejang dalam Pembelajaran Tematik Terpadu Bermuatan Bahasa Indonesia Siswa Sekolah Dasar di Kelas IV
Authors: Agustin Ade -
Published: March 2022

Penelitian ini bertujuan untuk mengembangkan produk media pop up book, mendeskripsikan kelayakan, serta kepraktisan pengembangan media pop up book berbasis cerita rakyat Rejang. Penelitian ini menggunakan jenis penelitian pengembangan atau research and development (R&D) yang mengadaptasi model ADDIE yaitu analysis, design, development, implementation, dan evaluation. Teknik pengumpulan data yang digunakan yaitu wawancara pada guru untuk mengetahui kebutuhan, dan respon guru. Di samping itu juga menggunakan angket siswa untuk mengetahui kebutuhan dan respon siswa terhadap media pop up book berbasis cerita rakyat Rejang. Data yang didapat dianalisis menggunakan content validity index (CVI). Penelitian pengembangan ini, menghasilkan produk berupa media pop up book berbasis cerita rakyat Rejang. Kelayakan materi, bahasa, dan kegrafisan dinyatakan layak, serta kepraktisan dari respon guru, dan respon siswa dinyatakan sangat praktis.
Drilling off the Petrosal Apex and Opening the Upper Wall of Meckel’s Cave Are the Key Elements of Good Outcomes in the Treatment of Trigeminal Neuralgia Secondary to Petrous Apex Meningioma
Authors: Bai Jie , Zhou Yufan , Song Gang , Ren Jian , Xiao Xinru
Published: March 2022

Objective : The surgical management of trigeminal neuralgia (TN) caused by petrous apex meningioma (PAM) is still a challenge because of the lesion’s deep location and the surrounding complex structures. The authors describe the intradural anterior transpetrosal approach (ATPA) and its effect on the treatment of TN secondary to PAM.Methods : A retrospective analysis of 15 patients with TN secondary to PAM who underwent surgery via the intradural ATPA was conducted. The key techniques, which included drilling off the petrosal apex (PA) and opening the upper wall of Meckel’s cave (MC), are described in detail.Results : Total removal of the tumor and complete pain relief (Barrow Neurological Institute I) were achieved in all 15 patients without significant morbidity. Five patients developed new facial numbness postoperatively, which disappeared within three months after surgery. The postoperative magnetic resonance imaging showed temporal lobe swelling in three patients, but no clinical symptoms. One patient had cerebrospinal fluid leakage and was managed with bed rest and temporary lumbar drainage. One patient had an intracranial infection and was treated with antibiotics. By the last follow up, no patients had pain relapse or/and tumor recurrence. It is worth noting that the vascular compression at the root of the trigeminal nerve was found in one patient during the operation.Conclusion : Our experience suggests that drilling off the PA and opening the upper wall of the MC are key elements for a good outcome of the treatment of TN secondary to PAM. The intradural ATPA has the advantages for both tumor resection and pain relief.
Incorporating environmental covariates into a Bayesian stock production model for the endangered Cumberland Sound beluga population
Authors: Biddlecombe BA , Watt CA
Published: March 2022

The Cumberland Sound (CS) beluga (Delphinapterus leucas)population inhabits CS on eastern Baffin Island, Nunavut, Canada, and is listed as threatened under the Canadian Species at Risk Act. The population dynamics of CS beluga whales have been modelled in the past, but the effect of environmental covariates on these models has not previously been considered. An existing Bayesian population model fitted to CS beluga whale aerial survey data from 1990 to 2017 and harvest data from 1960 to 2017 was modified to include sea ice concentration (ICE) and sea surface temperature (SST). ICE and SST were extracted for all years from the CS study area in March and August, respectively, and incorporated into the state process component of the state-space model. The model resulted in a 2018 population estimate of 1245 (95% credible interval [CI] 564-2715) whales and an initial population estimate of 5147 (95% CI 1667-8779). Determining sustainable harvest by calculating the probability of population decline estimated 30% probability of decline after 10 yr with a harvest of ~15 whales annually. Compared to the previous model without environmental covariates, which followed a relatively linear trajectory, our model had more noticeable peaks and troughs in the population trend and wider CIs. The model suggested harvest levels be reduced by ~7 individuals for a management goal with a low risk of decline. The novelty of this approach for beluga whales provides an opportunity for further model development via the addition of various other abiotic and biotic variables related to beluga whale ecology.
A Proof-of-Concept Study of Can't Wait to Learn: A Digital Game-Based Learning Program for Out-of-School Children in Lebanon
Authors: Turner Jasmine S. , Taha Karine , Ibrahim Nisreen , Neijenhuijs Koen I. , Hallak Eyad , Radford Kate , Stubbé-Alberts Hester , de Hoop Thomas , Jordans Mark J. D. , Brown Felicity L.
Published: March 2022

Evaluations of education technology (ed tech) interventions in humanitarian settings are scarce. We present a proof-of-concept study of Can't Wait to Learn, a digital game-based learning program that combines an experiential, active learning design with meaningful, competency-appropriate, and contextually relevant content. We assessed the feasibility of using this program to address the current education gap in Lebanon by implementing its mathematics component in basic literacy and numeracy classes (n=30) with out-of-school children (n=390) ages 10-14. We estimated changes in numeracy competency and psychosocial wellbeing and conducted focus group discussions (n=16) and key informant interviews (n=19) with children, facilitators, parents, and partner staff members to understand the lived experience, perceived impact, and implementation challenges of the program. Our findings support the feasibility of using ed tech programs to meet the needs of out-of-school children, as we saw significant improvements in numeracy, psychological symptoms, and self-esteem; positive reported experiences with the program; increased motivation among the children; and overall ease of implementation. Our suggested improvements to the game design and implementation model will support ongoing program adaptation and implementation, with the goal of increasing access to quality education for children living in humanitarian settings. Our findings will inform future studies that seek to conclusively determine the program's effectiveness.
The Role of Technical and Vocational Education in Social Reintegration: Insights from Colombian Ex-Combatants
Authors: Arango-Fernández Maria Paulina , Zuilkowski Stephanie Simmons
Published: March 2022

Reintegration programs for ex-combatants around the globe promote their technical and vocational education and training (TVET). The aim is to help them develop skills, assume new social roles, and gain community acceptance, yet the experiences and perceptions of the ex-combatants who participate in these programs have been little explored. Thus, it is not known whether this group finds access to TVET useful in building new social networks, which is a critical factor in preventing further violence and achieving social cohesion. This in-depth interview study with female and male ex-combatants from Medellín, Colombia, who are at various stages of TVET engagement examined their perceptions of whether and how TVET contributed to their social reintegration. The findings illustrate that some forms of TVET promoted psychosocial recovery and build social bonds, whereas other types reinforced isolation and segregation. This study also found that the TVET programs overlooked the ex-combatants' limitations on socializing that were imposed by their violent environments and feelings of stigmatization. These findings suggest a need to complement education programs for economic development with approaches that help develop social bonds and trust between ex-combatants and their communities.
Designing an Efficient Way to Create New Veterinary Clinical Codes
Authors: Donlon Edward , Yim Ka Man (Ambrose)
Published: March 2022

In this report, various deduplication methods are described in order to assist Vet-AI with the removal of redundant clinical codes from their database system. Their system currently operates whereby clinicians enter codes for diagnoses, leaving open the possibility that multiple clinicians assign the same code to disparate diagnoses. It is also possible that two new entries in the database may be the same diagnosis, with synonymous terminology used. By formulating this as a graph problem, we sought to reduce redundancies by identifying the most probable duplicated codes. A probabilistic model was used, where the probability that two codes are duplicates is a function of a suitable similarity measure (e.g. the Hamming distance). A heuristic method for graph edge pruning is also outlined, based on the application of principles of logical consistency.
Simulation for Decision Support in Process Reengineering in the Automotive Industry
Authors: Zêdo Yúmina Alexandre , Ramos Ana Luísa Ferreira Andrade
Published: March 2022

With globalization and the high competitiveness faced in a business environment, adopting technological solutions to satisfactory respond to an increasingly demanding customer is the watchword for organizations. With technological advances and an increasingly volatile society, it is mandatory for industries to ensure agile production processes capable of responding quickly and assertively to consumer expectations. Industry 4.0 with its technological pillars comes up to boost company to have more flexible and agile processes. This work results of a project developed in an automotive factory that will be producing a new mechanical part. The definition of the best layout of the production line was carried in an instable environment characterized by budget limitations, security and space restrictions that forced the company to study and discuss four possible layouts to define the future line. The goal was to ensure that the line was able to produce 3625 parts/week with an Operational Income of 87%. Moreover, it was also important to consider the cost of implementing a new line in the company. With this study it is proven that in an automotive industry where flexibility is required in an unpredictable environment during a decision-making process, analyzing the impact and possible consequences of every change in a layout definition phase is a great asset, where alteration like adding a conveyor, Automated Guided Vehicle or Robots can be made easy and quickly, and important conclusions can be taken from this analyze with less effort. Finally, 2 criteria were created to examine every variant and a decision was made.