Penatalaksanaan Fisioterapi pada Kasus Low Back Pain Myogenic e.c. Lumbar Strain di RSUD Panembahan Senopati Bantul

Backgound: Pain at lumbar spine region commonly described as low back pain.. Pain at this region will cause muscle spasm that wil cause ROM restriction. In this case, myogenic low back pain described as back pain that only caused by muscle disorder without neurological disorder. Aims: To evaluate physical therapy management to pain, muscle spasm, improvement range of motion, and functional activity on low back pain myogenic e.c. lumbar strain. Result: After 7 times of physical therapy management. We found decresing of pain T1: mild pain to T7: no pain, muscle spasm T1: 100% to T7: 30%, flexion tunk range of motion T1: 2 cm to T7: 2,5 cm, right side flexion T1: -50 cm menjadi T7: -47 cm, left side flexion T1: 51 cm to T7: 48,5 cm, functional activity T1: -32% to T7: -30 %. Conclusion: Physical Therapy management with SWD, stretching, massage, core stability exercise can decrease pain, spasm, improve ROM, and enhance functional activity. Keywords: Lumbar strain, Short Wave Diathermy (SWD), massage, stetching, core stability exercise

Analysis of the biceps brachii muscle by varying the arm movement level and load resistance band

Biceps brachii muscle illness is one of the common physical disabilities that requires rehabilitation exercises in order to build up the strength of the muscle after surgery. It is also important to monitor the condition of the muscle during the rehabilitation exercise through electromyography (EMG) signals. The purpose of this study was to analyse and investigate the selection of the best mother wavelet (MWT) function and depth of the decomposition level in the wavelet denoising EMG signals through the discrete wavelet transform (DWT) method at each decomposition level. In this experimental work, six healthy subjects comprised of males and females (26 ± 3.0 years and BMI of 22 ± 2.0) were selected as a reference for persons with the illness. The experiment was conducted for three sets of resistance band loads, namely, 5 kg, 9 kg, and 16 kg, as a force during the biceps brachii muscle contraction. Each subject was required to perform three levels of the arm angle positions (30°, 90°, and 150°) for each set of resistance band load. The experimental results showed that the Daubechies5 (db5) was the most appropriate DWT method together with a 6-level decomposition with a soft heursure threshold for the biceps brachii EMG signal analysis

Genetic and lifestyle risks of cardiovascular disease

Cardiovascular disease (CVD) is the leading cause of morbidity and mortality worldwide. Over the past 5 decades, the identification and modification of cardiovascular risk factors, as well as the development of pharmaceutical and interventional therapies, have resulted in declining CVD mortality rates. To develop better and innovative preventive strategies, a better understanding of the pathophysiological mechanisms underlying CVD is necessary. Studying the genetic factors underlying CVD and their risk factors may aid us in this undertaking.Genome-wide association studies have identified thousands of associations between genetic variants with risk factors and diseases, thereby increasing our understanding of the biology underlying these traits. The evidence for a causal relationship between a risk factor and a disease can then be investigated using these genetic variants.This thesis presents evidence for causal relationships between risk factors such as telomere length and iron parameters, with CVD. We uncovered novel genetic variants associated with lipoprotein(a), but also with lifestyle factors such as caffeine intake and sedentary behaviors. We subsequently provide evidence for their causal relations with coronary artery disease. Additionally, we found genetic and lifestyle factors had additive effects on the risk of developing CVD. A healthy lifestyle was associated with lower risks compared to an unhealthy lifestyle, regardless of the genetic risk, and a high genetic risk with an unhealthy lifestyle both increased the risk of developing CVD. The findings described in this thesis help us better understand the pathophysiological mechanisms underlying CVD and may aid in improving risk stratifications

A comparative study of performance of AC and DC electric drive control systems with variable moment of inertia

In electric drive control systems, the main goal is to maintain the driving motor speed to meet the mechanism’s requirements. In some practical industrial applications the mechanically-coupled load to the motor shaft has a varying mass during the system operation. Therefore, the change of mass changes the value of the moment of inertia of the system. The moment of inertia impacts the system operation, particularly the transient performance. Therefore, the variation of moment of inertia on the motor shaft during its operation creates additional challenges to accomplish a high-quality speed control. The main purpose of the current work is to study the impact of the variation of moment of inertia on the performance of both AC and DC electric drive control systems and to make a comparison between them. A mathematical analysis and simulations of the control system models had been presented; one time with three-phase induction motor and another time with DC motor, both with variable moment of inertia. A simulation of both systems had been accomplished using the Simulink software in MATLAB. The simulation results of operation of these systems have been analysed in order to get useful conclusions and recommendations for the electric drive control system designer

ISLAMIC VALUE OF INNOVATIVE PERFORMANCE IN SMALL AND MEDIUM-SIZED ENTERPRISES: CONCEPTUAL REVIEW OF FATHANAH

Small and medium-sized enterprises (SMEs) contribute to the national economy. It follows to increase in market potential. Innovation has an important role in various business competitions. However, innovative performance has not been completely implemented by SME companies. This research offers the concept of fathanah in innovative performance in SMEs. The research method is a review of the literature on SME innovative performance. This study explains the innovative performance of SMEs with six concepts; process innovation, product innovation, management innovation, organizational innovation, marketing innovation, and technological innovation. The concept of fathanah in innovative performance in SMEs with dimensions of intelligence; intellectual quotient (IQ), emotional quotient (EQ), and spiritual quotient (SQ). This paper applies a conceptual approach. The limitations of this paper are that the dimensions mentioned have not been empirically tested. In addition, there may also be other dimensions of Islamic values related to innovative performance apart from the concept of fathanah. However, the fathanah concept is expected to be applied in innovative performance to develop SMEs

Neonatal mortality within 24 hours of birth in six low- and lower-middle-income countries.

OBJECTIVE: To estimate neonatal mortality, particularly within 24 hours of birth, in six low- and lower-middle-income countries. METHODS: We analysed epidemiological data on a total of 149 570 live births collected between 2007 and 2013 in six prospective randomized trials and a cohort study from predominantly rural areas of Bangladesh, Ghana, India, Pakistan, the United Republic of Tanzania and Zambia. The neonatal mortality rate and mortality within 24 hours of birth were estimated for all countries and mortality within 6 hours was estimated for four countries with available data. The findings were compared with published model-based estimates of neonatal mortality. FINDINGS: Overall, the neonatal mortality rate observed at study sites in the six countries was 30.5 per 1000 live births (range: 13.6 in Zambia to 47.4 in Pakistan). Mortality within 24 hours was 14.1 per 1000 live births overall (range: 5.1 in Zambia to 20.1 in India) and 46.3% of all neonatal deaths occurred within 24 hours (range: 36.2% in Pakistan to 65.5% in the United Republic of Tanzania). Mortality in the first 6 hours was 8.3 per 1000 live births, i.e. 31.9% of neonatal mortality. CONCLUSION: Neonatal mortality within 24 hours of birth in predominantly rural areas of six low- and lower-middle-income countries was higher than model-based estimates for these countries. A little under half of all neonatal deaths occurred within 24 hours of birth and around one third occurred within 6 hours. Implementation of high-quality, effective obstetric and early newborn care should be a priority in these settings

Application of Response Surface Method in Reverse Osmosis Membrane to Optimize BOD, COD and Colour Removal from Palm Oil Mill Effluent

Palm oil mill effluent (POME) is typically non-biodegradable and has high concentration of organic matter that represented as COD, BOD and Colour values. The correlation of concentration and pH of POME, and Trans membrane pressure (TMP) of Reverse Osmosis (RO) membrane was optimized by response surface method using a second order polynomial model with central composite design (CCD) which is a part model of response surface method (RSM) in Design-Expert® software. The main limits that influenced the parameters removal i.e. concentration of POME, pH of solution and transmembrane pressure were empirically determined at laboratory level and successfully optimized using RSM. The best conditions were determined from 3D response surface and 2D contour graphs i.e. 10.05% of POME concentration at pH 3.0 and TMP 0.50 kPa to yield the last values of COD, BOD and Colour i.e. 24.1372 mg/L,  24.33 mg/L and 11.76 PtCo, respectively.  The results show that the response surface method effective to reduce the number of experiment

Numerical Investigation of Velocity Profile in Hydraulic Jump Stilling Basin with VOF

Source: ICHE Conference Archive - https://mdi-de.baw.de/icheArchiv

Associations of Observational and Genetically Determined Caffeine Intake With Coronary Artery Disease and Diabetes Mellitus

Background Caffeine is the most widely consumed psychostimulant and is associated with lower risk of coronary artery disease (CAD) and type 2 diabetes mellitus (T2DM). However, whether these associations are causal remains unknown. This study aimed to identify genetic variants associated with caffeine intake, and to investigate evidence for causal links with CAD or T2DM. In addition, we aimed to replicate previous observational findings. Methods and Results Observational associations were tested within UK Biobank using Cox regression analyses. Moderate observational caffeine intakes from coffee or tea were associated with lower risks of CAD or T2DM, with the lowest risks at intakes of 121 to 180 mg/day from coffee for CAD (hazard ratio [HR], 0.77 [95% CI, 0.73-0.82; P<1×10-16]), and 301 to 360 mg/day for T2DM (HR, 0.76 [95% CI, 0.67-0.86]; P=1.57×10-5). Next, genome-wide association studies were performed on self-reported caffeine intake from coffee, tea, or both in 407 072 UK Biobank participants. These analyses identified 51 novel genetic variants associated with caffeine intake at P<1.67×10-8. These loci were enriched for central nervous system genes. However, in contrast to the observational analyses, 2-sample Mendelian randomization analyses using the identified loci in independent disease-specific cohorts yielded no evidence for causal links between genetically determined caffeine intake and the development of CAD or T2DM. Conclusions Mendelian randomization analyses indicate genetically determined higher caffeine intake might not protect against CAD or T2DM, despite protective associations in observational analyses