Digital Commons Network^™

A Review Of Managing Catastrophes In Robotic-Assisted Thoracic Surgery, Shamele Battan-Wraith, Kevin Wang, Ahmed Elkamel, Kameron Durante, Hope Conrad, Kayla Iannarelli, Olugbenga Okusanya, Praveen Sridhar, Stephanie G. Worrell

Department of Surgery Faculty Papers

Lung cancer is the most commonly diagnosed cancer worldwide in 2022, with over 2.5 million new cases, or 1 in 8 of all cancers diagnosed worldwide. Lung cancer is the leading cause of cancer related mortality in the United States, with non-small cell lung cancer (NSCLC) being the most prevalent type. For early-stage NSCLC, lung resection with anatomic lobectomy remains the standard of care. Robot-assisted lobectomy is gaining popularity over video-assisted thoracoscopic surgery (VATS) and open thoracotomy due to improved visualization, ergonomics, and instrumentation. Despite these advancements, intraoperative complications and a steep learning curve present significant barriers to the widespread …

Macroeconomic Risks Of Carbon Emission Constraints, Yuzhe Huang, Changchun Pan

Bulletin of Monetary Economics and Banking

Green and low-carbon transformation is an inevitable trend for protecting the climate and ecology while achieving stable economic development. To actively and prudently achieve carbon emission targets, the government will further implement robust policy measures to support the development of a green and low-carbon economy. However, there are risks associated with the implementation strength and frequency of future carbon emission constraint policies, which could impact different market economic entities and cause macroeconomic fluctuations. This paper analyzes the transmission mechanism of the risks associated with carbon emission constraint policies, and examines their impact on the macroeconomy. We find that the risks …

Patient And Parent Knowledge, Understanding, And Concerns After A New Diagnosis Of Ehlers Danlos Syndrome., Jordan T. Jones, Lora L. Black, William R. Black

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: After diagnosis of Ehlers Danlos Syndrome (EDS), it is unclear what information patients and parents need and understand about EDS. The objective of this study is to characterize patient and parent knowledge and concerns about EDS after a diagnosis of EDS is made to determine patient and parent concerns and identify barriers that cause discomfort with the diagnosis.6 METHODS: A convenience sample of patient and parent dyads were recruited after new diagnosis of EDS. Patients and parents completed questionnaires that assessed knowledge, comfort, and barriers of EDS before and after diagnosis, EDS education materials accessed, and additional clinical needs …

Potential Of Right Ventricular Function Assessment With Echocardiography In Transcatheter Aortic Valve Replacement, Yoshihisa Morita, Taro Kariya, Michael Dougherty, Andrew Peters, Nicholas Ruggiero

Division of Cardiology Faculty Papers

BACKGROUND: Right ventricular (RV) function assessment by echocardiography can be challenging due to its complex morphology. Also, increasing use of sedation rather than general anesthesia for transfemoral approach transcatheter aortic valve replacement (TAVR) reduces the need for intraoperative transesophageal echocardiography (TEE). Recent clinical studies have demonstrated the importance of 3-dimensional (3D) echocardiography and a longitudinal strain for RV function assessment. In this study, we compared RV function echocardiographic assessment methodologies in TAVR and investigated its clinical utility.

METHODS: This was a prospective, observational study of TAVR at a large academic hospital. Inclusion criteria were adult patients undergoing TAVR requiring intraoperative …

Self-Compassion And Peer Social Support: Do They Influence Self-Efficacy In Career Decision Making Of Generation Z Students?, Wildan Madani, Helli Ihsan, Farhan Zakariyya

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine the effect of self-compassion and peer social support on career decision-making self-efficacy (CDMSE) among Generation Z college students in Indonesia. This study uses quantitative methods with a regression analysis approach. Sampling was conducted using non-probability sampling techniques with an accidental sampling approach. This study involved 367 active college students from Generation Z, aged 18-24, residing or studying in the metropolitan area of Greater Bandung. Greater Bandung was chosen as the research location because it represents the characteristics of Generation Z in Indonesia. The city is a center of education and culture with diverse higher education …

Exploring The Impact Of Self-Control, Motivation, And Resilience On Students' Self-Compassion, Diani Akmalia Apsari, Adi Atmoko, Ika Andrini Farida, Nur Eva, Augusto Da Costa, Aidah Fuadiyah

Jurnal Kajian Bimbingan dan Konseling

The core purpose of Pendidikan Profesi Guru Prajabatan (PPG) is to educate prospective teachers to become professional teachers. To achieve this goal, students requires psychological abilities when facing challenges such as dense and demanding tasks based on the curriculum that must be completed in 2 semesters. This study aims to (1) test the theoretical model of regression of self-compassion, and (2) determine the contribution of self-control, motivation, and resilience to self-compassion in PPG students. This study used a causal relationship design. Data were collected with (1) Brief Self Control Scale, (2) The Academic Motivation Scale, (3) The Connor-Davidson Resilience Scale, …

Optimizing Vgg16 Deep Learning Model With Enhanced Hunger Games Search For Logo Classification, Mohammed Hussain, Thaer Thaher, Mohamed Basel Almourad, Majdi Mafarja

All Works

Accurate classification of logos is a challenging task in image recognition due to variations in logo size, orientation, and background complexity. Deep learning models, such as VGG16, have demonstrated promising results in handling such tasks. However, their performance is highly dependent on optimal hyperparameter settings, whose fine-tuning is both labor-intensive and time-consuming. Swarm intelligence algorithms have been widely adopted to solve many highly nonlinear, multimodal problems and have succeeded significantly. The Hunger Games Search (HGS) is a recent swarm intelligence algorithm that has shown good performance across various applications. However, the standard HGS still faces limitations, such as restricted population …

Preface Vol. 14 No. 3 (Desember), Rahayu Surtiati

Paradigma: Jurnal Kajian Budaya

In the December 2024 edition, Paradigma presents ten articles covering four regions: Surakarta, Southeast Sulawesi, Minangkabau, Ponorogo; and also areas: cinema, dance, language, fashion, and education. All research are about cultures in Indonesia and written by Indonesian researchers.

This open journal is read by the international public, so we hope that humanities researchers in various regions of the world will participate with their writing, not only reporting research in Indonesia, but also research in other regions of the world. Paradigma is preparing to become an international journal and in time its triannual publications will be in English so that more …

Pancasila As The Philosophical Foundation Of The Indonesian Curriculum, Nurbaya Pulhehe, Babang Robandi

Paradigma: Jurnal Kajian Budaya

The philosophical foundation of Pancasila, comprised of five principles, plays a significant role in shaping Indonesia's education system. These principles guide curriculum design, implementation, and evaluation, reflecting the nation's educational goals and desired student outcomes. This paper examines the philosophical underpinnings of Pancasila, with a focus on content and graduate competence standards, examining their relationship with educational objectives and their implications for the national curriculum. Utilizing a literature review methodology, the research highlights the critical influence of Pancasila on curriculum development and educational planning in Indonesia. The findings indicate that Pancasila serves as a central philosophical framework guiding Indonesia's national …

Beauty Standards As Symbolic Violence Against Women In Imperfect: Karier, Cinta, & Timbangan (2019), Hianly Muljadi, Sonny Angjaya, Joanna Deborah

Paradigma: Jurnal Kajian Budaya

Beauty is often perceived as a neutral concept; however, perceptions of beauty vary across different societies. In Indonesia, for instance, beauty is frequently associated with having fair skin and a slim physique. Consequently, women who do not meet these criteria are often deemed unattractive. Furthermore, beauty is commonly linked to a woman's success. This issue is critically examined in the 2019 film in Ernest Prakasa, Imperfect: Karier, Cinta & Timbangan, which centers on the life of a young woman named Rara, who is depicted as dark-skinned and slightly overweight. The societal pressures she faces to conform to prevailing beauty …

Assessing Minority Language In The South Sulawesi Province: Limola Language, Satwiko Budiono, Taufan Jaya

Paradigma: Jurnal Kajian Budaya

The Limola language is a minority language spoken in South Sulawesi Province. Based on the number of speakers, which ranges between 100 and 600, the Limola language is at risk. This situation underscores the urgent need for preservation efforts. One approach to preserving the language is by assessing its vitality. The assessment of the Limola language aims to evaluate its current status and identify factors contributing to its vitality. These findings will inform future language preservation strategies. The study employs a descriptive qualitative method, with data collection techniques including observation, interviews, and focus group discussions. Data analysis is based on …

A Vygotskian Perspective On Multicultural Education: A Social-Based Learning Process In The Minangkabau Community, West Sumatra, Indonesia, Isnarmi Moeis, Junaidi Indrawadi, Zaenuddin Hudi Prasojo, Fatmariza Fatmariza, Rika Febriani

Paradigma: Jurnal Kajian Budaya

Multicultural education and local wisdom function as crucial social assets in promoting unity within diverse societies. Indonesia, a country rich in ethnic diversity, possesses abundant local wisdom, particularly within the Minangkabau community of West Sumatra. This study examines the integration of Minangkabau local wisdom into the core elements of multicultural education, focusing on areas such as cultural awareness, sensitivity, cross-cultural communication, critical thinking, reflection, and cultural competence. Grounded in Vygotsky’s theory of learning as a process of social and cultural adaptation, this research adopts a qualitative methodology, utilizing in-depth interviews and focus group discussions for data collection. The analysis, carried …

The Voice Of The Voiceless: Countering The Festival And Elevating Reyog Obyokan As Cultural Capital, Albert Tallapessy, Ikwan Setiawan

Paradigma: Jurnal Kajian Budaya

This article examines two performance models of Reyog Ponorogo: the festival model and the obyokan model. These two competing models represent differing perspectives on one side, the interests of the artists and the community, and on the other, the interests of the state. By applying cultural studies theories, particularly those of representation and hegemony, this study analyzes data collected through observations of Reyog performances at both festival and obyokan events, as well as interviews with artists and community members. The findings reveal that the obyokan model emphasizes an egalitarian spirit, allowing artists greater aesthetic freedom and providing the community with …

The Contemporary Tax Journal Volume 13, No. 2 – Winter 2024

The Contemporary Tax Journal

No abstract provided.

The 40th Annual Tei-Sjsu High Tech Tax Institute Conference On Nov. 4-5, 2024: Ai In The Corporate Tax Department - Let’S See It!, Raymond Clark

The Contemporary Tax Journal

No abstract provided.

The 40th Annual Tei-Sjsu High Tech Tax Institute Conference On Nov 4-5, 2024: The Future Of The Corporate Tax Department, Cynthia Flores

The Contemporary Tax Journal

No abstract provided.

The Win Ratio Approach In Bayesian Monitoring For Two-Arm Phase Ii Clinical Trial Designs With Multiple Time-To-Event Endpoints, Xinran Huang, Jian Wang, Jing Ning

Faculty, Staff and Student Publications

To assess the preliminary therapeutic impact of a novel treatment, futility monitoring is commonly employed in Phase II clinical trials to facilitate informed decisions regarding the early termination of trials. Given the rapid evolution in cancer treatment development, particularly with new agents like immunotherapeutic agents, the focus has often shifted from objective response to time-to-event endpoints. In trials involving multiple time-to-event endpoints, existing monitoring designs typically select one as the primary endpoint or employ a composite endpoint as the time to the first occurrence of any event. However, relying on a single efficacy endpoint may not adequately evaluate an experimental …

Quantitative Analysis Of Machine Learning Model Performance And The Need To Consider Explainability, Vishnu S. Pendyala

Open Educational Resources

This presentation, titled "Quantitative analysis of Machine Learning model performance and the need to consider explainability," delves into various metrics used for evaluating machine learning models. It thoroughly examines fundamental classification metrics like accuracy, precision, recall, and F-score, while also discussing more advanced measures such as the Kappa Statistic and Matthews Correlation Coefficient (MCC), particularly highlighting their relevance in scenarios with imbalanced datasets. The presentation underscores the importance of model accuracy in real-world applications and briefly introduces regression metrics like R-squared and F-statistic. Additionally, it addresses challenges related to data imbalance and fairness in ML models, stressing the critical need …

Transition To Enteral Triazole Antifungal Therapy For Pediatric Invasive Candidiasis: Secondary Analysis Of A Multicenter Cohort Study Conducted By The Pediatric Fungal Network, Robert F T Bucayu, Craig L K Boge, Inci Yildirim, Martha Avilés-Robles, Surabhi B Vora, David M Berman, Tanvi S Sharma, Lillian Sung, Elio Castagnola, Debra L Palazzi, Lara Danziger-Isakov, Dwight E Yin, Emmanuel Roilides, Gabriela Maron, Alison C Tribble, Pere Soler-Palacin, Eduardo López-Medina, José Romero, Kiran Belani, Antonio C Arrieta, Fabianne Carlesse, Dawn Nolt, Natasha Halasa, Daniel Dulek, Sujatha Rajan, William J Muller, Monica I Ardura, Alice Pong, Blanca E Gonzalez, Christine M Salvatore, Anna R Huppler, Catherine Aftandilian, Mark J Abzug, Arunaloke Chakrabarti, Michael Green, Irja Lutsar, Elizabeth D Knackstedt, Sarah K Johnson, William J Steinbach, Brian T Fisher, Rachel L Wattier

Faculty, Staff and Students Publications

Of 319 children with invasive candidiasis, 67 (21%) transitioned from intravenous to enteral antifungal therapy. Eight (12%) transitioned back to intravenous antifungal therapy, one due to perceived treatment failure defined by clinical progression or worsening. Global treatment response at study completion was successful in 66 participants who transitioned to enteral therapy.

Double-Blind Randomised Trial Of Saline Solution For Gargling And Nasal Rinsing In Sars-Cov-2 Infection, Sebastian R Espinoza, Lexton Trauffler, Amir Shamshirsaz, Alireza Shamshirsaz, Andres Espinoza, Jimmy Espinoza, Alice O'Brien

Faculty, Staff and Student Publications

Background: Previous studies have shown that hypertonic saline nasal irrigation and gargling reduced the duration of symptoms in upper respiratory infections caused by coronavirus. This study aims to investigate the effects of two saline regimens on symptoms associated with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).

Methods: Between 2020 and 2022, individuals aged 18-65 years who tested positive for SARS-CoV-2 infection via polymerase chain reaction (PCR) were randomly assigned to either low- or high-saline regimens for 14 days. The low-saline solutions contained 2.13 g of salt dissolved in eight ounces of warm water, while the high-saline solution contained six grams of …

Nos Inhibition Sensitizes Metaplastic Breast Cancer To Pi3k Inhibition And Taxane Therapy Via C-Jun Repression, Tejaswini Reddy, Akshjot Puri, Liliana Guzman-Rojas, Christoforos Thomas, Wei Qian, Jianying Zhou, Hong Zhao, Bijan Mahboubi, Adrian Oo, Young-Jae Cho, Baek Kim, Jose Thaiparambil, Roberto Rosato, Karina Ortega Martinez, Maria Florencia Chervo, Camila Ayerbe, Noah Giese, David Wink, Stephen Lockett, Stephen Wong, Jeffrey Chang, Savitri Krishnamurthy, Clinton Yam, Stacy Moulder, Helen Piwnica-Worms, Funda Meric-Bernstam, Jenny Chang

Faculty, Staff and Student Publications

Metaplastic breast cancer (MpBC) is a highly chemoresistant subtype of breast cancer with no standardized therapy options. A clinical study in anthracycline-refractory MpBC patients suggested that nitric oxide synthase (NOS) inhibitor NG-monomethyl-l-arginine (L-NMMA) may augment anti-tumor efficacy of taxane. We report that NOS blockade potentiated response of human MpBC cell lines and tumors to phosphoinositide 3-kinase (PI3K) inhibitor alpelisib and taxane. Mechanistically, NOS blockade leads to a decrease in the S-nitrosylation of c-Jun NH

Bayesian Nonparametric Model For Heterogeneous Treatment Effects With Zero-Inflated Data, Chanmin Kim, Yisheng Li, Ting Xu, Zhongxing Liao

Faculty, Staff and Student Publications

One goal of precision medicine is to develop effective treatments for patients by tailoring to their individual demographic, clinical, and/or genetic characteristics. To achieve this goal, statistical models must be developed that can identify and evaluate potentially heterogeneous treatment effects in a robust manner. The oft-cited existing methods for assessing treatment effect heterogeneity are based upon parametric models with interactions or conditioning on covariate values, the performance of which is sensitive to the omission of important covariates and/or the choice of their values. We propose a new Bayesian nonparametric (BNP) method for estimating heterogeneous causal effects in studies with zero-inflated …

State Of Utah, Plaintiff And Appellee V. Jessica Buck, Defendant And Appellant : Reply Brief, Utah Court Of Appeals

Utah Court of Appeals Briefs (2020 –)

ON DIRECT APPEAL FROM A SENTENCE JUDGMENT COMMITMENT ENTERED BY THE HONORABLE JUDGE JEREMIAH HUMES OF THE SEVENTH JUDICIAL DISTRICT COURT IN AND FOR CARBON COUNTY, STATE OF UTAH

K. ANDREW FITZGERALD, Attorney for Appellant

Combining Direct Black Hole Mass Measurements And Spatially Resolved Stellar Kinematics To Calibrate The Mbh–Σ⋆ Relation Of Active Galaxies, Nico Winkel, Vardha N. Bennert, Raymond P. Remigio, Tommaso Treu, Knud Jahnke, Vivian U, Aaron J. Barth, Matthew Malkan, Bernd Husemann, Xuheng Ding

Physics

The origin of the tight scaling relation between the mass of supermassive black holes (SMBHs; MBH) and their host-galaxy properties remains unclear. Active galactic nuclei (AGNs) probe phases of ongoing SMBH growth and offer the only opportunity to measure MBH beyond the local Universe. However, determining an AGN's host galaxy's stellar velocity dispersion, σ⋆, and its galaxy dynamical mass, Mdyn, is complicated by AGN contamination, aperture effects, and different host-galaxy morphologies. We select a sample of AGNs for which MBH has been independently determined to high accuracy by state-of-the-art techniques: dynamical modeling of the reverberation …

Faktor Pemicu Dan Penghambat Fraud Dalam Program Jaminan Kesehatan Nasional Dan Strategi Pencegahannya: Sebuah Scoping Review, Julius Sam Tito, Kemal Nazaruddin Siregar

Jurnal Ekonomi Kesehatan Indonesia

Fraud in the National Health Insurance program (JKN) has become one of the challenges faced by the government because it can harm the state finances and negatively impact the decline in the quality of health services. This research aims to identify triggering factors, inhibiting factors, and also strategies in preventing fraud in the JKN program. The study was conducted using the scoping review method according to the Arksey & O'Malley guidelines by searching 5 electronic databases and finding 2,622 articles. The literature search results were performed according to PRISMA-Scr, and 20 articles were analyzed in this study. The study results …

Cross-Generational Perception Analysis Of The Role Of Sharia Economics In Reducing Social Inequality In Jakarta (Case Study Of Gen Z, Gen Y, Gen X, And Early Gen X), Kuncoro Hadi, Nuraini Nuraini

Journal Of Middle East and Islamic Studies

This study aims to analyze cross-generational perceptions of the role of Islamic economics in reducing social inequality in Jakarta. Using a quantitative approach, this study collected data from 994 respondents divided into four age groups (18-25 years, 26-35 years, 36-45 years, and 46-55 years). Data were analyzed using the Kruskal-Wallis test to evaluate differences in perceptions between age groups on the basic principles of Islamic economics, the fairness of the system, and the effectiveness of its implementation. The results showed significant differences in understanding and perception between age groups, with 26-35 years old having the highest level of understanding. The …

How Halal Certification And Islamic Ethics Tackle Greenwashing: New Solutions For A Sustainable Economy, Muhammad Afif Ryan Pratama

Journal Of Middle East and Islamic Studies

This research explores the role of halal certification and Islamic ethics in addressing greenwashing within the financial sector. Greenwashing, the practice of exaggerating environmental responsibility, undermines genuine sustainability efforts and trust among consumers and investors. Islamic finance, based on principles of transparency, social justice, and ethical business practices, provides a robust framework to counter such deceptive practices. The study proposes expanding halal certification to incorporate environmental standards, ensuring that companies demonstrate both ethical and sustainable practices. This integrated approach offers a unique solution to combat greenwashing and aligns with broader sustainability goals. By including sustainability in halal certification, the credibility …

Scheme For The Development Of Sharia-Compliant Financial Inclusion For Farmers On Dryland Area Through The Optimization Of Biological Assets, Kartika Nur Rakhman, Nur Fatwa

Journal Of Middle East and Islamic Studies

Farmers in the Gunungkidul Regency are mostly categorized as impoverished. Resource constraints make it challenging for them to progress. One of the problems they face is the lack of capital for their businesses and daily needs. To meet these needs, they often resort to borrowing from loan sharks. This occurs partly due to the absence of assets they can use to access financing from Sharia-compliant financial institutions. This research aimed to assess the feasibility of biological assets, particularly teak trees (Tectona grandis), to be accepted as collateral in Sharia-compliant financing. Additionally, this study aimed to provide an alternative …

The Role Of Social Health Insurance In Achieving Universal Health Coverage In Asia: A Systematic Review, Afaf Jauhar, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Universal Health Coverage (UHC) aims to ensure that all individuals have access to essential health services without financial hardship. Social Health Insurance (SHI) is critical in achieving this goal, especially in low- and middle-income countries. This systematic review explores the role of SHI systems in advancing UHC across 14 Asian countries, focusing on healthcare access, financial protection, and equity. A comprehensive search across PubMed, Scopus, and ScienceDirect identified 768 articles, and 37 studies were selected after screening, following the PRISMA guidelines. The chosen studies cover countries with varying SHI models across Asia. The findings reveal that high-income countries such as …

Dampak Faktor Ekonomi Dan Non Ekonomi Terhadap Jumlah Anak Di Indonesia: Analisis Data Demographic Health Survey 2017, Maysarah Qonita Munthe, Nasywa Nayifa Salsabila, Achmad Kautsar

Jurnal Ekonomi Kesehatan Indonesia

Indonesia has a large population, with a declining annual growth trend. Economic and non-economic factors contribute to the desired number of children. This study uses the latest data from the 2017 Demographic and Health Survey (DHS) to analyze the relationship between these factors and the desired number of children. A logit model is employed to evaluate the probability of having more than two children.The findings indicate that higher economic status is associated with a lower likelihood of having more than two children. Women in the middle economic group are 7.1% less likely to have more than two children compared to …