bluuebunny/crossref_metadata_2025 huggingface dataset:
A fuzzy FMEA for detecting the risk of defects in polyethylene (PE) film products
Authors: Krisnaningsih Erni , Sakti Imam Ribowo , Dwiyatno Saleh , Ridwan Asep
Published: November 2022

Product quality is a top priority that must be considered so that the products produced follow quality standards based on the characteristics and specifications set by the company. This study aims to identify the failure risk of the most dominant type of defect in Polyethylene (PE) Film products and identify the significant factors that cause the most dominant defects so that a proposal for improvement is obtained. The Fuzzy Failure mode and effect analysis (FFMEA) method is applied to reduce the risk of product defects in the PE Film production process. The steps with FFMEA are: a). Identify the type of defect of the Polyethylene film product, b). investigate the potential causes of each mode of failure and their impact, c). Identify the scale and linguistic terms for the input factors S, O, and D. d). Create a membership function appropriate for S, O, and D input factors, e). Change the input factor values S, O, and D to linguistic variables, f). establish an IF-Then rule, create a fuzzy risk priority number (FRPN) membership function, g). defuzzification. The results showed that the application of this method was quite effectively applied, the risk factor for the dominant defect in the production of PE film was the type of Pinhole defect caused by material factors, and the production process and temperature with proposed improvements were focused on periodic maintenance.
Response Surface Method for optimizing the injection moulding process in bracket production
Authors: Muharni Yusraini , Febianti Evi , Permana Muhammad Galih , Hartono Hartono
Published: November 2022

Citra Karya Metal is a mould maker and injection service for industries that produce plastic products such as brackets for washing machines. Defective products in the bracket's production are serious problems since the number is large. The existence of this defective product is quite challenging for the company in terms of time and cost. Products that do not comply with the standards will be reworked by flushing them from excessive plastic or destroying them to become plastic pellets for rework. This research aims to provide recommendations for the optimum injection moulding machine settings to reduce defects in bracket production. The Response Surface Method is used to optimize three independent variables: injection speed, pressure, and screw backstop position. The research finds that the most influential factors were injection speed and pressure. The optimum factor level values for injection speed and pressure were 47.5 per cent and 61.5 bar, respectively.
Hazard identification in fabrication industry using Hazard Identification and Risk Assessment (HIRA) and Job Safety Analysis (JSA)
Authors: Herlina Lely , Dewantari Nustin Merdiana , Sonda Atia , Mulyana Moch. Rizky
Published: November 2022

Mild steel roofing is increasingly being used in simple construction processes. Prima Land Company dominates the lightweight steel roof market share in Pandeglang. However, accidents can come in its manufacturing process, and the potential hazards have yet to be fully measured. Therefore, this study aims to identify, assess, and provide risk control to prevent and reduce work accidents at Prima Land Company. The methods used are Hazard Identification and Risk Assessment (HIRA) and Job Safety Analysis (JSA). HIRA is used to identify the hazard in the mild steel roofing process area, whereas JSA is used to identify hazards in forklifts and lift operations. The results showed that eight activities have potential risks in manufacturing lightweight steel roofs and 16 risks in operating forklift machines and finished loading goods into vehicles. In the HIRA method, the risk category assessment is uniform. However, the highest risk of 38% is extreme risk for sand sprinkling activities, untied and closed plug cables or switches, and transfer of coil raw materials.
Risk management analysis in electrochlorination plant using House of Risk
Authors: Anggraeni Shanti Kirana , Wahyuni Nuraida , Ramdhani Desi
Published: November 2022

XYZ Corp. is a petrochemical company with several Electrochlorination Plants (ECP) to produce chlorine. ECP is a room with a high risk because there can be a buildup of hydrogen gas in the ECP room, which can cause an explosion. Therefore, it is necessary to carry out risk analysis in activities at ECP to mitigate possible risks or disturbances. The purpose of this study is to identify risks and risk agents as well as risk agents that are prioritized in the Electrochlorination Plant (ECP), using the House of Risk (HOR) method, which consists of 2 phases. The first phase is identifying risk events and agents, which are then measured on the severity and occurrence levels and calculating the Aggregate Risk Priority (ARP) value. This study found that 17 risk events and 11 selected risk agents must be prioritized to be resolved. They contribute to an 80% cumulative value of the highest Aggregate Risk Potential (ARP), which means it has the most significant influence on daily operations. Therefore, the company must overcome this by taking preventive steps to minimize or eliminate the source of the risk.
Interior design marketing strategy using SWOT analysis
Authors: Wahyuni Nuraida , Anggraeni Shanti Kirana , Saepudin Gilang Restu
Published: November 2022

The Covid pandemic has been successfully overcome. Estimates of the weak world economy have also been predicted. However, it is noted that the need for housing continues to increase. Along with the increasing need for residential homes, interior design services also increased. This increase is because people need a comfortable place to live. Especially with the house offering a limited area, a compact interior design is needed. Therefore, the offer of interior design services is increasingly widespread. Warna Dipa, as one of the interior service providers, requires a marketing strategy for the company to compete with its competitors. This study aimed to obtain a marketing strategy for Warna Dipa using a SWOT analysis. This study performed direct observation on the ground and interviews with the management of Warna Dipa to collect the data. The data was collected from internal and external factors of the company. The results show tactical and development strategies for Warna Dipa. Tactical strategies include using social media to expand marketing reach, collaborate with furniture providers, and increase product prototypes.
Measuring the impact of practicum schedule and mental workload on stress levels in hybrid learning: A case study in Physics practicum
Authors: Umyati Ani , Yanasari Selli , Wahyuni Nuraida , Mariawati Ade Sri
Published: November 2022

The Physics Laboratory of the Faculty of Engineering, University of Sultan Ageng Tirtayasa, has implemented hybrid learning-based learning after the Covid-19 pandemic abated. Students admitted to online practicum the previous semester said they felt depressed and overthinking while participating in the physics practicum. The assignments and report must be handwritten after they watch a video explanation of the experimental procedure. The internet network condition is also an obstacle for online practicum. Based on these problems, examining the impact of hybrid learning-based learning in shift practicum and mental workload on stress levels was necessary. This study aims to identify the mental workload experienced by online and offline participants in the Physics Laboratory practicum. The advantage of this study is to review two practicum methods, online and offline practicum. The research instruments used to measure the mental workload and stress level experienced by students are NASA-TLX and DASS-21, respectively. The results showed a simultaneous influence between shift practicum and mental workload on stress levels. The mental workload on the stress level of online and offline practice is significantly different. However, the shift of practicum to the stress level of online and offline practice is similar—the mental workload of online and offline practice in the dominant medium and heavy categories. Heavy and normal categories dominate stress levels. The dominant mental workload factors are effort, frustration, and physical demand.
A hybrid modified Bat Algorithm with Dynamic Spiral Method for solving mixed integer non-linear programming optimization
Authors: Sonda Atia , Kurniawan Bobby , Arina Faula , Trenggonowati Dyah Lintang , Ridwan Asep , Ulfah Maria , Ferdinant Putro Ferro , Bahauddin Achmad
Published: November 2022

Most optimization problems in engineering are nonlinear, with many constraints. Consequently, finding optimal solutions to such nonlinear problems requires efficient optimization methods. Most of the methods used so far are gradient-based methods. In gradient-based methods, the objective function must be differentiable, and the search for the optimum solution usually starts with a guess-point. For multimodal objectives, the search will likely get stuck at a local optimum. Nowadays, new metaheuristic methods are being developed for solving nonlinear optimization problems. Metaheuristic methods neither require a guess-point nor a derivative of the objective function. Metaheuristic methods, called Bat Algorithm and Spiral Dynamic Method, have been developed for solving optimization problems. Each of the methods has the strength to solve the problem. We propose combining Bat Algorithm (BA) and Dynamic Spiral Method (DSM) for solving mixed integer optimization. The bat Algorithm is used for the exploration stage to find some candidate solutions. Meanwhile, the dynamic spiral method is used in local search to find the best optimum solution. The result obtained by Bat Algorithm-Dynamic Spiral Method (BA-DSM) were more effective than the standard Bat Algorithm in solving the problem.
Supply-chain risk mitigation with integration of House of Risk and fuzzy logic: A case study in bakery industry
Authors: Ulfah Maria , Ferdinant Putro Ferro , Trenggonowati Dyah Lintang , Salsabila Missela
Published: November 2022

IKM Bread is a food industry located in Cilegon producing bread. IKM Bread has a supply chain system from raw material procurement, production process activities, packaging, shipping, and marketing to the hands of consumers. In its supply chain, IKM Bread has several risks that are happening, and that may occur, such as production planning, production process, and distribution. Therefore, risk identification and mitigation activity are required to minimize risk. This research aims to identify the supply chain in IKM Bread, analyze and be involved in the supply chain at IKM Bread and determine the mitigation strategy prioritized in supply risk management in the bakery industry in IKM Bread. The method used is SCOR and HOR phase 1 integrated with Fuzzy Logic to find potential risks. Then, HOR phase 2 methods are used to find the appropriate mitigation proposals for these potential risks. Based on the research, IKM Bread has 32 risk events and 20 risk agents. Therefore, the proposed risk mitigation consists of 15 proactive actions, which include conducting training for all employees, evaluating after production, briefing before starting production, and making backup production plans.
ПРОДУКТИВНІСТЬ СОНЯШНИКУ В УМОВАХ ПІВДНЯ УКРАЇНИ ЗА ПОЗАКОРЕНЕВИХ ПІДЖИВЛЕНЬ МІКРОДОБРИВАМИ
Authors: Коваленко Олег , Нерода Руслан
Published: November 2022

Стаття присвячена висвітленню результатів наукових досліджень, щодо особливостей формування продуктивності гібридів соняшника Дарій, НК Камен, Тутті, залежно від позакореневого підживлення мікроелементами в ґрунтово-кліматичних умовах Миколаївської області. Існує пряма залежність приросту врожаю та його формування від оптимального поєднання погодно-кліматичних умов та елементів живлення сільськогосподарських культур. За результатами досліджень рекомендовано виробництву проводити сівбу в польових сівозмінах в якості кращого варіанту гібрид соняшнику НК Камен за умови позакореневого підживлення мікродобривом Квантум з нормою витрати робочої рідини 4 л/га у фазі 6-8 листків у культури.
СИСТЕМИ ПІДТРИМКИ ПРИЙНЯТТЯ ЛІКАРСЬКИХ РІШЕНЬ
Authors: Черниш Ксенія , Білошицька Оксана
Published: November 2022

Вступ. Кількість і якість клінічних даних невпинно зростає, тому і зростає потреба у швидкості їх обробки. Впровадження цифрових технологій у медичну галузь допомагає оптимізувати управлінські та адміністративні процеси. Медичні інформаційні системи (МІС) складаються із багатьох взаємопов’язаних блоків, таких як електронні медичні записи, автоматизовані реєстри захворювань, які повинні включати в себе можливості передачі та аналізу даних.
РОЛЬ МІЖНАРОДНОЇ МОРСЬКОЇ ОРГАНІЗАЦІЇ В БОРОТЬБІ З НАСЛІДКАМИ ПАНДЕМІЇ НА МОРСЬКОМУ ТРАНСПОРТІ
Authors: Волошин Андрій , Заяц Сергій , Корякін Костянтин , Никитюк Петро
Published: November 2022

У статті висвітлено роль Міжнародної Морської Організації в боротьбі з наслідками COVID - 19 яка спричинила негативний вплив на галузь морського транспорту у світовому масштабі. Надано загальну характеристику проблемі коронавірусної хвороби, ії вплив на виконання службових обов'язків, життя і здоров'я моряків, інші проблеми що виникають у зв'язку з цим. Визначено теми про порушення терміну перебування плавскладу в море, труднощі з проведенням вакцинації членів екіпажів суден і робочого персоналу порту. З’ясовано порядок видачі і застосування електронних документів морським персоналом, про вдосконалення підготовки фахівців у онлайн період в світлі вимог конвенції.
ТРЕНІНГОВА ПРОГРАМА З РОЗВИТКУ СЕНЗИТИВНОСТІ ЯК КОМПОНЕНТА ГРАЙЛИВОСТІ / ІГРОВОЇ КОМПЕТЕНТНОСТІ
Authors: Гордієнко-Митрофанова Ія , Гоголь Денис , Безкоровайний Сергій , Баскакова Майя
Published: November 2022

Представлено тренінгову програму з розвитку сензитивності як компонента грайливості / ігрової компетентності й, відповідно, формування поведінкового патерну ігрової позиції «Емпат». Тренінг містить такі змістові блоки: 1) теоретичний блок; 2) практичний блок; 3) серіали-тренажери; 4) «Фільмографія сензитивності»; 5) інструменти з розвитку емоційного інтелекту: розпізнавання емоцій і мікро-виразів обличчя; самовчитель із мови тіла. Другий етап практичного блоку представлений системою психотехнік із розвитку сензитивності: «Метафорою», «Я-повідомленням», «Активним слуханням», «Ключовим конфліктом». Техніки відпрацьовуються послідовно за чотирма рівнями складності: розпізнавання, копіювання, створення, імпровізація. Оволодіння поведінковим патерном ігрової позиції «Емпат» передбачає розвиненість таких особистісних здібностей та інтегральних станів ігрової позиції «Емпат», як початковий емоційний інтелект, емпатія й конгруентність. Останні співвідносяться з групами вмінь, описаними 9-рівневою моделлю емоційного інтелекту.
ОПТИМІЗАЦІЯ ВИБОРУ БІЛКОВИХ ОНКОМАРКЕРІВ ПРИ ПЛАНУВАННІ ЛІКУВАННЯ ТА ПРОГНОЗУВАННІ ПЕРЕБІГУ ЗАХВОРЮВАННЯ ХВОРИХ НА РАК ГОРТАНІ
Authors: Лукач Ервін , Захарцева Людмила , Сережко Юрій , Клочков Євгеній
Published: November 2022

На основі аналізу літературних даних та результатів власних досліджень обговорюються перспективи застосування маркерів онкологічних захворювань верхніх дихальних шляхів. Обгрунтовується доцільність застосування тестів на основі визначення групи білків, що супроводжують перебіг онкологічного процесу, з метою оцінки стану хворого та прогнозу можливих ускладнень та рецидиву.
ШЛУНКОВО-КИШКОВІ ПРОЯВИ, ЯК СИМПТОМИ COVID-19: ОПИС КЛІНІЧНИХ ВИПАДКІВ
Authors: Собченко Дмитро , Абуватфа Самі , Завгородня Аліна
Published: November 2022

Гострий респіраторний синдром-коронавірус-2 (SARS-CoV-2), що викликає (COVID-19, є глобальною пандемією, що проявляється інфекційною пневмонією. Основними симптомами якого є: лихоманка, кашель та задишка, але у деяких пацієнтів також розвиваються шлунково-кишкові (ШКТ) та печінкові прояви. Найбільш поширеними шлунково-кишковими симптомами є діарея, нудота, блювання та дискомфорт у животі. Досить часто виникають фонові порушення біохімічного складу печінки, що включають в собі підвищення рівня аспартатрансферази, аланінтрансферази та загального білірубіну. Дослідження показали, що SARS-CoV-2 інфікує шлунково-кишковий тракт через свій вірусний рецептор ангіотензинперетворюючого ферменту II, який експресується на ентероцитах клубової та товстої кишки. Хоча непрямі дані свідчать про можливу фекально-оральну передачу SARS-CoV-2, необхідні додаткові дослідження для підтвердження цієї теорії. Майбутні дослідження допоможуть з'ясувати зв'язок між пацієнтами із супутніми захворюваннями шлунково-кишкового тракту, такими як хронічні захворювання печінки та запальні захворювання кишечника з тяжкістю перебігу COVID-19.
COMPARING LETROZOLE AND CLOMIPHENE CITRATE FOR OVULATION INDUCTION IN FEMALES WITH PRIMARY INFERTILITY DUE TO ANOVULATION.
Authors: Shruti N. Salampuria , Shubhada S. Jajoo , Deepika Dewani
Published: November 2022

Context: CC was widely used for ovulation induction in women with anovulatory infertility; aromatase
inhibitors like letrozole can be used for better pregnancy outcomes in these patients. Aims: To compare
the effect of CC and letrozole on ovulation induction in females with primary infertility due to anovulation. Settings and Design:
An Observational study at Tertiary Health care centre, at Department of Obstetrics and Gynaecology, AVBRH, DMIMS,
Sawangi (Meghe), Wardha. Methods and Material: 120 patients were divided into two equal groups. Both CC and Letrozole
were given from Day 3 to Day 7 of menstrual cycle. Folliculometry was done from Day 8 on alternate days till Day 16 or till atleast
one follicle reaches ≥ 18mm. Inj hCG 10,000 was given. The treatment was given for three cycles in both the groups. Main
outcome measures: Ovulation Rate, Pregnancy rate, Endometrial thickness. Statistical analysis used: SPSS 24.0 version and
GraphPad Prism 7.0 version. Results: The mean age, Body Mass Index (BMI), duration of infertility in both CC and Letrozole
groups were similar. Ovulation rate was 72.33% in letrozole group and 63% in CC, which was not statistically signicant
(p=0.17). There was statistically signicant difference between Endometrial thickness (CC 8.29±0.73, Let 9.45±0.60, p<0.05,
S).Monofollicular rate was more in Let than CC and this being statistically signicant (Let-76.74%, CC- 51.24%, p<0.05,S). Let
group had pregnancy rate as 43.33% as compared to 18.33% in CC group and this statistically signicant (p<0.05,S).
Conclusions: Present study showed that Letrozole had better pregnancy rates than CC. Letrozole can be used as a choice of
drug for ovulation induction in females with infertility due to anovulation.
THE COSTS OF TREATING PATIENTS WITH HEMATOLOGICAL DISEASES - AN INDIAN PERSPECTIVE
Authors: C Philip Chepsy
Published: November 2022

BACKGROUND: Treatment costs factor majorly in health care decision making in developing
economies. India which has a signicant out of pocket expenditure for health care is representative of
such an economy. The treatment progress hailed in recent years can be attributed to improved therapeutic agents and
supportive care. There is a price for this progress. If appropriately informed about treatment costs; resource allocation and
treatment decisions can be planned suitably by both patient and the caregiver. OBJECTIVE: The objective of this study was to
estimate the average costs incurred by patients on hospitalization for common haematological disorders. METHODS: Patients
admitted under the services of clinical haematology were included for the assessment. The inpatient bills for patients admitted
for a one year period beginning 1st October 2012 till 30th September 2013 was analysed .Subsequently averages were
calculated by disease categories for the analysis. RESULTS: The costs of standard of care therapeutic interventions excluding
transplants are presented .There are considerable costs and hospital stay involved in the treatment of these diseases. Acute
leukemia induction therapies involve the most hospitalization. CONCLUSIONS: The costs of treatment are lesser in
comparison to other countries. However it still is an economic burden for the Indian patient. Limitations related to the data and
analyses estimation are noted.
NEUROFIBROMATOSIS ASSOCIATED DIFFUSE CYSTIC LUNG DISEASE
Authors: Jadhav Divya , Kachewar Sushil , Patil Saurabh
Published: November 2022

Neurobromatosis is an autosomal dominant disorder of neuroectodermal and mesenchymal origin,
also known as Von Rechlinghausen disorder. It can also occur inherited or sporadically. A mutation of NF1
gene on chromosome 17q11.2 has been recognized as a disease prompter, and the spectrum of clinical phenotype is wide
because of gene complexity, size and diversity of exons. In our article we are presenting a case of neurobromatosis associated
with diffuse cystic lung disease.
PREVALENCE OF METABOLIC SYNDROME IN PATIENTS WITH TYPE 2 DIABETES MELLITUS IN NORTH EAST INDIA
Authors: Bhattacharyya Thakur Barnali , Mayanaz Karim Nabiha , Chakraborty Manidip , Lahon Deepika
Published: November 2022

Aim: Prevalence of metabolic syndrome in patients with type 2 diabetes mellitus in North East India
Introduction: Metabolic syndrome is an increasingly prevalent condition which predisposes the
individual to diabetes mellitus (DM) and atherosclerotic cardiovascular disease (ASCVD). The diagnosis of metabolic
syndrome is made as per the AHA/NHLBI 2005 criteria. As per this criteria, metabolic syndrome can be diagnosed by the
presence of any 3 of the ve factors (elevated waist circumference, elevated triglycerides, reduced HDL-C, elevated blood
pressure and elevated fasting glucose). This study is being conducted to study the prevalence of metabolic syndrome among
patients with type 2 diabetes mellitus. Materials and Methods: In this prospective cross-sectional study, 100 adult patients of
type 2 diabetes mellitus were selected. Physical examination was conducted including BMI, waist circumference and blood
pressure. Blood samples were collected after 14 hours fasting for estimation of serum fasting glucose, serum HDL-C, serum
LDL-C, serum triglyceride (TG) and serum cholesterol. The prevalence of metabolic syndrome among the study subjects was
accordingly calculated. Results: Among the participants, 57 % were males and 43 % were females. The median age was 57
years (range from 34-78 years). 67% of patients with type 2 diabetes mellitus in this study had metabolic syndrome while 33%
did not have metabolic syndrome. The prevalence of metabolic syndrome among males and females was 61% and 74%
respectively. Conclusion: This study showed that the prevalence of metabolic syndrome is quite high among patients with
diabetes mellitus. Increased waist circumference was the most common abnormal parameter among others for the diagnosis
of metabolic syndrome. Application of lower cut-off values for waist circumference among Asians may help in increasing the
diagnostic yield.
SPONTANEOUS SPLENIC RUPTURE IN A CASE OF P. VIVAX INFECTION - A RARE CASE REPORT
Authors: V. Joshi Sampada , Nichat P. D. , Ansari Kashif , Dandge Snehal , Dongre Avinash , Dharmadhikari Shalmali
Published: November 2022

Non traumatic, spontaneous splenic rupture is a rare diagnosis. It has various etiologies one of which is
malarial parasite, a common endemic infection seen in India. This is a rare case report of spontaneous
splenic rupture due to malaria infection, successfully managed with emergency splenectomy. High index of suspicion and early
use of ultrasonography in malaria positive patients can lead to early diagnosis with signicant reduction of delay in the denitive
management of patients with spontaneous splenic rupture.
A CLINICO-EPIDEMIOLOGICAL STUDY ON LEPTOSPIROSIS IN WEST BENGAL: A NEGLECTED CAUSE OF ACUTE FEBRILE ILLNESS
Authors: Sikdar Rahul , Gupta Bishal , Chakraborty Debopriya , Chakraborti Rinku , Chowdhury Aparna , Mondal Saiantani , Chakraborty Banya , Bandyopadhyay Bhaswati
Published: November 2022

Introduction: Leptospirosis is a major neglected public health problem and is highly underreported in India. It is a
common cause of the acute febrile illness (AFI), but accurate diagnosis is quite challenging and often delayed because
of overlapping symptoms with many other infectious diseases, and limited access to laboratory diagnosis. The aim Aim:
of the study was to assess the proportion of Leptospira infection among patients suffering from AFI in West Bengal and to
analyse socio-demographic characteristics, clinical features, and laboratory parameters of leptospirosis cases.
Materials and methods: Serum samples were collected from 350 hospital-admitted patients suffering from AFI (fever
>five days ≤ two weeks) but without any identifiable cause and tested for Leptospira IgM using PanBio Leptospira IgM
ELISA kit. Clinical features, laboratory parameters and epidemiological data were collected from each patient and
analysed. 91(26%) out of 350 fever cases tested positive for Leptospira IgM ELISA. Most of them were Result: male and
belonged to the age group of 31–60 years (42.85%) and 16–30 years (30.76%). Common symptoms were fever (100%)
myalgia (76.92%), headache (70.32%), icterus (69.23%), vomiting (67.03%) and pain abdomen (65.93%). Conclusion:
Leptospirosis is a common cause of acute undifferentiated febrile illness in West Bengal. Our findings demonstrated the
importance of active surveillance of leptospirosis among cases of acute febrile illness to facilitate its early detection and
prevention of complications.
THE PERFORMANCE OF GENDER BUDGETING IN KARNATAKA
Authors: S Chithra
Published: November 2022

Gender Budgeting refers to a process of looking at the budget formulation methods,budgetary policies,and budget outlay
from gender perception. It is a tool for achieving gender mainstreaming. It helps in assessing the gendered impacts of
budget.Gender Budgeting looks at the government budgets from a gender perspective to assess how it addresses the needs
of women in all sectors.It does not seek to create a separate budget.But it provides affirmative action to address the specific
needs of women.Karnataka is a leading state in the introduction of gender budgeting at the state level and since 2006-07
Karnataka government has been preparing gender budget which is presented in the budget session every year.The present
study makes an attempt to analyze the performance of gender budget in Karnataka. The analysis throws light on
Classification of Schemes in Gender Budget Document, Contribution of Various Departments to Gender Budget,Trends in
Number of Schemes reported in Gender Budget,Trends in Allocation under Gender Budget and Department Wise Allocation
under Gender Budget in Karnataka. The analysis of gender budgets shows that the share of allocations for 100 percent
women oriented programmes has shown a decline in recent years.
SEROPREVALENCE OF TRANSFUSION TRANSMITTED INFECTION IN BLOOD DONORS AT A TERTIARY HEALTH CARE CENTRE
Authors: Padhiyar Bhumika , Raval Nisha
Published: November 2022

Blood safety begins with a healthy donor. Blood is a
special form of natural fluid that is made and synthesized
within the body and again used by the body for different
bodily function.
PRIMARY DRUG RESISTANT TUBERCULOSIS - THE CONCERN!
Authors: M Nayak Mitali , Bhatnagar Anchit , S Thakker Himanshu , S Yelapure Nilesh
Published: November 2022

Tuberculosis is an airborne infection caused by mycobacterium tuberculosis. About 480000 people worldwide
developed MDR TB in 2015,additionally 1,00,00 developed resistance to rifampicin and needed MDR TB treatment.MDR
TB burden largely falls on China, India & the Russian Federation - which together account for nearly half of the global
cases. The proportion of DR-TB cases among new cases is 2-3% and that among previously treated cases is 12-17%.
Aims and objectives: To find the incidence of primary MDR TB in a tertiary care center in Navi Mumbai.Materials &
Methods: A retrospective study of Culture and sensitivity reports of 100 patients was conducted.All underwent smear
examination for AFB by ZNCF method.AFB Gene Xpert (CB-NAAT) and AFB culture and drug sensitivity. Results- In our
study we found primary MDR to be 10 % while an additional 1 % was resistant to INH alone. All patients were HIV
negative. Conclusion-The high proportion of Primary MDR-TB found in our study compels us to suggest that modalities
to diagnose primary drug resistance tuberculosis should be made available to all newly diagnosed TB patients,
irrespective of HIV status.
A CASE OF VENTRICULAR SEPTAL RUPTURE AFTER ACUTE MYOCARDIAL INFARCTION
Authors: Rajge Harshad , Mallakmir Somnath
Published: November 2022

When ventricular septal rupture (VSR) complicates acute
myocardial infarction the mortality is usually high.
Reperfusion therapy has reduced its incidence. However if
VSR has developed then rapid diagnosis, aggressive medical
management, and surgical intervention are required to
optimize recovery and survival. In the era before reperfusion
therapy, septal rupture complicated 1 to 3 percent of acute
myocardial infarctions. Among the 41,021 patients in the
Global Utilization of Streptokinase and Tissue Plasminogen
Activator for Occluded Coronary Arteries (GUSTO-I) trial,
ventricular septal rupture was suspected in 140 patients (0.34
percent) and confirmed by a retrospective review in 84 (0.2
percent). Thus, reperfusion therapy has decreased the
incidence of septal rupture. Septal rupture occurs more
frequently with anterior wall acute myocardial infarction than
other types of acute myocardial infarction. Risk factors for
septal rupture included hypertension, advanced age (60 to 69
years), female sex and the absence of a history of angina or
myocardial infarction. Angina or previous infarction may lead
to myocardial preconditioning as well as to the development
of coronary collaterals, both of which reduce the likelihood of
septal rupture. In patients undergoing thrombolysis
advanced age, female sex, and the absence of smoking are
often associated with an increased risk of septal rupture,
whereas the absence of antecedent angina has not been
associated with an increased risk. In the GUSTO-I trial, there
was a nonlinear relation between the systolic and diastolic
blood pressures at enrolment and septal rupture, since
hypertension and extensive myocardial infarction and right
ventricular infarction are also risk factors for septal rupture
Resistive Schmitt-Trigger Logic and High-Performance Digital Cell Library for Flexible Organic Thin-Film Transistor Technologies
Authors: Seifaei Masoud , schillinger Daniel , Malurpatna Prabhu Pratiksha , mohammadi kharkeshi mohsen , Zschieschang Ute , cuignet xavier , Klauk Hagen , Manoli Yiannos
Published: November 2022

A resistive Schmitt-trigger (RST) logic is proposed. Based on this architecture, a digital cell library was designed, and basic logic-gate architectures, ring oscillators, edge-sensitive D-type flip-flops and a pad-driver cell were fabricated using low-voltage p-channel organic thin-film transistors (TFT) and integrated thin-film carbon resistors on flexible polymeric substrates. Theoretical analysis and experimental characterization of the RST logic architecture indicate improved stability against device-parameter mismatch and charge-carrier-mobility degradation. A small-signal gain of 83 dB and a noise margin of 92 % of half the supply voltage have been measured. Owing to the intrinsic positive-feedback loop of the RST logic, the design of the D-flip-flop enables a substantially smaller footprint and a considerably lower energy dissipation compared to previously reported unipolar organic-TFT-based D-flip-flops.
Analysis and Application of the 'Narcotic Drugs/Medication Driving' Clause under the Automobile Insurance Policy
Authors:   Korean Insurance Law Association, Cho Gyu Seong
Published: November 2022

In case of narcotic drugs/medication driving in the first party property damage insurance, it is excluded from the scope of compensation. Also the bodily injury liability insurance and property damage liability insurance of the standardized clause of automobile insurance requires the insured to pay a large deductible to the insurer. In other words, exemption of part of insured money, not full exemption of liability, is provided in narcotic drugs/medication driving. The meaning of narcotic drugs and medication in automobile insurance policy refers to narcotics, marijuana, psychotropic drugs, and others prescribed by Ordinance of the Ministry of the Interior and Safety as prescribed in Article 45 of the Road Traffic Act. And the meaning of narcotic drugs/medication driving refers to the act of driving in a state that makes it impracticable to drive a motor vehicle, etc. normally due to the impact of the influence of drugs referring to narcotics, marijuana, psychotropic drugs, Korean Supreme Court of Justice emphasizes the circumstance of breach of law caused by drunk driving at the time of occurrence of accident in interpretation of exclusion provision of drunk driving in first party property damage insurance. Therefore, it cannot be interpreted that it only applies to the case there is causal relation between drunk driving and insured accident. This position of Korean Supreme Court of Justice can be interpreted that an act of drunk driving is considered as a sort of reasons for exclusions of risk which is excluded from the category of covered risk by the insurer from the beginning. However, the narcotic drugs/medication driving in automobile insurance policy, which is more likely to be socially criticized than drunk driving, stipulate a reason for exemption from the cause. In other words, there is causal relation between drunk driving and insured accident. The meaning of narcotic drugs and medication and interpret act of narcotic drugs/medication driving in current automobile insurance clauses should be revised because there is a problem. First, in the scope of psychotropic substances stipulated as immunity drugs in automobile insurance policy, drugs prescribed by doctors should be excluded. Next, it is necessary to revise the same form as the exclusion clause of drunk driving and unlicensed driving in automobile insurance policy.
A Study on the Exemption Clauses in Insurance Contract: Focusing on the Theory of Distinction between ‘Exception to Liability’ and ‘Exclusion to Covered Perils’
Authors:   Korean Insurance Law Association, Yang Jin Tae
Published: November 2022

Even in the case of an insured event, the insurer is exempted from liability for insurance payments if it falls under grounds for exemption clauses in insurance contract. Professor Edwin W. Patterson, a renowned American insurance law jurist, divided exemption clauses into ‘exception’ and ‘exclusion’. In Patterson’s view, ‘exception’ is excepted causes of insured event, and ‘exclusion’ is the event to be excluded from insured event. He asserted that the insurer is not liable for paying the insurance payments, because an event that falls under ‘exclusion’ is not an insured event. Patterson’s ‘exception/exclusion distinction’ influenced some Korean insurance law scholars for a long time. In Korea, scholars influenced by Professor Patterson argue that the exemption clauses are divided into ‘exception to liability’ and ‘exclusion to covered perils’. ‘Exception to liability’ is ‘exception’ from Patterson’s view and ‘exclusion to covered perils’ is ‘exclusion’. In the theory of the distinction between ‘exception to liability’ and ‘exclusion to covered perils’, like Patterson’s view, the insurer is not liable for the event that falls under the ‘exclusion to covered perils’ because it is not an insured event. Scholars who support the distinction theory argue that it is natural for the insurer not to pay the insurance payments because ‘exclusion to covered perils’ is not the covered perils of the insurance contract. Korean distinction theory take as an example the unlicensed driving exclusion, which is a exemption clause of auto liability insurance, and call this exemption as a ‘exclusion to covered perils’ that is excluded from insured event. However, an accident that occurred while driving without a license also falls under the insured event(“accident that occurred while the insured owns, uses, and manages the insured car”), under the policy of auto liability insurance. Like unlicensed driving exclusion, the ‘exclusion to covered perils’ is written so that the insurer is exempted regardless of the causal relationship. However, it is not reasonable to conclude that ‘exclusion to covered perils’ is not included in covered perils and is excluded from the scope of insured event just because it is written in a non-causal format. Therefore, same as ‘exceptions’(exception to liability), policy clauses classified as ‘exclusions’(exclusions to covered perils) are also should be subject to the control of the court. In addition, because Patterson and Korean distionction theory do not provide a clear criterion for distinction, the absolute power should not be given to the ‘exclusion’. The legal validity of the distinction theory is very questionable.
A Legal Study on Digital Platform Insurance Products
Authors:   Korean Insurance Law Association, Jun Han-Deok
Published: November 2022

Digital platform insurance market is expected to grow rapidly due to the rapid development of IT technology and the spread of non-face-to-face culture due to corona 19. Related regulations such as the revision of the Data 3 Act have also improved in favor of the development of the digital platform insurance industry. However, the provision of health care data, which is the most important to insurance companies, has not been implemented properly until now. This is presumed to be due to a combination of extreme sensitivity of healthcare data, social wave in case of leakage, and long distrust of insurance companies. Therefore, prior to the utilization of healthcare data, insurance companies should prepare a firm plan for the protection of information subjects, and based on this, they should lead to social trust. In order to activate digital platform insurance products, it is necessary to revise the current Financial Consumer Protection Act to alleviate ambiguous and extensive explanation obligations. In particular, it is desirable to impose a differentiated explanation obligation by subdividing insurance products subject to explanation obligation. For small and short-term insurance companies, it is necessary to promote the development and sales of various digital platform insurance products by encouraging the establishment of the regulations by applying more relaxed regulatory requirements than existing insurance companies.
Pre-existence and prefabrication. Lacaton & Vassal: methodologies for social housing renovation
Authors: Panzini Nicola , Quadrato Vito
Published: November 2022

«Our approach is to give more to do better. In France, between 2006 and 2015, 125,000 dwellings were demolished and 100,000 rebuilt. The cost of demolition and reconstruction of one dwelling amounted to 165,000 euros. Our alternative approach showed that it is possible to significantly transform a dwelling for the cost of 55,000 euros. Transformation means openness, extension, more space, more light, more freedom of use» (Lacaton, 2020). This article discusses the methodologies developed by  Lacaton & Vassal for social housing in French suburbs and examines their “alternative approach” from a constructional and bioclimatic standpoint. Two emblematic cases are taken as an example: the transformation of the Bois-le-Prêtre in Paris and the renovation of three residential blocks in the Grand Parc of Bordeaux.
The regenerative project for hybrid evolutionary buildings’ Active Resilience Convertibility Enhancement
Authors: Vignati Giulia , Pozzi Gianluca , Sdino Leopoldo , Dell'Ovo Marta , Ginelli Elisabetta
Published: November 2022

This paper deals with the enhancement of the project for the intervention on existing disused buildings with three sequential objectives: converting tertiary buildings to the hybrid housing function; regenerating buildings, providing them with continuous transformative capacity and making them functionally convertible; providing a housing model of temporary uage duration, according to the principle of House as a Service. Considering the temporal variable, the proposal defines criteria that guide the reconversion of buildings in relation to the dynamic needs of the different categories of users and stakeholders who are involved in the decision-making process and, through the hedonic price method, investigates the influence that the qualities attributed to the performance of the building have on the formation of their value, highlighting the perception of value and the acceptance of green performances.
Energy communities: a tool to rehabilitate post-war reconstruction buildings
Authors: Manni Valentino , Valzano Luca Saverio
Published: November 2022

In 2050, about 80% of the European building stock will consist of buildings currently in use. In Italy, a significant share of such stock was built during post-war reconstruction through the Ina Casa social housing programme, which solved such problems as unemployment and housing demand. The rationale behind the building focussed on tradition and saving and drove the implementation of architectural solutions which do not meet the current European Green Deal requirements. Due to the energy crisis, such architectural solutions are also expensive to manage. The wish to rehabilitate the above-mentioned stock stimulates the adoption of new instruments, such as energy communities and participatory energy management models. These instruments achieve a sustainable energy set-up and drive both social and economic development.
Beslissen in onzekerheid. Morele dilemma’s van professionals in de jeugdzorg
Authors: Struijs Alies
Published: November 2022

Jeugdzorgwerkers belanden tegenwoordig eerder op de drempel van de ge- zinsfeer, maar worden daar geconfronteerd met morele dilemma’s waar- voor geen eenduidige oplossing is. Om ernstiger problemen te voorkomen moeten zij vroegtijdig signaleren dat er iets mis zou kunnen zijn. Dat is nadrukkelijk het streven in het huidige overheidsbeleid, zowel op centraal als op lokaal niveau.1 Deze ontwikkeling van meer overheidsbemoeienis in de privésfeer en een sterkere preventieve en op interventie gerichte aanpak zien we op verschillende maatschappelijke terreinen, maar vooral ook in opvoedingssituaties.2 Een aanpak die niet altijd verenigbaar is met de gang- bare ethiek van de hulpverlener van deze beroepsgroep.
Leren kiezen als imperatief. Beroepscode en kritische reflectie op ethisch handelen
Authors: Aalberts Joyce , Jacobs Nicoline
Published: November 2022

Pedagogen worden in hun beroepsuitoefening regelmatig met situaties ge- confronteerd die een beroep doen op hun vermogen om zich een oordeel te vormen dat drie dimensies heeft: een vakinhoudelijke, juridische en ethische dimensie. Dit blijkt onder andere uit vragen die pedagogen aan hun beroepsvereniging stellen – de Nederlandse Vereniging van Pedagogen en Onderwijskundigen (NVO).
Is de balie beter (af) zonder beroepsethiek? Van ethische codes en commercie naar professioneel karakter en cohesie
Authors: Kaptein Hendrik
Published: November 2022

Gedachtewisselingen over juridische beroepsethiek verlopen nogal eens volgens een vast patroon. Academici putten zich uit in geleerde uiteenzet- tingen over zin of zelfs noodzaak van (enige) ethiek in het rechtsbedrijf. Praktijkjuristen luisteren geduldig, stellen een enkele keer vragen, uiten twijfels over het praktisch gehalte van geleerde bijdragen en na afloop gaat een ieder zijns weegs. Tenminste, als bijeenkomsten over beroepsethiek al worden bezocht door ‘de buitenwacht’, die toch het eigenlijke werk doet. Zelfs kan de vraag worden gesteld óf beroepsethiek wel een normatieve bijdrage kan leveren aan het rechtsbedrijf. Wie zijn die academici dat zij menen het beter te weten? Hoe algemeen geldig zijn hun normen en waar- den? Weten zij eigenlijk wel waarover zij het hebben als zij het rechtsbe- drijf de maat nemen? “D’abord faire métier de pénitent pour pouvoir finir en juge.”1 Al zijn rechtstheoretici nog geen rechters en kunnen advocaten niet in elk opzicht worden vergeleken met boeven.
Child Support Grant Policy and Poverty Alleviation: Is there a link in Mamelodi Township, Gauteng Province
Authors:   University of South Africa, RASEALA PROMISE , HLWATIKA NOZUKO ,   University of South Africa
Published: November 2022

When governments around the world engage in public policy-making, quite often, the public officials and policy-makers are faced with discreet opposition from non-government organisations trade unions and civil societies. The public policymakers usually go ahead with the implementation of the suggested policy. For example, in South Africa (SA), Child Support Grant (CSG) was implemented in an attempt to alleviate poverty. This can be attributed to many factors, such as urgency in addressing the poverty gap in society and lack of interest from the members of the public in public policy-making. Based on capability and social security approach/strategy and rational approach, this study explores an outcomes-based evaluation of the CSG policy and its relationship with poverty alleviation in Mamelodi Township, Gauteng Province, SA. The empirical results indicate that there is a linkage or relationship between the reduction of poverty levels and the implementation of the CSG policy in Mamelodi Town. Keywords: Child Support Grant, Mamelodi, Poverty, Outcome-based Evaluation
The bidirectional association between wheezing and obesity during adolescence and the beginning of adulthood in the 1993 birth cohort, Pelotas, Brazil
Authors: Kickhofel Weisshahn1 Nícolas , Duarte de Oliveira1 Paula , César Wehrmeister1 Fernando , Gonçalves1 Helen , Maria Baptista Menezes1 Ana
Published: November 2022

Objective: To analyze the bidirectional association between wheezing and obesity during adolescence and the beginning of adulthood in a cohort in southern Brazil. Methods: This prospective longitudinal study used data from the 1993 birth cohort in Pelotas, Brazil. The following outcome variables were measured at 22 years of age: self-reported wheezing during the last 12 months and obesity (BMI = 30 kg/m2). The following exposure variables were measured at ages 11, 15, and 18: self-reported wheezing (no wheezing or symptom presentation in 1, 2, or 3 follow-ups) and obesity (non-obese or obese in 1, 2, or 3 follow-ups). Crude and adjusted logistical regression stratified by sex were used in the analyses. The reference category was defined as participants who presented no wheezing or obesity. Results: A total of 3,461 participants had data on wheezing and 3,383 on BMI. At 22 years of age, the prevalence of wheezing was 10.1% (95%CI: 9.1; 11.2), and obesity, 16.2% (95%CI: 15.0; 17.6). In females, the presence of wheezing in two follow-ups revealed a 2.22-fold (95%CI: 1.36; 3.61) greater chance of developing obesity at 22 years of age. Meanwhile, the presence of obesity in two follow-ups resulted in a 2.03-fold (95%IC: 1.05; 3.92) greater chance of wheezing at 22 years of age. No associations were found between wheezing and obesity in males. Conclusions: The obtained data suggest a possible positive bidirectional association between wheezing and obesity, with greater odds ratios in the wheezing to obesity direction in females and in the category of occurrence of exposure in two follow-ups.