bluuebunny/crossref_metadata_2025 huggingface dataset:
Helsingin Sanomien uutiset historiallisen kriminologisen henkirikostutkimuksen lähteenä
Authors: Salomaa Anilla
Published: April 2023

Artikkelissa tutkitaan sanomalehtiuutisten käyttökelpoisuutta historiallisen kriminologisen henkirikostutkimuksen aineistona. Artikkelin aineistona ovat Helsingin Sanomien suomalaisia henkirikoksia käsittelevät uutiset vuosilta 1950, 1960 ja 1970 sekä Keskusrikospoliisin (KRP) julkaisemat henkirikosten teonkuvaukset vuosilta 1960 ja 1970. Sanomalehtiaineiston hyödyllisyyttä arvioidaan vertaamalla sitä kattavuuden ja teonpiirretietojen osalta KRP:n aineistoon. Lisäksi molempien aineistojen uhrikattavuutta verrataan kuolemansyytilastoon.Tulosten mukaan Helsingin Sanomat jää kattavuudessa vain hieman KRP:tä jälkeen kuolemansyytilastoon verrattuna. Verratessa KRP:tä ja Helsingin Sanomia keskenään kattaa Helsingin Sanomista kerätty aineisto KRP:n kuvausten uhrimäärän 94–97-prosenttisesti. Lehtiuutisista puuttui siis joitakin henkirikostapauksia, mutta toisaalta myös KRP:n kuvauksista puuttui tapauksia, joista Helsingin Sanomat oli uutisoinut. Teonpiirteistäuutisointi oli Helsingin Sanomissa erittäin yhdenmukaista KRP:n kanssa. Lisäksi joistakin muuttujista sai lehtiuutisista jopa huomattavasti enemmän tietoa kuin KRP:n kuvauksista.Tämän tutkimuksen tulosten perusteella lehtiaineisto vaikuttaa siis kattavuutensa ja teonkuvausten tarkkuuden vuoksi erittäin käyttökelpoiselta kriminologisen henkirikostutkimuksen lähteeltä.
The Courses are Online, What about the Students? Did They Really Online? Using Kahoot! In the Emergency Remote Teaching Process
Authors: EROL ŞAHİN Ayşegül Nihan
Published: April 2023

This study investigates the effectiveness of using Kahoot! as an educational tool for emergency remote teaching during the COVID-19 pandemic. The research follows a phenomenological approach, which is a qualitative research method. The study group consists of 83 university students who were taking the HIST-101 course on Ataturk's Principles and History of the Turkish Revolution. The sample was selected using easily accessible sampling due to the pandemic situation. The research utilized a semi-structured interview form developed by the researchers and LMS records as data collection tools. The study lasted for 15 weeks, and the interviews were conducted online via Google Forms and the LMS. The findings were analyzed using content analysis from a holistic perspective. The research concludes that Kahoot! sessions positively impacted the students' attitudes towards the lesson and enhanced their learning. Many students found Kahoot! to be a useful tool for learning, engaging with the lesson, and having an emotionally comfortable and enjoyable educational experience without stress. The study's results suggest that using such tools for distance education has numerous benefits.
Bir Eğitim ve Araştırma Hastanesinde Hekimlerin Klinik Kalite Uygulamalarına Bakışının Kesitsel Olarak İncelenmesi
Authors: KOCA Mehmet , KÖKSAL Alev , DENİZ Serdar
Published: April 2023

Amaç: Bu çalışma ile Klinik Kalite Rehberinde göstergesi olan kliniklerde çalışan hekimlerin, klinik kalite göstergeleri hakkındaki bilgi ve algılarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma, Klinik Kalite Rehberinde göstergesi olan ve anket doldurmayı kabul eden hekimlerin katılımı ile gerçekleştirilmiş olup örneklem büyüklüğü 103’dür. Veriler yazarlar tarafından hazırlanan anket “Klinik Kalite Bilgi ve Algı Düzeyi” aracılığı ile toplanmıştır. Veriler SPSS 25 programı ile analiz edilmiştir. Araştırma anketinin cronbach alfa değeri 0,97 olarak bulunmuştur. Bulgular: Çalışmaya katılanların %72,5’i erkek (n=75), %27,2’si kadındır. Katılımcıların en fazla katıldığı anket ifadesi %69,41’i uluslararası kurumsal tanınırlığı ve güvenirliliği etkilediğine katılmışlar, en az katıldıkları ifade ise, %25,24 ile Klinik Kalite iyileştirme komitesinde gönüllü olarak görev yapmak ifadesidir. Sonuç: Hekimlerin klinik kalite ile ilgili yetersiz bilgiye sahip oldukları bunu gidermek için bölgesel ve kurumsal bazda eğitimlerin arttırılması gerekmektedir. Klinik kalite, kanıta dayalı tıp uygulamaları, güncellenen klinik rehberlerin ilerleyen dönemlerde asistan eğitimlerine eklenmesi, klinik kalite çalışmaları hem maliyeti azalttığı hem de sağlık bakım hizmetleri kalitesini arttırdığı için klinik kalite gösterge değerine göre branş ve hekim bazlı performans değerlendirmesi yapılarak performans ödemedeki katsayının buna göre belirlenmesi yönünde çalışmaların yapılması gerektiği sonucuna ulaşılmıştır.
Conocimiento y práctica sobre medidas preventivas frente al Covid 19 en comerciantes de venta de alimentos de primera necesidad del mercado de abastos de Huancavelica – 2021
Authors: Zea Montesinos César Cipriano , Reginaldo Huamani Rafael , Araujo Sánchez Cristhian Walter , Huaranccay Matamoros Tania
Published: April 2023

Objetivo: Determinar la relación entre el conocimiento y la práctica de las medidas preventivas frente al COVID- 19 en comerciantes de venta de alimentos de primera necesidad del mercado de abastos Huancavelica, 2021. Metodología: Investigación de tipo básica, perteneciente al nivel correlacional, método inductivo, deductivo y estadístico, diseño no experimental, transeccional, la muestra estuvo conformado por 109 comerciantes, para medir el conocimiento se utilizó la técnica de encuesta y como instrumento un cuestionario, para medir la práctica se utilizó la técnica de observación y como instrumento una guía de observación. Resultados: El 36.7% (40) de comerciantes presentan conocimiento alto, pero solo el 9.2% (10) logran tener práctica buena; sobre el lavado de manos el 26.6% (29) de comerciantes tienen conocimiento medio y prácticas regulares; respecto al uso equipo de protección personal, el 47.7% (52) de comerciantes tienen conocimiento alto, pero presentan práctica regular; sobre el distanciamiento social, el  47.7% (52) de comerciantes tienen conocimiento alto y presentan práctica buena; respecto al uso de desinfectantes, el 33.9% (37) de comerciantes tienen conocimiento alto y esto refleja en su práctica buena; sobre el manejo de residuos sólidos, el 37.6% (41) de comerciantes tienen conocimiento medio, pero lograron tener una práctica buena. Conclusiones: No existe relación entre el conocimiento y la práctica de medidas preventivas frente al COVID 19 en comerciantes de venta de alimentos de primera necesidad del mercado de abastos de Huancavelica - 2021.
UET.SIR: Giải pháp hỗ trợ xử lý sự cố an toàn thông tin trong chính phủ điện tử
Authors: Le Hai , Hoa Nguyen Ngoc , On Phung Van , Duc Tong Minh , Huy Ngo Quang
Published: April 2023

Tóm tắt— Bài báo này trình bày kết quả nghiên cứu xây dựng giải pháp hỗ trợ xử lý sự cố an toàn thông tin (ATTT) phục vụ tổ chức trong Chính phủ điện tử. Giải pháp đề xuất bao gồm cả quy trình xử lý sự cố ATTT và hệ thống UET.SIR phục vụ công tác hỗ trợ xử lý sự cố ATTT. Quy trình được xây dựng dựa trên kết hợp các tiêu chuẩn trong nước và quốc tế, được tuỳ biến để phù hợp với thực tiễn của chính phủ điện tử. Hệ thống UET.SIR hỗ trợ xử lý xự cố bao gồm USB chuyên dụng phục vụ thu thập chứng cứ số sự cố ATTT, và phần mềm trung tâm với các chức năng phân tích chứng cứ sự cố để phát hiện nguyên nhân và hỗ trợ công tác xử lý. Kết quả thử nghiệm hệ thống UET.SIR tại Bộ Tài nguyên và Môi trường bước đầu đã chứng minh được khả năng áp dụng thực tiễn và hỗ trợ xử lý sự cố ATTT đối với một số hệ thống trọng yếu.
Abstract— This paper presents the results of research on building solutions to support information security incident handling in organizations. The proposed solution includes both the procedure for information security incident handling, and the UET.SIR system for supporting information security handling. The process is built on a combination of national and international standards, but is customized to suit e-government practices. The UET.SIR system includes a dedicated USB for collecting digital evidence of ATTT incidents and central software with evidence analysis functions to detect the cause and provide support incident handling. The test results of the UET.SIR system at the Ministry of Natural Resources and Environment have initially demonstrated its practical applicability and support for information security incident handling.
Ứng dụng mô hình học sâu trong phát hiện tấn công trinh sát mạng
Authors: Dung Nguyễn Thị , Quân Nguyễn Văn , Hùng Nguyễn Việt
Published: April 2023

Tóm tắt— Ngày nay, cùng với sự phát triển nhanh chóng của Internet là thực trạng gia tăng các cuộc tấn công mạng cả về quy mô lẫn số lượng. Trong đó, tin tặc có thể sử dụng nhiều phương pháp tấn công khác nhau, nhưng tất cả thường diễn ra theo quy trình nhất định, bắt đầu từ bước trinh sát mạng. Chính vì vậy, để kịp thời phát hiện sớm các hành vi xâm nhập mạng trái phép, đặc biệt là từ giai đoạn trinh sát mạng, cần triển khai các giải pháp, hệ thống phát hiện xâm nhập ứng dụng với những kỹ thuật phát hiện tiên tiến. Trên thực tế, các hệ thống phát hiện xâm nhập mạng (Intrusion Detection System - IDS) thường dựa trên các dấu hiệu thông qua các luật đã được thiết lập trước. Kỹ thuật này còn nhiều hạn chế do không phát hiện được các cuộc tấn công mới hoặc biến thể của các cuộc tấn công đã biết. Nhằm khắc phục hạn chế này, nhiều kỹ thuật ứng dụng máy học đã được nghiên cứu và triển khai. Trong bài báo này, nhóm tác giả đề xuất hướng tiếp cận cải tiến mô hình mạng học sâu hai giai đoạn ứng dụng trong hệ thống phát hiện và phân loại các hình thức tấn công trinh sát mạng. Đề xuất sẽ được đánh giá, thử nghiệm với bộ dữ liệu tiêu chuẩn NSL-KDD, UNSW-NB15, CTU13.
Abstract— In recent years, the number of new types of attacks has increased dramatically. Although there are many types of attack techniques, all of them are following the similar chain of attack, beginning with network reconnaissance phase. Therefore, network reconnaissance attack detection problem is important for every Intrusion Detection System (IDS). In fact, network intrusion detection systems are based on pre-defined rules so they are not able to detect new attacks or variants of known attacks. Meanwhile, hackers have developed many automated toolkits that allow subtle changes to the attack  behavior sufficient for IDS to treat as a zero-day attack. To overcome this limitation, many machine learning models have been applied in IDS and implemented in a real network. In this paper, we propose a new approach that uses two stage AutoEncoder to detect network reconnaissance attacks. The proposed approach is evaluated on network security datasets: NSL-KDD, UNSW_NB15, four scenarios of the CTU13 datasets and compared to existing methods.
Khai phá tập phổ biến đảm bảo tính riêng tư cho dữ liệu phân mảnh dọc sử dụng hệ mật ElGamal
Authors: Chung Nguyễn Văn , Sự Trần Đức
Published: April 2023

Tóm tắt—  Khai phá dữ liệu đảm bảo tính riêng tư ngày càng nhận sự quan tâm của cộng đồng nghiên cứu, đặc biệt là khai phá tập phổ biến có đảm bảo tính riêng tư là một chủ đề được đề cập nhiều trong thời gian gần đây. Bài báo này, tác giả đề xuất một phương pháp khai phá tập phổ biến đảm bảo tính riêng tư cho mô hình dữ liệu phân mảnh dọc trên 3 thành viên. Phương pháp đề xuất có hiệu quả tương đương và an toàn hơn các phương pháp hiện có, mỗi thành viên tham gia giao thức có thể chống lại sự thông đồng của 2 thành viên còn lại và không làm lộ thông tin trong quá trình thực thi giao thức.
Abstract— Privacy-preserving data mining is increasingly receiving the attention of the research community, especially privacy-preserving frequent set mining, which is a topic that has been discussed a lot in recent times. In this paper, we propose a novel technique for privacy-preserving freuquent itemset mining in three party vertically distributed data. We show that the proposed technique is as efficient as the best existing protocols for performing the same task, and more secure than the most secured protocols with against collusion, 3 members joined the protocol the 2 members colluded not to reveal data of the other member.
Extrapolated nonstandard numerical schemes for solving an epidemiological model for computer viruses
Authors: Tuan Hoang Manh , Thu Pham Hoai
Published: April 2023

Abstract— The aim of this work is to construct high-order numerical schemes that preserve the dynamical properties of a mathematical model describing the spread of computer viruses on the Internet. For this purpose, we first apply Mickens’ methodology to formulate a dynamically consistent nonstandard finite difference (NSFD) scheme for the model under consid­eration. After that, the constructed NSFD scheme is combined with Richardson’s extrapolation method to generate higher-accuracy numerical approximations. The result is that we obtain extrapolated numerical schemes that not only preserve the dynamical proper­ties of the computer virus propagation model but also provide higher-accuracy numerical approximations. In addition, a set of numerical examples is conducted to illustrate and support the theoretical findings and to show the advantages of the proposed numerical schemes.
Initial point for enhancing DC Programming and DCA in Physical Layer Security
Authors: Tuấn Nguyễn Như
Published: April 2023

Abstract— Physical layer security (PLS) is to enable confidential data transmission through wireless communication systems in the presence of illegitimate receivers, without basing on higher-layer encryption. The goal of PLS is to make use of the properties of the physical to enable critical aspects of secure communication. PLS's additional strength is that it is based on information-theoretic security, which assumes no limit on the opponent's computational power and is thus inherently quantum-resistant. In general, PLS problems are non-convex programming and thus hard to deal with.  One approach to handling these problems is based on DC programming and DCA, in which  finding a good initial point of DCA scheme is still a complicated, challenging and open problem. This paper proposal some good initial points for the PLS problem DCA-DF scheme on Decode-and-Forward relaying wireless networks.
Sugar-sweetened beverages tax and obesity: Simulation of economic impacts from input-output analysis for Brazil
Authors: Cardoso Larissa , Balbinotto Neto Giácomo , Souza Santiago Flaviane , Barreiro de Souza Kênia , Morais de Souza Rafael
Published: April 2023

Given the growing interest in taxing sugar-sweetened beverages, we estimated the effects of tax increase of sugary drinks for the Brazilian economy, focusing on the impact on household consumption, production, employment and tax revenues of the government. In order to identify these effects, we considered productive relations of SSB sector by calculating the forward and backward indices and employment multipliers based on the input-output matrix of Brazil. Additionally, we used the Leontief price model incorporating the disaggregation of household consumption vector by income decile in order to identify this effect in a distributional perspective. The results show a tax increase applied to the soft drinks industry generates a slight negative impact on the economy, but it reaches the expected effect: reduction of household consumption for this product. The distributional analysis shows the tax is clearly progressive over the decision, when measured by the compensatory variation.
Pious Children Profile in The Views of the Parents and The Teachers in Elementary Schools
Authors: Riyadi Arie Rakhmat
Published: April 2023

Understanding the objective conditions of the children's development in schools is the main thing for determining educational goals, content, and strategies. This study aims to provide an overview of the profile of pious children in elementary schools based on the views of the parents and the teachers. This study uses a descriptive method with a quantitative approach. The research subjects were 355 parents, 83 teachers, and 355 students. The object of this research is the character of pious children which consists of five aspects, starting from Jismiyah, Fikriyah, Qolbiyah, Amaliyah, and Maslakiyah. The constructs and instruments used to reveal the data were developed by Riyadi, which has comprehensively involved 20 Panellists and has been empirically tested to have adequate Goodness of Fit (GoF), including standardized instruments that meet high validity and reliability. The results of this study illustrate that the profile of pious children in elementary schools based on the views of parents and teachers is not significantly different, including based on gender and class level (lower and higher class). Several indicators show different results in the view of parents and teachers, especially in the Jismiyah aspect in the body hygiene indicator, then in the Fikriyah aspect, which both agreed to be in the above-average category. This research is directed to become the basis for developing prophetic pedagogy to optimize its goal and significantly develop the character of pious children in elementary schools.
Cash Waqf in Normative and Economic Linkages
Authors: Maula Ismatul
Published: April 2023

Socio-economic problems in society demand something new in achieving a more prosperous standard of living. Cash waqf has a big role in solving the problems of contemporary society. However, normatively, cash waqf is still being debated among fiqh experts, especially the Syafiiyyah school of thought, which tends to see waqf as the spirit of the immortality of objects, not benefits. This is certainly a problem for people affiliated with this school. However, positive law provides fresh air for the validity of cash waqf through Law Number 41 of 2004 concerning Waqf and Government Regulation Number 42 of 2006 concerning Implementation of Law No. 41 of 2004 concerning Waqf. In addition, the economic value of cash waqf has required the implementation of this cash waqf in order to spur economic activities of the people with religious and socio-economic dimensions for the realization of people's welfare.
INFLUENCE OF SENSE EXPERIENCE AND FEEL EXPERIENCE ON TOURISTS' INTENTION TO REVISIT
Authors: Herdianti Dini , Novari Eri , Burhan Leni , Rahmawati Layli , Sutanto Herry
Published: April 2023

This research is motivated by the existence of market openness which results in the number of products in the form of goods and services increasing and causing too many people to compete in the market. One of them is Waterboom Tirta Sumber Jaya Cipangalun, a company engaged in the tourism sector that competes with an emphasis on the loyalty of its visitors so that they have an interest in visiting again by paying attention to important factors in the marketing field such as sense experience and feel experience. The purpose of this study was to determine the effect of sense experience and feel experience on the interest of returning tourists at Waterboom Tirta Sumber Jaya Cipangalun Ciamis partially and simultaneously. The research method used is a descriptive verification method with a quantitative approach. This type of data includes all variables that are closely related to the influence of sense experience and feel experience on the interest of returning tourists. Data collection techniques were obtained from questionnaires and literature studies. The sample used in this study amounted to 100 respondents of tourists from Waterboom Tirta Sumber Jaya Cipangalun Ciamis using a non-probability sampling method. The results of the analysis using multiple linear regression where these results indicate that sense experience and feel experience have a positive and significant effect on the interest of returning tourists. The results of the partial analysis using the t-test showed that for the sense experience variable, tcount > ttable (7.578 > 1.984) with a significance value of 0.000 <0.05. For the feel experience variable, tcount > ttable (4.978 > 1.984) with a significance value of 0.000 <0.05. The results of simultaneous hypothesis testing using the F test showed that the value of Fcount > Ftable (170,204 > 3.09) with a significance value of 0.000 < 0.05. From the calculation of the coefficient of determination (R2), the result is 0.778 or 77.8%. While the remaining 22.2% is influenced by other variables not examined in this study.
Aristotle and Natural Justice
Authors: Lautner Péter
Published: April 2023

In Nicomachean Ethics V Aristotle outlines a framework with three elements, political, natural and conventional/legal justice. The paper aims to offer a more detailed picture of their relation and argues that natural and conventional justice are linked together. By distinguishing two phases of conventional justice, those before and after enactment, the first phase expresses a general rule that can be enacted in different ways. Such a general rule may also correspond to natural justice. The paper is about to show also that, on Aristotle’s view, natural justice does not imply strict regularity since nature itself allows for variations and natural laws apply only for the most part, which gives room for equity.
Legis Actio in Rem and Adolf Reinach’s Theory on Social Acts
Authors: El Beheiri Nadja
Published: April 2023

In an essay published in 2002, Ulrich Manthe analysed the ancient legis actio sacrament in rem in the light of the speech act theory shaped, above all, by John L. Austin (1911–1960). Almost half a century before, Austin Adolf Reinach, an outstanding member of the phenomenological school founded by Edmund Husserl, developed a theory of illocutionary acts from the perspective of realistic legal philosophy. One of the essential elements of the model developed by Reinach is the theory of social acts. In the fi rst step, the paper focuses on the opening part of the legis actio sacramento in rem. It shows that concerning the activity of the parties during the initial ritual of the law enforcement process, we discover the development from the acts of conviction and assertion, which still do not arrive at the state of social acts, to the social act of informing the other party about the claim. The paper also tries to approach the activity of the praetor and the judge through the theory of social acts. The “mittite ambo rem” on behalf of the praetor is qualifi ed technically as the social act of a command. Without arriving at a fi nal result, the paper makes a first attempt to apply the categories of commandment and enactment to the activities of the praetor and the judge. It leaves this item open to further research underlying at the same time that the application of the social acts might contribute to understanding the relationship between the two actors in ancient law.
Analisis Profit Margin dan Return on Aset Untuk Menilai Kinerja Keuangan Pada PT Asuransi Multi Artha Guna Tbk
Authors: Sunaryo Agus , Ohorella Muhamad
Published: April 2023

Analisis Profit margin dan Return on Aset Untuk Menilai Kinerja Keuangan Pada PT Asuransi Multi Artha Guna Tbk. Hasil peneltian menujukkan bahwa 1) Secara umum kinerja keuangan PT Asuransi Multi Artha Guna Tbk (Persero) Tbk berdasarkan rasio Profit margin dan Return On Asset dapat menghasilkan laba tetapi hasil dari angka rasio Profit margin dan Return On Asset dapat dikatakan belum efisien, karena hasil dari angka rasio Profit margin mengelami penurunan sedangkan Return On Asset mengalami peningkatan 2) Perkembangan Rasio Kemampulabaan PT Asuransi Multi Artha Guna Tbk (Persero) Tbk belum efisien meskipun mampu menghasilkan laba ditiap tahunnnya hal ini dikarenakan perkembangan di setiap rasio Profit margin mengalami penurunan sedangkan Return On Asset mengalami peningkatan namun tidak signifikan penurunan dari hasil perkembangan rasio di tiap tahunnya dapat terjadi karena asset kurang dikelola secara efisien dan juga adanya peningkatan biaya – biaya ditiap tahunnya sehingga menyebabkan laba bersih rendah dan kinerja keuangan perusahaan kurang begitu baik.
ANALISIS TINGKAT LIKUIDITAS DAN PROFITABILITAS TERHADAP KINERJA KEUANGAN PADA PT. POS INDONESIA (PERSERO) KANTOR POS CABANG WAENA KOTA JAYAPURA
Authors: Heluka Elius
Published: April 2023

Tujuan dari penelitian ini untuk 1) Menganalisis Tingkat Likuiditas dan Profitabilitas terhadap kinerja keuangan; Sebab PT. Pos Indonesia yang merupakan bagian dari industry, selain industry PT.Pos Indonesia juga sebagai Perusahaan Internasional maka harus menunjukan kinerja yang optimal dalam rangka mendukung sepenuhnya pembiayaan pembanggunan daerah selain itu dengan dengan adanya; 2) Menganalisis laporan keuangan dapat diketahui prestasi keuangan perusahaan dari tahun ke tahun dan hasil analisis tersebut dapat digunakan untuk menilai kinerja keuangan perusahaan. Data penelitian ini diperoleh dari laporan keuangan perusahaan. Penelitian ini dilakukan menggunakan Metode Analisis Rasio Likuiditas dan Profitabilitas pada perusahaan PT.POS Indonesia (Persero) Kantor Pembantu Cabang Waena, Kota Jayapura sebagai objek penelitian. Berdasarkan hasil analisis diperoleh kesimpulan bahwa PT. POS) Kantor Pembantu Cabang Waena, Kota Jayapura memiliki kinerja keuangan yang lebih baik pada tahun 2016 dibandingkan tahun sebelumnya. Meski mengalami penurunan ditinjau dari Rasio Lancar, Rasio Kas dan Return of Asset, Operating Profit Margin pada tahun 2014-2016, maka perusahaan perlu menekan biaya usaha dan pengelolaan modal secara efisien.
IDENTIFIKASI FAKTOR-FAKTOR YANG MEMPENGARUHI PENERBITAN SURAT PERINTAH PENCAIRAN DANA PADA KANTOR BADAN PENGELOLA KEUANGAN DAN ASSET DAERAH PROVINSI PAPUA
Authors: Moses Melmambessy , Ariadi Wa
Published: April 2023

Sistem SIMDA (Sistem Informasi Keuangan Daerah) dapat menghindari penyimpangan, penyelewengan, karena dengan sistem yang telah terprogram menyebabkan data yang di input harus berdasarkan data yang seharusnya dan tidak semau masukan data dapat dilakukan sebab ada penolakan dari sistem didalam program. Proses terbitnya SP2D lebih cepat sesuai ketentuan 1 – 2 hari bahkan dapat diselesaikan 1 hari bahkan hanya beberapa jam antara 1 – 3 jam sudah bisa sampai ketangan yang berwewenang (bendaharawan atau rekanan). Hasil analisis menunjukkan (multiple R) yang diperoleh sebesar 0,182 atau 18,20%, dan F ratio sebesar 0,118 yang artinya bahwa Faktor-faktor pada Prosedur (X1), Pegawai (X2), dan Sistem Jaringan (X3), secara simultan berpengaruh terhadap keterlambatan Penerbitan SP2D. (Y) di lingkungan Pemerintah Daerah Provinsi Papua khususnya Badan Pengelola Keuangan dan Assets Daerah. Selanjutnya koefisien determinasi (R2) yang diperoleh sebesar 0,33 atau 33 % menunjukkan bahwa variabel dependen (Y); dijelaskan oleh variabel independen faktor-faktor yang mempengaruhi penerbitan Surat Perintah Pencairan Dana pada tahap Prosedur (X1), Pegawai (X2), Sistem Jaringan (X3), sebesar 33,00 % sedangkan yang tidak dijelaskan sebesar 67,00 % (1 – 33,00%). Penyesuaian terhadap koefisien determinasi (adjusted R Square) yang diperoleh sebesar 0,94 atau 94,00 %, menunjukkan bahwa pengaruh variabel-variabel independen erhadap variabel dependen yang belum dimasukkan dalam model penelitian setelah disesuaikan menjadi 0,06%.
ÜRETİM PLANLAMADA BULANIK DOĞRUSAL PROGRAMLAMA YÖNTEMİ: METAL SEKTÖRÜNDE BİR UYGULAMA
Authors: ÖZÜLKÜ Dilara , KAÇTIOĞLU Sibkat
Published: April 2023

Günümüzde hızla artan rekabet ortamı işletmelerin sahip olduğu kaynakları daha verimli kullanması ihtiyacını ortaya çıkarmıştır. İşletmelerin sahip oldukları kaynakları maksimum kâr sağlayacak bir şekilde müşterinin talep ve istekleri doğrultusunda doğru zamanda ve doğru miktarda sağlayabilmeleri hayati önem taşımaktadır. Bu sebeple rekabet ortamında başarılı olmak ve kâr sağlamak amacıyla işletmeler üretim planlama alanına odaklanmışlardır. İşletmeler bu sayede üretim planlama ile olası talep artışlarına önceden çözüm bularak minimum maliyet ve maksimum kâr ile rakip işletmeler içerisinde en önde yer almaktadır. Üretim planlama konusu fazla kısıt ve kaynak bulundurması nedeni ile işletmelerin karar vermesi gereken önemli bir problemdir. Üretim planlama problemlerinde detaylı çözüme ulaşmak için en etkili ve hızlı yöntem yöneylem araştırmasının bir uygulaması olan doğrusal programlamadır. Doğrusal programlama ile işletmeler üretim planlama alanında karşılaştığı problemlere hızlı çözüm bularak karmaşık bir sistem de bile uygun optimal değere ulaşmaktadır. Bu çalışmada metal sektöründe faaliyet gösteren bir firmada üretim planlama problemi incelenmiş olup çalışmayı en iyi ifade eden model olan yöneylem araştırmasının bir yöntemi olan doğrusal programlama ile çözülmüştür. Model gerçek hayat problemlerinde verilerin kesin olmaması nedeniyle bulanık doğrusal programlamanın Verdegay yaklaşımı ile de çözülmüştür. Son olarak, Lingo bilgisayar programı yardımıyla çözüm sonucu bulunarak duyarlılık analizi yapılmıştır.
Colgajo adipofascial de flujo reverso del dorso del antebrazo para reconstrucción de la mano y muñeca: nuestra experiencia clínica
Authors: Gánem María A. , Molina Gerson , Alezard Carlos , Simancas Victor
Published: April 2023

Los defectos cutáneos de la mano pueden ser difíciles de resolver. La cobertura cutánea es esencial para proveer una protección adecuada y permitir el funcionamiento correcto de las estructuras subyacentes. El objetivo de este estudio es reportar nuestra experiencia con el uso del colgajo adipofascial de flujo reverso del dorso del antebrazo para cobertura del dorso de la mano, dedos y muñeca en pacientes tratados en la ciudad de San Cristóbal, Estado Táchira, desde mayo de 2015 hasta enero de 2018. Se realizó un estudio longitudinal, descriptivo y prospectivo en pacientes con pérdidas cutáneas extensas de la mano, que fueron cubiertas con el colgajo adipofascial reverso del dorso del antebrazo. Se incluyeron 10 pacientes. 90% de sexo masculino. La edad promedio fue 41±12,32(13-69). La etiología de los defectos fue: 40% traumatismos de alta energía, 30% mano diabética tropical, 10% secuela de quemadura de segundo grado, 10% herida por arma de fuego artesanal, 10% carcinoma primario de piel. 100% de los colgajos sobrevivieron, logrando buena cobertura y cicatrización sin necesidad de otros procedimientos quirúrgicos y con mínimas complicaciones de la zona dadora. La función de la mano y muñeca se recuperó en todos los pacientes. En conclusión, el colgajo adipofascial de flujo reverso del antebrazo es un procedimiento útil, versátil y sencillo para la reconstrucción del dorso de la mano, dedos y cara volar de muñeca en pacientes de distintas edades.
Técnica de WALANT en cirugías ambulatorias de mano en pacientes post COVID-19
Authors: Yedra Luvi , Prado Néstor , Carruyo Julio
Published: April 2023

El objetivo de esta investigación es evaluar la utilidad de la Técnica de WALANT en cirugías ambulatorias de mano en pacientes post Covid-19 en el Hospital General del Sur “Dr. Pedro Iturbe”, Maracaibo, Estado Zulia, durante el periodo de julio del 2020 a octubre del 2021. Se realizó un estudio pre-experimental, longitudinal y prospectivo. El muestreo fue probabilístico al azar simple. Se aplicó un análisis estadístico de tipo descriptivo. Se incluyeron 50 pacientes con edad promedio de 37,02+/- 14,1(18-64) años, 52% de sexo femenino y 48% masculino. De ocupación 46% comerciante y obrero. Ama de casa y oficinista 44%, otros 10%. Con diagnóstico de dedo en gatillo 20%, síndrome del túnel carpiano 24%. Con la técnica se realizaron procedimientos quirúrgicos tipo neuroadhesiolisis del nervio mediano 24%, exéresis 22%. Tiempo quirúrgico de 5 a 10 minutos de duración en 56,9% de los casos. Se encontró punta de EVA: preoperatorio 56% de 7-10 ptos, Intraoperatorio 64% 0 ptos y postoperatorio 66% 0 ptos. Analgesia de rescate 92%. 88% sin complicaciones. La estancia Hospitalaria en 92% de los casos fue 1 hora. Reintegro a sus actividades 90%. Tiempo de reintegro en 46% de los casos de 1-5 días. 86% de los pacientes se sintieron satisfechos. En conclusión, la Técnica de WALANT en pacientes post Covid-19 es de gran utilidad para la realización de cirugías ambulatorias de bajo riesgo de mano, presentó pocas complicaciones, el tiempo quirúrgico fue corto, el reintegro a sus actividades fue rápido y la satisfacción del paciente fue buena.
Transferencia del tendón tibial posterior para lesión del nervio peroneo común: Reporte de caso y revisión de la literatura
Authors: Aguilera Rashel , Lafée Caricia
Published: April 2023

El nervio peroneo común, se lesiona con frecuencia en luxaciones de rodillas, ocasionando una marcha en Steppage. La electromiografía y estudios de conducción nerviosa son de importancia para el diagnóstico, y una vez que se han utilizado todas las medidas no quirúrgicas, se procede a realizar la transferencia del tendón tibial posterior, para eliminar la dependencia de órtesis para caminar, y mejorar la cinemática de la marcha. La indicación de la transferencia del tendón del tibial posterior se lleva a cabo, debido a un déficit de los músculos del compartimiento anterior y lateral de la pierna, siendo muchas las variaciones en las técnicas quirúrgicas. El objetivo de este estudio es reportar el caso clínico de un paciente con lesión del nervio peroneo común con resolución quirúrgica con técnica transmembranosa con fijación tendón-tendón. Presentamos imágenes preoperatorias, intraoperatorias y postoperatorias del manejo de esta lesión, obteniendo resultados satisfactorios clínicos y funcionales. Es indispensable la rehabilitación en el preoperatorio, para obtener el éxito de la cirugía con fortalecimiento del tibial posterior y aumentar rango articular de dorsiflexión pasiva del tobillo. El seguimiento postoperatorio y la rehabilitación son cruciales para el manejo de estos pacientes.
Reconstrucción de un defecto masivo en tibia secundario a osteomielitis severa en un paciente pediátrico. Reporte de caso
Authors: Brito Manuel , Castillo Jean , Sepúlveda Ingrid , Simancas Victor , Angelucci Pierina
Published: April 2023

La osteomielitis aguda post traumática en niños es un problema complejo y un verdadero reto por su difícil diagnóstico temprano, elevada morbilidad y riesgo de secuelas a mediano y largo plazo que pueden comprometer la función de la extremidad afectada. Para tener éxito en la erradicación de la Osteomielitis es importantísimo realizar el desbridamiento suficiente y extenso del tejido óseo afectado de lo contrario, existe un enorme riesgo de enfermedad subclínica o recidiva. Por otro lado, los desbridamientos amplios, pueden resultar en defectos óseos masivos que requieren tratamientos reconstructivos muy complejos. Paciente femenino de 7 años con una Osteomielitis diafisiaria severa de la tibia quien posterior a múltiples limpiezas y desbridamientos resultó en un defecto óseo masivo que fue reconstruido con un transporte óseo circular tipo Ilizarov. Los resultados alcanzados fueron excelentes desde el punto de vista funcional y radiológico. Sea cual sea el tratamiento escogido, es importante tener las metas claras al momento de iniciar el tratamiento con estos pacientes, reconocer que el desbridamiento amplio y suficiente es fundamental para lograr la erradicación de la infección y evitar recidivas o enfermedad sub-clínica, que el tratamiento médico coadyuvante con antibióticos debe estar dirigido a los gérmenes más frecuentes de acuerdo a la edad y resultado de los cultivos, que el tratamiento reconstructivo a escoger debe adaptarse al paciente y su personalidad y la de sus representantes y que debe utilizarse una escala o criterios adecuados para evaluar los resultados.
Konjungtivitis pada COVID-19
Authors: Stefanie Airina , Haryady Stefanny , Suci Amelia Yufilia
Published: April 2023

Corona Virus Disease 19 (COVID-19) pertama ditemukan di Wuhan, Cina, pada Desember 2019 dan telah menjadi ancaman kesehatan global. COVID-19 disebabkan oleh Severe Acute Respiratory Corona Virus 2 (SARS-CoV-2), ditransmisikan melalui droplet pernapasan atau kontak erat. Penelitian terbaru menyatakan bahwa konjungtiva dapat menjadi port d’entree SARS-CoV-2, dan menyebabkan gejala konjungtivitis. Jalur transmisi SARS-CoV 2 ke okuler diduga melalui inokulasi langsung dan melalui reseptor ACE2 yang diekspresikan di konjungtiva. Karakteristik konjungtivitis COVID-19 adalah sekret mukoid ataupun aqueous berlebih, sensasi tidak nyaman pada okuler seperti gatal, benda asing, atau rasa terbakar, serta hiperemis konjungtiva. Pada pemeriksaan RT PCR swab okuler ataupun nasofaring dapat positif pada 3 hingga 21 hari setelah onset gejala. Studi ini merupakan literature review. Artikel diambil dari database Google scholar, Pubmed, Lange, Elsevier, dengan kata kunci “ocular manifestation in COVID-19”, “characteristics of conjunctivitis in COVID-19”, “mechanism of COVID-19 in conjunctiva”. Artikel yang dipilih adalah jurnal yang dipublikasi sejak tanggal 1 Desember 2019 sampai 30 Oktober 2020.

Corona Virus Disease 19 (COVID-19) was first discovered in Wuhan, China, in 2019 and has been declared as global health emergency. COVID-19 is caused by Severe Acute Respiratory Corona Virus 2 (SARS-CoV 2) transmitted through droplet and physical contact. Studies stated that conjunctiva is a potential port of entry of SARS-CoV2, which then leads to conjunctivitis. This literature review is based on analytic study on conjunctivitis in COVID-19. The transmission route is thought from direct inoculation and expression of ACE2 receptors from conjunctiva. Most common characteristics of conjunctivitis in COVID-19 are increased conjunctival secretions both mucoid and aqueous, and ocular discomfort such as itching, foreign bodies sensations, burning, and conjunctival hyperemia. RT PCR from both ocular and nasopharyngeal swabs were detectable from days 3 to 21 after the onset of symptoms. This study is a review on published articles from December 1st 2019 to October 30th 2020, in Google Scholar, PubMed, Lange, and Elsevier; selected with keywords “ocular manifestation in COVID-19”, “characteristics of conjunctivitis in COVID-19”, “mechanism of COVID-19 in conjunctiva”.
Association between Bubble Tea Consumption and Prevalence of Acne Vulgaris
Authors: Subagio Devina , Budiastuti Asih , Aryoko Widodo Yulian Ludovicus , Riyanto Puguh
Published: April 2023

Introduction: Acne vulgaris (AV) is one of the most common skin disorders among youth. A cross-sectional study was conducted to analyze the association between bubble tea consumption and the prevalence of acne vulgaris among medical students. Method: Subjects were obtained from consecutive sampling. There were 91 eligible subjects meeting inclusion criteria. Data was collected using questionnaires. Examinations were through the observation of photographs of lesions. Chi-square analysis was conducted at a 95% confidence interval (p<0.05). Results: Data were collected from 91 medical students with a mean age of 19.62+0.98-year-old. The prevalence of acne was 58.2%, mainly at the age of 20 (37.7%). There is a significant association between consumption of bubble tea and the prevalence of AV (p<0.001). Conclusion: Bubble tea consumption is associated with the prevalence of acne vulgaris.

Pendahuluan: Akne vulgaris merupakan salah satu penyakit kulit yang umum dialami pada dewasa muda. Metode: Penelitian observasional cross-sectional untuk mengetahui asosiasi konsumsi bubble tea dengan kejadian akne vulgaris. Sampel diambil dengan metode consecutive sampling menghasilkan 91 mahasiswa yang memenuhi kriteria inklusi dan eksklusi. Pengambilan data primer dengan kuesioner. Pemeriksaan fisik observasi kulit responden dengan foto. Analisis data menggunakan uji Chi-Square dengan tingkat kemaknaan p<0,05. Hasil: Angka kejadian akne vulgaris adalah 58,2%, dengan rata-rata usia 19,62+0,98; usia terbanyak penderita adalah 20 tahun (37,7%). Terdapat asosiasi bermakna antara konsumsi bubble tea dan kejadian akne vulgaris (p<0,001). Simpulan: Penelitian ini menunjukkan hubungan bermakna antara konsumsi bubble tea dan kejadian akne vulgaris.
Pendekatan Klinis Pasien Transthyretin Cardiac Amyloidosis (ATTR-CA)
Authors: Purba Nur Adiba
Published: April 2023

Transthyretin Cardiac Amyloidosis (ATTR-CA) adalah penumpukan fragmen protein transthyretin di jaringan interstisial miokardium akibat salah lipat protein, menyebabkan kardiomiopati restriktif dan infiltratif karena penebalan dan kekakuan dinding jantung. Transthyretin sebagian besar diproduksi di hati, berbentuk tetramer dan berfungsi sebagai protein pembawa tiroksin (T4) serta holoretinol binding protein (HRP). Saat ini, pemeriksaan diagnostik metode non-invasif telah dikembangkan meskipun biopsi endomiokardium masih menjadi gold standard diagnosis. Diagnosis akurat sedini mungkin sangat berpengaruh terhadap keberhasilan serta penurunan angka morbiditas dan mortalitas.

Transthyretin Cardiac Amyloidosis (ATTR-CA) is the accumulation of transthyretin protein fragment in myocardium interstitial tissue induced by misfolded protein, lead to thickening and stiffness cardiac muscles, causing restrictive and infiltrative cardiomyopathy. Transthyretin is produced mainly in the liver as tetramer and bonded both with thyroxine (T4) and holoretinol binding protein (HRP) as carrier protein. Diagnostic test with non-invasive methods have been developed recently although endomyocardial biopsy is still the gold standard. Early targeted diagnosis has huge impact for therapy management and decreasing patient’s morbidity and mortality.
Tinjauan atas Retinopati Valsalva
Authors: Priyantono Rabiul , Meylani Nassa Rachmatika
Published: April 2023

Retinopati Valsalva adalah penyakit dengan gambaran perdarahan lapisan subhyaloid atau sub-Internal Limiting Membrane (ILM) retina yang disebabkan oleh aktivitas mirip manuver Valsalva seperti batuk, mengejan, muntah, atau latihan fisik yang kuat. Keluhan berupa penurunan tajam penglihatan mendadak mulai dari ringan sampai berat, bahkan hilangnya tajam penglihatan. Penyakit ini belum diketahui epidemiologinya. Perdarahan bisa mengalami resolusi dalam beberapa minggu atau beberapa bulan. Tindakan laser atau pembedahan dibutuhkan jika perdarahan cukup banyak atau tidak terjadi resolusi.

Valsalva retinopathy is hemorrhage in subhyaloid or sub-Internal Limiting Membrane (ILM) layer in retina, caused by Valsalva maneuver-like activity such as cough, straining, vomiting, or vigorous physical activity. The symptom is mild to severe sudden painless decreased visual acuity, even loss of vision. The epidemiology of this disease is unknown. Hemorrhage in retinal layer can be resolved in weeks to months. Laser treatment or surgical treatment can be considered if in massive hemorrhage, or no resolution after observation.
Efek Samping Steroid Sistemik pada Terapi Pemvigus Vulgaris
Authors: Aviana Felicia , Birawan I Made
Published: April 2023

Pemfigus vulgaris (PV) adalah penyakit autoimun vesikobulosa pada kulit dan membran mukosa yang secara histologi ditandai bula intraepidermal yang disebabkan oleh akantolisis. Steroid sistemik merupakan terapi utama PV. Artikel ini membahas efek samping terapi steroid parenteral pada pemfigus vulgaris.

Pemphigus Vulgaris (PV) is an autoimmune blistering disease of skin and mucous membranes, histologically defined by intraepidermal blister due to acantholysis. Systemic steroid is the first-line treatment in PV. This article briefly discussedthe adverse effect of parenteral steroid in the treatment of pemphigus vulgaris.
Iktiosis Harlequin: Tatalaksana dan Prognosis
Authors: Gunawan Harry , Rakhmawati Flora Anisah
Published: April 2023

Iktiosis Harlequin (IH) merupakan kelompok iktiosis kongenital autosomal resesif yang sangat jarang terjadi, dengan prevalensi 1 kasus setiap 300.000 orang. IH memiliki manifestasi klinis tipikal, dilahirkan dengan hiperkeratosis masif yang disebabkan pewarisan gen autosomal resesif mutasi gen adenosine triphosphate (ATP) - binding cassette sub-family A member 12 (ABCA12) yang terlibat dalam sekresi granula lamelar, serta transport seramid dan lipid epidermal. Kemungkinan hidup pasien IH meningkat seiring perbaikan fasilitas perawatan neonatus dan terapi retinoid. Prinsip utama perawatan pasien IH adalah mengupayakan deskuamasi, terapi suportif, dan penanganan kecacatan fisik yang mengancam vitalitas organ. Konseling genetik dan pemeriksaan diagnostik prenatal perlu untuk deteksi dini pada keluarga yang memiliki riwayat IH.

Harlequin Ichthyosis (HI) is a rare autosomal recessive congenital ichthysosis that occurs in about 1 in 300.000 people. HI is characterized by typical skin manifestation with massive hyperkeratosis due to adenosine triphosphate (ATP) - binding cassette sub-family A member 12 (ABCA12) gene mutation inheritance. The ABCA12 gene is involved in lamellar granule secretion, ceramide, and epidermal lipid transport. Survival rate of HI patient increased along with improvement of neonatal care facilities and administration of systemic retinoid. The main principles of care are desquamation, supportive therapy, and treatment for physical disabilities which threatens organ vitality. Genetic counseling and prenatal diagnosis could benefit family with HI history.
Hernia Ventralis
Authors: Shannen Felicia Adelina , Surya Wijaya I Made Adi , Prasista Ida Bagus Yudha
Published: April 2023

Hernia ventralis merupakan penonjolan isi rongga abdomen pada dinding abdomen. Seorang wanita, 54 tahun, datang dengan keluhan utama benjolan perut sejak kecil. Pada pemeriksaan didapatkan massa bulat diameter 10 cm di abdomen regio epigastrika, membesar pada posisi berdiri dan duduk serta mengecil saat berbaring. Pada pasien dilakukan operasi primary open repair pada defek hernia ventralis.

 

Ventral hernia is a protrusion of abdominal cavity contents in the abdominal wall. A 54 year-old female presented with a lump in the stomach since childhood. On examination, a round mass measuring 10 cm in diameter was found in the abdominal epigastric region, enlarged in standing and sitting positions and reduced when lying down. Primary open repair was performed on the ventral hernia defect.
Sudden Onset of Strabismus in Adults-Is It a Life-Threatening Sign?
Authors: Dewi Amita Angela Shinta , Faustine Giovani
Published: April 2023

The overall incidence of strabismus is higher in adults; approximately 1% of children have strabismus, while the estimation among adults is 4% but may run as high as 5.6%. The four types of new-onset strabismus in adults most often found were paralytic, convergence insufficiency, small-angle hypertropia, and divergence insufficiency. The stroke should be suspected in the sudden onset of paralytic strabismus. The most prevalent type of manifest strabismus found on stroke survivors was exotropia. Tumors, myasthenia gravis, thyroid eye disease are common causes of gradual-onset strabismus. Thorough examinations and proper referral are needed.

 

Insidens rata-rata strabismus lebih tinggi pada dewasa; sekitar 1% populasi anak mengalami strabismus, sedangkan perkiraan prevalensi strabismus dewasa sebesar 4%, dan dapat mencapai 5,6%. Empat tipe strabismus onset baru pada dewasa yang paling sering adalah paralitik, insufisiensi konvergen, hipertropia sudut kecil, dan insufisiensi divergen. Salah satu penyebab paralitik yang harus diwaspadai adalah stroke. Eksotropia merupakan tipe strabismus yang paling sering pada pasien post-stroke. Tumor, miastenia gravis, penyakit tiroid pada mata merupakan penyebab umum kasus strabismus onset lambat. Pemeriksaan menyeluruh dan sistem rujukan yang baik diperlukan untuk terapi yang memuaskan.
Infeksi TORCH Maternal dan Kongenital
Authors: Supit Brigitta
Published: April 2023

Infeksi perinatal secara kolektif disebut infeksi TORCH untuk toksoplasma, rubella, cytomegalovirus, HSV, dan organisme lainnya seperti HIV,

parvovirus B19, enterovirus, EBV, VZV, virus hepatitis B, virus hepatitis C, campak, adenovirus, virus Zika, dan Treponema pallidum. Infeksi dapat asimptomatis atau menyebabkan gejala minor pada ibu; namun merupakan penyebab mortalitas fetal dan neonatal yang signifikan dan merupakan kontributor penting untuk morbiditas pada anak-anak. Diagnosis infeksi perinatal berpusat pada dua hal, yaitu identifikasi infeksi maternal akut (terutama infeksi primer) dan verifikasi keterlibatan fetus atau neonatus.

 

Perinatal infections are collectively named TORCH infections, for toxoplasma, rubella, cytomegalovirus, HSV, and other organisms such as HIV, parvovirus B19, enteroviruses, EBV, VZV, hepatitis B virus, hepatitis C virus, measles, adenovirus, and Treponema pallidum. Those infections may be silent or cause only minor symptoms in the mother; however, are significant causesof fetal and neonatalmortality and important contributors to childhood morbidity. Diagnosis of perinatal infection centerson two issues, which are identification of acute maternal infection (particularly primary infection) and verification of fetus or newborn involvement.