bluuebunny/crossref_metadata_2025 huggingface dataset:
REKONFIGURASI JARINGAN PADA SALURAN UDARA TEGANGAN MENENGAH 20 KV PENYULANG NAIONI PT. PLN (PERSERO) ULP KUPANG MENGGUNAKAN PERANGKAT LUNAK ELECTRICAL TRANSIENT ANALYSIS PROGRAM (ETAP) 12.6
Authors: Tana Nikolaus M. , Likadja Frans , Galla Wellem F.
Published: December 2020

The 20 kV medium Voltage overhead lines of Naioni feeder on PT. PLN (Persero) ULP Kupang system has a feed length of ± 79.825 kms and is the longest of all feeders installed in the ULP Kupang. To minimize the voltage drop and power losses on the Naioni Feeder 20 kV medium Voltage overhead lines (SUTM), network reconfiguration needs to be done including changing the diameter of the conductor, installing a transformer insert and installing a capacitor bank using the help of ETAP software. From the results of the study, before reconfiguration, the voltage drop at the end of the Bus_Trafo KB 082 channel was 0.967 kV and the voltage drop percentage was 4.68% while the total power losses at Naioni Feeder were 20 kV, which were active power losses of 48.062 kW and loss reactive power loss of 25,689 kVAR. Furthermore, after reconfiguring the carrying diameter on the channel that still uses a small diameter of 35 mm2, it will be converted to 70 mm2 on cable 17 that connects the KB 119 Transformer Bus channel to the KB 074 Transformer Bus which

is a fairly long distance from all other channels. So that after carrying out the reconfiguration of the conductor diameter, the voltage drop at the end of the Bus Trafo KB 082 channel is 0.844 kV and the voltage drop percentage is 4.24%, while the total power losses in the Naioni Feeder are 20 kV which are active power losses of 41.142 kW and conductor reactive power loss of 25.53 kVAR. Furthermore, after installation of the transformer insert and changing the conductor diameter on cable 17 of 35 mm2 will be changed to 70 mm2 connecting the Transformer Bus Channel KB 119 to the KB 074 Transformer Bus, then the voltage drop at the end of the Bus Trafo KB 082 channel is 0.826 kV and the voltage drop percentage amounting to 4.15% while the total power losses at Naioni Feeder are 20 kV, namely active power losses of39.292 kW and reactive power losses of 24.467 kVAR. And then, if the capacitor bank is installed on the Bus Transformer KB 119 channel bus point to the Bus Trafo KB 074 channel, then the voltage drop at the Bus Trafo KB 082 channel end is 0.891 kV and the voltage drop percentage is 4.47%, while the total power losses are The 20 kV Naioni Feeder is an active power loss of 43.714 kW and a reactive power loss of 22.888 kVAR.
ANALISIS GANGGUAN HUBUNG SINGKAT PADA JARINGAN PEMAKAIAN SENDIRI PLTU BOLOK PT. SMSE (IPP) UNIT 3 DAN 4 MENGGUNAKAN SOFTWARE ETAP 12.6.0
Authors: Sampeallo Agusthinus S. , Nursalim Nursalim , Fischer Patrisius J.
Published: December 2020

Bolok Steam Power Plant has its own 6.3 kV usage network to service loads such as Feed Water Pump and Circulating Pump Feed. This self-use network is expected to supply unit loads at the Bolok coal-fired steam power plant without any interference. The presence of disturbances such as short circuit in the electric power system can cause problems such as damage to electrical equipment and the emergence of a power outage. Therefore problems that arise like this require an analytical study to determine the short circuit current that will occur while reducing the consequences that arise.

This study aims to determine the largest short circuit fault current with the help of ETAP 12.6.0 software. Short circuit simulation results with ETAP 12.6.0 will be compared with manual calculations based on positive, negative and zero sequence impedance values from the point of disturbance location.

Based on the results of the research that has been done, it is known that the type of two-phase short circuit interference to the ground is the largest type of interference, which is equal to 10,615 kA on the generator bus. Whereas for the smallest type of short circuit interference is the type of disturbance one phase to the ground that is equal to 3,967 kA on the OutGoing II bus. From the results of the simulations conducted, it can also be seen that changes in the value of short circuit fault currents are affected by changes in the number of operating loads. The more load that operates the positive and negative sequence impedance the smaller and the value of the short circuit current will be greater, while the zero sequence impedance does not affect the amount of load operating, as well as the opposite.
PENERAPAN ALGORITMA GENETIKA PADA TRAVELLING SALESMAN PROBLEM (TSP) (STUDI KASUS: PEDAGANG PERABOT KELILING DI KOTA KUPANG)
Authors: Ina Wenefrida Tulit , Manu Sarlince O , Matahhine Thomas Y
Published: December 2020

Travelling Salesman Problem  (TSP) merupakan  salahsatu permasalahan optimasi yang terjadi di kehidupansehari-hari.  Permasalahan  pada  kasus  TSP  adalahbagaimana  membangun  rute  terpendek  yang  akandilalui salesman. Pemodelan kasus ini akan diterapkanpada pedagang perabot keliling di Kota Kupang dengan menerapkan metode algoritma genetika. Saat ini proses penjualan perabot masih dilakukan dengan cara lama dimana lokasi yang dipakai tidak menentu, sehingga belum dapat diputuskan bahwa rute perjalanan yang dihasilkan sudah optimal.

 Untuk membuat rute yang optimal pada TSP penulis menggunakan algoritma genetika. Dimana algoritma ini merupakan salah satu metode yang dipakai untuk pemecahan masalah optimasi. Algoritma ini mengikuti proses genetik dari kromosom – kromosom biologi yang berdasar pada teori evolusi Charles Darwin. Sesuai dengan studi kasus yang diambil dalam skripsi ini, maka akan diambil 10 titik kelurahan untuk menghasilkan sebuah perjalan yang akan dipakai sebagai jadwal perjalanan seorang pedagang. Dalam penelitian inipun akan diteliti bagaimana pengaruh angka acak yang dipakai pada proses pindah silang.

Hasil penerapan algoritma genetika dapat memberikan solusi yang optimal untuk studi kasus pedagang perabot keliling. Hasil pengujian inipun memberikan jadwal perjalanan yang tetap untuk pedagang perabot keliling di Kota Kupang dan jadwal sendiri berisi rute perjalanan dengan titik kelurahan yang berbeda bagi pedagang serta jarak tempuh. Dan untuk angka acak yang dipakai dalam proses pindah silang yaitu angka acak terbesar dan terkecil. Angka acak terkecil berpengaruh positif terhadap nilai fitness, maka disarankan untuk menggunakan angka acak yang kecil saat proses pindah silang.
ANALISIS KEANDALAN PADA JARINGAN DISTRIBUSI PENYULANG OESAO, CAMPLONG DAN BURAEN
Authors: Bobo Tomi D. Dairo , Galla Wellem F. , Mauboy Evtaleny R
Published: December 2020

Indeks keandalan sistem distribusi adalah tolak ukur dari sistem untuk terus menyalurkan energi listrik ke beban dalam periode waktu tertentu dan dalam kondisi tertentu secara berkelanjutan. PT. PLN (Persero) Rayon Oesao sebagai penyedia layanan listrik di Kabupaten Kupang memiliki standar pelayanan sesuai dengan SPLN 68-2:1986 sebesar 37,8 kali gangguan/tahun dan 247,8 jam gangguan/tahun.

Penelitian ini menganalisis tingkat keandalan jaringan distribusi PT. PLN (Persero) Rayon Oesao pada tiga (3) penyulang yaitu penyulang Oesao, penyulang Camplong dan penyulang Buraen. Perhitungan indeks keandalan didasarkan pada perkiraan laju kegagalan (λ) dan perkiraan durasi gangguan(U) tiap komponen terpasang.

Dari hasil perhitungan dapat disimpulkan bahwa saluran distribusi PT. PLN (Persero) Rayon Oesao dikategorikan andal sesuai dengan SPLN 68-2:1986 dengan indeks keandalan tertinggi adalah pada penyulang Oesao tahun 2012 yaitu SAIFI=0,68532 kali/gangguan; SAIDI=2,06852 jam/tahun; CAIFI=0,331309 kali/gangguan; CAIDI=3,018327 jam/tahun; ASAI=0,999764 dan ASUI=0,000236. Sedangkan yang terendah pada penyulang Buraen tahun 2017 sebesar SAIFI=15,95456 kali/gangguan; SAIDI=47,92384 jam/tahun; CAIFI=0,332915 kali/gangguan; CAIDI=3,003771 jam/tahun; ASAI=0,994529 dan ASUI=0,005471.
Sığırlarda Trichophytosis’in Teşhisinde ELISA’nın Kullanılabilirliğinin Araştırılması
Authors: KAPLAN Hülya , KESKİN Oktay
Published: December 2020

Trichophytosis, bütün dünyada hayvancılık sektöründe ekonomik kayıplara neden olan ve derinin epitelyum tabakasının keratinize olarak kalınlaşması ve kılların dökülmesiyle karakterize olan bulaşıcı bir dermatomikozistir. Ancak trichophytosis gerek diğer mantar enfeksiyonları ve gerekse başka enfeksiyöz ve nonenfeksiyöz deri hastalıkları ile karışabilmektedir. Kesin teşhis yapılmadan tedavi uygulaması ise hem ekonomik kayba neden olmakta hem de gerçek enfeksiyonun tedavisi yapılamamaktadır. Bu amaçla Trichophyton verrucosum ile enfekte olan sığırların tedavisi için kesin tanı önem taşımaktadır. Bu çalışmada, trichophytosisin serolojik teşhisinde ELISA’nın kullanılabilirliğinin belirlenmesi amaçlanmıştır. Bu çalışmada geliştirilen Enzyme-Linked Immunosorbent Assay (ELISA) ile tanısal duyarlılık %95.24 ve tanısal özgüllük %100 olarak bulundu. Şanlıurfa ve civarında daha önce hastalık tespit edilen 4 sığır sürüsündeki sığırlardan alınan kan serumları Enzyme-Linked Immunosorbent Assay (ELISA) ile test edildi. Buna göre toplam 360 sığır serumu örneğinin 289’u (%80.3) pozitif bulundu. Sonuç olarak Enzyme-Linked Immunosorbent Assay (ELISA)’nın; tanıda kullanılan izolasyon yöntemi uzun süre aldığından, kısa sürede teşhis yapabilecek bir tanı yöntemi olduğu ve bu bağlamda hastalığın teşhisine büyük oranda katkı sağlayacağı kanısına varıldı. Ayrıca çalışmada elde edilen yüksek seropositivite oranı, serumlar her ne kadar daha önce hastalık görülen çiftliklerden alınmış olsa da, yine de hastalığın bölgede yaygın olduğunu ve gerekli kontrol önlemlerinin alınmasının önemli olduğunu göstermektedir.
Si può spiccare una consegna?
Authors: Coletti Vittorio
Published: December 2020

Una lettrice ci scrive che nella società in cui lavora da tempo, fra “colleghi di più lunga esperienza lavorativa” si usa “spiccare una consegna [...] come sinonimo di emettere”. Quest’uso è messo in discussione dai colleghi più giovani i quali sostengono “che è un volo che si spicca e non una consegna”.
B-TYPE NATRIURETIC PEPTIDE(BNP) LEVELS AND ITS PROGNOSTIC VALUE IN ACUTE CORONARY SYNDROMES(ACS)
Authors: Kumar Rajinder , Khujwal Muzaffar Majeed , Sharma Isha , Ahmad Niyaz
Published: December 2020

Objectives: This study was designed to evaluate the prognostic value of B-type natriuretic peptide (BNP) in patients across the entire spectrum of acute coronary syndromes (ACS).
Method: We measured BNP levels at baseline in 100 consecutive patients between 24-96 hours after the onset of ischemic symptoms in patients of acute coronary syndromes. We did comparison between BNP levels and established prognostic markers Trop-T to determine short term morbidity and mortality.
Results: Patients with baseline BNP levels (> 80pg/ml, n=28) were at higher risk of new or progressive congestive heart failure (CHF) [17.8% vs. 1.39%, P = 0.002), new or recurrent myocardial infarction [17.8% vs. 2.8, P = 0.008) and death [17.8% vs. 1.39%, P= 0.002) within a period of 30 days. The mortality within 30 days in patients with BNP > 80pg/ml was 17.9% (P=0.002)compared to 5.7%(P=0.718) in patients with positive Trop-T (> 0.1ng/ml).
Conclusion: A single measurement of BNP obtained between 24-96 hours after the onset of ischemic symptoms provides predictive information for use in risk stratifications across the spectrum of acute coronary syndromes. Cardiac neurohormonal activation may be a unifying feature among patients at high risk for death after acute coronary syndromes. BNP levels should be measured in all patients of Acute coronary syndromes.
A STUDY ON THE PREVALENCE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS ISOLATED FROM CLINICAL SAMPLES
Authors: Jha Neha , Prasad R. S. , Jha P. N. , Jana Debarshi
Published: December 2020

Background: Methicillin Resistant Staphylococcus aureus (MRSA) prevalence is increasing worldwide and it remains as a major cause of morbidity and mortality in hospitalised patients due to its versatile behaviour towards antibiotics.
Aims: This study was done to find out the prevalence and antimicrobial susceptibility pattern of MRSA isolates at our hospital setup, in order to guide policy on the appropriate use of antibiotics.
Settings and Design: The study was a prospective observational study, carried out in the Department of Microbiology, Darbhanga Medical College, Laheriasarai, Bihar.
Methods and Material: A total number of 288 strains of Staphylococcus aureus were isolated from various clinical samples received in the laboratory. Staphylococcus aureus was identified by routine standard operative procedures. Antimicrobial susceptibility testing was done by Kirby-Bauer disc diffusion method and the results were interpreted following Clinical Laboratory Standards Institute (CLSI) guidelines. Methicillin resistance was screened by using oxacillin disks [1 mcg].
Statistical analysis used: Data obtained was analysed and presented in counts and percentages. 95 % confidence interval values were also calculated.
Results: Methicillin resistance was documented in 120 [41.6%] Staphylococcus aureus isolates. Most of them were isolated from pus, wound swabs, urine and respiratory samples. All MRSA isolates were resistant to penicillin and cefepime. The resist-ance was high to tetracycline, erythromycin, co-trimoxazolepiperacillin / tazobactam, and ciprofloxacin; moderate to amino-glycosides, clindamycin, chloramphenicol and levofloxacin. All MRSA strains were susceptible to vancomycin. Overall, 63.3% [76/120] of MRSA strains were found to be resistant to more than 6 antimicrobials tested.
Conclusions: Our study emphasizes the need for regular surveillance and formulation of a strict drug policy on the appropriate use of antibiotics to control MRSA infections. This would also minimise the irrational use of vancomycin and the emergence of vancomycin resistant Staphylococcus aureus [VRSA].
AN INTERESTING CASE OF LONG STANDING IMPACTED BUTTON BATTERY CAUSING SEPTAL PERFORATION AND DEFORMITY
Authors: Bhagat Sanjeev , Ratti Jasmine , Garg Sachiv
Published: December 2020

Button batteries usage in electrical devices like toys, watches, calculators etc has significantly increased in recent times and due to their easy availability and small size, these batteries can be very easily inserted by small children in the nose. A nasal button battery is an otorhinolaryngological emergency as it can lead to severe damage, necrosis, and perforation of the nasal septum, intranasal synechiae , and nasal deformity [1]. Button batteries should ideally be removed in a controlled setting under general anesthesia if they cannot be removed in the outpatient department. We hereby report this case to advocate that button battery in the nasal cavity is a serious condition and can lead to grave complications like nasal synechiae, granulations , septal perforation further causing saddle nose deformity.
CHEST X-RAY FINDINGS IN COVID-19 PNEUMONIA: A PICTORIAL REVIEW
Authors: Ahmad Zohra , Dutta Parul , Choudhury Deepjyoti Das , Kalita Satabdi , Hussain Zohaib , Ahmad Zainab
Published: December 2020

Corona Virus Disease 19 or COVID-19, was first detected in Wuhan province in China in December 2019 and reported to the World Health Organization (WHO) on December 31, 2019 [1]. It was declared a pandemic on March 11th, 2020 [2] and has till now affected 40 million people all around the world resulting in 1.1 million deaths (as of 18th Oct, 2020) [3]. As the world is reeling under the burden of the disease, it has been imperative for the radiologists to be familiar with the imaging appearance of the disease. Thoracic imaging with chest X-ray and CT is the key modality for the diagnosis and management of respiratory diseases. Although CT is more sensitive, the immense challenge of disinfection control in the modality may disrupt the service availability and portable X-ray may be considered to minimize the risk [4]. Use of portable X-ray has played a vital role in all the areas around the world during this pandemic.
The purpose of this pictorial review is to represent the frequently encountered features and abnormalities in chest X-ray and strengthen the knowledge of the health-care workers in this war against the pandemic.
REVISITING AN OLD TECHNIQUE FOR ORAL CAVITY RECONSTRUCTION USING MASSETER FLAP: AN INSTITUTIONAL EXPERIENCE OF 50 BUCCAL MUCOSA CANCER PATIENTS
Authors: Gupta Deepika , Koduru Vijay , Dikhit Punit , Hoda Nadeemul , B.C Rajani , K.S Sabitha.
Published: December 2020

Cancer of the posterior part of oral cavity are often diagnosed at an advanced stage. Although microsurgery and free flaps have better results, the use of local and regional flaps remains an easier, feasible and faster option for reconstruction. We have done a retrospective analysis of 50 patients who underwent, a masseter flap at our institution in our study along with its 6 months follow up and outcomes. This technique offers a quick and reliable method for repairing oral cavity defects in a selected few cases. The masseter flap has an advantage, as it is technically easy, pliable for posterior defects and no significant donor site morbidity while its drawbacks are its limited mobility and small posterior defect alone coverage. It may provide a simple and effective solution in a difficult situation in selective cases.
A PROSPECTIVE, RANDOMIZED, DOUBLE BLINDED, CONTROLLED STUDY TO EVALUATE THE EFFICACY OF DEXMEDETOMIDINE 50µg AND DEXAMETHASONE 8mg AS AN ADJUVANT TO ROPIVACAINE 0.5% FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK IN ELECTIVE UPPER LIMB SURGERIES.
Authors: Madhyastha Kavya , K Shashikala T
Published: December 2020

BACKGROUND: Brachial Plexus Blocks are the popular choice of anaesthesia technique as a part of day care surgeries for upper limb. In this study, efficacy of non opioid adjuvants Dexamethasone and Dexmedetomidine has been evaluated.
MATERIALS AND METHODS: 90 ASA class I and II patients undergoing elective upper limb surgeries were randomly divided into three groups of 30 each. Group C received 0.5% Ropivacaine 28ml with 2ml normal saline, Group DX received 0.5% Ropivacaine 28ml with 8mg Dexamethasone and Group DM received 0.5% Ropivacaine 28ml with Dexmedetomidine 50µg. The primary objective was to know the sensory and motor block onset, total sensory and motor block duration, total duration of analgesia. Secondary parameters were mean arterial pressure, peripheral saturation and sedation score. Statistical methods were carried out through SPSS for Windows(version 16.0)
RESULTS: The sensory and motor block onset was earlier in Group DM compared to Group C and Group DX, while it was later in Group DX compared to Group C. The mean TSBD, TMBD and TDA was longer in Group DX(746.66min, 677.83min, 800.16min) compared to Group C (361.33min, 303.66min, 411.16min)and Group DM(686.33min, 593.5 min, 701.83min). There was no significant change in MAP, SpO2 and sedation scores.
TRENDING HYBRID SURGERY FOR ANAL FISTULAE [FILAC + SLOFT] TO CURTAIL RECURRENCE SUCCEEDING IN 24 CASES
Authors: Neha Neeti , Mishra Gaurikant
Published: December 2020

Objective: The aim of the study is to evaluate the efficacy of upcoming operative combination of fistula laser tract closure [FiLaC] + submucosal ligation of fistula tract [SLOFT] in treating anal fistulae. Background: The treatment of anal fistulae is predominantly surgical. To attain a minimum recurrence healing, the surgical methods have gone through a chain of transitions. One of the fresh developments has been a hybrid of FiLaC and SLOFT, sometimes described as distal laser proximal SLOFT [DLPS] procedure. Materials and methods: The study was winded up on a total of 24 patients since September 2019 to August 2020. All, regardless of type of fistula, underwent an operative blend of FiLaC and SLOFT, after explaining the pros and cons of the bouquet of surgical options available. Results: The results of FiLaC and LIFT [Ligation of intersphincteric fistulous tract] have been individually questioned over past years. SLOFT is a recent modification inculcating the benefits of LIFT and at the same time, snagging for the cryptoglandular complex with minimal dissection. Conclusion: Our study on 24 cases has strengthened the togetherness of FiLaC and SLOFT in treating anal fistulae.
MULTI-CENTRIC, DOUBLE BLIND STUDY OF EMAMI BLENDED EDIBLE VEGETABLE OIL (EBEVO1) ON IMMUNITY
Authors: Das Banani , Ojha Abhay Shankar , Debnath Parikshit
Published: December 2020

Background: The composition of Emami Blended Vegetable Oil (EBEVO1) is refined soyabean oil (75% by wt) and refined rice bran oil (25% by wt) with add on vitamins such as A, C, D, E & omega 3 fatty acids in order to enrich its nutritional value. Vit. A is involved in the development of the immune system and plays regulatory roles in cellular immune responses and humoral immune processes. Vit. A has demonstrated a therapeutic effect in the treatment of various infectious diseases. Crucial immune organs need constant dietary intake to maintain Vit. A concentration. Vitamin C is important in all stressful conditions that are linked to inflammatory processes and involve immunity.
Study objectives: The sponsor, M/s Emami Agrotech Pvt. Ltd., developed the Emami Blended Edible Vegetable Oil (EBEVO1) which was evaluated upon the user acceptability and efficacy parameters. The baseline data of the evaluating parameters was compared with the results obtained by the end of the study (90days).
Trial Design: The study was a randomized, multicentric, double-blind and controlled. The clinical trial protocol, information sheets, and consent forms were approved by the Ethical Committee of the Independent Research Ethics Society. The study was conducted after receiving the consent from the Ethics Committee (March 15, 2019). The Investigators have strictly followed the Standard Operating Procedures (SOPs) for the study following the Good Clinical Practice (GCP) and adhered to the Declaration of Helsinki. He/she thoroughly examined the study participants in his/her specific centre(s).
Result: The results are encouraging where Group - A Oil shows better results than Group – B Oil due to value addition through Vitamins.
Conclusion: Emami Blended Vegetable Oil contains 5 essential nutrients such as vitamin A, C, D, E and Omega 3 that have already been clinically confirmed in numerous trials around the world. The special blend of added nutrients that enhance the metabolic functions to enhance immunity to prevent minor general disorders or infections.
STUDY OF CLINICOPATHOLOGICAL SPECTRUM OF OVARIAN NEOPLASMS WITH SPECIAL REFERENCE TO EXPRESSION OF ER AND PR IN MALIGNANT LESIONS
Authors: Ganguli Sujata , Basu Keya , Bandyopadhyay Ranjana
Published: December 2020

Ovarian carcinoma is the second most common carcinoma of the female reproductive system .It is the leading cause of death from gynaecological malignancy .The purpose of this study is to observe the clinicopathological spectrum of ovarian neoplasms with the expression of ER and PR in the different malignant lesions .A total of 156 cases of ovarian tumours were included in this study, and surface epithelial tumours were found to be the commonest neoplasm followed by germ cell tumours. Expression of ER and PR was found to be highest in Serous and Endometrioid tumours. PR Negative cases showed a higher grade and stage.
PROFILE OF BLOOD DONORS IN A TERTIARY CARE CENTRE IN SOUTH INDIA- A CROSS SECTIONAL STUDY
Authors: J Anu , K Nabeel Azeez , Mathew Apuca Susan
Published: December 2020

Blood is considered a scarce resource in the world. Many patients requiring transfusion do not have timely access to safe blood and many lives are lost because of this reason. According to the WHO Information Sheets, 2005 80% of the worldwide population has access to only 20% of safe blood. Aim- To analyse the donor profile and the need for voluntary blood donation drives. Methodology: A descriptive cross-sectional study conducted among blood donors attending the blood bank of a Tertiary care centre in South India from 2015 to 2019. Results: Out of 7979 blood donations, voluntary donors were only 8.5 % with most (97.8%) of the donors being males. The donors arriving at the blood bank were between 18 and 64 years of age. Of the voluntary donors, about 37% were first-time blood donors. The commonest available blood group was O positive (34.1%) and the least available was AB negative (0.8%). Among the reasons for donor rejection, mismatch between the donor’s blood group and that of the requested unit was the commonest (25.8%) followed by hypertension (22.9%) on examination. HBsAg seropositivity was the majority (0.5%) among the transfusion transmitted infections screened. Conclusion: Efforts should be made to direct all the donations towards voluntary non remunerated ones. Awareness among the general population about the need of blood donation, educating them about the criteria of acceptable donors and discussing the general myths and facts about donation process is also important.
EVALUATION OF PATIENTS' SATISFACTION AFTER GI ENDOSCOPY PROCEDURE IN SELECTED HOSPITAL, DEHRADUN, UTTARAKHAND.
Authors: Malla Shradha , Singh Grace Madonna , ManoRanjini J.
Published: December 2020

Health is a holistic approach which include all physical, mental and social components. Symptoms of anxiety is normal part of every person's life sometimes due to which person's satisfaction can vary. One of the important diagnostic tool for examine the upper gastro intestinal tract is endoscopy. Endoscopy is a procedure usually done for purposes of diagnosis. It helps in increasing the rate for accuracy in diagnosis, decrease in complications etc and usually creates anxiety in patients. To enhance the satisfaction, need to evaluate and describe elaborate about the endoscopy procedure to the patient undergoing GI endoscopy. Nurse plays an important role in preparing patients for procedure before, during and after the procedure. METHOD- Aquantitative study was carried out among 107 patients underwent GI endoscopy. Likert scale and opinionnaire was used to check the satisfaction of the patient undergoing GI endoscopy. RESULT- The result of the study revealed that majority of study participants were between 30-40 years of age (71.03%). More than half sample were male (53.3%), Majority were graduate and above (32.7%), Less than half of participants had private job (43.9%), majority didn't had knowledge regarding endoscopy procedure (70.1%) and Most of the sample having diagnosis ulcer (25.2%) respectively. (51%) responded good regarding manner of team members, description of the procedure (55%) and overall rating of visit (54%). Majority of sample agreed (64%) to visit again in the same facility for the procedure. CONCLUSION- The present study conclude that the overall satisfaction of patients underwent GI endoscopy was good.
COLORECTAL CANCER AND LYMPH NODE COUNT: IS THE NUMBER RECOMMENDED FOR STAGING RETRIEVED?
Authors: Saleem Suhail , Nair Vijayalakshmi
Published: December 2020

Background
Colorectal cancer (CRC) ranks as the third most commonly diagnosed cancer in males and the second in females. According to the TNM staging system, status of the draining lymph nodes is a key pathologic characteristic. Inadequate lymph node harvesting may result in under treatment of patients. The purpose of the present study was to evaluate the factors that influence the number of lymph nodes retrieved in colorectal cancer specimens.
Methods
Sixty five patients with histologically proven colorectal adenocarcinoma over a period of 18 months were included. All patients underwent surgical resection for their disease. All significant patient, tumour and treatment variables were assessed for their impact on the average total number of lymph node harvested. Further, the efficacy of the GEWF solution (glacial acetic acid, ethanol, distilled water, formaldehyde) in lymph node retrieval was also assessed.
Results
In this study, 43 men and 22 women with a median age of 61 years were included. The median total number of lymph nodes examined was 17. 87.6% had adequate (≥ 12) lymph nodes examined, and 12.4% had <12 nodes examined. The number of lymph nodes were found to be higher and statistically significant in under 60-year-old group (p=0.001), tumours of size > 5cm (p=0.002), tumours of the ascending colon (p=0.025) and cases operated on by super specialist surgeons (p=0.017).Factors such as gender (p=0.23),BMI (p=0.22),tumour differentiation (p=0.348) and T staging (p=0.026) had no statistically significant association with lymph node harvest. Mean LN count was significantly higher (p = 0.0001) regrossing by a senior pathologist. However a statistically significant increase in LN harvest was not seen (p=0.159) when specimens were further subjected to GEWF treatment.
Conclusions
This study indicates that several modifiable factors impact LN retrieval and hence gives scope for improvement. Refinement of surgical and pathological care is suggested especially in challenging cases like rectal cancer and elderly patients.
A RARE CASE OF SMALL BOWEL OBSTRUCTION POST CAESAREAN SECTION
Authors: Tadala Surya Subhashi , G Valsa Diana.
Published: December 2020

• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath.
• This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low.
• In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).
SAFE TRACHEOSTOMY IN HEAD AND NECK CARCINOMA PATIENTS DURING COVID ERA: METHOD AND DEMOGRAPHICS
Authors: Joseph Bonny A , Ghosh Sandeep , Desai Sanjay M
Published: December 2020

Introduction: Tracheostomy is inevitable in the management of many head and neck malignancy. The indications vary from supportive to palliative. During Covid-19 era, ensuring surgeon safety while performing tracheostomy is of utmost importance as tracheostomy is considered an aerosol generating procedure.
Materials and methods: All the patients who underwent tracheostomy as part of the management of carcinoma of head and neck region in the department of Surgical Oncology from March till October 2020
Conclusion: Following proper safety measures while doing tracheostomy will ensure safety of the surgeon.
A RARE CASE OF MULTIPLE EPIDERMOID CYST OF THE SCROTUM IN 44-YEAR OLD MALE PATIENT
Authors: Patel Hamikchandra , Damor Paresh , Dharajiya Bharat , Khobragade Pranay
Published: December 2020

Multiple epidermoid cyst is relatively rare condition now a day. They are asymptomatic, but cosmetically unaccepted. Once infected cause fatal complication like Fournier`s gangrene and septicemia. They are successfully managed surgically by complete excision with good cosmetic result and minimum morbidity. Here we report a case of 44 years old male patient with symptom of multiple epidermoid cyst over scrotum for last 10 years.In this case complete excision of scrotal wall with cyst followed by mobilizing scrotal skin and primary suturing was done.
DPb-MOPSO: A Novel Dynamic Pareto bi-level Multi-Objective Particle Swarm Optimization Algorithm
Authors: Aboud Ahlem , Rokbani Nizar , Fdhila Raja , Qahtani Abdulrahman M. , Almutiry Omar , dhahri habib , Hussain Amir , Alimi Adel
Published: December 2020

Particle swarm optimization system based on the distributed architecture over multiple sub-swarms has shown its efficiency for static optimization and has not been studied to solve dynamic multi-objective problems (DMOPs). When solving DMOP, tracking the best solutions over time and ensuring good exploitation and exploration are the main challenging tasks. This study proposes a novel Dynamic Pareto bi-level Multi-Objective Particle Swarm Optimization (DPb-MOPSO) algorithm including two parallel optimization levels. At the first level, all solutions are managed in a single search space. When a dynamic change is successfully detected in the objective values, the Pareto ranking operator is used to enable a multiple sub-swarm’ subdivisions and processing which drives the second level of enhanced exploitation. A dynamic handling strategy based on random detectors is used to track the changes of the objective function due to time-varying parameters. A response strategy consisting in re-evaluate all unimproved solutions and replacing them with newly generated ones is also implemented. Inverted generational distance, mean inverted generational distance, and hypervolume difference metrics are used to assess the DPb-MOPSO performances. All quantitative results are analyzed using Friedman's analysis of variance while the Lyapunov theorem is used for stability analysis. Compared with several multi-objective evolutionary algorithms, the DPb-MOPSO is robust in solving 21 complex problems over a range of changes in both the Pareto optimal set and Pareto optimal front. For 13 UDF and ZJZ functions, DPb-MOPSO can solve 8/13 and 7/13 on IGD and HVD with moderate changes. For the 8 FDA and dMOP benchmarks, DPb-MOPSO was able to resolve 4/8 with severe change on MIGD, and 5/8 for moderate and slight changes. However, for the 3 kind of environmental changes, DPb-MOPSO assumes 4/8 of the solving function on IGD and HVD metrics.
Authors: A. Pratiwi Ajheng Mulamukti , Pertiwi Mahesti , Andriany Anissa Rizky
Published: December 2020

Tujuan dari penelitian ini adalah untuk mengetahui ada atau tidaknya hubungan antara subjective well being dengan komitmen organisasi pada pekerja yang melakukan WFH (work from home) selama masa pandemi covid. Penelitian ini menggunakan sampel sebanyak 81, dan menggunakan instrument kuesioner subjective well being Diener yang telah diadaptasi ke dalam Bahasa Indonesia (Rostiana, 2011) dan kuesioner komitmen organisasi milik (Meyer, J.P., Natalie J. Allen, dan Catherine A. Smith, 1993) dikutip dari Mas’ud Fuad, 2004. Berdasarkan uji statistic, didapatkan hasil bahwa terdapat hubungan yang signifikan antara subjective well being dengan komitmen organisasi pada pekerja yang melakukan WFH (work from home). Hubungan yang ada bersifat positif, artinya semakin tinggi tingkat subjective well being pada pekerja, maka akan semakin tinggi pula komitmen organisasi, dan begitu pula sebaliknya
Pelayanan Kesehatan Berbasis TI Dalam Proses Pemenuhan Hak-Hak Tahanan Dan Narapidana
Authors: Utami Puspitadini Cahyaning , Kurniawan Dedi
Published: December 2020

Penelitian ini bertujuan untuk mengetahui dan menganalisis pelayanan kesehatan yang ada di Rumah Tahanan Negara Kelas 1 Cipinang. Dengan mengunakan pendekatan kualitatif yang di jelaskan secara deskriptif dan pengambilan data secara observasi di lapangan.Adapun yang menjadi latar belakang penulisan ini karena jumlah narapidana dan tahanan berjumlah 221.763, sedangkan jumlah petugas medis hanya 1.062 orang, sehingga didapatkan perbandingan antara jumlah tenaga medis dengan narapidana/ tahanan yaitu 1:185. Hal ini menyebabkan kurang optimalnya pelayanan kesehatan bagi warga binaan pemasyarakatan. Pelayanan kesehatan komprehensif pelayanan kesehatan promotif, preventif, kuratif, rehabilitatif, pelayanan kebidanan, dan Pelayanan Kesehatan Darurat Medis, termasuk pelayanan penunjang yang meliputi pemeriksaan laboratorium sederhana dan pelayanan kefarmasian sesuai dengan ketentuan peraturan perundang-undangan.Pada kegiatan pelayanan kesehatan di Rumah Tahanan Negara Kelas 1 Cipinang selalu melakukan tindakan-tindakan pencegahan, penyembuhan, pemulihan, dan peningkatan terhadap kesehatan. Adapun kendala yang di alami petugas medis dalam melakukan pelayanan kesehatan yaitu karena prasarana yang kurang menunjang dan jumlah personil tenaga medis yang kurang.Upaya yang di lakukan tenaga medis dalam mengoptimalkan kinerjanya dengan selalu berupaya melengkapi sarana dan prasarana. Berdasarkan hasil analisis pula, penulis memberikan saran bahwa solusi untuk mengatasi kekeuragan tenaga medis yaitu dengan cara menjalankan klinik online (Telemedicine).
Penanganan Aduan Pada Jakarta Smart City Ditinjau Dari Kualitas Informasi Dan Sistem Informasi Manajemen
Authors: Suriansha Reza , Rasyid Erwin
Published: December 2020

Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh terhadap kualitas informasi dan penerapan sistem informasi manajemen pada penanganan pengaduan di PT. Qlue Performa Indonesia dalam mendukung program Jakarta Smart City. Penelitian ini dilakukan pada bulan September 2019 melalui bantuan Google Form (kuesioner online). Populasi dalam penelitian ini adalah pengguna aktif aplikasi Qlue. Metode pengujian instrumen yang digunakan adalah uji validitas dan reliabilitas. Teknik analisis data yang digunakan adalah teknik deskriptif kuantitatif, analisis regresi linier berganda, uji hipotesis dan koefisien determinasi. Hasil penelitian menunjukkan bahwa Kualitas Informasi dan Implementasi Sistem Informasi Manajemen berkorelasi dengan PT. Qlue Performa Indonesia dalam mendukung program Jakarta Smart City, hal ini ditunjukkan oleh hasil uji parsial dari masing-masing variabel independen terhadap variabel dependennya, serta uji simultan dari variabel independen terhadap variabel dependen.
Perencanaan Obat Pasien BPJS Rawat Jalan Dengan Metode Konsumsi Di Instalasi Farmasi RSUD Kabupaten Bandung
Authors: Agustini Kamelia , Priyadi Akhmad , Fauziah Nurul
Published: December 2020

Tujuan penelitian ini untuk mengetahui kesesuaian proses perencanaan ketersediaan obat dengan metode konsumsi dan faktor yang mempengaruhi ketidaksesuaian perencanaan obat tersebut untuk pasien BPJS Kesehatan rawat jalan di Instalasi Farmasi salah satu Rumah Sakit Umum Daerah di Kabupaten Bandung. Penelitian ini merupakan penelitian deskriptif dengan pengambilan data secara retrospektif terhadap laporan jumlah pemakaian dan sisa obat BPJS di  Instalasi Farmasi salah satu Rumah Sakit Umum Daerah di Kabupaten Bandung. Dengan menggunakan metode konsumsi, hasil penelitian menunjukkan bahwa dari 88 sampel obat, didapatkan hasil kesesuaian pengadaan obat pada bulan Oktober, November dan Desember 2017 berturut-turut adalah 56,82%, 54,55% dan 80,68%. Faktor yang mempengaruhi ketidaksesuaian perencanaan diantaranya: pending, kosong distributor, belum terpesankan dan produk sudah tidak masuk daftar e-catalog
Feminimisme Radikal Dan Eksploitasi Perempuan Suriah Sebagai Objek Seksual Terkait Imbalan Bantuan Kemanusiaan
Authors: Mitzy Gulia Ichikaya , Zahirah Silfanny
Published: December 2020

Kompleksitas yang terjadi dalam studi Hubungan Internasional telah membawa kita untuk dapat melihat secara lebih jauh mengenai isu-isu internasional yang terjadi. Isu kemanusiaan mencakup tentang kekerasan berbasis gender yang memunculkan agenda-agenda baru dalam menghadapi konflik yang terjadi dalam dunia internasional. Eksploitasi dan kekerasan seksual menjadi umum terjadi terutama terhadap perempuan. Kekerasan seksual berbasis gender dapat merusak kesehatan baik fisik dan mental, martabat, keamanan dan otonomi para korbannya, namun tetap terselubung dalam budaya diam. Berbagai macam faktor mendasari tentang bagaimana kekerasan berbasis gender ini dapat terjadi, salah satunya yaitu tentang penyalahgunaan kekuasaan seseorang atau suatu kelompok dimana hal ini menjadi kritik dari teori feminisme radikal. Penyalahgunaan kekuasaan ini juga terjadi di Suriah dimana praktek eksploitasi seksual terjadi pada perempuan Suriah hanya demi mendapatkan bantuan kemanusiaan.
Hubungan Pengetahuan Menjelang Menopause Dengan Tingkat Kesiapan Menjelang Menopause Pada Ibu Premenopause
Authors: Nisa Ika Choirin , Islamiati Dian
Published: December 2020

Menopause adalah perdarahan surut fisiologik yang terakhir dalam seumur hidup wanita, yang menunjukkan berakhirnya kemampuan bereproduksi dan berhenti haid atau menstruasi. Fase klimakterium pertama yang dialami wanita sebelum menopause yaitu premenopause. Wanita yang mengalami fase premenopause mengalami beberapa perubahan fisik dan psikologis. Kesiapan seorang wanita dalam memasuki usia menopause meliputi kesiapan baik secara fisik maupun psikis. Kecemasan dan ketakutan yang berlebihan dapat mempengaruhi tingkat kesiapan sehingga wanita memerlukan pengetahuan dan kesiapan yang baik terkait perubahan fisik maupun psikologi yang akan dihadapi. Tujuan penelitian ini adalah menganalisis hubungan pengetahuan tentang menopause dengan tingkat kesiapan menjelang menopause pada ibu premenopause. Desain penelitian yang digunakan adalah cross-sectional dengan pendekatan observasional. Jumlah populasi adalah sebanyak 332 ibu premenopause. Sampel yang digunakan adalah non probability sampling yaitu accidental sampling dengan jumlah responden 35 orang. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat pengetahuan tentang menopause dengan kategori sedang 23 (65,7%), sebagian besar responden memiliki tingkat kesiapan dalam menghadapi menopause dengan kategori sedang 20 (57,1%), Berdasarkan nilai pearson Chi-Square hitung yang lebih kecil dari signifikasi 0,05 (0,003 < 0,05), maka dapat disimpulkan bahwa ada hubungan pengetahuan menopause dengan kesiapan menjelang menopause.
Keterlibatan Petugas Dalam Peredaran Narkoba Dan Program Pembinaan Narapidana Pengguna Narkoba Di Lapas
Authors: Yunus Afifudin Muhammad
Published: December 2020

Penelitian ini mempunyai tujuan untuk mengetahui keterlibatan petugas pemasyarakatan dalam peredaran narkoba di dalam Lapas serta program pembinaan yang diterapkan kepada narapidana pengguna narkoba. Metode yang digunakan dalam penulisan ini adalah study pustaka. Study pustaka dilakukan dengan cara mengutip dari buku, jurnal, majalah, literatur hukum, serta karangan ilmiah dan catatan kuliah yang sejenis dan ada kaitannya dengan penulisan ini. Hasil dari penulisan ini adalah bagaimana meminimalisir dan mencegah peredaran narkoba didalam yang khsusnya ada campur tangan dari petugas pemasyarakatan. Program bagi pengguna narkoba yang diajalani narapidana  di lembaga pemasyarakatan antara lain : Rehabilitasi medis, rehabilitasi non medis, dan rehabilitasi afer care. Pemakai, pengedar, dan bandar semuanya ditempatkan di Lapas. Dalam hal ini pemakai adalah korban dan seharusnya direhabilitasi di panti rehabilitasi dan bukan dipidana di Lapas. Hal ini dapat menimbulkan efek yang negatif,  yang sebelumnya narapidana sebagai pemakai tetapi bergaul dengan pengedar sehingga kemungkinan akan mendapat intervensi dari narapidana lain.
Pilihan Kode dalam Kegiatan Belajar Mengajar di Sekolah Dasar di Jawa Tengah (Code Choices in Teaching and Learning Activities in Elementary Schools in Jawa Tengah)

Authors: Handono Suryo
Published: December 2020

Kegiatan belajar mengajar dengan berbagai topik memunculkan variasi penggunaan bahasa pengantar. Penggunaan bahasa itu belum terungkap secara empiris. Tulisan ini mendeskripsikan bahasa pengantar di sekolah dasar di Jawa Tengah, variasi, pola pemakaian, dan faktor-faktor yang menentukan penggunaannya. Penyediaan data menggunakan metode pengamatan langsung dengan teknik simak. Melalui analisis sosiolinguistik diperoleh hasil bahwa bahasa yang digunakan terdiri atas bahasa Indonesia dengan ragam formal dan nonformal, serta bahasa Jawa. Variasinya berwujud tunggal bahasa, alih kode, dan campur kode. Pola penggunaannya bersumber pada bahasa Indonesia yang kemudian dilakukan alih kode dan campur kode dengan bahasa Jawa, Inggris, atau Arab. Faktor yang menentukan penggunaannya adalah ketepatan, kemantaban, dan kenyamanan; pemahaman murid; peningkatan kemampuan berbahasa murid; dan pengenalan istilah dalam bahasa aslinya.Â Teaching and learning activities with various topics bring up variations in the use of the language of instruction. The use of language has not been revealed empirically. This paper describes the language of instruction in the form of code choice performed by teachers of elementary schools in Jawa Tengah, variations, usage patterns, and factorsfor the choice. Data were collected by using the method of direct observation with refer to technique. Through sociolinguistic analysis, it was found that there are there major codes to choose, i.e. formal Indonesian, nonformal Indonesian, and Javanese. The variations were single code, code switching, and code mixing. The pattern of its used originates in Indonesian, which then switched or mixed to or with Javanese, English or Arabic. The factors determining the choices were accuracy, stability, and convenience; students understanding; improvement of students language skills; and the introduction of terms in the original language.
Uwagi na temat pochodzenia "Psalmodii" Lucasa Lossiusa (PL-WRu OSD 351352)
Authors: Spurgjasz Katarzyna
Published: December 2020

W tekście przedstawione zostały nowe ustalenia dotyczące proweniencji egzemplarza druku Lucasa Lossiusa Psalmodia, hoc est Cantica sacra (Wittenberg: Johannes Schwertelius 1569), obecnie przechowywanego w Oddziale Starych Druków Biblioteki Uniwersyteckiej we Wrocławiu (sygn. 351352). Miejsce użytkowania tego egzemplarza druku – do którego dodane zostały liczne adnotacje na marginesach oraz obszerny dodatek rękopiśmienny zawierający utwory muzyczne – nie było dotychczas znane. Dzięki wpisom na wyklejkach oraz identyfikacji jednego z autorów rękopiśmiennego dodatku, udało się ustalić, że miejscem tym w II poł. XVI oraz I poł. XVII w. był prawdopodobnie Namysłów. Sama Psalmodia Lossiusa była wówczas szeroko rozpowszechniona w niemieckojęzycznych środowiskach ewangelickich; obszerne adnotacje dotyczące lokalnej praktyki wykonawczej oraz rękopiśmienny dodatek zawierający także nieznane dotąd utwory czynią z tego egzemplarza cenne świadectwo kultury muzycznej miejsca, w którym był użytkowany.
Ewa Bielińska-Galas, Introity o świętych w polskiej tradycji średniowiecznej, Lublin 2017
Authors: Wiśniewski Piotr
Published: December 2020

Recenzja książki: Ewa Bielińska-Galas, "Introity o świętych w polskiej tradycji średniowiecznej", Lublin 2017
Tomasz Jeż, Danielis Sartorii Musicalia Wratislaviensia, Warszawa 2017 (= Fontes Musicae in Polonia A/I)
Authors: Scott Allen
Published: December 2020

Recenzja książki: Tomasz Jeż, "Danielis Sartorii Musicalia Wratislaviensia", Warszawa 2017 (= Fontes Musicae in Polonia A/I)