bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Metode The Extended Promethee II (EXPROM II) Dalam Pemilihan Pengangkatan Karyawan Baru Terhadap Mahasiswa Magang
Authors: Lestari Sri Poedji , Sudarsono Bernadus Gunawan
Published: August 2021

Apprenticeship students are students who work and study directly at one of the companies they occupy according to the major they take, students who have done an apprenticeship and do a very good job at one of the companies will usually be proposed to be employees of the company, many students and from various universities participating in a company with the same department and in the selection must be done in a fair manner based on appropriate criteria and not based on who has family relations in a company, therefore it is necessary to make a selection involving a system, namely a decision support system where this system uses the extended promethee II method, this method is used to accumulate every value that each student candidate has that is supported by the company to become an employee, the results of the application of this method are king with the highest score who is the best candidate
Phrase Based Statistical Machine Translation Javanese-Indonesian
Authors: Lesatari Aufa Eka Putri , Ardiyanti Arie , Ardiyanti Arie , Asror Ibnu , Asror Ibnu
Published: August 2021

This research aims to produce a statistical machine translation that can be implemented to perform Javanese-Indonesian translation and to know the influence of the main data sources of statistical machine translation namely parallel corpus and monolingual corpus on the quality of Javanese-Indonesian statistical machine translation. The testing was carried out by gradually adding the quantity of parallel corpus and monolingual corpus to seven configurations of Javanese-Indonesian statistical machine translation. All machine translation configuration experiments were tested with test data totaling 500 lines of Javanese sentences. Results from machine translation are evaluated automatically using Bilingual Evaluation Understudy (BLEU). Test results in seven configurations showed an increase in the evaluation value of the translation machine after the quantity of parallel corpus and monolingual corpus was added. The quantity of parallel corpus in configurations 1 and 2 increased by 3,6%, configurations 2 and 3 increased by 8,23%, configurations 3 and 7 increased by 14,92%. Additional monolingual corpus quantity in configurations 4 and 5 increased BLEU score by 0,18%, configurations 5 and 6 increased by 0,06%, configurations 6 and 7 increased by 0,24%. The test results showed that the quantity of parallel corpus and monolingual corpus could increase the evaluation value of statistical machine translation Javanese-Indonesian, but the quantity of parallel corpus had a greater influence than the quantity of monolingual corpus
Mesin Penetas Telur Menggunakan Microcontroller ATMega328 Berbasis Arduino
Authors: Purnama Iwan , Ambiyar Ambiyar , Rizal Fahmi , Verawardina Unung , Raharjo Sutrino Dwi , Karim Abdul
Published: August 2021

The purpose of this study was to design and implement a duck egg incubator. An egg incubator is a machine that functions to take over the incubation task of a duck mother in incubating fertilized eggs from the result of crossing or mating with a male. The existing incubators work in temperature control, reversing the egg racks, but do not use an egg informing system that has been hatched. In designing this duck egg incubator based on Arduino as a controller. The temperature used must be measured by the resistance of the space or the approximate resistance of the eggs to hatch. The microcontroller used is the ATMega328 integrated on the Arduino Uno, temperature sensor, humidity sensor, humidity control system and other supporting components using Arduino. The test was carried out by comparing the DS18B20 temperature sensor with a Thermometer with an error difference of 0.15. The result of this research is the device can control the temperature not exceeding 39 ° C for hatching eggs. The device has 2 usage buttons, namely a start button (green) to perform hatching day calculations and a reset button (red) to stop hatching day calculations. The day variable that has been running is still stored in the microcontroller EEPROM (Electrically Erasable Programmable Read-Only Memory) so that if there is a disconnection or loss of a voltage power source such as a power failure and so on. The 12VDC fan on the device turns on every 30 minutes and goes out for the next 30 minutes
Analisis Sentimen Terhadap Review Film Menggunakan Metode Modified Balanced Random Forest dan Mutual Information
Authors: Zamzami Firdausi Nuzula , Adiwijaya Adiwijaya , P Mahendra Dwifebri
Published: August 2021

Information exchange is currently the most happening on the internet. Information exchange can be done in many ways, such as expressing expressions on social media. One of them is reviewing a film. When someone reviews a film he will use his emotions to express their feelings, it can be positive or negative. The fast growth of the internet has made information more diverse, plentiful and unstructured. Sentiment analysis can handle this, because sentiment analysis is a classification process to understand opinions, interactions, and emotions of a document or text that is carried out automatically by a computer system. One suitable machine learning method is the Modified Balanced Random Forest. To deal with the various data, the feature selection used is Mutual Information. With these two methods, the system is able to produce an accuracy value of 79% and F1-scores value of 75%.
Analisis Sentimen Berbasis Aspek pada Review Female Daily Menggunakan TF-IDF dan Naïve Bayes
Authors: Yutika Clarisa Hasya , Adiwijaya Adiwijaya , Faraby Said Al
Published: August 2021

The results of a product review will provide considerable benefits for producers or consumers. Female daily is a forum that discusses beauty products. There are many reviews that are obtained every day. Therefore a technique is needed to analyze the results of the review into valuable information. One of the techniques is aspect-based sentiment analysis. Aspect-based sentiment analysis will analyze each text to identify various aspects (attributes or components) then determine the level of sentiment (positive, negative, or neutral) that is appropriate for each aspect. From the results obtained, there are reviews that use multilingual languages. Then the steps taken are to translate the multilingual language into one language only, namely Indonesian. Before the review is processed, preprocessing will be carried out to make it easier to process. Then the word weighting is done using TF-IDF, and the method for classifying sentiments that will be used is Complement Naïve Bayes to overcome unbalanced data. From the test results obtained the best F1-Score of 62,81% for data translated into English and then into Indonesian and not using stopword removal
Analisis Kinerja Support Vector Machine dalam Mengidentifikasi Komentar Perundungan pada Jejaring Sosial
Authors: Sitepu Ade Clinton , Wanayumini Wanayumini , Situmorang Zakarias
Published: August 2021

Cyberbullying is the same as bullying but it is done through media technology. Bullying has often occurred along with the development of social media technology in society. Some technique are needed to filter out bully comments because it will indirectly affect the psychological condition of the reader, morover it is aimed at the person concerned. By using data mining techniques, the system is expected to be able to classify information circulating in the community. This research uses the Support Vector Machine (SVM) classification because the algorithm is good at performing the classification process. Research using about 1000 dataset comments. Data are grouped manually first into the labels "bully" and "not bully" then the data divide into training data and test data. To test the system capability, data is analyzed using confusion matrix. The results showed that the SVM Algorithm was able to classify with an level of accuracy 87.75%, 89% precision and 91% Recal. The SVM algorithm is able to formulate training data with level of accuracy 98.3%
Analisis Kemampuan Pemecahan Masalah Matematis Ditinjau dari Gaya Belajar Siswa di Masa Pandemi COVID-19
Authors: Al-Hamzah Intan Nur Fauziyah , Awalludin Subhan Ajiz
Published: August 2021

Mata pelajaran matematika dipandang sangat penting dalam proses pendidikan dan memerlukan pemahaman yang kuat untuk meningkatkan kualitas pembelajaran matematika. kemampuan pemecahan masalah matematika di pengaruhi oleh berbagai macam faktor, di antaranya seperti gaya belajar siswa yang bervariasi. Semenjak adanya pandemi COVID-19 siswa diharuskan melakukan pembelajaran secara online dalam memecahkan masalah matematis. Oleh sebab itu pemecahan masalah matematika pada gaya belajar siswa harus dipahami oleh pendidik dalam kegiatan belajar mengajar matematika agar pendidik dapat mengetahui gaya belajar siswa tersebut. Penelitian ini menggunakan metode pendekatan kualitatif bersifat deskriptif. Subjek yang digunakan adalah siswa kelas VII Muhammadiyah Daarul Arqam Depok berjumlah 30 siswa, dimana nantinya akan ada 3 siswa yang dipilih sesuai dengan gaya belajarnya. Peneliti mengumpulkan data penelitian berupa angket, tes dan pedoman wawancara. Hasil penelitian ini dapat disimpulkan bahwa tipe gaya belajar visual, mampu memahami masalah, mampu merencanakan masalah, mampu menyelesaikan masalah, dan mampu memeriksa kembali. Tipe gaya belajar auditorial, mampu memahami masalah, kurang mampu merencanakan masalah, kurang mampu menyelesaikan masalah, dan kurang mampu memeriksa kembali. Tipe gaya belajar kinestetik, mampu memahami masalah, kurang mampu merencanakan masalah, mampu menyelesaikan masalah, dan kurang mampu memeriksa kembali.
Berberis mikuna Job. una especie frutal nativa de Tucumán con potencial nutracéutico y tintóreo
Authors: Radice Silvia , Dantur G. , Ceribelli A. , Arena M. E.
Published: August 2021

Berberis mikuna es una especie nativa que crece en el noroeste argentino. Actualmente su fruta se desconoce en el mercado, pero su madera se utiliza desde antes de la colonización hispánica hasta la actualidad para la tinción de lanas en la zona de Tafí del Valle. De allí su creciente valor comercial. Produce bayas azules muy poco conocidas que podrían poseer propiedades nutracéuticas. El objetivo de este trabajo es presentar la fenología de floración y evaluar la variabilidad de algunas características morfofisiológicas y bioquímicas de las flores y frutos entre las accesiones y entre los dos sitios de la región Alto de Medina (Tucumán) donde se encuentran. Estos resultados preliminares señalan que los pistilos del sitio Chacra Dantur fueron significativamente más grandes que los medidos en la Quebrada, condiferencias significativas entre las accesiones. Las variables número de flores por racimo, peso seco de las inflorescencias, medida del grano de polen y número de óvulos por pistilo sólo mostraron diferencias entre las accesiones de un mismo sitio. Los altos contenidos de antocianinas y fenoles, aunque de elevada variabilidad, destacan a estos frutos como alimentos funcionales.
UBVRI photometric system of the meniscus telescope MTM-500
Authors: Rublevskii Aleksei , Kiselev Nikolai
Published: August 2021

We present the method and results of defining coefficients while passing on from the instrument brightness values in u, b, v, r, i bands to U, B, V, R, I bands of the Johnson - Cousins system at the telescope MTM-500.
Investigations of space magnetism at the Crimean Astrophysical Observatory. II. Direct spectropolarimetric measurements of stellar magnetic fields
Authors: Plachinda Sergei , Butkovskaya Varvara
Published: August 2021

A research on stellar magnetism in Crimea was initiated by pioneer works of A.B. Severny, V.E. Stepanov, and D.N. Rachkovsky. Today, the study of stellar magnetic fields is a key field of research at the Crimean Astrophysical Observatory (CrAO). The 2.6 m Shajn telescope equipped with the echelle spectrograph ESPL, CCD, and Stokesmeter (a circular polarization analyzer) allows us to study the magnetic field of bright stars up to 5m–6m. The Single Line (SL) technique is developed for measuring magnetic fields at CrAO. This technique is based on the calculation of the Zeeman effect in individual spectral lines. A key advantage of the SL technique is its ability to detect local magnetic fields on the surface of stars. Many results in the field of direct measurements of stellar magnetic fields were obtained at CrAO for the first time. In particular, the magnetic field on supergiants (ǫ Gem), as well as on a number of subgiants, giants, and bright giants was first detected. This, and investigations of other authors, confirmed the hypothesis that a magnetic field is generated at all the stages of evolution of late-type stars, including the stage of star formation. The emergence of large magnetic flux tubes at the surface of stars of V-IV-III luminosity classes (61 Cyg A, β Gem, β Aql) was first registered. In subgiants, the magnetic field behavior with the activity cycle was first established for β Aql. Using the long-term Crimean spectroscopic and spectropolarimetric observations of α Lyr, the 22-year variability cycle of the star, supposedly associated with meridional flows, is confirmed. Magnetic field variability with the pulsation period was first detected for different types of pulsating variables: the classical Cepheid β Aql, the low-amplitude β Cep-type variable γ Peg, and others. In this review we cover more than a half-century history of the formation of the Crimean scientific school for high-precision direct measurements of stellar magnetic fields.
COVID-19 in pregnancy
Authors: Roncati Luca , Gianotti Greta , Ambrogi Elisa , Attolini Giovanna
Published: August 2021

No abstract present.
Real-world implementation and adaptation to local settings of first trimester preeclampsia screening in Italy: a systematic review
Authors: Amodeo Silvia , Bonavina Giulia , Seidenari Anna , Cavoretto Paolo Ivo , Farina Antonio
Published: August 2021

Background: Preeclampsia (PE) is a multisystem disease of pregnancy representing a major cause of maternal and perinatal morbidity and mortality. Early identification of pregnancies at risk of developing PE is crucial for implementing preventive strategies. The effectiveness of PE screening in the first trimester is widely recognized and endorsed by several guidelines, but unfortunately real-world implementation of this practice within local settings remains difficult. Methods: We performed a systematic review of the literature to understand the critical issues hampering the implementation of PE screening procedures in Italy. All studies on first trimester PE screening in the Italian population were eligible for inclusion. Key-concepts relevant for implementation of PE screening in Italy were extracted and analysed qualitatively. Results: Nine articles were selected and included. Lack of evidence concerning the topic of PE screening in Italy was shown. Major critical issues found encompassed health-care personnel education, training of sonographers, economic coverage for biochemical markers and adjustment of algorithms based on population characteristics. Conclusions: Identification and adaptation of specific protocols to local settings and population characteristics is critical for successful implementation of early PE screening in Italy. This process has the potential to improve pregnancy outcomes and to save valuable health-care resources, particularly scarce in the COVID-19 era. There is an urgent need for research studies on specific local populations focussing on subtle details capable of maximizing PE screening uptake. This action will likely potentiate PE screening implementation reducing the burden and the cost of perinatal and maternal complications.
Age and anti-Műllerian hormone: prediction of cumulative pregnancy outcome in in vitro fertilization with diminished ovarian reserve
Authors: Deng Yu , Ou Zhan-Hui , Yin Min-Na , Liang Pei-Ling , Chen Zhi-Heng , Morse Abraham , Sun Ling
Published: August 2021

Background: To determine the effects of AMH and age on IVF outcomes in women with DOR and whether the cumulative pregnancy potential after consecutive IVF cycles is age or AMH level depended. Methods: Between January 2014 and December 2018, 466 infertility patients (1004 IVF/ICSI cycles) with AMH ≤1.1 ng/mL were recruited and firstly divided into two groups (Group 1: AMH <0.6 ng/mL and Group 2: AMH 0.6–1.1 ng/mL). Furthermore, they were stratified into another four groups (A1, A2; B1, B2) based on age (Group A: <38 y, Group B: ≥38 y). Laboratory parameters and cumulative pregnancy chances were retrospectively evaluated. Results: Regardless of age, number of retrieved oocytes, 2 pronuclear zygotes (2PN), embryos, good-quality embryos per cycle, implantation rate (IR), clinical pregnancy rate (CPR) and ongoing pregnancy rate (OPR) per embryo transfer (ET) and per patient were significantly lower in Group 1 than those in Group 2 (P < 0.001). However, in women <38 years, there were no significant differences in IR, CPR and OPR per ET and per patient between Group A1 and A2 (P > 0.05). The cumulative OPR per patient increased to 60% in Group A2 and 51.7% in Group A1 after the third transfer but reached a plateau (24.8% in Group B2 and 11.8% in Group B1) after the second ET. Conclusions: For advanced-age women with DOR, AMH level showed as a strong predictor of both ovarian response and pregnancy rate. However, even with extremely lower AMH value, younger women still had higher potential to get pregnancy chance through more attempts at subsequent IVF treatments.
Mechanical bowel preparation prior to gynaecological laparoscopy enables better operative field visualization, lower pneumoperitoneum pressure and Trendelenburg angle during the surgery: a perspective that may add to patient safety
Authors: Kalkan Üzeyir , Yassa Murat , Bakay Kadir , Hatırnaz Şafak
Published: August 2021

Background: To find the effects of mechanical bowel preparation (MBP) on operative field visualization, and to measure pneumoperitoneum pressure (PP) and Trendelenburg inclination angle (TIA) values. Methods: In this two-centred, randomised, single-blind and controlled study, 90 patients who underwent laparoscopic gynaecological surgery for benign conditions were included. After the exclusions, 44 patients received MBP with oral sodium phosphate enema (study group) and 42 did not receive bowel preparation or underwent diet restrictions (control group). An objective visual index, PP and TIA were measured in a stepwise design of assessments. Results: The Visual Index at first inspection right after establishing a 12 mmHg PP and a standard 30∘ TIA was found to be significantly in favour of the study group (p = 0.015). The lowest reached TIA in standard 12 mmHg PP following stepwise decrease was observed as 15.2∘ and 25∘ in the study and control groups, respectively (p < 0.001). The lowest reached PP was 8.9 mmHg and 11.9 mmHg in the study and control groups, respectively (p < 0.001). Patients who received MBP reported significantly higher levels of negative discomfort measures (p < 0.032), however 80% of those reported MBP as acceptable. Conclusion: Significantly better operative field visualization, lower TIA and PP was achieved with MBP. MBP enabled a decrement of either 10∘ in TIA or 3 mmHg in PP with an adequate operative field to proceed safely for the benign gynaecological laparoscopic operations in exchange for acceptable discomfort for the patients.
Reference values of fetal atrioventricular time intervals derive from antegrade late diastolic arterial blood flow (ALDAF) from 14 to 40 weeks of gestation
Authors: Heetchuay Thanakorn , Trakulmungkichkarn Thotsapon , Pabalan Noel , Imsom-Somboon Nutthaphon
Published: August 2021

Background: Congenital heart defects are the most common of birth defect, which leads to neonatal death after birth. Early diagnosis during prenatal period would be a benefit for precaution and treatment. Antegrade Late Diastolic Arterial blood Flow (ALDAF) was reported to measure fetal atrioventricular (AV) time intervals (FAVTI) at an early gestational ages (GA) of 6 weeks. There has been no previous studies reporting reference value of fetal atrioventricular time intervals (FAVTI) derive from ALDAF technique. Methods: Using fetal echocardiogram, this cross-sectional study was performed on 528 healthy fetuses between 14 and 40 weeks. Pulsed wave Doppler-derived FAVTI (milliseconds) were measured from ALDAF-AO and ALDAF-PA and left ventricle (LV) In/Out. Correlations between these three Doppler measurement techniques were examined with the Bland-Altman analysis and Pearson correlation coefficient. GA was used as specific reference value and its correlation with FAVTI was examined with linear regression. Results: We establish reference values of fetal atrioventricular (AV) time intervals (FAVTI) from antegrade late diastolic arterial blood flow (ALDAF) aorta (AO) and pulmonary artery (PA) from 14 to 40 weeks of gestation (GA). A positive correlation between FAVTI and GA was identified when using each of the three measurements (ALDAF-AO/ALDAF-PA and LV In/Out) (R2 = 0.177–0.272; P < 0.001). GA had the strongest impact on ALDAF-AO FAVTI, which was estimated to have a predicted FAVTI of 1.02 × GA (weeks) + 87.82. Bland-Altman analysis showed FAVTI of ALDAF-AO and ALDAF-PA were also significantly correlated (R2 = 0.573, P < 0.001). Intra-observer and inter-observer reliability coefficients showed good reproducibility (ICC >0.90) for all methods. Conclusions: This is the first study to establish reference ranges for FAVTI obtained from ALDAF-AO/ALDAF-PA for each week of gestation from 14 to 40 weeks. Our findings inform clinical practice by establishing GA-specific ALDAF-AO/PA cut-off values for the diagnosis of congenital heart block. FAVTI from ALDAF-AO/ALDAF-PA is a more practical measurement to use in the clinical setting because it is easier to investigate than LV In/Out. Good reproducibility in FAVTI measurements and a lack of fetal heart rate influence underpin the strength of our findings.
Changes in uterine electromyography according to cervical dilatation in the first stage of labor
Authors: Pristov Neža Sofija , Rednak Ela , Geršak Ksenija , Bregar Andreja Trojner , Lučovnik Miha
Published: August 2021

Background: Myometrial contractile activity can be evaluated by recording uterine electromyography (EMG) non-invasively from the abdominal surface. Uterine EMG has been shown to detect contractions during labor as reliably as tocography (TOCO) and intrauterine pressure catheters. To evaluate whether changes in uterine EMG throughout the first stage of labor correlate with advancing cervical dilatation. Methods: Uterine EMG was recorded from the abdominal surface for 30 minutes in 32 women during the first stage of labor at term. Women were divided in three groups according to cervical dilatation at the time of EMG recording: <3 cm (n = 4), 3–5 cm (n = 19), and 6–10 cm (n = 9). Power density spectrum (PDS) peak frequencies within EMG bursts were compared between groups using ANOVA (p < 0.05 significant). Bonferroni post-hoc test was used for pair-wise comparison among groups. Results: PDS peak frequencies were significantly different in the three groups (p < 0.001). PDS peak frequency in the ≥6 cm dilatation group (0.52 ± 0.06 Hz) was significantly higher than in the <3 cm group (0.41 ± 0.02 Hz; p = 0.001) and 3 to 5 cm group (0.44 ± 0.04 Hz, p = 0.001). Difference between <3 cm and 3 to 5 cm groups was not statistically significant (p = 0.55). Discussion: Uterine EMG PDS peak frequencies increase with increasing cervical dilatation during the first stage of labor.
The effect of ultraviolet index measurements on levels of vitamin D and inflammatory markers in pregnant women
Authors: Balci Serdar
Published: August 2021

Background: Hypovitaminosis D is a risk factor for infertility and several adverse pregnancy outcomes. These negative effects of vitamin D deficiency may be due to inflammatory processes. T lymphocytes play a key role in the formation of immune response by producing some cytokines. Vitamin D is known to have significant effects on T lymphocytes and T regulator cells. The most significant determinant of vitamin D in the human body is sun exposure. The most important indicator determining the sun exposure in a region is the ultraviolet index (UVi). We tried to determine the effect of UV changes on vitamin D values during pregnancy and possible effects on inflammatory markers in a single region. Methods: The vitamin D serum values and blood count values of pregnant patients at the time of first admission were recorded in the months of April to September (AS) and October to March (OM). The daily UVi values of the Izmir region were obtained. These daily values were averaged according to the two groups. As inflammatory markers, the Neutrophil-Lymphocyte ratio (NLR), Platelet-Lymphocyte ratio (PLR), Monocyte-Lymphocyte ratio (MLR), mean platelet volume (MPV) and erythrocyte volume distribution (RDW) values were calculated from the blood count. Results: The UVi mean value was found to be 8 for AS and 3 for OM. There was a significant difference in the mean vitamin D values for the AS (42 patients) and OM (40 patients) periods. A predisposition to inflammatory processes was determined for the OM period in terms of the inflammation markers examined between the two groups. Our study showed lower levels of RDW and MPV and similar values for NLR, PLR and MLR according to the UVi values. Discussion: Vitamin D plays role in many systems as a hormone, a vitamin or an immunomodulator after activation in the skin tissue. Besides its known benefits to the musculoskeletal system, adequate serum vitamin D values reduce the risk of certain types of cancer, mental disorders, infectious diseases, cardiovascular diseases, type 2 diabetes mellitus, autoimmune disorders and adverse pregnancy outcomes. Additionally, lower UVi may be associated with lower vitamin D values in pregnant women and increased inflammatory markers in complete blood count. As a result, in order to avoid adverse pregnancy outcomes, the UVi values of regions may be useful for determining replacement of vitamin D during or before pregnancy.
Obstetric outcomes in women of advanced maternal age after assisted reproduction
Authors: Rubinshtein Anna M. , Golyanovskiy Oleg V.
Published: August 2021

Background: Pregnancy and deliveries resulting from assisted reproductive technology (ART) in women of advanced maternal age (AMA) are reported to be associated with adverse maternal and perinatal outcomes. The aim of the study was to investigate the impact of a combination of AMA and assisted reproduction on obstetric and perinatal outcomes of nulliparous singleton pregnancies. Methods: Medical records of 201 live-born singletons, cephalic, non-anomalous nulliparous pregnancies were reviewed retrospectively. The IVF conception (90 AMA women after ART) and spontaneous conception (111 AMA women with spontaneous pregnancy) groups were formed. Results: Intrauterine growth restriction, nonreassuring fetal state, operative vaginal delivery, cesarean section, induction of labor, and massive obstetric hemorrhage were more common in AMA patients after ART compared with the spontaneous conception group. The incidence of preeclampsia and nonreassuring fetal status during pregnancy in the IVF conception group was more than 2 times higher than that in the spontaneous conception group. There were no significant differences in spontaneous preterm delivery, Apgar scores, and neonatal morbidity rates between the study groups. Discussion: Nulliparous AMA women with pregnancies obtained after ART have inherently higher risks of severe adverse maternal and perinatal outcomes and require careful dynamic monitoring of mother’s and fetal conditions followed by prevention and, if possible, correction of disorders during pregnancy and delivery.
Evaluation of satisfaction level of women with labiaplasty
Authors: Erdogan Gokcen
Published: August 2021

Background: The aim of our study is to evaluate the satisfaction levels of women who have undergone labiaplasty procedure for various indications in our center. Methods: A total of 100 women aged 17–52 years who underwent labiaplasty procedure with various indications between 2019 and 2020 in our center, were included in our study. First of all, detailed medical histories of women who will undergo labiaplasty were obtained. The satisfaction of the women included in the study with the labiaplasty procedure was measured using the FSFI both before and after the intervention. Results: When the FSFI of the women participating in the study were evaluated before and after the intervention, the average score of “Sexual Desire” was 4.27 ± 1.360 before the intervention, this rate increased to 8.08 ± 1.710 after the intervention. While the mean “Sexual Arousal” score before the intervention was 14.35 ± 4.250, this average was found to be 24.92 ± 5.920 after the intervention. While the mean score of the “Orgasm” subfield was determined as 6.49 ± 2.050 before the intervention, this score was found to be 12.37 ± 3.080 after the intervention. Patient satisfaction was determined as 100%. Conclusion: The number of labiaplasty procedures performed worldwide is increasing day by day. As the results and complications of these procedures and patient satisfaction increase, the demand for labiaplasty will increase even more. There is an urgent need for publications on this subject in the literature.
Comparison of an estradiol patch and GnRH-antagonist protocol with a letrozole/antagonist protocol for patients without oocyte development, fertilization and/or embryo development in previous IVF cycles
Authors: Pekin Aybike , Kebapçılar Ayşe Gül , Çintesun Ersin , Yılmaz Setenay Arzu , Kerimoğlu Özlem Seçilmiş
Published: August 2021

Background: Diminished ovarian reserve (DOR) is a challenge for clinicians in IVF cycles and several treatment modalities have been suggested to improve outcomes. The aim of this study was to compare live birth rates following ovarian stimulation using a luteal phase estradiol (E2)/gonadotropin releasing hormone (GnRH) antagonist protocol (LPG group) with a letrozole/antagonist (LA group) protocol in patients with DOR. Methods: A total of 51 women with DOR, previously canceled IVF cycles and aged 40 years or less were investigated. In the LPG group (n = 26), a transdermal E2 patch was applied every other day starting 10 days after the luteinizing hormone (LH) surge. At day 11 after the LH surge, GnRH antagonists were administered for three consecutive days. In the LA group (n = 25), letrozole (5 mg/day) treatment was begun on the second day of menstruation and administered for 5 consecutive days. In both groups, gonadotropins were initiated on the second day of menstruation. Results for the two groups were compared using chi-square and Student’s t-test, as appropriate. Results: Although the initial and total gonadotropin doses were significantly higher in the LPG group, the peak E2 levels, number of oocytes and fertilization rates and cancellation rates were similar. Trends toward improved live birth rates per transfer (23% vs. 11%) and per cycle (11.5% vs. 4%) were seen in the LPG group compared to the LA group, although the differences were not statistically significant. Discussion: DOR patients with previously canceled IVF cycles may be treated with either the LPG or LA protocols.
Anatomical and clinical outcomes of vaginally assisted laparoscopic lateral suspension in comparison with laparoscopic lateral suspension
Authors: Akbaba Eren , Sezgin Burak , Sivaslıoğlu Ahmet Akın
Published: August 2021

Background: In this retrospective study, we aimed to describe the surgical procedure for vaginally assisted laparoscopic lateral suspension (VALLS) and to compare its anatomical and clinical outcomes with laparoscopic lateral suspension (LLS). Methods: The surgical outcomes of 26 women with advanced-stage pelvic organ prolapse (POP) undergoing VALLS and 35 women with advanced-stage POP undergoing LLS were retrospectively analysed and compared. The surgical outcomes were documented according to the International Urogynecological Association guidelines. Complications were evaluated according to the Clavien-Dindo classification and classified using the joint project of the International Continence Society and the International Urogynecological Association Prosthesis/Graft Complication Classification System. Results: The results showed significant improvement in all POP Quantification measurements in both the VALLS and LLS groups, with overall objective cure rates of 88.4% and 80%, respectively (96.1% and 91.4%, respectively, for the apical compartment; 96.1% and 85.7%, respectively, for the anterior compartment). The median operation times for VALLS and LLS were 77 [66–90] minutes and 99 [82–125] minutes, respectively (p = 0.001). A significant improvement in POP symptoms was observed in both groups. Occult stress urinary incontinence (SUI) was detected in two (7.6%) VALLS patients, and de novo SUI developed in four (15.3%) VALLS patients post-operatively. Anterior compartment defects were detected in one VALLS and five LLS patients. Mesh erosion was found in one patient in each group. Discussion: VALLS appears to be an effective and reliable surgical method for patients with advanced-stage POP and can offer advantages in terms of operation time and POP recurrence rates.
A retrospective series of homologous intracytoplasmic sperm injection cycle results of 99 women with mosaic Turner syndrome
Authors: Gungor Nur Dokuzeylul , Güngör Kagan , Kavrut Mustecep , Yurci Arzu
Published: August 2021

Background: Although pregnancy is reported in both classical and mosaic forms of Turner syndrome (TS), both spontaneous and in-vitro-fertilisation (IVF) success rates were found higher in mosaic cases. In this study we analysed homologous intracytoplasmic sperm injection cycle results of infertile patients diagnosed with mosaic TS. Methods: Ninety nine female patients who had infertility complaints for 2 years or more and were diagnosed with mosaic TS were included in the study. They were treated according to a standard antagonist protocol. Embryo transfer was performed after pre-implantation genetic diagnosis (PGD) in 53 cases while embryo transfer was performed in remaining 46 cases without PGD. Results: While 45,X/46,XX karyotype was found in 55 of 99 cases, 45,X/46,XX/47,XXX karyotype was found in 32 cases. The remaining participants consisted of rare karyotype forms. The total number of patients conceived after the antagonist protocol was 31 (31.3%). While 18 of these cases resulted in term delivery (58%), the remaining 13 cases resulted in miscarriage (41.9%). Pregnancy could not be obtained in only 2 cases whose karyotype were 45,X/47,XXX and 45,X/46,XX/46,XY. Karyotype analysis was performed in only 2 of 18 newborn babies due to suspicious physical findings, but the results were reported as normal. Discussion: On the basis of our observations in this largest mosaic TS series, homologous IVF should be considered in infertile patients with Turner syndrome with high-grade mosaicism. PGD should also be recommended to TS patients on IVF treatment.
Diagnosis and management of intramural ectopic pregnancy
Authors: Hu Qian , Paramboor Mohammed Sharooq , Guo Tao
Published: August 2021

Background: Intramural pregnancy is a rare form of ectopic pregnancy where the embryo is implanted within the myometrium, separate from the endometrial cavity. Preoperative diagnosis of intramural pregnancy is difficult and it can easily be misdiagnosed for other diseases such as intrauterine pregnancy or gestational trophoblastic disease. Medical therapy and surgery are used to treat intramural pregnancy, with surgery often being performed via laparotomy and also including hysterectomy. Case: We present a case of intramural pregnancy that was misdiagnosed and wrongly managed by a local hospital. It was finally diagnosed correctly and managed in our hospital by combining hysteroscopy and laparoscopy under the guidance of intra-abdominal ultrasound. Our experience again highlights the difficulty in diagnosing intramural pregnancy preoperatively due to the lack of standard diagnostic criteria. This can in turn lead to inappropriate treatments. Earlier surgical intervention would allow faster diagnosis and also simultaneous treatment of the disease. The majority of intramural ectopic pregnancies have high blood flow that can cause severe hemorrhage and are therefore treated by medication or laparotomy and hysterectomy. Conclusion: Our experience reveals that a minimally invasive procedure is also safe and effective in select cases where advanced endoscopic expertise is available.
Posterior reversible encephalopathy syndrome with reversible cerebral vasoconstriction syndrome in a normal primigravida woman at the 35-week gestational stage: a case report
Authors: Tanaka Shingo , Goto Maki , Watanabe Saya , Kira Sachino , Hayashi Sotaro , Fujimoto Shigeki , Oda Miho , Lee Lifa , To Yoko , Nishiyama Satoshi , Eguchi Fuyuki , Tsujioka Hiroshi
Published: August 2021

Background: Herein, we report a case of cerebral hemorrhage in a 21-year-old nulliparous, primi gravida woman caused by posterior reversible encephalopathy syndrome (PRES), which may be associated with reversible cerebral vasoconstriction syndrome (RCVS). Case: The patient’s medical history was unremarkable, apart from the mother having had a cerebral infarction. She had been examined by a local doctor, and showed good progress; however, her blood pressure (BP) was 143/97 mmHg, she had findings of proteinuria (3+) and she had a headache on the 35th week with multiple vomiting episodes. She was admitted to our hospital after poor responsiveness and a consciousness level of GCS14, E4V4M6, a BP of 143/97 mmHg, a pulse rate of 77/min, bilateral abduction of the eyes, and left hemiplegia. Cranial computed tomography (CT) revealed cerebral hemorrhage with ventricular puncture in the right caudate nucleus. Emergency caesarean section was performed on the same day with priority given to maternal lifesaving. Acute cerebral infarction findings and PRES were observed on head magnetic resonance imaging (MRI) on the admission day 1. Head MR angiography on the 4th hospital day showed narrowing of the entire main artery trunk, suspected as RCVS. Short-term memory deficits were diagnosed post-extubation, but gradually improved. Although it became possible and hematoma in the ventricles were absorbed, left paresis and higher dysfunction were observed, and she was discharged on the 21st hospital day. Conclusion: PRES and RCVS occur simultaneously quite frequently, but require opposing treatment approaches. Both cases are reversible, but if they occur simultaneously, RCVS, which progresses slowly, may cause irreversible symptoms, thereby requiring careful treatment.
Postpartum hemorrhage and prolonged hyperfibrinolysis as complications of uterine cavernous hemangioma: a case report and literature review
Authors: Bai Xue-Li , Cao Xia
Published: August 2021

Background: Uterinecavernous hemangioma can cause persistent vaginal bleeding or massive hemorrhage and can lead to severe pregnancy complications. Case: A 23-year old woman with cutaneous hemangiomas presented for caesarean delivery of her second child nine days after successful delivery, she was admitted with severe postpartum hemorrhage and disseminated intravascular coagulation (DIC). A hysterectomy was performed as a result. The diagnosis of cavernous uterine hemangioma was made only on histopathological examination. In addition, an atypically extended period of refractory fibrinolytic hyperactivity developed after hysterectomy. Such extensive hyperfibrinolysis has not previously been reported in conjunction with hysterectomy. Conclusion: This case underscores the importance of cavernous uterine hemangioma as one of the causes of refractory uterine bleeding at the time of operation delivery. The definitive diagnosis can be made only on histological examination. Changes in the coagulation mechanism should be monitored closely during postpartum, and clinicians should be aware of the possibility of fibrinolytic hyperactivity.
Double-countershading as a means of camouflage in larvae of Orange-tip Anthocharis cardamines (Linnaeus, 1758) (Lepidoptera: Pieridae)
Authors: Craik Clive
Published: August 2021

In Shaw & Otto (2020), Shaw described larvae of the butterfly, Orange-tip Anthocharis cardamines (Linnaeus, 1758), that were visually obvious yet apparently immune to bird predation. He speculated that mustard oils in the foodplants may render them distasteful to birds so
that being conspicuous is of little consequence, allowing them to bask in sunshine possibly to aid digestion. In contrast, I argue that in certain lighting conditions larger larvae of Orange-tip can be very well camouflaged. These two different defence mechanisms are not mutually exclusive
and each may come into play under different conditions of lighting, larval age and/or food-plant availability. For disguise the larvae make use of double-countershading in what Süffert (1932) called the 'two-surface effect'. Here I briefly describe its mechanism along with that of the
better-known ordinary (single) countershading. Photographs are shown of both.
Makalah matematika
Authors: APRILINIAR ELMA
Published: August 2021

Makalah P Lingkaranhju
Pengaruh bimbingan belajar terhadap peningkatan prestasi belajar siswa kelas V sd inpres antang II
Authors: Lewar Maria Dessi
Published: August 2021

Makalah maria dessy lewar
PENINJAUAN K3 DI PROYEK PEMBANGUNAN RUMAH JABATAN SEKRETARIS DAERAH DI KOTA PALOPO
Authors: Anatasya Gita
Published: August 2021

Makalah ini merupakan tugas mata kuliah untuk melihat bagaimana penerapan K3 pada suatu proyek konstruksi
Upaya konselor dalam membimbing belajar siswa di SD Inpres Tumbuh
Authors: Wahyuni Sinar
Published: August 2021

Siswa adalah salah satu komponen manusiawi yang menempati posisi sentral dalam proses belajar-mengajar, siswa sebagai pihak yang ingin meraih cita-cita, memiliki tujuan dan kemudian ingin mencapainya secara optimal. Mengajar sebagai kelompok manusia yang belum dewasa dalam artian jasmani maupun rohani. Karena itu, memerlukan pembinaan, pembinaan, pembimbingan dan pendidikan serta usaha orang lainnya dipandang sudah dewasa, agar siswa dapat mencapai tingkat kedewasaanya. Hal ini dimaksud agar siswa dapat melaksanakan tugasnya sebagai makhluk ciptaan Tuhan Yang Maha Esa, warga negara, warga masyarakat dan pribadi yang bertanggung jawab
Bimbingan belajar dengan menggunakan metode berbasis online pada Siswa sekolah dasar
Authors: sari Astari Puspita
Published: August 2021

Catatan penyimpanan pendidikan di sekolah dasar
The COVID States Project #61: Parental concerns about COVID-19 vaccines
Authors: Pippert Caroline H , Lin Jennifer , Lazer David , Perlis Roy , Simonson Matthew D , Ognyanova Katherine , Druckman James , Tandon Uday , Baum Matthew , Santillana Mauricio
Published: August 2021

In an online forum designed to quell parents’ anxieties about the COVID-19 vaccine for their kids, one parent wrote: “I’m not an anti-vaxxer or an anti-masker. I’m just worried.” (New York Times, 2021). On May 12, 2021, the New York Times published an article titled “They’re Not Anti-Vaccine, but These Parents Are Hesitant About the COVID Shot” which takes the reader through a series of online conversations between doctors and parents anxious about vaccinating their kids against COVID-19. Parents reported being nervous about the newness of the vaccine and how fast it was developed, as well as the potential for side effects and allergic reactions. Additionally, parents of adolescents raised concerns about the vaccine affecting puberty and future fertility. Since the publication of the Times article, the FDA has granted emergency authorization for the COVID-19 vaccine for children aged 12-15 and so far, 39.5% have received one dose and 29% are fully vaccinated as of August 2, 2021.As vaccination rates are slowing with the Delta variant contributing to rising cases and hospitalizations nationwide, it is important to understand the concerns of those parents who remain hesitant to vaccinate their children against COVID-19. In our 49th and 56th reports, we found that young mothers, Republican parents, parents making less than $25,000 per year, and parents without a college degree were among the most resistant to vaccinating their children before the vaccine was available to children ages 12-15. Now that the question is no longer hypothetical for respondents with children over age 12, it is worth examining continuing sources of vaccine hesitancy and resistance among parents. What are parents’ top concerns about COVID-19 vaccinations for their children? Do these concerns vary based on a parent’s partisanship, gender, age, race, income, education, or place of residence?In our June 2021 survey, we asked parents to rate the following considerations as a major concern, minor concern, or not a concern when thinking about their children receiving a COVID-19 vaccine: how new the vaccine is, whether the vaccine has been tested enough, whether the vaccine actually works, immediate side effects (e.g., fever, nausea), long-term health effects, health effects specific to girls or women, health effects specific to boys or men, religious objections, whether the vaccine companies want to harm people, and whether the government is using the vaccine to harm people. In this report, we examine the most prevalent major concerns for parents by demographic groups to better understand the various sources of vaccine hesitancy among parents.
Layanan bimbingan belajar sebagai upaya peningkatan kualitas proses belajar mengajar pada SD Kristen kondosapata
Authors: Herista Desi
Published: August 2021

Pada prinsipnya siswa memiliki hak memperoleh peluang untuk mencapai kinerja akademik yang memuaskan. Namun, dalam realita sehari-hari, setiap siswa memiliki berbagai perbedaan, baik dalam hal kemampuan intelektual bakat, minat, kemauan, perhatian, partisipasi, latar belakang keluarga, sikap, dan kebiasaan belajar yang terkadang sangat mencolok antara siswa yang satu dengan lainnya.Sementara itu, penyelenggaraan pendidikan di sekolah pada umumnya lebih ditujukan pada siswa yang berkemampuan rata-rata sehingga yang berkemampuan kurang menjadi terabaikan. Siswa yang termasuk kategori di luar rata-rata (siswa yang pintar atau yang bodoh) tidak bisa memperoleh ke- sempatan yangmemadai untuk berkembang sesuai kapasitasnya .Jadi, kesulitan belajar dapat terjadi dan dialami oleh siswa yang bodoh, yang berkemampuan rata-rata, maupun siswa yang berkemampuan tinggi.
Perencanaan Fasilitas Umum Kecamatan Wara Barat Kota Palopo
Authors: munadia
Published: August 2021

Makalah ini merupakan tugas mata kuliah perencanaan fasilitas umum untuk memproyeksi bagaimana kebutuhan fasilitas umum di Kecamatan Wara Barat, Kota Palopo, terutama fasilitas Pendidikan, kesehatan, dan perdagangan atau ekonomi.
PENINJAUAN K3 PADA PROYEK PEMBANGUNAN JALAN BETON,DRAINASE, PLAT DUECKER, BAK SAMPAH(TPS),DAN PENATAAN JALAN KECAMATAN WARA BARAT, KOTA PALOPO
Authors: Nurfalaq Tiara
Published: August 2021

Makalah ini merupakan tugas mata kuliah untuk melihat bagaimana penerapan K3 pada suatu proyek konstruksi