bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perancangan dan Analisis Jaringan FTTB Berbasis Teknologi GPON Pada Bangunan Hotel
Authors: Oktavianus Yoppi Lisyadi , Elfitri Ikhwana , Purbo Onno Widodo 
Published: June 2023

This paper presents the design and implementation of a Fiber To The Building (FTTB) network infrastructure based on Gigabit Passive Optical Network (GPON) technology in a hotel cluster building located in West Sumatra, Indonesia. GPON technology was selected for its cost-effectiveness and efficiency in the distribution area, particularly when the terminal bandwidth is set at ≤500 Mbps. The waterfall method was utilized in the network's design. The results were tested and analyzed across three Open System Interconnection (OSI) layers: the physical layer, represented by the link power budget; the datalink layer, represented by the Traffic Container (T-CONT); and the network layer, represented by the QoS network performance. The link power budget showed a minimum received power of -16.41 dBm on the downlink and -18.95 dBm on the uplink, with a power margin value above zero. T-CONT has been implemented with the fixed bandwidth value set to provide a bandwidth guarantee meeting the minimum requirement of 1.1 Mbps. The network performance of the FTTB GPON demonstrated excellent performance, as per Internet Protocol Harmonization Over Network (TIPHON) standards, recording a latency of 1.18 ms, jitter of 0.18 ms, and zero packet loss
Comparative analysis of long-term outcomes of thoracoscopic and ablation index-guided catheter ablation in patients with non-paroxysmal atrial fibrillation
Authors: Taymasova I. A. , Artyukhina E. A. , Revishvili A. Sh. 
Published: June 2023

Aim. To conduct a comparative assessment of the long-term results of thoracoscopic and catheter ablation using the ablation index in patients with non-paroxysmal atrial fibrillation (AF).Methods. A comparative analysis of the long-term results of catheter ablation using the ablation index - group № 1 (36 patients) and thoracoscopic ablation with the left atrial appendage exclusion - group № 2 (42 patients) was performed.Results. The effectiveness of catheter ablation was 57.14%, thoracoscopic ablation - 67.5% at 12-month followup (р=0,128). There were also no statistically significant differences in safety (p=0.55). Analyzing the structure of postprocedural atrial tachycardias in group №1 was demonstrated that AF recurrence was in 93.3%, in group №2 - in 50%. Atypical atrial flutter was documented in 6.6% of cases in group №1 and in 31.5% - in group №2. Typical atrial flutter was documented only in group №2 (18.75% (3)). However, AF recurrence was more common in the catheter ablation group after 6 months of follow-up (p=0.04).Conclusion. Catheter and thoracoscopic ablation are comparable in terms of overall efficacy and safety, however, thoracoscopic ablation provides greater freedom from AF in a 6 month.
Long-term performance of domestic active-fixation endocardial pacing leads
Authors: Repnikov I. O. , Ginzburg I. N. , Gordeev O. L. , Egorov D. F. 
Published: June 2023

Aim. The aim of the study was to evaluate the long-term results of implantation of domestic endocardial leads (EL) with active fixation ELBI 233C-53 and ELBI 233C-58, implanted in the atrial and ventricular positions, respectively.Methods. A total of 165 patients were included in the retrospective, single-center study. 239 EL were implanted from 2016 to 2018 (55 ELBI 233C-53 and 184 ELBI 233C-58). The median age was 78 years (43 to 92 years). 846 programming protocols were analyzed, which were carried out on the 1st day after implantation, and then every 6 months. Complications are divided into early (1-7 days) and late (8 days or more).Results. In the EL ELBI 233C-53 group, there were no statistically significant changes in the pacing parameters during the observation period. There were 6 complications (10.9%): exit block (n=1, 1.8%), dislocation of the EL (n=3, 5.4%), damage to the EL structure (n=2, 3.7%). The number of reoperations was 3 (5.4%). In the ELBI 233C-58 group, a statistically significant increase in the pacing threshold was found (p=0.026). 13 (7.0%) complications were registered, including an increase in the pacing threshold (n=11.6%), exit block (n=1, 0.5%), damage to the EL structure (n=1, 0.5%). The number of reoperations in this group was 2 (1%).Conclusion. EL ELBI 233C-53 and ELBI 233C-58 demonstrated acceptable pacing parameters and safety during observation. Complications occurred mainly in the first year after implantation. The number of repeated operations was low. There were no deaths caused by complications after lead implantation.
Additional left atrial lesions improve the effect of cryoballoon pulmonary vein isolation in paroxysmal atrial fibrillation patients
Authors: Rachkova Iu. I. , Sergeeva O. A. , Gorev M. V. , Nardaia Sh. G. , Gaidukova N. A. , Petelko S. V. , Makarycheva O. V. , Dolginina S. I. , Rzaev F. G. , Vasilieva E. Yu. , Shpektor A. V. 
Published: June 2023

Aim. Cryoballoon ablation (CBA) is one of the methods for catheter pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (AF). Left atrial additional lesion (LAAL) to PVI were proposed to eliminate extrapulmonary AF triggers. Nonetheless whether the additional lesions improve CBA effectiveness is not clear.Methods. Primary CBA procedures performed for paroxysmal AF during 2017-2021 were analyzed. The study group (Algorithm group, n=82) was recruited prospectively in 2019-2021. As the first step CBA PVI were performed in all pts. In those who were on sinus rhythm (SR) after the PVI, AF induction attempts with burst atrial pacing were performed. Pts with induced AF and those who stayed on AF after PVI underwent LAAL at the left ganglionated plexus area. In case of stable SR (non-inducible AF) the procedure finished. If AF was inducible or did not terminate during CBA, the second LAAL set were performed - LA posterior wall lesions. If AF was still inducible or did not terminate, the SR was restored by electrical cardioversion. The control group (Control group, n=94) was formed retrospectively from patients with routinely performed only CBA PVI with achievement of isolation criteria in 2017-2019. If AF continued, sinus rhythm was restored by cardioversion. There were no attempts of induction AF during the procedure.Results. The Algorithm and Control groups were comparable in terms of clinical, demographic and electrophysiological characteristics. At 12 months postoperatively, the effectiveness was higher in the Algorithm group than in the Control group (78.0% vs. 62.8%, p = 0.044). No adverse effects were found.Conclusion. Thus, the stepwise approach with LAAL increases the effectiveness of CBA in the long-term period and does not affect the risk of complications.
Clinical characteristics and factors associated with death from acute decompensated heart failure
Authors: Ilov N. N. , Boytsov S. A. , Palnikova О. V. , Terentyeva M. G. , Nechepurenko A. A. 
Published: June 2023

Aim. To assess the diagnostic significance of clinical indicators and left ventricle ejection fraction (LV EF) for predicting the probability of death from acute decompensated heart failure (ADHF) in patients with chronic heart failure with a reduced LV EF (HFrEF) within one year after implantation of cardioverter defibrillator (ICD).Methods. The study included 384 patients with heart failure NYHA 3-4 functional class with LV EF ≤ 35%, undergoing ICD implantation for the purpose of primary prevention of sudden cardiac death. After ICD implantation the patients included in the study were prospectively observed during one year (visits to the clinic after 3, 6, 12 months). The primary end point - a case of ADHF was registered.Results. In a one-year observation, the primary endpoint was recorded in 38 patients (10 per cent). Single factor logistic regression analysis showed 5 factors with the greatest predictive potential (p<0.1), related to the occurrence of the investigated endpoint. These included: history of arterial hypertension (AH) and obesity, LV EF based on the biplane Simpson’s method, LV EF ≤ 28% and systolic blood pressure. Based on the results of the multi-factor regression analysis, a predictive model was developed, which included three factors with the highest levels of statistical significance: the presence of AH, obesity and LV EF ≤ 28%. The diagnostic efficiency of the model was 69.5% (sensitivity 78.9%; specificity 68.5%).Conclusion. The results of the research indicate that the main predictor of one-year mortality due to ADHF in the studied cohort of HFrEF patients with NYHA class 3-4 is LV EF ≤ 28%. The presence in the history of AH and obesity was associated with the best prognosis for life.
Baroreflex activity change after pulmonary vein isolation in patients with atrial fibrillation
Authors: Gorev M. V. , Nardaia Sh. G. , Petelko S. V. , Makarycheva O. V. , Gaidukova N. A. , Sergeeva O. A. , Rzaev F. G. 
Published: June 2023

Aim. To study the intraprocedural changes in baroreflex activity after catheter pulmonary vein isolation in paroxysmal atrial fibrillation patients.Methods. From October 2021 to June 2022, sinus rhythm was registered at the start of procedure in 21 patients with paroxysmal atrial fibrillation admitted for catheter pulmonary vein isolation. Patients before and after procedure were tested with phenylephrine. Pre- and postoperative baroreflex activity and sinus rhythm rate were analyzed.Results. After catheter pulmonary vein isolation, the baroreflex activity decreased from 5.8 [3.5; 11.3] ms/mmHg to 0.3 [-0.1; 1.8] ms/mmHg, р<0.001, based on systolic arterial pressure, and from 9.5 [5.1; 15.5] ms/mmHg to 0.6 [0; 7.6] ms/mmHg, p=0.033, based on diastolic arterial pressure.Conclusion. Intraprocedural phenylephrine test allows to study the baroreflex activity changes and to assess the modification of cardiac autonomic innervation.
Device-related thrombus after left atrial appendage occlusion in patients with atrial fibrillation: a prospective follow-up
Authors: Pevzner D. V. , Omarov Y. A. , Merkulova I. A. , Yavelov I. S. , Komarov A. L. , Ganyukov V. I. 
Published: June 2023

Aim. To study the incidence, predictors, and clinical outcome of device-related thrombus (DRT) after left atrial appendage occlusion (LAAO) in patients with atrial fibrillation (AF).Methods. A prospective observational study included 120 patients with non-valvular AF who underwent LAAO with Watchman (n=92) and Amplatzer Amulet (n=28). The presence of device-related thrombus (DRT) was assessed at visits 45 days, 6 months, 1 year, 2 years, 3 years after implantation by transesophageal echocardiography.Results. A total of 11 (9.2%) patients had DRT during the follow-up period. The greatest number of thrombosis was observed after 45 days (n=4) and after 6 months (n=4). There was no significant difference in the incidence of DRT between device types. Independent predictors of thrombosis were: history of myocardial infarction (hazard ratio (HR) 12.88 [95% confidence interval (CI) 3.21-51.62]; p<0.001), chronic heart failure (HR 8.83 [95% CI 1.91-40.77]; p=0.005), residual leak size >5 mm in the early postoperative period (HR 6.13 [95% CI 2.53-14.86]; p<0.001) and the degree of spontaneous echo contrast during the initial examination (HR 9.09 [95% CI 1.36-60.58], p=0.023). There were no cases of thromboembolic complications associated with DRT. One patient developed a non-fatal stroke at 35 weeks of follow-up, while DRT was detected at the visit at the end of the 3rd year of follow-up.Conclusion. DRT after LAAO was observed in the early and long-term follow-up periods. This event was associated with the baseline patients’ characteristics and post-procedural aspects with no dependence on type of antithrombotic therapy.
Influence of Management-Based Leadership on Improving to Human Resource Performance in Konawe District Health Center
Authors: Azlimin Azlimin , Rasak Adriatman , Aprianto Apriyanto 
Published: June 2023

Background: Some health program in the Konawe District Health centres has not reached the national target including the percentage coverage of K4 maternal health (67.04%) compared to the target (90%), and exclusive breastfeeding for infants aged 0-6 months has reached 65.69% compared the target of 85%. The purpose of this study was to determine the influence of management-based leadership in the Konawe District Health Centere.
Methods: The research method usedexploratory research that emphasizes aspects of influence between research variables with hypothetical tests and the description contains descriptions this focuses solely on the influence of variables.
Results: This studyshow that Leadership has a positive and significant effect on the Management Function. The direction of influence of this relationship is positive which means that the better the leadership, the implementation of management functions will also be better,Leadership has a positive and significant effect on HR Performance. The direction of influence of this relationship is positive which means that the better the leadership, the better the HR performance produced and the Management Function has a positive and significant effect on HR Performance.The direction of influence of this relationship is positive which means that the better the management function, thebetter the HR performance produced will also be better.
Conclusion: leadership has a positive and significant effect on the management function, leadership has a positive and significant effect on HR performance and Management function has a positive and significant effect on HR Performance.
STRATEGI PENANGANAN ANAK BERHADAPAN DENGAN HUKUM MELALUI UNDANG-UNDANG NOMOR 11 TAHUN 2012 TENTANG SISTEM PERADILAN PIDANA ANAK
Authors: Farida Nurul 
Published: June 2023

The deviation of the behavior of today's children has crossed the appropriate limit. Many children begin to indulge in casual sex, narcotics, violence, thuggery, and many more actions that can be categorized as unlawful. The Law mandates that children are a gift of God Almighty who has the dignity and dignity as a full human being, and therefore, they are entitled to special protection, especially legal protection in the judicial system by providing special protection to children who face the law. The Indonesian Child Protection Commission (KPAI) stated that the number of children facing the law (ABH) is increasing year on year. Nevertheless, in accordance with UNICEF's mandate, the involvement of children in criminal justice for adults can hurt children, both psychologically and socially. The formulation of the problem in this writing is "What is the strategy for handling ABH through Law No. 11 of 2012 concerning the Juvenile Criminal Justice System (UU SPPA)?" The method used is an empirical juridical method with a sociological approach, which seeks to review the application of the SPPA Law in the handling of ABH. The results of the review showed that there are several factors that cause ABH, namely instrinsic and extrinsic factors. To protect children's rights, ABH handling strategies can be used in accordance with the SPPA Law, namely by using restorative justice and diversion efforts. Obstacles faced in the implementation of ABH handling strategies include the lack of socialization of laws and regulations related to children so that the understanding of law enforcement officials in the implementation of ABH handling is still varied and tends to use different perceptions.
Keywords: Strategy, Juvenile Criminal Justice System, Restorative Justice, Diversion
PENEGAKAN HUKUM DALAM PENGAWASAN ORANG ASING DI MASA PANDEMI COVID-19
Authors: Widjanarko Anggoro , Cornelis Vieta I 
Published: June 2023

The purpose of this study is to analyze forms of immigration criminal violations committed by foreigners and law enforcement mechanisms in an effort to supervise foreigners during the Covid-19 pandemic. This study uses a normative legal research method, because this research analyzes legal materials based on concepts, theories, laws and regulations, doctrines, legal principles and the author's opinion.
The study findings various policy instruments and strategies were issued by General Director of Immigration to overcome the problems due to restrictions on the mobility of people, including foreigners. There are two forms of violation of the Immigration Law, namely administrative violations and pro-justice violations. This study found that the types of violations committed by foreigners include abuse of residence permits, falsification of documents and involvement in human trafficking. The Directorate General of Immigration as the authorized party to enforce immigration law takes action against violators of immigration law who commit administrative and criminal violations in accordance with applicable regulations.
There are three recommendations from this study. First, socialization related to immigration services during the pandemic must be increased. Second, it is necessary to build synergy and coordination between Timpora, especially in detecting potential vulnerabilities in the presence and activities of foreigners in Indonesia. Third, a structured law enforcement organizational is needed which clearly and hierarchically on function, controlling, supervised of the law enforcement process. Fourth, improving the competence of immigration personnel needs to be intensified to understand the substance and technicalities, especially in mastering information technology
Kualitas Layanan dan Promosi Terhadap Loyalitas Melalui Kepuasan
Authors: Rahmi aulia  , Achmad Syamsudin  , Lelo Sintani  
Published: June 2023

This study aims to analyze the effect of service quality and promotion on loyalty through customer satisfaction. The research method used is a quantitative method with data collection techniques using questionnaires and observation. Data analysis uses reflective and formative constructs. The data used in the form of primary data with analysis tools using SmartPLS03. This research was conducted for one month from the month. The results of this study are service quality has a positive and significant effect on customer satisfaction, promotion has a significant positive effect on customer satisfaction, service quality has an insignificant negative effect on loyalty, promotion has a significant positive effect on customer loyalty, customer satisfaction has a significant positive effect on customer loyalty, customer satisfaction able to mediate between service quality variables and customer loyalty, satisfaction is able to mediate promotion variables and customer loyalty.
Brazil: Impacts of Digital Technology on Sustainability in the Automotive Recycling Sector
Authors: Vilas Luiz Henrique Lopes 
Published: June 2023

Objective: The article aims to analyze the impact of digital technology on the sustainability of automotive recycling, highlighting the importance of using digital technology to monitor sustainability requirements throughout the vehicle life cycle and recycling processes.

Method: The study is based on research developed under the Postdoctoral Program in Business Administration at FCU Florida Christian University. Preliminary data and literature review on sustainable management, automotive recycling and waste disposal are presented, and the use of digital technology in this context is explored.

Results: The results highlight the lack of shared protocols and knowledge about hazardous waste in the automotive sector. Areas of action for companies and countries wishing to move towards the circular economy, such as neutralizing CO2 emissions and using renewable energy sources, are also presented.

Conclusions: The article highlights the need to develop and implement digital technology tools for managing sustainability policies in the automotive sector. The use of digital technology can contribute to the proper management of waste, the valorization of components, and the minimization of environmental impact throughout the life cycle of the vehicle.
T-shirt Illustration for Griya Baca's Street Children as an Awareness Campaign Media
Authors: Gunawan Indra , Verdiana Elfa Olivia 
Published: June 2023

Street children are a social problem that is an interesting phenomenon in social life. Quoting from street children who are cared for by Griya Baca Malang, here there are a lot of children who do not get an education like ordinary children, due to their circumstances which require them to live on the streets, even earn money by busking/begging, their background is mostly from economic pressure. , from this problem it is important for the community to care more about them because after all they are the nation's generation, after research on the problem, the solution for this is to hold a awareness campaign through t-shirt illustrations. The purpose of designing this t-shirt illustration is as a form of public awareness to be more concerned with street children. Illustrations will make it easier to convey messages and have their own charm so that messages from the campaign can be conveyed properly. Product effectiveness testing was carried out on February 16, 2022, showing that the results of the assessment of this t-shirt illustration obtained a fairly high positive percentage, namely 29 out of 30 respondents. This book received a positive response from respondents based on the results obtained from this test.
Keywords: Street children, illustration, campaign
A Analisis Lean Manufacturing Menggunakan Metode VSM dan WRM pada Lini Produksi Riau Jaya Paving
Authors: AlifDian. R Muzakir , Nofirza Nofirza , Silvia Silvia , Yola Melfa , Devani Vera 
Published: June 2023

Usaha Kecil Menengah Riau Jaya Paving bergerak dibidang percetakan yang telah beroperasi sejak tahun 2000. Penelitian pada Usaha Kecil Menengah Riau Jaya Paving difokuskan pada jenis paving block model batu bata (conblock) mutu K-175, karena paving block model ini rata- rata permintaanya setiap bulan lebih banyak dari pada paving block model lain. Perusahaan ini melakukan perubahan pada proses produksi salah satunya menggunakan konsep lean manufacturing untuk meminimalisir waste. Tujuan penelitian adalah mengurangi persentase waste yang dianalisa menggunakan Value Stream Mapping serta memberikan usulan perbaikan berupa checksheet dan Standar Operasioal Produksi. Data diperoleh Berdasarkan pengamatan langsung dilapangan. Pengolahan data dilakukan menggunakan metode Value Stream Mapping, Waste Relationship Matrix dan tools Relationship Diagram. Dari hasil penelitian yang telah dilakukan besar Nilai Value Added, Non Value Added, Necessary Non Value Added dan total lead time proses produksi dapat dilihat pada Current Value State Mapping, nilai Process Cycle Efficiency adalah 67,08%. Future Value Stream Mapping merupakan hasil dari usulan perbaikan, nilai Process Cycle Efficiency adalah 75,05%.