bluuebunny/crossref_metadata_2025 huggingface dataset:
Ring-Based Single-Link Failure Recovery Simulation and Analysis
Authors: Enaya Ahmad
Published: September 2024

High Availability is one of the main requirements for any network architecture, including SDN. Fast recovery after link failure is an important factor of network availability. In this project, I evaluated the performance of the Ring-based Single-link Failure Recovery approach that was proposed in [1]. The algorithm selects core nodes and forms a ring between them, then selects backup paths for different flows in a way to direct them to go over this ring. The ring is updated periodically according to predicted load. This method improves backup resource utilization and minimizes TCAM resource consumption by reducing the number of flow table entries. On the other side, this approach increases delay and jitter by forcing traffic to go over the shared ring. Some redundant links are never used in this approach. The recalculation process to update the ring may cause instability in the network. The algorithm may introduce routing loops in some cases.
Heterogeneous Uncore Architectures in Future Chip-Multi Processors
Authors: Asad Arghavan
Published: September 2024

Uncore components including on-chip memory systems and interconnects consume a significant portion of overall energy consumption in emerging embedded applications. Proposing new power-management techniques in future computing systems which consider the impact of power consumption of core and uncore components, simultaneously, is largely unexplored.

A set of comprehensive motivational observations on the importance of uncore power consumption in comparison to core components have been demonstrated in Chapters 1 and 2. After the motivational chapters, the structure of this thesis has been divided into two parts. The first part, including Chapters 3, 4, and 5, proposes energy-efficient heterogeneous architectures using optimization and machine learning-based techniques. In the second part, Chapter 6, an energy-aware machine learning-specific manycore with heterogeneous uncore has been proposed. The aim of Chapter 6 is improving the energy efficiency of machine learning algorithms by running on new specific multi-manycore systems for applying them in Chapters 3, 4, and 5 to propose new architectures. There is a positive feedback loop between the two parts of the thesis.

In Chapter 3, a design-time approach based on a convex optimization model has been proposed to architect an energy-aware heterogeneous uncore architecture in multi-manycore systems. This design-time approach shows 47.4% energy improvement with 3.2% performance degradation in comparison to an SRAM architecture. In Chapter 4, the first runtime approach using performance counters has been proposed to design an adaptive energy-aware heterogeneous uncore architecture. In Chapter 5, the second runtime approach using a machine learning algorithm has been proposed to design another adaptive energy-aware heterogeneous uncore architecture in multi-manycore systems. The proposed runtime approaches improve energy by about 45.2% and enhance performance by about 13%, on average, in comparison to pure SRAMs. At the end of Chapter 5, the design-time approach proposed in Chapter 3 and first and second runtime approaches proposed in Chapters 4 and 5 have been compared. This comparison shows that for CPU-bound applications, the design-time architecture shows better energy efficiency, while it is the opposite in memory-bound applications. The first and second runtime approaches demonstrate 12% and 17% energy-delay product improvement in comparison to the design-time, on average.
Analysis Of Persistent, Mobile, and Toxic Plastic Additives in Leachates Using High Performance Liquid Chromatography with Quantitative Time-of-Flight Mass Spectrometry
Authors: Fries Eric
Published: September 2024

Plastic additives are a diverse group of chemical compounds added to plastic products to give them their unique physical-chemical properties. Persistent, mobile, and toxic (PMT) plastic additives are a highly polar, environmentally stable sub-group of plastic additives that can pose a significant, long-term risk to the aquatic environment. Despite the threat they pose, they remain largely unregulated and under-studied, presenting a need for dedicated analytical methodology and leaching studies. This thesis investigated the leaching and analysis of PMT plastic additives from 18 plastic products using an optimized leaching protocol and novel analysis method utilizing high-performance liquid chromatography with quantitative time-of-flight mass spectrometry (HPLC-QToF-MS). A total of 486 PMT plastic additive suspect hits were measured across the 18 plastic products, 54 of which were unique. The results from this thesis provide the tools to measure PMT plastic additives and assess their leaching in an environmentally relevant matrix.
Low-dose, X-ray-based Imaging of Lung Function
Authors: Basharat Fateen
Published: September 2024

Chronic obstructive pulmonary disease (COPD) is characterized by chronic airflow limitation resulting from emphysema and small airway disease. Functional lung imaging of COPD enables early-disease detection, which is crucial for the management of disease. Due to the favorable x-ray interaction characteristics of non-radioactive xenon, it has been proposed as an inhaled contrast agent for x-ray-based imaging of lung ventilation. Current x-ray-based techniques for imaging the lung are based on computed tomography (CT), but the associated high radiation dose potentially precludes their widespread use. Previously, xenon-enhanced dynamic temporal subtraction for lung ventilation study showed sufficient contrast-to-noise ratio of ventilation defects, but motion artifacts compromised the image quality. This thesis focuses on low-dose, low-cost approaches for x-ray-based imaging of lung function, with a specific focus on xenon-enhanced dual-energy (XeDE) radiography and tomosynthesis.

The goals of this project are to (1) develop a mathematical model to quantify the image quality of two-dimensional (2D) XeDE radiography for functional imaging of COPD, (2) experimentally quantify the feasibility of two-dimensional (2D) XeDE radiography for the detection of ventilation defects and investigate the optimal imaging parameters in an experimental phantom study, and (3) investigate the optimal image acquisition and reconstruction parameters of xenon-enhanced tomosynthesis for functional imaging of COPD using an experimental phantom study.

Our theoretical model of the detectability index included the radiological manifestation of the disease, ventilation defect/emphysematous lesion contrast, detector spatial resolution, and image noise power spectrum. The theoretical framework provided a valuable guide to optimizing XeDE imaging of lung function. The experimental validation of the theoretical analysis and the optimization of 2D XeDE radiography and tomosynthesis were investigated using a custom-built chest phantom containing simulated ventilation defects. The experimental feasibility of 2D XeDE radiography and tomosynthesis was investigated using the signal-to-noise ratio (SNR) of a non-prewhitening observer with an eye filter and internal noise.

Our analysis showed that XeDE radiography and tomosynthesis may enable the detection of ventilation abnormalities associated with mild COPD. These important findings indicate that XeDE radiography and tomosynthesis of lung function can be used as low-dose and low-cost alternatives to existing functional imaging approaches for the detection of COPD.
Comparison of different methods for modelling total dissolved gas transportation downstream of the hydropower plant Brokke at river Otra
Authors: Sabil Sahra
Published: September 2024

In Norway, downstream of Brokke, which is a high-head hydropower plant, supersaturated dissolved gas is released into River Otra. This supersaturated dissolved gas is a potential threat to aquatic life. For this reason, the natural degassing process during transport has been investigated in this project for the downstream river reach of the hydropower plant Brokke. The aim of this master’s project is to find a suitable model in order to improve the simulations of the total dissolved gas (TDG) transport. Therefore, different flow scenarios (with 138% to 172% TDG content) using three different methods have been simulated. The results show that the Finite Difference Method performs the best for the scope of the study. The limitations of the Finite Difference Method are connected to the calibration and the resolution. These limitations need to be reduced in further studies, and combined with additional field measurements.
Enhancing Students' Satisfaction through Asynchronous Blended Learning in Higher Education: PhD Students at the University of Sidi Mohamed Ben Abdellah as a Case Study
Authors: Belghmi Mehdi , Habiballah Salma , Belfakir Latifa
Published: September 2024

The current study investigates the influence of asynchronous blended learning on student satisfaction among PhD students in the English department at the University of Sidi Mohamed Ben Abdellah, Fes-Morocco. Blended learning, an approach combining traditional and online learning methods, has become increasingly prevalent in higher education. This research addresses two primary questions: the factors influencing student satisfaction and the efficacy of asynchronous blended learning in enhancing learning experiences. Data is collected through a questionnaire administered to 43 students, with both quantitative and qualitative components analyzed. The results reveal a general neutrality among students towards blended learning, with a preference for traditional classroom settings. The study identified several challenges, including technical issues, communication barriers, and difficulties in time management. Despite these challenges, qualitative feedback indicates that students appreciate the diversity and flexibility offered by blended learning. The study concludes that while asynchronous blended learning presents significant advantages, there is a need for improved support and communication to enhance student satisfaction and engagement.
Use of Address Terms by Jordanian Students: A Sociolinguistic Perspective
Authors: Al-Natour Mouad Mohammed , Bataineh Mohamed Tawfiq , Alomari Natheer Mohammad
Published: September 2024

This study investigated the usage of terms of address by Jordanian students from a sociolinguistic view. To identify the appropriateness of using these terms, the researchers rely on a politeness theory to analyze the data. Thus, this study adopted Brown and Levenson’s politeness theory (1987) to identify the exact meaning of politeness. To achieve the aim of this study, the researchers used a quantitative method of role-play. This study revealed that using the terms of address is desired by Jordanian students. They are keen to use them in order to soften their speech with others. Moreover, they considered that using them saved the face want of the hearers. This study recommends future researchers to conduct comparative research with other cultures to find the similarities and differences in using address terms.
The Role of Pairwork in Enhancing Speaking Skills and Learner Autonomy among Bangladeshi Tertiary Level Students
Authors: AZAM A S M
Published: September 2024

The study aims to explore pair work activities in EFL-speaking classrooms at tertiary level education in Bangladesh. Pairwork has been an issue of interest among English language researchers and learners of English as a second language. In recent years, learner autonomy in language learning has added new dimensions. As pair work can relate to learner autonomy in speaking, everyone can look into the phenomenon. Through a mixed-method approach, the investigation was conducted at a university in Chittagong, Bangladesh, with a survey through a questionnaire, semi-structured interviews of teachers, and classroom observation. The findings show that pair work has been proven to be a significantly useful strategy to improve learners’ speaking skills. Moreover, teachers can utilize different strategies in pairing learners to create a positive learning atmosphere. Through pair work, learners can work independently, and they turn into autonomous users of the English language in both academic and real-life situations. The study throws light on some issues of providing more speaking opportunities to students at the secondary level. It ends with recommendations for both teachers and policymakers in tertiary-level ESL classrooms.
The Pragmatics of Refusing Food Invitations by Jordanians
Authors: Al-Natour Mouad Mohammed , Banat Shafiq , Alomari Natheer Mohammad
Published: September 2024

This study aims to find politeness strategies in refusing food invitations among Jordanians. Brown and Levenson’s politeness theory (1987) is adopted to analyze the Jordanian refusals. The data was collected from English language students at Jerash University. Interviews were prepared to find out the different strategies for refusing invitations. This study revealed that the invitees used indirect strategies to be more polite with the inviters. The most preferred strategies were rejecting by employing religious terms, justified reasons, prayers, promising, ask for forgiveness. This study helps researchers to know the politest strategies used by Jordanians once they refuse invitations. Moreover, it assists them in making comparative research on refusal between Jordanian society and other societies to cover the cultural differences between them clearly.
Pengaruh Penambahan Tens Pada Terapi Latihan Terhadap Peningkatan Lingkup Gerak Sendi Lutut Paska Operasi Fraktur Femur 1/3 Distal
Authors: Siregar Riani Baiduri , Purwana Rudi , Saputra Heri Saputra
Published: September 2024

Seiring dengan perkembangan ilmu pengetahuan dan tekhnologi serta kemajuan zaman, baik dalam bidang pertanian, bidang kebudayaan dan juga tidak ketinggalanpula dalam bidang kedokteran untuk memberikan pertolongan terhadap penderita.Fisioterapi merupakan salah satu cabang dalam ilmu kedokteran mempunyai peranan yang sangat pentingdalam upaya pencegahan dan pengobatan terhadap suatu kelainan atau penyakit agar supaya penderita dapat memenuhi kebutuhannya sendiridan dapat mengerjakan pekerjaannya sendiri tanpa memerlukan pertolongan orang lain.Untuk mengetahui pengaruh penambahan tens pada terapi latihan terhadap peningkatan lingkup gerak sendi lutut paska operasi fraktur femur 1/3 distal. Penelitian dengan paired sample t test  pada 14 sample di RSI Ibnu Sina Pekanbaru. Data hasil uji analisis untuk membandingkan rata – rata (mean) dari dua ampel yang berbeda yaitu rata – rata (mean) dari kelompok perlakuan (penambahan tens pada terapi latihan) dan kelompok control ( terapi latihan) untuk mengetahui perbedaan efek penambahan tens pada terapi latihan terhadap peningkatan LGS lutut fraktur femur 1/3 distal dengan menggunakan independent sample t test ditemukan bahwa nilai p =  0,00 (p 0,05) yang berarti ada perbedaan yang bermakna dari penambahan tens pada terapi latihan terhadap peningkatan LGS lutut fraktur femur 1/3 distal penambahan tens pada terapi latihan memberikan efek peningkatan LGS lutut femur 1/3 distal
Implementation of Soft Starter on Pumps and Agricultural Monitoring Systems with Pest Exercise Technology to Increase Agricultural Efficiency
Authors: Raafi’u Brian , Fauzi Eko Rian , Adhim Fauzi Imaduddin
Published: September 2024

The pump starting current can be up to 500% to 800% higher than normal current. Besides raising the electricity bill, a very high current surge at starting can cause damage to other electronic components. This study aims to implement a soft starter that functions to reduce the electrical power required to start the pump up. To measure electrical variables while the pump is working, the PZEM-004t sensor is used as a voltage, current, and energy sensor. The sensor has been validated and has an accuracy of 99.63% for current measures and 99.87% for voltage measures. In addition, to increase the efficiency of agricultural yields, a monitoring system for soil moisture in the fields is also applied with pest control technology. The soil moisture sensor YL-69, which has been validated with an accuracy of 98.27% is used to measure soil moisture in agricultural land. Specifically, this monitoring system utilizes solar electricity, which is abundant in open areas, while the pump system still uses grid electricity. Those two systems are then integrated using an android application. The results of this study found that the use of a soft starter can reduce current up to 20.64% with a 3A motor and 15.32% with a 1.7A motor.
Comprehensive Modelling of a Capacitor Charger Boost Converter with PID Control
Authors: Wicaksono Ilham Agung , Adhim Fauzi Imaduddin , Aliffianto Lutfir Rahman , Arif Rezki El
Published: September 2024

The DC-DC converter is used to convert the DC voltage, and the conversion is carried out to increase or decrease the voltage. This paper discusses the modeling of a boost converter for charging high-capacity capacitors using PID control. PID control is used to overcome changing voltages and long times to steady-state due to capacitor changes. The boost converter has a 24 V input voltage and a 350 V output voltage. Boost converter modeling is performed by electrically reviewing the circuit and then converting the differential equation from the electrical analysis into a state space that depicts the characteristics of boost converter. The simulation was performed using MATLAB software. For the initial conditions, a simulation was carried out using the calculated critical capacitor value to determine whether the boost converter output voltage reached 350 V. Furthermore, when the boost converter was replaced with a 4700 uF capacitor, the boost converter experienced underdamp oscillations with a settling time of up to 9 s. Therefore, PID control was used to overcome oscillations and long settling times. The Ziegler–Nichols 2 and Routh–Hurwitz stability methods were used to determine the parameters Kp, Ki, and Kd. From the calculation results, the parameters Kp = 0.6, Ki = 21.39, and Kd = 0.0042 are obtained. The output voltage response still has a high undershoot when using the parameters obtained from Ziegler–Nichols 2 tuning, but it already has a fast-settling time. By fine-tuning the PID control, the values Kp = 2, Ki = 90, and Kd = 0.09 were obtained. With these values, the boost converter voltage response has an overshoot of 388 V, an undershoot of 312 V, and a settling time of 0.6 s at 351 V.
Kualitas Pelayanan Rawat Inap di RSIA Permata Hati Kota Makassar
Authors: Anggie apriliani  , Arni Rizqiani Rusyidi  , Septiyanti
Published: September 2024

Kualitas dalam pelayanan kesehatan adalah sebuah konsep manajemen berfokus konsumen yang inovatif dan partisipatif yang mempengaruhi setiap individu dalam organisasi dan kualitas dapat bertahan melalui transformasi budaya. Jenis penelitian ini adalah penelitian kuantitatif menggunakan metode deskriptif. Populasi dalam penelitian ini adalah 60 pasien. Teknik pengambilan sampel yaitu metode random sampling dengan jumlah sampel sebanyak 52 pasien. Metode analisis data menggunakan uji chi-square. Hasil penelitian diperoleh bahwa ada hubungan reliability dengan Kualitas Pelayanan (p=0,023 < 0,05), assurance dengan Kualitas Pelayanan (p=0,029 < 0,05), tangibles dengan Kualitas Pelayanan (p=0,003 < 0,05), empathy dengan Kualitas Pelayanan (p=0,008 < 0,05) dan responsiveness dengan Kualitas Pelayanan (p=0,003 < 0,05). Dapat disimpulkan bahwa ada hubungan reliability, assurance, tangibles, empathy dan responsiveness dengan Kualitas Pelayanan pada apasien di RSIA Permata Hati Makassar.
Faktor Yang Berhubungan Dengan Kelelahan Kerja Pekerja Koperasi TBM Pelabuhan Makassar
Authors: Nengsih Anggry Yulia , Fatmah Afrianty Gobel  , A. Rizki Amelia AP
Published: September 2024

Kelelahan adalah salah satu faktor yang dapat mengurangi kapasitas kerja dan ketahanan tubuh pekerja. Tujuan penelitian ini yaitu untuk menganalisis faktor yang berhubungan dengan kelelahan kerja pekerja koperasi tbm pelabuhan makassar. Penelitian ini menggunakan metode penelitian kuantitatif cross sectional. Populasi dalam penelitian adalah  pekerja koperasi tbm pelabuhan makassar dengan jumlah 83 orang. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan analisis univariat dan bivariat, dengan tingkat kepercayaan α = 0,05. Hasil penelitian ini menunjukkan bahwa umur memiliki hubungan signifikan dengan kelelahan kerja dengan p value yang di dapatkan 0.001 dan beban kerja dengan p value 0.008 yang di dapat berdasarkan hasil uji chi-square. Adapun saran dari penulis agar perusahaan melakukan pemeriksaan atau sosialisasi secara rutin mengenai kesehatan pekerja untuk mengurangi terjadinya kelelahan kerja dan gangguan kesehatan yang diakibatkan oleh beban kerja.
Pengaruh Video Edukasi Terhadap Pengatahuan Pengurus Osis Pencegahan Covid-19 SMAN 3 SIDRAP
Authors: Yusrianto Sani Rianto , A. Rizki Amelia AP  , Nurul Hikmah B
Published: September 2024

COVID-19 disebabkan oleh Corona Virus, yaitu kelompok virus yang menginfeksi sistem pernapasan, pada sebagian besar kasus corona virus hanya menyebabkan infeksi pernapasan ringan sampai sedang, seperti flu, akan tetapi, virus ini juga bisa menyebabkan infeksi pernapasan berat, seperti Pneumonia, MERS dan SARS. Penyebaran Covid-19 di Sulawesi selatan dengan jumlah yang terkonfirmasi Covid 19 pada tanggal 8 Maret 2022 sebanyak 57, 854 jiwa Penyebaran Covid-19 di Kabupaten Sidrap terkonfirmasi pada tanggal 8 Maret 2022 sebanyak 173 Jiwa, dan yang terkonfirmasi meninggal sebanyak 20 jiwa Kabupaten Sidrap. Penelitian ini bertujuan untuk menganalisis pengaruh media video edukasi terhadap pengetahuan pengurus osis dalam pencegahan Covid-19 di SMAN 3 SIDRAP. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan menggunakan desain penelitian menggunakan rancangan pre experiment. Populasi pada penelitian ini adalah pengurus OSIS SMAN 3 SIDRAP dengan jumlah siswa 41 orang. Sampel penelitian ini yaitu semua anggota pengurus OSIS di SMAN 3 SIDRAP dengan menggunakan teknik total sampling sebanyak 41 siswa responden. Berdasarkan uji statistic didapatkan p = 0,000 atau p < 0,05 berarti terdapat perbedaan yang signifikan tingkat pengetahuan tentang pencegahan Covid-19 sebelum dan sesudah diberikan penyuluhan kesehatan melalui media video edukasi. Pengetahuan siswa sebelum penyuluhan dengan media video nilai rata-rata 8,21 dan sesudah diberikan penyuluhan dengan media mendapatkan nilai rata-rata 10,41 dengan nilai p = 0,000 < 0,05. Hal ini menunjukan terdapat pengaruh media video terhadap pengetahuan siswa mengenai Pencegahan Covid-19. Diharapkan dilakukan peningkatan pengetahuan siswa-siswi SMAN 3 SIDRAP. Hal ini dapat dilakukan dengan melakukan penyuluhan mengenai Pencegahan Covid-19.
Faktor Yang Berhubungan Dengan Hipertensi Pada Pekerja PT. Industri Kapal Indonesia
Authors: Sitti Aisya  , Yuliati  , Nur Ulmy Mahmud
Published: September 2024

Data profil kesehatan menemukan prevalensi hipertensi di Sulawesi Selatan sebesar 28,1% dimana Kota Makassar terdapat 13,28%. Pekerja lapangan memiliki tingkat risiko terpajan penyakit lebih besar daripada pekerja kantoran. Data dari pusat pelayanan kesehatan PT IKI menemukan pekerja yang datang di klinik Sebagian besar didominasi oleh pekerja dengan keluhan hipertensi yang berasal dari beberapa unit kerja yang spesifik pada pekerja lapangan seperti bengkel fabrikasi, bengkel sarana, bengkel pipa dan bengkel listrik kapal. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan hipertensi pada pekerja di PT Industri Kapal Indonesia. Jenis penelitian yang digunakan adalah observasional analitik dengan pendekatan cross sectional study dengan pengambilan sampel menggunakan total sampling sebanyak 50 orang. Data diambil dengan menggunakan kuesioner selanjutnya dianalisa dengan menggunakan uji Chi-square pada tingkat kepercayaan 95% (α=0,05). Hasil penelitian diperoleh ada hubungan antara Indeks Massa Tubuh (IMT) (ρ=0,000), sedangkan tidak ada hubungan antara antara umur (ρ=0,414), Riwayat penyakit (ρ=Nd), Kebiasaan merokok (ρ=0,399), dan konsumsi kopi (ρ=0,334) dengan hipertensi dengan hipertensi pada pekerja di PT Industri Kapal Indonesia. Diharapkan peneliti selanjutnya untuk lebih dapat menganalisa secara mendalam mengenai faktor yang berhubungan dengan hipertensi dengan sasaran yang lebih luas.
Identifikasi Mikroplastik Pada Air PDAM Yang Dikonsumsi Oleh Masyarakat Di Kelurahan Pampang Kota Makassar
Authors: Firdani Arsystry , Abd. Gafur Abd. Gafur , Alfina Baharuddin Alfina Baharuddin
Published: September 2024

Laut Indonesia kini tengah menghadapi krisis darurat akibat dampak serius dari masalah sampah plastik. Sebagai kontributor sampah plastik terbesar kedua di dunia setelah China, Indonesia menyumbang 0.48-1.29 juta ton dari total 4.8-12.7 juta ton sampah plastik yang mencemari laut secara global. Penelitian ini bertujuan untuk mengetahui kandungan mikroplastik pada air PDAM yang dikonsumsi oleh masyarakat di Kelurahan Pampang Kecamatan Panakkukang Kota Makassar. Pengambilan sampel pada 8 titik lokasi berdasarkan jumlah RW yang ada di Kelurahan Pampang. Metode yang digunakan dalam pengambilan sampel air PDAM yaitu menggunakan botol yang diisi sebanyak 600 ml lalu sampel dimasukkan ke dalam ice box dan diberi label pada botol yang sudah diisi. Identifikasi kelimpahan, bentuk, warna dan ukuran dilakukan dengan menggunakan mikroskop. Hasil penelitian menunjukkan bahwa rata-rata kelimpahan mikroplastik pada air PDAM di Kelurahan Pampang secara total yaitu mencapai 9,167 item/L, mikroplastik yang banyak ditemukan adalah line yang didominasi dengan warna biru. Masyarakat Kelurahan Pampang yang mengonsumsi air PDAM diharapkan agar lebih memperhatikan kualitas air yang dikonsumsi. Sebaiknya, menggunakan alat filtrasi dan menjaga kebersihan wadah penampungan.
Niepewność strategiczna: definicja i operacjonalizacja
Authors: Pierścieniak Agata , Gierszewska Grzażyna
Published: September 2024

Celem artykułu jest zdefiniowania pojęcia „niepewności strategicznej”, określenia jej wymiarów oraz różnych skal pomiarowych, które pozwalają ją zoperacjonalizować. Zostało to zrealizowane w oparciu o trzyetapową metodykę badań i doprowadziło do werbalnego ujęcia niepewności strategicznej oraz określenia jej wymiarów: złożoności, zmienności i strategiczności. Wnikliwa analiza literatury pozwoliła na zdefiniowanie poziomów niepewności a przeprowadzona synteza narracyjna umożliwiła współczesną interpretacje otrzymanych wyników. Niepewność strategiczną zdefiniowano jako subiektywne postrzeganie złożoności i zmienności wszystkich kluczowych dla danego obiektu elementów, opisanych przez właściwą dla badanego zjawiska dynamikę zmian. Zdaniem autorek takie ujęcie rozszerza przedstawione w analizie literatury wymiary niepewności strategicznej, wskazując na bardziej praktyczne ich rozumienie, a jednocześnie uświadamia skomplikowanie analizowanego zjawiska, które trzeba sprowadzić do wymiarów możliwych do zidentyfikowania.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PENYERAPAN ANGGARAN DI KECAMATAN X KOTA BANDUNG
Authors: Leni Lusiawati  , Akhbar Nugaraha
Published: September 2024

Tujuan penelitian ini adalah untuk mengetahui seberapa besar penyerapan anggaran di Kecamatan X Kota Bandung dipengaruhi oleh variabel perencanaan anggaran, pelaksanaan anggaran, dan pengadaan barang dan jasa. Pendekatan kualitatif deskriptif digunakan dalam penyelidikan ini. Data primer yang berasal dari laporan realisasi anggaran Daerah digunakan dalam penelitian ini. Berdasarkan temuan penelitian, penyerapan anggaran sangat dipengaruhi oleh perencanaan anggaran, pelaksanaan anggaran, dan pembelian barang dan jasa. Dana biasanya dikucurkan dalam jumlah besar untuk melaksanakan anggaran pemerintah selama kuartal terakhir tahun fiskal. Tiga bulan sebelumnya terlihat adanya peningkatan yang kuat dalam tren peningkatan ini, yang memberikan kesan bahwa program kegiatan ini agak dipaksa untuk diselesaikan. Hal ini menunjukkan bahwa strategi pencabutan Dokumen Pelaksanaan Anggaran (DPA) belum berjalan sebagaimana mestinya. Karena kurangnya teknik pelaksanaan yang efisien atau perencanaan yang realistis, anggaran pemerintah daerah seringkali tidak dilaksanakan sesuai dengan rencana. Dalam penyusunan perencanaan anggaran kegiatan, PPTK harus memastikan bahwa belanja yang direncanakan tersebut tidak akan dilakukan pergeseran atau perubahan sehingga proses penatausahaan tidak akan terganggu dengan pergeseran/perubahan anggaran tersebut. Selain itu, PPTK juga harus memastikan bahwa jadwal pelaksanaan kegiatan yang disusun akan benar-benar dilaksanakan dengan tepat waktu. Karena jadwal tersebut menjadi dasar dalam pembuatan Anggaran Kas Bulanan (AKB).
Rituximab and lenalidomide for the treatment of relapsed or refractory indolent non-Hodgkin lymphoma: real-life experience
Authors: Cassanello Giulio , Drill Esther , Rivas-Delgado Alfredo , Okwali Michelle , Isgor Irem , Caron Philip C. , Epstein-Peterson Zachary , Ghione Paola , Hamlin Paul , Lue Jennifer , Horwitz Steven M. , Intlekofer Andrew M. , Johnson William , Kumar Anita , Moskowitz Alison , Noy Ariela , Owens Colette , Palomba Lia M. , Torka Pallawi , Galera Pallavi , Zelenetz Andrew D. , Salles Gilles , Falchi Lorenzo
Published: September 2024

The combination of rituximab and lenalidomide (R-len) stands as an established treatment for relapsed/refractory (R/R) indolent non-Hodgkin lymphoma (iNHL). However, the reproducibility of clinical trial results in routine clinical practice is unknown. To address this gap in knowledge, we reviewed our experience with patients diagnosed with R/R follicular lymphoma (FL) or marginal zone lymphoma (MZL) treated with this combination.
Eighty-four patients underwent treatment with R-len, 69 (82%) affected by FL and 15 (18%) by MZL. The median age at the time of treatment initiation was 65 years (range, 39-94), 38 patients (45%) had a pre-treatment FLIPI score of 3-5, 19 (23%) had a bulky disease, 29 (37%) had a lymphoma refractory to the last treatment line, while in 20 (24%) cases the disease was refractory to rituximab.
The best overall response rate (ORR) was 82%, and 52% achieved a complete response (CR). The best CR rates for FL and MZL patients were 55% and 40%, respectively. With a median follow-up of 22 months, the median progression-free survival (mPFS) was 22 months (95% CI 19-36) and the 2-year overall survival (OS) was 83% (95% CI 74-93). The median duration of CR (DoCR) was 46 months (95% CI 22-NR). Factors associated with shorter PFS in multivariate analysis were bulky disease and rituximab refractoriness.
The most common adverse events (AE) included hematologic toxicity, fatigue and gastrointestinal disorders, such as diarrhea and constipation. Neutropenia and thrombocytopenia were the most common severe toxicities (grade ≥3 in 25% and 4%, respectively). No new safety signals were reported.
Real-life results of R-len in patients with R/R iNHL appear consistent with those reported in prospective studies, and further support its use as comparator arm in controlled clinical trials.
Impact of soluble thrombomodulin and activated protein C on dynamic hemostatic function in trauma: a focus on thrombin generation and clot lysis
Authors: Curry Nicola S. , Abu-Hanna Jeries , Morrow Gael B. , Choudhury Robin , Laffan Michael
Published: September 2024

Trauma induced coagulopathy (TIC) describes a complex set of coagulation changes affecting severely injured patients. The thrombomodulin-protein C axis is believed to be central to the evolution of TIC. Soluble thrombomodulin (sTM) levels are elevated after injury. Our objectives were to explore whether sTM (at concentrations found in patients after injury) plays an important role in TIC, and specifically to evaluate the effect of sTM and activated protein C (APC) on thrombin generation (TG) and clot lysis time (CLT). Plasma from healthy volunteers was spiked with rising concentrations of sTM and APC and the effects on TG and CLT were analysed. Plasma samples from a cohort of trauma patients were evaluated using TG and CLT, and results correlated to clinical parameters and FVIII, FV, APC, sTM and fibrinolytic measures. Increasing sTM concentrations in volunteer plasma led to reductions in ETP and prolongation of 50% CLT times, in a dose dependent manner. No effect on TG or CLT was seen with rising APC concentrations. In 91 trauma patients, higher sTM values were associated with greater, rather than reduced, ETP (median 1483 vs. 1681 nM/min) and longer 50% CLT times (41.9 vs. 54.0 mins). In conclusion, sTM concentrations, across trauma ranges, impact both TG and 50% CLT times, unlike APC. Despite increased circulating sTM levels, the overriding dynamic coagulation effects seen after injury are: (a) accelerated thrombin generation and (b) increased rates of fibrinolysis. We find no evidence for sTM as the major determinant of the coagulation changes seen in early TIC.
The real world of acute lymphoblastic leukemia
Authors: Litzow Mark R.
Published: September 2024

Not available.
Recent Trends of Poisoning at Tertiary Care Hospital
Authors: Sharifunnesa  , Masud Mahadi , Ahammad Faruk , Islam MM Shahin Ul , Hossain Mohammad Iqbal , Datta Abhijit , Hoque Md Momotazul , Das Nimai , Andalib Nuzhat , Karmaker Artha Pratim
Published: September 2024

Poisoning is a common public health problem worldwide. This prospective study was carried out in Medicine department of Faridpur Medical College Hospital to observe the recent trends of poisoning including demographic distribution, types and outcome of poisoning from 3rd June, 2018 to 2nd December, 2018. Total 517 patients of acute poisoning were included in this study. Among them, 232 (44.9% ) were male and 285 (55.1% ) were female. Most of the patients were married (58.4% ), muslim (93.8%) and they lived in rural area(88.8% ). By occupation, housewives were the maximum (29%) followed by farmers (25.1% ). Most of them were exposed to poisoning in oral route (99.2% )and only (0.8% ) patients were exposed through inhalation. Organophosphorus compound poisoning was the most common type of poisoning (32.9% ) and the death rate associated with OPC poisoning was highest (3.7%). The 2nd most common poisoning was sedative poisoning (17%) followed by commuter poisoning (13.7%), corrosives (10.8%), unknown (6.6%), herbicides (6.2%), mixed drug poisoning (6%), rat killer poisoning (1.9%), Others (4.8%). Age group 1 (10-20 years) was the most vulnerable group (45.6%). According to manner of poisoning, 481 (93%) were exposed to poisoning in suicidal attempt followed by accidental 33(6.4%) and homicidal 3 (0.6%). Familial disharmony was the principal cause of suicidal poisoning (82.5%). Female patient ingest poison with suicidal attempt 267(55.5%) more than male 214 (44.5%).
Bangabandhu Sheikh Mujib Med. Coll. J. 2024;3(2):85-90
A Cross-Sectional Study on Knowledge, Attitude and Practice Towards COVID-19 of the Residents of Nagarkanda Upazila, Faridpur District
Authors: Khan Abdul Majid , Khan Md Munim Ur Rahman , Islam Md Rafiqul , Alam Md Samiul , Jahan Esrat , Rahman Ayesha
Published: September 2024

Bangladesh experienced four major waves of COVID-19, the first one of which transpired in March of 2020. From its early onset the government of Bangladesh has taken several precautionary measures which include generating public awareness and adherence to appropriate knowledge, attitude and practice towards the global pandemic. The study, conducted in October 2022 attempted to explore the level of knowledge, attitude and practice towards COVID-19 among the residents of Nagarkanda upazila of Faridpur district. Most of the participants learned about COVID-19 through mass media (49.50%), with 87% believing in its preventability and 80% being aware of the minimum distance requirements. They believed the virus spreads through direct transmission during coughing (93%), contact with infected individuals (86%), touching contaminated surfaces (79.5%), and contact with infected animals (49.5%). They identified elderly individuals (95.3%), migrants (78%), pregnant women (66.7%), those with underlying health conditions (60%), and children (59%) as the most vulnerable groups. However, the majority did not dismiss the pandemic as a myth, with 90.70% understanding the importance of isolation. Treatment options mentioned included vaccination (65%), specific medications (41%), supportive care (39.30%), and herbal remedies (25.70%). A large majority (91.70%) had already received the COVID-19 vaccine, while 8% had not been immunized, and 0.30% were unaware of vaccination efforts. The findings suggest that an adequate amount of health education interventions should be directed to the particularly vulnerable rural populations at high risk of contracting COVID-19.
Bangabandhu Sheikh Mujib Med. Coll. J. 2024;3(2):91-96
Paraparesis in Hb D-Hb E Heterozygous Thalassemia- a Case Report
Authors: Ahammad Faruk , Masud Abu Ahmed Abdullah , Hassan Riad
Published: September 2024

Thalassemia is a group of autosomal recessive hemoglobinopathies where exramedullary hemopoisis is frequently observed in the liver, lymph nodes, spleen and also around spinal cord which may cause spinal cord compression producing different clinical manifestations including para paresis or paraplegia. A case report of thoracic spinal cord compression in a 20-year-old male with Hb D-Hb E heterozygous thalassemia is reported from medicine department of Bangabandhu Sheikh Mujib Medical College, Faridpur. Bangladesh. This patient presented with progressive weakness of both lower limbs and difficulties in walking for 2 months. He also had history of fluctuating jaundice since childhood. His hemoglobin electrophoresis was suggestive of Hb D-Hb E heterozygous and MRI of dorsal spine with screening whole spine reveals extramedullary hemopoiesis at D2 to D12 causing spinal cord compression and low signal intensity of the bone marrow of the vertebrae. After blood transfusion he underwent referred to higher specialized center (National Institute of Neurosciences and Hospital, Dhaka) for further better management.
Bangabandhu Sheikh Mujib Med. Coll. J. 2024;3(2):110-112
Optimization of central venous access care in pediatric oncology patients
Authors:   , van den Bosch Ceder Hildegard
Published: September 2024

Over the years, central venous catheters (CVC) became more popular in the field of paediatric oncology since they provide a reliable long-term venous access route, without the need for repeated venous punctures. Although the implantation of a CVC provides many benefits for patients as compared to peripheral infusion, CVCs can also cause adverse events that can have a serious impact on patients and their caregivers. Paediatric oncology patients mostly receive long-term treatment via totally implantable venous access ports (TIVAP) and have many co-morbidities (e.g., thrombocytopenia, thrombogenicity, neutropenia and mucositis), that can make the insertion period very challenging in terms of CVC-related complications. (1) This patient group will therefore benefit from more evidence-based guidelines, adapted to their specific needs. However, current evidence-based CVC guidelines, developed to minimize the negative burden of CVCs on the paediatric oncological care, are mostly based on adult literature or literature in children with other underlying diagnoses. (2-6) Well-designed studies with large sample sizes are required to create solid evidence where we can build proper guidelines on. The Princess Máxima Centre for paediatric oncology, the largest paediatric oncology centre in Europe, has an opportunity to take the lead in this. The groundwork to accomplish standardized evidence-based CVC care, was laid through the execution of the studies described in this thesis.
CIVIL SOCIETY AND POLITICAL TRANSITIONAL: A SYSTEMATIC LITERATURE REVIEW (SLR)
Authors: Margareta Imelda Dhea , Salahudin  , Daus
Published: September 2024

The current political transitional makes people dependent on the government, because of this people want change to occur in their country. By choosing a good leader, a country can improve. But there are still many cases of very rampant money politics, which are less efficient to carry out. This research aims to make civil society aware to avoid transitional politics because this dangerous behavior is less ethical in choosing leaders who actually only want power but do not understand the situation of their people. The research method applied in this research is a systematic literature review using several scientific articles sourced from the Scopus database. Review articles using the Vosviewer application. The results of the research reveal that there are still many perpetrators who still carry out money politics with the public, and the perpetrators of bribery are not only legislative institutions but also executive institutions which also play a role in this problem. The results of this research contribute to the development of a research roadmap on civil society and transitional politics. People should not accept bribery because it is bad behavior and it is written in the law regarding bribery and it is very detrimental to themselves and also detrimental to the state. The limitation of this research is that the articles used only come from the Scopus database so that the research findings cannot comprehensively describe civil society and political transitions throughout the world. Future research needs to use scientific articles sourced from other reputable international databases, such as Web of Science and Dimensionds Scholars. So there are still many transitional political actors, usually this behavior is supported by their political parties, and people are also easily tempted by invitations in exchange for gifts, usually in the form of basic necessities or money.
Effects of Skill-Streaming-Based Teaching Using Video Modeling on Social Skills in General Children and Social Interaction in Children with Autistic Spectrum Disorder
Authors:   Korean Association For Persons With Autism, Lee SeIn , Lee SoHyun
Published: September 2024

This purpose aimed to investigate the effect of skill-streaming-based teaching using video modeling on the social skills typically developing children and the social interactions of children with autistic spectrum disorder (ASD). Participants included two classes of 5-year-olds: 44 typically developing children and four children with ASD in the experimental group, and four children with ASD in the control group. The intervention spanned 14 sessions over 14 weeks. The study employed a pre-post control group design to assess changes in the social skills of typically developing children, while case studies were used to examine changes in social interactions among children with ASD. Results revealed a statistically significant improvement in the social skills of typically developing children and an increasing trend in social interactions among two children with ASD in the experimental group. This study is notable for integrating two evidence-based practices into the natural routine of the entire class.
Experimental Flexural Strength of Reinforced Beam and Reactive Powder Concrete with Bendrat Fiber
Authors: Lirawati Lirawati
Published: September 2024

Reactive powder concrete is a new type of concrete that has ultra-high compressive strength, the components of which are very fine powders that have high silica content. Reactive powder concrete has high compressive strength and ductility, which has the potential to replace steel materials in construction work, and has a very large opportunity for construction materials in Indonesia. In this study, 3 types of strength tests were carried out, namely compressive strength tests, splitting tensile tests and flexural strength tests. Compressive strength tests were carried out on cubes measuring 5 cm x 5 cm x 5 cm with cylinders measuring 10 cm x 20 cm, and splitting tensile strength on cylinders measuring 10 cm x 20 cm and flexural strength were carried out on reactive powder concrete measuring 4 x 6 x 60 cm and reinforced beams measuring 5 x 9 cm x 140 cm with the addition of 0.5% bendrat fiber from the concrete volume. The treatment of test objects for cubes and cylinders was carried out by curing with ordinary water. From the results of the tests that have been carried out, it was concluded that type II cement can increase the usual compressive strength of 43.9 MPa. For the splitting tensile strength of concrete using type II cement is 3.95 MPa higher than the use of type I cement of 2.23 MPa. The flexural strength of reactive powder concrete with 0.5% bendrat fiber is 23.44 MPa and reinforced concrete with 0.5% bendrat fiber is 61.93 MPa
Slope Stability Analysis in the Terrace Area of ​​Sentul City, Bogor Regency
Authors: Lukman Hikmad
Published: September 2024

The landscape in the Terrace Hill Sentul City area of Bogor Regency is at level + 280 to + 307 above sea level. is a contoured area, planned to be used as a housing area with a Down Hill and Up Hill model. For this reason, it is necessary to carry out land preparation in the form of Excavation (Cutting) and Fill work, while because the condition of the sloping land and the type of soil in the form of silt has the potential to experience landslides, for this reason, slope reinforcement work is needed. This area also borders a residential area so that an evaluation needs to be carried out whether the land preparation work does not interfere with the area owned by local residents. Based on the results of calculations and analysis of slope stability using the Splicing method and the Plaxis program, it was obtained that in the Terrace Hill area, slope stability engineering needs to be carried out. Handling of this housing area can use the construction of retaining walls from stone or concrete cyclops, placement of piles of sacks filled with soil, installation of gabions or using bamboo cerucuk, dolken and bored pile poles
The Influence of Organizational Culture and Transformational Leadership on Organizational Citizenship Behavior Through Job Satisfaction
Authors: Karina Cinthya , Entang Muhammad
Published: September 2024

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Analysis of the Effect of Price, Promotion, Service Quality on Customer Satisfaction with Brand Image as an Intervening Variable in Toyota Car Products in Sukabumi, West Java
Authors: Saragih Dea Agustia , Muharam Hari
Published: September 2024

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Application Of The Teams Games Tournament Cooperative Learning Model To Improve Learning Outcomes Of Fraction Theory Mathematics In Class 2 Elementary Schools
Authors: Royani Tatu Maftuhah , Rochmat Rochmat , Farhan Yosep
Published: September 2024

One of the fields of science studied from the elementary school level is mathematics. Fractions are mathematics learning material that begins to be studied at level/grade II. Fractions are one of the materials that are considered difficult for students. This can be seen from the student learning outcomes that are not in accordance with the criteria for achieving the learning objectives of fractions. Many students have difficulty solving problems related to fractions because they do not understand the concept of fractions. This study aims to determine the effective learning process through the application of the Teams Games Tournament type of cooperative learning model in improving the learning outcomes of fraction material in class II students of Islamic Elementary School Nurul Iman. Data collection was carried out using the individual test method and observation sheets. The results showed that by applying the Teams Games Tournament cooperative learning model to fractional material, students could improve their understanding of the concept of fractions. As much as 80% of students meet the criteria for achieving the learning objectives of fractional material. This shows that the application of the Teams Games Tournament type learning model is effective.