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Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

Background : Asphyxia neonatorum is an emergency in infants caused by a lack of oxygen supply and an increase in carbon dioxide in the lungs which results in death. Good antenatal care and delivery assistance by health workers are highly recommended for early detection and treatment of obstetric complications that may occur in pregnant women and newborns. The purpose of this research is Studi analysis of the factors causing asphyxia in newborns at the Siti Aisyah Hospital. Methods: This study uses an analytical survey method with a case control approach.The sampling technique in this study used systematic random sampling, the samples in this study was 206 Respondens. Analysis data used univariate and bivariate analysis. statistical test using chi square. Results: The results of the study showed that there was a relationship between preeclampsia, premature delivery, post-term delivery, and the second (two) long stage with the incidence of asphyxia in newborns with a value of 0.000, this value < 0.05. Conclusion: Asphyxia neonatorum is serious and threatens the baby's life, so good knowledge is needed for mothers in routinely carrying out antenatal care and assisting health workers for pregnant women who check their wombs.

Traffic safety is influenced by several factors including Driver Discipline, Law Enforcement, Motorcycle and Road Conditions. Of the three, have an important role in improving traffic safety with satisfactory results. The purpose of this study was to determine whether or not there is an effect of Driver Discipline, Law Enforcement, Motorcycle and Road Conditions on Traffic Safety on Jl. Holy-Pati Raya In this study, the research population is Traffic Safety on Jl. Raya Kudus-Pati with a sampling system with a total of 100 respondents (sample). The variables in this study consist of: the independent variable is Driver Discipline (X.1), Law Enforcement (X.2), and Motorcycle and Road Conditions (X.3) and the dependent variable is Traffic Safety (Y). The research model is multiple linear regression analysis. The results of the analysis with statistical tools SPSS V.16 program obtained multiple linear regression equation Y = 2.758 + 1.963 X1 + 0.171 X2 + 0.287 X3+ µ . The results of the multiple linear equations show that there is a positive and significant influence between Driver Discipline on Traffic Safety (t count 13.675> t table 1.98447), Law Enforcement on Traffic Safety (t count 1.292 > t table 1.98447), Motor and Road Conditions on Traffic Safety (t count 2.099 > t table 1.98447), individually, Rider Discipline, Law Enforcement, Motorcycle and Road Conditions affect Traffic Safety. The influence of the three research variables is very strong with the coefficient value (R Square) obtained by 71% on Traffic Safety and 29% is influenced by variables that are not detected in this study.

Tujuan dari penelitian ini adalah menganalisis review isi artikel sintesa dengan fokus pada daerah penelitian, tujuan, variasi metode, dan temuan. Metode pengumpulan data penelitian mengadopsi desain PRISMA (preferred reporting items for systematic reviews and meta-analyses), terdiri dari empat langkah: identifikasi, penyaringan, kelayakan, dan inklusi. Pencarian artikel dilakukan dengan menggunakan aplikasi publish or perish yang ditautkan langsung ke pencarian Google Cendekia. Jumlah artikel yang ditemukan adalah 3000 artikel pada periode 2017 hingga 2022. Penelitian ini memutuskan untuk mereview 15 artikel dengan sebaran Pendidikan Fisika Berbasis Etnosains  6 artikel, Pendidikan Fisika Berbasis Budaya 4 Artikel, dan Pendidikan Fisika Berbasis Kearifan Lokal 5 Artikel. Hasil penelitian menunjukkan bahwa Kalimantan Selatan merupakan daerah di Indonesia yang dijadikan tempat penelitian terbanyak yaitu 20% dengan topik pendidikan fisika berbasis budaya, dan pendidikan fisika berbasis kearifan lokal. tujuan penelitian rata-rata adalah mengembangkan produk, menganalisis, mendiskripsikan dan mengembangkan karakter. Metode penelitian yang digunakan juga bervariasi, antara lain: R&D, kualitatif deskriptif, kuasi-eksperimental, dan pendekatan rasch model. Temuan menunjukkan bahwa topik ini menarik untuk dipelajari karena berpengaruh positif terhadap hasil belajar, meningkatkan berpikir kritis, kemampuan literasi sains, meningkatkan kreativitas serta meningkatkan motivasi belajar

The development of Information Technology (IT) is now very rapid and has been used in various aspects of life both in the field of government, banking, socio- cultural, industrial, education, and even health. One type of disease that gets attention for the application of IT is corona virus or better known as Covid 19 because the spread is quite widespread throughout the country, especially in the territory of Indonesia. Corona virus disease development in Indonesia is growing, based on WHO data as of today on August 30, 2020 positive cases have reached 172,053 people, cases died 7,343 people and recovered 124,185 people and the number of cases is increasing every day. Based on these conditions, Central Aceh is in a state of alert against the threat of corona virus. then a form of prevention  of the widespread spread of the virus can be done by breaking the chain of transmission by doing social distancing. In this study, a system will be designed to anticipate the Covid-19 pandemic by predicting the rate of spread of covid-19, especially in central Aceh districts using the Naive Bayes Classifier method. The accuracy level of this system is a positive case of 60%.

Face recognition is an area that is still being researched and improved for various purposes such as attendance, population data collection, security systems and others. Two methods that are often used for face recognition applications are artificial intelligence methods, especially back-propagation neural networks (ANN) and learning vector quantization. Both of these techniques are directed learning techniques that are widely used to identify distinctive patterns, namely grouping patterns into groups of patterns, making them ideal for use in facial recognition applications. In this application, preprocessing of the input image includes the detection process of scaling, grayscale, edged with the sobel and threshold methods, carried out before the image is processed in ANN. Meanwhile, the ANN approach used to identify faces involves the Backpropagation method and the Learning Vector Quantization method. The findings of this analysis are a comparison of the backpropagation neural network method and quantization of the learning vectors of face recognition used to assess variations, limitations, strengths and optimal results of the two techniques for use in facial recognition systems.    

ASI merupakan makanan utama bayi sehingga tidak ada jenis makanan lainnya yang dapat menandingi kualitas ASI. Hanya ASI saja yang dapat diterima oleh system pencernaan bayi sehingga ASI harus diberikan secara eksklusif selama 6 bulan. Untuk mengetahui efektifitas pemberian sari kurma terhadap kelancaran ASI ibu postpartum di Puskesmas Minasa Upa Mkassar. Metode penelitian yang digunakan adalah Nonequivalent Control Group Design dan dilaksanakan pada tanggal 15 Juli sampai 15 September 2020. Metode pengambilan sampel yanhg digunakan adalah purposive sampling. Sampel penelitian ini adalah ibu post partum yang ASInya tidak lancar berjumlah 30 responden. Analisa data menggunakan uji Chi-Square (α = 0,05). Berdasarkan hasil uji statistic pada kelompok intervensi didapatkan nilai mean sebelum 1,60 dan mean setelah 2,93 terdapat selisih 1,33 sedangkan pada kelompok control didapatkan nilai mean sebelum 1,80 dan mean setelah 1,93 terdapat selisih yaitu 0,13. Berdasarkan uji Chi-Square kelancaran ASI ibu post partum diperoleh nilai ρ = 0,000. Nilai ρ lebih kecil dari 0,05 (ρ=0,00 < 0,05), maka Ho ditolak dan Ha diterima. Ada efektifitas pemberian sari kurma terhadap kelancaran ASI ibu post partum di Puskesma Minasa Upa Tahun 2020. Maka disarankan agar ibu post partum dapat mengkonsumso sari kurma agar dapat memperlancara ASI ibu post partum yang menyusui, dan diharapkan pada petugas kesehatan malakukan penyulihan tentang manfaat dari kandungan sari kurma.

The development of science and technology is increasingly encouraging reform efforts in the use of technological results in the teaching and learning process. One of the results of technology that can be used in the teaching and learning process is educational media. The educational media used must be adapted to the developments and demands of the times. The use of appropriate educational media in the teaching and learning process will facilitate the achievement of learning objectives. The purpose of this paper is to describe that educational media have been known and used in the Islamic education system since the beginning of Islam. The discussion method used is descriptive method. The results of this study are that at the beginning of the spread of Islam, teaching and learning activities were known, at that time educational media already existed and had been applied by the Prophet Muhammad SAW in teaching science and Islamic religious law to his friends. In addition, in the hadith there are several terms used to indicate the use of educational media in learning, such as pictures, pebbles, and fingers. The conclusion of this paper is that educational media will affect whether or not a learning information is complete and on target, as well as affect the final result of the learning process that is carried out. implemented.

A traffic accident is an event that occurs in a traffic flow due to an error in the traffic shaping system that involves humans as drivers, vehicles, roads, and the surrounding environment. In this study, the road that was studied was Rantau Berangin - Ujung Batu which was a class III collector road with a length of ± 66.5 km. This study aims to determine the level of traffic accidents in the area to obtain the Accident Rate value on the Black Spot and Black site . The method in this research is a qualitative method to get the value of the Black Spot and Black Site based on the accident rate. The data used are primary and secondary data obtained from the Kampar Police from 2014 - 2018, as well as those related to traffic accidents. The results of analysis of the received data show that the rate of traffic accidents on roads Rantau Berangin - Ujung Batu is relatively high with 24 scenes of the accident, which roads rantau Berangin - Silam be the point most vulnerable areas of traffic accidents with Accident Rate of the Black Spot by 9,767 and the Accident Rate of the Black Site is 1,205. Meanwhile, the factors that cause traffic accidents on the Rantau Berangin - Ujung Batu road section are dominated by human factors themselves, such as driving at high speed in crowds and using other drivers' lanes.

The study aims to analyze the influence of Application System E-Filing against obedience must tax with socialization taxation and understanding the internet as variable moderation. research data was obtained from a questionnaire (primary) distributed to Must North Sumatra I Medan DJP Tax with the use method of convenience sampling. Population study is must personal Tax North Sumatra I Medan DJP. Sample used in research this as many as 50 respondents. The questionnaire was tested using a validity test and a reliability test before the research. Test assumptions classic used are the normality test, multicollinearity test, heteroscedasticity test, and linearity test. The hypothesis test used is simple linear regression and Moderated Regression Analysis. Research results show that implementation of system E-Filing has an effect significant to obedience must tax, socialization taxation strengthens the application of system e-filing to obedience must tax, and internet understanding strengthens the application of system E-Filing against obedience must tax.

Vapors or e-cigarettes are cigarettes with an evaporation process. One shop selling vapor products called the Independent Store sells various kinds of vapor products as well as liquids and other vapor equipment. This Independent Store store has problems in selling because it has not used an online-based sales system. Therefore, it is the desire of the researchers to be able to assist in the process of selling vapor products at the Independent Store store by creating a website. In the process of creating a website for selling vapor products, method is used SDLC (System Development Life Cycle) the waterfall model . With the hope of helping shop owners and employees in the sales process.

The quality of financial reports is the most important factor in government organizations such as the Class 1 Agricultural Quarantine Office in Semarang. This study aims to analyze the effect of e-procurement, the application of government accounting standards, and the internal control system for the quality of financial reports. The population in this study were all employees of the Class 1 Semarang Agricultural Quarantine Center with 110 employees. The number of samples in this study was 110 employees with the sampling method using the census. The data analysis method used is the path analysis model. The results of the research are the simultaneous effect of the use of e- procurement,  the  application  of  government  accounting  standards,  and  the internal control system together have a significant (0,000) and  effect (122,450) on the quality of financial reports. The effect of the use of e-procurement, implementation of government accounting standards, and internal control systems on the quality of financial reports is 77%. The results of the partial hypothesis testing of the use of e-procurement have a positive (0,379) and significant (0,000) effect on the quality of financial reports. The application of government accounting standards has a positive (0,397) and significant  (0,000)  effect  on  the  quality  of  financial  statements.  The  internal control system has a positive (0,186) and significant (0,016) effect on the quality of financial statements.

Home security system is a term to describe a system of protection for residents in the environment and its surroundings from the interference of crime. A house has been equipped with high technology and can be connected to the security equipment in the house. Home security is made in order to create security, comfort and safety for residents of the house and can maintain the security of the environment without monitoring. Home security can be operated via a microcontroller and a mobile device. Home security in Indonesia is currently classified as very important, this is because the crime rate is increasing every year. The development of home security has been carried out using various existing technologies, such as the nodemcu microcontroller, which is a hardware platform intended to create prototypes of interactive electronic equipment based on flexible and easy-to-use hardware and software. This research was conducted to produce a simple home security system by utilizing nodemcu technology and a combination of sensors and an ESP32 cam as a medium to be able to run sensors and home security cameras. This research was conducted by conducting a literature study, exploring the technologies used, as well as the concept of mobile-based software development. The next step is to define requirements, analysis, design, and implementation (programming and testing the system that has been built).

In the process of distributing electricity from the generator to the consumer, it goes through many processes and passes through several parts. Starting from the electric power distribution system, one of which is the distribution system. Considering that the scope of this distribution network is directly related and is located in an inhabited area, in addition to meeting technical quality requirements, it must also meet the requirements for being safe for users and familiar with the environment. In this distribution system there is a very important equipment in distributing electric power, namely the distribution substation. Because of the important role of the distribution substation, it must be protected from disturbances that may occur. One of them is the load imbalance between phases. In practice and in reality, in various locations of electric power distribution, a completely balanced load condition is obtained, mainly because of the large number of single-phase load groups that are serviced by a low-voltage three-phase distribution system. This is because the characteristics and types of electrical power user equipment vary with different consumer conditions and activities. To obtain load balance, load balancing is carried out between phases for load distribution so that load adjustments occur at distribution substations.

Financial records are the main problem faced by business actors, especially micro, small and medium enterprises. So that the service team of the Faculty of Economics and Business, University of Technology, Sumbawa, provides training and financial records for micro, small and medium business actors for mothers who already have businesses who join the Patra Pertamina Fuel Terminal Badas Sumbawa Women's Union. The method applied to this service is to provide training and assistance related to financial recording and provide assistance in the use of the Si Apik application (Financial information recording application system). The result of this service is that the training participants have obtained basic knowledge of financial records in accordance with standards that have never been done so far. Mentoring is carried out to train data input to prepare financial reports. This service has achieved the expected results and this program continues to be carried out with a mentoring pattern.

Social media is an online medium, with its users being able to easily participate, share, and create content including blogs, social networks, wikis, forums and virtual worlds. Blogs, social networks and wikis are the most common forms of social media used by people around the world. The positive impact of social media is that it makes it easier for us to interact with many people, expand relationships, distance and time are no longer a problem, easier to express ourselves, information dissemination can take place quickly, costs are cheaper. While the negative impact of social media is to keep people who are close and vice versa, face-to-face interactions tend to decrease, making people addicted to the internet, causing conflicts, privacy problems, vulnerable to bad influences from others. The existence of social media has influenced social life in society. Changes in social relationships or as changes to the balance (equilibrium) of social relations and all forms of changes in social institutions in a society, which affect the social system, including values, attitudes and behavior patterns among groups in society. Positive social changes such as the ease of obtaining and conveying information, obtaining social and economic benefits. Meanwhile, social changes tend to be negative, such as the emergence of social groups in the name of religion, ethnicity and certain behavioral patterns that sometimes deviate from existing norms.

In today's era, information exchange is fast and can be done in various ways and one of them is using email. There are many free email service providers that can be used, such as Gmail, Yahoo Mail and Outlook. In addition to free services, email servers can also be used to serve communication between clients and transfer data over the local network using a custom domain for the company. The purpose of this report is to build your own email server using the server development method using the Linux Ubuntu 18.04 operating system and the software Postfix and Dovecot as its supports. The results of this mail server work can send emails from one user to another through the terminal directly correctly. Sending can be done directly using the terminal without creating a text first or creating a text before sending it. Both ways are equally successful in the main process in the mail server.

Tanaman obat merupakan tanaman yang sangat popular yang dapat dimanfaatkan sebagai bahan baku obat tradisional dan jamu, yang bila dikonsumsi akan meningkatkan kekebalan tubuh (immune system). Salah satu jenis tanaman yang berkhasiat obat adalah tanaman pepaya, mulai dari daun, buah hingga bijinya. Salah satu bagian dari pepaya yang ternyata juga memiliki khasiat sebagai bahan obat adalah kulit dari buah pepaya. Tujuan penelitian ini adalah untuk mengetahui kandungan senyawa metabolit sekunder yang ada di dalam kulit buah pepaya (carica papaya L.) Serta mengetahui aktivitas antibakteri ekstral etanol kulit buah pepaya (carica papaya L.) Terhadap bakteri Staphylococcus aureus. Ekstraksi dilakukan dengan menggunakan metode maserasi selama 3 hari dan remaserasi selama 1 hari dengan pelarut etanol 96%. Jenis penelitian ini adalah eksperimental laboratorium. Metode difusi agar sumuran digunakan untuk mengetahui aktivitas antibakteri ekstrak etanol kulit buah pepaya (carica papaya L.) Larutan dibuat dengan variasi konsentrasi yaitu 50% 100% dan 150% dalam b/v dengan kontrol positif kloramfenikol dan kontrol negatif aquadest. Pengamatan yang dilakukan untuk uji skrining fitokimia ekstrak etanol kulit buah pepaya asal Desa Negeri Lima mengandung senyawa tanin, alkaloid dan saponin. Hasil uji antibakteri ekstrak etanol kulit buah pepaya memiliki aktivitas antibakteri terhadap Staphylococcus aureus pada konsentrasi 50% sampai dengan 150% dengan rata-rata diameter zona hambat 16,00 mm sampai dengan 21,50 mm dengan kategori kuat hingga sangat kuat. Hal ini menunjukan bahwa ekstrak kulit buah pepaya (carica papaya L.) Mempunyai pengaruh terhadap pertumbuhan bakteri Staphylococcus aureus.

The research aims to determine the application of the Raw Material inventory Accounting System at PT  Industri Kapal  ndonesia (Persero). The type of research used s descriptive qualitative. Data obtained through observation, interviews, and documentation. The research conducted from July to September 2021. The results showed that the accounting system for raw material inventory at PT Industri Kapal  Indonesia (Persero) has been effective, this can be seen by the existence of  interrelated functions. Then the  inventory recording method used  is the perpetual recording method and the FIFO (First  In First Out) valuation method. And the procedures that form the inventory system at PT Industri Kapal  Indonesia (Persero) are quite good because of the division of tasks and documents that can be accounted for.

This study aims to obtain an effective solar panel tracking mechanism using energy-efficient electric actuators. Furthermore, we designed and implemented a semi-active solar tracking system. A tracking system is proposed to control solar panel orientation using a moving mass, a spring system, and an actuator. The weight of the moving mass and the spring constant are optimized to reduce actuator size. A stepper motor was used for this case. This electric drive is not the prime mover of the solar tracker; hence, it works against mass elements lighter than solar panel weight as used in the active solar tracker. Experimental results suggest that the average power required by the stepper motor is 0.21% of the energy generated by the solar tracking system. The results indicate that the proposed solar panel tracker works satisfactorily to control solar panel orientation.