bluuebunny/crossref_metadata_2025_split huggingface dataset:
analisa keselamatan dan kesehatan kerja pada pengoperasian forklift di Pt. equiport inti indonesia
Authors: La Bau Harjum , Safli Muh Fadhil , Sudarsono  , Barata La Ode Ahmad 
Published: July 2023

Abstrak
Keselamatan dan Kesehatan Kerja (K3) merupakan upaya kita untuk menciptakan lingkungan kerja yang sehat dan aman sehingga dapat mengurangi probalitas kecelakaan kerja penyakit akibat kelalaian yang mengakibatkan demotivasi dan defisiensi produktivitas kerja. Pada perusahaan PT.Equiport Inti Indonesia penerapan peraturan keselamatan pengoperasian forklift belum dilakukan secara menyeluruh. Belum terlaksananya penerapan peraturan secara menyeluruh dapat memicu terjadinya kecelakaan kerja. Tujuan dari tugas akhir ini yaitu untuk mengetahui langkah yang diterapkan perusahaan dalam mencegah terjadinya kecelaan kerja pada pengoperasian forklift. Adapun metode yang digunakan pada tugas akhir ini menggunakan metode wawancara dan observasi lansung diperusahaan untuk pengisian tabel cheklist yag sudah disiapkan sebagai alat pengambilan data. Analisis pada tugas akhir ini menggunakan diagram fishbone. Penggunaan diagram fishbone dilakukan untuk menelusuri sebab akibat yang ditimbulkan dari kekurangan yang ditemui dapat mengakibatkan kecelakaan kerja forklift. Hasil pada tugas akhir ini memperlihatkan bahwa masih terdapatnya kekurangan PT.Equiport Inti Indonesia dalam menerapkan standar keselamatan pada pengoperasian forklift antara lain tidak adanya jalur pejalan kaki, kurang lengkapnya rambu keselamatan forklift, kurang seriusnya operator dalam mengoperasikan forklift. Dari hasil tugas akhir ini dapat disimpulkan bahwa perusahaan kurang memperhatikan prosedur penerapan keselamatan dan kesehatan kerja pada pengoperasian forklift.
Mesin Penghancur Cangkang Kerang
Authors: Erick Patollong  , Muh. Rizal Ode  , Lukas Kano Mangalla  , Aminur  
Published: July 2023

Seiring dengan meningkatnya permintaan daging kerang sehingga menyebabkan limbah cangkang kerang menuimpuk dan belum termanfaatkan yang dapat mencemari lingkungan dan sekitarnya. Tujuan dari penelitian ini adalah merancang dan membuat mesin penghancur cangkang kerang. Prinsip kerja dari mesin penghancur cangkang kerang ini adalah proses penghancuran yang dilakukan dengan memasukan cangkang kerang kedalam saluran masuk yang di hancurkan mata pisau, kemudian memanfaatkan motor bensin sebagai penggerak utama, dimana putaran mesin ini diteruskan kerangkaian poros utama yang terdiri dari mata pisau, poros, bearing, v-belt dan puli, sebagai komponen utama perancangan mesin penghancur cangkang kerang agar dapat diolah untuk dijadikan pakan ternak dan pupuk organik yang baik untuk kesehatan tanaman. Dari hasil rancangan dan pembuatan alat penghancur cangkang kerang ini dapat menghancurkan setiap 1 kg cangkang kerang dengan waktu 1 menit 53 detik.
Analisis Penerapan Pajak Penghasilan Pasal 21 Pasal 23 Pada Rumah Sakit Umum PKU Muhammadiyah Nanggulan
Authors: Windi Annesta Pratiwi  , Diska Arliena Hafni  
Published: July 2023

Tujuan penelitian ini adalah mengetahui pelaksanaan kewajiban Rumah Sakit Umum PKU Muhammadiyah Nanggulan atas pajak penghasilan pasal 21 dan pasal 23 dan kesesuaiannya dengan Undang-Undang Nomor 36 Tahun 2008 Tentang Pajak Penghasilan. Penelitian ini menggunakan metode pendekatan penelitian deskriptif kualitatif. Objek penelitian ini adalah Rumah Sakit Umum PKU Muhammadiyah Nanggulan dan perhitungan PPh pasal 21 dan pasal 23 tahun 2019-2022. Data yang digunakan dalam penelitian ini adalah data primer dan data sekunder. Hasil dari penelitian ini menunjukkan bahwa pada tahun 2019-2022 Rumah Sakit Umum PKU Muhammadiyah Nanggulan dalam melaksanakan kewajiban atas pajak penghasilan pasal 21 dan pasal 23 telah dilakukan dengan cukup baik, meskipun ada beberapa hal yang masih terdapat kesalahan. Berdasarkan perhitungan dan pemotongan PPh pasal 21, Rumah Sakit Umum PKU Muhammadiyah Nanggulan masih belum sesuai dengan Undang-Undang perpajakan. Hal ini dikarenakan Rumah Sakit belum menerapkan sistem penghasilan kena pajak kumulatif dalam perhitungannya. Penerapan PPh pasal 23 yang dilakukan oleh rumah sakit sudah sesuai dengan Undang-Undang perpajakan. Pelaporan penyetoran dan pelaporan PPh 21 dan PPh 23 yang dilakukan Rumah Sakit Umum PKU Muhammadiyah Nanggulan pada tahun 2019-2022 telah dilaksanakan dengan tepat waktu dan sesuai dengan aturan Undang-Undang yang ada.
Case Series: Transient Corneal Subepithelial Macrocysts with Scleral Contact Lens Wear
Authors: Nguyen Linda , Yang David , Vien Lee 
Published: July 2023

Scleral lens wear is indicated in cases of corneal irregularity and ocular surface disease to improve vision and ocular surface condition. The purpose of this case series is to discuss transitory corneal subepithelial macrocysts associated with scleral lens wear in various conditions such as dry eye, post-radial keratotomy, and post-superficial keratectomy. Such diseased or damaged corneas have weakened epithelial attachments which can lead to macrocyst formation. Three cases documented with spectral-domain anterior segment optical coherence tomography highlight the clinical presentation of corneal subepithelial macrocysts. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Peran Guru dalam Membentuk Karakter Peserta Didik pada Siswa Kelas III MI Al-Irsyad Kota Tangerang
Authors: Magdalena Ina , Nurcahyati Aan , Sakina Syera Putri , Azahra Azma , Rohmadona Adelia , Nabila Putri , Anggraeni Rika 
Published: July 2023

This article aims to look at the role of teachers in shaping the character of students in public elementary schools. This study uses a qualitative approach with data collection techniques of observation, interviews and documentation. The data validity analysis techniques used were triangulation, observation extension and increased persistence. The results of this study found that the teacher's role is very strategic in shaping the character of students because the teacher is not only a person who teaches character values to students theoretically but the teacher also provides an example, so that it is relevant between what is conveyed and what is done by the teacher.. So that it has a very positive impact on the formation of the character of students.
The Role Of Teachers In Embedding Islamic Values And Ethics In Education: A Literature Review
Authors: Ihwani Siti Suhaila , @ Jima'ain Muhammad Talhah Ajmain , Rashed Zetty Nurzuliana 
Published: July 2023

The purpose of this paper is to investigate the role of teachers in embedding Islamic values and ethics in education. The rationale of this study is by understanding how Islamic Education teachers should play their roles in embedding Islamic values and ethics, could perhaps contribute to better ways of students’ behavior development. In this regard, the study has focused on exploring how the roles of Islamic Education teachers, and the challenges that affect the teachers in promoting Islamic values and ethics in education. The study used a library research design. The data were collected from research articles published in either international or national accredited journals. The research findings show although the elements of Islamic values and ethics seem to be discussed in Islamic Education, students show low Islamic values and ethics in their behavior. The study recommends several approaches to improve the teaching of Islamic values and ethics in schools which include training for teachers to improve the methodology of teaching and providing teaching and learning facilities. It is also suggested that an open discussion is conducted between parents, teachers, students, policymakers, and religious leaders to develop a guideline on what should be included in the syllabus and how to cultivate Islamic values and ethics in education effectively.

Keywords: Role Of Teacher, Islamic Values, Ethics
Diagnosis and treatment of AL amyloidosis in 2022
Authors: Jimenez-Zepeda Victor H. 
Published: July 2023

Light chain (AL) amyloidosis is a rare, progressive and typically fatal disease (when advanced) characterized by organ dysfunction secondary to deposition of misfolded fibrils of immunoglobulin light chains that are produced by clonal plasma cells or B cells. Although less than 10% of AL patients qualify for CRAB criteria of symptomatic myeloma (Calcium elevation, Renal dysfunction, Anemia, and Bone disease), the majority of these patients have significant impairment of vital organs, such as the heart, kidney and liver. This implies that the common risk factors used for the assessment of multiple myeloma (MM) are not applicable to AL. AL amyloidosis affects 8–12 individuals per million person-years, and its clinical presentation is variable depending on the extent and number of vital organs affected. The locations of amyloid deposits can vary among patients, thus contributing to the heterogeneity of the clinical manifestations. The heart and kidney, which are the most affected organs, can lead to renal failure, cardiomyopathy, and pericardial and pleural effusions. Initial symptoms at onset are often non-specific (e.g., weight loss, fatigue). Despite advances in the diagnostic tools and treatment options, early mortality rates remain high; the expected one-year mortality is approximately 30%. Unfortunately, by the time the AL diagnosis is made, and treatment is initiated, the disease has often become advanced.
To transplant or not to transplant in multiple myeloma
Authors: LeBlanc Richard 
Published: July 2023

Multiple myeloma (MM) is the second most common hematologic cancer resulting from proliferation and accumulation of abnormal plasma cells (myeloma cells) with a preferential homing in the bone marrow. It causes significant morbidity including lytic bone lesions, renal insufficiency, anemia, and infections, to name just a few. Although MM remains largely incurable, it is a chemo-sensitive disease. The use of high-dose intravenous melphalan (100-140 mg/m2) in the treatment of MM was first studied almost 4 decades ago.Subsequently, the dose of melphalan was increased and was followed by autologous hematopoietic stem cell to decrease the aplasia-associated toxicity. Results from phase 3 studies comparing chemotherapy alone to chemotherapy followed by high-dose melphalan and autologous stem cell transplantation appeared in the mid-90s with the publication of the IFM-90 study demonstrating significant clinical benefits on response rate, event-free survival and even overall survival in a cohort of two hundred previously untreated patients under the age of 65 years. This landmark study was followed by confirmatory studies in the early 2000’s. Within the last 2 decades, although improvement in the treatment of transplant-eligible patients is mostly the result of better induction regimens and due to the addition of maintenance therapies, autologous stem cell transplantation remains a cornerstone treatment for MM patients. Indeed, despite novel and more effective treatments for MM, autologous stem cell transplantation continues to demonstrate clinical benefits (Table 1). Moreover, tandem autologous transplantation has demonstrated progression-free survival and overall survival benefits for some patients with poor risk cytogenetics.
In 2022, with better knowledge of MM, awareness of potential consequences of high-dose melphalan and with novel and more effective treatment modalities, the role of autologous stem cell transplantation is certainly becoming a question for debate. The purpose of this article is to present the pros and cons of autologous stem cell transplantation in our Canadian reality (Figure 1). This article aims to better assess its role as a therapeutic option considering our health system’s limited resources in which many novel drugs will not be available/accessible in Canada for several more years to come.
Determinants of Hand Washing with Soap (HWWS) in Rural Communities: Cross Sectional Study in Manggarai Regency East Nusa Tenggara Indonesia
Authors: Ngambut Karolus , Banne Tondok Santalia , Ata Maran Albertus , Bare Telan Albina , Rino Vanchapo Antonius , R.V Purba Ellen , Djunaedi Djunaedi 
Published: July 2023

Hand Washing With Soap (HWWS) behavior is a simple thing that can be done to inhibit the transmission of disease from the source of infection. Not much is known with certainty about the determinants of community handwashing behavior as a basis for promoting handwashing behavior. The research aims to identify the various determinants of HWWS behavior in the rural community, the results of which can be considered for designing the promotion of HWWS behavior in rural community and economically vulnerable groups.
A total of 52 villages as survey locations, interviews and observations were carried out on 168 household heads who were determined by purposive random sampling with the inclusion criteria of having toddlers, and the house is on the edge of a river / beach. Univariate data processing to describe the characteristics of respondents and bivariate analysis to describe the relationship between the various HWWS behavior variables.
The results of the study showed that the majority of the community already had HWWS facilities and were around the house where they lived. Critical times for community hand washing behavior are when hands are dirty, after feeding livestock and before eating. There is no difference between the determinants of HWWS behavior with education and with household categories based on the number of repeaters. Health cadres and local health workers dominate the sources of information obtained by the community regarding HWWS behavior.
The implication of the results of this study is that the promotion of HWWS behavior in the community needs to consider non-health messages such as HWWS carried out when hands are dirty, after feeding livestock and before eating. In addition to inhibiting the spread of diseases that are transmitted through hands, the goal of HWWS behavior is also. In addition, health cadres and health workers are very important as a channel for conveying education about HWWS behavior in the community, in addition to the use of social media.
The Contribution of Regional Tax to Regional Original Income of West Nusa Tenggara Province in 2018-2022
Authors: Hak Muhamad Bai’ul , Marlina Nisa 
Published: July 2023

This article analyzes the trend of regional tax contributions to Regional Original Income (PAD). The paper used descriptive quantitative approach by using secondary data. The secondary data used over period 2018-2022. The results show that the regional Income is a component of budgeting system in one province or district. In the regional income, regional tax plays an essential role as source of regional income. The higher regional tax, the higher regional original income of west Nusa Tenggara Province. The data explained that there is a slightly increase in both target and realization of regional tax. From 2018 to 2019, the realization always over to the target. On the other hand, from 2020 to 2022, the realization always under the target. Furthermore, the proportion of regional tax contributions to regional original income (PAD) is very high. Even though there are fluctuations from 2020 to 2022, the percentage is always above 50 percent of PAD.
Influence of middle level management
Authors: Kimonyo Tabitha , Ngari James , Muchara Maina 
Published: July 2023

The purpose of the research was to establish the influence of middle level management’s facilitating adaptability on strategy execution in insurance companies in Kenya. The study targeted Kenyan insurance sector with a population of 436 middle managers. The study was guided by the positivism philosophy and used a descriptive and correlational research design. The population of study was 436 middle level managers in all the 49 insurance companies in Kenya. The sample size computed upon using the Yamane (1967) formula revealed a sample size of 209 respondents. The mean for facilitating adaptability ranged from 3.41 to 3.11. On the other hand, the standard deviation ranged from 0.571 to 0.767. The findings of the T-test show that the p-value of equality of variance is 0.029 which is less than 0.05 and this means that the variances are not assumed to be equal. The t-value for this study is 6.535 and the p-value for this t-value is 0.002. Because the p-value of 0.002 is less than the standard p-value of 0.05 (0.002< 0.05), the null hypothesis that there is no significant mean difference on facilitating adaptability and strategy execution is rejected. Hence the study concludes that there is a significant evidence to prove that there is statistical difference in achieving effective strategy execution based on facilitating adaptability. The results of the multiple linear regression indicated that facilitating adaptability predicted strategy execution as shown by R2 = .216, F(1, 172) = 47.263, p < .05, β = .279, t(174) = 6.875, p <.05.
Ovine Forestomach Matrix in the Surgical Management of Complex Lower-Extremity Soft-Tissue Defects
Authors: Bosque Brandon A. , Dowling Shane G. , May Barnaby C.H. , Kaufman Richard , Zilberman Igor , Zolfaghari Nooshin , Que Howie , Longobardi James , Skurka Joseph , Geiger James E. , Melin M. Mark 
Published: July 2023

Background: Chronic lower-extremity defects may lead to major amputations and have severe consequences on patient quality of life and mortality. Dermal matrices have become part of the reconstructive ladder and are often deployed in these scenarios to quickly build neodermis, especially in volumetric defects over exposed bone and tendon initially, to allow for subsequent closure by means of split-thickness skin grafting (STSG) or secondary intention. Ovine forestomach matrix (OFM) is a decellularized extracellular matrix (ECM) bioscaffold available in both sheet and particulate forms that can be used as a dermal matrix in various soft-tissue reconstruction procedures.
Methods: This retrospective case series evaluated the use of OFM products in the surgical reconstruction of 50 cases (n = 50) comprised of challenging lower-extremity defects from seven healthcare centers. Patient records were reviewed to identify comorbidities, defect cause, defect size, presence of exposed structures, Centers for Disease Control and Prevention contamination score, Wagner grade, OFM graft use, time to 100% granulation tissue, STSG use, overall time to heal, and postoperative complications. The primary study outcomes were time (days) to 100% granulation tissue formation, with secondary outcomes including overall time to wound closure (weeks), STSG take at 1 week, and complications.
Results: The results of this case series demonstrate OFM as a clinically effective treatment in the surgical management of complex lower-extremity soft-tissue defects with exposed structures in patients with multiple comorbidities. One application of OFM products was effective in regenerating well-vascularized neodermis, often in the presence of exposed structures, with a mean time to 100% granulation of 26.0 ± 22.2 days.
Conclusions: These data support the use of OFM as a safe, cost-effective, and clinically effective treatment option for coverage in complex soft-tissue wounds, including exposed vital structures, and to shorten the time to definitive wound closure in complicated patient populations.
Comparative analysis of automatic segmentation of esophageal cancer using 3D Res-UNet on conventional and 40-keV virtual mono-energetic CT Images: a retrospective study
Authors: Zhong Hua , Li Anqi , Chen Yingdong , Huang Qianwen , Chen Xingbiao , Kang Jianghe , You Youkuang 
Published: July 2023

Objectives
To assess the performance of 3D Res-UNet for fully automated segmentation of esophageal cancer (EC) and compare the segmentation accuracy between conventional images (CI) and 40-keV virtual mono-energetic images (VMI40 kev).

Methods
Patients underwent spectral CT scanning and diagnosed of EC by operation or gastroscope biopsy in our hospital from 2019 to 2020 were analyzed retrospectively. All artery spectral base images were transferred to the dedicated workstation to generate VMI40 kev and CI. The segmentation model of EC was constructed by 3D Res-UNet neural network in VMI40 kev and CI, respectively. After optimization training, the Dice similarity coefficient (DSC), overlap (IOU), average symmetrical surface distance (ASSD) and 95% Hausdorff distance (HD_95) of EC at pixel level were tested and calculated in the test set. The paired rank sum test was used to compare the results of VMI40 kev and CI.

Results
A total of 160 patients were included in the analysis and randomly divided into the training dataset (104 patients), validation dataset (26 patients) and test dataset (30 patients). VMI40 kevas input data in the training dataset resulted in higher model performance in the test dataset in comparison with using CI as input data (DSC:0.875 vs 0.859, IOU: 0.777 vs 0.755, ASSD:0.911 vs 0.981, HD_95: 4.41 vs 6.23, all p-value <0.05).

Conclusion
Fully automated segmentation of EC with 3D Res-UNet has high accuracy and clinically feasibility for both CI and VMI40 kev. Compared with CI, VMI40 kev indicated slightly higher accuracy in this test dataset.
All‐In‐One Detection, Removal and Recovery of Hg2+ in Industrial Wastewater with Plasmonic Schottky Heterostructures
Authors: Wang Jun , Liu Shenghong , Liu Teng , Wang Jing , Liu Fangyang , Jia Ming , Li Jie , Lai Yanqing , Zhao Yinghe , Jiang Liangxing , Li Yuan , Zhai Tianyou 
Published: July 2023

AbstractThe effective governance of Hg2+ in environmental wastewater is of profound significance to deal with the global pollution issues. However, the present methodologies usually only focused on a single function of either detection or removal, which encounters severe secondary pollution and cumbersome operation cost, while the integration of Hg2+ detection, removal, and recovery in one process is barely realized. In this study, an All‐In‐One photoelectrochemical system is built combining the detection, removal, and recovery of Hg2+ pollutant in a single process, by ingeniously developing a fundamental principle, namely alloying‐induced plasmonic quenching mechanism in Schottky heterostructures. Briefly, the high‐efficiency removal and recovery of Hg2+ in wastewater is realized via the favorable alloying of Hg in Ag nanoparticles that well‐dispersed on the free‐standing WO3 nanoplate networks. The formation of Ag–Hg alloy future leads to a remarkable plasmonic quenching effect of the Ag nanoparticles, which is used to modulate the photoelectrochemical singles to realize the high‐precision detection. Through this ingenious design, an ultralow Hg2+ detection limit of 0.296 nm is achieved with a broad detection range up to 12.5 µm, and meanwhile realize a removal/recovery rate of 100% in single Hg2+ solution and 97 ± 2% in industrial wastewater with multiple contamination ions. The detection and removal/recovery performance parameters reported in the study are much better as compared to the recently reported single function detection or removal/recovery systems. This work opens a fresh avenue in tackling the problem of heavy metal pollution using plasmonic Schottky heterostructure based All‐In‐One systems.