bluuebunny/crossref_metadata_2025 huggingface dataset:
Urinary tract infections in the intradetrusor onabotulinumtoxinA population
Authors: White Esme , Brewin Anna , Nitkunan Tharani
Published: April 2023

The aim of our study was to determine the incidence of Urinary Tract Infections (UTI) following intradetrusor onabotulinumtoxinA injections within our trust. This was a retrospective study of all patients who underwent intradetrusor onabotulinumtoxinA injections at our trust from August 2005 to 2015. Information was taken from our botulinum database, clinic letters and microbiology results. The primary outcome criterion was a positive urine culture together with symptoms suggestive of infection within 6 months post-procedure. A total of 290 intradetrusor onabotulinumtoxinA procedures were performed on 86 patients. The rate of UTI within 6 months following a procedure was 33%. There was a high resistance rate to our standard antibiotic prophylaxis, which was changed together with the addition of pre-procedure urine cultures and an on the day urine dipstick test. A re-audit was performed between January and June 2016 of 41 procedures and showed a reduction in UTI incidence to 20%. The rate of UTI post procedure within our trust was 33%. Following the implementation of multiple management protocol changes, a re-audit showed a reduction of UTI incidence to 20%.
Atypical presentation of vesicouterine fistula (Youssef’s syndrome) post-caesarean gossypiboma: a case report
Authors: Khalid Abdullahi , Alhassan Abdullahi , Ejembi James Oche , Abdulwahab-Ahmed Abdullahi
Published: April 2023

Vesicouterine fistula as described by Youssef manifests with amenorrhea, and cyclic haematuria (menouria) without urinary incontinence commonly following caesarean section. Other aetiologies have been reported for this disease. The post-caesarean section gossypiboma, a dual aetiology causing this condition is rare and can make its presentation atypical, thus posing a diagnostic dilemma. The clinical evaluation alone in the atypical presentation of the vesicouterine fistula is insufficient except complemented by imaging investigations and endoscopic examination of the related organs. We report a case of vesicouterine fistula that was managed initially as chronic pelvic inflammatory disease despite urinary incontinence until further evaluation including a transvaginal ultrasound scan and urethrocystoscopy raised an index of suspicion of a vesical mass suggestive of gossypiboma. The mass was confirmed to be a foreign body, an abdominal gauze pack, or gossypiboma. Its removal and repair of the vesicouterine fistula were associated with a satisfactory outcome.
Effect of Split-Injection Strategies on Engine Performance and Emissions under Cold-Start Operation
Authors: Jatana Gurneesh S. , Dal Forno Chuahy Flavio , Szybist James
Published: April 2023

The recently concluded partnership for advancing combustion engines (PACE) was a US Department of Energy consortium involving multiple national laboratories focused on addressing key efficiency and emission barriers in light-duty engines. Generation of detailed experimental data and modeling capabilities to understand and predict cold-start behavior was a major pillar in this program. Cold-start, as defined by the time between first engine crank and three-way catalyst light-off, is responsible for a large percentage of NOx, unburned hydrocarbon, and particulate matter emissions in light-duty engines. Minimizing emissions during cold-start is a trade-off between achieving faster three-way catalyst light-off, and engine out emissions during that period. In this study, engine performance, emissions, and catalyst warmup potential were monitored while the engine was operated using a single direct injection (baseline case) as well as a two-way-equal-split direct injection strategy. These injection strategies were analyzed at a range of cold-start-operation relevant retarded spark timings of up to 25 degrees after top dead center of firing (dATDCf). A stoichiometric 2-bar NIMEP steady-state condition was used for all cases to simulate cold-start operation. Significant improvement in engine stability was observed with the two-way-split injection strategy at the retarded spark timings allowing for up to 2.5x increase in exhaust heat rate when engine operation is stability constrained. Similar fuel-loss-to-oil trends with exhaust heat rate were observed for both single and two-way-split injection strategies. However, the two-way split injection was observed to produce higher NOx emissions per unit exhaust heat rate. A single data point run with three-way-split direct injection at a very retarded spark-timing of 30 dATDCf pointed to further improvements in engine stability and reduction in fuel-loss-to-oil as compared to single injection strategy. Engine stability decreased as spark timing was initially retarded with a single injection but was observed to plateau and stabilize beyond spark timing of 10 dATDCf. For the two-way-split-injection strategy, retarding the start of injection (SOI) timing of the second injection led to a decrease in engine stability as well as an increase in soot emissions.
O-Ring, Preformed, Straight Thread Tube Fitting Boss, Type I Hydraulic (-65 to 160 °F)
Authors:   AMS CE Elastomers Committee
Published: April 2023

This specification covers requirements for the material, design, testing and packaging of straight thread tube fitting boss O-rings. O-rings covered by this specification are acrylonitrile-butadiene rubber.
Towards MRO 4.0: Challenges for Digitalization and Mapping Emerging
Technologies
Authors: Khan Samir
Published: April 2023

With technological breakthroughs in electric land vehicles revolutionizing their
respective industry, maintenance, repair, and overhaul (MRO) facilities in
aviation are also adopting digital technologies in their practices. But despite
this drive towards digitalization, the industry is still dominated by manual
labor and subjective assessments. Today, several technologies, processes, and
practices are being championed to resolve some of these outstanding challenges.
Considering this, it is important to present current perspectives regarding
where the technology stands today and how we can evaluate capabilities for
autonomous decision support systems that prescribe maintenance activities.
Overlooking some of these unsettled domain issues can potentially undermine any
benefits in speed, process, and resilience promised by such systems.

Towards MRO 4.0: Challenges for Digitalization and Mapping Emerging
Technologies provides some understanding of specific motivating
factors by focusing on the digitalization challenges for MRO 4.0 and the role of
building “trust” in technology by reimagining stakeholder experiences. It
examines overarching issues, such as data management, robotics, optimization,
artificial intelligence, and systems engineering.

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Studi Deskriptif Penerapan Pemuridan Di Komunitas Remaja
Authors: Santoso Yogi , Stevanus Kalis , Tandiongan Fianus , Gidion Gidion
Published: April 2023

Pemuridan adalah hal yang sangat penting dalam kekristenan. Pemuridan merupakan mandat Kristus yang sejajar dengan mandat penginjilan. Setiap orang percaya perlu dimuridkan untuk didewasakan ke arah keserupaan dengan Kristus. Tujuan penelitian ini adalah untuk menggambarkan tingkat penerapan pemuridan di komunitas remaja GBT Alfa Omega Semarang. Untuk menjawab tujuan penelitian tersebut, digunakan metode pendekatan pustaka guna menjelaskan kajian teori tentang pemuridan dan juga menggunakan metode kuantitatif deskriptif untuk mengetahui sebesar besar tingkat efektifitas penerapan pemuridan di komunitas remaja tersebut secara numerik. Diperoleh hasil penelitian sebesar 84% atau diinterpretasikan dalam kategori sangat baik.
DINAMIKA MENGELOLA JEMAAT POTENSIAL
Authors: Setiawan David Eko , Rohayani Hani
Published: April 2023

Artikel ini bertujuan mendeskripsikan dinamika pemberdayaan warga jemaat potensial oleh para Gembala Sidang di lingkungan Gereja Bethel Injil Sepenuh (GBIS). Adapun research problem penelitian ini adalah bagaimanakah dinamika para Gembala Sidang GBIS dalam mengelola jemaat potensial di dalam pelayanan? Metode yang digunakan oleh penulis dalam penelitian ini adalah studi kepustakaan dan survei. Hasil dari penelitian ini menunjukkan bahwa bahwa pengelolaan jemaat potensial di GBIS memiliki dinamika yang cukup menarik. Hal ini didasarkan atas persepsi 81 responden yang adalah gembala sidang GBIS yang secara langsung mengelola jemaat potensial di gereja mereka masing-masing. Mereka menyadari adanya kesulitan dalam mengarahkan jemaat potensial.  Hal ini bisa disebabkan oleh beberapa faktor dan rupanya ini yang juga mendorong sebagian besar gembala sidang GBIS tersebut untuk memiliki staff  yang dapat membantu mengelola jemaat potensial. Konflik antara gembala sidang dengan jemaat potensial disadari oleh mereka, khususnya dalam hal tata kelola pelayanan gerejawi. Meskipun demikian, para gembala sidang GBIS tetap berinisiatif untuk membina jemaat potensial dengan mengadakan berbagai pelatihan bagi mereka. Tetapi juga didapati fakta bahwa terdapat jemaat potensial yang tidak mendapatkan tempat pelayanan namun tetap berkomitmen di gereja tersebut.
A crise estrutural do capital e seu potencial destrutivo na biodiversidade brasileira
Authors: De Souza Pinto Samuel , Silva Wesley Helker Felício
Published: April 2023

O presente artigo busca compreender a destruição do meio ambiente como um efeito do caráter contraditório do denvolvimento do capitalismo. Para tanto, partiu-se da compreensão da crise estrutural do capital a partir da década de 1970 e sua relação com o colapso ambiental vivenciado pela humanidade, no qual seus impactos refletem principalmente em determinados espaços geográficos de países dependentes como o Brasil. O trabalho foi realizado a partir da pesquisa bibliográfica e documental que, à luz do materialismo histórico dialético, buscou elencar as categorias teóricas que elucidasse o processo de expansão destrutiva do capitalismo, que ignora princípios éticos da humanidade na sua relação com a natureza, conduzindo-a para um destino incerto e obscuro. Como desdobramento, nas últimas três décadas, figuram-se a floresta Amazônica e o bioma Cerrado enquanto os espaços brasileiros mais acometidos pelas atividades do agronegócio sob a égide destrutiva do capitalismo. A compreensão desta dinâmica da lógica de ferro busca fomentar novos debates científicos que tenham como princípio a defesa do Meio Ambiente e a construção de uma nova agenda societária que contrarie os imperativos destrutivos do sistema do capital.
Interação cultural nas práticas socioespaciais na fronteira entre Ponta Porã e Pedro Juan Caballero (Brasil/Paraguai)
Authors: Franco Elias Cabanas , Conte Cláudia Heloiza
Published: April 2023

Fronteira na sua definição primária é compreendida como uma demarcação territorial entre Estados. Todavia, pode também ser compreendida como um processo de desenvolvimento social e histórico, tendo em vista que faz parte da construção socioespacial. O objetivo deste estudo é analisar, por meio das práticas socioespaciais, a interação cultural na fronteira de Ponta Porã/MS e Pedro Juan Caballero/PY. Utilizou-se a pesquisa exploratória por meio da análise da literatura. Verificou-se que, por se tratar de uma fronteira seca, não existe obstáculo físico que separe as cidades de Pedro Juan Caballero e Ponta Porã, que a sua identidade cultural é o resultado da hibridização cultural, marcada pela fluidez das identidades locais. Soma-se a isso as relações no âmbito da educação, da mídia, das religiões, da culinária, música, dança, costumes, entre outros.
EFFECTIVE LEADER STRATEGIES IN LEADING AND MANAGING A COMPANY
Authors: Nur Zulriansyah , Nst Asrindah , Lubis Muya Syaroh Iwanda , Hasugian Buyung Solihin
Published: April 2023

ABSTRACTEffective leadership is something which enables other people to behave as if they were the leader and thus convinces them that this is the way to satisfy their needs. Leadership is a quality that any organization's leader must possess. The effectiveness of one of the leaders can be seen from the ability to influence and raise the group. The purpose of this study is to quantify the importance of effective homosexual leadership inside a certain organization in order to determine if it will elevate and elevate its members. based on to the results of this study, effective leadership is defined as leadership that is tailored to the circumstances and conditions of the people in charge. The function of the leadership is determined by the kind of leadership that may give the person who is being pegged the opportunity to engage in activity as well as to record and carry out complaints. This means that each creative or innovative idea inside a successful system must be realized and put to use.Keywords: Leadership Style, Morale, Leader Influence
Numerical Analysis Of Horizontal Axis Wind Turbine (Hawt) Operation Variables And Their Influence On Performance Cycle
Authors: IKPE Aniekan , USUNGURUA Enefiok , DAVİD Victor
Published: April 2023

Wind turbines have been one of the dependable sources of renewable energy that due to its abundance, have witnessed constant innovations and quest for design and productivity optimization. The commonly used type is Horizontal Wind Turbine also known as Horizontal Axis Wind Turbine (HAWT). Understanding the imperative factors influencing the functionality of HAWT provides insight into its optimal design. This study therefore x-rays the numerical analysis of HAWT operation variables and their influence on its performance parameters. Research Likert questionnaires with  identified operation variables with weighty factors that have influence on HAWT were developed and distributed to  trained, knowledgeable and experienced wind turbine engineers/operators with  respondents outcome. A  data matrix were collated. With  variables identified, iterations were computed. Ten (10) clusters (F1 to F2) were optimised, with each cluster consisting of computed influential variable(s) as input data and rated factors (output) computed as maximum value for each variable, being ranked by 13 judges in Sequential Merit Order (SMO) based on their influence on HAWT. Kendall’s Coefficient of Concordance (w) and Principal Component Analysis statistical models were employed. Respondents’ scores transposed into data matrix, fed into StatistiXL software; and eigenvalues, eigenvectors, factor loadings, descriptive statistics and case wise factor scores (correlation matrix) were computed. A value of w=0.56 (middling) obtained as the level of consistency. The level of coherence/agreement of data using chi-square model had ,  ( at ). Therefore, null hypothesis H0 rejected; alternative hypothesis H1 accepted, which implies strong agreement with the data at 95% confidence level.
Detection of Malaria Parasites in Blood Samples Using Image Processing Techniques
Authors: Krishna Yarlagadda Rama , Poojitha Bhavanam Sree
Published: April 2023

Malaria, the most lethal disease brought on by mosquito bites, used to impact a lot of people. To identify malaria, blood samples from the patient are collected and sent to a lab, where they are inspected under a microscope and tested for different chemicals. Before the patient receives the necessary treatment for their health problems, which will lead to their death, the test sample result will be older than a week. Despite technological advances, this illness still affects residents of rural areas, and it still takes time for testing and results to be returned. In this work, Image analysis is the most effective method for quickly diagnosing illness. Images of thin, discoloured blood smears were created for this work. Along with features that are similar to features used by human technicians and are based on prior knowledge of the classification problem, the geometry, texture and colour of the cells are the image features and based on the image features the parasites are also created after they have been obtained, pre-processed, and applicable features removed. It separates true positives before determining the infection type.
Competencias digitales y cultura organizacional. El caso de un instituto superior en Perú
Authors: Sierralta Pinedo Sheila , Gordillo Gonzales William Robert , Martin Vergara Joseph Anibal , Guarniz Benites Olinda Carolina , Sierralta Pinedo Isela
Published: April 2023

Los avances tecnológicos ocurridos en las últimas décadas han demandado de las organizaciones y personas; mayores niveles de preparación para adaptarse al entorno, es así que se considera imprescindible el desarrollo de competencias digitales como competencias del siglo XXI, razón que da justificación al desarrollo de la presente investigación, que tiene como principal objetivo determinar y analizar la incidencia de las competencias digitales en la cultura organizacional del Instituto Superior Tecnológico Público de Trujillo, en el año 2022. Para su realización fue necesario asumir como principales teorías las brindadas por Cabero y Palacios sobre competencias digitales y la de Gross sobre cultura organizacional, así como la teoría de la conectividad que permite explicar el proceso en la sociedad actual. A partir de ello, se desarrolló una investigación de tipo básica, con diseño descriptivo, no experimental, correlacional y causal, para lo cual se trabajó con una muestra de 151 sujetos entre los que se comprenden directivos, docentes y estudiantes. Los resultados obtenidos derivados del análisis cuantitativo y su correspondencia con el análisis cualitativo permitieron llegar a la conclusión que existe una relación causal entre las competencias digitales y la cultura organizacional con un 67.7%, correspondiéndose con investigaciones de otros autores.
Priroda normi zakona kojima je regulisan ugovor o osiguranju
Authors:   Univerzitet u Novom Sadu, Ekonomski fakultet u Subotici, Uzelac Ozren , Jovanović Slobodan ,   Fakultet za pravo, poslovnu ekonomiju i preduzetništvo, Beograd
Published: April 2023

Pravne norme grupisane u jednu ili više odredbi za- kona predstavljaju pravila u vezi sa određenim ponaša- njem ljudi ili drugim okolnostima ili svojstvima za koje se vezuje nastanak pravnih posledica. Stepen važnosti nekog aspekta pravnog odnosa određuje i nivo pravne zaštite koji će pravno-tehnički biti primenjen. Prav- na norma čini sadržinu odredbe propisa, dok je sama odredba (član zakona ili podzakonskog propisa) oblik u kojem je grupisana cela pravna norma ili jedan njen deo. U ovom radu autor analizira prirodu normi zako- na kojima je regulisan ugovor o osiguranju. Uočeno je da je metod pravnog normiranja pojedinih aspekata odnosa osiguranja delimično doveo do fragmentacije pojedinih pravnih normi, što je najvidljivije na primeru obaveznih sastojaka polise osiguranja života.
Merenje koncentracije u sektoru osiguranja Republike Srbije
Authors:   Visoka poslovna škola strukovnih studija, Novi Sad, Serbia, Ćuzović Đorđe
Published: April 2023

Tokom poslednje tri decenije došlo je do značaj- nih promena na tržištu osiguranja Republike Srbije. U ovom periodu došlo je do promene broja osigurava- jućih društava, vlasničke strukture, rasta premije osi- guranja i promene zakonske regulative. Cilj rada je da se sagleda kakav su uticaj navedene promene imale na stepen koncentracije u sektoru osiguranja u periodu od 2005. do 2021. godine. U radu je pored nekoliko meto- da merenja tržišne koncentracije korišćen i GRS indeks koncetracije koji se pokazao kao najpreciznija mera koncentracije. Dobijeni rezultati ukazuju na pad stepe- na koncentracije na tržištu osiguranja Srbije. U periodu od 2005. do 2010. godine došlo je do pada koncentra- cije, dok rezultati nakon 2010. godine ukazuju da su promene koje su nastale uglavnom posledica promene tržišne strukture osiguravajućih društava koje posluju na tržištu. Takođe, potrebno je da proces liberalizacije tržišta bude praćen usvajanjem odgovarajuće regulative koja će uticati na jačanje konkurencije na tržištu osigu- ranja i bolji položaj klijenata.
Analisis Kualitas Pelayanan terhadap Tingkat Kepuasan Pelanggan Pengguna Jasa J&T Express Bandung Kulon, Kota Bandung
Authors: Rismayanti Rismayanti , Sudartono Tiris
Published: April 2023

The focus of this research is service quality on customer satisfaction at J&T Bandung Kulon, Bandung City. This research is motivated by the existence of a relationship between the two variables based on several previous studies. As for service quality, there are 5 (five) variables in it, namely: Reliability Variable, Direct Evidence Variable, Responsiveness Variable, Assurance Variable, and Empathy Variable. For service quality, there are 3 (three) variables in it, namely: Service Indicator, Enterprise Satisfaction, and Product or Service Satisfaction. This study uses a qualitative descriptive method. The purpose of this study was to analyze the relationship between service quality and customer satisfaction at J&T Bandung Kulon, Bandung City. Respondents in this study amounted to 22 people and data were collected through interview techniques. The results of this study are that in terms of service quality, J&T Express Bandung Kulon still needs to make improvements in terms of the shuttle service. Then in terms of customer satisfaction it is still relatively low from the results of the interviews conducted
PENERAPAN ENAM BENAR PEMBERIAN OBAT DI RUMAH SAKIT BIDADARI BINJAI
Authors: Pakpahan Hetti Marlina , Nasution Zulkarnain , Nurjanah Nurjanah
Published: April 2023

Pemberian obat  yang tepat kepada pasien memberikan dampak  yang baik terhadap kesehatan. Dibutuhkan  keterampilan dan keahlian untuk memperoleh efek terapeutik secara maksimal. Kesalahan pemberian obat dapat menimbukan kecacatan bahkan kematian, dan tentu saja merugikan pasien. Tujuan penelitian untuk melihat  Tingkat Penerapan Enam Benar Pemberian Obat  Oleh Perawat  Di Rumah Sakit Bidadari Binjai.  Penelitian ini  adalah  deskriptif, sampel penelitian seluruh perawat pelaksana sebanyak 125 orang (total sampling). Hasil menunjukan penerapan enam benar pemberian obat:  tinggi, atau hampir seluruhnya perawat menerapkan pemberian enam benar pada pasien. Perawat telah melaksanakan perannya sebagai advokasi, melindungi pasien dan memenuhi hak-hak pasien dengan memberikan informasi yang jelas dan lengkap.kepada perawat disarankan agar tetap menerapkan pemberian obat enam benar dan dalam pemberian obat harus sesuai dengan SOP yang ditetapkan. Kepada Pihak Rumah sakit agar tetap memberikan pengawasan kepada perawat dan pihak yang terkait untuk menghindarkan kesalahan dalam pemberian obat, disamping itu perlu diberikan pelatihan untuk tindakan pemberian obat, peningkatan keamanan obat-obatan khususnya pemberian obat secara parenteral.
HUBUNGAN KEPATUHAN DIET DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSU BIDADARI BINJAI
Authors: Sitopu Selli Dosriani , Siamanullang Poniyah , Saragih Rosita , Sihotang Nelli Evelyn
Published: April 2023

Peningkatan kasus GGK setiap tahunnya, berkisar 50 orang dari satu juta penduduk  bera, 1,5 juta orang  menjalani hidup bergantung pada tindakan pengganti fungsi ginjal atau hemodialisa (HD). Hemodialisa akan merubah pola kehidupan seseorang, dari kebiasaan  pola makan, pola minum, pola tidur, terapi obat-obatan, dan aktivitas sehari-hari. Penderita GGK sering tidak mampu mengatur dietnya sesuai dengan syarat diet penderita GGK sehingga menyebabkan cairan tidak dikeluarkan dari tubuh yang akan menimbulkan edema di sekitar tubuh. Cairan  yang menumpuk  akan masuk ke paru-paru yang mengakibatkan mengalami sesak nafas. Perubahan pola makan dengan pembatasan asupan  makanan dan cairan pada pasien GGK, mengakibatkan menurunnya semangat hidup, bahkan dapat mempengaruhi kepatuhan pasien dalam pembatasan asupan cairan. Tujuan Penelitian ini untuk menganalisis hubungan kepatuhan diet dengan kualitas hidup pasien GGK yang menjalani hemodialisa di RSU Bidadari  Binjai. Jenis penelitian adalah deskriptif korelasi. Populasi penelitian adalah seluruh  pasien GGK yang menjalani HD sebanyak 45 orang dan seluruhnya menjadi sampel penelitian. Analisis data menggunakan uji Chi-quare dengan nilai 0,05 (p-value <0.05). Hasil penelitian mayoritas pasien patuh mengkonsumsi diet, kualitas hidup mayoritas baik. Hasil uji statistik diperoleh nilai p= 0.016 (p-value < 0,05) berarti ada hubungan kepatuhan diet dengan kualitas hidup pasien GGK yang menjalani HD. Semakin patuh dalam konsumsi diet maka kualitas hidup pasien akan semakin baik. Diharapkan pasien GGk tetap patuh untuk mengkonsumsi makanan dengan membatasi garam dan natrium, dan kurangi protein.
PENEGAKAN HUKUM TERHADAP KASUS JUAL BELI BAYI YANG DILAKUKAN IBU KANDUNG PADA STUDI KASUS PERKARA NOMOR: BP/196/VII/ 2021/ RESKRIM 2021)
Authors: Feramarta Putri Alda , Mahfuz Abdul Latif , SA Romli , Zahri Saefuddin
Published: April 2023

Rumusan masalah dalam penelitian ini adalah 1) Bagaimana Penegakan Hukum Terhadap  Kasus Jual Beli Bayi Yang Dilakukan Ibu Kandung Pada Studi Kasus Perkara Nomor: BP/196/VII/ 2021/ RESKRIM 2021)? dan 2) Apa faktor-faktor yang mempengaruhi penegakan hukum terhadap  kasus jual beli bayi yang dilakukan ibu kandung pada studi kasus perkara nomor: BP/196/VII/ 2021/ RESKRIM 2021)?. Metode penelitian yang digunakan adalah Penelitian yuridis empiris. Sumber data yang digunakan dalam penelitian ini terdiri dari data primer dan data sekunder. Berdasarkan hasil penelitian menunjukkan bahwa 1) Upaya penanggulangan kejahatan  terhadap kasus jual beli bayi yang dilakukan ibu kandung di Kota Palembang dilakukan dengan penal yaitu Tindakan pre-emtif, Tindakan preventif, Tindakan Represif dapat dikenakan sesuai ketentuan Pasal 77B UndangUndang Nomor 35 Tahun 2014 tentang Perubahan atas Undang-Undang Nomor 23 Tahun 2002 tentang Perlindungan Anak; 2) Faktor-faktor yang mempengaruhi terjadinya kejahatan terhadap kasus jual beli bayi yang dilakukan ibu kandung di Kota Palembang yaitu Pertama, aparat penegak hukum dimana kurangnya pengawasan dan minimnya pencegahan Pembuatan dokumen Palsu menjadi faktor perdagangan anak karena para pelaku perdagangan anak dengan ini akan mudah memperdagangkan anak-anak secara ilegal. Kedua, sarana dan prasarana seperti kurangnya dana anggaran dan pasilitas yang ada untuk mengungkap perdaganagn bayi. Ketiga, faktor masyarakat itu sendiri dimana faktor Ekonomi membuat masyarakat terdesak sehingga masalah kemiskinan membuat keluarga masyarakat tidak sedikit yang kurangnya Pendidikan dan Informasi memberikan sumbangan pada teijadinya perdagangan. Keempat, faktor kebudayaan masyarakat. Budaya masyarakat yang sering memionjam uang yang dianggap hal yang lumrah atau biasa sehingga tidak sedikit masyarakat yang terjerat Utang dan melakukan perbuatan melanggarn hukum menjual bayi sendiri.
Full mouth rehabilitation in anterior crossbite and posterior bite collapse patient – A case report
Authors: Lunardhi Louisa Christy , Salim Sherman , Laksono Harry
Published: April 2023

Background: Esthetically and functionally successful full mouth rehabilitation requires careful attention and me-ticulous treatment planning. Successful restoration in a patient with anterior crossbite and a partially edentulous situation can be challenging especially when bilateral posterior segment teeth is missing. Combination restora-tion using attachment retained removable partial denture (RPD) and removable partial overdenture (RPO) is such kind of treatment modality in prosthodontics. Purpose: This study was to provide an overview of a case about full mouth rehabilitation in anterior crossbite and posterior bite collapse patient. Case: A 64-year-old female pa-tient came to Prosthodontic Department of RSGMP Universitas Airlangga to have dentures replacing her missing teeth with aesthetic issue on her anterior teeth in order to eat well and be more confident. The patient wants to change her smile into new smile with acceptable aesthetic and function. Management: Diagnostic wax-up was made to capture the right occlusal vertical dimension (OVD) in centric relation (CR) that will be used in the first stage of full mouth rehabilitation, followed by management of the remaining teeth by endodontic and periodontal intervention by crown lengthening. Then, definitive restorations were made by maxillary attachment retained RPD with splint four anterior crowns and mandibular RPO with two single crowns on the lower teeth to correct anterior crossbite and posterior bite collapse. Conclusion: Patient had a satisfactoryly aesthetic and functional results with new occlusion using maxillary attachment retained RPD and mandibular RPO.
The difference of surface roughness in acrylic resin self-cured with addition of zirconium dioxide particles as a denture repaired materials
Authors: Ariestania Vivin , Teguh Paulus Budi , Yusuf Dedy
Published: April 2023

Background: Tooth loss is one of the effects of periodontal disease and dental caries. Tooth loss can be resolved by making a denture prosthesis. Several factors that influence society on denture use include aesthetic, social, func-tional, educational, and cultural factors. The large number of lost teeth will certainly increase the demand or desire to manufacture dentures to restore the function of the missing teeth. One of the materials that are often used in den-tures is acrylic resin. Acrylic resins frequently used for denture base materials are cold polymerized acrylic resin and hot polymerized acrylic resin. Cold polymerized acrylic resin uses chemical activation, and this type of resin is often used for denture repair materials. Denture repair aims to repair prostheses that have many fractures in the mid-line area. Chemical polymerization acrylic resin is often used as a repair material because it is easy to apply and can be done directly on the patient. This resin has a disadvantage because it often leaves residual monomer in the polymerization process, so it impacts porosity. This problem can be overcome by modifying the resin's chemical structure using polyethylene glycol or by adding ZrO2. Objective: This study aims to determine the effect of adding 3%, 5%, and 10% of zirconium dioxide (ZrO2) nanoparticles to the surface roughness of self-cured acrylic resin as a denture repair material. Methods: Four sample groups, each consisting of 10 samples, were divided into the con-trol group (K), the treatment group with ZrO2 addition 3% (P1), the treatment group with the addition of ZrO2 5% (P2), and the treatment group with the addition of ZrO2 10% (P3). The results of all treatments and controls were tested for surface roughness using the MST-301 surface roughness test profilometer. Results: Based on the results of the descriptive test, the mean of group K = 0.395 ± 0.161, group P1 = 0.813 ± 0.525, group P2 = 1.284 ± 0.336 and group P3 = 1.093 ± 0.558. In the Kruskal-Wallis test, there were significant differences in all groups. Conclusion: The self-cured acrylic resin with the addition of 3% concentration of ZrO2 has the lowest surface roughness com-pared to the other groups, and the roughness is almost similar to the surface roughness of the control group.
Effectof sisal fiber(Agavesisalana)andsurfacetreatmenton transverse strength in acrylic resin denture base repair
Authors: Maharani Adella Syvia , Kusuma Heriyanti Amalia , Wahyuningtyas Endang
Published: April 2023

Acrylic resin as a denture base material has a disadvantage;it is easily fractured.However, fractures can be re-paired.This study aimed to reveal the effects of sisal fiber (Agave sisalana) and surface treatment onthetrans-versestrengthinacrylicresindenturebaserepair.Alaboratoryexperimentwasconductedon30acrylic resin sam-ples with a size of 65x10x2.5 mm,consisting of group I(was on the repaired section),groupII(sisalwereto the repaired section) and group III (repaired were sisal fibers and applied with monomer). Transverse strength was measuredusinga universal testing machine.The data obtained were analyzed using1-wayANOVA.Theresults showedthat the lowest transverse strengthwas foundin group I(88.30±7.38MPa)andthehighest strength was in groupIII (133.45±8.38MPa).Based on the results of this study, it can be concluded that the use of sisal fiber and surface treatment can increase the transverse strength in acrylic resin denture base repair.
Esthetic rehabilitation of anterior tetracyline teeth using porcelain laminates veneers and porcelain fused zirconia bridge - a case report
Authors: Melisa Melisa , Dewi Ratna Sari
Published: April 2023

The increasingdemand by patients for estheticandmetal-freerestorations has driventhe development of cera-mic restorations with good esthetic and mechanical stability. The use of porcelain laminates veneers to solve aestheticandorfunctionalproblemshas been shown to beavalid management option especially in the anterior aestheticzone.Thecurrent porcelain veneers are esthetically superior,conservativeand durabletreatmentmo-dality.The present case report describes the treatment of discoloured tetracycline teeth in the anterior dentition withthinporcelainlaminateveneersandYttrium-oxidepartiallystabilizedzirconia(YTZP)bridgeformissingupper right lateral incisor tooth and treated for problem.The restorations were evaluated clinically over for retention, colour match,surface texture, marginal integrity and gingival response. The patient was very satisfied with the result and had no complaints during 1.5 years of follow-up.
Front teeth replacement with implant-supported crowns: A case report
Authors: K.K. Michael Josef , Hendrijantini Nike , A Maretaningtias Dwi , W Wiwik Herawati
Published: April 2023

The use of dental implants to support fixed or removable restoration is widely used as treatment modality. The advantages are increased retention, chewing ability, and easy access to oral hygiene procedures. A missing tooth that needs to be replaced completely can be restored using an implant-supported crown. The aim of this study is to rehabilitate maxillary partial edentulous with implant supported crown. A 56-year-old female patient came to the clinic, wanted to replace partial edentulous after extraction of 11 and 21, needed fixed restoration in order to eat and chew well, and expected high aesthetic result as well. This patient had experienced using removable partial denture to replace her lost teeth . Patient wanted to have implant treatment with fixed restoration because she felt that her partial denture did not fit anymore, so the prosthodontic treatment option was using implant-supported crowns. Implant supported crown can be an option to replace partial edentulous.
Evaluation of swelling ability of scaffold combination of chitosan and hydroxypatite
Authors: Dahlan Agus , Kamadjaja Michael Josef Kridanto , Subagyo Sausan Yova , Talitha Patricia
Published: April 2023

Background: Tissue engineering is an important treatment strategy and used in current and future regenerative the-rapies. To achieve the success of tissue engineering, it is necessary to select a scaffold with certain characteristics. The ability to absorb water or swelling in the scaffold material is one of the properties related to architecture and cell activation. Swelling indicates the ability of the scaffold to absorb or retain water from the scaffold. The swelling ability is expected to absorb water from the surrounding tissue and have an impact on the morphology of the scaffold, espe-cially the combination of chitosan and hydroxyapatite on cell growth. Purpose: Knowing the ability of water absorption (swelling) on the scaffold combination of chitosan and hydroxyapatite for the purpose of bone tissue engineering. Method: Literature review with statistical review method that uses inclusion and exclusion criteria with article design used experimental laboratory in vitro and or experimental laboratory in vivo. Results: There are eight articles show-ing increased swelling ability and five articles showing decreased swelling ability. Conclusion: The combination of chitosan and hydroxyapatite biomaterials can increase and decrease the ability of water absorption on the scaffold so that affects the success of tissue engineering.
Comparison of bone loss around implants using radiographs
Authors: V Shibi Mathew , T Aby Mathew , Thomas Navin Oommen , Abraham Joshy P. , George Miranda , Rasheed Nazia
Published: April 2023

This article presents an original-research conducted at Pushpagiri College of Dental sciences, Thiruvalla, Kerala to compare and evaluate the vertical crestal bone changes around implants with different surface coatings and diame-ter using CBCT and RVG taken at the time of loading and one year after loading. Thirty-six samples were divided in 4 group; based on 3 parameters: implant surface coating, implant diameter, and single versus multiple implants sup-ported bridges. Length of all implants is kept standardised at 10 mm. Data were statistically analyzed by Students paired t-test and comparison between CBCT and RVG is done using interclass correlation test. The mean crestal bone loss has increased statistically significant from the time of loading and after one year of loading. The average crestal bone loss on single implants were less compared to multiple implants supported bridges at both timings. CBCT shows more accurate and reliable values than RVG both clinically and statistically. It was concluded that crestal bone loss was less among single implants with calcium phosphate surface coating and wider diameter than alumina blasted and narrow diameter implants. Single implant shows less bone loss than multiple implants. The CBCT shows a reliable method of detecting circumferential peri-implant bone defects than RVG.
Prosthetic approach following traumatic evisceration: a case report
Authors: Juanita Mariska , Ramdhani Riezky , Dammar Irfan
Published: April 2023

A 20-year-old male patient was referred to Prosthodontic Department, Dental Hospital of Hasanuddin University, Makassar with chief complaint of disfiguration of the face. Medical history revealed a significant trauma to the left eye 6 months prior which stayed after evisceration. Patient has never used prosthetic eye afterwards. Examination of the left eye socket revealed a healthy conjunctiva covering the posterior wall of the anophthalmic socket with syn-chronous motions and absence of infection or inflammation signs. Sulcus depth was sufficient enough to retain prosthetic eye. This article presents rehabilitation of the ocular defect with customized acrylic-based ocular prosthe-sis to increase patient’s appearance and to prevent further shrinkage of the eye socket. Preliminary impression was done using customized tray fabricated from modelling wax and hydrocolloid irreversible impression material. An in-traocular custom tray for secondary impression was fabricated with acrylic resin and modified with a syringe that at-tached to the custom tray. Secondary impression of the defect was recorded using polyvinyl siloxane light viscosi-ty material followed by wax pattern fabrication using modelling wax. The wax pattern was tried in patient’s socket and checked for size, comfort, support, fullness, and then packed with tooth colored heat cure acrylic resin. After deter-mining the location and diameter of the iris with an optical vernier pupillary distance ruler, the color of sclera was de-termined by shade guide and confirmed with technician using digital photo. Ocular prosthesis was fabricated after-wards and inserted into the eye socket and evaluated for suitability, aesthetic and also movements with the contra-lateral eye. It is concluded that customized ocular prosthesis was significantly more aesthetic than pre-fabricated one with better contouring, color matching, and coordinated movements with the contralateral eye. This prosthetic ap-proach may restore patient’s appearance, increase their self-esteem, and improve their quality of life.
Calibrated pressureless impression technique of ocular prosthesis for eviscerated socket: a case report
Authors: Kartika Henny , Ariyani  , Chairunnisa Ricca , Tamin Haslinda Z.
Published: April 2023

Ocular prosthesis for post evisceration socket often has feeble adaptation to the surrounding tissue due to high sensi-tivity. Excessive pressure given by impression technique would lead to irritably intaglio and bulky palpebral contour of the prosthesis. This article describes a modified method of functional impression which made it easier not only to record the tissue bed surface of the defect but also to get the right contour of the palpebral surface at the same time. A 60-year-old male came to Dental Hospital Universitas Sumatera Utara with evisceration defect as a result of traumatic injury 40 years ago. He complained a facial disfigurement that made him formidable with social interacti-on. Pressureless impression combined with calibrated tray was planned for the patient. Light body PVS material was injected into the socket under slight pressure and the conformer made from visible light cure acrylic resin was in position as a tray. Vertical and horizontal lines marked in the conformer calibrate with the facial marking as a gui-dance for 3-D position. The method is intended to get the fast, accurate position offering the patient ocular prosthesis with great comfort as well as to provide facial contours that improve the patient's psychological and physical outlook.
Comprehensive approach for highly resorbed mandibular ridge with complete denture
Authors: Rahmat Alfian , Nina Permatasari , Jubhari Eri Hendra
Published: April 2023

A 66-years-old female patient was referred to Dental Hospital of Hasanuddin University with a fractured lower den-ture that impaired patient’s masticatory ability. Clinical examination showed full edentulous in both maxilla and man-dible with flat mandibular ridge, absence of inflammatory signs, flabby tissues, and bone prominences as well. The treatment plan was fabrication of complete denture with semi-adjustable articulator and modification in impression technique in order to produce retentive dentures. Preliminary impression and fabrication of anatomic cast followed by bolder molding and physiological impression. Two-dots method was used to determine the maxillomandibular re-lation and measure vertical dimension. Position of the maxilla was transferred using facebow, which attached to the centric tray followed by mounting the cast on a semi-adjustable articulator with guidance from centric tray. Artificial teeth were arranged in lingualized occlusion scheme on wax-pattern and try-in was done. After processing, remount-ing and selective grinding were performed followed by finishing and polishing, and lastly with insertion of both den-tures. It is concluded that impression technique is one of the primary factors in management of flat mandibular ridge in order to utilize surrounding tissues to have both active and passive retention in dentures.
PRODUKSI KOMPOS MENGGUNAKAN BIOAKTIVATOR DI PT CHANDRA ASRI PETROCHEMICAL SITE OFFICE PULO AMPEL
Authors: Brilyan Mahardiki Graha , Dwirani Fitri , Ariesmayana Ade
Published: April 2023

PT Chandra Asri Petrochemical Site Office Pulo Ampel belum optimal dalam mengelola sampah organik. Penelitian ini bertujuan untuk mengetahui jumlah timbulan sampah, menganalisis kualitas kompos dan menguji pengaruh kompos pada tanaman. Penelitian dilaksanakan pada bulan Mei-Agustus 2021. Variabel penelitian yang digunakan adalah suhu, bau, warna, kelembaban, pH dan rasio C/N. Metode pengumpulan data meliputi pengambilan data primer dan pengambilan data sekunder serta pengolahan data menggunakan metode Mann Whitney. Rata-rata jumlah timbulan sampah adalah 0,764 kg/orang/hari dengan volume sampah 7,505 liter/orang/hari. Tong komposter memiliki volume 124,5 L. Kompos A memiliki kelembaban 20%, suhu 28ºC, pH 6,87, ukuran partikel 40 mm, berwarna cokelat hitam, berbau tanah, rasio C/N 18 dan kompos B memiliki kelembaban 25%, suhu 29ºC, pH 6,9, ukuran partikel 30 mm, berwarna cokelat hitam, berbau tanah, rasio C/N 13,45. Kelembaban, suhu, pH, warna dan bau kompos A dan kompos B memenuhi SNI 19-7030-2004 dan Permentan 70/2011. Setelah 14 hari, tanaman cabai rawit pada kompos A memiliki tingkat keberhasilan 80% (lebih baik dibandingkan kompos B, sama dengan kompos C komersil) dengan tinggi batang 3,8 cm, 2 helai daun dengan lebar 1,7 cm.
PEMANFAATAN LIMBAH SERBUK GERGAJI KAYU SENGON DAN KAYU KELAPA SEBAGAI CAMPURAN BATU BATA RINGAN UNTUK MEDIA PEREDAM KEBISINGAN
Authors: Putri Shela Nadia , Hardoyo Hardoyo , Ergantara Rani Ismiarti
Published: April 2023

Kebisingan merupakan bunyi yang tidak diinginkan dari usaha atau kegiatan dalam waktu tertentu yang dapat mengakibatkan gangguan kesehatan alat pendengar manusia. Salah satu upaya pengendalian kebisingan yakni dengan menggunakan media peredam kebisingan. Penelitian ini bertujuan untuk menganalisis pemanfaatan serbuk gergaji kayu sengon dan kelapa pada campuran batu bata ringan sebagai media peredam kebisingan. Penelitian ini dilakukan pada skala laboratorium menggunakan alat (kotak) yang berukuran 70 cm x 70 cm x 40 cm dan batu bata berukuran panjang 15 cm, lebar 6,5 cm, dan tinggi 3,5 cm sebanyak 33 batu bata dalam 1 pengukuran. Sumber suara berupa speaker yang diletakkan di dalam kotak. Campuran serbuk gergaji kayu dengan variasi kontrol, 15% dan 25%. Pengambilan data dilakukan setiap 5 detik selama 10 menit. Hasil penelitian menunjukkan semakin tinggi persentase penambahan serbuk gergaji maka semakin tinngi pula tingkat penurunan intensitas kebisingan. Serbuk gergaji kayu sengon yang paling baik dalam menurunkan tingkat kebisingan adalah variasi 25% dengan tingkat efisiensi penurunan tingkat kebisingan sebesar 2,39% yaitu dari tingkat 83,5 dB turun menjadi 81,5 dB atau turun sebesar 2 dB. Sedangkan untuk serbuk gergaji kayu kelapa tingkat efisiensi penurunan tingkat kebisingan  sebesar 2,15% yaitu dari tingkat kebisingan 83,5 dB turun menjadi 81,7 dB atau turun sebesar 1,8 dB.
PEMANFAATAN LIMBAH KACA BEKAS SEBAGAI BIOFILTER AEROBIK DALAM PENURUNAN KONSENTRASI BOD AIR LIMBAH DOMESTIK
Authors: Juniati Iin , Sulastri Sulastri
Published: April 2023

Limbah domestik dapat dikelola melalui pengolahan biofilter aerob, salah satunya dengan menggunakan media pelindung layar handphone (tempered glass) dan media kaca bening (float glass). Tujuan dari penelitian ini untuk mengetahui potensi penggunaan tempered glass dan float glass sebagai media pertumbuhan mikroba untuk menurunkan kandungan BOD air limbah domestik. Penelitian didahului dengan menumbuhkan mikroba pada permukaan media selama 4 minggu. Setelah mikroba tumbuh membentuk lapisan biofilm, dilakukan pergantian air limbah domestik yang baru. Sampling dilakukan  pada hari ke 0, 3, 6 dan 9. Hasil penelitian menunjukkan bahwa kedua jenis kaca dapat digunakan untuk menumbuhkan mikroba pada media (biofilter). Penggunaan tempered glass sebagai media tumbuh mikroba menurunkan 22,0 mg/l BOD, sedikit lebih banyak dibandingkan float glass yang menurunkan 21,6 mg/l BOD. Berdasarkan kecepatan penurunan BOD, pola pertumbuhan mikroba pada permukaan kedua jenis kaca mempunyai pola yang sama dimana fasa penyesuaian terjadi pada hari ke 0-3, fasa logaritma terjadi pada hari ke 3-6, setelah itu terjadi fasa penurunan.
PERENCANAAN INSTALASI PENGOLAHAN AIR LIMBAH (IPAL) DOMESTIK DENGAN METODE BIOFILTER AEROB DI PT. BHANDA GHARA REKSA (PERSERO) DIVRE VI LAMPUNG
Authors: Santoso Dwi , Wulandari Diah Ayu , Temenggung Muhtadi Arsyat
Published: April 2023

Air limbah domestik umumnya mengandung senyawa polutan organik yang cukup tinggi, yang sangat berpotensi untuk mencemari lingkungan. Semua air limbah domestik yang berasal dari PT. Bhanda Ghara Reksa (Persero) Divre VI Lampung belum dilakukan pengolahan teknis, hanya dialirkan ke badan air. Tujuan penelitian ini merencanakan sistem Instalasi Pengolahan Air Limbah (IPAL) domestik PT. Bhanda Ghara Reksa ( Persero ) Divre VI Lampung yang sesuai dengan PP No. 82 Tahun 2001 tentang Pengendalian Pencemaran Air. Metode analisis kuantitas air limbah berdasarkan peruntukan bangunan SNI 03-7065-2005 air bersih, analisis  kualitas air buangan menggunakan Permen LHK No. 68 tahun 2016 tentang baku mutu air limbah domestik, serta analisis rancangan anggaran biaya berdasarkan HSPK Bandar Lampung 2020-2021. Hasil penelitian bahwa berdasarkan perhitungan dan perancangan yang telah dibuat, IPAL yang akan digunakan sebagai sistem pengolahan air limbah PT. BGR (Persero) Divre VI Lampung yaitu dengan system Biofilter Aerob yang sesuai dengan karakteristik air limbah. Anggaran biaya Pembangunan IPAL sebesar Rp. 119,877.000,00,-.