bluuebunny/crossref_metadata_2025 huggingface dataset:
Thermal Design and Analysis of Oil-Spray-Cooled In-Wheel Motor Using a Two-Phase Computational Fluid Dynamics Method
Authors: Huang Chao , Xiong Lu , Hu Liang , Gong Yu
Published: July 2023

In-wheel motors for new energy vehicles are close to the brake, which results in a high ambient temperature. Thus, there is a high demand for cooling systems. This paper designs an oil-spray-cooled system based on the flat structural characteristics of an in-wheel motor. A computational fluid dynamics method with a two-phase volume-of-fluid model is applied to simulate the transient process of oil spraying from nozzles onto the stator carrier and then dripping to the end windings. The spatially distributed fluid interfaces with location and shape fidelity are derived. Considering the big difference of thermal inertia between the motor solid and oil fluid, the mixed timescale method is applied to calculate the temperature fields of the fluid and solid. Finally, a prototype is fabricated and tested to verify the proposed oil-cooling system and simulation method.
Towards a framework for a collaborative support model to assist infection prevention and control programmes in low- and middle-income countries: a scoping review
Authors: Adams Festus , Zimmerman Peta-Anne , Sparke Vanessa L. , Mason Matt
Published: July 2023

Background: Infection prevention and control (IPC) in low- and middle-income countries (LMIC) is reported to be poorly supported because of limits in financial, human and physical resources and competing priorities in health budgets. As a result, there is often a role for external agencies to assist in strengthening IPC. While there are reports of how these partnerships have been put into practice, there are no reported frameworks or guidance documents to support the development of such relationships. Aim: The aim of this study is to identify the core elements of a collaborative support framework to assist LMIC in strengthening IPC. Methods: To achieve this, a systematic scoping review of available literature was conducted based on the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA 2020). The databases MEDLINE, CINAHL, Embase and Scopus were utilised. The search strategy included different combinations of Medical Subject Heading (MeSH) terms, Emtree and keywords that are relevant to IPC collaboration in LMIC. Literature was limited to that published between 2005 and 2020 in the English language only. Results: Six core elements of comprehensive IPC collaborative support were identified with five IPC programme areas as minimum requirements, namely: 1) Collaborative Projects, 2) Policies and Procedures, 3) Training and Professional Development, 4) Surveillance Systems and 5) Assessment and Feedback. The last element, 6) Partnerships, was identified as an enabling factor. Conclusion: These six core elements should be considered when building a collaborative support model to assist IPC in LMIC.
Team-based continuity of care for patients with hypertension: a retrospective primary care cohort study in Hong Kong
Authors: Xu Wanchun , Yu Esther Yee Tak , Chin Weng Yee , Mak Ivy Lynn , Chan Cheyenne I Ying , Lam Cindy Lo Kuen , Wan Eric Yuk Fai
Published: July 2023

Background

Continuity of care (COC) is associated with improved health outcomes in patients with hypertension. Team-based COC allows more flexibility in service delivery but there is a lack of research on its effectiveness for patients with hypertension.

Aim

To investigate the effectiveness of team-based COC on the prevention of cardiovascular disease (CVD) and mortality in patients with hypertension.

Design and setting

A retrospective cohort study in a primary care setting in Hong Kong.

Method

Eligible patients included those visiting public primary care clinics in Hong Kong from 2008 to 2018. The usual provider continuity index (UPCI) was used to measure the COC provided by the most visited physician team. Cox regression and restricted cubic splines were applied to model the association between the COC and the risk for CVDs and all-cause mortality.

Results

This study included 421 640 eligible patients. Compared with participants in the lowest quartile of UPCI, the hazard ratios for overall CVD were 0.94 (95% CI = 0.92 to 0.96), 0.91(95% CI = 0.89 to 0.93), and 0.90 (95% CI = 0.88 to 0.92) in the second, third, and fourth quartiles, respectively. A greater effect size on CVD risk reduction was observed among the patients with unsatisfactory blood pressure control, patients aged <65 years, and those with a Charlson comorbidity index of <4 at baseline (Pinteraction<0.05 in these subgroup analyses), but the effect was insignificant among the participants with an estimated glomerular filtration rate of <60 ml/ min/1.73 m2at baseline.

Conclusion

Team-based COC via a coordinated physician team was associated with reduced risks of CVD and all-cause mortality among patients with hypertension, especially for the patients with unsatisfactory blood pressure control. Early initiation of team-based COC may also achieve extra benefits.
PEMERIKSAAN GOLONGAN DARAH ABO MENGGUNAKAN HOMEMADE ANTISERA SERUM DAN PLASMA
Authors: Abror Yogi
Published: July 2023

Golongan darah ditentukan oleh adanya Antigen yang berada di permukaan sel eritrosit. Pemeriksaan golongan darah sistem ABO yang paling sering digunakan adalah metode slide menggunakan reagen antisera. Pada umumnya yang digunakam adalah antisera komersial dengan harga yang relatif mahal. Penelitian ini bertujuan untuk membuat Homemade antisera yang lebih terjangkau dari bahan serum dan plasma serta membandingkan hasilnya dengan reagen komersial. Penelitian ini merupakan eksperimen dengan desain static group comparison. Sampel berjumlah 55 dengan kategori golongan darah A sebanyak 12, golongan darah B sebanyak 13, golongan darah AB sebanyak 5 dan golongan darah O sebanyak 25. Sampel kemudian dilakukan pemeriksaan golongan darah ABO menggunakan antisera komersial dan Homemade  antisera lalu dibandingkan hasilnya. Analisis data secara statistik pada penelitian menggunakan uji friedman. Hasil dari analisis uji friedman diperoleh nilai signifikansi golongan darah A > 0.05 yaitu 1,000, nilai signifikansi golongan darah B > 0.05 yaitu 1,000, nilai signifikansi golongan darah AB > 0.05 yaitu 1,002 dan nilai signifikansi golongan darah O > 0.05 yaitu 1,000. Berdasarkan hasil statistik tersebut dapat disimpulkan tidak terdapat perbedaan hasil secara signifikan pada pemeriksaan golongan darah ABO menggunakan reagen antisera komersial dan homemade  antisera dari serum dan plasma A, B dan O.
AKTIFITAS FISIK TERPROGRAM EFEKTIF DALAM MENINGKATKAN FUNGSI KOGNITIF USIA LANJUT
Authors: Supriadi Supriadi , Washudi Washudi
Published: July 2023

Meningkatnya proporsi usia lanjut, menimbulkan beberapa masalah kesehatan pada usia lanjut. Masalah kesehatan terbesar adalah penyakit degeneratif. Diperkirakan pada tahun 2050 sekitar 75% usia lanjut menderita penyakit degeneratif dan tidak dapat beraktivitas. Salah satu gangguan akibat proses degeneratif tersebut adalah penurunan fungsi kognitif. Penelitian bertujuan mengetahui pengaruh aktifitas fisik terprogram terhadap peningkatan fungsi kognitif pada usia lanjut. Desain penelitian ini adalah quasi-experimental dengan pendekatan pre-test and post-test with control group. Sampel penelitian sebesar 15 orang untuk subjek perlakuan, dan 15 orang untuk kontrol, dengan kriteria: usia 60 – 70 tahun, mampu berkomunikasi secara verbal maupun non verbal, dan keadaan umum baik/normal. Instrumen yang digunakan untuk mengukur fungsi kognitif dengan Mini Mental State Examination (MMSE). Terhadap sampel diberikan intervensi latihan aktifitas fisik secara terprogram selama satu bulan, dan dilakukan pengukuran fungsi kognitif sebelum dan setelah intervensi. Analisis data dilakukan melalui analisis univariat dengan mean dan analisis bivariat dengan uji t.  Hasil penelitian menunjukan fungsi kognitif pada usia lanjut sebelum dan sesuah melakukan aktifitas fisik terprogram mengalami kenaikan dari rerata skor 24,67 menjadi 26,53 dengan peningkatan skor 1,86, p-value 0.000, artinya bahwa aktifitas fisik terprogram efektif dalam meningkatkan fungsi kognitif pada usia lanjut.
Demographic Factors Affecting the Adoption of Multiple Value-Added Practices by Oklahoma Cow-Calf Producers
Authors: Williams Brian , Raper Kellie , DeVuyst Eric , Peel Derrell , C. P Murphy , Richards Chris , Doye Damona
Published: July 2023

Value-added programs are continually promoted by Extension personnel as avenues for improving cow-calf profitability, but producer adoption of value-added practices lags in spite of research that validates the value of these practices. Identifying producer characteristics that increase the likelihood of value-added practice adoption is critical to developing successful outreach efforts. Results from a survey of Oklahoma beef producers on value-added practice adoption indicate that multiple demographic variables influence a producer's likelihood of practice adoption. For Extension specialists, results can help in targeting likely adopters and developing methods to overcome barriers to adoption by producers less likely to adopt.
Repeat Customer Success in Extension
Authors: Bess Melissa , Traub Sarah
Published: July 2023

Four multi-session research-based programs were offered by two Extension specialist in one rural Missouri county. Eleven participants who came to multiple Extension programs could be called "repeat customers." Based on the total number of participants for all four programs, 25% could be deemed as repeat customers. Repeat customers had increased attendance and participation (attending at least 60% of the class sessions) as well as developed relationships with other participants. One key to keeping participants involved is to schedule future programs to begin shortly after the current program ends to keep engagement and excitement levels high.
College Readiness for Rural Youth Initiative: Creating a Climate for Success
Authors: Hedrick Jason , Light Mark , Dick Jeff
Published: July 2023

College Readiness for Rural Youth is an innovative, postsecondary education bridge program that gives youth the opportunity to explore college attainability, admissions, financial aid, and application processes. The initiative aims to support academic success and transition to college for rural youth.
Food Preservation Mini-Modules Offer Options for Learners and Extension Staff
Authors: Driessen Suzanne
Published: July 2023

Renewed interest in growing and purchasing locally grown foods quadrupled requests for food preservation classes. Economic times tightened budgets, decreasing staffing levels of Extension educators. Offering options via the Internet was a natural progression to meet the increased demand. Extension educators created 20 5-minute online video-like Food Preservation Mini-Modules (http://www1.extension.umn.edu/food-safety/preserving/modules/). Over 10,000 home preservers have viewed the online modules. One hundred percent of the participants indicate use of this Internet technology was a good way to receive food preservation information. This article describes how diversifying program portfolios by offering online and classroom options provides choice for the learner and Extension staff.
Adoption of Integrated Pest Management Practices Among Oklahoma Greenhouse Producers: A Case Study for Experiential Learning
Authors: Rebek Eric , Schnelle Michael , Kelsey Kay
Published: July 2023

An instruction- and experience-based workshop was conducted for Oklahoma greenhouse producers to teach principles of integrated pest management (IPM) for common arthropod pests of greenhouse crops. Workshop effectiveness was evaluated using a pre- and post-test instrument to measure changes in knowledge and attitudes about IPM and current use and intention to adopt IPM practices. Findings indicate the objectives were accomplished as participants reported significant increases in IPM knowledge, a marked acceptance of IPM practices, and a willingness to adopt IPM. Extension workshops that combine classroom instruction and hands-on demonstration can be used effectively to teach relevant concepts to stakeholders.
Expanding Cooperative Extension's Audience: Establishing a Relationship with Cowboy Church Members
Authors: Williams Katy , Strong Robert , Lockett Landry
Published: July 2023

The study reported here provided a descriptive report on cowboy churches, while identifying the potential for Extension-cowboy church collaborations and examining the direct implications to Extension. The diffusion of innovations conceptualized the qualitative study. Semi-structured, face-to-face and phone interviews were conducted with 10 adults from cowboy churches. Findings revealed relative advantages for Extension-cowboy church collaborations, areas of compatibility, and ample opportunities for trialibility. Disseminating nutrition, animal science, and youth development information to cowboy church members may establish a relationship between the two groups. Extension could gain positive advocates in local communities through educating and establishing relationships with cowboy church members.
4-H Science Inquiry Video Series
Authors: Green Jeremy , Black Lynette , Willis Patrick
Published: July 2023

Studies support science inquiry as a positive method and approach for 4-H professionals and volunteers to use for teaching science-based practices to youth. The development of a science inquiry video series has yielded positive results as it relates to youth development education and science. The video series highlights how to conduct science-rich activities for classroom-based education and afterschool programs and through 4-H club settings. With access to the videos as a training tool to teach the science inquiry process, 4-H professionals and volunteers have greater potential to provide meaningful, intentional, and impactful learning opportunities in science for youth participants.
Cooperative Extension: A Century of Innovation
Authors: Gould Frances , Steele Douglas , Woodrum William
Published: July 2023

As Cooperative Extension celebrates its 100th anniversary in 2014, the Land-Grant System will be reflecting on the first century of accomplishments and preparing for a second century of education. This commentary is the first in a series of six throughout the year that will analyze the rich history of Cooperative Extension, examine its role in contemporary society, and help us collaboratively envision the future of this unique American educational endeavor.
Energy Transformation: Teaching Youth About Energy Efficiency While Meeting Science Essential Standards
Authors: Kirby Sarah , Chilcote Amy
Published: July 2023

This article describes the Energy Transformation 4-H school enrichment curriculum. The curriculum addresses energy efficiency and conservation while meeting sixth-grade science essential standards requirements. Through experiential learning, including building and testing a model home, youth learn the relationship between various technologies and building practices and the influence those items have on energy use. Additionally, youth learn the impact that their individual behaviors on overall energy use and conservation.
OSU Extension Housing Corps—Testing an Innovate Approach to Foreclosure Prevention in Rural Counties
Authors: Loibl Cäzilia , Moulton Stephanie
Published: July 2023

An AmeriCorps program at OSU Extension offices was tested in rural Ohio counties with particularly high foreclosure growth rates. The goal was to increase rural homeowners' awareness about the statewide foreclosure prevention efforts. Fourteen AmeriCorps members provided rural homeowners with information and assisted with the online enrollment in the Save the Dream Ohio program. Despite its challenges, the program was successful in reaching over 7,000 homeowners, in engaging about 150 community volunteers, and in providing professional and personal development opportunities of over 200 hours to each AmeriCorps member.
Identifying Locally Important Farmland: A Novel Approach to Cooperative GIS Analysis
Authors: Harman Michael
Published: July 2023

Geographic information systems can be powerful and highly utilitarian tools for making land use decisions. However many local units of government may lack skills in the use and understanding of the capabilities of GIS. As an Extension educator, one could showcase GIS skills or educate the local units of government in terms of what GIS can do. By working with local government, educators could help develop basic and realistic expectations for GIS technical services. This support could reinforce Extension educators place in the decision-making process and facilitate the development of land use decisions based on real data and local input.
Pengaruh Citra Merek Dan Promosi Terhadap Keputusan Pembelian Barang Online di Shopee
Authors: Sari Ria Widhia , Yurasti Yurasti , Endarwita Endarwita
Published: July 2023

Purchasing decisions are a series of processes that start from consumers recognizing their problems, looking for information about certain products or brands and evaluating these products or brands on how well each of these alternatives can solve their problems, which then leads to a purchase decision. This study aims to examine the effect of Brand Image and Promotion on Purchasing Decisions for Online Goods at Shopee. The population in this study were all ITS students, of which there were approximately 598 students and who visited, used, and who knew the online buying and selling site at Shopee. The sample of this study used purposive sampling technique or sampling based on certain criteria. The research data were collected by method and analyzed by multiple linear regression. The results showed that partially Brand Image has a significant effect on purchasing decisions for online goods at Shopee with a significance value of 0.000 < alpha 0.05. Promotion partially has no significant effect on purchasing decisions for online goods at Shopee with a significance value of 0.065> alpha 0.05. Simultaneously Brand Image and Promotion have a significant effect on purchasing decisions for online goods at Shopee with a significance value of 0.000 < alpha 0.05. From the results of the Coefficient of Determination Test (R2), a value of 0.607 was obtained, meaning that Brand Image and Promotion were able to contribute 60.7% to the Purchase Decision for online goods at Shopee.
Pengaruh Budaya Organisasi dan Psychological Capital terhadap Perilaku Kerja Inovatif Industri Kreatif
Authors: Satria Efandi  , Rahman Abdur , Wahyuni Rifdha Wahyuni , Haq Ruqaya Annisa Nurul
Published: July 2023

Berbagai tipikal industri terkhusus Industri kreatif memerlukan inovasi sebagai strategi utama dalam bersaing dan memenuhi permintaan konsumen. Inovasi berarti menghasilkan sesuatu yang baru dan unik. Dalam proses kerja, inovasi diterjemahkan kedalam bentuk perilaku kerja yang disebut dengan perilaku kerja inovatif. Inovasi dapat timbul dari berbagai sumber, diantaranya yaitu jenis budaya kerja seperti apa yang diterapkan dilingkungan kerja dan kapasitas psikologis yang dimiliki oleh karyawan untuk mendorong munculnya inovasi. Penelitian ini bertujuan untuk menganalisis dampak penerapan budaya organisasi dan psychological capital yang dimiliki karyawan terhadap perilaku kerja inovatif karyawandi salah satu perusahaan yang bergerak dibidang industri kreatif. Subjek dalam penelitian ini adalah 65 karyawan. Teknik pengambilan sampel yang digunakan untuk penelitian ini adalah teknik saturation sampling. Instrumen yang digunakan adalah skala budaya organisasi, skala psychological capital dan skala perilaku kerja inovatif. Teknik analisis data yang digunakan adalah model persamaan struktural dengan Smart PLS 3.0. Hasil analisis data menunjukkan terdapat pengaruh yang signifikan antara budaya organisasi dan psychological capital terhadap perilaku kerja inovatif karyawan di perusahaan X dengan nilai R=0,527 (p=0,000). Berikutnya terdapat pengaruh yang signifikan antara budaya organisasi terhadap perilaku kerja inovatif dengan nilai t=5,662 (p=0,000). Kemudian terdapat pengaruh yang sangat signifikan antara psychological capital terhadap perilaku kerja inovatif dengan nilai t=2,757 (p=0,039). Budaya organisasi memiliki pengaruh lebih besar yang dilihat melalui nilai path coeficient sebesar 0,57 dibanding psychological capital sebesar 0,238.
PENGARUH STRATEGI PEMASARAN DAN SALURAN DISTRIBUSI TERHADAP MINAT BELI KONSUMEN DI DUREN STORY CIANJUR
Authors: Nugraheni Noerlita , Jatmika Rahmat Taufiq Dwi , Dwijaputra Junialdi
Published: July 2023

Duren Story Cianjur merupakan salah satu cafe yang berada di Kabupaten Cianjur. Cafe ini diminati berbagai kalangan, baik kalangan yang muda hingga yang tua. Upaya dalam memberikan pelayanan yang baik bagi pelanggan selalu diusahakan oleh Duren Story Cianjur. Tujuan penelitian ini adalah mengetahui: 1) Seberapa besar pengaruh strategi pemasaran terhadap minat beli konsumen, 2) Seberapa besar pengaruh saluran distribusi terhadap minat beli konsumen, 3) Seberapa besar pengaruh strategi pemasaran dan saluran distribusi terhadap minat beli konsumen. Dalam penelitian ini menggunakan metode analisis deskriptif kuantitatif dengan pendekatan survey. Sampel penelitian adalah konsumen Duren Story Cianjur sebanyak 97 responden dengan menggunakan teknik sampel probability sampling. Adapun pengolahan datanya menggunakan uji instrumental, uji asumsi klasik, dan uji hipotesis Dari hasil penelitian ini sebagai berikut: 1) Strategi pemasaran memiliki pengaruh yang signifikan terhadap minat beli konsumen nilai thitung>ttabel 4,040>1,985. 2) Saluran distribusi memiliki pengaruh yang signifikansi terhadap minat beli konsumen nilai thitung>ttabel 4,804>1,985. 3) Strategi pemasaran dan saluran distribusi secara bersama-sama memiliki pengaruh yang signifika terhadap minat beli konsumen nilai f hitung yaitu 0,436 3,94. Sehingga pengaruh variabel X1 dan X2 berpengaruh secara simultan atau bersama-sama terhadap variabel minat beli Y adalah sebesar 49,3% sedangkan sisanya 50,7% yang dipengaruhi oleh variabel yang tidak diteliti.
STRATEGI PEMASARAN SEBELUM DAN SESUDAH GEMPA CIANJUR 2022 (STUDI KASUS UMKM MEFITA CIANJUR)
Authors: Dwijayati Gita Nofieka , Ramadina Nurul
Published: July 2023

Fenomena gempa bumi berkekuatan 5,6 SR pada bulan November 2022 di Kabupaten Cianjurberdampak pada UMKM Cianjur, salah satunya UMKM Mefita yang bergerak di bidang usaha sayuran segar dengan proses penjualan yang dilakukan secara online. UMKM Mefita mengalami penurunan jumlah konsumen pasca gempa bumi tersebut. Maka dari itu, diperlukannya strategi pemasaran yang baik untuk memastikan keberlangsungan sebuah usaha pasca bencana. Penelitian ini bertujuan untuk mengetahui strategi pemasaran yang diterapkan UMKM Mefita sebelum dan sesudah gempa bumi. Metode pengumpulan data dilakukan dengan metode kualitatif dengan pendekatan deskriptif analisis. Teknik pengumpulan data dilakukan dengan cara wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa UMKM Mefita menggunakan strategi pemasaran dengan konsep 4P (Product, Price, Promotion, Place)baik itu sebelum ataupun sesudah gempa. Strategi product UMKM Mefita sebelum dan sesudah gempa yaitu menjual sayuran dan berinovasi pada produk olahan sehat. Strategi price sebelum gempa bumi yaitu menjual harga dengan standar pasar, sedangkan setelah gempa UMKM Mefita berfokus pada reseller dan memberikan harga khusus reseller.  UMKM Mefita memaksimalkan penggunaan digital marketing platform pada strategi promosinya baik itu sebelum maupun sesudah gempa. Strategi place yaitu menyalurkan produknya secara offline (melalui retail, supermarket, konsumen individu, dan reseller) dan online (melalui e-commerce). Strategi place tersebut tidak mengalami perubahan yang berarti baik itu sebelum maupun sesudah gempa. Penggunaan konsep bauran pemasaran yang tepat terbukti dapat memaksimalkan potensi UMKM Mefita dan meningkatkan volume penjualan pasca gempa bumi.
GROWTH OF GREEN SAWY (BRASSICA JUNCEA L.) AFTER FERTILIZED LIQUID ORGANIC FERTILIZER
Authors: Putra Sukarman Hadi Jaya
Published: July 2023

This study aims to determine the effect of applying liquid organic fertilizer on the growth and production of mustard greens (Brassica juncea L.) with a hydroponic system. This study used a completely randomized design (CRD) consisting of 4 treatments and 3 replications, namely 15 ml/985 ml water (P1), 20 ml/980 ml water (P2) and 25 ml/975 ml water (P3). as well as the control treatment, namely 0 ml/1000 ml of water (P0). The data collection method was carried out quantitatively by measuring the growth of mustard greens (Brassica juncea L.) which included plant height, number of leaves, leaf width and fresh weight of mustard greens (Brassica juncea L.). The data obtained in the normality and homogeneity tests, if the data results are normal and homogeneous, then they are analyzed with the One Way-Anova test, if the data is significant then proceed with the Tukey test. The results of the study showed that the application of fermented liquid organic fertilizer from cow dung at different doses had a significant effect on the number of leaves but had no significant effect on the height of mustard greens (Brassica juncea L.). The effect of applying fertilizer with a concentration of 25 ml/975 ml of water was greater with plant height (21.73 cm) and number of leaves (12A strands).
Motor Yataklarında Meydana Gelen Arızaları Tespit Etmek için Yeni Bir Tek Boyutlu Konvolüsyonel Sinir Ağı Modeli
Authors: ERTARĞIN Merve , YILDIRIM Özal , ORHAN Ahmet
Published: July 2023

Elektrik motorları, çeşitli işlemleri otomatikleştirme ve kolaylaştırma yeteneklerinden dolayı endüstride önemli bir yere sahiptir. Elektrik motorlarında meydana gelen arızalar, cihazın veya sistemin çalışmasını etkileyebilmekte ve büyük maddi kayıplara neden olabilmektedir. Bu nedenle arızaların erken aşamada tespit edilmesi kritik bir öneme sahiptir. Arızaların tespitinde bilgisayar destekli yazılımlar kullanılması maliyetten ve zamandan tasarruf etme potansiyeli nedeniyle ön plana çıkmaktadır. Bu çalışmada, motor yatağı arıza türlerini tespit etmek için derin öğrenme tabanlı bir model önerilmiştir. Tek boyutlu konvolüsyonel sinir ağı (1D-CNN) mimarisi kullanan bu model ile sadece titreşim verileri kullanılarak arıza tipi tespiti sağlanmaktadır. Önerilen mimari, titreşim sinyallerini motor arıza teşhisinde hızlı ve güvenilir olarak kullanan etkin bir modeldir. Çalışma kapsamında farklı hız senaryoları kullanılarak eğitim ve test aşamalarının detaylı performans değerlendirmeleri sağlanmıştır. Genelleme kabiliyeti yüksek olan bu model ile, farklı senaryolarda yüksek doğruluk oranları ile arıza tespiti yapılmıştır.
Clinical aspects of usage of neutrophil-to-lymphocyte ratio in cardiology: literature review and own data
Authors: Strilchuk L.M. , Filipyuk A.L.
Published: July 2023

We analyzed the data of 197 patients with IHD, unstable (116) and stable (81) angina pectoris, and also prospective data 121 patient with chronic IHD (3 years of follow-up). We included 20 healthy volunteers for reference values. Digital data was statistically processed. According to literature data, NLR can serve as a prognostic marker of cardiovascular disease course. Its level depends on nosology; its increase is an independent predictor of IHD, higher mortality level, repeated inpatient treatment, atrial fibrillation, insufficient efficiency of invasive cardiologic procedures. NLR also correlates with heart failure class, left ventricle hypertrophy, tendency to hypercoagulation, inflammation level. NLR was higher in patients with acute forms of IHD [2.91 vs 2.47; significantly higher than in healthy patients (1.80)]. NLR correlated with inflammation level (according to leucocytes, erythrocyte sedimentation rate, C-reactive protein, seromucoids, total fibrinogen), glucose, (3-lipoproteids, de Ritis index, creatinine and urea, and also with sizes of both ventricles and left atrium. Patients with NLR>3 were characterized by significantly more frequent arrhythmias [odds ratio 2.93 (95% confidence interval 1.05-8.19)] and higher heart rate, activation of inflammation and endogenous intoxication. In stable IHD NLR >3 was accompanied by significantly worse 3 years' prognosis. NLR can be considered a prognostic marker of cardiovascular diseases course. It correlates with inflammation level, glucose, (3-lipoproteids, de Ritis index, creatinine, urea, and also both ventricles and left atrium. NLR is a simple informative method of prognosis in cardiology with a breaking point of 3.0, which does not involve the increase of investigations of inpatients and outpatients.

Keywords: neutrophils to lymphocyte ratio, ischemic heart disease, inflammation, survival, prognosis.
Pengukuran Antarmuka Pengguna 3D Menggunakan Metode System Usability Scale pada Aplikasi Simulasi Videography Virtual Reality
Authors: Ady Purna Kurniawan  , Roedavan Rickman , Putra Asaas , Apriliani Sani
Published: July 2023

The development of Virtual Reality (VR) technology has revolutionized user interaction with mobile applications. However, the success of a VR application depends on how well the user interface (UI) is implemented. Therefore, measuring the usability of the UI is necessary to ensure a satisfactory user experience. In measuring the quality of the user interface, we utilized the SUS (System Usability Scale) method, which is a standardized tool for assessing the user interface of a system. Our respondents consisted of 84 participants who had experience using VR applications. They were asked to use the application and complete a 10-statement SUS questionnaire with a Likert scale. Data analysis indicated that the average SUS score for the user interface of the VR videography simulation mobile application was 78.51. This score signifies that the VR Videography application's user interface received ratings of Passive, Acceptable, Good, and Grade B in their respective categories. These scores indicate that the user interface received positive evaluations from users. The questionnaire also revealed that the majority of respondents found the application easy to use and believed that others would also find it easy to comprehend
Pendidikan Tentang Pentingya Dukungan Keluarga dalam Pemberian ASI Eksklusif
Authors: Setiyaningsih Fera Yuli , Isro’aini Any , Permatasari Ratna Dewi , Purwanti Tri , Ningrum Nining Mustika , Mildiana Yana Eka , Sulistyawati Henny
Published: July 2023

Air Susu Ibu (ASI) adalah makanan terbaik untuk bayi, karena kandungan gizinya sangat khusus dan sempurna serta sesuai dengan kebutuhan pertumbuhan dan perkembangan bayi. WHO dan UNICEF telah mengeluarkan peraturan baru tentang pemberian “ASI segera” sebagai salah satu tindakan “life saving” adapun maksud dari pearaturan tersebut adalah untuk menyelamatkan bayi baru lahir. Data yang dipaparkan oleh UNICEF pada tahun 2012 hanya 39% bayi mendapatkan ASI eksklusif. Pada tahun 2015 keberhasilan pemberian ASI eksklusif mencapai 40% di dunia. Dukungan keluarga merupakan faktor eksternal yang paling besar pengaruhnya terhadap keberhasilan ASI eksklusif. Ibu menyusui membutuhkan dukungan dan pertolongan, baik ketika memulai maupun melanjutkan menyusui hingga 2 tahun yaitu dukungan keluarga terutama suami dan tenaga kesehatan. Metode dalam kegiatan pengabdian masyarakat ini adalah pretest dan posttest menggunakan kuesioner yang berisi tentang ASI eksklusif. Peserta dalam kegiatan pengabdian masyarakat ini adalah ibu menyusui, suami dan keluarga. Tempat kegiatan pengabdian masyarakat di Desa Brambang Kecamatan Diwek Kabupaten Jombang. Waktu kegiatan pengabdian masyarakat pada bulan September sampai Oktober tahun 2022. Hasil kegiatan pengabdian masyarakat di dapatkan sebelum penyuluhan dilakukan pengetahuan ibu dan keluarga sebagian besar kurang yaitu 75%, setelah dilakukan penyuluhan pengetahuan ibu dan keluarga sebagian besar baik yaitu 78.1%. Dari hasil pretest dan posttest diketahui terdapat peningkatan pengetahuan ibu menyusui dan keluarga tentang ASI eksklusif. Tingkat dukungan keluarga merupakan faktor pendukung terlaksanya pemberian ASI eksklusif.
Peningkatan Pengetahuan Melalui Edukasi Pada Ibu Hamil Tentang Pentingnya Suplemen Zat Besi dan Asam Folat di Desa Dapur Kejambon Kabupaten Jombang
Authors: Fitriana Alfira
Published: July 2023

Anemia adalah salah satu penyebab Angka Kematian Ibu (AKI) di Indonesia. Penyebab dari anemia pada ibu hamil adalah karena kekurangan zat besi. Oleh karena itu ibu hamil wajib mengkonsumsi suplemen zat besi dan asam folat 90 tablet selama kehamilan untuk mengurangi angka kejadian anemia. Untuk meningkatkan kerutinan ibu dalam mengkonsumsinya maka perlu dilakukan pemberian edukasi kepada ibu hamil tentang pentingnya suplemen zat besi dan asam folat secara teratur. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan ibu tentang pentingnya suplemen zat besi dan asam folat. Metode yang digunakan adalah penyuluhan dengan pre test dan post test menggunakan kuisioner tentang suplemen zat besi dan asam folat. Pesertanya adalah 18 ibu hamil di desa Dapur Kejambon Jombang. Waktu kegiatan pengabdian masyarakat adalah pada bulan Januari 2023. Hasil kegiatan ini adalah hasil pre test sebelum dilakukan penyuluhan diketahui bahwa sebagian besar ibu hamil mempunyai tingkat pengetahuan tentang suplemen zat besi dan asam folat yang kurang yaitu sebanyak 12 dari 18 ibu hamil (66.67 %). Sedangkan hasil post test setelah diberikan edukasi sebagian besar ibu hamil mempunyai tingkat pengetahuan tentang suplemen zat besi dan asam folat yang Baik yaitu sebanyak 15 dari 18 ibu hamil (83.33%). Dapat disimpulkan bahwa setelah diberikan edukasi terjadi peningkatan pengetahuan ibu hamil tentang pentingnya supplement zat besi dan asam folat selama kehamilan sehingga diharapkan ibu lebih rutin untuk mengkonsumsi supplement zat besi dan asam folat selama kehamilannya.
Bimbingan Karier Berbasis Personality Type bagi Komunitas Santri Penerima Program Kartu Prakerja di BLK Pesantren Ummul Quro As-Suyyuty Pamekasan
Authors: Mansyur M. , Ngainin Nurul , Hidayati Ninik
Published: July 2023

Pengabdian ini bertujuan untuk melaksanakan bimbingan karier berbasis personelity type untuk mengatasi permasalahan mental dan kepribadian (rasa takut dan gugup) bagi Komunitas Pengusaha Baru Penerima program kartu prakerja di BLK Ummul Quro Kabupaten Pamekasan. Kegiatan ini menerapkan metode “Pijar”, yaitu Pahami diri, Identifikasi kebutuhan dan harapan, Jelaskan dan evaluasi perilaku saat ini, Arahkan rencana dan solusi dan Realisasi rencana. Hasil dari bimbingan ini menunjukkan bahwa santri sebagai Pengusaha Baru Penerima program kartu prakerja di BLK Ummul Quro Kabupaten Pamekasan mendapatkan kepercayaan diri kembali pasca mengikuti pelatihan dan bimbingan karir berbasis personality type yang berupa penemuan ide usaha dan keberanian dalam mengikuti dan mengambil resiko yang mungkin akan terjadi. Dibuktikan dengan 83% peserta bimbingan merespon secara positif atas pelaksanaan pengabdian ini.
Legal Aspects of the Value of Evidence in Notary Deed
Authors: Bisyir Dzaky Alwan , Putra Mohamad Fajri Mekka
Published: July 2023

A notary is a public official sworn in by the state to provide legal services to the public. One of the leading powers of a notary is to make a notarial deed or an authentic deed which is a form of written evidence. An authentic deed is made by or before a notary and made at the place where the deed was done and its form is strictly regulated by law. The problem raised in this research is the value of proof of a notary deed for a legal act by the parties. The research method used is a form of normative juridical law research. The type of data used is secondary data. Secondary data is obtained through a literature search/library study consisting of primary, secondary, and tertiary legal materials. The responsibility of a notary is to guarantee the truth of the existence of a legal action carried out by the parties. In practice, notaries have often considered parties to the deed, but in fact the notary deed contains something desired by the parties who bind themselves in an agreement. The notary is only authorized to write the parties’ will into a notarial deed so that the deed in question only contains a statement or original legal action of the parties’ will written using legal sentences. If the contents of the deed are disputed, then the problem should be the problem of the parties.
START RUN, BEFORE SMOKE RUIN – THE EFFECTS OF EXERCISE ON SMOKING CESSATION
Authors: S. Prabhahar C. , Umayal M. , B. Meenalochani T. , Tamilarasan M. , Thaha Bareera L.
Published: July 2023

The impact of tobacco on health status is boundless. Smoking tobacco is responsible for various diseases including cancer, cardiovascular disease, pulmonary disease, periodontal disease etc. Smoking has been identied as a major risk factor in the development and progression of periodontal disease. Smoking cessation reduces the risk of many diseases. However cravings and withdrawal syndromes have been associated with smoking relapse. Thus exercise plays a signicant role in the management of tobacco withdrawal symptoms and cravings that anticipate smoking relapse.
ANAESTHETIC CONSIDERATIONS IN AORTIC STENOSIS: A CASE REPORT
Authors: Malhotra Ankush , Kaur Rajneet , Sheetal Sheetal , Sen Geetika
Published: July 2023

Aortic stenosis is one of the most common and poses serious challenges for an anaesthetic. Such patients are at an increased risk of perioperative clinical deterioration and patient mortality. Anaesthesia approach in such patients is guided by the degree of stenosis, the symptoms related to valve pathology, the systolic function of the LV, and the presence of other valvular lesions. Both general and neuraxial anaesthesia have successfully employed. We here describe the successful management of an elderly patient with combined spinal-epidural anaesthesia (CSEA) without any hemodynamic/neurologic complications or pain. Anaesthetists face many challenges in the operating room and must anticipate and appropriately manage known, expected, or foreseeable events and complications of the patient's disease, the surgery, and the planned anaesthetic approach.
ENT MANIFESTATIONS IN POST COVID PATIENTS
Authors: Gosavi Swapnil , Mathur Arpit
Published: July 2023

Coronavirus disease is a serious respiratory disorder that is caused due
to infection of Coronavirus (SARS-COV-2). It was originally
originated in Wuhan, China and resulted in death of millions around
the world and is still counting.
FUNGAL PROFILE IN ALLERGIC BRONCHOPULMONARY MYCOSIS
Authors: Irfan Ali Kazim Syed , Nasaruddin Mohd. , Ubaidullah Ansari Mohd
Published: July 2023

Background: Allergic bronchopulmonary mycosis (ABPM) is a clinical syndrome associated with immune sensitivity to various fungi notably Aspergillus spp. that colonize the airways of asthmatics. Early diagnosis and treatment with systemic corticosteroids is the key in preventing the progression of the disease to irreversible lung brosis. To study the AIMS: occurrence, clinical and etiology of ABPM in patients attending a chest clinic of a tertiary hospital. Induced MATERIAL AND METHODS: sputum and BAL uid samples were collected and subjected to KOH mount and culture. Serum samples were collected and specic IgE levels are determined. 100 suspected patients evaluated in which BAL uid samples we RESULTS: re found to be more sensitive than induced sputum. Culture found to be more sensitive than KOH mount.Specic IgE to culture positive Aspergillus fumigatus and Candida patients was positive in 11 cases and 5 cases respectively. Since asthma is a common dise CONCLUSION: ase, clinicians need to maintain a high index of suspicion for ABPM and keep in mind its diverse manifestations.
ASSESSMENT OF QUALITY OF SLEEP AND ITS ASSOCIATION WITH SOCIODEMOGRAPHIC AND CLINICAL FACTORS AMONG MEDICAL UNDER GRADUATES: A CROSS-SECTIONAL STUDY
Authors: Kumar Gola Mukesh , Kumar Atul , Raja Rao Tamma , Kumar Prajapati Ajay
Published: July 2023

Background- Sleep is a very important physiological process for many restorative functions. For maintaining the body's circadian rhythm sleep is essential. Reduced sleep quality can lead to excessive daytime sleepiness result in impaired daytime function, increased health problem, reduced work performance and impaired quality of life. A cross-sectional study was Methodsconducted among 590 medical undergraduates pursuing medical course. Blood pressure and anthropometric measurements of participants were recorded while Pittsburgh sleep quality index (PSQI) study tool was used to assess the sleep quality of medical undergraduates. Out of Results590 medical students, males and females were 60.7% and 39.3% respectively. 51% study subjects had poor sleep quality (PSQI score 5) with the mean global PSQI score of 6.44±1.80. The proportion of poor sleep quality among hypertensive and overweight/ obese medical students were 60.6% and 54% respectively. A statistically signicant association of sleep quality was found with gender (p= 0.033) and hypertension (p=0.027). It was also observed that 164 (27.8%) of study subjects had a sleep latency of more than 30 minutes while 196 (33.2%) had sleep duration less than 6 hours. Sleep efciency of more than 85% was observed among 576 (97.6%) of the study subjects and 542 (91.9%) did not use any sleep medicine during the past 1 month Conclusion: A high prevalence of poor sleep quality was found among medical undergraduate students.
LEPROSY MASQUERADING AS SWEET SYNDROME WITH FEW BULLOUS LESIONS – AN UNUSUAL PRESENTATION
Authors: S Radhika , Ram C K Sri , J Jamuna , M I Shibani , Krishnapriya M Sri
Published: July 2023

Leprosy is a chronic granulomatous infection of the skin caused by Mycobacterium leprae. It is one of the most common dermatological infections in India presenting with hypopigmented anaesthetic patches. Some patients can present with lepra reactions as the initial manifestation, however the occurence of Sweet-like Erythema Nodosum Leprosum (ENL) with few bullae is extremely rare with only few cases reported in literature. Unusual and rare clinical presentation leads to difculty and delay in the correct diagnosis & initiation of appropriate treatment. We hereby present a case report of a 27 year old lady, who presented with reddish raised skin lesions over bilateral upper and lower limbs for 3 days. History of fever and pain was present. O/E: Multiple well to ill dened erythematous plaques of varying sizes were present in both upper and lower limbs. A diagnosis of Sweet syndrome was made based on the clinical presentation. Histopathological diagnosis was borderline lepromatous leprosy with erythema nodosum leprosum. Though rare, Erythema Nodosum Leprosum (ENL) can be the initial clinical presentation of leprosy. Hence, in the absence of classical clinical features, an adequate skin biopsy including subcutaneous fat is required for a denite diagnosis of this condition
THE EFFECT OF INTRAOPERATIVE LOCAL CORTICOSTEROID ADMINISTRATION IN ANTERIOR CERVICAL DISCECTOMY PROCEDURE ON POST OPERATIVE DYSPHAGIA
Authors: Shah Smit , Gaikwad Yogesh , Nawale Mangesh , Soman Shardul , Gore Parth , Nawale Harshal
Published: July 2023

Anterior cervical discectomy and fusion is one of the commonest, safest and most reliable approaches to treat cervical radiculopathy and myelopathy. It involves retraction of the anterior neck structures including trachea and oesophagus to expose the cervical spine to perform surgical procedures. Unfortunately, a common complication includes post operative dysphagia, with incidences recorded up to 79% in recent metanalysis studies. There are many theories in literature to avoid dysphagia of which local corticosteroid is one of them. Through this study, we aim to record the effect of Locally instilled corticosteroid like Triamcinolone on immediate post operative dysphagia. A single blinded randomised controlled trial involving 15 patients was conducted at a tertiary care centre in the years between 2020 and 2022 who require ACDF surgery. Patients were randomly divided into 2 groups, one receiving local Triamcinolone and the other not receiving it. Immediate Post operative information was collected by researcher using Bazaz Dysphagia scale. Patients receiving local intraoperative steroids showed signicantly lower Dysphagia scores as compared to patients not receiving it in immediate post operative period. Although larger study is required, intra operative steroid instillation in Anterior Cervical discectomy may prove an important factor in decreasing post op discomfort for swallowing to the patient. This could also help in decreasing post operative hospital stay and monitoring. It would improve patient condence to opt for operative management when required.
ROLE OF NON CONTRAST COMPUTED TOMOGRAPHY OF PARANASAL SINUSES IN EVALUATION OF PATIENTS WITH HEADACHE.
Authors: N Meghanath , P Suresh , M T Lakshmeesha , M Vikas
Published: July 2023

Headache is the most frequently suffered illness by human beings and affects wide range of population with a variety of
etiology. The primary headache disorders which include migraine, cluster and tension-type headaches, account for the
majority of headaches, while secondary headaches which are those with underlying pathology are far less common. Most patients presenting with
headache in the primary care setting do not have serious underlying conditions. The relative rarity of secondary headaches compared with the large
number of patients with primary headache raises concerns about the wisdom of routine studies like computed tomography of paranasal sinus to
exclude underlying causes of headache.
SHORT TERM EVALUATION OF CASES OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING QUADRUPLED SEMITENDINOSUS GRAFT
Authors: Vijay Varun , Sharma Gaurav
Published: July 2023

Introduction: The anterior cruciate ligament (ACL) is the most commonly reconstructed ligament of the knee. An injury to the ACL can result in signicant functional impairment. The aim of the Aim: present study is to evaluate results of Arthroscopic ACL Reconstruction using Quadrupled Semitendinosis tendon graft in terms of post-operative level of activity, pain relief and stability of knee joint, to evaluate level of activity before and after the reconstruction surgery and to compare with published report of arthroscopic ACL reconstruction using hamstring tendon graft. In the present study, according to the L Result: ysholm scoring system, the functional outcome was 90% excellent results and 10% good results. Arthroscopic ACL reconstruction wit Conclusion: h the quadrupled semitendinosus tendon provides good subjective, functional and stability results in the patients. Post operative rehabilitation is the key to success.
ROLE OF EXERCISE THERAPY IN IMPROVEMENT OF BALANCE AND GAIT IN PATIENTS WITH DIABETIC NEUROPATHY: A REVIEW
Authors: Rani Suman , Jagga Vinay
Published: July 2023

As we know diabetic neuropathy is most common complication of both type 1 and 2 diabetes it affects over 90% of the all patients that are suffering with diabetes mellitus and diabetic neuropathy has a negative impact on postural balance and gait kinematics. So this study is reviewed in a narrative way to nd the current evidences based studies in improving the balance and gait in peoples with diabetic neuropathy. A electronic database, search by title and abstract was conducted in between year 2012 to 2022 by using Google Scholar, PubMed, Physiotherapy evidence database (PEDro) and Cochrane databases. The studies were double checked and only full text articles were used for the review. Total 15 studies were selected to demonstrate the role of exercise therapy in improving balance and gait in DPN patients. According to database search on December 2022 from Jan 2012 to November 2022, about 16 free full text articles founded that shows the effectiveness of exercise therapy on balance and gait by different approaches used for balance and gait training in DNP. Current data suggest that exercise therapy is safe and feasible and is found to improve balance and gait of patients with DPN. Specic exercise programs, including range of motion, muscle-strengthening circuit training, stretching, gait and balance exercises, can improve gait and balance in diabetics with peripheral neuropathy.