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Variabel Dan Model Prediktor Perdarahan Varises Esofagus Berulang Pada Pasien Sirosis Hati Di Rsupn Dr. Cipto Mangunkusumo, Ifani Media Sari, Juferdy Kurniawan, Kemal Fariz Kalista, Aulia Rizka, Eka Ginanjar, Sally Aman Nasution, Leonard Nainggolan Md. Internal Medicine, Tropic-Infection Spesialist, Sukamto Koesnoe

Jurnal Penyakit Dalam Indonesia

Introduction. Liver cirrhosis is a chronic condition associated with severe complications, including esophageal variceal bleeding, which carries high morbidity and mortality rates. Approximately 60% of patients with cirrhosis experience recurrent bleeding within one year, with a mortality rate of 20–60% within six weeks after the initial bleeding episode. Therefore, identifying predictors of recurrent bleeding is essential for improving preventive strategies. This study aimed to identify predictors of recurrent esophageal variceal bleeding in patients with liver cirrhosis and to develop a predictive model.

Methods. This retrospective study included 220 patients with liver cirrhosis and a history of esophageal variceal …

Kontinuitas Terapi Lupus: Kesenjangan Antara Evidence-Based Medicine Dan Real-World Practice, Abirianty P. Araminta

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Hubungan Penggantian Imunosupresan Tidak Terencana Dengan Aktivitas Penyakit Lupus Eritematosus Sistemik: Studi Kohort Retrospektif Di Rsupn Dr. Cipto Mangunkusumo, Jakarta, Rosvitha Amanda, Sukamto Koesnoe, Alvina Widhani, Ikhwan Rinaldi, Adityo Susilo, Juferdy Kurniawan, Rudi Putranto, Birry Karim

Jurnal Penyakit Dalam Indonesia

Introduction. Systemic lupus erythematosus (SLE) is a complex chronic autoimmune disease with diverse clinical manifestations. Treatment stabilization is crucial for optimal disease control, but the consistency of immunosuppressive therapy may be affected by non-ideal conditions, including drug unavailability or adverse effects. This study aimed to assess the association between unplanned immunosuppressant switching and increased disease activity in SLE patients.

Methods. A retrospective cohort study of SLE patients meeting the inclusion criteria, whose disease activity was evaluated using the MEX-SLEDAI score during immunosuppressant substitution. Participants were grouped into an exposed group undergoing unplanned immunosuppressant switching due to drug unavailability …

Efektivitas Penambahan Suplementasi Vitamin C Terhadap Penurunan Malondialdehid Dan Perbaikan Derajat Aktivitas Penyakit Lupus Eritematosus Sistemik: Uji Klinis Acak Tersamar Ganda, Yuniza Yuniza, Nova Kurniati, Theodorus Theodorus, Eddy M. Salim, Kristian S. Hartanto

Jurnal Penyakit Dalam Indonesia

Introduction. Vitamin C is an antioxidant that exerts its effects at multiple cellular levels. However, evidence regarding its effects in systemic lupus erythematosus (SLE) remain inconclusive. This study aimed to evaluate the potential of vitamin as an adjunctive antioxidant therapy in patients with SLE by assessing its effects on serum malondialdehyde (MDA) levels and disease activity using the Mexical Systemic Lupus Erythematosus Disease Activity Index (MEX-SLEDAI) score.

Methods. This pilot double-blind, randomized controlled trial was conducted at Dr. Mohammad Hoesin General Hospital, Palembang. Participants were patients with mild-to-moderate SLE diagnosed according to the 2019 European Alliance of Association …

Profil Biomarker Apolipoprotein B Dan Lipid Terhadap Skor Syntax Pada Pasien Sindrom Koroner Kronik, Muhammad Novran Chalik, Erwin Sukandi, Taufik Indrajaya, Ferry Usnizar, Syamsu Indra, Imran Saleh, Rukiah Chodilawati, Irfannuddin Irfannuddin

Jurnal Penyakit Dalam Indonesia

Introduction. Apolipoproteins are structural components of plasma lipoproteins that are involved in lipoprotein metabolism and lipid transport, reflecting the number of circulating atherogenic particles. The degree of coronary artery stenosis can be assessed by calculating the Synergy between PCI with TAXUS/paclitaxel-eluting stent and Cardiac Surgery (SYNTAX) score, which is an angiographic scoring system used to evaluate the complexity of coronary artery lesions. This study aimed to investigate the profile of apolipoprotein B and lipids, as well as their correlation with the SYNTAX score in patients with chronic coronary syndrome.

Methods. An observational analytic study with a cross-sectional design …

Gagal Jantung Kanan Pada Hipertiroid Tidak Terkontrol: Laporan Kasus, Kevin Lazuardy, Leonard Nainggolan, Nadim Marchian Tedyanto

Jurnal Penyakit Dalam Indonesia

Right heart failure is a clinical syndrome that is influenced by various factors. The incidence of heart failure reaches 5/1,000 population, while the prevalence of heart failure reaches 1-2% of the adult population. Management of the main etiology of heart failure is the main therapy. In some cases, hyperthyroidism is an indirect cause of heart failure, especially in right heart failure. Hyperthyroidism can cause reversible pulmonary hypertension which causes right heart failure, although the underlying mechanism is uncertain at the moment. This study reports a 46-year-old woman who was diagnosed with right heart failure and also had hyperthyroidism. In this …

Miopati Atrium, Fibrilasi Atrium, Dan Stroke: Mengungkap Hubungan Tersembunyi, Muhammad Yamin, Mohamad Syahrir Azizi, Anneira Amanda Putri

Jurnal Penyakit Dalam Indonesia

Atrial fibrillation (AF) is the most common arrhythmia and has been long recognized as a cause for atrial thrombus formation leading to cardioembolic stroke. However, recent studies reveal that the relationship between atrial fibrillation and stroke is an association rather than a temporal relationship. Left atrial thrombus formation is associated with vascular risk factor, atrial remodeling, and thrombogenesis. Various atrial electrical and structural markers of atrial myopathy have been linked to ischaemic stroke, even in the absence of AF. In addition to the CHA2DS2-VASc score as a consideration for anticoagulant administration, accurate atrial myopathy markers are needed to allow early …

Entrenchment And Expansion: How Political Dynasties Affect Poverty Within And Between Philippine Provinces, Jurel K. Yap

Asia-Pacific Social Science Review

The persistence of poverty in the Philippines is linked in the literature to the prevalence of political dynasties, yet the precise mechanisms of this relationship remain underexplored. This study sought to disentangle two distinct phenomena: the effect of long-term dynastic entrenchment (structural, between-province differences) from that of dynamic dynastic expansion (changes within a province over time). To do so, this paper employed a within-between panel data model on a unique dataset covering 80 provinces from 2004 to 2021, with the Political Concentration Index (Political HHI) as the primary measure of dynastic power. The results showed that while dynastic entrenchment and …

A Tale Of Two Policy Regimes: A Comparative Analysis Of Migrants’ School-To-Work Transition In Hong Kong And Taiwan, Pakorn Phalapong

Asia-Pacific Social Science Review

Foreign professionals have been frequently viewed as a remedy for labor shortages and as catalysts for economic development, prompting many governments—including Hong Kong and Taiwan—to facilitate their immigration for education and employment. Consequently, this study endeavors to identify a general pattern and plausible conditions that underpin the promotion of school-to-work transition policy regimes in a migration context. Using case-based analysis and the Most Different Systems Design (MDSD), secondary data were collected for the analysis. The findings reveal that, despite markedly differing political systems, both jurisdictions adopted a school-to-work policy regime in response to comparable conditions: the demographic changes, the influx …

The Way Perceived Justice Affects Environmental Policy Support, Cholnapa Anukul, Kanang Kantamaturapoj

Asia-Pacific Social Science Review

Perceptions of justice have been widely discussed as an important lens through which individuals interpret social experiences and evaluate public policies. This exploratory qualitative study examines how perceived justice, particularly Belief in a Just World (BJW), is associated with attitudes toward support for environmental policy among undergraduate students aged 18 years or older recruited from higher education institutions (HEIs) in Bangkok, Thailand. An online screening survey was used to identify students with relatively high and low levels of Personal Belief in a Just World (PBJW) from four HEIs, followed by in-depth interviews with 21 participants. Reflexive thematic analysis was employed …

Compound Role Of Using Advanced Materials And Design Procedures On Improving The Performance Of Baghdad Buildings Facades, Abeer Qasim Jbur

Al-Esraa University College Journal for Engineering Sciences

The research idea addresses improving the thermal performance of buildings in Baghdad by selecting and employing facade materials to reduce heat gain and energy consumption associated with cooling in a hot-dry climate. The study discusses the pivotal role of facade materials in interacting with solar radiation, heat transfer, and inward thermal transmittance, as well as their capacity to store and release heat in ways that maintain thermal comfort within architectural spaces and reduce reliance on mechanical cooling systems. A range of traditional materials such as stone, earth, and concrete is presented alongside modern materials like high-performance glass and thermal storage …

Current Condition Of The Holy Kadhimiya Shrine Surveying Using A Gpr, Israa Hatem

Al-Esraa University College Journal for Engineering Sciences

This study describes the extensive survey of the Holy Kadhimiya Shrine in Baghdad, Iraq, carried out with the use of a non-invasive geophysical instrument called Ground Penetrating Radar (GPR) to assess the conditions of subsurface and the condition of the infrastructure in the site. The total area of the shrine is 19,575 m² that was systematically studied with the help of internal measures, satellite imagery and radar profiling. The frequency antennas used for the GPR survey were the 250 MHz, 500 MHz, and 800 MHz which have a penetration depth of 1-15 m. Specialized software packages (Ground Vision, Reexplore …

Static Analysis-Based Android Malware Detection (2021–2026): A Systematic Survey And Taxonomy, Ali Hussein Mohammed Ali, Musaab Riyadh Abdulrazzaq

Al-Esraa University College Journal for Engineering Sciences

Android malware is not only increasing in size and sophistication but is also a challenge to be detected on a large scale. Static analysis is popular due to its ability to detect malware without running applications or tracing run-time events. However, features, datasets, labeling methods, and assessment methodology differ, which makes studying performance difficult. This is a systematic study of 78 peer reviewed articles written between 2021 and 2026 regarding the Android malware detection by static analysis. In each of the studies, the current survey cover the following feature source, feature representation and engineering, learning paradigms, datasets and labeling methods, …

Guided Mind Mapping For Enhancing Spatial Thinking In First-Year Architectural Design Studios, Noor Ayad Rashid, Mustafa Kamil Al-Khafaji

Al-Esraa University College Journal for Engineering Sciences

Spatial thinking constitutes a core cognitive ability in early architectural design education, enabling students to interpret, organize, and transform spatial relationships into coherent architectural configurations. Despite its importance, studio practice often indicates that first-year students rely on surface-level representation rather than engaging in structured spatial reasoning, which leads to fragmented compositions and weak spatial coherence. Accordingly, this study investigates the following research question: To what extent can guided mind mapping support the development of spatial thinking in early architectural design studios? A quasi-experimental design was adopted to examine the impact of structured visual–cognitive guidance on students' spatial reasoning. The study …

Multiaxial Stress And Deformation Analysis In Mechanical Structures Under Variable Dynamic Loads, Aqeel Naeem Fareed Al-Khafaji

Al-Esraa University College Journal for Engineering Sciences

Piping supports in gas and process facilities in Iraq are routinely exposed to operational vibration and moderate seismic actions, creating multiaxial, variable dynamic loads that are not fully captured by conventional uniaxial, static design checks. Welded brackets, in particular, are prone to local stress concentration and fatigue at weld toes. This study aims to quantify the multiaxial stress and deformation response of a welded steel pipeline support bracket under variable dynamic loading and to assess the implications for structural integrity and design practice. It was demonstrated by the development and validation of a three-dimensional finite element model of a bracket-pipe …

Real-Time Adaptive Control Of Machining Parameters In Cnc Milling Using An Ensemble Digital Twin And In-Process Vibration Monitoring For Enhanced Surface Integrity, Ali Qasim Abdulwahid

Al-Esraa University College Journal for Engineering Sciences

Achieving consistent surface integrity in CNC milling under varying materials and degraded tool conditions remains a critical challenge because fixed cutting parameters often induce regenerative chatter, accelerate tool wear, and cause surface and subsurface damage. This paper presents an integrated solution that combines an Ensemble Digital Twin (EDT), real-time in-process vibration monitoring, and a hybrid adaptive controller to maintain high surface quality while preserving productivity. The EDT fuses a physics-based milling dynamics model with a recurrent LSTM surrogate through a context-aware meta-learner that weights model outputs by process state (e.g., tool wear, engagement). A compact real-time monitoring pipeline computes a …

Evaluation Of Mimo Antenna Configurations For High Data-Rate Systems, Ammar Abdulimam Abbood

Al-Esraa University College Journal for Engineering Sciences

This paper introduces a new design of cat-shaped antenna in super wideband (SWB) and high data-rate multiple input multiple output (MIMO) systems. The single-element SWB antenna has a wide frequency range of 2.23 GHz up to more than 100 GHz with outstanding bandwidth ratio (BW Ratio = 44.84:1), fractional bandwidth (FBW = 191%), bandwidth dimensional ratio (BDR = 5567) and a peak gain of 9.52 dB. The single antenna was also expanded to 2 × 2 MIMO array to further improve performance on multipath environments. Measurements and simulation show very good results using radiation patterns, isolation, channel capacity loss (CCL), …

Enhancement Of Tribological Behavior Of Rotating Bearings Using Advanced Ceramic Compounds Via Thermal Spray Techniques, Amjid Shihab Abdul Jaleel

Al-Esraa University College Journal for Engineering Sciences

Rotating machines constitute the main part of the most important industrial sectors in Iraq such as oil and gas production, power generation, and manufacturing. The harsh operating conditions however, in the form of high temperatures, corrosive agents and abrasive particulates are causes of premature failure of crucial components such as journal bearings. This study examines the improvement of tribological characteristics of normal steel journal bearings using superior ceramic coating using thermal spray. In particular, atmospheric plasma spray (APS) was used to deposit Alumina-Titania (Al₂O₃–TiO₂) and Zirconia (ZrO₂)coating on A106 Grade B carbon …

Effect Of Nano-Additives On Fracture Toughness Of Engineering Materials: An Experimental Study, Humam Ahmed Awad

Al-Esraa University College Journal for Engineering Sciences

Structural integrity and service life of engineering components is based on fracture resistance. The paper presents an experimental study on the nano-additive that can be added to the locally-produced Iraqi engineering materials in order to enhance their fracture toughness. The research was inspired by the increasing demand in high-performance materials in the main sectors of the country such as infrastructure and energy besides the need to improve the properties of local resources. The tested material systems were two Portland cement composites and epoxy-based polymers. Nano-silica (n-SiO₂ nano-alumina (n-Al₂O₃) and multi-walled carbon nanotubes (MWCNTs) were added …

Experimental Study Of The Effect Of Nano-Doping On The Electrical And Thermal Properties Of Organic Semiconductors, Zainab Abdulateef Rashad

Al-Esraa University College Journal for Engineering Sciences

This paper has introduced an experimental research case on the impact of nano-doping on electrical and thermal characteristics of organic semiconductor thin-film. The overall goal of the study is to study the effect of controlled addition of nano-dopants on charge transport characteristics and thermal stability that are important criteria in organic electronic device applications. Solution-based deposition was used to produce the thin films at a different concentration of nano-dopant and, systematic electrical and thermal measurements were carried out under controlled laboratory conditions. Electrical characterization showed that there was high improvement of electrical conductivity as the nano-dopant concentration was high, especially …

An Intelligent System For Managing High-Priority Vehicle Routing In Smart Cities Using Artificial Intelligence And Spatial Data Analytics, Bahjat Abdulelah Madhloom

Al-Esraa University College Journal for Engineering Sciences

In developing metropolises, there is a risk to public safety in addition to the usual traffic jams. Traffic delays can have life-altering effects every second that fire trucks and ambulances are delayed. Large cities like Baghdad, which suffer from haphazard road sealing and incompetent traffic management, are especially affected, creating daily emergency crisis problems. We create a new intelligent routing system for these top priority vehicles in order to solve this life-or-death problem. Our method uses a trained model with real-time spatial information instead of outdated static maps. A Long Short-Term Memory (LSTM) neural network at its core constantly forecasts …

Improvement Of Mechanical And Corrosion Properties Of Weld In Stainless Steel In Crude Oil Tank By Using Nano-Fillers, Ali Abdulzahra Shanshoon

Al-Esraa University College Journal for Engineering Sciences

The aim of this study is to investigate the corrosion behavior and mechanical properties of welded steel exposed to gases emitted from crude oil reservoirs. In this study, two types of nanoparticles were used as fillers during welding to improve corrosion and mechanical properties. TiO₂ and SiO₂ nanoparticles were mixed with soldering oil in four mass concentrations of 0, 1, 2.5 and 5% by ultrasonic bath method and used as filler during the welding process. In order to prepare the samples, plain carbon steel with a thickness of 3 mm was used and they were welded together by …

Video Compression Optimization Techniques Using Artificial Intelligence: Review/Review Article, Amal Abbas Kadhim, Wedad Abdul Khuder Naser, Nada Abdulkareem Hameed

Al-Esraa University College Journal for Engineering Sciences

Compressing video is an important and essential function in today's multimedia systems as it enables the efficient storage and transmission of large volumes of video data. The proliferation of high-resolution videos that are being used in various application areas such as video streaming, video conferencing, surveillance, and autonomous systems has caused the strong demand for more efficient compression algorithms. This paper presents an in-depth review of video compression techniques with particular focus on AI methods. It also discusses traditional video coding standards including H. 264/AVC, H. 265/HEVC, and AV1, including motion estimation, transform coding quantization entropy coding, and rate-distortion optimization. …

Strategic Optimal Design Of Energy Storage Systems For Enhancing Stability And Sustainability In Electrical Distribution Networks, Hayder Abdulhussein Allawi

Al-Esraa University College Journal for Engineering Sciences

The paper will provide a multi-objective model of optimizing the strategic placement and size of Battery Energy Storage Systems (BESS) in the Iraqi electrical distribution systems. The power grid of Iraq has deep issues, such as chronic power shortages, extreme grid instability, and astronomical technical and non-technical losses, and they can be up to 50 percent of the power generated. These problems require new solutions that will make the grid more modern and reliable in terms of energy security. The suggested methodology combines a Multi-Objective Particle Swarm Optimization (MOPSO) algorithm and the specific mathematical models of BESS and renewable energy …

Solar-Assisted Thermal Integration For Improving Fuel Pumping Efficiency In The Middle Oil Distribution Company – Karbala Depot, Ali Shakir Hial

Al-Esraa University College Journal for Engineering Sciences

This paper discusses how a solar-assisted thermal heating system can be incorporated to enhance the efficiency of fuel pumping at the Karbala Fuel Depot which is managed by the Middle Oil Distribution Company in Iraq. The aim of the system is to partially pre-heat diesel before pipeline transfer and hence minimizing losses in pressure caused by viscosity and saving electrical power consumed during pumping operations. The test is a combination of field tests, thermal performance modeling, and thermal flow analysis using CFD to capture the interaction between temperature, fuel rheology and pump load behaviour. It was proven that the stratified …

Providing Education For Patients With Functional Neurological Disorder: Findings From A Literature Review, Ruth Stamp

South West Clinical School Journal

No abstract provided.

Postoperative Wound Cleansing Practice In General Theatres: Compliance With Nice Ng125: A Clinical Audit, Andrei Niga

South West Clinical School Journal

No abstract provided.

Identifying Patterns In Blood Transfusion Errors In Nhs Inpatient And Outpatient Specialist Haematology Areas: A Service Evaluation, Sarah Kneller, Jessica Mandizha

South West Clinical School Journal

No abstract provided.

Evaluating Patient Engagement And Experience With A Virtual Annual Review Pathway For Coeliac Disease: A Service Evaluation Project Proposal., Mike Persey

South West Clinical School Journal

No abstract provided.

The Use Of Thickener In Dysphagia Management: An Evaluation Of Current Practice, Morgane Griffiths

South West Clinical School Journal

No abstract provided.