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Arterial Duct Stenting Versus Modified Blalock-Taussig Shunt in Patient with Ductal-Dependent Pulmonary Circulation: Systematic Review & Meta-Analysis

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Congenital Heart Disease 2024年第2期19卷 139-156页

作者： ketut Putu Yasa Nyoman Satria Sadu Bhaskara Putu Febry Krisna Pertiwi Department of Cardiothoracic&Vascular Surgery Prof.Dr.I.G.N.G Ngoerah General HospitalDenpasar80113Indonesia Faculty of Medicine Udayana UniversityDenpasar80232Indonesia

Objective:Patients with ductal-dependent pulmonary circulation require alternative bloodflow to provide and maintain adequate *** Blalock-Taussig Shunt(MBTS)has been the standard for providing such a ***,less invasive methods such as Arterial Duct(AD)stenting have been performed as *** study aims to compare the outcome of AD stenting and ***:Systematic research was performed in online databases using the PRiSMA *** outcomes measured were 30-day mortality,com-plication,unplanned intervention,oxygen saturation,duration of hospital,and iCU length of *** compara-tive study provided with full text is *** outcome of each study was analyzed using a trandom effects model with relative risk and mean difference as the effect *** risk assessment was conducted using the New-castle-Ottawa *** analyses were performed using Review Manager ***:A total of 11 studies with 3154 samples included in this *** is no significant difference in 30-day mortality between the two groups(p-value=0.10).However,there is significantly less complication(RR 0.53[0.35,0.82];p-value=0.004)and unplanned intervention(RR 0.59[0.38,0.92];p-value=0.02)in the AD stent *** of the Nakata index showed no significant difference(p-value=0.88).Post-operative oxygen saturation was measured signifi-cantly higher in the AD stenting(MD 1.80[0.85,2.74];p-value=0.0002).However,AD stent group shows sig-nificantly lower long-term oxygen saturation(MD-8.43[-14.38,-2.48];p-value=0.005).Both hospital and iCU length of stay was significantly shorter in the AD stent group(MD-8.30[-11.13,-5.48];p-valueion:AD stenting provides comparable outcomes relative to MBTS as it provides less complication and unplanned intervention and higher post-procedural O2 ***,MBTS proved its superiority in maintaining higher long-term oxygen saturation and still beca

关键词： Duct-dependent pulmonary circulation arterial duct stenting modified Blalock-Taussig shunt

Multi-Objective Optimization of External Louvers in Buildings

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Computers, Materials & Continua 2023年第4期75卷 1305-1316页

作者： Tzu-Chia Chen Ngakan ketut Acwin Dwijendra i.Wayan Parwata Agata iwan Candra Elsayed M.Tag El Din Department of industrial Engineering and Management Ming Chi University of TechnologyNew Taipei City24301Taiwan Department of Architecture Faculty of EngineeringUdayana UniversityBali80361Indonesia Faculty of Engineering Warmadewa UniversityBaliIndonesia Department of Civil Engineering Faculty of EngineeringKadiri UniversityKediriIndonesia Electrical Engineering Department Faculty of Engineering&TechnologyFuture University in EgyptNew Cairo11835Egypt

Because solar energy is among the renewable energies,it has traditionally been used to provide lighting in *** solar energy is effectively utilized during the day,the environment is not only more comfortable for users,but it also utilizes energy more efficiently for both heating and cooling *** of this,increasing the building’s energy efficiency requires first controlling the amount of light that enters the *** that the only parts of the building that come into direct contact with the sun are the windows,it is essential to make use of louvers in order to regulate the amount of sunlight that enters the *** the use of Ant Colony Optimization(ACO),the purpose of this study is to estimate the proportions and technical specifications of external louvers,as well as to propose a model for designing the southern openings of educational space in order to maximize energy efficiency and intelligent consumption,as well as to ensure that the appropriate amount of light is *** to the findings of this research,the design of external louvers is heavily influenced by a total of five distinct aspects:the number of louvers,the depth of the louvers,the angle of rotation of the louvers,the distance between the louvers and the window,and the reflection coefficient of the *** results of the 2067 simulated case study show that the best reflection rates of the louvers are between 0 and 15 percent,and the most optimal distance between the louvers and the window is in the range of 0 to 18 ***,the results show that the best distance between the louvers and the window is in the range of 0 to 18 centimeters.

关键词： Ant colony optimization energy consumption multi-objective optimization louvre

intelligent System Application to Monitor the Smart City Building Lighting

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Computers, Materials & Continua 2023年第5期75卷 3159-3169页

作者： Tzu-Chia Chen Ngakan ketut Acwin Dwijendra Saurabh Singhal R.Sivaraman Amr Mamdouh Department of industrial Engineering and Management Ming Chi University of TechnologyNew Taipei City24301Taiwan Department of Architecture Faculty of EngineeringUdayana UniversityBali80361Indonesia Department of Computer Engineering and Applications GLA UniversityMathuraUttar PradeshIndia Department of Mathematics Dwaraka Doss Goverdhan Doss Vaishnav CollegeArumbakkamUniversity of MadrasChennaiIndia Architectural Engineering Department Faculty of Engineering&TechnologyFuture University in EgyptNew Cairo11835Egyp

A smart city incorporates infrastructure methods that are environmentally responsible,such as smart communications,smart grids,smart energy,and smart *** city administration has prioritized the use of cutting-edge technology and informatics as the primary strategy for enhancing service quality,with energy resources taking *** achieve optimal energy management in themultidimensional system of a city tribe,it is necessary not only to identify and study the vast majority of energy elements,but also to define their implicit *** is because optimal energy management is required to reach this *** lighting index is an essential consideration when evaluating the comfort *** order to realize the concept of a smart city,the primary objective of this research is to create a system for managing and monitoring the lighting *** is possible to identify two distinct phaseswithin the intelligent *** data collection concludes,the monitoring system will be *** the second step,the operation of the control system is analyzed and its effect on the performance of the numerical model is *** evaluation is based on the proposed *** optimized resultswere deemed satisfactory because they maintained the brightness index value(79%)while consuming less *** intelligent implementation system generated satisfactory outcomes,which were observed 1.75 times on average.

关键词： Smart city lighting index residential building energy consumption

Low expression of vascular endothelial growth factor and high serum level of cyclic guanine monophosphate as the risk factors of femoral head osteonecrosis in alcohol-exposed Wistar rat

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Chinese Journal of Traumatology 2020年第2期23卷 107-112页

作者： i ketut Suyasa Anak Agung Wiradewi Lestari Department of Orthopedic and Traumatology Faculty of MedicineUdayana UniversityBaliIndonesia Department of Clinical Pathology Faculty of MedicineUdayana UniversityBaliIndonesia

Purpose:Severe damage to the femoral head in patients with osteonecrosis has a high impact on *** early diagnosis,the treatment outcome is still *** study aimed to explore the expression of vascular endothelial growth factor(VEGF)and cyclic guanine monophosphate(cGMP)serum level as the risk factors of femoral head osteonecrosis in alcohol-exposed Wistar ***:This was an exper imental study using randomized post-test only control group design,with samples using 10-14 weeks Wistar male *** were then divided into 6 groups:3 groups without intervention,and 3 groups with intervention using 40%alcohol given *** one group from intervention and control group was euthanized by the end of the week for 3 consecutive *** femurs were examined under microscope for osteonecrosis,immunohistochemically for VEGF,and blood serum for cGMP ***:VEGF expression in the femoral head of alcohol-exposed Wistar rats was lower than those not exposed to alcohol(pistar rats were higher than those not exposed to alcohol(pic osteocytes in the femoral head of Wistar rats exposed to alcohol was greater than those not exposed to alcohol(pignificant differences between VEGF,cGMP levels,and number of necrotic osteocytes in the control group and treatment at 1st,2nd'and 3rd week(pions:Based on the result of this study,VEGF and cGMP may be considered as diagnostic bio-markers for alcohol-induced femoral head osteonecrosis.

关键词： Cyclic guanosine monophosphate Osteonecrosis Vascular endothelial growth factor

interleukin-6 and ratio of plasma interleukin-6/interleukin-10 as risk factors of symptomatic lumbar osteoarthritis

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World Journal of Orthopedics 2017年第2期8卷 149-155页

作者： i ketut Suyasa i ketut Siki Kawiyana i Made Bakta i Gde Raka Widiana Department of Ortho-paedic and Traumatology Faculty of MedicineUdayana Uni-versity Sanglah General Hospital Department of internal Medicine Faculty of MedicineUdayana University Sanglah General Hospital

AiM To determine the role of cartilage oligomeric matrix protein(COMP), interleukin(iL)-6, iL-10 and ratio of iL-6/iL-10 as risk factors of symptomatic lumbar osteoarthritis(OA) in postmenopausal women with estrogen *** Case-control study had been conducted in Sanglah General Hospital from October 2015 until March 2016. The blood samples were obtained and analyzed by enzyme-linked immunosorbent assay(ELiSA).RESULTS From 44 pairs of samples which divided into 44 samples as case group and 44 samples as control group showed that high level of COMP in estrogen deficiency postmenopausal women were not at risk(OR = 0.7; 95%Ci: 0.261-1.751; P = 0.393) for symptomatic lumbar OA(cut-off point 0.946). Estrogen deficiency in postmenopausal women with the high level of iL-6 had 2.7 times risk(OR = 2.7; 95%Ci: 0.991-8.320; P = 0.033) for symptomatic lumbar OA from the low level of iL-6(cut-off point 2.264). At lower level of iL-10, there was no risk for symptomatic lumbar OA(OR = 0.6; 95%Ci: 0.209-1.798; P = 0.345) than with the higher level of iL-10(cut-off point 6.049). While the high ratio of iL-6/iL-10 level in estrogen deficiency postmenopausal women gave 3.4 times risk(OR = 3.4; 95%Ci: 1.204-11.787; P = 0.011)for symptomatic lumbar OA than the low ratio of iL-6/iL-10 level(cut-off point 0.364).CONCLUSiON High ratio of iL-6/iL-10 plasma level was the highest risk factor for causing symptomatic lumbar OA in postmenopausal women with estrogen deficiency.

关键词： Symptomatic lumbar osteoarthritis Ratio of interleukin-6/interleukin-10 interleukin-6 interleukin-10 Cartilage oligomeric matrix protein

Optimal Location to Use Solar Energy in an Urban Situation

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Computers, Materials & Continua 2023年第4期75卷 815-829页

作者： Ngakan ketut Acwin Dwijendra indrajit Patra N.Bharath Kumar iskandar Muda Elsayed M.Tag El Din Faculty of Engineering Udayana UniversityBali80361Indonesia An independent Researcher NIT DurgapurWest Bengal700027India Department of Electrical and Electronics Engineering Vignan’s Foundation for Science Technology and ResearchGuntur522001India Department of Doctoral Program Faculty Economic and BusinessUniversitas Sumatera UtaraMedan20222Indonesia Electrical Engineering Department Faculty of Engineering&TechnologyFuture University in EgyptNew Cairo11835Egypt

This study conducted in Lima, Peru, a combination of spatial decisionmaking system and machine learning was utilized to identify potentialsolar power plant construction sites within the city. Sundial measurementsof solar radiation, precipitation, temperature, and altitude were collectedfor the study. Gene Expression Programming (GEP), which is based on theevolution of intelligent models, and Artificial Neural Networks (ANN) wereboth utilized in this investigation, and the results obtained from each werecompared. Eighty percent of the data was utilized during the training phase,while the remaining twenty percent was utilized during the testing phase. Onthe basis of the findings, it was determined that the GEP is the most suitablenetwork for predicting the location. The test state’s Nash-Sutcliffe efficiency(NSE) was 0.90, and its root-mean-square error (RMSE) was 0.04. Followingthe generation of the final map based on the results of the GEP model, itwas determined that 9.2% of the province’s study area is suitable for theconstruction of photovoltaic solar power plants, while 53.5% is acceptable and37.3% is unsuitable. The ANN model reveals that only 1.7% of the study areais suitable for the construction of photovoltaic solar power plants, while 66.8%is acceptable and 31.5% is unsuitable.

关键词： Solar energy renewable energy machine learning

Gastric ulcer healing effect of wild honey and its combination with Turmeric(Curcuma domestica Val.) Rhizome on male Wistar rats

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Journal of Chinese Pharmaceutical Sciences 2014年第12期23卷 844-849页

作者： i ketut Adnyana Joseph i.Sigit Larasati A.Kusumawardani School of Pharmacy Bandung Institute of Technology

Gastric ulcer is a common disorder in human at any ages. in this research, the antiulcer activity of wild honey produced by Apis dorsata, alone or in combination with Turmeric Rhizome, was evaluated in healing acute gastric ulcer. Male Wistar albino rats(150–250 g) were induced ulcers with aspirin at 405 mg/kg BW and ethanol. Antiulcer evaluation was done based on the gastric acidity, numbers and diameter of ulcers, ulcer index, healing ratio, histological examinations, and body weight. The results showed that the groups given honey alone, turmeric alone, and combination of turmeric-honey displayed significant ulcer healing compared to the control group. Ulcers in the group administered with combination of turmeric-wild honey was different significantly from the turmeric alone and wild honey alone groups with increased body weight in that group. The result showed that wild honey(2125 mg/kg BW) had the greatest activity in healing ulcers among other groups. The combination of turmeric-wild honey had a good activity in healing ulcers and increased the body weight of the group.

关键词：大蜜蜂阿司匹林胃溃疡姜黄根粉末野花蜂蜜

Numerical investigation of Contra Rotating Vertical-Axis Tidal-Current Turbine

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Journal of Marine Science and Application 2018年第2期17卷 208-215页

作者： Dendy Satrio i ketut Aria Pria Utama Mukhtasor Ocean Energy Engineering and Management Institut Teknologi Sepuluh NopemberSurabaya 60111Indonesia Department of Naval Architecture Institut Teknologi Sepuluh NopemberSurabaya 60111Indonesia Department of Ocean Engineering Institut Teknologi Sepuluh NopemberSurabaya 60111Indonesia

in this study,the performance of a contra rotating vertical-axis tidal-current turbine was *** incompressible unsteady Reynolds-averagedNavier-Stokes(U-RANS)equations were solved via two-dimensional(2D)numerical simulation using ANSYS Fluent computational fluid dynamics(CFD)*** algorithm known as SiMPLE from the CFD code was used to calculate the pressure-velocity coupling and second-order finite-volume discretization for all the transport *** base turbine model was validated using the available experimental *** given scenarios for the contra rotating turbine were *** contra rotating turbine performs better in a low tip speed ratio(TSR)than in a high TSR *** a high TSR operation,the contra rotating turbine inefficiently operates,surviving to rotate in the chaotic flow ***,it is recommended to use contra rotating turbine as a part of new design to increase the performance of a vertical-axis tidal-current turbine with a lower TSR.

关键词： Tidal-current energy Contra rotatingturbine Vertical-axis turbine Two-dimensional computational fluid dynamics Performance analysis

Activity of tamarindus indica pulp water extract in high carbohydrate diet rats as a treatment for obesity and insulin resistance

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Journal of Chinese Pharmaceutical Sciences 2016年第12期25卷 892-897页

作者： Finna Setiawan Elin Yulinah Sukandar Sukrasno ketut Adnyana i Pharmacology and Clinical Pharmacy Research Group School of PharmacyBandung Institute of Technology Faculty of Pharmacy University of Surabaya Pharmaceutical Biology Research Group School of PharmacyBandung Institute of Technology

Obesity is often identified as a nutritional disorder, and this condition continues to be one of the most important yet preventable health hazards. it may be a complex group of diseases and should be characterized as a syndrome that results from an imbalance between energy intake and expenditure. Furthermore, obesity is associated with several diseases such as diabetes mellitus, atherosclerosis, cardiovascular diseases, osteoarthritis, and hypertension. in previous studies, we found that in Asia, especially in the Asean region, carbohydrates are heavily represented in the diet. Therefore, we used a high carbohydrate diet to induce obesity in rats. The aim of this study was to evaluate the potency of Tamarindus indica pulp as an anti-obesity agent in a high carbohydrate diet animal model. The antiobesity effect was evaluated in this in vivo model at doses of 75 mg/kg·bw and 225 mg/kg·bw. Treatment was started in week 3 and week 9, and biochemical characteristics were measured every 3 weeks. in the end of the study period, insulin resistance and adiponectin levels were measured. TiWE(Tamarindus indica water extract) at a dose of 75 mg/kg·bw showed better efficacy than at a dose of 225 mg/kg·bw, and treatment started on week 3 was better than treatment started on week 9. TiWE has an anti-obesity effect associated insulin resistance by increasing adiponectin levels and insulin sensitivity, which can impact body weight, triglyceride levels, blood glucose levels, and body fat.

关键词： Obesity insulin resistance Adiponectin High carbohydrate diet