Lidocaine-Midazolam-Fentanyl Combination in Controlling Pain for Reduction of Anterior Shoulder Dislocation; a Randomized Clinical Trial

Introduction: Finding a fast-acting compound with minimal side-effects to induce a safe and efficient analgesia with short or medium duration of action is of great interest in the emergency department. The present study has been designed with the aim of comparing the effect of midazolam + fentanyl + lidocaine combination with midazolam + fentanyl + placebo in pain management of anterior shoulder dislocation reduction.Methods: The present two-arm parallel double-blind randomized controlled trial was performed on patients who presented to emergency department with anterior shoulder dislocation. Patients were randomly allocated to the 2 treatment groups of midazolam + fentanyl + placebo (double-drug group) and midazolam + fentanyl + intravenous (IV) lidocaine (triple-drug group). Then outcomes such as treatment success rate and side-effects following prescription of drugs were compared between the 2 groups.Results: 100 patients were included in the present study (50 patients in each group; mean age of the studied patients 27.3±8.9 years; 93.0% male). Using the double-drug regimen led to 35 (70%) cases of complete analgesia, while this rate in the triple-drug group was 41 (82%) cases (p=0.16). The calculated number needed to treat was 9 cases. This means that about one in every 9 patients in treatment arm will benefit from the treatment. The most important side-effects observed included dysrhythmia (1 patient in double drug and 1 patient in triple-drug group), apnea (2 patients in each group) and SPO2<90% (2 patients in triple-drug group) (p=0.78). Number needed to harm was 25 cases. In other words, for each 25 patients treated with the triple drug regimen, 1 case of SPO2<90% is observed.Conclusion: Findings of the present study showed that adding IV lidocaine to IV midazolam + fentanyl drug combination does not provide additional analgesia in sedation for anterior shoulder reduction

Analytics on malicious android applications

The widespread of mobile applications has led to increase smartphone malware. Detecting malware requires extracting features to determine the malware apps from non-malware apps. To understand malware apps' features, we need a better understanding of the requested permissions in manifest file of apk file. In this paper, we present our framework based on extracting apk's permissions with the aims to detect the malware upon granted permissions in mobile app. The permissions keywords are extracted from the manifest file of apk file using VirusTotal website. These collected applications and their permissions keywords will go through pre-data analytics process before being trained to various machine learning classifiers. We collected around 30 apps from Google play as non-malware apps and 30 malicious apps from different sources such as PROGuard, Contagio Mobile blog and the Drebin dataset. The permissions keywords of the collected apk are extracted and saved to build final dataset that contains 50 samples of benign and malignant applications with the final collections of permissions keywords. Finally, the dataset is fed to machine learning. By utilizing several classifiers such as NaiveBayes, sequential minimal optimization (SMO), Decision Table, ZeroR and Decision trees (J48 and Random Forests, the results show that sequential minimal optimization (SMO) classifier achieved high performance in the detection rate of the classifier with an acceptable accuracy of 76 %

Karanis Crocodiles: The Egyptian Crocodile cult at Roman Karanis

Honors (Bachelor's)Classical ArchaeologyUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/102733/1/aidakbar.pd

The beneficial of wetland Tanjung Piai to community

Wetlands are one of the natural resources that can be seen are suffering for the past few years from human activities. The destruction of wetlands not only came from human activities but also from natural event such as continuous erosion that occurs at Tanjung Piai. The destruction of wetlands not only occurs in Malaysia but also in other country. The study was carried out at wetlands located in Tanjung Piai to identify the beneficial of wetland Tanjung Piai to community and wildlife. For the past few years, problem related to water such as flooding and water pollution worsen but wetlands seems to be one of the method to reduce these events. Wetland becomes storage area that accepts rainwater that cannot be accepted by river. Water that went through as groundwater recharge will go through filtration first thus, reducing the unwanted material in the water. Other than that wetland also acts as habitat for animals and measures to reduce erosion. Despite of the benefit of wetlands to community, wetland suffers from pollution, extinction of the mangrove and climate change. The study was carried out through observation and interview on the person in charge of the Tanjung Piai wetland. The objectives of the study are to identify the benefit of the wetland, problems that was suffered by wetland and measures to make sure wetland are in good condition

Metacognition and motivation in mathematical problem solving

otivation (O’Neil & Schacter, 1997). Based on the proposed model of problem solving, students’ content understanding and problem-solving strategies were identified through interviews. The other two elements were identified using a survey instrument. This paper reports findings of the survey instrument that focuses on determining (i) students’ level of motivation and level of metacognition in solving mathematical problems, (ii) relationship between level of motivation and level of metacognition with mathematics achievement and overall academic achievement, and (iii) determining relationship between motivation and metacognition. The subjects of this study were 195 final year students majoring in mathematics education. Metacognition refers to the ability of individuals to reflect, understandand control their own learning (Schraw & Dennison, 1994). Specific components of metacognitive processes were identified by Schraw & Dennison (1994) and these were the dimensions that they used in developing the Metacognitive Awareness Inventory (MAI). MAI that comprises of 52 items is a reliable measure of cognition and regulation of cognition (Sanchez-Alonso & Vovides, 2006). It measures eight specific components of metacognition; namely comprehension monitoring, procedural knowledge, declarative knowledge, conditional knowledge, evaluation, debugging strategies, information management strategies and planning. In O’Neil and Schacter’s (1997) study, metacognition was measured using three elements; planning, self-checking and cognitive strategy. MAI was used because it includes more elements that reflect one’s metacognitive strategies. Apart from MAI, subjects were also required to respond to the measurement used by O’Neil and Schacter’s (1997) to measure motivation. The elements in measuring motivation are effort, self-efficacy, and worry. Three dimensions of MAI; procedural, declarative and conditional knowledge were found to be significantly correlated with students’ performance in university mathematics courses. Declarative and conditional knowledge were also found to be significantly correlated with students’ overall performance in the university. All three dimensions of motivation were also found to be significantly correlated with performance in university mathematics courses. Significant correlation was also established between level of metacognition with level of motivation. In conclusion, this study reveals some of the factors that influence one’s performance in mathematical problem solving

Toxicity immobilization of refinery sludge containing heavy metals via vitrification process

Heavy metals are known to be toxic to human and the environment. Despite the growing of petrochemical and refinery industries, the world is facing problems with the heavy metals contamination from the sludge by the industries. Many methods have been applied to address these issues from the refinery sludge. In this study, stabilization and solidification of refinery sludge containing heavy metals using vitrification method was utilized to solve this problem. The ashing temperature of 550oC was selected in preparing the ash of the dried sludge prior to the vitrification process at 1110oC to 1400oC. After vitrification, all samples were morphologically, thermally and toxically analyzed using Scanning Electron Microscopy, Thermogravimetric Analysis and Toxicity Characteristic Leaching Procedure. The sludge contained high amount of iron and aluminum, followed by some amount of magnesium, gold, arsenic and zinc with some traces of nickel and lead. Results showed that at maximum vitrified temperature of 1400oC, no magnesium, nickel and lead were detected in the sludge and only some traces of other heavy metals with less than 1 ppm. The vitrification method exhibits excellent output in immobilizing the transition metals leading to a reduction in environmental pollution caused by petrochemical and refinery sludge containing heavy metals

AKHLAK PENDIDIK DAN PESERTA DIDIK (PRESPEKTIF KH. M. HASYIM ASY’ARI DAN PROF. DR. Hj. ZAKIYAH DARADJAT)

National education begins which to put aside the moralvalues that the authors include as the background of this study, it canbe seen from the number of educators and students who experiencea decline or even do not have the value of politeness. Indeed, theformation of morals or character is the main goal in Islamic educationwhich can form a moral, pure, and clean soul and able to distinguishbetween truth and fault. The author's interest is to study how KH.M. Hasyim Asy'ari and Prof. Dr. Hj. Zakiyah Daradjat suggests amoral education that can solve the problem of moral depravity thatoccurs in this country. The aims of this research are 1. To find outhow moral education focuses on the morals of educators andstudents Perspective KH. M. Hasyim Asy'ari and Prof. Dr. Hj.Zakiyah Daradjat, 2. To find out the similarities and differences inthe morals of educators and students from the perspective of KH.M. Hasyim Asy'ari and Prof. Dr. Hj. Zakiyah Daradjat. The libraryresearch is used in this writing. Research with literature reading as thebasis for data collection was carried out carefully so that theinformation was relevant to the research topic or study topic. Also inthis research approach is a qualitative approach, with content analysismethods to analyze its content as well as scientific analysis of thought.The context in this study and focuses on education which focuses onmorals by Kyai Hasyim Asy'ari and Prof. Dr. Hj. Zakiyah Daradjat.The research shows 1. Education that focuses on the moralperspective of KH. M. Hasyim Asy'ari includes 2 aspects, namely: 1) Educators include a. educators who must have morals b. how tobecome a professional educator and his efforts c. an educator'sstrategy in teaching 2) Learners include a. students who prioritizemorals b. efforts to become students with good morals c. strategiesand procedures for students in learning. 2. Prof. perspective moraleducation. Dr. Hj. Zakiyah Daradjat where 3 factors are the main basis, namely: a. factor figure b. texture factor c. cultural factors 3. The similarity of moral education offered by Hasyim and Mrs.Zakiyah, namely in terms of educational materials, which are bothalways reminded to get closer to Allah SWT, moral education(interaction between educators and students), and social relationsbasic namely the community. 4. There are also differences in theformation of KH M. Hasyim Asy'ari who is more inclined towardsthe educational environment because KH. M. Hasyim Asy'ari is inthe pesantren environment, Prof. Dr. Hj. Zakiyah Daradjat is locatedin a family environment

Motivation in the learning of mathematics

This study focuses on students’ motivation in solving mathematical problems. Objectives of the study are to (i) identify students’ level of effort, self efficacy and worry in solving mathematical problems based on gender, current cumulative grade point average (CGPA)and year of study; (ii) students’ level of motivation in solving mathematical problems based on gender, current cumulative grade point average (CGPA) and year of study; and (iii)establish relationship between levels of motivation and students’ mathematics achievement. The subscales used in the measurement of motivation are effort, self-efficacy, and worry. Data was gathered through a descriptive survey using questionnaires. Overall, students’ motivations was found to be high and majority of the respondents were in the high level for effort but were only moderate for self efficacy. Significant difference was established in overall motivation scores between the female and male respondents, but not for the subscales effort, self-efficacy and worry. Respondents with higher CGPA obtained higher overall scores for motivation. Significant positive correlations were established between effort, self-efficacy, and overall motivation with students’ overall academic achievement. Likewise, significant positive correlations were established between effort, self-efficacy, worry, and overall motivation with students’ average mathematics achievement

Pengembangan Video Pembelajaran Youtube Untuk Mata Pelajaran Teknik Pengelasan GMAW Kelas Xi Jurusan Teknik Pengelasan Smk Negeri 1 Pungging Mojokerto

Abstrak Peneliti melakukan penelitian dengan judul tersebut dikarenakan adanya kendala untuk proses pembelajaran pada saat ini, dikarenakan adanya  dampak yang terjadi untuk pada hasil belajar dan respon siswa yang rendah. Untuk itu Penelitian mempunyai tujuannya yaitu mengembangkan video pembelajaran youtube pada pelajaran teknik pengelasan GMAW. Yang digunakan untuk Penelitian ini adalah menggunakan penelitian R&D (Research and development) model pengembangan menggunakan Peter Fenrich. Pada analisis data ini metodenya menggunakan kuantitatif dan deskriptif kuantitatif. Untuk pengumpulan data menggunakan penyebaran angket dan tes. Video pembelajaran mendapat untuk Kelayakan pada video pembelajaran memperoleh dengan total rata-rata nilai yang diperoleh adalah dengan skor nilai 3,865 termasuk pada kategori sangat layak. Hasil belajar memperoleh kriteria pada ketuntasan materi nilai yang berpatok KKM, pada kelulusan nilai pre-test yang diperoleh 10% dan untuk nilai post-test sebesar 100%. Pada perhitungan yang dilakukan dengan uji N-gain score dapat dilihat untuk nilai rata-ratanya yang didapatkan adalah 0,704 masuk pada efektivitasnya kategori tinggi. Respon siswa mendapat nilai rata-rata sebesar 3,667 termasuk kategori tinggi. Kata  Kunci:  Video Pembelajaran, Respon , Hasil Belajar &nbsp