EVALUATION OF PREDICTIVE CAPABILITIES OF TIRADS, EU-TIRADS, TLA_RU SYSTEMS IN THE ULTRASOUND DIAGNOSIS OF THYROID NODULAR PATHOLOGY

The aim of the study was to evaluate the prognostic capabilities of EU-TIRADS, TIRADS, TLA_RU systems in ultrasound diagnostics of thyroid nodular masses. A retrospective independent continuous blind study of ultrasound examination protocols was conducted in 665 patients, 241 patients had benign non-cancerous thyroid diseases, 86 patients had benign tumors (adenomas), 338 patients had thyroid cancer. During the preoperative examination, all patients underwent a multiparametric ultrasound examination of the neck organs according to the standard procedure, with the registration of identified thyroid nodes, with examining the prognostic capabilities of stratification systems – TIRADS, EU-TIRADS, TLA_RU. It was found that the TIRADS system has a sensitivity of 91.04%, specificity – 91.41%. Focusing on the scale of AUC values reflecting the quality of the diagnostic test, it can be stated that TIRADS is a test with excellent quality (AUC =0.972). Basing on the results of the analyzing the data obtained by the EU-TIRADS system, it was revealed that it is a high-quality test (AUC=0.826), but its predictive capabilities are worse than those of TIRADS. The original TLA_RU model has 87.5% sensitivity and 95.7% specificity. During the ROC analysis, it was found that the AUC is equal to 0.954±0.00894, which suggests that the TLA_RU model is an excellent quality test in the differential diagnosis of thyroid nodular masses. Multivariate statistical comparative analysis of thyroid imaging assessment systems (TIRADS, EU-TIRADS and TLA_RU) from the standpoint of evidence-based medicine has shown that thyroid cancer risk stratification systems based on the assessment of multiparametric ultrasound signs have great diagnostic capabilities.

Analisis atribut kualitas jasa layanan terhadap kepuasan anggota pada KPRI "KOPPENDA" Kabupaten Sleman

Service quality can be relied upon as one of the competitive advantages in increasingly fierce business competition. Excellent service quality is proven to be able to create consumer loyalty, because excellent quality is often synonymous with customer satisfaction; and in the end, through customer satisfaction the company will gain long-term profits.The purpose of this research is to find out: (1) How is the level of member satisfaction with the service quality of KPRI "KOPPENDA" Kab. Klaten; (2) What is the most dominant variable in influencing the level of member satisfaction with the service quality of KPRI "KOPPENDA" Kab. Klaten.Based on the results of the study, it can be concluded that: (1) The level of member satisfaction with the service quality of KPRI "KOPPENDA" Kab. Klaten is low; (2) The most dominant variable in influencing the level of member satisfaction with the service quality of KPRI "KOPPENDA" Kab. Klaten is Reliability

IS DR YOUTUBE GUIDING OUR PATIENTS WELL ON TOTAL KNEE ARTHROPLASTY? - AN ORTHOPAEDICIAN'S ANALYSIS

Background: Youtube has a become a popular platform for disseminating health-related information. The objectives of this study was to explore the educational quality of youtube videos pertaining to total knee arthroplasty. Material And Methods: Youtube search was done on 12 April 2021 for TKR related videos by using the following search terms total knee replacement, total knee arthroplasty, TKR, knee replacement. Data from 40 most relevant videos were collected. Quality assessment check list with the scale of 0-10 points were developed to evaluate the video content. On the basis of this, videos were grouped into poor quality (grade 0-3), acceptable quality (grade 4-7) and excellent quality (grade 8-10) respectively. Results: 92.5 % of videos were of poor educational quality (37/40), 7.5% were of acceptable quality (3/40) and none of the video were of excellent quality. Common missing information included discussion of operative complications and implant duration. Conclusion: The current study suggests that youtube is a poor education source for patients concerning knee arthroplasty.

Improving quality of meat and meat products subject to behaviors of crossbred rams

The paper presents the results of a study to explore the influence of different behaviors of rams bred by crossing the Prekos and the Edilbay breeds on the technological properties and quality of meat and meat products. It was found that the meat from rams of the first, strong, type of behavior has the best technological properties and got a high tasting rating – excellent quality. Meat processing has kept the brand, the best quality product “Pressed Boiled Lamb” is also produced from the meat of rams coming under a strong type of behavior.

Total Organic Carbon (TOC) Value Prediction in Source Rock Potential at North East Java Basin, Indonesia

This research aims to determine the potential of the source rock in the Kujung and Cepu Formations in the North East Java Basin, using Total Organic Carbon (TOC). TOC is calculated using the Passey method. The Passey method is used by overlaying the sonic log and the resistivity log and determining the baseline to get the separation of Δlog resistivity, which is then used to predict the TOC log by including the LOM (Level of Organic Maturity) variable obtained from the data of vitrinite reflectance. After the TOC log value is obtained, a correlation is made with the TOC core value. The prediction result of TOC log in a PM-1 well is 2.16%, which means it has excellent quality. The prediction of TOC log in a PM-2 well is worth 2.68%, which means it has excellent quality. The correlation value between the TOC log and the TOC core of the PM-1 well is 0.67, which means the correlation is strong. In PM-2 well, the correlation between the TOC log and TOC core is 0.92, which means that the correlation is robust.

IMPROVING THE QUALITY OF HUMAN RESOURCES IN MADRASAH

This study aims to understand how to create superior quality human resources in Madrasah Aliyah Nurul Jadid, Paiton, Probolinggo, East Java. This research is a case study qualitative research, in which researchers seek to understand the phenomena in improving the quality of superior human resources in madrasas. The results of this study indicate that the efforts made by madrasas in creating excellent quality human resources are carried out through, first, in-service training, namely education and training efforts to improve the competence and skills of teachers and employees. Second, the creation of an organizational culture that can encourage success. Third, making clear standard operating procedures to ensure that all decisions made are carried out correctly. Fourth, supervision and assessment as a medium that knows and measures the performance of existing resources.

AHARA RASA UNVEILED – TRANSFORMATION TO THE FINEST

Ahara (food) is considered to be Mahabhaishajya or Sarvabhaishajya (best medicine) in Ayurveda and is also considered to be one among Trayopasthamba (3 pillars of life). A Sampoornaahara (balanced diet) should con- tain all the essential nutrients for the proper growth of the body and mind. Ahara (food) does the Poshana (nour- ishment) of the Dhatus (body tissues) and food is constantly required after birth for the repair of impaired dhatus (body tissues) and build up new Dhatus (tissues) of excellent quality for good sustainability of quality life. Inap- propriate food or faulty food habits can lead to many diseases ranging from a simple skin disease which reflects the improper Rasa dhatu (rasa tissue) to incurable disease of that of Infertility reflecting Shukradhatu. (Defective sperm) Keywords: Ahara Rasa; Shukra; Dhatuposhana; Infertility; Taste; Pathya;

A Scale for Assessing the Quality of Date and Date Palm Cultivars

In this research, a scale was developed to assess the quality of fruits of date palm cultivars. The scale was based on the evaluation of the fruiting characteristics of the date palm, which included the characteristics of Khalal, which given 10 degrees, Rutab characteristics which given 20 degrees, Tamer characteristics which given 20 degrees, production which given 5 degrees and ripening time which 5 degrees, with a total of 60 degrees for the quality of cultivar. The quality of cultivar was divided into five classes or levels of quality depending on the sum of the degrees of the five fruit characteristics, as follows: 1-14 Low quality, 15-24 Medium (average) quality, 25-34 Good quality, 35-44 Very good quality and 44-60 Excellent quality.

Instrument of Creative Thinking Skills in Project Based Learning Physics

To identify students’ creative thinking skills, appropriate instrument is needed. This study aimed to produce a valid creative thinking skills instrument. From several relevant studies, they only focus their research on developing skills instruments using a 4-D model approach and problem solving, while this research uses a project-based pursuit approach. The results of the validation of the three validators covering aspects of construction, substance, and language, revealed that the average score of the validation results for the construction aspects was 83% which was considered very valid. The average score of the validation results on the substance aspect is 86% with very valid criteria, and in the language aspect it reaches 85% with very valid criteria. Accordingly, this instrument of creative thinking skills is said to have been qualified with very decent and excellent quality for use in learning in schools to help teachers to assess students’ creative thinking skills.