68 research outputs found

    Implementasi Algoritma WASPAS pada Sistem Rekomendasi Pemilihan Anime Berbasis Web

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    Anime adalah sebuah kata serapan dalam bahasa Jepang dari kata "animasi", sebuah metode untuk memanipulasi gambar sehingga gambar tersebut tampak bergerak. Anime juga berkembang sangat pesat saat ini diberbagai belahan dunia termasuk juga Indonesia. Anime seperti film memiliki banyak judul anime, maka diperlukan sistem rekomendasi untuk membantu orang untuk memilah anime menjadi lebih sempit untuk memudah orang untuk memilih anime kesukaan mereka. Metode Weighted Aggregated Sum Product Assessment (WASPAS) dapat membantu orang dalam memilih anime dengan peringkat untuk memberitahu anime terbaik saat ini. Sistem ini yang diaplikasikan kedalam website dengan Bahasa pemrograman PHP dan framework Laravel untuk bisa divisualisasikan supaya user lebih tertarik menggunakan dan bisa diakses dimana saja. Hasil penelitian menunjukan kesuksesan aplikasi 82.91% sehingga menujukan bahwa aplikasi website "Rekomendasi Pemilihan Anime" reliable berdasarkan dari jawaban responden

    Rancang Bangun Sistem Kehadiran Berbasis Web PT. Ekasaudara Jaya

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    Seiring dengan perkembangan teknologi, semakin banyak proses-proses dan kegiatan manual yang dikomputerisasikan, salah satunya adalah pengambilan presensi pegawai. Perubahan serupa juga dilakukan oleh perusahaan PT. Ekasaudara jaya dimana penulis melakukan kerja magang. Dalam laporan kerja magang ini dijelaskan pengerjaan sistem presensi pegawai sebagai bentuk kerja magang penulis pada PT. EKASUDARA JAYA. Sistem presensi yang dibangun ini berbasiskan web dengan menggunakan HTML, Xampp, beserta bahasa pemograman PHP dan database MySQL

    New insight into the role of fibroblasts in the epithelial immune microenvironment in the single-cell era

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    The skin is exposed to environmental challenges and contains heterogeneous cell populations such as epithelial cells, stromal cells, and skin-resident immune cells. As the most abundant type of stromal cells, fibroblasts have been historically considered silent observers in the immune responses of the cutaneous epithelial immune microenvironment (EIME), with little research conducted on their heterogeneity and immune-related functions. Single-cell RNA sequencing (scRNA-seq) and spatial transcriptomics (ST) have overcome the limitations of bulk RNA sequencing and help recognize the functional and spatial heterogeneity of fibroblasts, as well as their crosstalk with other types of cells in the cutaneous EIME. Recently, emerging single-cell sequencing data have demonstrated that fibroblasts notably participate in the immune responses of the EIME and impact the initiation and progression of inflammatory skin diseases. Here, we summarize the latest advances in the role of fibroblasts in the cutaneous EIME of inflammatory skin diseases and discuss the distinct functions and molecular mechanisms of activated fibroblasts in fibrotic skin diseases and non-fibrotic inflammatory skin diseases. This review help unveil the multiple roles of fibroblasts in the cutaneous EIME and offer new promising therapeutic strategies for the management of inflammatory skin diseases by targeting fibroblasts or the fibroblast-centered EIME

    Effect of Clozapine on Anti-N-Methyl-D-Aspartate Receptor Encephalitis With Psychiatric Symptoms: A Series of Three Cases

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    The main clinical manifestations of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis are acute or subacute seizures, cognition impairment, and psychiatric symptoms. Nowadays, the scheme of antipsychotic therapy for this disease has not been established. This study reports three cases of anti-NMDAR encephalitis with psychiatric symptoms. The anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum were positive. The psychiatric symptoms still existed after intravenous immunoglobulin (IVIG) treatment; thus, clozapine was used for antipsychotic therapy. Case 1 was a 37-year-old man who suffered from bad mood and suicide behaviors for 1 month. Hallucination and delusion still existed after IVIG treatment and hormone therapy, and the symptoms were relieved when given clozapine for 12 months. Case 2 was a 28-year-old man who was admitted to our hospital due to injuring other people and destructive behaviors for 2 days. He showed irritability, bad temper, declined cognition, and severe delusion of persecution after IVIG treatment and hormone therapy, but the psychiatric symptoms disappeared when given clozapine for 3 months. Case 3 was a 23-year-old man who suffered from headache and babbing for 7 days. Symptoms such as irritability, bad temper, babbing, and injuring other people still existed after IVIG treatment and hormone therapy, but they disappeared when given clozapine for 2 months. Therefore, we suggest that during the treatment of anti-NMDAR encephalitis with psychiatric symptoms, if the anti-NMDAR antibodies in CSF and serum were positive, and psychiatric symptoms could not be controlled after IVIG and hormone therapy, clozapine may work

    Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

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    RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)
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