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1
Lalic, Ivica, Marko Mladenović, and Desimir Mladenović. "Operativno lečenje visokoenergetskih platotibijalnih depresionih preloma aparatom po Ilizarovu." APOLLIINEM MEDIICUM ET AESCULAPIIUM 15, no. 2 (2017): 12–23. https://doi.org/10.5281/zenodo.14717499.
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SAŽETAK Uvod: Rad je predstavljen kao retrospektivna opservaciona analiza operativnog lečenja zatvorenih i otvorenih preloma proksimalne tibije uzrokovanih visokoenergetskom traumom metodom transosealne osteosinteze. Cilj: Naše retrospektivne studije je da analizira rezultate upotrebe smrznutih alografta glava femura kod ispitanika sa depresionim visokoenergetskim platotibijalnim prelomima lečenih aparatom po Ilizarovu. Materijal i metode: U studiju je uključeno 53 ispitanika sa depresionim visoko energetskim platotibijalnim prelomima. Prosečna uzrast pacijenata bila je 46 godina (21-63). Muških ispitanika je bilo 35 (66%) a 18 (34%) ženskih. Desna tibija je operisana u 31 (58,4%) a leva u 22 (41,5 %) slučajeva. Prema Schatzker klasifikaciji tip IV, preloma imala su 11 (20,7%) ispitanika, tip V, 20 (37,7%) ispitanika i tip VI, 22 (41,5%) ispitanika. Imali smo 13 (24,5%) otvorenih i 40 (75,4%) zatvorenih preloma. Od otvorenih, po klasifikaciji Anderson-Gustilo, tip I imala su 5, tip II 6 a tip III 2 ispitanika. Prosečno vreme nošenja aparata iznosilo je 18 nedelja (14-28 nedelja). Femoralni ram aparata u cilju održanja ligamentotakse i očuvanja postignute redukcije artikularne platotibijalne površine postavljen je u 14 slučaja (26,4%). Radi očuvanja funkcije pokreta kolena u 5 (9,4%) slučaja montiran je ram sa šarkama između tibiofemoralnog zgloba. Prosečno vreme praćenja pacijenata nakon izvršenog operativnog zahvata iznosilo je 16 meseci (10-36 meseci). Procenu koštanih i funkcionalnih rezultata vršili smo prema ASAMI – skoring sistemu. Rezultati: Srastanje preloma smo zabeležili u 52 slučaja (98,1%). Prosečno vreme srastanja iznosilo je 21 nedelju (18-28 nedelja). U 3 (5,6%) slučaja zabeležena je depresija lateralnog platoa veća do 3 mm. Ni u jednom slučaju nije došlo do resorbcije alotransplantata. Takođe nije došlo ni do nastanka komplikacija na mestu impakcije spongioznog alotransplantata. Pojava septičnog artritisa je zabeležena u jednom slučaju (1,8%). Površnu infekciju mesta operativnog reza koštanog prozora zabeležili smo u dva slučaja. Bile su prisutne *minor* komplikacije koje su uspešno izlečene. Oslonac na operisanu nogu je postepeno povećavan u zavisnosti do radiološke procene srastanja preloma kod ispitanika da bi kod svih dosegao 100% u drugom mesecu lečenja. Procena koštanog srastanja prema ASAMI – klasifikaciji daje nam sledeće rezultate: odličan 29 (54,7%) ispitanika, dobar 19 (35,8%) , zadovoljavajući 5 (9,4%) dok sa lošim rezultatom nije bilo ispitanika. Funkcionalni ASAMI skoring sistem daje sledeći prikaz : odličan 32 (60,3%), dobar 15 (28,3%), zadovoljavajući 6 (11,3%) i bez loših rezultata. Zaključak: U našoj opservacionoj studiji lečenja depresionih visoko energetskih platotibijalnih preloma prikazali smo rezultate koji ukazuju da ova vrsta nadoknade kostiju i dalje može poslužiti nameni ukoliko ne postoje druge alternativne metode nadoknade. Kombinacija ovakvog vida koštane nadoknade sa transosealnom osteosintezom lečenja ovih preloma u velikoj meri minimizira postoperativne komplikacije i daje dobre koštane i funkcionalne rezultate. Ključne reči: visokoenergetski prelomi proksimalne tibije, smrznuti spongiozni alograft, transosealna osteosinteza, ASAMI klasifikacija
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Aksoy, Ahmet, Tolga Atay, and Ahmet Aslan. "Our Clinical and Radiological Results in the Treatment of Bone Transport with Ilizarov External Fixator in Patients with Segmental Tibial Defects. Is Depression Associated with Poor Outcomes?" Journal of Limb Lengthening & Reconstruction 9, no. 2 (2023): 47–57. http://dx.doi.org/10.4103/jllr.jllr_6_23.
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Abstract Objective: The aim of this study was to evaluate the clinical and radiological results of patients who underwent bone transport with Ilizarov external fixator in the treatment of tibial defects due to traumatic causes, and to investigate the factors that have a positive or negative effect on the results. Patients and Methods: From a total of 30 patients with tibial segment loss due to traumatic causes treated with bone transport with an Ilizarov external fixator between 2013 and 2020 in the Department of Orthopedics and Traumatology of the Faculty, 25 with adequate examinations and follow up were included in this study and were evaluated retrospectively. The patients were grouped according to the etiology of bone loss, demographic characteristics, Paley’s pseudoarthrosis classification and Solomin’s long bone defect classification. The results were evaluated according to the Association for the Study and Application of the Method of Ilizarov (ASAMI) outcome criteria. Results: The 25 patients in the study comprised 20 males and 5 females with an average age of 44.80 ± 18.51 years. According to the Paley pseudoarthrosis classification, 16 (64%) patients were Type B1, 5 (20%) were Type B2, and 4 (16%) were Type B3. According to the Solomin long bone defect classification, 4 (16%) patients were Type B2, 14 (56%) were Type C1, and 7 (28%) were Type C2. In some patients, due to the fixation problem, early fixation was achieved with minimally invasive plate osteosynthesis or intramedullar nailing by removing the Ilizarov fixator after the necessary length and alignment was achieved for the purpose of early rehabilitation. Early fixation was achieved before consolidation was completed in 16 of 25 patients. Fixator duration was 360 ± 130.77 days in the group without additional fixation and external fixation index (EFI) was 61.63 ± 29.81 days/cm, while the fixator duration was 273.33 ± 116.82 days in the early fixation group, and EFI was 57.22 ± 29.05 day/cm. Complications were evaluated according to Paley’s criteria. A total of 39 complications were recorded, the most common being pin tract infection. The ASAMI bone results were found to be excellent in 7 patients, good in 9, moderate in 4, and poor in 5. The functional results were excellent in 5 patients, good in 11, moderate in 4, and poor in 5. In addition, 5 (20%) of 25 patients whose results were evaluated had depressive illness. Moreover, the results of these patients were found to be poor according to the ASAMI criteria. Conclusion: The Ilizarov method is a very safe and successful option in the treatment of open fractures with tibial segment loss resulting from high-energy traumas. Nevertheless, when making the decision for treatment with this method, the patient’s current depressive disorder should be taken into consideration in addition to the clinical problems of the patients.
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patel, Jenil. "Results of LRS (Limb Reconstruction System) in Management of Infected Non Unions of Femur." Journal of Orthopedics & Bone Disorders 8, no. 2 (2024): 1–11. http://dx.doi.org/10.23880/jobd-16000267.
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Introduction: Infected non-union needs prolonged treatment and repeated surgeries which significantly impacts patient’s social, financial, physical and mental life. In relation to Ilizarov technique monolateral external fixator is less bulky, more comfortable and better tolerated by patient. In this study we aim to assess the union rates, infection control, alignment, complications and the functional outcome of infected femoral non-union managed with monolateral external fixator. Material and methods: This is a prospective interventional study carried out between June 2017 and June 2021 at tertiary care centre operated by a single surgeon. Patients diagnosed as infected non-union of femur clinically and radiologically and operated with monolateral external fixator were assessed. Functional and radiological assessment was done using ASAMI classification. Results: In our study 21 patients were operated which included 20 males (95.2%) and one female with mean follow up is 29.85 ± 11.42 months. The most common site of non-union is mid-shaft of the femur. The mean bone defect after debridement is 3.52 ± 2.23cm (1 -10cm). The mean time of bony union in our study is 180.65 days (range 95-740 days). The ASAMI classification of bone results is Excellent to good in 90% of patients. Conclusion: Our study suggested that the Limb reconstruction system can be successfully used in the management of infected non-union of femur as a stable fixation modality and achieve satisfactory outcome in terms of bony union and functional results. Pre-operatively planning of the LRS frame, radical debridement and maintaining stability of the LRS frame are key steps of the treatment.
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Patel, Jenil, Chetan Puram, Yogesh Panchwagh, Parag Sancheti, and Ashok Shyam. "Results of limb reconstruction system in management of infected non-unions of femur." Indian Journal of Orthopaedics Surgery 10, no. 4 (2024): 343–50. https://doi.org/10.18231/j.ijos.2024.056.
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: Infected non-union needs prolonged treatment and repeated surgeries which significantly impacts patient’s social, financial, physical and mental life. In relation to Ilizarov technique monolateral external fixator is less bulky, more comfortable and better tolerated by patient. In this study we aim to assess the union rates, infection control, alignment, complications and the functional outcome of infected femoral non-union managed with monolateral external fixator.The aim of this article is to review the incidence, diagnosis, treatment and functional outcome of LRS in management of infected non-unions of femur and to study the different complications of LRS.This is a prospective interventional study carried out between June 2017 and June 2021 at tertiary care centre operated by a single surgeon. Patients diagnosed as infected non-union of femur clinically and radiologically and operated with monolateral external fixator were assessed. Functional and radiological assessment was done using ASAMI classification. In our study 21 patients were operated which included 20 males (95.2%) and one female with mean follow up is 29.85 ± 11.42 months. The most common site of non-union is mid-shaft of the femur. The mean bone defect after debridement is 3.52 ± 2.23cm (1 -10cm). The mean time of bony union in our study is 180.65 days (range 95-740 days). The ASAMI classification of bone results is Excellent to good in 90% of patients. Our study suggested that limb reconstruction system can be successfully used in the management of infected non-union of femur as a stable fixation modality and achieve satisfactory outcome in terms of bony union and functional results. Pre-operatively planning of the LRS frame, radical debridement and maintaining stability of the LRS frame are key steps of the treatment.
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Lalić, Ivica, Vladimir Harhaji, Oliver Dulić, et al. "The application of llizarov technique in the treatment of comminuted distal tibia fractures." Acta Facultatis Medicae Naissensis 40, no. 3 (2023): 328–43. http://dx.doi.org/10.5937/afmnai40-41694.
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Introduction. High-energy distal tibia fractures are characterized by great comminution and extensive lesions of the surrounding soft tissues. The risk of developing complications during treatment is high. The application of the Ilizarov's technique reduces the risk of complications significantly, and provides good final treatment results. Methods. In our prospective observational study 41 patients were included. Clinical characteristics were evaluated by Gustillo-Anderson, Checketts-Otterburns and AO/OTA classification. The ASAMI protocol was used to assess bone union. Functional treatment results were represented using the modified Karlström-Ollerud scoring system. Analysis and monitoring time (follow up) was 18 months. Results. Using radiographic and clinical parameters, we recorded complete healing in all fractures. In the group of 43B intra-articular fractures, circular fixator was removed after 16 weeks (range 13 -31), while in the 43C fracture type group, it was removed after 18 weeks (range 13 -29). The ASAMI evaluation of bone healing showed 31 (75%) excellent, 76 (15%) good, 3 (8%) satisfactory, and 1 (2%) poor result. Functional recovery results obtained after 6 months showed the mean value of 24.7 using the modified Karlström-Ollerud scoring system in three follow-up periods, which represents recovery. The results present 12 months after surgery showed the mean value of 27.6, representing satisfactory recovery, while during the last parameter measurement performed after 18 months, the value was 29.5, which indicates good functional recovery. Conclusion. Transosseous osteosynthesis Ilizarov treatment applied in closed and open comminuted distal tibia fractures showed good final bone and functional results with minimal complications, and contributed to better patient's quality of life.
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Gupta, S., A. Malhotra, N. Mittal, S. K. Garg, R. Jindal, and R. Kansay. "The management of infected nonunion of tibia with a segmental defect using simultaneous fixation with a monorail fixator and a locked plate." Bone & Joint Journal 100-B, no. 8 (2018): 1094–99. http://dx.doi.org/10.1302/0301-620x.100b8.bjj-2017-1442.r1.
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Aims The aims of this study were to establish whether composite fixation (rail-plate) decreases fixator time and related problems in the management of patients with infected nonunion of tibia with a segmental defect, without compromising the anatomical and functional outcomes achieved using the classical Ilizarov technique. We also wished to study the acceptability of this technique using patient-based objective criteria. Patients and Methods Between January 2012 and January 2015, 14 consecutive patients were treated for an infected nonunion of the tibia with a gap and were included in the study. During stage one, a radical debridement of bone and soft tissue was undertaken with the introduction of an antibiotic-loaded cement spacer. At the second stage, the tibia was stabilized using a long lateral locked plate and a six-pin monorail fixator on its anteromedial surface. A corticotomy was performed at the appropriate level. During the third stage, i.e. at the end of the distraction phase, the transported fragment was aligned and fixed to the plate with two to four screws. An iliac crest autograft was added to the docking site and the fixator was removed. Functional outcome was assessed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. Patient-reported outcomes were assessed using the Musculoskeletal Tumor Society (MSTS) score. Results The mean age of patients was 38.1 years (sd 12.7). There were 13 men and one woman. The mean size of the defect was 6.4 cm (sd 1.3). the mean follow-up was 33.2 months (24 to 50). The mean external fixator index was 21.2 days/cm (sd 1.5). The complication rate was 0.5 (7/14) per patient. According to the classification of Paley, there were five problems and two obstacles but no true complications. The ASAMI bone score was excellent in all patients. The functional ASAMI scores were excellent in eight and good in six patients. The mean MSTS composite score was 83.9% (sd 7.1), with an MSTS emotional acceptance score of 4.9 (sd 0.5; maximum possible 5). Conclusion Composite fixation (rail-plate) decreases fixator time and the associated complications, in the treatment of patients of infected nonunion tibia with a segmental defect. It also provides good anatomical and functional results with high emotional acceptance. Cite this article: Bone Joint J 2018;100-B:1094–9.
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Sigmund, Irene K., Jamie Ferguson, Geertje A. M. Govaert, David Stubbs, and Martin A. McNally. "Comparison of Ilizarov Bifocal, Acute Shortening and Relengthening with Bone Transport in the Treatment of Infected, Segmental Defects of the Tibia." Journal of Clinical Medicine 9, no. 2 (2020): 279. http://dx.doi.org/10.3390/jcm9020279.
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This prospective study compared bifocal acute shortening and relengthening (ASR) with bone transport (BT) in a consecutive series of complex tibial infected non-unions and osteomyelitis, for the reconstruction of segmental defects created at the surgical resection of the infection. Patients with an infected tibial segmental defect (>2 cm) were eligible for inclusion. Patients were allocated to ASR or BT, using a standardized protocol, depending on defect size, the condition of soft tissues and the state of the fibula (intact or divided). We recorded the Weber–Cech classification, previous operations, external fixation time, external fixation index (EFI), follow-up duration, time to union, ASAMI bone and functional scores and complications. A total of 47 patients (ASR: 20 patients, BT: 27 patients) with a median follow-up of 37.9 months (range 16–128) were included. In the ASR group, the mean bone defect size measured 4.0 cm, and the mean frame time was 8.8 months. In the BT group, the mean bone defect size measured 5.9cm, and the mean frame time was 10.3 months. There was no statistically significant difference in the EFI between ASR and BT (2.0 and 1.8 months/cm, respectively) (p = 0.223). A total of 3/20 patients of the ASR and 15/27 of the BT group needed further unplanned surgery during Ilizarov treatment (p = 0.006). Docking site surgery was significantly more frequent in BT; 66.7%, versus ASL; 5.0% (p < 0.0001). The infection eradication rate was 100% in both groups at final follow-up. Final ASAMI functional rating scores and bone scores were similar in both groups. Segmental resection with the Ilizarov method is effective and safe for reconstruction of infected tibial defects, allowing the eradication of infection and high union rates. However, BT demonstrated a higher rate of unplanned surgeries, especially docking site revisions. Acute shortening and relengthening does not reduce the fixator index. Both techniques deliver good functional outcome after completion of treatment.
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Gupta, Mithilesh Kumar, Rajan Panthee, Agam Kumar Yadav, Santosh Nepal, Raj Kumar Sah, and Gokul Kafle. "Evaluation of Radiological and Functional Outcomes of Closed Complex Mid-shaft Tibia Fractures Treated with Primary Definitive All Wire Ilizarov Ring Fixator: A Prospective Study at Tertiary Care Centre of Nepal." Birat Journal of Health Sciences 9, no. 1 (2024): 51–55. http://dx.doi.org/10.62065/bjhs534.
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Introduction: Closed complex tibial shaft fractures are frequently encountered fractures in lower limb injuries. Various surgical methods for these fractures include primary or delayed fixation with intramedullary nails, minimal invasive plates, and primary definitive external stabilization using ring fixators. We conducted this study to evaluate the radiological and functional outcomes of primary definitive fixation of these fractures using an all-wire Ilizarov circular fixator. Objectives: The objectives of this study were to evaluate the radiological and functional outcomes of primary definitive fixation of closed complex tibial mid-shaft fractures in patients with compromised soft tissue status. Methodology: We defined Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association (AO/OTA) 42-B1 to AO/OTA 43-C3 fractures as complex tibial shaft fractures for this prospective observational study, and evaluated all 26 patients for the functional and radiographical progression according to ASAMI classification. Results: Twenty-six patients were stabilized with an all-wire circular ring fixator. The union time on average was 27.61 weeks. Among all patients, 7 (37.5%) cases had minor pin tract infections, and one (2.7%) patient landed a non-union, which required bone graft. Conclusion: With the use of an all-wire Ilizarov circular frame, there is a good mean time to union, fewer chances of re-operations, and good functional outcomes without any major complications.
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Gajbhiye, Anuj Induprakash, Sidhant Goyal, M. Mohan Kumar, and R. Dorai Kumar. "Outcomes of mono-lateral limb reconstruction system in infected non-union of long bones." International Journal of Research in Orthopaedics 4, no. 1 (2017): 27. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20175497.
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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">We planned to evaluate functional and radiological outcomes of mono-lateral limb reconstruction system for infected non-union of long bones and to analyse its complications occurring.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">It was a prospective study, conducted during period of September 2015 to August 2017 and consisted of 73 cases of these 60 cases were available for final assessment. This infected non-union were classified by AO classification and were treated with mono lateral limb reconstruction system. All the cases were evaluated by ASAMI criteria for bony and functional outcomes. Our mean follow up period was 16.8 months</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 60 cases of infected non-union with mono-lateral external fixator were followed for mean 16.8 months. According to these ASAMI criteria in our study 26.6% had excellent; 46.6% had good; 16.6% fair; and 10% poor bony outcome. And the functional outcomes were 13.3%, 60%, 16.6%, 10% were excellent, good, fair and poor respectively. <span lang="EN-IN">Among the cases 50% had pin tract infections and loosening. Two cases pin revision was done. Sinus tract got cleared in all cases except 6 where multiple sinus tracts were present and healing did not occur. There were no infections at the corticotomy site. Delay in the consolidation phase was present in all cases. There was no difficulty in transportation of bone. Post-operatively wound dehiscence in eight cases was managed with split skin graft cover. Limb length discrepancy upto 2.5 cms in lower limb was managed with modified footwear with heel and sole raise. Non-healing fractures united in mean 5.9 months after start of treatment. Non-union site united in 90% cases. </span><strong>Conclusions:</strong> <span lang="EN-IN">Mono-lateral limb reconstruction system is efficient method for treatment of infected non-union of long bones. It has an additional advantage of correcting limb length discrepancies which sometimes occur during the course of treatment.</span></p><p class="keywords"><strong>Keywords: </strong>Non-union, Infection, Long bones, Limb reconstruction system, External fixator</p>
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Foyzur Rob, Chowdhury, and Md Jahangir Hossain. ""Accordion maneuver with Ilizarov” Regeneration process in managemet of non-union, hyporegeneration and infection with kept failure implant in situ: a research article." MOJ Orthopedics & Rheumatology 15, no. 2 (2023): 57–64. http://dx.doi.org/10.15406/mojor.2023.15.00618.
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Introduction: Accordion Maneuver is the “Bloodless Stimulation” of bone healing described by Professor G. A. Ilizarov. It converts biologically inactive tissue into tissue capable of neo-osteogenesis. The suggested management of non-union, hypo-regeneration and infection with implant failure by a single stage procedure with minimal or no debridement and if implant is provide sufficient stability it placed in situ. Purpose of the study: Purpose of this study to evaluates the clinical efficacy and highlights their relevance of AM with Ilizarov in present and future orthopedics practice. Methodology: This is a retrospective study of 3 years from 2019 to 2021. Apply AM with Ilizarov in the patient’s management of non-union, hypo-regeneration and infection with implant failure. Patients included ≥18 years, intra-articular fractures are excluded. Total patient 7. Patient`s age from 19-62 years. There were 5 male and 2 female patients. Affected bones were tibia-3, femur-2, humerus-1 and radius & ulna-1. Causes were fall and infection. Final diagnosis was broken implant-2, bending implant with quiescent type infected non-union-1, poly-trauma with broken implant -1 and infection -3. Primary fixation was done by ILIMN in 3 and DCP in 4 cases. We follow Baruah and Patowary suggested protocol of AM in all cases. Summary: After 3-7 months follow up, according to ASAMI score, there were 4 excellent and 3 good outcomes. As per Paley`s classification, in 3 cases found shortening and angulation deformity. We were successfully managed all cases by AM with Ilizarov, kept failure implant in situ. Conclusion: We pursue AM with Ilizarov kept failure implant in situ, as a single stage procedure for the treatment of the patients and found very good results. So, in future it may an ultimate procedure for the management of those helpless conditions.
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Kunwar, Bom Bahadur, Vikas Maheshwari, Mohit Dhingra, Saroj Bhagat, Saroj Sah, and Robin Yadav. "Reconstruction of gap non-union tibia with composite use of extramedullary fixation and bone transport by monorail fixator: a prospective case series." Journal of West African College of Surgeons 14, no. 3 (2024): 324–30. http://dx.doi.org/10.4103/jwas.jwas_152_23.
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Abstract Introduction: Non-union is a complex, multifactorial orthopaedic problem that requires multiple treatment modalities for its management. It can result from infection, segmental bone loss, soft-tissue loss, and associated host factors. External fixators as management of gap non-union are bulky and give rise to a number of complications In our study, we have described a technique where we have used extramedullary fixation in the form of a tibial locking plate and transportation of part of the tibial bone after corticotomy by a monorail fixator. Materials and Methods: The procedure was done in two stages where internal and external fixation was done after creating a gap at the non-union site. The bone was transported after corticotomy and fixed to the internal fixation device in the second stage. The external fixator was removed in the second stage and the patient was then followed up till the bony union. The evaluation was done by functional and radiological assessment along with the complications noted with the described procedure. Results: Ten patients were enrolled in the study with a mean age of 33 years. The mean age of the patients was 33.7 ± 11.32 years with a mean size of the defect was 4.8 ± 1.7 cm. At 30 weeks out of nine patients, three patients had excellent and six had good functional results on the Association of Surgeons for Application and Methodology of Ilizarov (ASAMI) scale. The composite Musculoskeletal Tumor Society (MSTS) score was 76.66 % at the end of 30 weeks of follow-up. The mean time of consolidation was 134.4 days, whereas the mean union time was 145 days from index surgery. Ankle stiffness was the most common complication affecting 50% of the patients. Following closely was pin tract infection, which was present in 40% of the patients. According to Paley’s classification, there were 11 obstacles, two problems and none were true complications. Conclusion: The integrated fixation is both safe and effective and has the advantage of early removal of the external fixator and a low complication rate as compared to use of a bulky conventional fixator alone. Moreover, it gives protection to the regenerated bone for a long period. So, this technique can be recommended for the management of segmental tibial defects.
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Altun, İbrahim, Cenk Özkan, Ömer Sunkar Biçer, and Akif Mirioğlu. "Long-Term Radiological and Clinical Outcomes of Lengthening with the Ilizarov External Fixator in Lower Extremity Shortening: A Retrospective Study." Medical Science and Discovery 12, no. 3 (2025): 108–15. https://doi.org/10.36472/msd.v12i3.1271.
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Objective: The Ilizarov external fixator (EF) is a widely used orthopedic device for limb lengthening, deformity correction, and fracture treatment. It operates on the principle of distraction osteogenesis, stimulating new bone formation through gradual mechanical traction. This method allows simultaneous correction of axial deviations and joint contractures while preserving bone vascularization. Despite its advantages, the technique is associated with prolonged treatment durations and potential complications such as pin-site infections, joint stiffness, and delayed union. In this study, we aimed to evaluate the clinical and radiological efficacy of the traditional Ilizarov EF in the treatment of lower extremity shortening. Material And Methods: This retrospective study was conducted in the Department of Orthopedics and Traumatology at Çukurova University Faculty of Medicine. A total of 51 bones from 48 patients diagnosed with lower extremity shortening and treated with Ilizarov EF were analyzed. The cohort included 21 males and 27 females, with a mean age of 13.13 years (range: 2–18 years). The extent of shortening was determined using orthoroentgenograms. The severity of shortening was classified according to Paley’s difficulty scale, while postoperative bone and functional outcomes were assessed using Paley’s and the Association for the Study and Application of the Method of Ilizarov (ASAMI) scoring systems. Complications were categorized according to Paley’s classification. Postoperative quality of life was evaluated using the SF-36 questionnaire. Results: The study analyzed 20 femurs and 31 tibias. The mean lengthening achieved was 5.2 cm (range: 2–10 cm), with a mean follow-up period of 31 months (range: 12–120 months). The mean duration of fixator use was 34.65 weeks (range: 18–72 weeks). Corticotomy was performed at the metaphyseal region in 42 bones and the diaphysis in 9; however, the difference in union times was not statistically significant (p = 0.876). The mean external fixator index (EFI) was 54 days/cm (range: 24–120 days/cm). Complications were observed in 45 patients, with 105 classified as minor and 21 as major. According to Paley’s criteria, excellent and good outcomes were achieved in 75% of femoral cases, 82.7% of tibial functional assessments, and 94.3% of tibial bone evaluations. Conclusion: The Ilizarov EF is an effective and modern treatment approach that enables simultaneous correction of limb length discrepancies and deformities in patients of all age groups and etiologies. A multidisciplinary approach, including comprehensive patient education and effective complication management, may further enhance clinical and radiological outcomes.
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Koga, Aoi, Nao Yamauchi, Mayu Imamura, et al. "pufC Gene Targeted PCR Primers for Identification and Classification of Marine Photosynthetic Bacterium Rhodovulum sulfidophilum." Acta Scientific Microbiology 4, no. 2 (2021): 69–75. http://dx.doi.org/10.31080/asmi.2020.04.0770.
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Mardenis, Mardenis. "KONTEMPLASI DAN ANALISIS TERHADAP KLASIFIKASI DAN POLITIK HUKUM PENEGAKAN HAM DI INDONESIA." Jurnal Rechts Vinding: Media Pembinaan Hukum Nasional 2, no. 3 (2013): 437. http://dx.doi.org/10.33331/rechtsvinding.v2i3.69.
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Hak Asasi Manusia saat ini menjadi salah satu isu global serta mempengaruhi hubungan internasional. Artikel ini akan membahas bagaimana klasifikasi HAM yang ideal sehingga dapat mewakili pengertian HAM yang sesuai dengan nilai-nilai falsafah Pancasila dan bagaimana politik hukum penegakan HAM di Indonesia. Dengan menggunakan penelitian yuridis normatif, disimpulkan bahwa klasifikasi HAM yang ideal adalah: hak untuk hidup, hak untuk bicara dan menyampaikan pendapat, hak untuk kebebasan berkumpul, hak untuk turut serta dalam pemerintahan, hak untuk melanjutkan keturunan, hak untuk mendapatkan kesejahteraan, hak untuk memperoleh keadilan, hak untuk beragama dan menjalankan ibadah, dan hak atas kedudukan yang sama dihadapan hukum. Politik hukum terkait HAM di Indonesia sangat ditentukan terutama oleh kepahaman dan kesadaran para elit politik dan pemerintahan yang berkuasa atas nilai-nilai luhur falsafah bangsa Indonesia yang bertumpu pada keseimbangan, keserasian dan keselarasan dalam arti yang seluas-luasnya antara hak asasi manusia, kewajiban asasi manusia, dan tanggung jawab asasi manusia<p>Nowadays, human rights is one of global issues and influence international relationship. This paper will explain the classification of human rights which in line with the conception and principles of Pancasila, and also expalin the political enforcement of human right in Indonesia. By yuridis normative methode, it could be concluded that human rights classification should consist of: right to life, right to speak and expressing idea, right to organize, right to govern participation, right to breed, right to welfare, right to justice, right to religious, and right to equal before the law. The political of law related with human rights is depend on political elite and government’s understanding and awareness of concept and philosophy of nation which give priority to balance and harmonize of human rights, human order, and human responsibility.</p>
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Kobayashi, D., E. Hasegawa, Y. Wada, et al. "SAT0147 EFFICACY AND SAFETY OF IGURATIMOD AS FIRST-LINE DISEASE-MODIFYING ANTIRHEUMATIC DRUG THERAPY FOR PATIENTS WITH RHEUMATOID ARTHRITIS." Annals of the Rheumatic Diseases 79, Suppl 1 (2020): 1012.1–1012. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2691.
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Background:Although methotrexate is the anchor drug, it took some days to check contraindications, such as interstitial pneumonia, hepatitis B virus infection, and latent tuberculosis infection. Therefore, we sometimes start rheumatoid arthritis (RA) treatment with other disease-modifying antirheumatic drug (DMARD) in daily clinical setting. Iguratimod (IGU) is a newly developed DMARD approved in Japan in September 2012, and the efficacy of IGU for DMARD naïve patients has not been thoroughly evaluated.Objectives:The aim of this prospective single-center study was to demonstrate the efficacy and safety of IGU when used as a first-line daily DMARD for patients with RA in a clinical setting.Methods:Enrolled patients included those diagnosed with RA according to the 2010 American College of Rheumatology/European League against Rheumatism (ACR/EULAR) classification criteria who took IGU as a first-line DMARD at Niigata Rheumatic Center between April 2016 and December 2018 (IGU group). There were no constraints regarding the addition or withdrawal of other DMARDs. Details of the patients’ background, clinical parameters, and laboratory findings were obtained, including C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), matrix metalloprotease-3 (MMP-3), rheumatoid factor (RF), Disease Activity Score for 28-joint counts based on the erythrocyte sedimentation rate (DAS28-4[ESR]), Clinical Disease Activity Index (CDAI), and Health Assessment Questionnaire Disability Index (HAQ-DI). The efficacy of IGU was evaluated at week 24. The IGU group’s data were then compared with 64 patients who took salazosulfapyridine or bucillamine as first-line DMARD in our hospital (other DMARD group). The data were expressed as median values. Comparisons between the parameters were performed using nonparametric method.Results:Forty-three patients (15 males, 28 females) received IGU as a first-line DMARD for RA. The age was 69.0 years and the duration of disease was 2.0 months. Twenty patients received prednisolone (PSL) concomitantly at a median dose of 5.0 mg/day. At 24 weeks medications were utilized in patients as follows: IGU in 36 (83.7 %), methotrexate in 18 (41.2%), PSL in 17 (39.5%), BUC in 10 (23.2 %), and biological DMARD in 7 (15.2 %) patients. Although 7 patients discontinued taking IGU due to liver enzyme elevation (n=4), nausea (n=1), creatinine elevation (n=1), and skin rash (n=1) during the 24-week period, serious adverse events requiring hospitalization were not observed. Clinical parameters that improved from baseline after 24 weeks of treatment included: ESR from 42.0 mm/h to 16.0 mm/h with p < 0.001; CRP from 0.70 mg/dL to 0.10 mg/dL with p< 0.001; MMP-3 from 136 ng/mL to 91.5 ng/mL with a p value of 0.11; RF went from 18.0 IU/mL to 8.00 IU/mL with p < 0.001; DAS28(4)-ESR dropped from 5.13 to 2.73 with p< 0.001; CDAI dropped from 20.0 to 5.00 with p< 0.001, and HAQ-DI decreased from 0.55 to 0.00 with p< 0.001. Patients who achieved a good or moderate response based on EULAR response at 24 weeks, included 90.7% in the IGU group versus 70.5% in the other DMARD group (Fisher`s exact test, p=0.046). The retention rate of the IGU group was 81.4 %, roughly equivalent to the 81.2% retention rate in the other DMARD group (Log-rank test, p=0.733).Conclusion:Our study indicates IGU is safe and effective for DMARD naïve RA patients. Starting treatment with IGU might be a new and effective strategy for RA patients without previous use of a DMARD.Disclosure of Interests:Daisuke Kobayashi: None declared, Eriko Hasegawa: None declared, Yoko Wada: None declared, Satoshi Ito Speakers bureau: Abbvie,Eisai, Asami Abe: None declared, Kiyoshi Nakazono: None declared, Akira Murasawa: None declared, Ichiei Narita: None declared, Hajime Ishikawa: None declared
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Fahri, Noneng, Y. Aris Purwanto, and I. Wayan Budiastra. "Classification of Gedong gincu mango based on ratio sugar acid content using near infrared spectroscopy prediction." Jurnal Keteknikan Pertanian 04, no. 1 (2016): 31–36. http://dx.doi.org/10.19028/jtep.04.1.31-36.
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Sulma, Sayidah, Junita Monika Pasaribu, Hana Listi Fitriana, and Nanik Suryo Haryani. "PERBANDINGAN HASIL KLASIFIKASI LIMBAH LUMPUR ASAM DENGAN METODE SPECTRAL ANGLE MAPPER DAN SPECTRAL MIXTURE ANALYSIS BERDASARKAN CITRA LANDSAT - 8." Jurnal Penginderaan Jauh dan Pengolahan Data Citra Digital 13, no. 1 (2016): 35–48. https://doi.org/10.30536/inderaja.v13i1.3318.
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The utilization of remote sensing data is an alternative way that could be used for rapid detection of large coverage hazardous waste area. This study aims to classify the acid sludge contaminated area using Landsat 8 by applying Spectral Angle Mapper (SAM) classification method with two spectral reference sources, namely field spectral measurement using a spectrometer and endmember spectral from the image, and then compare the classification results. The accuracy level of SAM classification result showed that classification using endmember spectral from the image as the reference spectral reached 66,7%, whereas classification using field spectral measurement as spectral reference only reached 33,3%. The accuracy level of Spectral Mixture Analysis (SMA) classification result showed that classification using endmember spectral from the image as the reference spectral reached 62,5%. The affecting factors for the low accuracy is the significant differences of the spectral profiles obtained from spectrometer with spectral Landsat-8 due to differences of spatial and altitude.
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Sulma, Sayidah, Junita Monika Pasaribu, Hana Listi Fitriana, and Nanik Suryo Haryani. "PERBANDINGAN HASIL KLASIFIKASI LIMBAH LUMPUR ASAM DENGAN METODE SPECTRAL ANGLE MAPPER DAN SPECTRAL MIXTURE ANALYSIS BERDASARKAN CITA LANDSAT - 8." Jurnal Penginderaan Jauh dan Pengolahan Data Citra Digital 12, no. 2 (2015): 77–90. https://doi.org/10.30536/inderaja.v12i2.3311.
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The utilization of remote sensing data is an alternative way that could be used for rapid detection of large coverage hazardous waste area. This study aims to classify the acid sludge contaminated area using Landsat 8 by applying Spectral Angle Mapper (SAM) classification method with two spectral reference sources, namely field spectral measurement using a spectrometer and endmember spectral from the image, and then compare the classification results. The accuracy level of SAM classification result showed that classification using endmember spectral from the image as the reference spectral reached 66.7%, whereas classification using field spectral measurement as spectral reference only reached 33.3%. The Spectral Mixture Analysis (SMA) classification result showed that classification using endmember spectral from the image as the reference spectral reached 62.5%. The affecting factors for the low accuracy is the significant differences of the spectral profiles obtained from spectrometer with spectral Landsat-8 due to differences of spatial and altitude measurements.
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Nugraha, Dika Aditya, Eko Rini Indrayatie, and Suyanto Suyanto. "ANALISIS PERUBAHAN TUTUPAN LAHAN DAS ASAM–ASAM KECAMATAN JORONG KABUPATEN TANAH LAUT PERIODE 2000 SAMPAI 2017." Jurnal Sylva Scienteae 3, no. 3 (2020): 466. http://dx.doi.org/10.20527/jss.v3i3.2180.
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This study aims to analyze the shape and rate of land cover change for the period 2000 to 2017, the method used in this study is image interpretation and data analysis. There are 15 classifications namely water body, shrub, swamp shrub, secondary mangrove forest, primary dryland forest, secondary dryland forest, plantations, mixed dryland agriculture, plantations, settlements, dry land agriculture, swamps, open land, open land, mining and pond. There is an increase in the type of land cover in 2017. The most dominant land cover in 2000 in the Asam-Asam watershed was 39399 ha of forest with a percentage of 78.66% while based on land cover data of Landsat 7 in 2017 the forest area was reduced to 16755, 6 Ha with a percentage of 33.45%. The function of forest area in the APL area is the biggest change, namely secondary dryland forest to dryland agriculture with an area of 2118.8 Ha, for the function of forest area in the HL region the largest is secondary dryland forest into shrubs with an area of 507.4 Ha, at HP area has the biggest change, namely plantation forest to plantation with an area of 5036.2 Ha, the function of HPK area is the biggest change in secondary dryland forest into shrubs with an area of 238.2 Ha, the next area Riam Kanan is primary dryland forest into secondary dryland forest with an area of 3545.7 ha and in the area of the Pelaihari TWA forest function the largest is secondary swamp forest into swampland with an area of 217.9 ha.
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Yoshida, Keisuke, Shijun Pan, Junichi Taniguchi, Satoshi Nishiyama, Takashi Kojima, and Md Touhidul Islam. "Airborne LiDAR-assisted deep learning methodology for riparian land cover classification using aerial photographs and its application for flood modelling." Journal of Hydroinformatics 24, no. 1 (2022): 179–201. http://dx.doi.org/10.2166/hydro.2022.134.
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Abstract In response to challenges in land cover classification (LCC), many researchers have experimented recently with classification methods based on artificial intelligence techniques. For LCC mapping of the vegetated Asahi River in Japan, the current study uses deep learning (DL)-based DeepLabV3+ module for image segmentation of aerial photographs. We modified the existing model by concatenating data on its resultant output port to access the airborne laser bathymetry (ALB) dataset, including voxel-based laser points and vegetation height (i.e. digital surface model data minus digital terrain model data). Findings revealed that the modified approach improved the accuracy of LCC greatly compared to our earlier unsupervised ALB-based method, with 25 and 35% improvement, respectively, in overall accuracy and the macro F1-score for November 2017 dataset (no–leaf condition). Finally, by estimating flow-resistance parameters in flood modelling using LCC mapping-derived data, we conclude that the upgraded DL methodology produces better fit between numerically analyzed and observed peak water levels.
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Wibawa, Galih Mahesa, Linna Meilia Rasiban, and Aep Saeful Bachri. "Penggunaan Sufiks Hi, Ryou, dan Kin yang Bermakna ‘Biaya’ dalam Asahi & Yomiuri Shibun: Kajian Morfosemantik." KIRYOKU 1, no. 1 (2025): 51–62. https://doi.org/10.14710/kiryoku.v1i1.51-62.
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The suffixes ~kin, ~ryou, and ~hi have different kanji but the same meaning and usage, which often makes it difficult for Japanese learners to distinguish their use when writing Japanese sentences. Therefore, the purpose of this study is to find out how the formation process and the meaning and ability of these suffixes in substituting each other. The method used in this research is descriptive qualitative. The data sources are taken from Asahi Shibun and Yomiuri Shinbun newspapers published on March 24 to 28, 2023. Based on the analysis, it is found that the suffixes ~kin, ~ryou, and ~hi belong to the classification of compound words formed from content morpheme + setsuji. Based on the word class, they are categorized as kin'in hyouji suffixes, which are nouns that show currency. Based on the vocabulary classification, the suffix can be attached to wago, kango, and konshugo type words but cannot be attached to gairaigo. Based on their semantic objects, the suffix ~kin mean 'money' which has a definite monetary value, the suffix ~ryou means 'rate' which is to give or get something in return, and the suffix ~hi means 'cost' as it is to the word to which it is attached. Then based on the substitution results, from the 20 data found, only 7 data can replace each other in terms of kanji formation, and from the 7 data only 3 data can substitute each other in terms of meaning.
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Liu, Han, Dezhi Han, Shukai Zhang, et al. "ASAM: Asynchronous self-attention model for visual question answering." Computer Science and Information Systems, no. 00 (2025): 3. https://doi.org/10.2298/csis240321003l.
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Visual Question Answering (VQA) is an emerging field of deep learning that combines image and question features and generates collaborative feature rep resentations for classification by uniquely fusing the components. To enhance the effectiveness of models, it is crucial to fully utilize the semantic information from both text and vision. Some researchers have improved the accuracy of the model?s training by either adding new features or enhancing the model?s ability to extract more detailed information. However, these methods have made experimentation more challenging and expensive. We propose a model called asynchronous self-attention model (ASAM) that makes use of an asynchronous self-attention component and a controller, integrating the asynchronous self-attention mechanism and collaborative attention mechanism effectively to leverage the rich semantic information of the underlying visuals. It realizes an end-to-end training framework that can extract and exploit the rich representational information of the underlying visual images while performing coordinated attention with text features, as it does not over-emphasize fine-grained but finds a balance within it, thus allowing the model to learn more valuable information. Extensive ablation experiments were conducted on the proposed ASAM using the VQA v2 dataset to verify its effectiveness. The results of the experiments demonstrate that the proposed model outperforms other state-of-the-art models, without increasing the model complexity and the number of parameters.
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Satria, Fadlan, Dewangga Nikmatullah, and Indah Nurmayasari. "PERSEPSI MASYARAKAT DAN PERUSAHAAN TERHADAP PROGRAM CORPORATE SOCIAL RESPONSIBILITY (CSR) PT BUKIT ASAM UNIT PELABUHAN TARAHAN, KOTA BANDAR LAMPUNG." Jurnal Ilmu-Ilmu Agribisnis 6, no. 3 (2019): 313. http://dx.doi.org/10.23960/jiia.v6i3.313-318.
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CSR (Corporate Social Responsibility) is a vital element for company in order to manage good relationship with local people and surroundings. CSR were made to maintain the balance between corporate interests and the welfare of surrounding community. Hence, this study aims to find out the level of CSR Program implementation at PT Bukit Asam Unit Pelabuhan Tarahan, the perception of society and company, and the relationship between the perception and the level of the CSR Program implementation. The location of this study has been chosen puposively in Tarahan Village, Panjang Subdistrict, Bandar Lampung. Respondents of this research were 61 of local people and 6 of company staffs. Data were collected in April - May 2017. This research used a survey method with descriptive analysis and used nonparametric statistics test correlation Rank Spearman to test the hypothesis. The results showed that the level of program implementation is in a high classification, the perception of society on CSR Program is in good classification, the perception of company to CSR Program is also in good classification. There is no significant correlation between the perception of society and program implementation, in other hand there is significant correlation between the perception of company and program implementation of PT Bukit Asam Unit Pelabuhan Tarahan. Key words: CSR Program, the perception of society, the perception of company
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Abdulah, Yunus Ashari, and Maryanto. "Rencana Produksi Pengangkutan Overburden Berdasarkan Pola Hujan di PT X Site Asam-Asam, Desa Riam Andungan, Kecamatan Kintap, Kabupaten Tanah Laut, Provinsi Kalimantan Selatan." Jurnal Riset Teknik Pertambangan 1, no. 1 (2021): 8–21. http://dx.doi.org/10.29313/jrtp.v1i1.28.
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Abstract. PT X is a subsidiary of PT Pama Persada which is engaged in coal mining by using an open pit system, so that its mining activities are very much needed in the weather. Based on production output data, monthly production targets are not achieved, displayed in 2018 and 4 months of which production targets are not achieved in May, August, September, and December. This causes erratic rain that can be canceled due to mining activities. That way it needs to be reviewed in determining production targets based on rain predictions. In this research an analysis is performed first, then data processing is performed using rain classification, traffic classification, and productivity calculation. The results of this study on the correlation analysis of the relationship between rain hours to rainfall, slippery, and rainfall intensity are all three influential, it's just that the effect is very strong based on the correlation test that is the rainfall intensity with a significant value <0.05 and the correlation value 0.704 is at intervals 0.61 - 0.80, including the strong correlation category. Then the results of rain hour forecasting in January 2019 are 71.25 hours, February 2019 is 53.92 hours, and in March 42.06 hours. For forecasting slippery time in January 2019 is 23.97, in February 2019 that is 18.18, and in March 2019 14.30 hours. Calculation of monthly production targets is based on forecasting rain hours, the results of forecasting production targets for 2019 in January are 1,205,331.64 BCM, February 1,106,561.46 BCM, in March 1,406,595.41 BCM.
 Keywords: Rain, Slippery, Rain Prediction, Productivity, Production Target.
 Abstrak. PT X merupakan anak perusahaan dari PT Pama Persada yang bergerak di bidang penambangan batubara dengan menerapkan sistem tambang terbuka (Surface Mining), sehingga dalam kegiatan penambangannya sangat bergantung pada keadaan cuaca. Berdasarkan data hasil produksi, tidak tercapainya target produksi perbulan, tercatat pada tahun 2018 terdapat 4 bulan yg tidak tercapainya target produksi yaitu pada bulan Mei, Agustus, September, dan Desember. Hal tersebut disebabkan keadaan hujan yang tidak menentu yang dapat menghentikan aktivitas kegiatan tambang. Dengan begitu perlu dilakukan pengkajian ulang dalam menentukan target produksi berdasarkan prediksi hujan. Dalam penelitian ini dilakukan analisis korelasi terlebih dahulu, keudian dilakukan pengolahan data dengan menggunakan klasifikasi intensitas hujan, tahap peramalan, dan perhitungan produktivitas. Hasil dari penelitian ini pada analisis korelasi hubungan antara jam hujan terhadap curah hujan, slippery, dan intensitas hujan ketiganya berpengaruh, hanya saja nilai yang pengaruhnya sangat kuat berdasarkan uji korelasi yaitu intensitas hujan dengan nilai signifikan < 0,05 dan nilai korelasi 0,704 berada pada interval 0,61 − 0,80 termasuk kategori korelasi kuat. Kemudian hasil dari peramalan jam hujan pada bulan januari 2019 yaitu 71,25 jam, bulan februari 2019 yaitu 53,92 jam, dan pada bulan maret 42,06 jam. Untuk peramalan waktu slippery pada bulan januari 2019 yaitu 23,97, pada bulan februari 2019 yaitu 18,18, dan pada bulan maret 2019 14,30 jam. Perhitungan target produksi bulanan berdasarkan peramalan jam hujan, hasil peramalan target produksi tahun 2019 pada bulan Januari yaitu 1.205.331,64 BCM, bulan Februari 1.106.561,46 BCM, pada bulan Maret 1.406.595,41 BCM.
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KATOH, Masato, and Joji IISAKA. "Forest cover type classification at Mt. Asama using ALOS fully Polarimetric PALSAR data, in Nagano prefecture, central Japan." Journal of the Japan society of photogrammetry and remote sensing 48, no. 3 (2009): 188–94. http://dx.doi.org/10.4287/jsprs.48.188.
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Famimah, Famimah, Ani Margawati, and Deny Yudi Fitranti. "HUBUNGAN KONSUMSI ASAM LEMAK OMEGA-3, AKTIVITAS FISIK DAN PERSEN LEMAK TUBUH DENGAN TINGKAT DISMENORE PADA REMAJA." Journal of Nutrition College 6, no. 4 (2017): 268. http://dx.doi.org/10.14710/jnc.v6i4.18249.
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Background: Dysmenorrhea or menstrual pain was a gynecological complaint due to an imbalance of progesterone in the blood resulting in pain. A woman with dysmenorrhea should consume food rich in omega-3 fatty acids such as fish oil, fish (salmon, tuna, mackerel, herring), soybeans and fruits. Low fish consumption was related with severity of dysmenorrhea. In addition, physical activity and percent body fat were also associated with severity of dysmenorrhea.Objective : To determine the correlation between consumption of omega-3 fatty acids, physical activity and percent body fat to the classification of dysmenorrhea in adolescents.Methods : Cross sectional study of 90 adolescentsselected by purposive sampling. This research was conducted in SMA N 15 and SMA N 9 Semarang. Menstrual history was measured by direct interviews and level of dysmenorrhea was measured using Numerical Rating Scale Questionnaire. Omega-3 fatty acids were measured using Food Frequency Questionnaire (FFQ) and analyzed using a nutritional software program. Physical activity was measured using A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Percent body fat was measured using Bioelectrical Impedance Analysis (BIA). Data were analyzed by Independent T test/Mann Whitney. Result : There were significant correlation in omega-3 fatty acid (p= 0,015), and percent body fat (p= 0,026). While in physical activity there was no significant correlation (p= 0,394).Conclusion : Consumption of omega-3 fatty acids and percent body fat were associated with the classification of dysmenorrhea.
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Patandung, Petrus. "Pengaruh Klasifikasi Batang Aren dengan Pengawetan Asam Borat Rendaman Panas-Dingin untuk Bahan Bangunan." Jurnal Riset Teknologi Industri 8, no. 15 (2016): 75–83. http://dx.doi.org/10.26578/jrti.v8i15.1555.
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Classification Effect of palm trunks with boric acid pickling hot-cold baths for building materials has been carried out. The purpose of this study is to utilize palm trunks that are not productive to Classification of building materials and do preservation for durability and can be used as building materials. Research conducted two phases: the first to determine that the palm trunk Classification length: 1.5, 2 or 3.5, 2.5 or 6 and 3 meters or 9 meters from the base of the palm trunk and Phase II to preserve palm trunks or test sample using boric acid preservative with concentrations: 1, 2, 4, 6 and 8% as well as preservation method with hot-cold baths. The study was repeated 2 (two) times.Results showed treatment of hot-cold baths hard parts, among others; 12.20 -19.88% moisture content, specific gravity value of 0,48-0.68, compressive strength parallel to the fiber 155-280 kg/cm2, the compressive strength perpendicular to the fiber of 100-125 kg/cm2.retention 1,05- 8.00 kg/m3, the penetration from 80.43 to 93.45%, and the soft water content from 14.13 to 20.93%, the value of density 0,27- 0.40. Compressive strength parallel to the fiber 98.5-112 kg/cm2, the compressive strength perpendicular to the fiber 58-108 kg/cm2,the retention of 0.7 to 4.61kg/m3 and penetration 75.88 to81.93%. Best research results obtained in the first test sample with a length of 1.5 meters from the base of a palm trunk using boric acid preservative 8% ie hot-cold baths because it produces compressive strength parallel to the fiber of the highest type of 0.68 and can meet the standards.ABSTRAKPengaruh klasifikasi batang aren dengan pengawetan asam borat rendaman panas-dingin untuk bahan bangunan telah dilaksanakan. Tujuan penelitian ini adalah untuk memanfaatkan batang aren yang tidak produktif dengan melakukan klasifikasimenjadi bahan bangunan dan melakukan pengawetan agar tahan lama serta dapat digunakan sebagai bahan bangunan. Penelitian dilaksanakan 2 tahap yaitu tahap I untuk menentukan klasifikasi batang aren yaitu dengan ukuran panjang: 1,5, 2 atau 3,5, 2,5 atau 6 dan 3 meter atau 9 meter dari dasar batang aren dan Tahap II untuk mengawetkan batang aren atau contoh uji yang menggunakan bahan pengawet asam borat dengan konsentrasi : 1, 2, 4, 6 dan 8 % serta menggunakan metode pengawetan dengan rendaman panas-dingin. Penelitian diulang 2 (dua) kali. Hasil penelitian menunjukkan perlakuan rendaman panas-dingin bagian keras antara lain; kadar air 12,20 -19,88 %, nilai berat jenis 0,48- 0,68, kuat tekan sejajar serat 155-280 kg/cm2, kuat tekan tegak lurus serat 100-125 kg/cm2, retensi 1,05-8,00 kg/m3, penetrasi 80,43 - 93,45 %, dan bagian lunak kadar air 14,13 - 20,93%, nilai berat jenis 0,27- 0,40, kuat tekan sejajar serat 98,50 -112kg/cm2, kuat tekan tegak lurus serat 58-108 kg/cm2, retensi 0,76-4,61 kg/m3 dan penetrasi 75,88-81,93 %.Hasil penelitian yang terbaik diperoleh pada contoh uji I dengan ukuran panjang 1,5 meter dari dasar batang aren yang menggunakan bahan pengawet asam borat 8% yaitu rendaman panas-dingin karena menghasilkan kuat tekan sejajar serat yang tertinggi yaitu sebesar 280 kg/cm2, berat jenis 0,68 dan retensi sebesar 8,00 kg/m3 dan dapat memenuhi standar mutu kayu bangunan. Kata Kunci : batang aren, pengawetan, asam borat,kuat tekan,retensi.
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Anggraini, Deni. "STUDI KOMPARATIF LAJU DISOLUSI TABLET ASAM MEFENAMAT GENERIK BERMEREK YANG BEREDAR DIKOTA PEKANBARU." SCIENTIA : Jurnal Farmasi dan Kesehatan 10, no. 2 (2020): 160. http://dx.doi.org/10.36434/scientia.v10i2.319.
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Asam mefenamat adalah obat analgesik golongan NSAIDs (Non Steroidal Anti-inflammatory Drugs) termasuk dalam kelas II Biopharmaceutical Classification System (BCS) dengan kelarutan rendah dan permeabilitas yang tinggi. Uji disolusi merupakan suatu parameter yang penting dalam pengembangan produk dan pengendalian mutu sediaan obat yang didasarkan pada pengukuran kecepatan pelepasan dan melarut zat aktif dari sediaannya. Terdapat korelasi antara laju disolusi dengan ketersediaan hayati obat. Laju disolusi juga dipengaruhi oleh faktor formulasi. Faktor formulasi biasanya juga akan mempengaruhi harga.Terdapat 74 buah kaplet asam mefenamat generik bermerek yang beredar dipasaran dengan berbagai variasi harga.Tujuan dari penelitian ini adalah untuk membandingkan laju disolusi 10 sampel sediaan kaplet asam mefenamat generik bermerek yang beredar dipasaran dengan berbagai variasi harga. Uji disolusi menggunakan alat Dissolution Tester Electrolab® metode dayung dengan medium 40 ml etanol ditambah buffer fosfat pH 8 sampai 800 ml, suhu 37 ± 0,5ºC, laju kecepatan 75 rpm selama 45 menit. Jumlah asam mefenamat yang terdisolusi ditetapkan dengan spektrofotometri ultraviolet. Hasil uji disolusi menunjukkan 10 sampel tablet yang diuji memenuhi kriteria penerimaan hasil uji disolusi yaitu tidak kurang 65% terdisolusi dalam waktu 45 menit
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Octavia, Maria Dona, Ella Santi, Sanezea Effendy, Yeni Novita Sari, and Addina Zafrul. "KARAKTERISASI SIFAT FISIKOKIMIA DAN PENINGKATAN LAJU DISOLUSI PIPERIN-ASAM SINAMAT DENGAN TEKNIK PENGUAPAN PELARUT." Jurnal Farmasi Higea 17, no. 1 (2025): 53. https://doi.org/10.52689/higea.v17i1.706.
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Piperin merupakan senyawa golongan alkaloid yang terdapat pada buah dan akar dari tumbuhan lada hitam atau Piper nigrum L. Piperin telah diketahui memiliki khasiat sebagai antibakteri, antioksidan, antikanker dan antiinflamasi. Piperin tergolong ke dalam Biopharmaceutical Classification System (BCS) kelas II dengan kelarutan rendah dan permeabilitas yang tinggi. Untuk meningkatkan kelarutan senyawa piperin dilakukan modifikasi sifat fisikokimia piperin dengan pembentukan multikomponen kristal piperin menggunakan koformer asam sinamat perbandingan 3:7 mol dengan metode penguapan pelarut. Karakterisasi sampel dilakukan dengan Spectrum FT-IR menunjukkan terjadi pergeseran yang tidak signifikan pada bilangan gelombang, Difraksi Sinar-X menunjukkan terjadi penurunan intensitas, Differensial Scanning Calorimetry (DSC) menunjukkan terjadinya penurunan titik lebur, Scanning Electron Microscope (SEM) menunjukkan morfologi bentuk kristal yang berbeda dengan piperin murni maupun asam sinamat. Laju disolusi piperin meningkat ditunjukan oleh persentase terdisolusi pada menit ke-60 piperin = 7,9487%, campuran fisik = 16,5503%, dan multikomponen kristal = 23,7222%. Dapat disimpulkan bahwa penambahan asam sinamat dapat mempengaruhi laju disolusi dari piperin.
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NOMURA, Aoto, Keisuke YOSHIDA, and Junichi TANIGUCHI. "A STUDY ON LAND COVER CLASSIFICATION OF THE VEGTATED ASAHI RIVER USINGDEEP LEARNING WITH UAV GREEN LIDAR DATAAND AERIAL PHOTOGRAGHS." Journal of Japan Society of Civil Engineers, Ser. B1 (Hydraulic Engineering) 77, no. 2 (2021): I_913—I_918. http://dx.doi.org/10.2208/jscejhe.77.2_i_913.
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Utomo, Nurrahman Aji. "Dekonstruksi Kewenangan Investigatif dalam Pelanggaran Hak Asasi Manusia yang Berat." Jurnal Konstitusi 16, no. 4 (2020): 809. http://dx.doi.org/10.31078/jk1647.
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Relasi fungsi Komnas HAM sebagai penyelidik dan Jaksa Agung sebagai penyidik, menyisakan ruang pedebatan yang menyandera penyelesaian pelanggaran HAM yang berat. Bersamaan dengan itu Putusan MK No.75/PUU-XII/2015 yang menguji frasa “kurang lengkap..” Pasal 20 (3) UU Pengadilan HAM, menegaskan bahwa bolak balik berkas, merupakan implikasi dari masalah dalam penerapan norma dalam praktik. Sedangkan konsekuensi dari frasa tersebut menyasar pada lingkup pemeriksaan bukti dan peristiwa. Kajian ini berupaya mengurai praktik penyelidikan dan penyidikan pelanggaran HAM, dengan menganalisis relasi antara kedua kewenangan tersebut. Pendekatan peraturan perundang-undangan, pendekatan konseptual, menjadi lingkup analisis yang membantu untuk menjawab isu hukum. Kajian ini menemukan bahwa penggunaan frasa dan penafsirannya melahirkan friksi dalam penerapan norma. Untuk mengurai hal tersebut dilakukan dengan memetakan praktik dari bolak balik berkas. Perbedaan penafsiran ditemukan pada melebarnya hasil penyelidikan hingga penuntutan, yang berujung pada perbedaan klasifikasi jenis pidana. Temuan berupa ketidaksesuaian penerapan norma, merupakan konsekuensi dari praktik model hierarki dihadapkan pada otoritas kewenangan yang terpisah. Alhasil bentuk prosedur yang dipertanyakan, berkutat pada prosedur yang ada tanpa melihat karakter khusus dari situasi, peristiwa, kejahatan. Berlanjut dari itu anomali dalam praktik menjadikan penggunaan model hierarki dan model koordinasi dalam investigasi mengaburkan proses penyelesaian pelanggaran HAM yang berat. Berkaca pada proses di ICC terdapat beberapa hal yang bisa diambil untuk memperkaya wacana proses penyelesaian pelanggaran HAM yang berat.The relation between the functions investigation of the National Human Rights Commission and the Attorney General leaves a space for debate that holds hostage to completion of gross human rights violations. At the same time, the Constitutional Court Decision No. 75/PUU-XII/2015 which examines the phrase "incomplete..." Article 20 (3) of the Law on Human Rights Courts, emphasizes that back and forth files are the implications of problems in applying norms in practice. While the consequences of these phrases target the scope of proofs and event examinations. This study seeks to unravel the practice of investigating human rights violations by analyzing the relations between the two authorities. Legislative approaches, conceptual approaches, historical approaches are the scope of analysis which helps to address legal issues. This study found that the use of phrases and their interpretations gave birth to friction in the application of norms. To parse this, it is done by mapping the practice of back and forth files. Differences in interpretation were found in the widening of the results of investigations to prosecution, which led to differences in the classification of criminal types. The findings in the form of incompatibility of norms are a consequence of the practice of hierarchical models faced with separate authority. As a result, the form of procedure is questioned, dwelling on existing procedures without seeing the special character of the situations, events, and the crimes. Continuing from that, anomalies in practice make the use of hierarchical models and coordination models in investigations obscure the process of resolving gross human rights violations. Reflecting on the process at the ICC, there are several things that can be taken to enrich the discourse on the process of completion gross human rights violations.
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Oktaviana, Luluk, Wahyunanto Agung Nugroho, and Dimas Firmanda Al Riza. "Evaluation of Peroxide Value and Free Fatty Acid Content in Coconut Oil and Palm Oil under Different Heating Temperature Treatments using Reflectance–Fluorescence-based computer vision." Jurnal Pangan dan Agroindustri 13, no. 2 (2025): 101–11. https://doi.org/10.21776/ub.jpa.2025.013.02.4.
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Abstract This study aims to develop a rapid method for assessing the quality of coconut oil and palm oil based on peroxide value and free fatty acid (FFA) content, using a reflectance–fluorescence-based computer vision system. The background of this research lies in the need for a more efficient analytical method compared to conventional laboratory testing, which is often time-consuming and costly. In this study, oil samples were subjected to heating treatments at 180 and 200 °C to simulate frying conditions. The peroxide value and FFA were analyzed using standard laboratory methods, while the computer vision system acquired image data of the oil samples using a reflectance and fluorescence imaging setup. A classification model was developed using a Convolutional Neural Network (CNN) algorithm to automatically extract color features contributing to oil quality classification. The results showed that the *a* (redness) and *b* (yellowness) values increased in samples treated at 180 and 200 °C, indicating Maillard reactions and thermal degradation. Conversely, the *L* value (lightness) decreased due to prolonged exposure to high temperatures. The CNN model was able to classify coconut oil quality with accuracies of 57.07% and 57.41%, while for palm oil, the model achieved accuracies of 85.77% and 94.22%. These findings suggest that the reflectance–fluorescence computer vision approach holds potential as an alternative method for evaluating the quality of cooking oils. Abstrak Penelitian ini bertujuan mengembangkan metode cepat untuk penilaian kualitas minyak kelapa dan minyak sawit berdasarkan nilai bilangan peroksida dan kandungan asam lemak bebas (FFA), berbasis computer vision reflektansi-fluoresensi. Latar belakang penelitian ini didasari oleh kebutuhan akan metode analisis yang lebih efisien dibandingkan pengujian laboratorium konvensional, yang umumnya memerlukan waktu lama dan biaya tinggi. Dalam penelitian ini, sampel minyak diberikan perlakuan pemanasan pada suhu 180 dan 200 °C untuk mensimulasikan kondisi kualitas minyak yang berbeda. Nilai bilangan peroksida dan FFA dianalisis menggunakan metode laboratorium, sementara sistem computer vision memperoleh data dari citra minyak yang diambil menggunakan setup computer vision reflektansi dan fluoresensi. Model klasifikasi dikembangkan dengan menggunakan algoritma Convolutional Neural Network (CNN) yang akan mengekstrak fitur warna yang berkontribusi untuk klasifikasi secara otomatis. Hasil menunjukkan bahwa nilai a (kemerahan) dan b (kekuningan) meningkat pada sampel dengan perlakuan suhu 180 dan 200 °C, yang mengindikasikan reaksi Maillard dan degradasi termal. Sebaliknya, nilai L (kecerahan) menurun akibat lamanya waktu pemanasan pada suhu tinggi. Model CNN mampu mengklasifikasikan kualitas minyak kelapa dengan akurasi masing-masing sebesar 57,07% dan 57,41%, sedangkan akurasi pada minyak sawit mencapai 85,77% dan 94,22%. Temuan ini menunjukkan bahwa pendekatan computer vision reflektansi-fluoresensi berpotensi digunakan sebagai metode alternatif dalam evaluasi kualitas minyak goreng.
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Triwahyuningsih, Triwahyuningsih, Siti Zuliyah, Uni Tsulasi Putri, Hanifah Febriani, and Zulfiani Ayu Astutik. "Constitutional Perspective of Human Rights Values in Local Wisdom in the Special Region of Yogyakarta (Study of Constitutional Court Decision No. 88/PUU-XIV/2016)." Jurnal Jurisprudence 13, no. 1 (2023): 147–71. http://dx.doi.org/10.23917/jurisprudence.v13i1.1846.
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ABSTRACT Purpose: This research aims to (1) explore the local wisdom values of the Special Region of Yogyakarta (DIY), which can constitutionally strengthen human rights values in Indonesia, and (2) analyze the judge's consideration of the Constitutional Court Decision No. 88/PUU-XIV/2016 from the perspective of universalism versus particularism of human rights in Indonesia. Methodology: This normative legal research employed a philosophical and statutory approach. This research used only secondary data consisting of primary and secondary legal materials refined through Focus Group Discussion. The data were then analyzed by descriptive qualitative philosophy to find the meaning behind the object under study through data reduction, classification, interpretation, display, and drawing conclusions. Results: The study revealed that (1) constitutional human rights values in DIY’s local wisdom are explicitly stated in the DIY Regional Regulations (Perda) and Special Regional Regulations (Perdais). DIY’s local wisdom can philosophically strengthen human rights values in Indonesia based on Pancasila, confirming that Pancasila as a constitutional identity crystallizes cultural customs and religious values throughout Indonesia. (2) The judges’ opinion for the Constitutional Court Decision No. 88/PUU-XIV/2016 is relative-particular; other than human rights is universal as there is no differentiation between the male and female to be the Governor of Yogyakarta Special Region, in the particular case of Yogyakarta, it remains upholding the local wisdom values as the requirement to be the Governor of Yogyakarta Special Region, where he shall be the reigning monarch of Sultan Hamengku Buwono, and the requirement to be the Sultan relies on the hereditary internal law of the Kasultanan Ngayogyakarta Hadiningrat (Yogyakarta Palace) since 1755. Applications of the study: This study is applied (1) to maintain and preserve the local wisdom values of the Special Region of Yogyakarta (DIY) for the upholding of human rights in Indonesia as mandated by the 1945 Constitution and (2) to support the government’s program in the 2019-2024 RANHAM so that every Indonesian’s human rights receive perfect protection, in which the administrators of state power uphold human rights values in carrying out their duties to serve the community. Novelty/Originality: This research explored the local wisdom values of the DIY which can strengthen human rights values in Indonesia from various existing regulations in DIY with a broader approach, including raising local wisdom from human rights enforcement cases in Indonesia. Keywords: Constitutional Perspective, Human Rights, DIY’s Local Wisdom, Constitutional Court Decision No. 88/PUU-XIV/2016 ABSTRAK Tujuan: Penelitian ini bertujuan untuk (1) menggali nilai-nilai kearifan lokal Daerah Istimewa Yogyakarta (DIY) yang secara konstitusional dapat memperkuat nilai-nilai HAM di Indonesia dan (2) menganalisis pertimbangan hakim terhadap Putusan Mahkamah Konstitusi Nomor 88/PUU-XIV/2016 dari perspektif universalisme versus partikularisme hak asasi manusia di Indonesia. Metodologi: Penelitian hukum normatif ini menggunakan pendekatan filosofis dan perundang-undangan. Penelitian ini hanya menggunakan data sekunder yang terdiri dari bahan hukum primer dan sekunder yang disempurnakan melalui Focus Group Discussion. Data tersebut kemudian dianalisis dengan filosofi kualitatif deskriptif untuk menemukan makna dibalik objek yang diteliti melalui reduksi data, klasifikasi, interpretasi, penyajian, dan penarikan kesimpulan. Temuan: Kajian menunjukkan bahwa (1) nilai-nilai konstitusional HAM dalam kearifan lokal DIY dinyatakan secara eksplisit dalam Peraturan Daerah (Perda) dan Peraturan Daerah Khusus (Perdais) DIY. Kearifan lokal DIY dapat memperkuat nilai-nilai hak asasi manusia di Indonesia secara filosofis berdasarkan Pancasila dan menegaskan bahwa Pancasila sebagai identitas konstitusional merupakan kristalisasi adat budaya dan nilai-nilai agama di seluruh nusantara. (2) Pendapat hakim terhadap Putusan Mahkamah Konstitusi Nomor 88/PUU-XIV/2016 bersifat relatif-khusus; selain hak asasi manusia bersifat universal karena tidak ada perbedaan antara laki-laki dan perempuan untuk menjadi Gubernur Daerah Istimewa Yogyakarta, khusus Yogyakarta, tetap menjunjung tinggi nilai-nilai kearifan lokal sebagai syarat untuk menjadi Gubernur Daerah Istimewa Yogyakarta, di mana beliau akan menjadi raja yang bertahta Sultan Hamengku Buwono dan syarat menjadi Sultan didasarkan pada hukum internal turun temurun dari Kasultanan Ngayogyakarta Hadiningrat (Istana Yogyakarta) sejak tahun 1755. Kegunaan kajian: Penelitian ini diterapkan untuk (1) menjaga dan melestarikan nilai-nilai kearifan lokal Daerah Istimewa Yogyakarta (DIY) untuk penegakan hak asasi manusia di Indonesia sebagaimana diamanatkan oleh UUD 1945 dan (2) untuk mendukung program pemerintah dalam RANHAM 2019-2024 agar hak asasi manusia setiap orang di Indonesia mendapat perlindungan yang sempurna, di mana penyelenggara kekuasaan negara menjunjung tinggi nilai-nilai hak asasi manusia dalam menjalankan tugasnya melayani masyarakat. Kebaruan/Orisinalitas: Penelitian ini menggali nilai-nilai kearifan lokal Daerah Istimewa Yogyakarta (DIY) yang dapat memperkuat nilai-nilai HAM di Indonesia dari berbagai regulasi yang ada di DIY dengan pendekatan yang lebih luas, termasuk mengangkat kearifan lokal dari kasus-kasus penegakan HAM di Indonesia. Kata Kunci: Perspektif Konstitusi, Hak Asasi Manusia, Kearifan Lokal DIY, Putusan MK No. 88/PUU-XIV/2016
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Rahmawati. "KETERAMPILAN PROSES SAINS PADA PRAKTIKUM IPA MATERI ASAM BASA PADA MAHASISWA PGMI IAIN PALU." Paedagogia: Jurnal Pendidikan 8, no. 2 (2020): 95–112. http://dx.doi.org/10.24239/pdg.vol8.iss2.44.
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The purpose of this study was to describe the science process skills of students of PGMI FTIK IAIN Palu on the science laboratory of Asam Basa. This research is a descriptive study conducted at the PGMI Study Program in September to October 2019. The research subjects were students of semester 3 of PGMI in the academic year 2019/2020 who took 28 natural science courses. Data in the form of students' Science Process Skills were obtained from the student performance appraisal in the science practicum on acid-base material. The results showed that students' science process skills varied in each category. For the category of skills using tools and materials, the average percentage for the 2 indicators is 83.05% or very high. For the category of observation skills, the average percentage for the two indicators is 83% or very high. For the grouping / classification skills category, the average percentage for the 2 indicators is 79% or in the high category. Whereas for communication skills where in this category there are 3 indicators with an average indicator of 82.5 or very high. Overall by averaging the percentage of all indicators obtained the percentage for science process skills in science lab, wet acid material is 82%. This shows that the science process skills of PGMI students are very high.
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Gusron Gusron and Syafri Hariansah. "Pengelompokan Usia Warga Binaan dan Kepatuhan Hak Asasi Manusia dalam Sistem Pemasyarakatan." JURNAL USM LAW REVIEW 8, no. 1 (2025): 530–43. https://doi.org/10.26623/julr.v8i1.11799.
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This study aims to analyze the conformity of the age-based classification of prison inmates in Indonesia with human rights (HR) principles, evaluate the state's responsibility, and assess the potential use of Public Private Partnership (PPP) schemes in the development of age-based correctional facilities. The background of the research is based on the ongoing practice of housing juvenile, adult, and elderly inmates together in Indonesian correctional institutions, which contradicts Law Number 22 of 2022 on Corrections and international standards such as the Nelson Mandela Rules and the Convention on the Rights of the Child. The urgency of this study lies in the need to protect vulnerable groups and provide equitable, humane, and rehabilitative correctional services. This research uses a normative legal method with statutory, human rights, and international comparative approaches, supported by qualitative data analysis. The findings reveal a significant gap between legal norms and field practices, inadequate fulfillment of state obligations, and high potential for PPP schemes as an alternative solution. The novelty of this study lies in its multidimensional approach and its proposal to apply PPP in age-based correctional institution management. The study concludes that the Indonesian state has yet to fully fulfill its constitutional and international obligations concerning the treatment of vulnerable inmate groups. Therefore, it recommends strengthening implementing regulations, enhancing institutional capacity, reforming legal culture, and applying a transparent, human rights-based PPP model as a strategic solution. Penelitian ini bertujuan untuk menganalisis kesesuaian pengelompokan warga binaan pemasyarakatan berdasarkan usia dengan prinsip-prinsip hak asasi manusia (HAM), serta mengevaluasi tanggung jawab negara dan potensi pemanfaatan skema Public Private Partnership (PPP) dalam pembangunan lembaga pemasyarakatan (Lapas) berbasis usia. Latar belakang penelitian didasari oleh masih terjadinya penggabungan warga binaan anak, dewasa, dan lansia di Lapas Indonesia, yang bertentangan dengan Undang-Undang Nomor 22 Tahun 2022 tentang Pemasyarakatan serta prinsip-prinsip internasional seperti Nelson Mandela Rules dan Convention on the Rights of the Child. Urgensi penelitian ini terletak pada perlunya perlindungan terhadap kelompok rentan dan penyediaan fasilitas pemasyarakatan yang adil, manusiawi, dan rehabilitatif. Metode penelitian yang digunakan adalah penelitian hukum normatif dengan pendekatan perundang-undangan, HAM, dan komparatif internasional, serta analisis data secara kualitatif. Hasil penelitian menunjukkan adanya diskrepansi antara norma hukum dan praktik lapangan, lemahnya pemenuhan tanggung jawab negara, serta potensi besar skema PPP sebagai solusi alternatif. Kebaruan dari penelitian ini terletak pada pendekatan multidimensional serta usulan penerapan PPP dalam konteks pemasyarakatan berbasis usia. Kesimpulannya, negara belum sepenuhnya memenuhi kewajiban konstitusional dan internasional dalam perlakuan terhadap warga binaan usia rentan. Oleh karena itu, disarankan adanya penguatan regulasi, peningkatan kapasitas kelembagaan, reformasi budaya hukum, serta penerapan PPP berbasis prinsip transparansi dan HAM sebagai solusi strategis.
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Jonah, Iyowuna Benjamin, and Ifeanyi Okeke Francis. "Geospatial Analysis of Oil Spill in the Selected Parts of the Niger Delta." Journal of Environmental and Geographical Studies 2, no. 1 (2023): 25–53. http://dx.doi.org/10.58425/jegs.v2i1.121.
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Purpose: Oil pollution started as a cause of oil business in Nigeria that demonstrates political and economic undertone. Oil spills occurred during exploration, production and distribution of petroleum products, and created environmental impact. The nature of the business has indirect implicitness on the soil, water and the entire ecology as a whole. The aim of the paper was to analyse oil spill Geospatially and its objective was to discuss the causes, modelling and the sources of oil spill.
 Methodology: The materials used were cover ArcGIS 10.7, MS word, ENVI 4.5 and Landsat imagery of 2019 and the methodology involved image classification, vectorization, and spatial analysis.
 Findings: The study found out that illegal bunkering site are the causes of the spill, Asari-Toru reported 3, Delga 5 and Akulga 1. The study evaluated the impact level against thirty-four communities, Buguma, Tombia, Sama, Krakrama, Idama and Bille are placed under very high impacted state from (0.111m2 - 0.133m2). Following the stratification of the impacted result, Ido, Abalama, Opurobokokiri, Ifoko and Sangama are recorded against high area (0.083m2 -0.111m2). The mapping showed that the spread of oil spill cover 79416.180ha against 24.976% from the classification scheme.
 Conclusion: Satellite imageries have demonstrated the effectiveness of satellite-based mapping over the earth activity, especially oil pollution in the selected Local Government Area of Rivers State, Nigeria.
 Recommendation: The study recommended that Oil bunkers should stop the bunkering, and oil companies should set up vigilante group to monitoring the network of pipelines.
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Syahputra, Yudha. "PENGANIAYAAN MAHASISWA BARU PADA KEGIATAN OSPEK KAMPUS DALAM TINJAUAN HAK ASASI MANUSIA DAN HUKUM PIDANA ISLAM." Legal Standing : Jurnal Ilmu Hukum 8, no. 1 (2024): 250–61. http://dx.doi.org/10.24269/ls.v8i1.8875.
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Persecution of new students on campus is a problem that requires serious attention, especially from the perspective of Islamic Criminal Law and Human Rights. Bullying behaviour has a negative impact on individuals, involving physical, psychological, and social aspects that affect the academic development of new students. The research method used is empirical juridical research, otherwise known as field research, which aims to explore the applicable legal provisions and the reality that occurs in society by processing primary data in the field carried out after secondary data research. Theoretical foundations from experts and official guidelines such as laws and regulations constitute secondary data and prime data is obtained through field research with interviews. Persecution of new students on campus demands serious attention from the perspective of Islamic Criminal Law, human rights, and social justice. Prevention, such as prohibition of harmful orientation, close monitoring, sanctions, and character education, are important to create a safe campus environment. Implementation of character education and enforcement of penalties according to the classification of criminal offences are necessary. The need for serious and comprehensive efforts in handling and preventing violence in higher education is essential so that new students feel safe during their studies and the strengthening of campus policies and cross-sectoral cooperation to prevent the occurrence of maltreatment or other violence in Higher Education Institutions. The prevention of abuse is a moral responsibility in accordance with the principles of human values and the law in educational institutions. Measures such as the prohibition of harmful orientation, close monitoring, academic sanctions, and character education must be effectively implemented to create a safe and inclusive campus environment to ensure the basic rights of every individual.
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Ridzki Kharisma, Muhammad. "PENGEMBANGAN MUATAN MATERI KONSTITUSI TENTANG HAK ASASI MANUSIA: PERBANDINGAN INDONESIA, SINGAPURA, DAN REPUBLIK RAKYAT CINA." Jurnal Poros Hukum Padjadjaran 2, no. 2 (2021): 342–65. http://dx.doi.org/10.23920/jphp.v2i2.263.
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ABSTRAKMuatan materi konstisusi secara luas mengatur beberapa hal yang paling fundamental demi kehidupan berbangsa dan bernegara. Tidak semua hal dapat dimasukkan dalam muatan materi konstitusi, ada hal yang pokok tapi tidak penting, pun sebaliknya. Hak asasi manusia (human right) menjadi salah satu muatan materi penting dan pokok dalam konstitusi yang dimiliki oleh suatu negara. Namun, dewasa ini telah terjadi perkembangan HAM yang begitu pesat di setiap negara. Meskipun hakikat dasar HAM itu bersifat kodrati, universalitas dan abadi, namun pada kenyataannya di setiap negara memberikan klasifikasi HAM yang berbeda-beda, tergantung pada kondisi dan persoalan dalam negara yang bersangkutan. Dalam tulisan ini akan dikaji mengenai bagaimana urgensi muatan materi HAM dalam konstitusi negara hukum yang demokratis. Kemudian akan membahas bagaimana perbedaan dan persamaan mengenai pengembangan muatan materi konstitusi tentang hak asasi manusia dalam konstitusi Indonesia, Singapura dan Republik Rakyat Cina?Kata kunci: HAM; materi konstitusi; perbandingan.
 ABSTRACTThe content of constitution material broadly regulates some of the most fundamental things for the life of the nation and state. Not all things can be included in the material content of the Constitution, because there are basic things but not important, however. Human right became one of the important materials and the principal in the Constitution owned by a country. Nowadays, however, there has been a rapid development of human rights in every country. Although the basic nature of human rights is natural, universal and eternal, in reality each country provides a different classification of human rights, depending on the conditions and problems in the country concerned. In this paper, we will examine the urgency of the content of human rights material in the constitution of a democratic rule of law. Then we will discuss the differences and similarities regarding the development of constitutional material content on human rights in the constitutions of Indonesia, Singapore and the People's Republic of China?Keywords: human rights; material constitution; comparative.
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Syukur, Muhammad. "Insentif Pajak terhadap Sumbangan Covid-19 dari Perspektif Relasi Hukum Pajak Indonesia dengan Hak Asasi Manusia." Jurnal Suara Hukum 2, no. 2 (2020): 184. http://dx.doi.org/10.26740/jsh.v2n2.p184-214.
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The Covid-19 pandemic is a transnational threat that requires a global response, but the outbreak has laid bare divergent national approaches to exposed broader structural weaknesses in the governance system. The challenges of governance of the state amidst the Covid-19 pandemic is not only on the public health approach but also must face the risk of economic recession. In the present report, the government of the Republic of Indonesia has taken anticipation steps to prevent and overcome Covid-19 through legislation which is then implemented to the public. The focus of this paper is to review how the Republic of Indonesia maintains national economic resilience using the Indonesian tax law approach. Income tax is part of tax classification in Indonesia has rights and obligations attached to the state as well as taxpayers. With using the doctrinal legal research method, this papers analyze the perspective of the Republic of Indonesia's tax laws on opportunities for corporate taxpayers to get incentives in their income tax because they have contributed to the need to overcome the pandemic Covid-19 and explained the relationship between human rights and taxes on the case. As the papers make clear, the tax revenue paradigm is considered important because it impacts on economic security and national development. The government must be careful in carrying out taxation policies by considering the economic conditions of democracy, globalization, and the synergy of the center and the regions as long as the Covid-19 pandemic continues. Human rights and taxes are related to the realization of the right to the social-economic and social justice in society because Indonesia taxes has rights and obligations attached to the state as well as taxpayers.
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Kalezic, Nevena, Milena Kazic, Ivan Paunovic, Aleksandar Diklic, Vladimir Zivaljevic, and Ksenija Krgovic. "Incidence of difficult intubation in thyroid gland surgery." Archive of Oncology 11, no. 3 (2003): 187. http://dx.doi.org/10.2298/aoo0303187k.
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Background: Difficult intubation (DI) occurs in 1% to 3% in general population, and unsuccessful intubation in 0.04%. DI may cause a lot of undesirable effects during prolonged intubation period, including lethal outcome. The aim of the study was to establish the incidence of DI in thyroid gland surgery and to compare the incidence of DI to predicted DI due to different DI screening testes. Methods: Prospective study included 2000 patients, which underwent thyroid gland surgery in Center for endocrine gland surgery, Clinical Center of Serbia, Belgrade, during 1999-2001. 436 of them were thyroid carcinomas 525 were nodal goiter, 671 polynodal goiter and 368 hyperthyreosis; 1705 female, 295 men, average age 48.1 year. According to ASA classification (American Society of Anesthesiologist's classification for correlation between co-existing diseases and perioperative complications) there were 886 ASA I, 901 ASA II and 213 ASA III. We used Mallampathi classes, Wilson criteria and Cormack-Lehane (CL) criteria to predict DI, and CL criteria to define DI. The complications during DI were analyzed and the ratio of DI to predicted DI was established. Results: There were 110 DI- 84 women, 26 men. Considering diagnosis there were T 24, PS 42 H 22. ASA III were 9.38%, ASAII 5.77, ASAI 4.28%. There were 3 unsuccessful intubations. Complications during DI were noted in 32 patients. Ratio between expected DI and DI, and unexpected DI and DI were: 12.77% failed positive and 0.45% failed negative results. Conclusion: Incidence of DI in thyroid gland surgery is twice more in men than in women. Screening tests for prediction DI showed higher specify than sensitivity.
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Simatupang, Sortha, Imelda Marpaung, Wasito, et al. "Morphological characterization of three types of Asam gelugur (Garcinia atroviridis) at three altitude in North Sumatra." IOP Conference Series: Earth and Environmental Science 1230, no. 1 (2023): 012084. http://dx.doi.org/10.1088/1755-1315/1230/1/012084.
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Abstract Asam gelugur fruit has economic value. The government’s reforestation program empowers farmers through planting asam gelugur seeds at 3 altitudes, The problem is that not all of asam gelugur trees produce fruit. Characterization of morphology needs to be carried out to obtain basic data for selecting prospective mother trees as a source of seed supply that guarantees reforestation trees bear fruit. This study aims to characterize the morphology of asam gelugur based on classification of local wisdom of farmers of North Sumatra, namely classifying Asam gelugur based on the success or failure of the pollination process followed by the formation of fruit at 3 altitudes. This study was conducted in three altitudes: lowlands 1-<400 m above sea level (asl), medium (400- < 800 m asl and highlands (800- 1300 mdpl), exploration using survey method with IPGRI Descriptor guide and purposively sampling. The results found three types of asam gelugur in North Sumatra: Female, Male and Shemale (muzzy) at the three altitudes. There is no effect of altitude on the morphological characters of the three types of asam gelugur, except for the sharpness of the leaves color of the shoots.People namely Female asam gelugur tree, if pollination is successful and produces fruit. the tree routinely produces fruit. The name of a tree that has never been successfully pollinated and never bears fruit is called a male tree.The shemale tree is called a tree whose pollination occurs sometimes successfully. There were five striking differences in the characteristics of the three types asam gelugur based on local wisdom. The different characteristics were the Character shape (canopy), the petal’s color, the shape fruit, the Color of the young leaves, and the thickness of the leaves.
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Sugimoto, T., H. Watanabe, Y. Yoshida, S. Mokuda, and S. Hirata. "AB0900 NINTEDANIB DOES NOT IMPROVE NAILFOLD CAPILLARY ABNORMALITIES IN PATIENTS WITH SYSTEMIC SCLEROSIS." Annals of the Rheumatic Diseases 82, Suppl 1 (2023): 1665.1–1665. http://dx.doi.org/10.1136/annrheumdis-2023-eular.1111.
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BackgroundThe pathogenesis of SSc consists of three aspects: fibrosis, angiopathy, and immune abnormalities. Nintedanib has been shown to be effective against interstitial lung disease (ILD) as an antifibrotic drug, but it may also have effects on vascular disorders due to its inhibitory effects on FGF, PDGF, and VEGF. While nailfold capillary abnormalities in patients with systemic sclerosis (SSc) may improve with immunosuppressive therapy, no reports have evaluated whether nintedanib improves nailfold capillary abnormalities.ObjectivesTo clarify whether nintedanib improves nailfold capillary abnormalities in patients with SSc complicated by ILD.MethodsThis study is a prospective observational study. Among patients diagnosed as having SSc according to the 2013 ACR/EULAR classification criteria, those who started to treat with nintedanib for ILD at our hospital from March 2020 to July 2022 were consecutively registered. The nailfold capillaries were evaluated using a nailfold videocapillaroscopy (NVC), capable of observation at 200x magnification. The evaluation was carried out using the current standardized method.［1］NVC was performed before drug induction and 1 year after drug induction. Only patients who had NVC testing up to 1 year later were included in the evaluation. At the same time, blood tests such as KL-6, SP-A, and SP-D, and respiratory function tests were evaluated. This study has been pre-approved by the Hiroshima University Hospital Ethics Committee. (OySTeR study: Optimal strategy in SSc Treatment for Recovery, approval number: E-1940-1)ResultsEight patients were analyzed. The mean age was 59 ± 17 years. Female were 7 (87.5%). Six patients (75%) were positive for anti-Scl-70 antibodies. Details of other cases are listed in Table 1. Seven patients (87.5%) had a history of treatment with immunosuppressive therapies. The disease duration was less than 6 years in 5 patients, and 6 years or longer in the remaining 3. Five patients were able to continue nintedanib for 52 weeks: 1 patient discontinued nintedanib after 1 month due to abnormal liver function, 1 patient with diarrhea discontinued after 10 months. All of the patients who were able to continue oral administration were also reduced to 200 mg/day due to diarrhea. Baseline mean FVC, KL-6, SP-A, and SP-D are described in Table 1. The results by NVC pattern were Normal in 1 case, Early in 2 cases, Active in 1 case, Late in 3 cases, and Non-specific in 1 case. Quantitative baseline results for the NVC tests were capillary density (number of capillaries) 5.8 ± 2.2/mm, enlarged capillary score 0.91 ± 0.83, giant capillary score 0.31 ± 0.30, and hemorrhage score 0.22 ± 0.27. 1 year later, the NVC pattern deteriorated from early to active in only one case, but the others remained unchanged. Quantitative results for the NVC test were capillary density 5.8 ± 2.3/mm, enlarged capillary score 0.98 ± 0.95, giant capillary score 0.38 ± 0.48, and hemorrhage score 0.20 ± 0.33. Mean FVC, KL-6, SP-A, and SP-D after 1 year are also shown in Table 1.ConclusionNintedanib tended to improve ILD biomarkers and pulmonary function test results in patients with SSc, but did not improve nailfold capillary abnormalities. Based on this result, combination therapy is preferable to nintedanib alone for improving the pathology of SSc.Reference[1]Smith V, Herrick AL, Ingegnoli F, Damjanov N, Angelis R, Denton CP et al. Standardisation of nailfold capillaroscopy for the assessment of patients with Raynaud’s phenomenon and systemic sclerosis. Autoimmun Rev. 2020;19(3):102458.Table 1.Comparison of laboratory data and NVC test results at baseline and after 1 yearBaseline （N=8）1 year later （N=8）Age(year)59 ± 1760 ± 17SexFemale: 7 (87.5%)AntibodyAnti-Scl-70: 6(75%)Anti-RNA polymerase III: 1 (12.5%)Negative: 1 (12.5%)FVC (mL)1673 ± 4651722 ± 504KL-6（U/mL）1241 ± 824977 ± 732SP-A (ng/mL)49.4 ± 15.751.5 ± 12.6SP-D（ng/mL)179 ± 105147 ± 95NVC patternNormal11Early21Active12Late33Non-specific11Density (/mm)5.8 ± 2.25.8 ± 2.3Enlarged0.91 ± 0.830.98 ± 0.95Giant0.31 ± 0.300.38 ± 0.48Hemorrhage0.22 ± 0.270.20 ± 0.33Acknowledgements:NIL.Disclosure of InterestsTomohiro Sugimoto Speakers bureau: Boehringer Ingelheim, Kyowa Kirin Co, Mitsubisgi Tanabe Pharma, Asahi Kasei Corporation, Astellas Pharma, AYUMI Pharmaceutical Corporation, Bristol-Myers Squibb Company, Janssen Pharmaceutical K.K., UCB., Paid instructor for: Astellas Pharma, Asahi Kasei Corporation, Eisai Co., Hirofumi Watanabe Speakers bureau: Tanabe Mitsubishi, Yusuke Yoshida Speakers bureau: Astellas, Bristol-Myers Squibb, Chugai, AstraZeneca, Paid instructor for: Tanabe Mitsubishi, Bristol-Myers Squibb, Chugai, Eisai, Sho Mokuda Speakers bureau: Ily Lilly, Asahi-Kasei, Astellas, Eisai, AbbVie, UCB, Tanabe-Mitsubishi, Taisho Pharmaceutical Co., AstraZeneca, Shintaro Hirata Speakers bureau: AbbVie, Asahi-Kasei, Astellas, Ayumi, Bristol Myers Squibb, Celgene, Chugai, Eisai, Gilead, Glaxo Smithkline, Ily Lilly, Janssen, Kyorin, Novartis, Pfizer, Sanofi, Tanabe-Mitsubishi, UCB, Paid instructor for: AbbVie, Tanabe-Mitsubishi, Consultant of: AbbVie, Astellas, Bristol Myers Squibb, Eisai, Gilead, Eli Lilly, Grant/research support from: AbbVie, Asahi-Kasei, Eisai, Otsuka, Sanofi, Shionogi, Chugai, Pfizer, Tanabe-Mitsubishi, Ily Lilly, UCB.
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Levis, Brooke, Andrea Benedetti, Kira E. Riehm, et al. "Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews." British Journal of Psychiatry 212, no. 6 (2018): 377–85. http://dx.doi.org/10.1192/bjp.2018.54.
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BackgroundDifferent diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.AimsTo evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.MethodData collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.ResultsA total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15–3.87). Compared with semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression (OR = 3.13; 95% CI = 0.98–10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) (OR = 0.96; 95% CI = 0.56–1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26–0.97).ConclusionsThe MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.Declaration of interestDrs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
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Pangestu, A. R., A. Adni, Fahrudin, N. Qadaryati, and D. A. Zulkarnain. "Geological Condition Characterization and Coal Resource Estimation at the “KJG” Pit of PT Bukit Asam Tbk, Muara Enim Regency, South Sumatra Province." IOP Conference Series: Earth and Environmental Science 1414, no. 1 (2024): 012061. https://doi.org/10.1088/1755-1315/1414/1/012061.
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Abstract Coal is a conventional energy source found in tropical countries (e.g., Indonesia) with varying distribution and thickness in the South Sumatra Basin. However, the thickness of the coal seams was not evenly distributed. This affected the estimation of coal resources in the mining area of PT Bukit Asam Tbk in Tanjung Enim, Muara Enim Regency. We used field observation methods and borehole data analysis to determine the geological conditions and estimate the coal resources. The geological condition seems to indicate a claystone unit with tuffaceous sandstone interbeds and a sandstone unit with claystone interbeds. These two units might host coal seams (i.e., A1, A2, B1, B2, and C), where the coal seam thickness may determine increased towards the south and west in the study area. The coal resource estimation based on the SNI 5015: 2019 classification, under moderate geological conditions, can result in a total of 26.034.991 tonnes of measured resources, 25.209.688 tonnes of indicated resources, and 11.189.554 tonnes of inferred resources. Therefore, to ensure efficient coal mining in accordance with the measured reserves, the stripmining method may be used by the company.
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ASADI, FATEMEH, FARIBA SHARIFNIA, FAHIMEH SALIMPOUR, AHMAD MAJD, and AHMAD MAJD. "Using micro-morphological fruit characters in resolving some of ambiguities in Iranian Acer L. (Sapindaceae) species." Biodiversitas Journal of Biological Diversity 20, no. 1 (2018): 297–304. http://dx.doi.org/10.13057/biodiv/d200134.
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Asadi F, Sharifnia F, Salimpour F, Majd A. 2019. Using micro-morphological fruit characters in resolving some of ambiguities in Iranian Acer L. (Sapindaceae) species. Biodiversitas 20: 297-304. Acer L. belongs to the Sapindaceae family consists of 126 species which are distributed in the temperate regions of the northern hemisphere. There are 12 taxa (including Acer monspessulanum with four subspecies and Acer velutinum with two varieties) in Iran. In this study 21 fruit characteristics are partially investigated using Scanning Electron Microscope (SEM) and Stereomicroscope. According to the obtained results, four types of faveolate, folded, wrinkled and pavement wing surface ornamentations as well as four types of faveolate, folded, verrucous, and wrinkled achene surface ornamentations were observed. Hair of wing margin, achene hair, wing ornamentation, inside angle of wing, and outside angle of wing have taxonomic value. According to fruit morphology, separation of 4 subspecies of A. monspessulanum can be verified. Also varieties of A. velutinum var. velutinum, and A. velutinum var. glabrescens were totally separated due to differences in characteristics such as wing ornamentation, achene ornamentation, hair density of achene, wing length, wing width, the ratio of length to width of wing, total fruit length, total fruit width, the ratio of length to width of fruit, inside angle of wing, outside angle of wing. The results showed that micro-morphological fruit characters of Acer genus are valuable in terms of taxonomy and classification of subspecies level.
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Fanai, Annie Lalliankimi, Arti Sharma, Jyoti Pathania, and Arvind Sethi. "Preoperative Evaluation of Inferior Venae Cava Collapsibility Index to Predict Post Induction Hypotension Under General Anaesthesia." Sri Lankan Journal of Anaesthesiology 32, no. 1 (2024): 21–32. http://dx.doi.org/10.4038/slja.v32i1.9058.
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Post induction hypotension (PIH) is a largely debated topic in anaesthesia , without any definitive consensus on ideal method for its accurate identification. We hypothesized that inferior venae cava collapsibility index (IVCCI)measured pre-operatively before general anaesthesia could predict this hypotension .The patients were categorized on the basis of their American Society of Anaesthesiologists physical status classification(ASA) to find the optimal cutoff value and sensitivity of this index in predicting PIH.In this prospective observational study, 157 patients (79 ASA I and 78 ASA II) undergoing routine general anesthesia for surgical procedures were enrolled and their preoperative IVCCI measurements were correlated with non-invasive hemodynamic parameters measured till 12 minutes post induction. The overall incidence of PIH was 46% (12.7% in ASA I and 79.49% in ASA II patients). The optimal cutoff value of IVCCI for predicting hypotension was 47% .The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) at 95%CI was 95% (87-98%), 97% (90-99%), 100% and (90%- 97.1%) with ROC (Receiver operating characteristic) of 0.972 (95%CI, P<0.0001). ASA status (β=2.924, OR (Odd ratio) 18.611;P<0.0001), baseline DBP (β=0.056, OR-0.946; p<0.004) and IVC-CI <50 (β=0.410, OR -1.506; p<0.0001) had significant correlation with PIH in linear regression logistic model.Preoperative IVCCI measurements, baseline DBP and ASAII physical status of patients could significantly and accurately predict PIH before general anaesthesia.
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Lazuardi Santoso, Rizky, Indriyanto Indriyanto, and Ceng Asmarahman. "The Quality of Tree Seedlings in The Nursery Owned by PT Bukit Asam, Tarahan Port Unit, Bandar Lampung City, Lampung Province, Indonesia." Journal of Research in Agriculture and Animal Science 11, no. 11 (2024): 08–17. https://doi.org/10.35629/9459-11110817.
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Rehabilitation of post-coal mining land and other land that has been used as a site for a series of mining activities requires seedlings of adequate quantity and quality. Therefore, research on the quality of tree seedlings in the nursery owned by PT Bukit Asam was carried out to determine the physical-physiological condition and classification of the quality of the seedlings. Observations were made on 10 sample seedlings which taken randomly from each tree species. The data collected consists of tree species, seedling height, stem diameter, straightness of the stem, length of the woody stem, number of leaves and/or live crown ratio, compactness of the growing medium, and health condition of the seedling. The seedling quality analysis was carried out based on the criteria that listed in the Indonesian National Standards (INS). The results of the research show that tree species which its seedling meet the standard criteria for normal seedlings are 11 species or 68.75% of all trees species. There are no species of tree seedlings in the first quality category (F). There are 6 species of tree seedlings in the second quality category (S) or 37.50% of the total number of trees species. There are 5 species of non-quality tree seedlings or 31.25% of the total number of trees species. Meanwhile, there are 5 species of tree seedlings which quality criteria are not listed in INS.
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Wirasningrum, Ketut Yulia. "Konstruksi Hukum Tentang Kewajiban Perusahaan Daerah Bali Mempekerjakan Penyandang Disabilitas." Acta Comitas 4, no. 2 (2019): 177. http://dx.doi.org/10.24843/ac.2019.v04.i02.p02.
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Indonesia as a legal state must guarantee the human rights of all citizens, including persons with disabilities. Protection of the rights of persons with disabilities is regulated in international legal instruments as well as several national legal instruments. At the regional level, the Bali Provincial Government issued Bali Local Regulation Number 8 of 2015 concerning Protection and Fulfillment of the Rights of Persons with Disabilities. Regarding the rights to the employment of persons with disabilities in the Bali Regional Regulation there is a concept discrepancy with the provisions in the Disabled Persons Act regarding the percentage of disability employment in Regional Companies. Problems found include how the concept of the problem and the ideal legal regulatory solutions regarding the obligations of Bali Regional Companies to employ persons with disabilities. The purpose of this study is for the disability workforce to be absorbed maximally in the Regional and private companies. To obtain answers to these problems, normative research methods are used with conceptual approaches and regulatory approaches. Conclusions in this discussion that in Bali Regional Regulation Number 8 of 2015 concerning the protection and fulfillment of the rights of persons with disabilities there are still problems with corporate concepts that combine the concepts of Regional Companies and private companies. ideally in the future classification of company concept arrangements will be carried out so that the obligations of Regional and private companies in employing disability workers fulfill material values ??and formal legislation.
 Negara Indonesia sebagai negara hukum wajib menjamin hak asasi seluruh warga negara termasuk penyandang disabilitas. Perlindungan hak asasi penyandang disabilitas diatur dalam instrumen hukum Internasional serta beberapa instrument hukum nasional. Di tingkat daerah, Pemerintah Provinsi Bali menerbitkan Perda Bali Nomor 8 Tahun 2015 tentang Perlindungan Dan Pemenuhan Hak Penyandang Disabilitas. Perihal hak atas pekerjaan penyandang disabilitas dalam Perda Bali terdapat ketidaksesuaian konsep dengan ketentuan dalam Undang-Undang Penyandang Disabilitas perihal persentase penerimaan tenaga kerja disabilitas pada Perusahaan Daerah. Masalah yang ditemukan antara lain bagaimana problem konsep serta solusi pengaturan hukum yang ideal perihal kewajiban Perusahaan Daerah Bali Mempekerjakan penyandang disabilitas. Tujuan dari penelitian ini agar tenaga kerja disabilitas dapat terserap dengan maksimal pada Perusahaan Daerah maupun swasta. Untuk memperoleh jawaban dari permasalahan tersebut digunakan metode penelitian normative dengan pendekatan konsep dan pendekatan peraturan perundang-undangan. Simpulan dalam pembahasan ini bahwa dalam Perda Bali Nomor 8 Tahun 2015 tentang perlindungan dan pemenuhan hak penyandang disabilitas masih terdapat masalah konsep perusahaan yang menggabungkan konsep Perusahaan Daerah dan perusahaan swasta. idealnya ke depan dilakukan klasifikasi pengaturan konsep perusahaan sehingga kewajiban Perusahaan Daerah dan swasta dalam mempekerjakan tenaga kerja disabilitas memenuhi nilai material dan formal peraturan perundang-undangan.
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Imam, Pandu, Santosa Santosa, Isril Berd, and Anwar Kasim. "Penggunaan Analisis Regresi Linear Berganda untuk Mendapatkan Model Prediksi Respon Asam Lemak Bebas dan Dobi Hasil Rebusan Tandan Buah Segar Sawit." Jurnal Teknologi dan Industri Pertanian Indonesia 9, no. 2 (2017): 55–64. http://dx.doi.org/10.17969/jtipi.v9i2.8034.
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Target of this research are : ( 1) Knowing physical result of steaming of Fresh Fruit Bunch; ( 2) Knowing the chemical of result of steaming of Fresh Fruit Bunch; ( 3) Finding model of prediction respon result of sterilization of Fresh Fruit Bunch ( 4 ) Determining time depth of steaming most precise to condition of raw material ( FFB ) to be sterilization. This research done at PT.Bio Nusantara Teknologi Bengkulu, by using horizontal type sterilizer. Research method the used experiment which is direct to be done at factory. Multiple regression analysis to analyse data obtained, to the investigation of influence of free variable to variable of respon representing indicator efficacy of sterilization operation. Result of research indicate that treatment of variation : heavy classification of bunches, fruit maturity and time depth steaming to have an effect on to respon result of sterilization perceived. Model of Prediction of met steaming respon as follows : Y1(Evaporation %) = 5,18 - 0,042 X1- 0,012 X2+0,082 X3 ; Y2 ( Fruit lose, g)=1629,96+8,14X1 - 3,22 X2 - 10,22 X3 ; Y3(Throughput apart mesokarp, g / men ) = - 0,748 - 0,297 X1 + 0,111 X2 + 0,336 X3 ; Y4 (percent heavy of mesokarp = 60,12 - 0,044 X1 + 0,018 X2 - 0,103 X3 ; Y5 ( Amount of kernel break = - 1,515 - 0,06 X1+ 0,035 X2 + 0,115 X3 ; Y6 ( FFA )= - 0,655 + 0,011 X1 + 0,029 X2 + 0,032 X3 and Y7 ( DOBI) = 5,205 - 0,001 X1 + 0,01 X2 - 0,024 X3. Time depth steaming correct to braise small FFB, unrippe = 95 minute with score assess 7; Small FFB, mature = 95 minute with score assess 6; Small FFB over mature = 90 minute with score assess 6. Time depth steaming correct for big FFB, unrippe = 100 minute with wight assess 6; Big FFB mature = 80 minute with score assess 5 and for big FFB, over mature = 95 minute with score assess 6.
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Watanabe, R., T. Gon, S. Matsuda, et al. "AB0793 SERUM C3 LEVELS ARE ASSOCIATED WITH DISEASE PATHOLOGY IN MICROSCOPIC POLYANGIITIS: RESULTS FROM THE REVEAL COHORT." Annals of the Rheumatic Diseases 82, Suppl 1 (2023): 1608.2–1608. http://dx.doi.org/10.1136/annrheumdis-2023-eular.911.
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BackgroundRecent studies have shown that complement C5a receptor antagonist is highly effective for treating microscopic polyangiitis (MPA), suggesting that complement is substantially involved in the pathogenesis.ObjectivesIn this study, we aimed to examine whether serum C3 levels were associated with clinical characteristics, disease severity, treatment, and prognosis in the Japanese multicenter cohort.MethodsPatients with MPA whose C3 levels were measured at diagnosis were enrolled. The diagnosis of MPA was based on the 2012 revised Chapel Hill consensus criteria. Patients were divided into three groups: low C3 (<86 mg/dL), normal C3 (86-130 mg/dL), and high C3 (>130 mg/dL) groups to compare clinical characteristics. Analysis of variance or the Kruskal–Wallis test was used when the variates were numeric, while the chi-squared test or Fisher’s exact test was used when variates were categorical.ResultsA total of 158 patients (low C3: 28, normal C3: 90, high C3: 40 patients) were enrolled. Baseline characteristics did not differ between the three groups in age at onset, sex, smoking history, and MPO-ANCA positivity. Serum C3 levels (P<0.001) as well as C4 (P<0.001) and CH50 levels (P=0.0013) were significantly lower in the low C3 group. In addition, hemoglobin (P=0.0058), platelets (P<0.001), and serum CRP levels (P=0.002) were significantly lower in the low C3 group, while serum creatinine levels (P=0.001), BVAS (P=0.039), and five factor scores (P=0.005) were significantly higher in the low C3 group. Notably, the proportion of patients who fulfilled the 2022 revised ACR/EULAR classification criteria for MPA was significantly lower in the low C3 group (P=0.039). Initial prednisolone dose and survival did not differ between the three groups.ConclusionLow C3 levels are associated with severe disease and renal dysfunction, while high C3 levels are associated with elevated CRP levels. Serum C3 levels are closely associated with disease pathology.References[1]Jane DRW, Merkel PA, Schall TJ, Bekker P; ADVOCATE Study Group. Avacopan for the treatment of ANCA-Associated Vasculitis. N Engl J Med. 2021:384:599-609.FigureAcknowledgementsWe would like to thank BioRender.com (https://biorender.com) for the schematic Figure.Disclosure of InterestsRyu Watanabe Speakers bureau: Asahi Kasei, Eli Lilly, Chugai, GSK, Sanofi, Grant/research support from: AbbVie, Takaho Gon: None declared, Shogo Matsuda Speakers bureau: Abbvie, Ayana Okazaki: None declared, Atsushi Manabe: None declared, Mikihito Shoji: None declared, Keiichiro Kadoba: None declared, Wataru Yamamoto: None declared, Ryosuke Hiwa: None declared, Takuya Kotani Speakers bureau: Abbvie, Bristol-Myers Squibb, Chugai, Eisai, Eli Lilly, and Pfizer, Motomu Hashimoto Speakers bureau: Eli Lilly, Chugai, Tanabe-Mitsubishi, Bristol Myers Squibb, Esai, Grant/research support from: AbbVie, Asahi Kasei Pharma, Astellas, Bristol Myers Squibb, Esai, Daiichi Sankyo, Eli Lilly, Novartis.