Desain Sistem Penjualan Online Kaligrafi Berbasis Web pada Galeri Al-Wafa

Galeri Al-Wafa merupakan salah satu galeri yang bergerak dibidang penjualankaligrafi. Sistem penjualan yang ada di galeri ini masih dilakukan dengan cara pelanggandatang langsung ke galeri untuk melakukan transaksi, tentunya sistem penjualan yangseperti ini sangat kurang efektif. Selain itu, jangkauan pemasaran produk yang masihsempit dan kurangnya informasi kepada masyarakat luas, mengakibatkan tidak bisaberkembangnya galeri ini di lingkungan luar daerah.Dengan memanfaatkan penjualan online, Galeri Al-Wafa memberikankemudahan pada konsumen dalam memberikan informasi tentang barang yang akandibeli, kemudian konsumen dapat mencari informasi tentang semua produk yang ada,selain itu sistem penjualan ini juga dapat memperluas jangkauan pemasaran, karena dapatdi buka dimana saja oleh semua orang

Influence of pavement condition towards accident number on Malaysian highway

Accidents in Malaysia are alarming and have been in the rise for the past decades. Increasing numbers of road users, condition of road surface, expanded road network and weather conditions are being carefully looked into determining the contributors towards fatality. Human factors has been widely known and established as one of the main contributor to road accidents. Therefore, this study had focused more on to pavement conditions, where its relation with accidents needs to be further explored. The purpose of this study is to determine the influence of pavement condition towards accident number on Malaysian Highway. Pavement condition data which consist of Mean Texture Depth (MTD), Rutting Depth (RD) and also International Roughness Index (IRI) were measured along 265 km southern stretch of Malaysia highway, by using Multi Laser Profiler (MLP). Accident data were also collected from the accident report prepared by Southern region of Malaysian Highway Authority. Based on the results, it was found that more than 70% of the accidents happened at a good condition of road which having high MTD, low RD and minimum IRI. MTD was found as the most significance parameters that relates to accident. Other factors such as human negligence and environments (weather and lighting), might be the major cause that contribute to the accidents that happened along Malaysian highway

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Meta-analysis of laparoscopic and open distal gastrectomy for gastric carcinoma

Objectives: The aim was to conduct a meta-analysis of the randomized evidence to determine the relative merits of laparoscopic assisted (LADG) and open (ODG) distal gastrectomy for proven gastric cancer. Data sources and review methods: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified all randomized clinical trials (RCTs) that compared LADG and OGD and were published in the English language between January 1990 and the end of June 2007. The meta-analysis was prepared in accordance with the Quality of Reporting of Meta-analyses (QUOROM) statement. The eight outcome variables analysed were operating time, blood loss, retrieval of lymph nodes, oral intake, hospital stay, postoperative complications, tumour recurrence and mortality. Random effects meta-analyses were performed using odds ratios (OR) and weighted mean differences (WMD). Results: Four trials were considered suitable for meta-analysis. A total of 81 patients underwent LADG and 80 had ODG. For only one of the eight outcomes, the summary point estimates favoured LADG over ODG; there was a significant reduction of 104.26 mls in the intra-operative blood loss for LADG (WMD, -104.26, 95% confidence interval (c.i.) -189.01 to -19.51; P = 0.0159). There was however a 83.08 minutes longer duration of operating time for the LADG group compared with the ODG group (WMD 83.08, 95% c.i. 40.53 – 125.64; P = 0.0001) and significant reduction in lymph nodes harvesting of 4.34 lymph nodes in the LADG group (WMD -4.3, 95% c.i. -6.66 to -2.02; P = 0.0002). Other outcome variables such as time to commencement of oral intake (WMD -0.97, 95% c.i. -2.47 to 0.54 ; P = 0.2068); duration of hospital stay (WMD -3.32, 95% c.i. -7.69 to 1.05; P = 0.1365); rate of complications (OR 0.66, 95% c.i. 0.27 to 1.60; P = 0.3530); mortality rates (OR 0.94, 95% c.i. 0.21 – 4.19; P = 0.9363) and tumour recurrence (OR 1.08 (95% c.i. 0.42 – 2.79; P = 0.8806) were not found to be statistically significant for either group. However, for commencement of oral intake, duration of hospital stay and complication rate, the trend was in favour of LADG. Conclusion: LADG was associated with a significantly reduced rate of intra-operative blood loss, at the expense of significantly longer operating time and significantly reduced lymph node retrieval compared to its open counterpart. Mortality and tumour recurrence rates were similar between the two groups. Furthermore, time to commencement of oral intake, post procedural discharge from hospital and the perioperative complication rate although not significantly different between the two groups did suggest a positive trend toward LADG. Based on this meta-analysis, the authors cannot recommend the routine use of LADG over ODG for the treatment of distal gastric cancer. However, significant limitations exist in the interpretation of this data due to the limited number of published randomised control trials, the small sample sizes to date, and the limited duration of follow up. Further large multicentre randomised controlled trials are required to delineate significantly quantifiable differences between the two groups

Influence of pavement condition towards accident number on Malaysian highway

Accidents in Malaysia are alarming and have been in the rise for the past decades. Increasing numbers of road users, condition of road surface, expanded road network and weather conditions are being carefully looked into determining the contributors towards fatality. Human factors has been widely known and established as one of the main contributor to road accidents. Therefore, this study had focused more on to pavement conditions, where its relation with accidents needs to be further explored. The purpose of this study is to determine the influence of pavement condition towards accident number on Malaysian Highway. Pavement condition data which consist of Mean Texture Depth (MTD), Rutting Depth (RD) and also International Roughness Index (IRI) were measured along 265 km southern stretch of Malaysia highway, by using Multi Laser Profiler (MLP). Accident data were also collected from the accident report prepared by Southern region of Malaysian Highway Authority. Based on the results, it was found that more than 70% of the accidents happened at a good condition of road which having high MTD, low RD and minimum IRI. MTD was found as the most significance parameters that relates to accident. Other factors such as human negligence and environments (weather and lighting), might be the major cause that contribute to the accidents that happened along Malaysian highway