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"Agitasi merupakan salah satu gejala yang paling sering dialami lansia dengan neuropsikiatri demensia. Perilaku yang dapat diamati dari gejala agitasi adalah vokalisasi menyimpang, agitasi motorik, agresivitas dan perilaku menolak perawatan. Faktor yang umum menjadi penyebab penurunan fungsi kognitif pada lansia proses menua, pengaruh internal seperti pendidikan, kehidupan sosial, dan sikap; kesehatan fisik dan mental; efek medikasi; serta faktor lingkungan dan merokok. Penanganan agitasi selama ini mengutamakan pemberian agen antipsikotik yang banyak memberikan efek samping bagi lansia. Karya ilmiah ini menjelaskan asuhan keperawatan untuk penanganan agitasi nonfarmakoterapi dengan terapi multisensori Snoezelen. Asuhan keperawatan diberikan selama 5 minggu dengan 14 kali sesi terapi. Hasilnya terdapat efek yang signifikan terhadap penurunan gejala agitasi. Efek jangka panjang kurang signifikan pada klien dengan kerusakan kognitif dan mental berat.

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Agitation is one of the most frequently experienced by elderly with neuropsychiatric dementia. Avoidable behaviors from symptoms of agitation are aberrant vocalization, motor agitation, aggressiveness and behavior to refuse treatment. Common factors cause a decrease in cognitive function in aging processes, internal influences such as education, social life, and attitudes, physical and mental health, medicinal effect, and Environmental factors and smoking. Agitation management has prioritized giving antipsychotic agents that provide side effects for the elderly. This scientific work explains nursing care for the handling of nonfarmacotherapy agitation with Snoezelen multisensory therapy. Nursing care is given for 5 weeks with 14 therapy sessions. A significant effect on decreasing the effect of agitation. Long-term effects are less significant for clients with severe cognitive and mental damage."

""upcycling" dalam tren fesyen untuk mendukung kehidupan yang lebih berkelanjutan. Upcycling adalah kegiatan mengubah atau memodifikasi barang bekas menjadi barang baru dengan nilai tambah. Diharapkan upcycling dapat memperlambat produksi limbah fashion yang mencemari lingkungan dan mengurangi fast fashion. Dalam industri fesyen, upcycling dianggap sebagai tren yang revolusioner karena produk upcycling menawarkan nilai keunikan dan kreativitas. Meskipun gerakan upcycling dianggap bermanfaat bagi lingkungan dan industri fesyen, tetapi muncul isu hukum kekayaan intelektual ketika barang bekas merek terkenal digunakan untuk upcycling. Penggunaan barang bekas bermerek terkenal dianggap dapat merusak citra, reputasi, dan kredibilitas merek terkenal. The Agreement on Trade-Related of Intellectual Property Rights Pasal 6 mengatur bahwa negara anggota dapat menggunakan prinsip exhaustion untuk menyelesaikan sengketa kekayaan intelektual. Skripsi ini menggunakan metode penelitian yuridis normatif untuk menganalisis apakah kegiatan upcycling terhadap barang bekas merek terkenal dapat berakibat pelanggaran merek terkenal dan apakah doktrin exhaustion dapat digunakan sebagai pembelaan oleh penjual produk upcycling untuk mempertahankan kedudukannya.Melemahnya kemampuan bumi untuk menampung pertumbuhan populasi dunia telah mendorong munculnya gerakan "upcycling" dalam tren fesyen untuk mendukung kehidupan yang lebih berkelanjutan. Upcycling adalah kegiatan mengubah atau memodifikasi barang bekas menjadi barang baru dengan nilai tambah. Diharapkan upcycling dapat memperlambat produksi limbah fashion yang mencemari lingkungan dan mengurangi fast fashion. Dalam industri fesyen, upcycling dianggap sebagai tren yang revolusioner karena produk upcycling menawarkan nilai keunikan dan kreativitas. Meskipun gerakan upcycling dianggap bermanfaat bagi lingkungan dan industri fesyen, tetapi muncul isu hukum kekayaan intelektual ketika barang bekas merek terkenal digunakan untuk upcycling. Penggunaan barang bekas bermerek terkenal dianggap dapat merusak citra, reputasi, dan kredibilitas merek terkenal. The Agreement on Trade-Related of Intellectual Property Rights Pasal 6 mengatur bahwa negara anggota dapat menggunakan prinsip exhaustion untuk menyelesaikan sengketa kekayaan intelektual. Skripsi ini menggunakan metode penelitian yuridis normatif untuk menganalisis apakah kegiatan upcycling terhadap barang bekas merek terkenal dapat berakibat pelanggaran merek terkenal dan apakah doktrin exhaustion dapat digunakan sebagai pembelaan oleh penjual produk upcycling untuk mempertahankan kedudukannya.

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The declining capability of the earth to support the world's population has led to the emergence of the sustainable fashion trend of "upcycling". Upcycling involves modifying used goods to create new ones with added value, with the goal of slowing down the fashion industry's disposal of waste and reducing the fast fashion movement. Although upcycling is considered revolutionary, there is a legal issue when using second-hand goods from well-known trademarks. Although the upcycler legally owns the product, the use of goods from well-known trademarks in their upcycling product could damage the well-known trademark reputation and cause consumer confusion when they sell it. The exhaustion principle is outlined in the Agreement on Trade-Related of Intellectual Property Rights Article 6 and said it may be used to settle intellectual property disputes. With juridical normative research method, this thesis will analyze whether there is a trademark infringement in the activity of upcycling using used goods from well-known trademarks. This thesis will also analyze whether the exhaustion doctrine can be used to solve the matter that arises. Moreover, can it be utilized as a defense argument for the upcycler in court."

"Pada awal pandemi COVID-19, keputusan medis pada pasien ditentukan oleh dokter berdasarkan banyak tes medis (misalnya, tes reaksi berantai polimerase, tes suhu, CTScan atau X-ray). Metode transfer learning telah digunakan dalam beberapa penelitian dan berfokus hanya pada satu biomarker (misalnya, hanya CT-Scan atau X-Ray saja) untuk mendiagnosis pneumonia. Dalam studi terbaru, modalitas tunggal memiliki keakuratan klasifikasi sendiri dan setiap biomarker yang berbeda dapat memberikan informasi pelengkap untuk mendiagnosis COVID-19 pneumonia. Tujuan pada penelitian ini adalah membangun model multimodal yaitu dengan menggabungkan dua masukan (input) menjadi satu keluaran (output) pada tahapan pembuatan model. Dua model transfer learning yang berbeda telah digunakan pada masing-masing masukan dengan dataset open-source 2849 gambar CT-Scan dan 2849 gambar X-ray untuk mengklasifikasikan gambar CT-Scan dan gambar X-ray menjadi dua kelas: normal dan COVID-19 pneumonia. Model transfer learning yang digunakan adalah model DenseNet121, model MobileNet, model Xception, model InceptionV3, model ResNet50 dan model VGG16 untuk proses ekstraksi fitur. Alhasil, akurasi klasifikasi terbaik didapatkan sebesar 99,87% saat penggabungan jaringan ResNet50 dan VGG16. Kemudian, akurasi klasifikasi terbaik didapatkan sebesar 98,00% saat menggunakan modalitas tunggal model ResNet50 dengan data CT-Scan dan akurasi klasifikasi sebesar 98,93% untuk model VGG16 dengan data X-Ray. Metode penggabungan multimodal learning menunjukkan akurasi klasifikasi yang lebih baik dibandingkan dengan metode yang menggunakan hanya satu modalitas saja.

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Due to COVID-19 Pandemic, medical decisions on patients were made by doctors based on many medical tests (e.g., polymerase chain reaction test, temperature test, CT-Scan or X-ray). Transfer learning methods have been used in several studies and focus on only one biomarker (eg, CT-Scan or X-Ray only) for diagnosing pneumonia. In recent studies, a single modality has its own classification accuracy and each different biomarker can provide complementary information for diagnosing COVID-19 pneumonia. The purpose of this research is to build a multimodal model by combining two inputs (inputs) into one output (output) at the modeling stage. Two different transfer learning models were used at each input with an open-source dataset of 2849 CT-Scan images and 2849 X-ray images to classify CT-Scan images and X-ray images into two classes: normal and COVID-19 pneumonia. . The transfer learning model used is the DenseNet121 model, the MobileNet model, the Xception model, the InceptionV3 model, the ResNet50 model and the VGG16 model for the feature extraction process. As a result, the best classification accuracy was obtained at 99.87% when merging the ResNet50 and VGG16 networks. Then, the best classification accuracy was obtained at 98.00% when using a single modality ResNet50 model with CT-Scan data and a classification accuracy of 98.93% for the VGG16 model with X-Ray data. The multimodal learning combination method shows better classification accuracy than the method that uses only one modality."

"Salah satu komplikasi pascabedah yang sering dialami pasien geriatri adalah delirium. Insiden delirium pascabedah sangat beragam berkisar 3,6-28,3% dari seluruh pembedahan elektif. Delirium pascabedah berkaitan erat dengan komorbiditas, mortalitas dan peningkatan biaya serta lama perawatan di Rumah Sakit, oleh karena itu pencegahan terhadap kejadian delirum merupakan hal yang penting. Tekanan darah yang rendah dapat menyebabkan hipoperfusi area korteks dan subkorteks serebral. Keadaan ini diduga dapat menyebabkan terjadinya delirium. Adanya abnormalitas perfusi lobus frontal dan parietal otak juga diduga berhubungan erat dengan timbulnya delirium. Masih terdapat kontroversi terhadap pengaruh dari hipotensi intrabedah terhadap kejadian delirium. Penelitian ini bertujuan untuk mengetahui hubungan antara hipotensi intrabedah terhadap kejadian delirium pascabedah pada pasien geriatri.Metode : Penelitian ini merupakan penelitian kohort prospektif terhadap 134 subjek penelitian selama Januari-April 2022 yang dialokasikan ke dalam kelompok dengan hipotensi (n=67) dan tanpa hipotensi (n=67) dikaji dari nilai tekanan darah, durasi hipotensi, dan pemberian topangan kardiovaskular. Penelitian menggunakan uji fungsi kognitif berupa CAM (Confusion Assesment Method) yang dilakukan 24 jam pascabedah.Hasil : Pada penelitian ini didapatkan proporsi kejadian delirium pascabedah  dikaji dari nilai tekanan darah (Tekanan darah sistolik <90 mmHg dan Tekanan darah rerata <65 mmHg), durasi, dan pemberian topangan kardiovaskular bermakna secara statistik (p <0.05). Insidens kejadian delirium pascabedah pada pasien geriatri adalah 36.5%.Kesimpulan : Terdapat hubungan antara hipotensi intrabedah terhadap kejadian delirium pascabedah pada pasien geriatri dikaji dari nilai tekanan darah, durasi, dan pemberian topangan kardiovaskular.

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One of the postoperative complications that are often experienced by geriatric patients is delirium. The incidence of postoperative delirium varies widely, ranging from 3.6 to 28.3% of all elective surgeries. Postoperative delirium is closely related to comorbidities, mortality and increased costs and length of hospital stay, therefore prevention of delirium is important. Low blood pressure can cause hypoperfusion of the cerebral cortex and subcortical areas. This situation is thought to cause delirium. The presence of perfusion abnormalities of the frontal and parietal lobes of the brain is also thought to be closely related to the onset of delirium. There is still controversy about the effect of intraoperative hypotension on the incidence of delirium. This study aims to determine the relationship between intraoperative hypotension and the incidence of postoperative delirium in geriatric patients.

Methods : This study is a prospective cohort study of 134 study subjects during January-April 2022 who were allocated to groups with hypotension (n=67) and without hypotension (n=67) assessed from the value of blood pressure, duration of hypotension, and cardiovascular support. The study used a cognitive function test in the form of CAM (Confusion Assessment Method) which was carried out 24 hours after surgery.

Results : In this study, the proportion of postoperative delirium incidence was assessed from the value of blood pressure (systolic blood pressure <90 mmHg and mean blood pressure <65 mmHg), duration, and the provision of cardiovascular support was statistically significant (p <0.05). The incidence of postoperative delirium in geriatric patients is 36.5%.

Conclusion : There is a relationship between intraoperative hypotension and the incidence of postoperative delirium in geriatric patients assessed from the value of blood pressure, duration, and the provision of cardiovascular support."

"Land cover information is vital for supporting decision concerning the management of the environment and for understanding the causes and trnds of human and natural processess on the earth surface...."

"[ABSTRAK Makalah ini meneliti representasi poskolonial India dalam film the Best Exotic Marigold Hotel. Representasi orientalis India dalam makalah ini dilihat melalui latar tempat, kekacauan (situasi) dan iklim India, transportasi umum, dan kemiskinan dari negara tersebut. Perspektif bias dari 7 karakter turis asal Inggris terhadap India dan proses adaptasi antar kebudayaan juga dibahas dalam makalah ini. Teori Orientalisme Edward Said dan teori Ambivalensi Homi K. Bhabha digunakan untuk menganalisis hubungan poskolonial Inggris-India dalam film, sedangkan konsep dinamis dari teori culture confusion digunakan untuk menjelaskan bagaimana masing-masing karakter menghadapi perbedaan kebudayaan. Hasil penelitian menunjukkan bahwa film the Best Exotic Marigold Hotel mengingatkan kembali masa kolonial Inggris di India dan memperlihatkan sebuah representasi orientalis. ABSTRACT This paper examines the postcolonial representation of India in the Best Exotic Marigold Hotel film. This paper analyzes the orientalist representation of India through settings, the chaos and climate of India, public transportation, and the poverty of the country. It discusses the biased perspectives of the British characters toward India and the process of intercultural adaptation. Edward Said?s orientalism and Homi K. Bhabha?s ambivalence theory are used to examine British-India postcolonial relation in the film. The dynamic concept of culture confusion is used to describe how each character deals with this intercultural experience. Based on the obtained data, this film clearly renders a reminder of British-India colonial past and an orientalist representation.;This paper examines the postcolonial representation of India in the Best Exotic Marigold Hotel film. This paper analyzes the orientalist representation of India through settings, the chaos and climate of India, public transportation, and the poverty of the country. It discusses the biased perspectives of the British characters toward India and the process of intercultural adaptation. Edward Said?s orientalism and Homi K. Bhabha?s ambivalence theory are used to examine British-India postcolonial relation in the film. The dynamic concept of culture confusion is used to describe how each character deals with this intercultural experience. Based on the obtained data, this film clearly renders a reminder of British-India colonial past and an orientalist representation.;This paper examines the postcolonial representation of India in the Best Exotic Marigold Hotel film. This paper analyzes the orientalist representation of India through settings, the chaos and climate of India, public transportation, and the poverty of the country. It discusses the biased perspectives of the British characters toward India and the process of intercultural adaptation. Edward Said?s orientalism and Homi K. Bhabha?s ambivalence theory are used to examine British-India postcolonial relation in the film. The dynamic concept of culture confusion is used to describe how each character deals with this intercultural experience. Based on the obtained data, this film clearly renders a reminder of British-India colonial past and an orientalist representation.;This paper examines the postcolonial representation of India in the Best Exotic Marigold Hotel film. This paper analyzes the orientalist representation of India through settings, the chaos and climate of India, public transportation, and the poverty of the country. It discusses the biased perspectives of the British characters toward India and the process of intercultural adaptation. Edward Said?s orientalism and Homi K. Bhabha?s ambivalence theory are used to examine British-India postcolonial relation in the film. The dynamic concept of culture confusion is used to describe how each character deals with this intercultural experience. Based on the obtained data, this film clearly renders a reminder of British-India colonial past and an orientalist representation., This paper examines the postcolonial representation of India in the Best Exotic Marigold Hotel film. This paper analyzes the orientalist representation of India through settings, the chaos and climate of India, public transportation, and the poverty of the country. It discusses the biased perspectives of the British characters toward India and the process of intercultural adaptation. Edward Said’s orientalism and Homi K. Bhabha’s ambivalence theory are used to examine British-India postcolonial relation in the film. The dynamic concept of culture confusion is used to describe how each character deals with this intercultural experience. Based on the obtained data, this film clearly renders a reminder of British-India colonial past and an orientalist representation.]"