bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimasi Proses Produksi Menggunakan Metode ABC dan Seven Tools
Authors: Adriantantri Emmalia , Julia Celsa
Published: August 2022

Perusahaan yang bergerak dibidang manufaktur dituntut untuk menghasilkan produk yang berkualitas dengan kuantitas yang sesuai dengan permintaan pelanggan agar dapat bersaing dengan perusahaan lain. Untuk itu, perusahaan perlu memastikan proses produksinya berjalan dengan lancar sehingga dapat menghasilkan produk dengan kuantitas dan kualitas yang sesuai dengan permintaan pelanggan. Salah satu hal yang dapat dilakukan oleh perusahaan adalah memastikan persediaan bahan baku terkendali dengan baik. Selain itu perusahaan perlu menjaga kualitas produk yang dihasilkan melalui pengendalian mutu pada kegiatan proses produksi. Dalam penelitian ini, metode Activity Based Costing (ABC) digunakan untuk mengendalikan persediaan bahan baku, sedangkan Seven Tools digunakan untuk mengendalikan kualitas kegiatan proses produksi. Penelitian dilakukan pada home industry roti. Hasil dalam penelitian ini adalah kategori bahan baku A terdiri dari telur, tepung, mentega, dan gula. Kategori B terdiri dari susu bubuk dan keju. Kategori C terdiri dari coklat batang, dan kacang. Faktor penyebab cacat produk karena faktor manusia, yaitu kurang teliti, kesalahan resep dan teledor. faktor mesin karena mesin kurang perawatan. faktor bahan yaitu kualias air kurang baik, cuaca tidak menentu dan kualitas terigu kurang baik. Perbaikan yang diusulkan adalah perlu dibuatkan SOP, perbaikan standar resep pembuatan roti, cek mesin seminggu sekali, perlunya penetapan kualitas air dan supplier yang sesuai untuk memasok terigu.
Analisa Sifat Mekanis dan Foto Makro Patahan pada Komposit Nanoclay Berpenguat Serat Praksok (Cordyline Australis)
Authors: M Aldi Rahardiian  , Arif Sutrisno Tito , Astana Widi I Komang
Published: August 2022

Nanoclay atau clay suatu material yang melimpah di sekitaran kita. Clay mempunyai tekstur berbentuk bubuk nama lain dari nanoclay disebut bubuk tanah liat. Objek penelitian berupa serat praksok yang dipilih karena melimpahnya sumber daya alam tersebut. Penelitian ini bertujuan untuk menganalisis dan mengetahui pengaruh penambahan clay 5%, 10%, 15%, terhadap kekuatan impact material komposit diperkuat serat praksok bermatriks epoxy. Spesimen matriks resin dibuat dengan standar ASTM D6110 dengan bahan resin epoksi. Hasil penelitian didapatkan kekuatan impact  komposit dengan variasi 0% clay 0,0256(j/mm2), 5% clay 0,0282(j/mm2), 10% clay 0,0475(j/mm2), 15% clay yaitu 0,0595(j/mm2). Untuk hasil tertinggi pada pengujian impact terdapat pada variasi 15% clay di karenakan bertambahnya persentase clay yang lebih banyak dapat meningkatkan sifat mekanik seperti kekuatan tarik dan impact, pada hasil penelitian paling rendah adalah variasi 0% clay dikarenakan tanpa menggunakan clay. Bentuk patahan menunjukkan bahwa hasil pengujian impact  15% clay mengalami patahan ulet, karena ditandai adanya mekanisme fiber pull out yang mendominasi setiap spesimen hal ini yang membuat komposit diperkuat serat praksok memperlambat retak yang terjadi akibat beban impact. Dapat disimpulkan kekuatan impact pada material mengalami kenaikan disebabkan karena penambahan variasi clay  dan fiber pull out mendominasi disetiap patahan.
Analisis Resiko Ergonomi Pada Operator Pembuatan Dudukan Patung Untuk Memperbaiki Postur Kerja
Authors: Arum Primasari Isana , Efendi Ariko
Published: August 2022

Akar Njambu (Wood Craft Gallery) merupakan UKM kerajinan kayu jati dan furniture. Produk yang dihasilkan diantaranya adalah berbagai produk patung termasuk juga dudukan patungnya. Pada proses pembuatan bagian dudukan patung, operator melakukan pekerjaan dengan duduk dilantai tanpa alas, sehingga batang tubuh operator dalam keadaan membungkuk membentuk sudut kemiringan tubuh sebesar 27,16o. Proses memahat ini dilakukan secara terus-menerus hingga produk selesai atau terhenti saat istirahat siang. Posisi kerja tersebut menyebabkan keluhan sangat sakit yang dialami oleh 4 orang operator pada tubuh bagian bahu kiri, tangan kiri dan kanan. Keluhan ini merupakan risiko Ergonomi yang jika dibiarkan dalam jangka waktu yang lama akan menimbulkan musculoskeletal disorder. Penelitian ini bertujuan untuk mengetahui risiko ergonomi pada postur kerja pemahat patung dan memberikan usulan perbaikan posisi kerja. Pengukuran resiko Ergonomi menggunakan metode Rapid Entire Body Assesment (REBA) dan metode Rapid User Limb Assessment (RULA) untuk menilai postur leher, punggung, lengan pergelangan tangan dan kaki operator. Hasil penilaian REBA dan RULA digunakan untuk mengetahui risiko ergonomi paling dominan bermasalah sehingga perlu suatu tindakan pencegahan terjadinya MSDs atau perbaikan metode kerja. Hasil dari evaluasi perbaikan diberikan kepada pekerja maupun perusahaan agar dapat segera diterapkan untuk proses kerja berikutnya. Hasil penelitian postur kerja memperoleh skor 8 untuk REBA dan skor 5 untuk RULA, artinya perlu segera dilakukan tindakan pencegahan dan perbaikan.  Hasil uji simulasi RULA diperoleh skor 3 artinya usulan alat bantu berbaikan dapat memberikan posisi yang nyaman buat operator
Penerapan Mesin Pemeras Tomat pada UMKM Rusdiana Sari Tomat Kecamatan Blimbing Kota Malang
Authors: Aladin Eko Purkuncoro  , Djiwo Soeparno , Nur Cahyo Eko
Published: August 2022

Transmisi pada mesin pemeras tomat ini merupakan bagian yang sangat penting. tujuan dari perencanna transmisi mesin pemeras tomat ini adalah mengetahui cara merancang sistem transmisi pada mesin pemeras tomat, menentukan prinsip kerja komponen transmisi pada mesin. Metode yang diterapkan dalam perencanaan mesin pemeras tomat ini diawali dengan perancangan konsep. penyajian gambar dan identifikasi alat dan bahan yang digunakan pada perencanaan transmisi mesin pemeras tomat ini terdiri dari motor listrik, pulley, v-belt. Hasil dari perhitungan transmisi mesin pemeras tomat dengan menggunakan motor listrik sebagai penggerak utama dengan daya motor 1/2 hp, pada poros motor penggerak ini dipasang pulley dengan diameter 65 mm. dari poros penggerak  akan diteruskan ke pulley besar dengan diameter 250 mm dengan menggunakan v-belt. pengujian yang telah dilakukan dapat diketahui bahwa keseluruhan komponen transmisi mesin pemeras tomat ini berfungsi dengan baik dan sesuai dengan apa yang diharapkan.
Evaluasi Unjuk Kerja Latency Komunikasi IoT Berbasis UDP untuk Aplikasi pada Intelligent Transportation System (ITS)
Authors: Michael Ardita  , Suryani Faradisa Irmalia , Romadhon Parada Dian Palevi Bima
Published: August 2022

.   Unjuk kerja jaringan nirkabel sangat berpengaruh untuk komunikasi IoT (Internet of Things) yang dipergunakan untuk komunikasi pada suatu ekosistem ITS. Komunikasi pada ITS pada umumnya adalah vehicle to vehicle (V2V) dan vehicle to infrastructure (V2I). Kondisi jaringan nirkabel yang buruk akan dapat membuat aplikasi IoT pada kendaraan terasa berjalaan lambat. Untuk dapat mengetahui penyebab unjuk kerja sistem IoT berjalan lambat, maka, pada makalah ini kami mengusulkan untuk evaluasi kinerja jalur komunikasi untuk IoT pada komunikasi V2I dengan berbasiskan protokol komunikasi data UDP (user datagram protocol). Dari hasil pengujian dapat disimpulkan bahwa pada kondisi normal, komunikasi berbasis IoT dengan server yang berada di dalam negeri melalui jaringan selualar LTE/4G dapat berjalan dengan cukup cepat yaitu sekitar 70 milidetik. Namun pada kondisi khusus, dimana kondisi jaringan selular sedang padat, komunikasi IoT dengan dapat mendapatkan RTT (round trip time) delay hingga mendekati 60 detik.
Perancangan dan Pembuatan Alat Penjernih Air Buangan Industri Kecil (Produksi Tempe)
Authors: Setyobudiarso Hery , Dwiratna W Candra , Agnes Agnes Tyagita
Published: August 2022

Perubahan fungsi lingkungan terjadi seiring semakin meningkatnya pertumbuhan penduduk dan kegiatan masyarakat. Salah satu dampak negatifnya adalah penurunan daya dukung dan daya tampung sumber daya air. Daerah Sanan Kecamatan Blimbing Kota Malang yang dikenal sebagai masyarakat pemroduksi tempe selama ini air limbah yang dihasilkan langsung dibuang ke lingkungan dan belum ada upaya untuk menggunakan kembali dengan menggunakan system Reuse. Sistem reuse ini merupakan salah satu penerapan teknologi tepat guna sederhana penyaringan air limbah berupa alat penjernih air buangan. Berdasarkan hasil percobaan dan penerapan Alat Penjernih Air Buangan Industri Kecil (Industri Tempe) maka limbah cair dari proses pembuatan tempe memiliki nilai TDS, TSS, Amoniak bebas yang telah memenuhi standart baku mutu limbah cair yang telah ditetapkan oleh pemerintah meskipun masih perlu adanya penyempurnaan sehingga berkemampuan untuk menurunkan kadar BOD maupun COD.
Konversi Getaran Mesin Mobil Isuzu Panther Menjadi Energi Listrik
Authors: Dwi Korawan Agus
Published: August 2022

Karena tekanan pembakaran pada silinder mesin diesel harus mampu menghasilkan pembakara tanpa nyala api, maka hal ini mengakibatkan getaran yang tinggi, getaran ini bisa dikonversi menjadi energi listrik dengan menggunakan piezoelektrik, dengan cara memasang salah satu sisi piezelektrik pada bodi mobil dan sisi yang lain pada mesin mobil, pada penelitian ini menggunakan 4 buah piezoelektrik yang dirangkaii secara seri dan parallel, variasi putaran mesin adalah 1500, 2000, 2500, dan 3000 rpm. Hasilnya menunjukkan bahwa semakin besar putaran mesin maka semakin kecil tegangan listrik yang dihasilkan
Analisa Pengisian Hisapan Udara Saat Terjadinya Penurunan Tekanan Kompresi Pada Compressor Piston Vertical Two Stage Dalam Kegiatan Praktek Taruna STIP Di Laboratorium Permesinan Bantu
Authors: Effendi Effendi , Habli M. Hasan , Siregar Pande I.S.
Published: August 2022

Penelitian ini dilatarbelakangi adanya indikasi telah terjadi penurunan kinerja pada kompresor yaitu bertambah lamanya waktu yang digunakan kompresor untuk mengisi storage tube. Upaya dalam mengatasi penurunan tekanan kompresi pada kompresor udara antara lain dengan melakukan perawatan dan perbaikan yang benar dan teratur sesuai

dengan maintenance book.

Tujuan dari penelitian ini untuk mengetahui faktor penyebab penurunan kinerja katup hisap dan katup tekan pada kompressor udara dan faktor penyebab kebocoran pada sistem pemampatan kompresi dari kompressor udara. Metode yang digunakan pada penelitian ini yaitu metode deskriptif kualitatif, dengan menggunakan metode studi pustaka dan studi laboratorium.

Pembahasan penelitian ini melakukan percobaan pada mesin kompresor dan perhitungan untuk mengetahui turunan kinerja dari sisi pengisian udara. Hasil dari pembahasan penelitian ini kompresor yang di pergunakan dalam air presure system Laboratorium Permesinan Bantu mengalami penurunan kinerja.

Kesimpulan yang di dapat pada penelitian ini dari kondisi tersebut pengisian tabung penyimpanan udara bertambah 13 menit dari waktu yang seharusnya.
COMPARING THE EFFECTS OF NEBULIZED DEXMEDETOMIDINE AND NEBULIZED NORMAL SALINE (0.9%) IN BLUNTING HAEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND INTUBATION
Authors: Vhanesha Dhruvikkumar , D. Jadeja Priti
Published: August 2022

BACKGROUND AND AIMS: Laryngoscopy and tracheal intubation are considered as the most critical events during
administration of general anaesthesia as they provoke transient but marked sympathoadrenal response manifesting as
hypertension and tachycardia. In this study, we compared the effect of nebulized dexmedetomidine and nebulized normal saline (0.9%) in
blunting haemodynamic response to laryngoscopy and intubation. This was a Prospective, double blindedMATERIALS & METHOD:
randomized controlled study on 60 patients of 18 to 60 years of age and either sex with American society of Anaesthesiologists class I,II & III,
who were posted for elective surgery requiring general Anaesthesia with endotracheal intubation. Patients are equally divided into two groups,
Group D and Group S (30 patients each). Control group S (n = 30) received nebulisation with 5 ml of normal saline and group D (n = 30)
received 1 μg/kg dexmedetomidine 5 ml 15 min before induction in sitting position. After intubation, the patient was undisturbed for a period of
10 minutes and cardiovascular parameters were recorded at different time. Statistical analysis was done by unpaired 't' test. P value of
<0.05 is considered statistically Signicant. Demographics were comparable. Following laryngoscopy and intubation, heart rateRESULTS:
(HR) systolic (SBP), diastolic (DBP) and mean arterial pressure (MAP) were markedly increased in the control group whereas in group D there
was a fall in Heart rate (P<0.001 at 0, 1 & 5 mins and P<0.05 at 10 min), SBP (P<0.001 at 0, 1, 5 & 10 mins interval), DBP (P<0.001 at 0, 1, 5 & 10
mins interval), MAP (P<0.001 at 0, 1, 5 & 10 mins interval). Nebulization of dexmedetomidine in a dose of 1 microgramg/kg isCONCLUSION:
effective in blunting hemodynamic stress response to laryngoscopy and endotracheal intubation as compared to normal saline.
ORAL CONDITIONS AND DENTAL PHENOTYPES IN SUBJECTS WITH PIERRE ROBIN SYNDROMIC SEQUENCE: LITERATURE REVIEW
Authors: Herrera Farha Ana Laura , Assis Machado Renato , Das Neves Lucimara Teixeira , Marchione Rua Sílvio
Published: August 2022

Purpose: The purpose of this study was to conduct a critical literature review on oral conditions and dental phenotypes
described in patients with Syndromic Pierre Robin Sequence (SPRS). The review of theMaterials and Methods:
literature on oral conditions and dental phenotypes was performed in patients with SPRS through an active search in three databases, PubMed,
Medline and SciELO, using the descriptors: “Dental Abnormalities”, “Tooth Abnormalities”, “Oral Diagnosis”, “Dentistry”, “Oral Health”,
combined with: “Pierre Robin Syndrome”, “Mandibulofacial Dysostosis”, “22q11 Deletion Syndrome”, and “Stickler”. For the selection of
manuscripts, papers published between 2014 and 2022 were analyzed according to the inclusion criteria. Were selected 7 studiesResults:
addressing dental conditions or dental anomalies in SPRS in the 3 syndromes chosen: 22q11.2 Deletion Syndrome (22q11.2 DS), Treacher
Collins Syndrome (TCS) and Stickler Syndrome (SS). In the 3 studies on 22q.11 DS, it was observed that the most reported anomalies were
dental agenesis, impacted canine, enamel hypoplasia and supernumerary tooth, respectively. In studies on TCS, with a reduced number of
subjects, dental crowding and occlusal changes were the most common oral conditions. No study addressed the dental phenotypes of SS.
Conclusions: The importance of further studies on this specic topic is emphasized, since SPRS involves micrognathia and mandibular
retroposition. Thus, these clinical ndings can be valuable for all professionals who provide assistance to these patients. Thus, based on this
knowledge, it is possible to plan more effective rehabilitation, contributing to improving the quality of life of these individuals.
IS COVID 19 PANDEMIC ADDING MORE OF DIABETIC POPULATION: A STUDY IN CENTRAL INDIA
Authors: Rai Hindeshwari , Saad Talha , Rawat Sumit , Mishra Nitu , Mishra Shraddha
Published: August 2022

Background– COVID 19 is associated with high prevalence of diabetes along with other comorbidities which also
increase the severity and mortality risk in COVID 19 disease. Recently many studies have shown the association between
COVID 19 and new onset diabetes. This study was done with objectives1.To nd out the incidence of new onset of hyperglycemia/diabetes in
COVID 19 patients and 2.To develop screening policy for detection of new onset hyperglycemia in COVID-19 patients. Materials And
Methods- This study is a hospital based observational cross sectional and prospective, cohort study conducted in the COVID ICU of Dedicated
COVID Hospital, Bundelkhand Government Medical College, Sagar (M.P.) India, a teaching tertiary care centre. Out of 1562 COVID 19
positive patients admitted with moderate to severe pneumonia from JULY 2020 to JANUARY 2021, 487 patients were hyperglycemic at the time
of admission. Patients were categorized into two subgroups: 1.Patients with previously conrmed diabetes or Prediabetes and 2.Hyperglycemia
with no existing diabetes. Patients in this later subgroup were our follow up subjects for this study; their blood sugar level was monitored
regularly during their stay in hospital & a correlation of COVID 19 and hyperglycemia was observed. In present study Incidence of newResults-
onset hyperglycemia was 16.8%; 262 out of 1562. Of all 1562 patients admitted in hospital, 660 (44.7%) were found to be hyperglycemic.
Among 660 patients, 436 (66.06%) patients were already known diabetic or pre-diabetic and 262 (16.8) were with newly onset hyperglycemia.
15 out of 262 (5.7%) patients were expired during their disease course, 157(60%) remained hyperglycemic while 90 (34.3) had attained
normoglycemia without anti-diabetic drugs. COVID 19 disease is causative factor for new onset hyperglycemia /new onsetConclusion-
diabetes.
STUDY OF BIOCHEMICAL PROFILE IN IRRITABLE BOWEL SYNDROME (IBS) ON TREATMENT WITH BILVA (AEGLE MARMELOS (L.)
Authors: S. K. Rai Pooja , Salunkhe Vaishnavi , Ingale Pramod , Shelar Sneha Laxman
Published: August 2022

Introduction: Irritable Bowel Syndrome (IBS) is a group of intestinal symptoms which lasts at least three months for at
least three days per month. The symptoms of IBS typically include cramping, abdominal pain, bloating and gas,
constipation, diarrhoea. IBS also affects other organs like liver, kidney, pancreas also. BILVA is considered to have antioxidant, anti-
inammatory, immunomodulator, soothing and lubricating inuence on the body. In the present study, effect of Bilva on biochemical parameters
in patients of irritable bowel syndrome (IBS) have been studied. Biochemical evaluation of irritable bowel syndromeAim & Objectives:
patients before & after Bilva treatment. 30 diagnosed patients of irritable bowel syndrome were tested for biochemicalMaterial And Methods:
parameters including liver function test (LFT), renal function test (RFT), serum electrolytes, amylase, uric acid and minerals (Calcium,
phosphorus). All patients were treated with Bilva (Formulation prepared by ayurvedic medical college & hospital) at dosage of 3 gms BD for 2
months. Biochemical evaluation was repeated 15 days after the last dose of Bilva. Results obtained were statistically analysed by usingResults:
paired t test. Post treatment analysis of samples showed signicant (p<0.05) decrease in levels of Total bilirubin, ALT, BUN, uric acid, Creatinine,
& signicant (p>0.05) increase in levels of total protein, albumin, calcium, sodium, potassium & phosphorus. It can be concludedConclusion:
that BILVA treatment has benecial effect on the patients of irritable bowel syndrome & should be included as a routine treatment in management
of such patients.
A COMPARATIVE STUDY TO EVALUATE HEMODYNAMIC CHANGES BETWEEN ENDOTRACHEAL INTUBATION AND PROSEAL LARYNGEAL MASK AIRWAY INSERTION IN PATIENTS UNDERGOING GENERAL ANAESTHESIA
Authors: Patel Keta , Patel Jay , Shekhawat Kamlesh , Chandrika Mishra Sharad
Published: August 2022

Background: Hemodynamic stability is an important aspect to the anesthesiologist for patients. Laryngoscopy and
endotracheal intubation can cause striking changes in Hemodynamics as result of intense stimulation of sympathetic
nervous system. ProSeal LMA (PLMA)minimizes this response without compromising the airway. The aim of this study was to compare PLMA
and Endotracheal tube with respect to intra-operative hemodynamic responses in patients undergoing general anaesthesia. Material and
Methods: This prospective observational study was conducted on 30 patients of either sex, age group of 18-60 years, ASA (I or II), Mallam Pati (I
or II) posted for elective surgery under general anaesthesia. They were randomly divided into two group 15 each. For group A, airway was
secured with laryngoscopy and intubation with appropriate size endotracheal tube and for group B, appropriate size PLMA was inserted to secure
airway. The hemodynamic responses like Heart rate and Blood pressure were recorded at base line, at insertion, after 1st min, 3rd min, 5th min
and after extubation. Mean increase was statistically more after endotracheal intubation than PLMA insertion. The elevation in theseResults:
hemodynamic parameters signicantly persisted for a longer period of time in the ETT group, where it returned to the baseline value by 5 minutes
as compared to the PLMA group where it returned by 3 minutes. The hemodynamic response produced when PLMA was used forConclusion:
securing airway was less than the laryngoscopy and endotracheal intubation. Thus, PLMA proved to be a suitable alternative to endotracheal tube
for airway management with stable hemodynamic.
FACTORS RESPONSIBLE FOR DELAYS IN SEEKING DIAGNOSIS AND TREATMENT OF PULMONARY TUBERCULOSIS IN A TERTIARY CARE HOSPITAL OF DEHRADUN- A CROSS SECTIONAL STUDY
Authors: Shafi Wani Aabid , Sharma Ashwani , Naz Fouzia , Bhatt Ritisha
Published: August 2022

Tuberculosis (TB) is an infectious disease, in which Mycobacterium tuberculosis is the causative agent. When a person
progresses from infection to disease, they may not experience obvious symptoms for a long time, (e.g cough, fever,
hemoptysis, weight loss etc). This might lead to delay in diagnosis and treatment seeking. One of the components of timely diagnosis and
treatment of tuberculosis is estimating the delay in diagnosis of TB and assessing the factors contributing to the delay. ToAim and Objectives:
describe the delays in the diagnosis and treatment of pulmonary Tuberculosis and to study the socio demographic determinants responsible for the
same. A time bound institution based study was conducted in a tertiary care hospital in department of pulmonary medicine. A totalMethodology:
of 50 patients were included in the study by means of total enumeration. diagnostic and consultation delays were the most common causeResult:
of delays in seeking diagnosis and treatment of Pulmonary Tuberculosis.
NEUROBRUCELLOSIS: A PANDORA'S BOX
Authors: Panchal Smiti Navin , Sharma Abhishek , Anand Alok
Published: August 2022

Brucella considered a deceptive infectious disease in India. Human Brucellosis is well reported in India; however there
are only few cases reports on Neurobrucellosis. Brucella is a Pandora's Box as the clinical picture is variable. There are
Diagnostic Criteria, includes clinical picture and/or radio imaging and/or CSF ndings. This article enlighten on neurobrucellosis, case report of
17 years with persistent headache, two episode seizures, Photophobia was evaluated and hyper intensity in the frontal lobe with MRI Spectra
showing Choline, lactate peak, suggesting a neoplastic lesion or Tuberculoma. Tissue diagnosis was found with inammatory cells and no
neoplastic cells were found, the CSF was sent for IgM and IgG titre which were positive and treated. Patient Improved clinically. Patients with
persistent headache or neurological signs should be considered for neurobrucellosis in endemic regions. Brucellosis to be considered in cases
where there is no probable cause as the diseases has various pathologies.
ASSOCIATIONS OF PROCALCITONIN, CRP AND NLR WITH MORTALITY IN HOSPITALIZED COVID-19 PATIENTS IN UNIVERSITY CLINICAL HOSPITAL MOSTAR
Authors: Maglica Mirko , Grgić Svjetlana , Jerković- Raguž Marjana , Jakovac Sanja , Marijanović Ilija
Published: August 2022

Background: The aim of this study was to compare the level of inammatory parameters in 3 different groups of
COVID-19 patients depending on severity of clinical manifestations and to dene which inammatory parameter can be
used as predictor of clinical severity and outcome. A total of 51 subjects was included in this study by retrospective review of theMethods:
documentation at the Clinic for Infectious Diseases of University Clinical Hospital Mostar. The following data were collected: demographic,
clinical symptoms, complications, therapy, and the level of inammatory parameters (C-reactive protein at the admission, procalcitonin,
leukocytes, relative neutrophils count, relative lymphocyte count). Depending on the value of paO2/O2 patients were separated into 3 groups:
mild, moderate and severe group. Data entry into the tables was followed by statistical data processing using IBM SPSS Statistics v.26 and
Microsoft Excel 2013. Most frequent symptoms were fever (82% of all subjects), cough (61%), trouble breathing (55%), shortness ofResults:
breath (43%), chest pain (27%), muscle pain (25%), diarrhea (20%), vomiting (6%) and headache (6%). The overall mortality of this study was
35%, with a statistically much higher mortality in severe patients. Also C-reactive protein levels were higher in severe patients. Conclusions:
Levels of C-reactive protein on admission were signicantly higher in patients who developed a severe clinical manifestations. Also, mortality in
severe patients was statistically higher than the remaining 2 groups of patients. CRP is reported as a prognostic factor in the severity of clinical
manifestations and mortality of hospitalized COVID-19 patients.
FACILITY BASED NEWBORN CARE & HOMOEOPATHY
Authors: Tripathy Tridibesh , Das Shankar , Devata Lipipuspa , Kar Manjushree , Dwivedi Rakesh , Gautam Mohini
Published: August 2022

A newborn struggle in the rst month of his or her life as is evident from mythology that Lord Krishna too had a turbulent
neonatal stage. The struggle of newborns continues in India even today and that too in the state of UP even today. The
current Neonatal Mortality Rate in India is 22 per 1000 live births (UNIGME, 2019), 24.9 as per NFHS 5 (2019-2021) & for the state of UP, it is
35.7 (NFHS 5, 2019-2021). The high neonatal mortality both in India and UP stand as a testimony to this fact as reducing this indicator is a
priority. The current article focuses on the initiatives of the role of homoeopathy in public health system to address neonatal mortality. Basically,
there are two approaches to reduce neonatal mortality. These are Home Based Neonatal Care (HBNC) practices and the Facility Based Neonatal
Care (FBNC) practices. The article focuses exclusively on the second approach which is FBNC .There are three objectives of the article. The rst
is to nd out the current status of Homoeopathy in the FBNC practices, the second is to nd out the details of the current & past implementation
strategies and the third is to nd out the link between Homoeopathy & HBNC/FBNC practices. The study uses secondary data. The gap that the
article worked on is to explore a link between Homoeopathy & HBNC/FBNC & its modalities. It deciphers whether there is a functional link or
not & suggests future strategies based on the functionality of the link.The article also proposes a 2 year plan to introduce homoeopathy in the eld
of newborn care where all the related stake holders of the state & national level will be involved. It will be a step in the right direction to fulll the
plans to achieve the SDG by 2030 especially for neonatal & infant mortality related goals. For the benet of the readers, the article includes its
expected outcome, relevance to society & policy making through the context of the identied issues & the research gap. Through all these
sections, the current article puts an effort to fulll the three cited objectives of the current study related to incorporation of homoeopathy in
newborn care.
STUDY OF BUCCAL MUCOSA GRAFT URETHROPLASTY IN URETHRAL STRICTURES: A SINGLE CENTRE EXPERIENCE
Authors: Abhishek Jain , G Gupta , Anuj Sharma
Published: August 2022

Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to
repair urethral stricture, bulbar, penile and pan anterior urethral stricture. This is a prospective hospital-Methods:
based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior
urethral stricture from August 2017 to July 2021. The total number of involved patients was 50. The success rateResults:
was found to be 92% (n=46), while 4 (8%) had a recurrence of stricture. Pain and pain combined bleeding from internal
suture lines were the only early complication encountered in 40 (80%) and 2 (4%) patients, respectively. late
complications occurred as follows 14 (28%) patients had UTI, 7 (14%) had wound infections, 7(14%) had changes in
ejaculation, and decrease in intensity of orgasm, and 3 (6%) had erectile dysfunction. One of the long-term
complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion:
BMG urethroplasty is a versatile technique for all types of anterior urethral stricture with all types of aetiologies with
good long term results even in a small scale private hospital.
THE EFFECT OF VIRTUAL REALITY – HEAD- MOUNTED DISPLAY IN AUTISM SPECTRUM DISORDER -A SYSTEMATIC REVIEW
Authors: Elizabath Baby Pamitha , Anto Sr.Tresa
Published: August 2022

Background: Virtual reality has been a focus of evidence-based studies in educating autistic children for more than a
couple of decades. It is suggested that the evolving technology creates a real-world that targets social and life skills
training in a very safe, controllable, and repeatable scenario. The development of affordable head-mount displays leads
a pivotal role in its wide range acceptability. The paper aims to discuss these concerns in detail. Design/methodology/
approach: Focused on the empirical studies that used VR among children with Autism, a systematic search of the
electronic document was done. The literature review identified limited studies in this area characterized byFindings:
types of application, individual differences of participants, and the technology implemented. Research
limitations/implications: It is essential to have more studies in the educational settings with the use of technology to
substantiate the recommendations that could be made on its implementation, results, and reliability.
DIAGNOSTIC YIELD OF ULTRASOUND-GUIDED FNAC OF PERIPHERAL LUNG LESIONS WITH A SUSPICION OF MALIGNANCIES -A PROSPECTIVE OBSERVATIONAL STUDY.
Authors: Sunkoori Sathya Prakash , Swetha Paladugu , Bhaskar K. , khan Mahaboob
Published: August 2022

Introduction: Lung cancer is the most common cancer among men with presenting diverse presentations. It can present
as an incidental isolated nodule or mass to obstructive pneumonia, pleural effusions or lymphangitis carcinomatosis.
Diagnosis is done by cytology or histologically obtained by bronchoscopy, pleural fluid analysis or CT-guided sampling
of mass or nodules. CT has the advantage of accuracy at the cost of radiation, cost and need for technical skills.
Ultrasound has recently emerged as important imaging of choice for not only pleural effusions but also for parenchymal
lesions. Ultrasound has the advantage of portability, and non-radiation but needs skills in the identification and sampling
of lesions. This study aimed to assess the diagnostic yield of ultrasound-guided FNAC /Biopsy of radiologically
suspected peripheral lung lesions. An institution based prospective study was conductedMaterials and methods:
over a span of 2 years on 62 patients with informed consent. FNAC was performed under USG guidance for peripheral
lung nodules/masses, with clinical & radiological suspicion of neoplasm in chest radiographs. All relevant medical
records including history, USG, CT scan, histopathological diagnosis and bronchoscopic findings are collected and
analysed. Out of 62 cases selected for the study (n=48, 77.41%) male preponderance was seen. The commonestResults:
age group was (n=26, 41.93%) between 60 – 75 years. The commonest symptom (n=50, 80.64%) being cough and
common site for lesion (n=20, 32.25%) was upper zone lesions, with an equal incidence of both right and left sides. Of the
62 patients 58 have histologically positive diagnosis of malignancy. Squamous cell carcinoma (n= 26, 41.93%) was the
commonest. One patient suffered from pneumothorax with no mortality related to the procedure. USGConclusions:
guided FNAC is an extremely valuable, safe imaging modality in the evaluation of peripheral nodules/masses with
excellent diagnostic yield.
COMPARATIVE STUDY OF ERAS PROTOCOL WITH CONVENTIONAL PROTOCOL FOR GYNECOLOGICAL SURGERY
Authors: Goswami Bhavika , Jaketiya Bhamini , Patel Malpa , Gupta Arun
Published: August 2022

Background Enhanced Recovery After Surgery (ERAS) have been proposed to improve the quality of in-hospital care
by reducing functional capacity loss and fasten the recovery in gynecological patients. The aim of this studyObjective
was to compare the ERAS protocol with conventional protocol in post-operative outcome following gynecological
surgery. A prospective, comparative study was done at Geetanjali medical college and Hospital, UdaipurMethod
between January 2020 to January 2021. 40 patients, each in group of ERAS and Conventional protocol group having
patients of elective gynecological surgery, were compared for demographic profile, Pain assessment, Time of oral
intake, bowel bladder function, hospital stay and post-operative complication. In this study, Mean VASResults
postoperatively in ERAS group was much lower than conventional group (p < 0.001). In ERAS and conventional group,
oral intake was 7.30 ± 1.49 hours, and 24 ± 0.001 hours respectively (p <0.01). The mean de-catheterization time was
18.60 ± 1.03 hours in ERAS group as compared to 45.90 ± 2.07 hours in conventional group(p <0.01). The length of
hospital stay for ERAS group patients were very low compared to Conventional group. There was no significant
difference in both group regarding age, weight, height, BMI and parity, post-operative complications and readmission
rates. ERAS is helpful in reducing the length of hospitalization, early return of bowel function, cost effectiveConclusion
with very fewer complications compared to conventional group. The properly implemented ERAS protocol leads to
faster recovery and discharge with improved patient satisfaction and quality of life.
EFFICACY OF SARASWATA CHURNA IN ANXIETY DISORDER (CHITTODVEGA) IN DIABETES MELLITUS
Authors: Dhurve Sanjay , Taksale Pratik
Published: August 2022

Diabetes is a growing problem that poses a major public health challenge globally, stress, psychological factors like
(anxiety, emotional, distress, panic disorder etc) are factor that aggravate diabetes mellitus. Chittodvega is more
applicable term to illustrate whole anxious state. Therefore, in this study the term 'Chittodvega' is compared with Anxiety
Disorder. Saraswata churna as medhya action is helpful in reducing psychotic disorder like stress and anxiety.
Methodology:- The patients was select on the basis of complaining of psychological type symptoms with known case of
type 2 diabetes mellitus and randomly dividing in to two groups, each groups containing samples between the age
group of 18-70 years.In Group A – patients on there antidiabetic med –Metformin 1gm daily with Saraswata Churna 10
gm in type 2 DM patients.Group B- patients with there on going antidiabetic medication –Metformin 1 gm daily
Saraswata churna with metformin (trial group)is more effective and shows good results than only metformin in
treatment of (chittidwega)anxiety disorder type 2 diabetic patient and There is no side effect observed in any patient
during study.
OUTCOME OF PATIENTS WITH ADENOID HYPERTROPHY UNDERGOING ENDOSCOPIC GUIDED MICRODEBRIDER - ASSISTED ADENOIDECTOMY
Authors: Majumder Susmita
Published: August 2022

Adenoid, a nasopharyngeal lymphoid tissue forming a part of the Waldeyer's ring, was initially described in
1868 by Meyer. Adenoid hypertrophy (AH) can result in upper airway obstruction in children. Children with this
condition present with symptoms of chronic nasal obstruction, rhinorrhoea, mouth breathing, snoring, recurrent
sinusitis, and recurrent otitis media with effusion. Adenoidectomy is one of the most common surgical
procedures performed in children, either alone or in conjunction with tonsillectomy or grommet insertion. The
conventional adenoidectomy using curette is performed blindly by most surgeons without visualising the
nasopharynx; which leads to uncommon complications such as inadequate adenoid tissue removal, eustachian
tube scarring, bleeding and nasopharyngeal stenosis. This has lead to development of alternate surgical
methods, which has been made possible with the advent of rigid nasal endoscopes, cold light source, fibre
optics and powered instruments.
SPRSound: Open-Source SJTU Paediatric Respiratory Sound Database
Authors: Li Yongfu
Published: August 2022

It has proved that the auscultation of respiratory sound has an advantage in early respiratory diagnosis. Various methods have been raised to perform automatic respiratory sound analysis to reduce subjective diagnosis and physicians’ workload. However, these methods highly rely on the quality of the respiratory sound database. In this work, we have developed the first open-access pediatric respiratory sound database, SPRSound. The database consists of 2,683 records and 9,089 respiratory sound events from 292 participants. An accurate label is important to achieve a good prediction for adventitious respiratory sound classification problem. A custom-made sound label annotation software (SoundAnn) has been developed to perform sound editing, sound annotation, and quality assurance evaluation. A team of 11 experienced paediatric physicians is involved in the entire process to establish golden standard reference for the dataset. To verify the robustness and accuracy of the classification model, we have investigated the effects of different feature extraction methods and machine learning classifiers on the classification performance of our dataset. As such, we have achieved a score of 75.22%, 61.57%, 56.71%, and 37.74% for the four different classification challenges at the event level and record level.
Decentralized Identity Management: Prerequisiteof Web3 Identity Model
Authors: Bai Pinky , Bisht Charupriya
Published: August 2022

Web3 is the evolution of internet requisites decentralized identity management known as a new paradigm in the identity management system. Web3 conceptualizes decentralization and based upon that needs an identity model that fulfills the requirement of any business/technology model in the new trusted third-party free era. This article presents Web3, Web3 architecture, and technologies expansion for secure and scalable services. Further, the decentralized identity management model is presented with its components (DID), reusable verifiable credentials (VC), issuer, verifier, and user centricity in perspective with the Web3 identity model.  
A Tutorial on the Interoperability of Self-sovereign Identities
Authors: Yildiz Hakan , Küpper Axel , Thatmann Dirk , Göndör Sebastian , Herbke Patrick
Published: August 2022

Self-sovereign identity is the latest digital identity paradigm that allows users, organizations, and things to manage identity in a decentralized fashion without any central authority controlling the process of issuing identities and verifying assertions. Following this paradigm, implementations have emerged in recent years, with some having different underlying technologies. These technological differences often create interoperability problems between software that interact with each other from different implementations. Although a common problem, there is no common understanding of self-sovereign identity interoperability. In the context of this tutorial, we create a definition of interoperability of self-sovereign identities to enable a common understanding. Moreover, due to the decentralized nature, interoperability of self-sovereign identities depends on multiple components, such as ones responsible for establishing trust or enabling secure communication between entities without centralized authorities. To understand those components and their dependencies, we also present a reference model that maps the required components and considerations that build up a self-sovereign identity implementation. The reference model helps address the question of how to achieve interoperability between different implementations. 
Filter method-based feature selection process for unattributed-identity multi-target regression problem
Authors: Garcia Iker , Santana Roberto
Published: August 2022

In this paper, for the first time, a feature selection (FS) problem for an unattributed-identity multi-target regression (UIMTR) problem is presented. UIMTR is defi?ned as a multi-target regression problem where the set of target and predictor variables are undetermined, i.e., the identity of the variables is unattributed. Two forward selection ?filter-based mutual information sequential-methods are proposed. In particular, the proposed methods are multi-objective adaptations of the classical Mutual Information Maximization (MIM) and Maximum Relevance Minimum Redundancy (mRMR). The concept of "sentinel variable" is also introduced in this paper: any variable selected by the methods that, a posteriori, will be a predictor variable (its real-time data will be used by the models to predict the value of the target variables). To highlight the existence of this type of problems in the industry, and thus the need for this approach, a current problem of low voltage power grids is presented and modelled. In particular, the question of selecting a subset of smart meters ("sentinel smart meters") that serve as predictors of a certain electrical measurement for the rest of the smart meters in the grid. The empirical approach will be applied to voltage curves of smart meters for six different transformer substations. The results are evaluated from three perspectives: (i) the quality of the predictions, (ii) the stability of the methods and (iii) the execution time. In addition, the results are compared with three other methods, a purely empirical one proposed in the article (based on voltage patterns (VP)) and another two which are well-known in the literature: (a) RReliefF (Relief for regressions) and (b) Fisher Score.
How Spectrum Sharing Models in Cellular Systems Evolved to Respond to 5G Spectrum Crunch
Authors: Kalahe-Wattege Rasika Nilaweera , Beltran Fernando
Published: August 2022

  

This paper investigates the evolution of spectrum sharing models, including their regulatory frameworks. Spectrum sharing is not a new concept. Over the past decades, models and regulatory frameworks for spectrum sharing in cellular networks have undergone immense development. With the recent advancement in wireless communication technologies, bandwidth demand has accelerated rapidly, making the electromagnetic spectrum scarcer. There is great motivation from governments and regulators for the efficient assignment of the fifth-generation frequency bands to alleviate the spectrum scarcity issue. The database-assisted spectrum sharing models associated with TV White Spaces, Licensed Shared Access and Spectrum Access System can be used to optimize 5G spectrum sharing. Spectrum sharing can be either cooperative or non-cooperative. Effective spectrum sharing models will reduce the costs of owning licensed spectrum and enhance the consumption of underutilized spectrum resources to increase efficiency. We can predict that radio spectrum sharing will be a foremost significant field for innovation, regulations, and standardization in coming years and beyond.
Multiple myeloma prognosis from PET images:deep survival losses and contrastive pre-training
Authors: Morvan Ludivine
Published: August 2022

Data come from two prospective multicentric clinical studies (ClinicalTrials.gov: NCT01309334 and NCT01134484).
Exploratory pilot study for the integration of task-specific load alternation into a cyclic assembly process
Authors: Jansing Steffen , Rieger Christoph , Jabs Tim , Deuse Jochen , Wagenblast Florestan , Seibt Robert , Gabriel Julia , Spieler Judith , Rieger Monika A. , Steinhilber Benjamin
Published: August 2022

Takt work represents a significant risk factor for the development of musculoskeletal complaints and diseases, especially in short-cycle processes. The increased risk results primarily from a permanent uniform load on the musculoskeletal system. Studies on motor variability suggest that an increase in load variation can have positive effects on reducing the risk. 

The research project "Integration of activity-specific load changes to reduce physical stress during takt work" aims to demonstrate the increase in load variation by introducing specific load changes during takt work as a possible means of preventing musculoskeletal disorders without causing negative effects on productivity. For this purpose, a pilot study was already carried out with ten subjects, which is presented in more detail in this paper.

As foundation for the description of this study, the given paper first provides background on the applied theoretical concepts as well as the design of the overall research project. This is followed by the presentation of the experimental procedure and the results of the pilot study on cyclic assembly. Based on the stress profiles determined via surface electromyography the sequence of the analysed reference assembly process is reconfigured in order to integrate load changes. Future investigations within the research project are planned to compare both processes in terms of risk surrogate parameters for musculoskeletal disorders.
La cuestión de la credibilidad
Authors: Ruiz Pedro Ortega
Published: August 2022

El autor describe someramente el contexto social en el que se inscribe la acción educativa en la sociedad actual, marcado por la indiferencia y la frialdad social, el individualismo, la deserción de las jóvenes generaciones de las instituciones públicas, la pérdida de influencia de la familia y la escuela en la socialización y educación de los adolescentes y jóvenes. Reivindica la necesidad del testimonio del educador como única estrategia que haga creíble su palabra. La experiencia ética se convierte en la forma privilegiada de ser testigo de lo que se dice o propone. Aboga por una antropología que convierta al otro en el referente de la conducta ética, alejándose de este modo de la filosofía idealista que contempla al ser humano desgajado de la experiencia. Su propuesta educativa se enmarca en la pedagogía de la alteridad como paradigma del discurso pedagógico y de la praxis educativa.
Ciencia e innovación para el desarrollo sostenible de contextos inteligentes
Authors: Ramos Rodríguez Alejandro Emilio , Artigas Pérez Elaine , Báez Fernández Darais , Abreu González Orquidea
Published: August 2022

Los desafíos que enfrenta el contexto demandan un nuevo enfoque de la investigación que sea más integrador y orientado a las soluciones. Se necesita vincular la investigación científica enfocada de alta calidad a esfuerzos renovados interdisciplinarios y transdisciplinarios relevantes a las políticas para el logro de la sostenibilidad local. Esta investigación debe integrarse a través de programas de investigación y disciplinas existentes, a través de todos los ámbitos de investigación y los sistemas de conocimiento local. Todo modelo de desarrollo orientado éticamente debe caracterizarse por ser: incluyente, humano, sostenible, participativo, innovativo, ético, equitativo, social, autogestionable e integral, principios esenciales a tener presente en la construcción del contexto que se quiere, en este caso, al que se le llama Contexto Inteligente por un Desarrollo Local Sostenible. En este propósito, su diseño no es solo desde la academia con sus funciones de ciencia e innovación, formación y extensión, sino además se integra con su entorno conformado por la triple hélice social para el desarrollo, con el objetivo de sistematizar con la participación de los actores los fundamentos teóricos metodológicos que sustenten el modelo desarrollo sostenible de contextos inteligentes. El estudio se inscribe desde el enfoque de la teoría crítica. La metodología utilizada es la investigación acción participativa y como instrumentos, el taller investigativo, la construcción social desde el diálogo de actores.