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Pengaruh Durasi Pengobatan Dan Preferensi Pasien Kanker Stadium Akhir Terhadap Layanan Homecare Di Rumah Sakit Medistra Pada Tahun 2021-2023, Peter Brian Sutanto Putra Dr, Erfen Gustiawan Suwangto Dr, Tena Djuartina Dr, Iskandar Rahardjo Budianto Dr, C. Rinaldi A. Lesmana

Jurnal Penyakit Dalam Indonesia

Introduction. Cancer is still an enormous health problem in the world and rank second as the most common cause of mortality. End-stage cancer requires end-of-life or palliative care to improve the patient’s quality of life before death. Homecare services have become an option for providing palliative care to avoid long-term hospital stays. The study aimed to provide an overview of the treatment duration and other factors in end-stage cancer patients regarding the selection of homecare services at Medistra Hospital during the period of 2021-2023.

Methods. This study with a cross-sectional design analyzed medical records of end-stage cancer patients …

Efektivitas Vaksin Covid-19 Mrna Booster Kedua Pada Tenaga Kesehatan Di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo Dan Faktor Yang Memengaruhinya, Siti Taqwa Fitria Lubis, Sukamto Koesnoe, Evy Yunihastuti, Hamzah Shatri, Teguh Harjono Karjadi, Kuntjoro Harimurti, Ceva Wicaksono Pitoyo, Em Yunir

Jurnal Penyakit Dalam Indonesia

Introduction. The emergence of the Omicron variant during the pandemic had an impact on the effectiveness of the COVID-19 vaccine. The spread of Omicron increased rapidly even in populations that had been vaccinated with booster doses, causing a high incidence of infection. This study aimed to determine the effectiveness and factors related to the effectiveness of the second mRNA booster vaccine as well as antibody levels after the second mRNA booster vaccine in healthcare workers at Cipto Mangunkusumo National General Hospital.

Methods. This study used a cohort design. Total sampling of 271 healthcare workers were obtained from previous …

Efek Terapeutik Analog Somatostatin Dalam Menghambat Perkembangan Autosomal Dominant Polycystic Kidney Disease, Irvin Rembrant Holleritz Sitompul, Grasella Angelika Putri, Purwita Wijaya Laksmi

Jurnal Penyakit Dalam Indonesia

Autosomal Dominant Polycystic Kidney Disease (ADPKD) is a hereditary disorder characterized by formation and progressive growth of cysts in the kidneys and other organs such as liver, spleen, and pancreas. Recent advances have led to possibilities to target the main cause of cyst growth, cAMP. Somatostatin targets cAMP and inhibits its production directly and indirectly in kidney and liver, which might potentially prevent renal and liver cyst progression in ADPKD. This report aims to evaluate the effectiveness of somatostatin analogue therapy in slowing disease progression in ADPKD patients, according to the latest evidence. A literature search was conducted on five …

Long Covid Dan Sistem Kardiovaskular, Muhadi Muhadi, Ivan Mardhi Laksmana

Jurnal Penyakit Dalam Indonesia

Even after nasopharyngeal Polymerase Chain Reaction (PCR) swab investigation revealed no COVID-19 infection, some individuals continue to have long COVID symptoms. According to a research published in 2022, 4.5 – 36.6% of patients had symptoms following a COVID-19 infection more than three months. Long COVID symptoms may impact multiple organ systems, including the cardiovascular system. Chest pain, palpitations, arrhythmia, postural orthostatic tachycardia syndrome, and other symptoms are possible appeared in long COVID. D-Dimer, echocardiography, CT scan, cMRI and other supportive test showed meaningful results. Pharmacological treatment can be given based on the concurrent diagnosis found in patients with long COVID. …

African American College Students’ Perceived Motivation And Engagement In Online Learning Environments, Juanita Sharpe

Walden Dissertations and Doctoral Studies

The current study delved into the problematic achievement gap between African-American graduates students and other groups, specifically in the online learning environment. African-American graduate students’ lower achievement is problematic due to its lost opportunity costs and social subjugation of an entire group of Americans. The study’s purpose was to improve our understanding of this problem in order to better inform the content and packaging of future academic delivery to this population. A qualitative methodology with a phenomenological design was used to cull the 1st hand experiences of African-American graduate students as to their online learning experiences. Self-determination and constructivism theories …

Optimized Thyroid Disease Classification Using Nature-Inspired Algorithms: Gwo & Woa, Sayan Mondal

NJF Intelligent Engineering Journal

Recently, there has been an upsurge in the number of cases of thyroid disease. Thyroid function is essential for metabolism, making the early diagnosis of thyroid dysfunction an urgent matter. The issue of class imbalance has not been thoroughly examined, even though there are multiple publications on the topic of thyroid disease detection. Furthermore, the binary-class problem has been the primary emphasis of previous research. This study intends to address these concerns by using the suggested strategy, which takes into account ten distinct thyroid illnesses. In order to choose the best features from the Thyroid dataset, this research proposes two …

A Predictive Iot And Cloud Framework For Smart Healthcare Monitoring Using Integrated Deep Learning Model, Preeti Rani, Umesh Chandra Garjola, Haider Abbas

NJF Intelligent Engineering Journal

The researchers developed a deep learning-based smart healthcare monitoring system based on IoT and cloud technology. The proposed system integrates IoT sensors for real-time collection of physiological data, such as ECG, blood pressure, and heart rate, with cloud computing for secure storage and advanced analytics. Utilizing the Bi-LSTM model with fuzzy inference systems (FIS), the framework enhances the accuracy and efficiency of heart disease prediction. According to the evaluation, the model performs better in terms of accuracy, precision, recall, and F1 score than traditional LSTM and FLSTM models. By enabling early detection and personalized interventions, the system aims to reduce …

Real-Time Congestion Control And Load Optimization In Cloud-Manets Using Predictive Algorithms, Preeti Rani, Mohammed Hussien Falaah

NJF Intelligent Engineering Journal

Cloud-MANET environments require a system to balance load and control congestion. As a result of integrating real-time network metrics with predictive traffic algorithms, the proposed model optimizes the management of dynamic topologies, network bandwidth constraints, and fluctuating traffic loads. In addition to energy-aware multi-path routing, the framework incorporates adaptive congestion control mechanisms to ensure data transmission is efficient and stable. This algorithm provides higher packet delivery ratios, reduces end-to-end delays, and increases throughput over existing algorithms, according to the evaluation results. Hybrid Cloud-MANET systems can benefit from this approach by optimizing resource utilization and network performance.

A Predictive Framework Combining Iot And Machine Learning Regression Models For Smart Precision Farming, Kusum Yadav, Nesreen Abdou El-Hadiede

NJF Intelligent Engineering Journal

In this paper, the Internet of Things (IoT) and machine learning algorithms that incorporate regressor are integrated to improve precision agriculture. Data from Internet of Things sensors like temperature sensors, humidity sensors, and soil sensors can be collected and analysed using machine learning algorithms like Support Vector Machines (SVMs) and Multilayer Perceptrons (MLPs). By using the proposed system, crop yield will be optimised, resource usage will be minimised, and the environmental impact of agriculture will be reduced. A comparison of predictive accuracy and error metrics, such as RMSE, demonstrated the effectiveness of automated monitoring, predicting crop health issues, and implementing …

Biological Abnormalities In Long Covid Disease: A Mini Review, Abbas F. Almulla, Hanaa Addai Ali

NJF Biomedicine Journal

Long COVID (LC) is characterized by prolonged, diverse symptoms affecting multiple organ systems, including but not limiting to the immune, neurological, and cardiovascular systems. This mini review explores the biological abnormalities underpinning LC, focusing on immune dysregulation, chronic inflammation, oxidative stress, and mitochondrial dysfunction as key contributors to its persistence. Recent studies indicate that LC may involve sustained elevation of pro-inflammatory cytokines, autoimmunity, and T-cell exhaustion, all of which perpetuate a state of low-grade chronic inflammation. Additionally, oxidative and nitrosative stress linked to mitochondrial damage exacerbates fatigue, mood and cognitive symptoms, while hormonal imbalances and metabolic disturbances further complicate the …

Comparative Analysis Of Atracurium And Rocuronium In General Anesthesia: Distribution And Effects On Vital Signs, Omaima Abbass, Ahmed Maki Radeef

NJF Biomedicine Journal

Background: The Muscle relaxants are necessary in anesthesia management that used to facilitate the intubation and for ensure muscle relaxation during surgery. The Rocuronium and Atracurium are two most commonly used non-depolarizing muscle for relaxants of muscles, which each have novel effects on hemodynamic parameters, since they are major for maintaining stability during surgical procedures.

Objective: The present study aims to compare the hemodynamic effects of both Rocuronium and Atracurium during surgery apparatus in adult patients that undergoing general anesthesia, their effect on systolic blood pressure and diastolic blood pressure, mean arterial pressure (MAP), heart rate, and oxygen …

The Effect Of Types Anesthesia On Neonate's Apgar Score In Cesarean Section, Ahmed Maki Radeef, Ali Mejbel. M. Alkhafaji, Asawer Hasan Najm

NJF Biomedicine Journal

Background: The type of anesthesia is important in maternal and fetal well-being. There is different information about the effect of general and spinal anesthesia on APGAR scores and hemodynamic stability for maternal, so in this study, a comparison was made following these two methods.

Objective: To compare anesthetic types regarding feto-maternal outcomes. Determine the effect of anesthesia type on neonate APGAR score, determine the effect of anesthesia type on the material's hemodynamic stability, and determine the effect of induction time on neonate APGAR score. Materials and Methods: This study is a clinical trial and 60 term pregnant women …

Detection Of Some Virulence Factor Genes Among Staphylococcus Aureus Isolated From Ocular Infections In Hilla City, Zaid Kadhim Jassim Alsultany, Ali Turki, Hayat Ghaith Sachit, Hiyam Faez Ahmed

NJF Biomedicine Journal

This investigation examined 100 individuals who had symptoms of acute inflammation affecting the cornea, conjunctiva, and eyelids. Hilla City's private eye clinic welcomed the patients. For 18--24 hours at 37°C, the materials were cultured in both aerobic and anaerobic conditions. Colony morphology, microscopy, and biochemical testing were used to diagnose Staphylococcus aureus infections. The specific positive cards of the Vitek 2 system were used to isolate these isolates. Out of 100 specimens, 65 65%) were found to be associated with different types of microbes, but only 35(35% of the total) tested positive for S. aureus in culture. Out of the …

Review On Intestinal Protozoan Parasites (Types, Symptoms, Diagnosis, Control And Prevention), Hawraa Salih Dhahir Aljaefari, Bent Alhuda Hussein Neamah, Zahraa Husam Jaber Assarraf, Zainab Hameed Selman Al-Ziyadee

NJF Biomedicine Journal

Intestinal protozoan parasites spread all the world and associated between man and animals. They are transmitted to man through consuming drinks and food contaminated with parasite cysts. They infect all age groups, each of these protozoa is characterized by special and distinctive symptoms such as fever,chills and abdominal pain, may have only mild abdominal discomfort or no symptoms at all but the main distinctive symptom of the infection is severe diarrhea. Sometimes the infection is not limited to the intestines only, but is transmitted to other organs. diagnosis of intestinal protozoan infections based on symptoms and physical findings is difficult; …

Identification And Evaluating Of Some Alkaloids From Ethanolic Extracts Of Agaricusbisporus (J.) As Assistant Coagulant Agent, Hassan Falih Hassan Salman Al-Ardawi, Esraa Mohammed Kadhim Al- Huchimi, Alshimaysawee Sadeq, Ameer Mohammed Ridha

NJF Biomedicine Journal

Background: Alkaloid, any of a class of naturally occurring organic nitrogen-containing bases. Alkaloids have diverse and important physiological effects on humans and other animals.

Objectives: In the present study we have studied the effect of ethanolic extract of mushroom on the blood biochemistry parameters in through 21 days of treatment.

Methods: The study was conducted in biotechnology laboratories and animal house of the Department of biology in Faculty of Science / University of Kufa to evaluate the biological activity of ethanol alcohol alkaloids extracts fruits of Mushroom Agaricusbisporus (J.) as assistant of coagulant Agent using (60) healthy adult male Albino …

The Use Of Primal Reflex Release Technique To Address Pain And Stress: An Exploratory Case Series, Nathan R. Reep, Sydney N. Leverett, Rebecca M. Heywood, Zachary Johnson, Alan Nasypany, James May, Scott W. Cheatham

Clinical Practice in Athletic Training

The majority of the world population is experiencing more stress after the COVID-19 pandemic. Working in an outpatient healthcare setting it can be expected that patients will present with stress in combination with other perceptions of pain related to injury. Stress alone may be the cause of pain perception especially in patients who present with no specific mechanism of injury. There is a need for a quick full-body approach to assessment and treatment while considering the stress response to injury. Therefore, the purpose of this study was to determine the immediate effects of Primal Reflex Release Technique (PRRT) Primals on …

What Happens When Grit Goes Bad? Conceptualizing “Dark” Grit Among Sport Employees, Brent D. Oja, Samantha L. Jordan

Journal of Applied Sport Management

This paper details the complexities of the construct known as “grit” and specifically examines the potential for the positive effects of grit to turn maladaptive or “dark.” Although grit is commonly viewed as a generative construct that helps individuals achieve success and experience well-being, past scholars have suggested there could be a “too much of a good thing” effect whereby the helpful outcomes of grit reach a turning point and become detrimental. We propose that the sport industry is an ideal environment for this phenomenon to occur because the industry has high labor demands, and its employees have a strong …

Fostering Sport Employees’ Passion And Enhancing Organizational Success In Intercultural Sporting Events, Young Do Kim, Chanwook Do, Paul Yuseung Doh

Journal of Applied Sport Management

This study emphasizes the role of sport employees’ passion in intercultural sporting events, specifically within professional sport leagues in the United States. The proposed framework identifies key factors that shape employee passion and explore its impact on organizational success, highlighting how fostering passion enhances innovative work behavior, intercultural communication effectiveness, task performance, and psychological well-being. Additionally, this research highlights the importance of cultural intelligence and meaningful work within the conceptual framework. The study offers strategies for sports organizations to cultivate passion, thereby strengthening employees’ work behavior in intercultural sporting contexts.

African American College Students’ Perceived Motivation And Engagement In Online Learning Environments, Juanita Sharpe

Walden Dissertations and Doctoral Studies

The current study delved into the problematic achievement gap between African-American graduates students and other groups, specifically in the online learning environment. African-American graduate students’ lower achievement is problematic due to its lost opportunity costs and social subjugation of an entire group of Americans. The study’s purpose was to improve our understanding of this problem in order to better inform the content and packaging of future academic delivery to this population. A qualitative methodology with a phenomenological design was used to cull the 1st hand experiences of African-American graduate students as to their online learning experiences. Self-determination and constructivism theories …

Single-Step Synthesis Of Activated Carbon From Arabica Spent Coffee Ground Using K2co3 As Activator Agent, Ghina Ivana Mieldan, Yuliusman Yuliusman

Journal of Materials Exploration and Findings

Activated carbon is a nanomaterial that is often used as an effective adsorbent. Activated carbon raw materials can use biomass, such as coffee grounds, which can be found along with the growth of public interest in coffee drinks. Chemical activators are used for activation to increase biomass carbon's adsorption capacity. Using K₂CO₃ activator to increase the specific surface area of activated carbon is more harmless than KOH. The use of spent coffee grounds as carbon source and food additive K₂CO₃ as an activator can make food-grade activated carbon that can be used for food. …

Effect Of Alkyd And Polyester Resin Compositions On Corrosion Resistance, Blistering, And Adhesion In Utilization Of Oily Sludge As Anti-Rust Coating Material, Gerets Land Kakalang, Yohanes David Kristianto, Johny Wahyuadi Mudaryoto

Journal of Materials Exploration and Findings

Oil sludge is a waste derived from upstream and downstream activities of the oil and gas industry which is estimated at 10,000 tonnes generated from all PERTAMINA downstream activities spread across various fields, processing units and depots throughout Indonesia. Oil sludge has the same characteristics as asphalt, where asphalt in previous studies can be used as an anti-rust coating, so that the handling of oily sludge can be topped up by reusing and having its own added value. The purpose of this research is to utilise waste oily sludge as an alternative anti-rust coating material and compare alkyd resin and …

Comparative Analysis Of Risk-Based And Time-Based Inspection Application In Hydrocarbon And Chemical Industries: A Review, Azizar Azizar, Nofrijon Sofyan

Journal of Materials Exploration and Findings

RBI and TBI strategies are comparatively reviewed in terms of their contribution to maintaining asset integrity for asset owners in the hydrocarbon and chemical industries. The objective is to assess various methods on a cost-efficient and risk-managed operational safety basis. It utilizes common industry standards such as API 580 for RBI, and API 510, API 570, and API 653 for TBI, and also case studies and literature analysis. The analysis of data was conducted to examine how each approach deals with inspection planning and decision-making. They suggest that RBI's risk-based prioritization strategy leads to more effective management of high-risk assets, …

Pengaruh Employer Branding Terhadap Retensi Pegawai Dengan Job Satisfaction, Organizational Identification Serta Career Development Sebagai Mediator: Studi Pada Pekerja Perusahaan Teknologi, Karina Pricilla, Fanny Martdianty

Jurnal Manajemen dan Usahawan Indonesia

This study aims to investigate the effect of employer branding on employee retention with the mediating role of job satisfaction, organizational identification, and career development. This research uses a quantitative method using a questionnaire survey involving 400 workers in Jabodetabek technology companies. Data processing was carried out using Structural Equation Modeling (SEM) with Lisrel 8.8 software and it was found that employer branding has a significant influence on job satisfaction, organizational identification, and career development. However, of the three mediations used, only one had a significant effect, namely job satisfaction. Thus, this study shows that although employer branding has a …

Prevalence Of Lipohypertrophy And Lipoatrophy In Individuals With Type 2 Diabetes And Determination Of Associated Risk Factors, Huriye Kırmızıgül, Seher Gönen Şentürk

Makara Journal of Health Research

Background: This study aimed to determine the prevalence of lipohypertrophy and lipoatrophy and their associated risk factors in individuals with type 2 diabetes taking insulin.

Methods: This descriptive and cross-sectional study used the STROBE checklist. In January 2022 to April 2022, 271 individuals with type 2 diabetes were studied. The presence of lipoatrophy and lipohypertrophy was evaluated with inspection and palpation, and the sociodemographic and clinical characteristics of the patients were obtained using a questionnaire. Data were collected in face-to-face interviews.

Results: Lipoatrophy and lipohypertrophy prevalence was 4.8% and 19.2%, respectively. Lipoatrophy was more common in patients …

Histodynamics Of Natural Killer Cells From A Healthy Donor Exposed To Exosomes From The Blood Of Hepatocellular Carcinoma Patients, Indria Asrinda, Radiana Dhewayani Antarianto, Ahmad Aulia Jusuf, Ardhi Rahman Ahani, Chyntia Olivia Maurine Jasirwan, Ni Ken Ritchie, Robby Nur Aditya, Cosphiadi Irawan

Makara Journal of Health Research

Background: Hepatocellular carcinoma (HCC) is the leading form of liver cancer and the second leading cause of cancer-related deaths globally. Exosomes in the HCC microenvironment can induce significant changes in natural killer (NK) cells during endocytosis. The present study aimed to distinguish exosomes in the blood of HCC patients, analyze changes in NK cell phenotype, and evaluate peroxidase and toluidine blue staining as alternative methods for observing the changes.

Methods: NK cells were collected from healthy donors, and exosomes were extracted from the blood of HCC patients. The exosomes were characterized in accordance with MISEV 2018 guidelines, and …

46th Annual Judge Robert H. Staton Indiana Law Update, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held September 12-13, 2024.

Using Technology To Manage A Distributed Workforce & Work Together Seamlessly, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held October 11, 2024.

Recent Developments In Employment Law, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held December 17, 2024.

Advanced Issues In Immigration, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held December 6, 2024.

Advanced Family Law (South), Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held July 25-26, 2024.