bluuebunny/crossref_metadata_2025 huggingface dataset:
Dilema Pemberlakuan PP. No. 78 Tahun 2015 Tentang Pengupahan: Disparitas yang Kian Melebar
Authors: Mahesa Rama , Sabar Kurniawan
Published: September 2023

This study aims to examine the implementation of wage system in Indonesia based on Law No. 13/2003 and Government Regulation No. 78/2015 on labor conditions in Jabodetabek. The urgency of this study with regard to wage conditions in Indonesia that are still visible lags tend to widen the gap between workers and employers. Itâ€™s a policy study by collecting secondary data and then analyzed into a conclusion and a recommendation. Descriptive qualitative study method used data collection techniques such as: documentation of literature study, discussion and grouping of research object data. The results of the study indicate that the new formula in determining the minimum wage and annual wage increase in Indonesia has been implemented based on PP no. 78 years 2015 which is based on inflation rate and economic growth. The new formula of minimum wage determination is opposed by the workers on the basis of not accommodating the fulfillment of life-worth needs and narrowing the rights of workers in democracy demanding a decent wage increase. Entrepreneurs view PP Wage has not accommodate the condition of UMKMÂ  in the implementation of minimum wage that requires the structure of wages and wage scale (SUSU). The Regional Representative Council of the Republic of Indonesia (DPD RI), which is preparing the Wage System Bill, needs field data and facts related to the current wage condition. The important recommendations that can be considered by the DPD RI in the preparation of the Wage System Bill is the refinement of the legislative materials related to the evaluation of the components of Decent Living Needs (KHL) once in five years, the establishment of policies on the implementation of SUSU for UMKM and strengthening the supervisory function in the field of manpower especially in the regions
Educação STEM no desenvolvimento das estruturas cognitivas acerca das transformações de energia: Um estudo com alunos do 9.º ano
Authors: Martins Iva , Baptista Mónica , Tomé Inês
Published: September 2023

O conceito de energia, embora sendo um conceito central no ensino das Ciências, é um conceito abstrato, cuja compreensão coloca muitos desafios e dificuldades aos alunos. De igual forma, os fenómenos associados a este conceito, nomeadamente as transformações de energia, revestem-se de particular dificuldade conceptual para grande parte dos alunos. Assim, este estudo teve como objetivo conhecer o efeito de uma atividade STEM (Science, Tecnhology, Engineering, and Mathematics), para o ensino, em contexto formal, do tópico “Transformações de Energia”, nas estruturas cognitivas de 31 alunos do 9.º ano de escolaridade. O estudo seguiu um design de pré-teste e pós-teste, com um grupo único. A recolha de dados foi realizada através de um teste de associação de palavras (WAT), com seis palavras-estímulo, antes e depois da realização da atividade. Os resultados obtidos permitiram a construção de tabelas de frequências e de mapas das estruturas cognitivas dos alunos nos dois momentos. Adicionalmente, e como forma de revelar a natureza das associações de palavras feitas pelos alunos, foi solicitado que estes escrevessem frases com as palavras associadas. A análise dos resultados foi realizada tendo em conta as associações mais frequentemente indicadas pelos alunos (i.e., com base no tipo e nas frequências das palavras-resposta) e a natureza das mesmas (i.e., com base nas frases escritas pelos alunos). Tendo em conta os resultados e a sua análise, é possível concluir que houve uma evolução das estruturas cognitivas dos alunos, o que é indicativo de que o seu envolvimento na atividade STEM promoveu a construção de um conhecimento mais aprofundado sobre os conteúdos em questão.
A Conversa Entre um Filme e Seu Espectador: Alcançando a Liberdade
Authors: Barbosa Pedro
Published: September 2023

Neste artigo, pretende-se refletir sobre a importância do espectador na construção de um processo dialógico com um filme. Para isso, parte-se da aparente necessidade de desconstrução dessa relação que, se inicialmente, pode ser vista como duas esferas interseccionadas, aos poucos tende a fundir-se em apenas uma, a ser rompida. Para a realização dessa análise, foi levada em consideração o ponto de partida da arte ou, em outra medida, a visão do artista, para que tais esferas sejam o reflexo de entendimentos subjetivos, mas claros, e para torná-las, de facto, visuais a partir de tanto. Nesse sentido, encontrou-se em Rancière (2008/2010) uma das perspetivas que considera um novo lugar para o espectador, o de “ativo cocriador”, com o poder de subverter as hierarquias estabelecidas e transformar a relação de poder entre a obra e o público. Simultaneamente, Bazin (1958/2014) pensa que o cinema é uma forma de representação da realidade que permite ao espectador experimentar a sensação de estar presente no mundo retratado na tela. Ora, a questão parece encorpa-se, ainda, ao explicitar-se a importância da sensação, do prazer estético, algo defendido por Sontag (1966/2020). Por tudo isso, parece necessário conceitualizar imageticamente as individualidades e como estas podem ser, minimamente e em caráter subversivo às proposições dos autores citados, direcionadas, para que o espectador se torne, de todo, parte do filme e possa sentir-se importante ao se dar conta de que faz parte do resultado: é quando se rompe a esfera final de dentro para fora, possibilitando uma experiência única de liberdade.
Exploring the impact of initial design techniques on area, timing, and power in technology mapped designs: A case study on 32-bit arithmetic logic unit
Authors: Alshortan Hammad H. , Almalaq Yasser , Khan Muhammad Imran
Published: September 2023

This research paper investigates the influence of different initial design techniques on the area, timing, and power aspects of technology-mapped designs. As a practical case study, we undertake the design and analysis of a 32-bit arithmetic logic unit (ALU) utilizing two distinct adder approaches. The ALU, a fundamental component of all processors, comprises three major units: the Adder responsible for signed and unsigned number addition and subtraction, the Logic unit which handles bitwise logical operations, and the Shifter unit facilitates arithmetic and logical shift operations. The two adder designs are based on the ripple carry method (ALU_RCA) and the Sklansky method (ALU_SKL), respectively. The design and analysis process involved utilizing established toolsets from Cadence, including NCSIM for simulation and verification, RTL Compiler for logic synthesis, static timing analysis and power estimation, and SOC encounter tool for floorplanning and layout. Through this investigation, we aim to shed light on the varying performance implications of different initial design approaches in technology-mapped designs.
Barley and Malt as Base Ingredients for the Production of New Bio-Functional Foods
Authors: Cian Raúl Esteban , Garzón Antonela Guadalupe , Albarracín Micaela , Drago Silvina Rosa
Published: September 2023

This work aimed to evaluate the chemical composition, bioactive compounds (phenolics and γ-aminobutyric acid, GABA), and antioxidant properties of different barley varieties (Overture, Charles, Sinfonía, Montoya, and Andreia) and their malts to weigh up them as potential ingredients for producing new bio-functional foods. For this, five barleys and five malts obtained from them were studied. Regarding chemical composition, total starch was the main component (≈62%) of barleys followed by total dietary fiber (≈22.6%) and proteins (≈9.5%). Potassium and phosphorus were the most abundant elements, with mean values being 3746.1 and 3679.1 g 100g-1d.w., respectively. Regarding the free amino acid profile, the proportion of hydrophobic free amino acids was higher than that of branched-chain amino acids or sulfur-containing amino acids and the mean value of GABA was 8.8 mg 100g-1. Ferulic acid was the most abundant free phenolic acid detected in the different barleys, followed by coumaric acid. All barley extracts showed ABTS and DPPH inhibitory activities and ferric-reducing antioxidant power (FRAP). As expected, total starch, total dietary fiber, and crude fat contents of malts were lower than those found for barley. However, the malting process increased GABA, ferulic acid, hydrophobic free amino acids, branched-chain amino acids, and sulfur amino acid contents. Additionally, the antioxidant properties of malts were higher than those obtained for barleys. Barley flour could be successfully used as a bio-functional ingredient in many foods. Furthermore, given the high content of soluble solids (mainly carbohydrates, antioxidant compounds such as free phenolic acids and free amino acids, and GABA), malted flours would be novel ingredients for preparing beverages with bio-functional properties.
ضمانات المتهم الحدث في مرحلة المحاكمة دراسة ضوء التطبيقات القضائية
Authors: Qadr Ahmed Ranyar , Mohammed Shareef Ahmed Ramadhan , Sharef Saiwan Jalel
Published: September 2023

هذا البحث عبارة عن دراسة تحليلية حول متهم الحدث والضمانات التي لديها والمميزات التي يتمتع بها اثناء التحقيق وسريان المحاكمة وإن غاية أو هدف قوانين الإجراءات الجنائية هي تحقيق العدالة في الدعوى الجزائية، وذلك بحماية حقوق أطراف الدعوى وتوفير الضمانات للمتهم سواء حدثاَ أم بالغاً.
            حيث هناك الكثير من الضمانات التي يجب أتباعها أثناء سريان المحاكمة للمتهم الحدث، لأن هذه الضمانات تعتبر ذي أهمية فائقة وكبيرة، وتضم هذه الضمانات احترام حق الحدث في حماية خصوصياته، كون الحدث لا يتمتع بالنضج العقلي والادراك الكامل الذي يتمتع به الفرد البالغ ليمكنه من تقدير ما يصدر عنه من سلوك مخالف للقانون، لذا فأنه في حاجة دائمة الى رعاية ومعاملة خاصة تشعره بالأمان والطمأنينة عند مثوله أمام القضاء والاستفادة من محاولة إصلاحه وإعادة تأهيله الى المجتمع .
Using Domain Adaptation and Inductive Transfer Learning to Improve Patient Outcome Prediction in the Intensive Care Unit: A Retrospective Observational Study (Preprint)
Authors: Mutnuri Maruthi Kumar , Stelfox Henry Thomas , Forkert Nils Daniel , Lee Joon
Published: September 2023

BACKGROUND

Accurate patient outcome prediction in the intensive care unit (ICU) can lead to more effective and efficient patient care. Deep learning models are capable of learning from data to accurately predict patient outcomes, but they typically require large amounts of data and computational resources. Transfer learning (TL) can help in scenarios when data and computational resources are scarce by leveraging pre-trained models. While TL has been widely used in medical imaging and natural language processing, it has been rare in electronic health record (EHR) analysis. Furthermore, domain adaptation (DA) has been the most commonly used TL method in general, whereas inductive transfer learning (ITL) has been rare. To the best of our knowledge, DA and ITL have never been studied in depth in the context of EHR-based ICU patient outcome prediction.

OBJECTIVE

This study investigated DA as well as rarely researched ITL in EHR-based ICU patient outcome prediction under simulated, varying levels of data scarcity.

METHODS

Two patient cohorts were used in this study: 1) eCritical, a multicenter ICU data from 55,689 unique admission records from 48,672 unique patients admitted to 15 medical-surgical ICUs in Alberta, Canada, between March 2013 and December 2019; and 2) MIMIC-III, a single-center, publicly available ICU dataset from Boston, USA, acquired between 2001 and 2012. We compared DA and ITL models with baseline models (without TL) of fully connected neural networks, logistic regression, and lasso regression in the prediction of 30-day mortality, acute kidney injury (AKI), ICU length of stay (ICU_LOS), and hospital length of stay (H_LOS). Random subsets of training data, ranging from 1% to 75%, as well as the full dataset were used to compare the performances of DA and ITL with the baseline models at various levels of data scarcity.

RESULTS

Overall, the ITL models outperformed the baseline models in 55 out of 56 comparisons. The DA models outperformed the baseline models in 45 out of 56 comparisons. ITL resulted in better performance than DA in terms of the number of times and the margin with which it outperformed the baseline models. In 11 out of 16 cases (8 out of 8 for ITL and 3 out of 8 for DA), TL models outperformed baseline models when trained using the 1% data subset.

CONCLUSIONS

TL-based ICU patient outcome prediction models are useful in data-scarce scenarios. The results of the present study can be used to estimate ICU outcome prediction performance at different levels of data scarcity, with and without TL. The publicly available pre-trained models from this study can serve as building blocks in further research for the development and validation of models in other ICU cohorts and outcomes.
The Artificial Intelligence Clinician learns mechanical ventilation in patients with moderate-severe acute respiratory distress syndrome: A multicenter observational study (Preprint)
Authors: Zhang Peng , Liu Ying , Li Zhen , Hu Anmin
Published: September 2023

BACKGROUND

A lung-protective ventilation strategy may require personalization to improve the outcomes of moderate to severe forms of acute respiratory distress syndrome (ARDS). Personalized medicine is inherently challenging because of heterogeneous lung stress/strain.

OBJECTIVE

We aimed to design three reward frameworks to suggest a dynamic ventilation regimen for ARDS patients.

METHODS

Artificial intelligence (AI) systems based on prognosis, platform pressure, and driving pressure were proposed that use reinforcement learning to optimize ideal body weight-adjusted tidal volume (Vt) and respiratory rate (RR). This study was a retrospective analysis of datasets from the MIMIC and eICU databases.

RESULTS

The study included 16,487 moderate-severe ARDS patients. We demonstrated that the reward of the prognosis-AI, platform-AI, and driving-AI clinician's selected treatment is on average reliably higher than that of human clinicians. Furthermore, mortality was lowest in ARDS patients for whom clinicians' actual doses matched the platform-AI decisions.

CONCLUSIONS

Our model provides individualized and clinically interpretable treatment decisions for moderate-severe ARDS that could improve patient prognosis. The reward framework based on platform pressure and driving pressure might be a feasible candidate for future research on reinforcement learning models of mechanical ventilation.
Machine Learning Approaches for the Image-Based Identification of Surgical Wound Infections: Scoping Review (Preprint)
Authors: Tabja Bortesi Juan Pablo , Ranisau Jonathan , Di Shuang , McGillion Michael , Rosella Laura , Johnson Alistair , Devereaux PJ , Petch Jeremy
Published: September 2023

BACKGROUND

Surgical site infections (SSIs) occur frequently and impact patients and health care systems. Remote surveillance of surgical wounds is currently limited by the need for manual assessment by clinicians. Machine learning (ML)–based methods have recently been used to address various aspects of the postoperative wound healing process and may be used to improve the scalability and cost-effectiveness of remote surgical wound assessment.

OBJECTIVE

The objective of this review was to provide an overview of the ML methods that have been used to identify surgical wound infections from images.

METHODS

We conducted a scoping review of ML approaches for visual detection of SSIs following the JBI (Joanna Briggs Institute) methodology. Reports of participants in any postoperative context focusing on identification of surgical wound infections were included. Studies that did not address SSI identification, surgical wounds, or did not use image or video data were excluded. We searched MEDLINE, Embase, CINAHL, CENTRAL, Web of Science Core Collection, IEEE Xplore, Compendex, and arXiv for relevant studies in November 2022. The records retrieved were double screened for eligibility. A data extraction tool was used to chart the relevant data, which was described narratively and presented using tables. Employment of TRIPOD (Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis) guidelines was evaluated and PROBAST (Prediction Model Risk of Bias Assessment Tool) was used to assess risk of bias (RoB).

RESULTS

In total, 10 of the 715 unique records screened met the eligibility criteria. In these studies, the clinical contexts and surgical procedures were diverse. All papers developed diagnostic models, though none performed external validation. Both traditional ML and deep learning methods were used to identify SSIs from mostly color images, and the volume of images used ranged from under 50 to thousands. Further, 10 TRIPOD items were reported in at least 4 studies, though 15 items were reported in fewer than 4 studies. PROBAST assessment led to 9 studies being identified as having an overall high RoB, with 1 study having overall unclear RoB.

CONCLUSIONS

Research on the image-based identification of surgical wound infections using ML remains novel, and there is a need for standardized reporting. Limitations related to variability in image capture, model building, and data sources should be addressed in the future.
Вплив на артеріальну жорсткість додавання статинів до антигіпертензивної терапії в пацієнтів з резистентною артеріальною гіпертензією
Authors: Sirenko Y.M. , Rekovets O.L. , Torbas O.O. , Kushnir S.M. , Primak G.F.
Published: September 2023

Метою цього дослідження була оцінка артеріальної жорсткості, яка змінилася після додавання статинів до фіксованої комбінованої антигіпертензивної терапії в пацієнтів з резистентною артеріальною гіпертензією. Матеріали та методи. Включено 99 хворих на помірну й тяжку артеріальну гіпертензію без цукрового діабету. Ці пацієнти були розподілені на 2 групи. Першій групі (n = 59) було призначено фіксовану комбінацію антигіпертензивної терапії плюс аторва-статин 20–40 мг/добу. Пацієнти другої групи (n = 40) отримували фіксовану комбінацію антигіпертензивних препаратів без статинів. Серцево-гомілковий судинний індекс (CAVI) визначався до і в кінці періоду спостереження. Проводилися моніторинг офісного артеріального тиску (АТ), добове моніторування артеріального тиску (ДМАТ). Були проведені лабораторні дослідження: загальний аналіз крові, аналіз сечі та біохімічний аналіз крові. Тривалість дослідження становила 6 місяців. Результати. Офісний АТ і показник ДМАТ однаково значно знизилися в обох групах лікування. Рівні загального холестерину (ЗХС) і холестерину ліпопротеїдів низької щільності (ХС ЛПНЩ) значно знизилися в групі аторвастатину на 1,76 ммоль/л (30 %, р < 0,05) і 1,51 ммоль/л (41 %, р < 0,05) відповідно. У групі без терапії аторвастатином не було змін рівня ЗХС і ХС ЛПНЩ. У групі без додавання статинів відзначено достовірне зниження рівня АТ, однак CAVI підвищився до +0,9 од. справа та +1,0 од. зліва. У групі без додавання статинів CAVI після лікування змінився з 7,73 ± 0,17/7,62 ± 0,19 од. до 8,63 ± 0,22/8,62 ± 0,12 од. справа/зліва відповідно (p < 0,05). Це означає, що в групі без додавання статинів через 6 місяців терапії спостерігалося збільшення жорсткості артеріальної стінки за CAVI. У групі з додаванням статину після 6 місяців терапії CAVI не змінився: CAVI справа/зліва становив 8,32 ± 0,16/8,33 ± 0,19 од. на початку і 8,44 ± 0,16/8,24 ± 0,15 од. — після лікування (p > 0,05). Впливу статинотерапії на рівень АТ ми не відзначили. Проте було виявлено кореляційні зв’язки між CAVI та віком, рівнем тригліцеридів до лікування, ХС ЛПНЩ, тривалістю гіпертензії, рівнем глюкози в крові. Висновки. Додавання аторвастатину до фіксованої комбінації антигіпертензивної терапії може запобігти прогресуванню жорсткості артерій у пацієнтів з артеріальною гіпертензією.
Кардіометаболічні порушення при артеріальній гіпертензії та цукровому діабеті 2-го типу в умовах воєнного часу (огляд літератури)
Authors: Miloslavsky D.K. , Koval S.M. , Lytvynova О.М.
Published: September 2023

В огляді вітчизняних та закордонних джерел літератури з наукометричної бази PubMed розглядається питання щодо ролі фактора воєнного часу у виникненні низки кардіометаболічних порушень серед хворих групи дуже високого ризику, а саме хворих на артеріальну гіпертензію на тлі цукрового діабету 2-го типу. Авторами наводяться дані щодо нових маркерів кардіометаболічних порушень при поєднаному перебігу цих захворювань, приділяється увага модифікованим факторам ризику серцево-судинних захворювань та їх корекції. Окремо в історичному аспекті розглядається внесок стресу за часів війни, його крайнього прояву — посттравматичного стресового розладу серед військових та цивільних. Акцентується увага на провокуючій ролі фактора воєнного часу у дитинстві щодо формування низки кардіометаболічних зрушень у дорослому віці, розглядається внесок фактора збройного конфлікту в прогресування цих небезпечних захворювань. Наводяться дані щодо поширеності компонентів метаболічного синдрому серед цієї категорії пацієнтів, характеризуються особливості перебігу та еволюції вищенаведених факторів ризику, в тому числі і аліментарних, серед пацієнтів дуже високого ризику за умов воєнного часу, надається характеристика підходів до підвищення інформованості пацієнтів щодо керування своїми захворюваннями.
Pelaksanaan Inisiasi Menyusu Dini berdasarkan Jenis Persalinan di Indonesia: Analisis SDKI 2017
Authors: Ahmad Fakhrunnisa , Utomo Budi , Ramadhan Noor Aulia
Published: September 2023

Background: Breast milk that comes out for the first time contains highly nutritious colostrum, has antibody, and very suitable food to consume for new born babies. Immediately after the baby was born, the baby is placed on the mother's breast without any hindrance, so the baby can breastfeed in the first hour and get warmth from the mother's body. Some research suggests that breastfeeding immediately after birth can prevent neonatal and infant death.Objective: This research was conducted to see whether the mother's residence, age, number of children, number of antenatal visits, type of childbirth delivery, and the childbirth assistant's affect the implementation of early breastfeeding.Method: This research will use a cross sectional by using the individual data from IDHS year 2017 with a total data sample of 14341.Results and Discussion: After being analysed using complex sample analysis, the analysis result will show the residence place, number of children, antenatal visits, type of childbirth delivery will become the determined factors from early child breastfeeding. It will be seen that the normal type of delivery allows for early breastfeeding initiation to be 3 times greater than labor with cesarean section after being controlled by variables of residence, number of children, and antenatal visits.Conclusion: Maternal age and birth attendants will not influence the occurrence of early initiation of breastfeeding; type of delivery, residence, number of children, and antenatal visits variables are released to early initiation of breastfeeding Keywords: Breastfeeding initiation; type of delivery; SDKI 2017
Hubungan antara Stres dan Pola Menstruasi pada Remaja Perempuan Sekolah Menengah Atas Negeri di Kota Yogyakarta
Authors: Saneba Hardiknas Steven , Pangastuti Nuring , Prawitasari Shinta
Published: September 2023

Latar Belakang: Perubahan pada siklus menstruasi dapat disebabkan oleh kelainan primer maupun sekunder pada organ reproduksi. Stres merupakan salah satu penyebab gangguan sekunder pada sistem reproduksi yang dapat menyebabkan functional hypothalamic amenorrhea (FHA), premature ovarian failure (POF), atau perubahan pada karakteristik siklus menstruasi melalui penekanan pada aksis hipotalamus-pituitari-gonad. Beberapa penelitian mendukung pernyataan ini, namun masih terdapat variasi untuk mengidentifikasi ambang batas dimana tingkat stres dapat mengganggu siklus menstruasi.Tujuan: Mengetahui bagaimana hubungan antara stres dengan gangguan menstruasi pada remaja perempuan Sekolah Menengah Atas (SMA) Negeri di  kota Yogyakarta.Metode: Metode penelitian ini adalah Cross-sectional. Subyek penelitian terdiri dari remaja perempuan kelas X dan XI SMA Negeri di kota Yogyakarta yang berusia 15-18 tahun dan data-data diperoleh melalui pengisian kuesioner online. Gangguan menstruasi ditentukan berdasarkan kriteria The International Federation of Gynecology and Obstetrics (FIGO) abnormal uterine bleeding (AUB) system-1 tahun 2018 yang direvisi. Tingkat stres diukur melalui skor Perceived Stress Scale (PSS) dan variabel luar yang dievaluasi adalah indeks massa tubuh dan aktivitas fisik dengan intensitas sedang. Analisis data menggunakan uji Chi Square dan  analisis regresi logistik.Hasil: Dari total 596 responder yang memenuhi kriteria inklusi, prevalensi tingkat stres tinggi sebesar 70,47% dan gangguan menstruasi sebesar 43,29%. Analisis bivariat menunjukkan tidak terdapat hubungan yang bermakna antara tingkat stres tinggi (p= 0,830; RP 1,022), indeks massa tubuh (p= 0,542; RP 1,094), maupun aktivitas fisik intensitas sedang (p= 0,717; RP 1,045) terhadap gangguan menstruasi. Hasil yang sama ditunjukkan melalui analisis multivariat.Kesimpulan: Tingkat stres tinggi ditemukan pada sebagian besar remaja perempuan di kota Yogyakarta, namun tidak terdapat hubungan antara tingkat stres terhadap gangguan menstruasi.Kata kunci: gangguan menstruasi, stres, remaja perempuan
Uterine Perforation as a Complication After Unsafe Abortion: Serial Case
Authors: Darmayasa I Made , Lazarosony Nicholas Renata
Published: September 2023

The demand for abortion and the incidence of unsafe abortion are still very high. About 45% of all abortions worldwide are unsafe abortions. Unsafe abortion is still a public health problem and one of the causes of maternal morbidity and mortality. In this article, we report 2 cases of uterine perforation after provocation or induced abortion due to unwanted pregnancy. The diagnosis of uterine perforation was established by clinical suspicion and exploratory laparotomy. Many factors affect access to abortion and one of them is the law regarding abortion. Countries with almost no deaths from unsafe abortions are countries that allow abortion on demand without restrictions. Meanwhile, unsafe abortion can be prevented through prevention and controlKeywords: unsafe abortion, uterine perforation.
Evaluation of the Key Performance Indicators of the In Vitro Fertilization (IVF) Program at the Permata Hati Clinic, Dr. Sardjito in 2019-2020
Authors: Prabowo Bayu Rizky , Widad Shofwal , Trirahmanto Addin
Published: September 2023

Background: One of the efforts that can be done to overcome infertility is In Vitro Fertilization (IVF) or the IVF process is a process in which the egg is fertilized by sperm outside the body. Where in the In Vitro Fertilization effort, hormone stimulation is carried out, in principle, is an effort to add a number of hormones from the outside (exogenous hormone) which functions as control of the reproductive process, so that the reproductive cycle can be accelerated or can be carried out outside its natural environment. Given the many risks that arise, a measurement is needed to determine the success rate of the IVF program itself. Research Performance indicator or key performance indicator (KPI) is a type of performance measurement of any process, whether in biomedical or non-biomedical fields, may be subject to inherent deviations from the optimum limit or from the set limit.Objective: Conduct an evaluation with Key Performance Indicators on In Vitro Fertilization (IVF) patients at the Permata Hati Clinic, Dr. Sardjito.Method: This research is a descriptive observation because the researcher only observes without treating the object to be studied. This research was conducted at Dr. RSUP. Sardjito because RSUP Dr. Sardjito owns the Permata Hati infertility clinic, which provides patients with IVF (in vitro fertilization or IVF) procedures. Data collection was carried out especially in the medical record section which was carried out in January 2019 - January 2020.Results and Discussion: The variables of ICSI damage level, normal ICSI fertilization rate, normal IVF success rate, IVF fertilization failure rate, blastocyst cryosurvival rate, and implantation level (cleavage stage) have not been able to meet the key performance indicators. , and the implantation rate (blastocyst stage) met the key performance indicatorsConclusion: Permata Hati Clinic Performance RSUP Dr. Sardjito is still under competency and aspirational performance based on key performance indicators. Keywords: Key Performace Indicator; In Vitro Fertilization; Assisted reproductive technique
Sexual Abuse Disertai Kehamilan Tidak Direncanakan atau Dikehendaki pada Remaja dengan Intellectual Disability: Sebuah Laporan Kasus
Authors: Darmayasa I Made , Daniaty Tri Oktin Windha , Wahyuni AA Sri
Published: September 2023

AbstractBackground: Intellectual Disability in adolescents is prone to physical, mental, and sexual violence. Intellectual and adaptive disabilities make adolescents with intellectual disabilities unable to avoid environmental behavior including sexual abuse. Methods: A case report of a 12-year-old teenager with an Intellectual Disability who became pregnant as a result of sexual abuse by an unknown person. On the way, she had an abortion. Results: On examination, it was found that a 12-year-old teenager with mild mental retardation, without education, came from an incomplete family with very poor socioeconomic status. The diagnosis was confirmed by a multiaxial approach and concluded that adolescents with mild mental retardation have significant behavioral impairment and require attention or therapy (F70.1). Patients are also submissive and quiet with ego defense mechanisms that regression, and have problems with mental and intellectual development. Multidisciplinary management was carried out involving the social and medical departments.Summary: Patients with Intellectual Disabilities, especially adolescents, require special attention and a multidisciplinary, and comprehensive approach, starting from prevention, as well as in carrying out treatment.
Ogilvie’s Syndrome Post Elective Caesarean Section
Authors: Ganap Eugenius Phyowai , Fitriani Annisa , Wulandari Andhyta Ratih
Published: September 2023

Background: Ogilvie's syndrome is an acute abdominal condition characterized by massive colonic distension without any evidence of mechanical obstruction. In female patients this syndrome was associated with caesarean section and the use of spinal anaesthetics.Case: We report a case of Ogilvie's syndrome that occurred after elective caesarean section. On the first day postoperative care the patient complained of lower abdominal pain accompanied by abdominal bloating. Physical examination reveals a distended abdomen without clinical evidence of peritonitis. Vital signs were normal and laboratory results showed an increase in leukocytes. An abdomen radiology was taken and shows gas distention in the large intestine which did not decrease even after given muscle relaxants. The patient then underwent emergency surgery by digestive surgeon followed by decompression measures for intestinal distention. The patient got a good postoperative care and continued control through the outpatient clinic.Discussion: The exact mechanism that causes colonic dilatation in Ogilvie's syndrome is not known clearly, but many of these cases are associated with trauma, spinal anaesthesia, and pharmacological agents in which the autonomic nervous system (ANS) function is impaired. Diagnosis can be made by abdominal imaging which will show dilation of the large intestine. The main goal of treatment is to decompress the colon and thereby minimize the risk of colonic ischemia, perforation, and death. Pharmacological therapy should be considered in patients who fail conservative management within 24-48 hours, with the last resort being colonic decompression up to laparotomy with or without stoma creation.Conclusion: Although it has a rare incidence, Ogilvie's syndrome has a high morbidity and mortality rate. Proper management of Ogilvie's Syndrome is carried out according to an algorithm starting from conservative management, pharmacology, to surgical management in resistant cases.Key words: Ogilvie syndrome; acute abdomen; caesarean section complication.
Research on the Application of Enterprise Brand Advertising Localization in All-media Era
Authors: Zhou Dongsheng
Published: September 2023

This paper discusses the strategy of enterprise brand to realize advertising localization in the era of all media. Advertising localization means that enterprises customize advertising content in different geographical and cultural backgrounds to better attract and influence local consumers. Specific measures are proposed to address this challenge, including language and cultural adaptation, the use of symbols and images, and the cooperation of local partners and opinion leaders. In addition, through data analysis and adjustment, enterprises can evaluate the effectiveness of advertising in real time and adjust their strategies in time. Through the combined application of these strategies, companies are able to localize their advertising in the all-media era and build stronger connections with local consumers.
A Comparative Study on Seismic Performance of RCC and Composite Structures in Different Seismic Zones by Response Spectrum Method
Authors: Hullikashi Renuka , G Chidananda
Published: September 2023

Abstract: In the present study, seismic performance of RCC and Composite structures is investigated using ETABS software. Seismic parameters viz. storey displacement, drift ratio, stiffness, shear, overturning moment and time period for the developed RCC and composite models are obtained in both X and Y directions by response spectrum analysis as per IS 1893-Part 1 (2016) in seismic zones II to V. In both directions, maximum storey stiffness is observed in composite models as compared to RCC models. Maximum storey displacement, drift ratio and overturning storey moments are increases with increase in seismic zones for both RCC and Composite models. However, due to high stiffness, Composite models show less displacement, drift ratio, shear and overturning storey moment values as compared to RCC models for all the seismic zones in both directions.
Conversion of Hydrocarbon Fueled Based Mini Hand Tractor into Electric Based Hand Mini Tractor
Authors: Gautam Er. Subhash , Dubey Aryan
Published: September 2023

Abstract: Electric vehicles are a promising technology for achieving a sustainable transport sector in the future, because of their wonderful advantages like very low or zero-carbon emission, low noise and high efficiency. It also helps to decrease air pollution. Also, the electricity they consume can be generated from a wide range of sources, including fossil fuels, nuclear power and renewables such as solar power and wind power or any combination of those.[1]
Case Study - Concrete Mixer’s Power Consumption and Wear Resistance on Mixing Blade
Authors: Setty Monika R
Published: September 2023

Abstract: Concrete mixers play a pivotal position in the construction industry, facilitating the efficient blending of cement, aggregates, water, and admixtures to create the fundamental building material of our modern world. However, the process of mixing concrete is energy-intensive and exerts significant wear and tear on the mixing blades, leading to maintenance costs and environmental concerns. This abstract explores strategies and innovations aimed at reducing power consumption and minimizing wear on mixing blades in concrete mixers, contributing to sustainability in construction practices. To address power consumption, advancements in motor efficiency, coupled with variable frequency drives (VFDs), have emerged as effective tools for optimizing energy use. In terms of blade wear, engineering developments in blade materials have been instrumental in enhancing durability. Hardened steel alloys and innovative composite materials have been introduced to mitigate wear and prolong blade lifespan.
La derogación de la ultraactividad de los convenios colectivos en el Uruguay: ¿un retorno sobre la teoría de la incorporación?
Authors: Rosenbaum Carli Federico
Published: September 2023

Este artículo analiza la cuestión de la ultraactividad de los convenios colectivos en Uruguay y la relación con su vigencia. Se discute la doctrina de la incorporación de las cláusulas de los convenios colectivos en los contratos individuales de trabajo y se argumenta que carece de respaldo jurídico y afecta a la negociación colectiva. Asimismo, se contextualiza la temática en el plano uruguayo, en el marco de la queja formulada por el sector empleador ante la Organización Internacional del Trabajo en el año 2009 y los pronunciamientos de sus órganos técnicos. En virtud de ello, se aporta una comparación entre el régimen de ultraactividad previsto en la Ley n.o 18.566 de negociación colectiva y su posterior derogación por parte de la Ley n. o 20.145 en el año 2023. Se examina la eventual incidencia del principio de progresividad y de la regla de la condición más beneficiosa, a parir de lo cual se concluye que la derogación de la ultraactividad es de aplicación inmediata y automática.
Producción de contenidos audiovisuales accesibles en tiempos de pandemia. El caso del Programa de Comunicación Institucional de la UNPA UACO
Authors: Ksybala Nadia Carolina
Published: September 2023

El contexto pandémico vino a profundizar las desigualdades subyacentes en una sociedad que ya antes de la existencia del COVID-19 se presentaba para unos pocos. Una de las consecuencias en el devenir cotidiano de la comunidad derivadas de este vivir al sur de la cuarentena, como reza Boaventura de Sousa Santos, se relaciona con la falta de acceso a la información que desde diversos espacios se ha procurado brindar a la sociedad. En dicha coyuntura, y especialmente en lo que respecta al rol de la Universidad en tanto generadora y transmisora de conocimiento y defensora de la condición humana, se busca analizar la implementación de las herramientas de accesibilidad comunicacional en las producciones audiovisuales elaboradas en la Unidad Académica Caleta Olivia de la Universidad Nacional de la Patagonia Austral, a partir de los discursos que definen a esta última como una institución abierta e inclusiva.

Este  trabajo  de  investigación  expone  los resultados  obtenidos a  partir  del análisis  de  las prácticas comunicativas multimediales partiendo como hito de la promulgación de la Ley N°26.522 de Servicios de Comunicación Audiovisual (2009).  Para  esto se siguió  una  metodología cualitativa que combina entrevistas con el relevamiento de documentos y normativas que regulan la accesibilidad comunicacional, en el marco de un contexto institucional que se inscribe en las políticas inclusivas de accesibilidad académica. Ello permite advertir la posible pregnancia del modelo médico-rehabilitador de aproximación al fenómeno de la discapacidad y de una mirada capacitista, que reduce, margina y anula, a la hora de garantizar el acceso a la información, máxime en tiempos donde la misma se ha vuelto vital.
TEATRO CIENTÍFICO COMO UMA ESTRATÉGIA METODOLÓGICA PARA O ESTUDO DOS ANIMAIS
Authors: Sousa dos Santos Ferreira Letícia , Souto Wedson de Medeiros Silva , Nápolis Patrícia Maria Martins
Published: September 2023

Abordagens diferenciadas no estudo dos animais na educação básica são amplamente discutidas em pesquisas brasileiras. Apesar disso, poucos estudos relatam o teatro como estratégia viável para o ensino e aprendizagem da fauna, sobretudo, espécies silvestres que sofrem com as ações antrópicas. Nesse sentido, o presente estudo apresenta resultados de uma experiência com encenação de histórias produzidas por estudantes do ensino médio sobre animais silvestres. Trata-se de um estudo qualitativo, com abordagem descritiva. A experiência ocorreu durante a Oficina “Teatro: Transformando a imaginação em realidade”, realizada em um Projeto de Extensão sobre conhecimento da fauna nativa no Meio-Norte do Brasil. Um total de 63 estudantes participou das peças teatrais. Destacaram-se em suas apresentações “personagens” como ararinha-azul (Cyanopsita spixii), onça-pintada (Panthera onca) e capivara (Hydrochoerus hydrochaeris). As histórias estavam direcionadas para o tráfico de animais, queimadas, desmatamento e a caça para consumo. Concluímos que a utilização do teatro como estratégia metodológica, assim como as peças produzidas na experiência relatada, favorece a aprendizagem, além de contribuir na formação e sensibilização diante dos problemas ambientais que afetam a fauna e os demais organismos vivos.
“Degradación de una existencia ya marginada” Proyecto de intervención urbana en la Comuna San José, en Manizales, Colombia
Authors: Cardona – Arias Nicolás
Published: September 2023

El artículo postula como objetivo identificar las implicaciones sociales que tuvo la ejecución Proyecto de Interés Social Nacional Centro Occidente de Colombia, sobre los habitantes de la Comuna San José que fueron reubicados en el barrio San Sebastián de la ciudad de Manizales. En el trabajo se sostiene que el proyecto urbano, contrario a mejorar, afectó la calidad de vida de muchas personas ubicadas en esta parte de la ciudad. El estudio se orientó bajo el paradigma interpretativo con un enfoque histórico-hermenéutico y el uso de la metodología conocida como estudio de caso. Se realizaron visitas de campo en donde se aplicaron guías de entrevistas semiestructuradas a las personas reubicadas en el barrio San Sebastián y se hizo uso de etnografía. También se revisó material bibliográfico. En la investigación fue fundamental las concepciones teóricas referentes al derecho a la ciudad y la marginación urbana desde diferentes posturas analíticas. Se concluye que el Macroproyecto San José, en su intento de buscar alternativas a los problemas de vivienda en el sector, generó inconvenientes nuevos, la informalidad e inestabilidad laboral se acrecentó entre la población al ser trasladada a un barrio periférico de la ciudad y la pobreza en muchos hogares aumentó.
A Study on Street Tree Maintenance: Focusing on Suseong-gu, Daegu in South Korea
Authors:   J-INSTITUTE, Um Hyunjung , Kim Changjun , Lee Hyangju , Lim Wonhyeon
Published: September 2023

Purpose: In urban society, street trees are closely related to our lives. However, many people do not recognize the existence and necessity of street trees on ordinary days. This study investigated the changes in the growth of street trees exposed to environmental damage and artificial management due to street maintenance. This paper aims to provide necessary data for street tree management by analyzing changes in the growth of street trees according to the road size in terms of temporal change and management of street trees.
Method: Field surveys were conducted from June to September 2021 to identify the direction of maintenance for street trees by road size. The researchers collected and analyzed data on street tree roads and basic plan data on street trees in Suseong-gu in 1997. This paper conducted One-way ANOVA by six items(tree height, root-collar diameter, crown width, diameter at breast height, degree of tree health, and degree of environmental damage). Microsoft Office Excel 2007 program and Spss Statistics 21 statistical program were used for statistical analysis.
Results: As a result of analyzing the current state of street trees in 2021 and the change amount by road size in 1997 data, on average, the tree height increased by 5.4m, the root-collar diameter increased by 22.3cm, the crown width increased by 2.1m, and the diameter at breast height increased by 12.8cm. The degree of tree health decreased by 0.2 points, and the degree of environmental damage decreased by 1.1 points.
Conclusion: The tree form of street trees did not have a natural tree shape due to artificial management, and street trees were damaged due to lack of management and damage from surrounding shops. The analysis results show that the appearance of street trees has grown, but street trees' growth aspects(tree health, environmental damage) have regressed due to incorrect pruning work with tall trees according to laws and ordinances. This paper suggests that street trees' species selection and improvement supplement work should be done through continuous research in the future, and systematic and efficient management should be continuously carried out for satisfaction with street trees and pedestrians.
The Effect of ADHD Tendency on Depression and Anxiety in Elementary School Students: Mediating Effects of Friend Support
Authors:   J-INSTITUTE, Choi Jinoh
Published: September 2023

Purpose: The aim of this study was to examine the influences of elementary school students' ADHD tendency on their emotional problems such as depression and anxiety, and to verify the mediating effects of social relationships, specifically friend support, on these influences.
Method: This study involved 456 students from two elementary schools in the capital area. The participants were surveyed regarding their ADHD tendency, friend support, depression, and anxiety levels. The data gathered were subsequently analyzed using a Structural Equation Model.
Results: The results of the study are as follows: first, it was discovered that ADHD tendency in elementary school students directly affect friend support negatively. Second, the ADHD tendency was found to increase their levels of depression and anxiety, either directly or indirectly. Third, the ADHD tendency was shown to augment depression and anxiety via the route of friend support. Specifically, it was found that the paths of ‘ADHD tendency → friend support → depression’, ‘ADHD tendency → depression → anxiety’, ‘ADHD tendency → friend support → depression → anxiety’ were statistically significant.
Conclusion: The findings of this study can serve as basic data for developing effective emotional intervention programs for students with ADHD tendency, by identifying the specific paths through which these students' ADHD tendency influence their emotional difficulties.
Analyzing the Effects of Smartphone Addiction, Parental Attachment, Peer Attachment on Impulsivity in School-Disengaged Adolescents
Authors:   J-INSTITUTE, Bae Gutaek , Kim Youngik
Published: September 2023

Purpose: This study examined the effects of smartphone addiction, parental attachment, and peer attachment on impulsivity among dropout adolescents, using 318 adolescents who participated in the fifth year of the Panel Survey of School Disengaged Adolescents.
Method: To investigate the impact of smartphone addiction on impulsivity among school dropouts, we conducted inter-variable correlation analysis, three-step mediated regression analysis, and Sobel test.
Results: First, the correlations between impulsivity, smartphone addiction, parental attachment, and peer attachment of dropout adolescents were analyzed, and the results showed that parental attachment and peer attachment were negatively related to impulsivity and smartphone addiction were positively related to impulsivity. Second, the mediating effects of parental attachment and peer attachment on the effects of smartphone addiction on impulsivity of dropout adolescents were analyzed, and the results showed that both parental attachment and peer attachment had mediating effects on reducing impulsivity of dropout adolescents.
Conclusion: This study is significant in that it confirms the influence of parental attachment and peer attachment on smartphone addiction and impulsivity among dropout adolescents. Therefore, based on the findings of this study, various educational interventions are needed to reduce the impulsivity of dropout adolescents through various pathways of adolescent impulsivity, and at the same time, programs that promote healthy parent-child relationships and peer relationships should be actively implemented as a preventive measure.