Feature-Based Modelling of Laryngoscope Blades for Customized Applications

Laryngoscopes are used as diagnostic devices for throat inspection or as an aid to intubation. Their blade must be geometrically compatible with patients’ anatomy to provide a good view to doctors with minimal discomfort to patients. For this reason, this paper was aimed to investigate the feasibility of producing customized blades.The customizable blade model was developed following a feature-based approach with eight morphological parameters. The thickness of such a blade was determined through numerical simulations of ISO certification tests, where the finite element mesh was obtained by morphing a ‘standard’ mesh.The following procedure was applied: the model was built from the selected parameters; the blade was tested in silico; finally, the blade was produced by additive manufacturing with an innovative biodegradable material (Hemp Bio-Plastic® -HBP-) claimed to feature superior mechanical properties. The procedure evidenced that the mechanical properties of current biodegradable materials are unsuitable for the application unless the certification norm is revised, as it is expected.

Perception, Attitude, and Knowledge of Nursing Students towards Wet Cupping Therapy (Hijamah)

Background: Complementary and Alternative Medicine (CAM) is a part of the health system that is well known and useful worldwide. One of the therapies used by many people is wet cupping therapy (hijamah). Nowadays, wet cupping therapy (hijamah) is taught in nursing and medical school.Objective: The study investigates the perception, attitude, and knowledge of nursing students toward wet cupping therapy (hijamah).Method: This study was quantitative research that uses descriptive research design and cross-sectional approaches. The sampling technique used was purposive sampling with 85 respondents. The data were collected using questionnaires and analyzed with bivariate analysis.Result: The result showed that the perceptions of the respondents were mostly in the average category, with the best perception of respondents is in the benefit component (76.5%). Respondents have good view of cupping therapy as is useful as a form treatment, and is more practical and affordable. The respondents' attitudes and knowledge were in the average category, which was 58.8% and 68.2%. This study showed that most respondents already understand that cupping (hijamah) is a treatment with contraindications to specific health conditions. Respondents also could show the basic scientific concepts of cupping and hadiths that explained cupping. However, some respondents still think that cupping (hijamah) can be applied for all ages.Conclusion: In conclusion, respondents' perceptions, attitudes, and knowledge toward wet cupping therapy (hijamah) were still insufficient in some aspects.

Reclaiming AP

This chapter highlights the terms ‘welfare queen’, ‘baby mother’, and ‘angry black woman’ as representations of black womanhood that dominate popular culture and frame public policy making. It mentions Patricia Hill Collins, who describes the terms as stereotypical representations of black womanhood that play a central role in the ideological justification of the intersecting oppressions of race, class, gender, and sexuality. It also explains how the terms perpetuate black women's inferiority and pathology that are specifically linked to black women's failures as mothers. The chapter concentrates on the diverse experiences of several black mothers that provide a small glimpse into the complex ways that they went about developing a good view of motherhood that is inspired by attachment parenting (AP). It analyzes the black women's dislike of the label of AP, which reflected their belief that this style of childrearing was more natural and familial.

Meaningful practice creating shared value as a contribute to sustainable development goals

This study aims to reveal the meaning of the Creating Shared Value (CSV) practice as a contribution to Sustainable Development Goals (SDGs) at PT Pupuk Kaltim (PKT) with a case study approach. CSV with Corporate Social Responsibility (CSR) is a concept that does have the same umbrella, which is a charity to the community and contributes to SDG's but in practice these two concepts are different. The difference lies in the value generated. CSV provides significant value to the company in the form of profit in the form of reducing the company's activity costs and is related to the company's core business products so that the value that arises to the company is not only a good view (image) by the community. When implementing the CSR concept, the company focuses on carrying out charity actions to the community so that it creates a good corporate image by the community and does not focus on the value that is generated profitably to the company. PKT has implemented CSV practice with the floating net cages (FNC) program. The KJA program carries out activities with the grouper and lobster cultivation program and PKT's business activity is in the field of fertilizers. FNC has provided a good view from the community for PKT but the FNC that is claimed by PKT as an FNC Program is not yet a concept of CSV. In practice, FNC is more appropriate to say CSR because it has not provided profit value for PKT.

Osprey observed when drowned by its prey

An Osprey Pandion haliaetus was observed by eight people as it was dragged under water by a fish and drowned. Several unsuccessful attempts to leave the water surface caused the Osprey gradually to sink in the water until it disappeared. The area was searched by boat, but the fish and Osprey were gone, and it was confirmed that there were no fishing nets in the area. This is a rare event, and sometimes rejected by scientists. The good view by eight persons, and detailed descriptions I received from two independent observers make the observation credible. The Osprey was an adult bird. In addition to traditional explanations that claws can become fastened to scales, bones or flesh of the fish, I propose that muscle spasm may be a reason why the osprey was not able to release its grip. Cover illustration: Fishing Osprey. Photo: Jørn Bøhmer Olsen.

Exit God: Border Crossings in Jīrṇoddhāra Procedure

Exit God: Border Crossings in Jīrṇoddhāra Procedure Jīrṇoddhāra, the disposal and replacement of an old idol or temple, necessitates the temporary departure of the deity from that place. The ritual for this departure will be followed as it is reported in two texts: the Piṅgalāmata and the Tantrasamuccaya. The Piṅgalāmata is useful in understanding the process of jīrṇoddhāra: the text defines the process, explains the need for it, rationalises the ritual procedure, and gives a brief account of it. The description in the Tantrasamuccaya gives finer detail on how the procedure should be carried out. Unlike other records of the subject, that of the Tantrasamuccaya does not glide over the most important moments of transition for the deity, but stops to consider them in depth, giving attention to his displacement in terms of saṅkocana (contraction), niṣkrāmaṇa (expulsion), and sūtracchidā (the severing of the cord). While this pair of texts offers the material in contrasting forms, the two sets of teaching are found to be congruent one with the other, making them companion pieces that give us a good view into what it means to invite the deity to leave. We find that in order for the deity to cross concentric borders to leave his base, the human ritual officiant must make a crossing too, and, indeed, the borders themselves will be moved around.

147 EFFECTIVE UNDERWATER ENDOSCOPIC SUBMUCOSAL DISSECTION FOR A SUPERFICIAL CERVICAL ESOPHAGEAL CANCER

Underwater method is now mainly used in endoscopic mucosal resection of colorectal and duodenal lesions based on the fact that mucosa and submucosa float into the lumen moving away from the muscularis propria after filling with water without submucosal injection. We performed underwater endoscopic submucosal dissection (ESD) for a cervical esophageal lesion. Methods Case report. Results An 81-year-old man with a history of drinking and smoking underwent endoscopy, revealing a 1/3 round superficial cancer in the cervical esophagus. ESD was performed under general anesthesia and tracheal intubation. The lumen was so narrow from natural constriction that a good view could not be secured under CO2 insufflation. Therefore, we tried the underwater method. As the lumen was expanded by filling with 0.9% saline solution, it was possible to secure a visual field. Because the submucosal layer floated up underwater, a circumferential incision and submucosal dissection were completed easily and quickly. Conclusion Endoscopic resection for lesions within a physiologic narrow space is difficult. The underwater method is reported to be useful for treatment of rectal tumors near the dentate line and cecal tumors in the appendiceal orifice. We found that the underwater method made ESD for the cervical esophageal cancer even easier by securing a good view. To our knowledge, this is the first report of underwater ESD for a cervical esophageal cancer.

MENINGKATKAN RASA PERSAUDARAAN DAN SOLIDARITAS PERTEMANAN ANTAR SISWA UNTUK MENGHINDARI BULLYING

The purpose of Community Service Activities is to carry out one of the Higher Education Tri Dharma. In addition, it is expected that through community service, the existence of higher education institutions can make a major contribution to the development and application of knowledge to the community. The method of activity used is that we go to the 26 Bintaro State PKBM school which is located at Jl. Bintaro Permai III / 30B, Ex. Bintaro, Kec. Pesanggrahan, City Administration of South Jakarta and will provide training there on 10-12 October 2019. This training aims to make students and students who attend PKBM 26 Bintaro, especially in the PKBM program, increase fraternity and friendship solidarity between students to avoid bullying in socialize in their environment and the world of work. The results of community service obtained were increased knowledge for Participants (Students) of the 26th State PKBM Bintaro so that they had a good view of the importance of increasing the sense of brotherhood and friendship solidarity among students because of our participation as qualified generations of the nation (HR) for quality entering the world of work and how important it is to improve the quality of themselves to avoid bullying in socializing and the world of work. The knowledge gained at Community Service this time is expected to be able provide new enthusiasm for us in delivering material and motivation and contribute to the younger generation, both within the school, campus and environment family.Keywords: Brotherhood, Solidarity, Bullying

A Study on Application of Recloser Operation Algorithm for Mixed Transmission System Based on Travelling Wave Method

Recently, the operation of a mixed transmission system has increased due to rapid urbanization and the purpose of a good view. Therefore, a proper protection scheme for a mixed transmission system is required. Generally, when a fault occurs on a transmission line, auto reclosing is performed for the purpose of improving the continuity of service by clearing the fault and restoring the power system. However, the auto reclosing scheme should be applied to a mixed transmission system carefully because the mixed transmission system involves underground cable sections. When a fault occurs in the underground cable section, it is mostly a permanent fault. If auto reclosing is performed on a permanent fault condition, it may cause excessive overcurrent and switching surge, which can generate a serious impact on the whole transmission system and even cause an explosion. Due to this, many utilities worldwide do not allow auto reclosing or only apply it very restrictively on a mixed transmission system based on their practice. However, there is no clear guidance or standard related to auto reclosing on a mixed transmission system. Therefore, in this paper, an application of a recloser operation algorithm is proposed. Based on the proposed algorithm, reclosers can work properly and protect the transmission system. To verify the proposed algorithm, simulations were conducted using the ElectroMagnetic Transient Program (EMTP).