bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of Fly Ash Composite Binder and Optimization of Slurry Ratio
Authors: Zhuo Qingfeng , Ba Lei , Wang Jing , Wang Qifeng
Published: December 2021

In view of the high cost of cement filling, the new cementitious materials are developed by using solid waste resources. Firstly, on the basis of material physicochemical analysis, the fly ash composite cementation ratio test and optimization test are carried out to determine the optimal ratio. Then, the filling body strength and pipeline transportation characteristics test are carried out to analyze they influence law. Finally, the genetic algorithm is used to optimize the slurry ratio. The results show that the strength of cemented backfill increases linearly with the increase of slurry concentration; The slump and bleeding rate of slurry decrease with the increase of slurry mass fraction, and increase with the decrease of binder sand ratio, the optimal proportion of fly ash (FA) based composite binder is w(FA): w(clinker): w (desulfurized gypsum (DG)): w (slag powder (SP)) =40:12:12:36; The optimum slurry ratio is 1:4 of binder/sand and 72% of concentration.
Sustainable Countermeasures for the Development of Ecological Compensation in the Watershed
Authors: Peng Xianze , Chang Kexin , Lin Juan
Published: December 2021

As the state and society pays more attention to watershed environment and water ecological environment in recent years, watershed ecological compensation has increasingly become an indispensable part of promoting watershed environmental development and protecting the ecological environment of watersheds. It is not optimistic to look at the current situation of Chinese water ecological environment. In order to practice the concept of green development and protect the environment of the water resources, it is urgent to study the ecological compensation system of the water resources. Here, the connotation and significance of ecological compensation in the river basin are pointed out, and the sustainable suggestions and countermeasures for the development of ecological compensation in the water resources are accordingly put forward.
Visualization of Legal Informatics
Authors: Lachmayer Friedrich , Čyras Vytautas
Published: December 2021

This paper explores the subject matter of legal informatics. The life-long work of the first author concerning the visualization and coding of statutes is generalized. Besides positive law and customary law, the emergence of machine law is a current topic of focus in the literature. In machine law, legal acts are posited by machines and not by humans (primarily in a situational context). The transformation of a legal act to a legal document can happen in two ways. First, it is a transformation of the legal act into explicit punctuation, for example, for announcement in the case of laws or for written execution in the case of judgments, and, second, as a trend towards electronic documents. Legal theory forms a meta-level to the law and similarly legal informatics forms a meta-level to legal information. Legal informatics in Austria is based on the work of Ota Weinberger, Ilmar Tammelo and Leo Reisinger and has been developed by Erich Schweighofer in the framework of the IRIS conferences. Legal informatics is distinguished from legal information, whereas legal logic and meta-theories appear on top of legal informatics. In terms of syntax, machine culture is characterized by formal notations. Notations of legal logic are just the beginning; the target is a technical notation, a basis for programming. Visualizations are in the middle. On the one hand, visualizations serve to understand people by breaking away from the textual; on the other hand, by emphasizing the formal they form a bridge to machines. Legal text can be translated directly into formal languages, but visualizations can facilitate this task as an intermediate methodological step. Hans-Georg Fill’s metamodeling can be seen as a metameta-level.
Generation of Legal Norm Chains: Extracting the Most Relevant Norms from Court Rulings
Authors: Glaser Ingo , Moser Sebastian , Matthes Florian
Published: December 2021

Various online databases exist to make judgments accessible in the digital age. Before a legal practitioner can utilize state-of-the-art information retrieval features to retrieve relevant court rulings, the textual document must be processed. More importantly, many verdicts lack crucial semantic information which can be utilized within the search process. One piece of information that is frequently missed, as the judge is not adding it during the publication process within the court, is the so-called norm chain. This list contains the most relevant norms for the underlying decision. Therefore this paper investigates the feasibility of automatically extracting the most relevant norms of a court ruling. A dataset constituting over 42k labeled court rulings was used in order to train different classifiers. While our models provide F1 performances of up to 0.77, they can undoubtedly be utilized within the editorial publication process to provide helpful suggestions.
Assessing the Cross-Market Generalization Capability of the CLAUDETTE System
Authors: Jablonowska Agnieszka , Lagioia Francesca , Lippi Marco , Micklitz Hans-Wolfgang , Sartor Giovanni , Tagiuri Giacomo
Published: December 2021

We present a study aimed at testing the CLAUDETTE system’s ability to generalise the concept of unfairness in consumer contracts across diverse market sectors. The data set includes 142 terms of services grouped in five sub-sets: travel and accommodation, games and entertainment, finance and payments, health and well-being, and the more general others. Preliminary results show that the classifier has satisfying performance on all the sectors.
Towards Reducing the Pendency of Cases at Court: Automated Case Analysis of Supreme Court Judgments in India
Authors: Pandey Shubham , Chandra Ayan , Sarkar Sudeshna , Shankar Uday
Published: December 2021

The Indian court system generates huge amounts of data relating to administration, pleadings, litigant behaviour, and court decisions on a regular basis. But the existing Judiciary is incapable of managing these vast troves of data efficiently that causes delays and pendency of a large volume of cases in the courts. Some of these time-consuming tasks involve case briefing, examining the legal issues, facts, legal principles, observations, and other significant aspects submitted by the contending parties in the court. In other words, computational methods to understand the underlying structure of a case document will directly aid the lawyers to perform these tasks efficiently and improve the overall efficiency of the Justice delivery system. Application of Computational techniques (such as Natural Language Processing) can help to gather and sift through these vast troves of information, identify patterns, extract the document structure, draft documents and make the information available online. Traditionally lawyers are trained to examine cases using the Case Law Analysis approach for case briefing. In this article, the authors aim to establish the importance and relevance of the automated case analysis problem in the legal domain. They introduce a novel case analysis structure for the supreme court judgment documents and define twelve different case law labels that are used by legal professionals to identify the structure. Finally the authors propose a method for automated case analysis, which will directly aid the lawyers to prepare speedy and efficient case briefs and drastically reduce the time taken by them in litigation.
The Ethics of Controllability as Influenceability
Authors: Lorini Emiliano , Sartor Giovanni
Published: December 2021

We present a logical analysis of influence and control over the actions of others, and address consequential causal and normative responsibilities. We first account for the way in which influence can be exercised over the behaviour of autonomous agents. On this basis we determine the conditions under which influence leads to control on the implementation of positive and negative values. We finally define notions of causal and normative responsibility for the action of others. Our logical framework is based on STIT logic and is complemented with a series of examples illustrating the application. Our analysis applies to interactions between humans as well as to those involving autonomous artificial agents.
Accessing electronic health records in critical incidents using context-aware attribute-based access control
Authors: Psarra Evgenia , Verginadis Yiannis , Patiniotakis Ioannis , Apostolou Dimitris , Mentzas Gregoris
Published: December 2021

In emergency situations, different actors involved in first aid services should be authorized to retrieve information from the patient’s Electronic Health Records (EHRs). The research objectives of this work involve the development and implementation of methods to characterise emergency situations requiring extraordinary access to healthcare data. The aim is to implement such methods based on contextual information pertaining to specific patients and emergency situations and also leveraging personalisation aspects which enable the efficient access control on sensitive data during emergencies. The Attribute Based Access Control paradigm is used in order to grant access to EHRs based on contextual information. We introduce an ABAC approach using personalized context handlers, in which raw contextual information can be uplifted in order to recognize critical situations and grant access to healthcare data. Results indicate that context-aware ABAC is a very effective method for detecting critical situations that require emergency access to personal health records. In comparison to RBAC implementations of emergency access control to EHRs, the proposed ABAC implementation leverages contextual information pertaining to the specific patient and emergency situations. Contextual information increases the capability of ABAC to recognize critical situations and grant access to healthcare data.
Nutritional biomarkers and machine learning for personalized nutrition applications and health optimization
Authors: Panagoulias Dimitrios P. , Sotiropoulos Dionisios N. , Tsihrintzis George A.
Published: December 2021

The doctrine of the “one size fits all” approach in the field of disease diagnosis and patient management is being replaced by a more per patient approach known as “personalized medicine”. In this spirit, biomarkers are key variables in the research and development of new methods for prognostic and classification model training based on advances in the field of artificial intelligence [1, 2, 3]. Metabolomics refers to the systematic study of the unique chemical fingerprints that cellular processes leave behind. The metabolic profile of a person can provide a snapshot of cell physiology and, by extension, metabolomics provide a direct “functional reading of the physiological state” of an organism. Via employing machine learning methodologies, a general evaluation chart of nutritional biomarkers is formulated and an optimised prediction method for body to mass index is investigated with the aim to discover dietary patterns.
Evaluation of the product quality of the online shopping platform using t-spherical fuzzy preference relations
Authors: Park Choonkil , Ashraf Shahzaib , Rehman Noor , Abdullah Saleem , Aslam Muhammad
Published: December 2021

As a generalization of Pythagorean fuzzy sets and picture fuzzy sets, spherical fuzzy sets provide decision makers more flexible space in expressing their opinions. Preference relations have received widespread acceptance as an efficient tool in representing decision makers’ preference over alternatives in the decision-making process. In this paper, some new preference relations are investigated based on the spherical fuzzy sets. Firstly, the deficiency of the existing operating laws is elaborated in detail and three cases are described to identify the accuracy of the proposed operating laws in the context of t-spherical fuzzy environment. Also, a novel score function is proposed to obtain the consistent value in ranking of the alternatives. The backbone of this research, t-spherical fuzzy preference relation, consistent t-spherical fuzzy preference relations, incomplete t-spherical fuzzy preference relations, consistent incomplete t-spherical fuzzy preference relations, and acceptable incomplete t-spherical fuzzy preference relations are established. Additionally, some ranking and selection algorithms are established using the proposed novel score function and preference relations to tackle the uncertainty in real-life decision-making problems. Finally, evaluation of the product quality of the online shopping platform problem is demonstrated to show the applicability and reliability of proposed technique.
Site selection of nursing homes based on interval type-2 fuzzy AHP, CRITIC and improved TOPSIS methods
Authors: Zhang Huaige , Bai Xuyang , Hong Xianpei
Published: December 2021

With the rise in the global aging population, selecting sites for nursing homes for old-age care has become critical and challenging. The site selection of a nursing home can be considered as a multicriteria decision-making. Because of the increasing complexity and uncertainty of the socioeconomic environment, standard assessments cannot handle this multicriteria decision-making. Therefore, this study provides a multi-criteria decision-making method based on Interval 2 Fuzzy Sets (IT2FS). It obtains comprehensive weights through the AHP method and the CRITIC method. Compared with the traditional TOPSIS, the improved TOPSIS method reduces the difference between the evaluation results. This method is suitable for the site selection of nursing homes in a certain area. We use the data of nursing homes to show the application of these methods. By comparing with traditional methods, we find that the integrated approach can consider more uncertainties.
Personality Related to Quality-of-Life Improvement After Deep Brain Stimulation in Parkinson’s Disease (PSYCHO-STIM II)
Authors: Boussac Mathilde ,   for the PREDISTIM study group, Arbus Christophe , Klinger Helene , Eusebio Alexandre , Hainque Elodie , Corvol Jean Christophe , Rascol Olivier , Rousseau Vanessa , Harroch Estelle , d’Apollonia Charlotte Scotto , Croiset Aurélie , Ory-Magne Fabienne , De Barros Amaury , Fabbri Margherita , Moreau Caroline , Rolland Anne-Sophie , Benatru Isabelle , Anheim Mathieu , Marques Ana-Raquel , Maltête David , Drapier Sophie , Jarraya Béchir , Hubsch Cécile , Guehl Dominique , Meyer Mylène , Rouaud Tiphaine , Giordana Bruno , Tir Mélissa , Devos David , Brefel-Courbon Christine
Published: December 2021

Background: Deep brain stimulation of the sub-thalamic nucleus (DBS-STN) reduces symptoms in Parkinson’s disease (PD) patients with motor fluctuations. However, some patients may not feel ameliorated afterwards, despite an objective motor improvement. It is thus important to find new predictors of patients’ quality of life (QoL) amelioration after DBS-STN. We hypothesized that personality dimensions might affect QoL after DBS-STN. Objective: To evaluate associations between personality dimensions and QoL improvement one year after DBS-STN. Methods: DBS-STN-PD patients (n = 303) having answered the “Temperament and Character Inventory” (TCI) before surgery and the PDQ-39 before and one year after surgery were included, from the cohort study PREDI-STIM. Linear regression models were used to evaluate associations between TCI dimensions and change in PDQ-39 scores after DBS-STN. Results: Novelty Seeking and Cooperativeness scores before surgery were positively associated with PDQ-39 scores improvement after DBS-STN (FDR-adjusted p < 0.01). Moreover, paradoxically unimproved patients with deterioration of their PDQ-39 scores after DBS-STN despite improvement of their MDS-UPDRS-IV scores had lower Cooperativeness scores, while paradoxically improved patients with amelioration of their PDQ-39 scores despite deterioration of their MDS-UPDRS-IV scores had higher Reward Dependence scores. Conclusion: Some presurgical personality dimensions were significantly associated with QoL amelioration and discrepancy between motor state and QoL changes after DBS-STN in PD. Educational programs before DBS-STN should take in account patient personality dimensions to better deal with their expectations.
Trait Anxiety as a Risk Factor for Impulse Control Disorders in de novo Parkinson’s Disease
Authors: Waskowiak Pauline , Koppelmans Vincent , Ruitenberg Marit F.L.
Published: December 2021

Background: In addition to the well-known motor symptoms, patients with Parkinson’s disease (PD) also frequently experience disabling non-motor symptoms including impulse control disorders (ICDs). ICDs are characterized by a loss of voluntary control over impulses, drives, or temptations regarding excessive hedonic behavior. Objective: The present study examined whether depression and anxiety in de novo PD patients predict the prospective development of ICDs. Methods: We selected 330 de novo PD patients from the Parkinson’s Progression Markers Initiative database who were free of ICDs at the start of the study. ICD presence at baseline and follow-up assessments was evaluated via the shortened version of the Questionnaire for Impulsive-Compulsive Disorders (QUIP-S). Baseline depression and anxiety were measured via the Geriatric Depression Scale (GDS-15) and State-Trait-Anxiety Inventory (STAI-Y), respectively. Results: A total of 149 participants (45.2%) developed an ICD at follow-up and average time of ICD onset was 35 months after baseline. Results of a Cox regression analysis showed that STAI-Y scores but not GDS-15 scores significantly predicted ICD presence. Specifically, scores reflecting higher trait anxiety were associated with an increased risk of developing an ICD. This effect was not confounded by age, gender or UPDRS motor score. We also replicated the well-established result that dopamine agonist use is predictive of ICDs. Conclusion: Our findings indicate that higher anxiety levels in de novo PD patients represent a risk factor for ICD development during the course of the disorder. This highlights the need for early and routine based anxiety screening in these patients.
FEATURES OF DETERMINATION OF COST OF RIFLE SHOOTING-IRON
Authors:   Rivne Scientific Research Forensic Center, MIA of Ukraine, Komisarova Angela , Pechorin Pavlo ,   Rivne Scientific Research Forensic Center, MIA of Ukraine
Published: December 2021

The article is devoted to the study of the issues of conducting a complex forensic commodity and forensic ballistic examination of small arms firearms of the range of specialized retail trade network. Attention is paid to the importance of providing a judicial opinion on a comprehensive investigation to determine the amount of damage caused by the crime, which will be used by pre-trial and judicial investigation authorities as a source of evidence in criminal, civil, commercial and administrative cases. The problem faced by commodity experts in the study of firearms and determining their value has been studied. Features of research of these objects are considered, the stages and sequence of complex research of the weapon are schematically represented. In particular, the ballistic stage of the study is described in detail. Forensic signs of belonging of the object to the firearm, constructive signs and the signs characterizing a condition of object and a way of its manufacturing that allows to reveal separate individual signs of the small arms and to carry out its exact identification are resulted. The problematic issues of ballistic research of firearms are illustrated by practical examples. The algorithm of carrying out of a stage of forensic research on an estimation of consumer properties of the weapon is stated; the expediency of using certain methodological approaches and methods of establishing the market value of weapons generally accepted in forensic science has been determined. The expediency of applying costly and comparative methodological approaches during the commodity research stage to determine the value of research objects is substantiated. Describes the feasibility of using a comparative methodological approach, when the secondary market for the sale of the object under study is quite developed and there is sufficient reliable information on the prices of offers for similar property; costly methodological approach - when the market of purchase and sale of these objects in use is significantly limited, there are no analogues of the investigated property in the secondary market, which denies the possibility of applying a comparative methodological approach, but it is possible to determine the cost of reproduction (replacement) estimates by a similar object.
THE MODIFIED TIKHONOV REGULARIZATION METHOD WITH THE SMOOTHED TOTAL VARIATION FOR SOLVING THE LINEAR ILL-POSED PROBLEMS
Authors:   N. N. Krasovskii Institute of Mathematics and Mechanics UB RAS, Vasin Vladimir , Belyaev Vladimir
Published: December 2021

We investigate a linear operator equation of the first kind that is ill-posed in the Hadamard sence. It is assumed that its solution is representable as a sum of smooth and discontinuous components. To construct a stable approximate solutions, we use the modified Tikhonov method with the stabilizing functional as a sum of the Lebesgue norm for the smooth component and a smoothed BV-norm for the discontinuous component. Theorems of exis- tence, uniqueness, and convergence both the regularized solutions and its finite-dimentional approximations are proved. Also, results of numerical experiments are presented.
Correlation of Prolonged Total Ischemic Time with Body Mass Index in Kidney Transplant: A Single Center Report
Authors: Eriawan Agung Nugroho  , Erwin Wibowo  , Aryani Prathita Amanda
Published: December 2021

Background: Chronic kidney disease (CKD) is a rising health concern worldwide, especially in Indonesia. The treatment of choice for end-stage renal disease is Kidney Transplantation.1 Numerous studies showed that prolonged total ischemic ischemic time may cause hypoxia of the graft tissue and increased risk of ischemia and reperfusion injury (IRI) and delayed graft function (DGF).2 Body mass index of kidney transplant recipients may cause prolonged duration of the procedure, as well as prolonged total ischemic time. This study aimed to determine the correlation between prolonged total ischemic time with body mass index.

Method: This was an observational and cross-sectional analysis at Kariadi General Hospital Semarang involving patients who underwent kidney transplantation from January 2016 to December 2019. The total ischemic time was recorded intraoperatively. The Body Mass Index data were provided by medical records. The program used to statistically analyze the data was SPSS 23.0, and Spearman was used for hypothesis testing.

Result: This study included 25 kidney transplant recipients. The mean total ischemic time was 43,27 ± 6,63 minutes. There was a significant positive correlation between prolonged ischemic time and body mass index (r= 0,506 ; p= 0,010).

Conclusion: Prolonged total ischemic time was positively correlated with increased body mass index and these results are statistically significant.
The Effect of the Covid-19 Free Operation Path Protocol on the Incidence of Lung Complications in Postoperative Elective Patients at dr. Moewardi Hospital Surakarta
Authors: Aktama Galih , Henky Agung Nugroho  , Muhammad David Perdana Putra
Published: December 2021

The pandemic that began in late 2019, COVID-19, affects all patients, including cancer patients. Patients with cancer that continues to spread and  there is no other effective alternative treatment must undergo surgery so that cancer does not get worse. Given this problem, many health care centers have developed a protocol system in the form of a COVID-19-free surgical route. This study is a retrospective cohort study comparing the incidence of pulmonary complications in patients undergoing elective cancer surgery at dr. Moewardi Surakarta before and during the COVID-19 pandemic. The study sample was adult patients  aged ≥ 18 years which underwent elective surgical procedures with the aim of curative cancer starting before COVID-19 (March 2019-February 2020) until the time the COVID-19 pandemic emerged (March 2020 - February 2021). The data obtained were 768 patients. Of these patients, 384 were classified as having a COVID19-free operation route during the pandemic, and 384 others underwent elective surgery in the pre-pandemic period. Based on the Chi-Square test, a p-value of 0.850 was obtained (P>0.05) which shows that there is significant difference between cases of pulmonary complications in surgical patients before and after the pandemic who were carried out through the COVID-19-free protocol route. In conclusion, there is no significant change in effect of the covid-19 free operation path protocol on the incidence of lung complications in postoperative elective patients at dr. Moewardi Hospital Surakarta, although this patented and mandatory protocol can reduce cancer patients’ morbidity and mortality who undergoing elective surgery during a pandemic.
The Ethanolic Extract of Annonaceous sp. to Inhibit Vascular Endothelial Growth Factor (VEGF) as Anticancer Modalities
Authors: Muhartono Muhartono , Asep Sukohar  , Khairun Nisa  , Ratna Dewi Puspita Sari  , Suharyani  , Arli Suryawinata
Published: December 2021

Introduction: Cancer has become a major public health problem worldwide, with breast cancer is the most common cancer among women and one of the most important causes of death among them. Management of breast cancer have some adverse effects, with many factorx=s shiouln be considered to ordered the therapy. Use of chemotherapy will suppress cell proliferation and trigger apoptosis, but it cannot just focus on cancer cells only, but also would affected on other cells and cause.

Objective: This study aim to analyze the inhibition effect of the Annonanceous sp. ethanolic extract to Vascular Endothelial Growth Factor (VEGF) on MCF-7 cells line

Material and Methods: This study is an analytic experimental study used Randomized Complete Block Design (RCBD) with three repetitions. The extract was dissolved in 1 ml of DMSO with a concentration of 0.1%. Furthermore, dilution was made with a dose of 0 µg / ml (K); 25 µg / ml (P1); 50 µg / ml (P2); 100 µg / ml (P3); 200 µg / ml (P4). MCF-7 cells line were cultured used RPMI 1640 Medium with 80 – 90% confluent. The ethanolic extract of Annonaceous sp. were exposed to MCF-7 cells for 48 hours. Analyze of VEGF level use ELISA Methods with λ=405 nm.

Results: The results of ELISA analyze shows that the ethanolic extract of Annonaceous sp. have potential effect to decreased of VEGF expression on sample with treatment on some concentration (p< 0,05).

Conclusion: The ethanolic extract of Annonaceous sp. has shows the potential effect to decreased of VEGF level on MCF-7 cells line
The Effectivity of Supplementation Artemisia vulgaris for Adenocarcinoma Mammae Chemotherapy to Reduce CD 34 and Tumor Massa Diameter (Study in C3H Mice Given Adriamycin - Cyclophosphamide Chemotherapy)
Authors: Saputro Bayu Teguh , Selamat Budijitno
Published: December 2021

Introduction: Breast cancer is still a major health problem in the world. In the case of breast cancer, surgery is the main treatment option besides chemotherapy, radiation, and immunotherapy such as Artemisia vulgaris (AV). AV is cytotoxic selectively acts as a supplement to breast adenocarcinoma chemotherapy given the Adriamycin-Cyclophosphamide regimen, to improve chemotherapy response.The study was aimed to proving AV extract enhances the chemotherapy response in C3H mice with adenocarcinoma mammae given Adriamycin-Cyclophosphamide Chemotherapy.

Method: This study used Post test only control group design on 24 females C3H mice that were randomly selected and divided into four groups: group K (control), P1 (chemotherapy), P2 (extract), and P3 (combination). Adenocarcinoma mammae comes from the inoculation of donor mice. Chemotherapy of Adriamycin 60 mg / m 2 and Cyclophosphamide 600 mg / m 2 were given in two cycles. AV 13 mg (0.2 ml) was given once daily orally. CD34 were evaluated by imunohistochemical staining and tumor mass diameter were counted by calipers.

Result: The microvascular density CD34 and tumor mass diameter were obtained in groups of K, P1, P2, P3 respectively 60.76 ± 1.5; 39.70 ± 2.00; 57.10 ± 1.29; 35.26 ± 2.06 and 12.52 ± 1.49; 6.20 + 1.04; 9,94 + 1.21; 3.94 + 0.76. Statistical analysis showed significant differences in CD34 between groups K vs P1, P2, P3 (p = 0.001, p = 0.014, p = 0.001), P1 vs P2 and P3 (p = 0.001, p = 0.033) and P2 (P = 0.001). Tumor mass diameter between groups K vs P1, P2, P3 (p=0.001; p=0.014; p=0,001), P1 with P2 (p= 0.001) P1 with P3 (p = 0.033) and P2 with P3 (p = 0.001). Correlation analysis between CD34 with tumor mass diameter was found to have significant correlation (p = 0.001 and r = 0.932).

Conclusion: Artemisia vulgaris is a potential to reduce angiogenesis in terms of decreasing the microvascular density CD34 and tumor mass diameter of adenocarcinoma mammae of C3H mice treated with Adriamycin-Cyclophosphamide chemotherapy and can improve the effectivity.
Factors Related To Outcome of Traumatic Brain Injury Patients at M Djamil Padang Hospital
Authors: Fitri Nora , Syarif Indra  , Hendra Permana
Published: December 2021

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.
Jugular Vein Aneurysm, When We Have to Do Surgery?
Authors: Amalia Rizki , Nugroho Johanes , Dewi Ivana Purnama
Published: December 2021

Introduction: The most common lesions of jugular vein dilatation are aneurysms and ectasia. A jugular vein aneurysm is less common compare to an arterial aneurysm in adults.  Because of the rare incidence, treatment guidelines primarily associated with the timing of surgery are not clearly established. Proper treatment can reduce patient complaints without excessive intervention.

Case report: A 54 years old woman complained of swelling in the right neck that started three years ago and cephalgia for two years. From CT angiography, we obtained a jugular vein dilatation of 2.3 cm. During periodic evaluation from ultrasonography doppler, there is no increase in the size of the jugular vein.

Conclusion: Jugular vein aneurysm presenting in adults is an infrequent phenomenon. It is a benign condition, and conservative observation is advised.  It should be operated only if symptomatic or progressive enlarging. A periodic examination must be done to evaluate the size of the jugular vein before a surgical decision
WHO Global Strategy in Eradication of Cervical Cancer
Authors: Agustiansyah Patiyus , Rizal Sanif  , Siti Nurmaini  , Irfannuddin  , Legiran
Published: December 2021

WHO has created a global strategy to accelerate the elimination of cervical canceras a public health problem and a world burden. Cervical cancer is a disease thatcan be prevented and cured, as long as it is detected early and treated effectively.Cervical cancer is also a disease that reflects global injustice. The burden isgreatest in low- and middle-income countries, where access to public healthservices is limited and screening and treatment for the disease has not been widelyapplied. In 2018, nearly 90% of all deaths worldwide occurred in low and middleincome countries. Furthermore, the proportion of women with cervical cancer whodie from the disease is more than 60% in these countries, more than double thenumber in many high-income countries, which is only 30%.
Laparoscopic Davydov Procedure for Creation of Neovagina in MRKH Syndrome
Authors: Krisna Ratih , Rizky Agustria
Published: December 2021

Introduction: The Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a condition in which there is an absence of the uterus and the upper part (2/3) of the vagina. Women with MRKH syndrome show normal development of secondary sexual characteristics and a normal 46, XX karyotype. MRKH syndrome is a common cause of primary amenorrhea. Ultrasonography examination confirms kidneys, presence of the ovaries, and absence of uterus. Treatment should include a multidisciplinary approach to create a functional vagina. One of the procedures is laparoscopic Davydov vaginoplasty.

Aim: To report MRKH syndrome case treated with laparoscopic Davydov vaginoplasty.

Method: Ms. A, 21 years old, P0A0, came to FER clinic Moh. Hoesin Hospital Palembang with complaint, never had menstruation, the patient admitted her breast, and her pubic had growth. She wants to get married in the next six months. From the US result, there was non visualized uterus, genital band (+), and both ovaries within normal limit ~ MRKH Syndrome. Karyotype Examination: 46, XX. Patient was diagnosed with primary amenorrhea caused by MRKH syndrome and was planned for neovagina (Davydov Procedure).

Result: A woman 21-year-old, P0A0, was diagnosed with primary amenorrhea caused by MRKH syndrome. The Davydov procedure was done to create a neovagina. Intraoperative, after protrusion of the wood mold as a marker shown, an incision is made to the left and right side so that the mold penetrates the abdominal cavity, then the mold is pulled into the vaginal canal slowly. The anterior and posterior peritoneal layers are drawn into the vaginal canal. The anterior and posterior peritoneal layers were withdrawn with an ovum clamp and then interrupted suture. The anterior and posterior peritoneal layers were sutured in a circular method to form a vaginal cuff. The vaginal wall is sutured (interrupted) to hold mold fixed.

Conclusion: MRKH syndrome is a disorder that occurs in females and mainly affects the reproductive system. This condition causes the vagina and the uterus to be underdeveloped or even absent at birth. Patients with diagnosed MRKH syndrome require interdisciplinary care. Davydov procedure is a laparoscopically-assisted technique, which has an advantage over traditional approaches. It has shorter operating time, lower intraoperative complications, shorter hospital stay, and no external scars. Postoperatively, sexual function is similar to women without gynecological disorders.
Factors Associated with The Incidence of Infection in Tracheostomy Stoma at Mohammad Hoesin Hospital
Authors: Lisa Apri Yanti  , Oktriyani Nelly , Erial Bahar
Published: December 2021

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection.

Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection.

Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020.

Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985).

Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.
Primary Squamous Cell Carcinoma Thyroid with Regional Recurrence
Authors: Akhbar Nugroho , Benny Issakh
Published: December 2021

Background. Primary squamous cell carcinoma (PSCC) of the thyroid is a very aggressive malignancy with a poor prognosis. There is no consensus for the management of primary squamous cell carcinoma (PSCC) of the thyroid, and this is based on rare cases in which the frequency of occurrence is less than 1% of thyroid malignancies. How squamous cell carcinoma originates in the thyroid gland is an interesting topic to discuss, because the thyroid gland does not have a squamous cell epithelium.

Case Presentation. A 43-year-old man was admitted to the DR Kariadi Hospital with complaints of a lump on the right neck. In June 2020, the patient complained of a lump in the right neck area with a diameter of about 1x1x1 cm, no pain. Ultrasound of the colli at the regional hospital showed the impression of multiple lymphadenopathy of the right colli level 2-5, and there were cystic nodules with solid parts in the right and left lobes of the thyroid suspected of being benign. An adenectomy operation was performed at a regional hospital and the impression of metastatic squamous undifferentiated carcinoma was obtained.

Conclusion. The management of thyroid PSCC is a multimodality therapy, namely surgery, chemotherapy and radiation.
Educación sanitaria para la prevención de enfermedades: revisión de la literatura
Authors: Gitirana José Valdeci Almeida , Fonseca Rosa Maria Batista Pinheiro da , Piloneto Fábio Marmentini , Bevilaqua Luis Felipe Gaia , Assis Ingrid de , Cardoso Ronald de Oliveira
Published: December 2021

Actualmente se llevan a cabo políticas públicas, acciones gubernamentales y diferentes programas de Educación sanitaria (ES) a favor de la salud de la población. Con respecto al tema de la ES, se trata de un tema multifacético, convergente a diversas concepciones personales, ya sea en el área de la educación o la salud, que puede dar lugar a entendimientos divergentes. Debido a la complejidad del tema, el problema se produce debido a la falta de comprensión de lo que realmente es la ES orientada a la población, disolviendo la importancia de la ES para las medidas preventivas contra diferentes enfermedades, lo que genera un alto costo presupuestario en la salud pública. En vista de este contexto, este artículo tiene como pregunta principal: ¿Cómo puede la Educación sanitaria contribuir a la prevención de enfermedades en la población? El estudio tuvo como objetivo presentar el ES para la Prevención de Enfermedades (EP), ramificando en el abordamiento de sus conceptos, así como destacando las bases legales que aseguran el ES a la población. Con este fin, el estudio se realizó a través de una revisión de la literatura por el sitio de búsqueda "Google Scholar", "Scielo" y "PubMed". A través de los descriptores: Educación sanitaria; La Educación sanitaria como prevención de enfermedades; Educación sanitaria de la población, donde se eligieron estudios que presentaron las SS enfocadas en la EP. Se concluye que las SS son la educación para el autoconocimiento y la reflexión sobre su propia salud, así como la plena conciencia de que algo sale mal, atribuyendo la reflexión crítica del sujeto respecto a sus hábitos y medidas preventivas. Se aplica a través del currículo escolar de la escuela primaria, así como por los programas gubernamentales en los centros de salud, con el fin de educar a la sociedad para crear conciencia sobre las medidas preventivas y promover una mejor calidad de vida, evitando así la propagación de enfermedades.
Lingo-Entrainment: The Natural Language Surveillance Of Smartphone Users
Authors: Fazio Nicholas
Published: December 2021

This thesis examines the neuro-cultural implications of: (1) language capture and commodification; and (2) neurological entrainment, two processes that I contend have coextensively emerged with the development of smartphones in a way that is profitable for major smartphone manufacturers and privileged third parties. The phrase “neurological entrainment” in this context refers specifically to the smartphone’s ability to exert affective behavioural control over smartphone users by altering their neurochemical states. I aim to situate this established neurological phenomenon alongside a less scrutinized transformation: that of the smartphone into a site of language-capture. By “language capture” I refer to the intake, collection and brokering of smartphone users’ natural language data and metadata. The goal of this thesis is to contextualize the interfusing of these entrainment and capture processes that cunningly form lucrative linguistic relationships between smartphone users and their devices. This study, through a comparative content analysis of data policies, privacy protocols, and privacy related promotional material pertaining to two major smartphone manufacturers (e.g., Apple and Samsung), substantiates the claim that the foundational documents of each device openly permit this productive union, with its doubled effect of neurological pacification and linguistic divestment. divestment. It also situates these findings within the grander lingo-entrainment systems that influence the future of our living language, and that coincide with Deleuzian premonitions about societies of control.
#Neverenough: Social Comparison By Young Women On Instagram
Authors: Parnell Bailey
Published: December 2021

As social media use continues to rise, studies have linked high social media use with rising levels of depression, particularly in young adults. This narrative has pervaded, yet in the research thus far, there is no general consensus as to causation or direction. What remains constant is that when mediators such as ‘comparison’ and ‘envy’ are introduced between social media use and depression, there is a negative correlation. In a qualitative study, I examine the connection between social comparison, Instagram use, and envy in young women. I conducted semi-structured interviews with a group of 10 female university students between the ages of 18-24. Interviews were analysed through qualitative descriptive analysis. Overwhelmingly, subjects engaged in frequent social comparison offline, which translated to frequent social comparison, made worse, on Instagram. As a result, participants admitted to feeling envious as well as other feelings like frustration, loneliness, anger, and overwhelm. However, users also reported positive experiences such as inspiration, humour, motivation, and happiness, when they are on Instagram Offline affect proved to be the biggest moderators and indicators of comparison and the positive or negative experiences of the participants. This research may suggest future care in this area should focus on offline affect rather than the social networks themselves.
Toronto’s Little Shop Of Horrors: A Cultural Criminology Examination On Serial Killer Bruce McArthur And The News Media
Authors: Smith Emma Margaret
Published: December 2021

Contributing to the dynamic and interdisciplinary field of cultural criminology, this project works to emphasize the destructive, modern forces of consumerism and violence within Toronto’s crime-news industry. The paper fuses the canonical and emerging methodologies of content analysis, discourse analysis, and liquid ethnography, to evaluate the framing and editing techniques used to relay the story of Bruce McArthur’s predations in The Village (over the 2018 news year). A sample of 365 articles, retrieved from five print media sources, are methodically examined to understand both the local and national agenda-setting strategies of contemporary journalism. Actively contributing to the transformation of human suffering and violence into mass-market pleasure, a carnival of crime model (Presdee, 2000) serves as a primary lens for evaluating the hyper-sensationalized reporting styles of modern news makers. Weaving theoretical contributions from the fields of sociology and media studies, the embeddedness of heteronormative, racialized, and ethnocentric tropes common to the news and crime-infotainment industries is also critically evaluated towards raising greater political and social accountability. Crime-centric podcasts are further identified as a leading technological medium for fueling public obsessions with murder and transgressions. Formed by enthusiastic hobbyists and motivated journalists, the producers of podcasting content hastily straddle the realms of entertainment and information sharing. As such, this research calls for immediate awareness and tending to the neoliberal symptoms of boredom and fear existing in our modern world, building on Stanley Cohen’s (1972) moral panic theory.

Keywords: cultural criminology, serial killer, news media, crime infotainment, McArthur
A RSA-Biometric Based User Authentication Scheme For Smart-Homes Using Smartphone
Authors: Bagha Amir Mohammadi
Published: December 2021

Internet of Things (IoT) is considered as one of the emerging leading technologies that allow the
mainstreaming of smart homes and smart cities in the recent years, by creating a communication
system for physical objects over the Internet. In a smart home (also called push-button home
automation system), devices are not necessarily homogeneous in terms of topology, security
protocols, computational power and communication. This nature of the devices causes some
incompatibility with conventional authentication methods and the security requirements of IoT
standards. This thesis proposes an RSA-Biometric based three-factor User Authentication Scheme
for Smart-Homes using Smartphone (called RSA-B-ASH-S scheme). An informal security
analysis of the proposed RSA-B-ASH-S scheme is provided, along with its performance evaluation
in terms of computational time, storage requirements and communication overload. Furthermore,
a formal analysis of the proposed RSA-B-ASH-S scheme using the Burrows-Abadi-Needham
(BAN) Logic is described, showing that the proposed scheme achieves the forward secrecy
property by utilizing a fresh encryption key for each session and it also satisfies the anonymity of
the user by using a one-time token. A proof of concept of the proposed RSA-B-ASH-S scheme is
also provided.