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Muhammad Ridwan
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Komplek Jasari Muslim Jl. Perjuangan, Bandar Klippa, Percut Sei Tuan, Kabupaten Deli Serdang, Sumatera Utara 20371, Indonesia
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Budapest International Research in Exact Sciences (BirEx Journal)
ISSN : 26557835     EISSN : 26557827     DOI : DOI: https://doi.org/10.33258/birex
Budapest International Research in Exact Sciences (BirEx-Journal) is a peer reviewed journal published in January, April, July, October welcome research paper in Medical Science, Agriculture Science, Biological Science, Engineering Science and other related areas and it is published in both online and printed version
Articles 276 Documents
Diagnosis of Pulmonary Hypertension Using Ultrasonography in the Management of Critical Patients in the Intensive Care Unit Eka Adhiany; Muhammad Iqbal
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1364

Abstract

Pulmonary arterial hypertension is most often diagnosed in its advanced stages because of the nonspecific nature of early symptoms and signs. Although clinical assessment is essential when evaluating patients with suspected pulmonary arterial hypertension, echocardiography is a key screening tool in the diagnostic algorithm. Echocardiography is valuable in assessing prognosis and treatment options, monitoring the efficacy of specific therapeutic interventions, and detecting the preclinical stages of disease. In this report, we reported A 35 years old woman admitted to the emergency unit with breathing difficulty which has felt since 2 days before. she transferred from rural hospital after hospitalized for a week. The patient has history of spinal surgery due to spondylitis tuberculosis 8 months ago and has an anti-tuberculosis drug for 2 months. The vital signs show respiratory failure with blood pressure 114/70 mmHg, heart rate 118 bpm, respiratory rate 35-40 bpm and pulse saturation 80-85% with non-rebreathing mask. Physical examination shows increasing work of breathing, without rales and wheezing, liver enlargement palpated 3 fingers below right ribs the chest x ray shows cardiomegaly and right pleural effusion
Application of Phosphate Solubilizing Fungi Indegenous Paddy Soil Increased P Availability, Rice Growth and Production Dermawan Hutagaol; Nurma Ani; Aisyah Lubis
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 3 (2021): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i3.2094

Abstract

Phosphate solubilizing fungi (PSF) from paddy soil can used as biofertilizer to increase P availability.Aimed this experime nt was to increase P availability, growth and paddy rice production. The randomly complete block design used that consist two factors, eg. Dosage of PSF (A) and anorganic P fertilizer (F). Factor dosage of PSF (A) with four levels: without PSF; 2 kg PSF/plot; 4 kg PSF/plot and 6 kg PSF/plot. Factor anorganic P fertilizer with three levels: without anorganic P fertilizer; 50% anorganic P fertilizer and 100% anorganic P fertilizer. Experiment result showed that application of PSF increased P availaibility, growth and plant production more high than without application of PSF. Application of anorganic P fertilizer increased P availability, growth and plant production more high than without application of anorganic P fertilizer. Interaction between  application of PSF with anorganic P fertilizer (4 kg PSF/plot + 100%  anorganic P fertilizer)  increased P availibility, growth and plant production more high  than without  application of  PSF and anorganic P fertilizer (control).
Communicative-Associative Transition to Smart Artificial Intelligence by Criteria with Help of Ensembles of Diversified Agents Evgeniy Bryndin; Irina Bryndina
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1256

Abstract

Cognitive virtual smart artificial intelligence can be formed by ensembles of diversified agents with strong artificial intelligence based on communicative-associative logic by recurring development of professional skills, increasing visual, sound, and subject, spatial and temporal sensitivity. Several diversifiable agents that try to get the same conclusion will give a more accurate result, so several diversifiable agents are combined into an ensemble. Then, based on the criteria of utility and preference, the final result is obtained based on the conclusions of diversifying agents. This approach increases accuracy. Bagging and boosting techniques are used to form ensembles. Bagging is a combination of independent diversifiable agents by averaging patterns (weighted average, majority vote, or normal average). Boosting is the construction of ensembles of diversifiable agents consistently. The idea here is that the next agent will consider the errors of the previous agent. Due to the fact that diversifiable agents take into account errors committed by previous agents, it takes less time to get to a real response. The combination of Bagging and Boosting decision-making methods allows the development of intelligent artificial intelligence by ensembles of diversified agents. Cognitive virtual smart artificial intelligence becomes smarter through the accumulated professional experience of high-tech skills, competencies and knowledge, having increased visual, sound, subject, spatial and temporal sensitivity. Standardization of strong artificial intelligence and the use of ensembles of intelligent compatible diversified agents will help to find boundaries in which smart artificial intelligence will benefit humanity and not harm.
Assessing the Difference in Time to Increase Hemoglobin Levels at 1 hour, 6 hours, and 12 hours after Blood Transfusion in Thalassemia Patients at the Regional General Hospital Dr. Zainoel Abidin Banda Aceh Riny Fasli; Heru Noviat Herdata; Dora Darussalam; Bakhtiar Bakhtiar; Sulaiman Yusuf; Syafruddin Haris; Rusdi Andid; Mulya Safri; Eka Destianti Edward
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 2 (2021): Budapest International Research in Exact Sciences, April
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i2.1809

Abstract

Thalassemia is a congenital blood disorder characterized by reduced production of one or more globin chains. Thalassemia patients lack healthy hemoglobin which the body needs to be properly oxygenated. Blood transfusion is the main treatment for thalassemia patients. Checking hemoglobin levels after transfusion is a common test, but until now there is no definite uniformity of time to carry out these tests, so it will be detrimental to the patient and increase the length of the patient in the hospital. Assessing the difference in time to increase in hemoglobin levels at 1 hour, 6 hours, and 12 hours after blood transfusion in thalassemia patients. This research is an observational analytic study with cross sectional design. This study was conducted by examining the hemoglobin levels of thalassemia patients after 1 hour, 6 hours, and 12 hours after transfusion in thalassemia patients aged 1-18 years with a total sample of 40 people. The statistical analysis used was paired t test. The results showed that 20 men and 20 women and Most were in the age group 10-13 (35%), with an average Hb level at admission of 7.38 g / dL (95% CI). At 1 hour post-transfusion, the patient's mean Hb level increased by 8.97 g / dL (8,59-9,35 g / dL), at 6 hours post transfusion, 8.95 g / dL (8,57-9,32 g / dL), at 12 hours post transfusion increased by 9.60 g / dL (9,17-10,03 g / dL). Significant increase in Hb levels occurred at 1 hour and 12 hours after blood transfusion.
e- Health - Guidelines for State Policy Formation in the Healthcare Sector of Bulgaria Vyara Tserovska; Stoyan Denchev
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 1 (2021): Budapest International Research in Exact Sciences, January
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i1.1498

Abstract

The active reform of the Bulgarian society requires new approaches and full use of information processes for management in the healthcare system. Despite the transformations that have taken place in this area, many issues are yet to be resolved. E-Health is a collection of applications based on advanced information and communication technologies within an organisational and legal framework covering the whole aspect of healthcare, from diagnosis to the time of completion and payment for the treatment. The inconsistencies identified between the high requirements of modern health care, the need to implement the eHealth and the significant falling behind of the project implementation process can only be addressed by implementing a national strategy regulating the objectives, scope and stages of the creation of a single intergrated health information system.
Effect of Cassava (Manihot esculenta Crantz: Euphorbiaceae) Starch on the Stabilization of Malagasy Lateritic Soil Harinivo Olsynthique Razanajatovo; Serge Ravelomanantsoa; Elise Octavie Rasoazanany; Aristote Matondo; Colette Masengo Ashande; Muhammad Ridwan; Koto-te-Nyiwa Ngbolua; Robijaona Rahelivololoniaina Baholy
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1261

Abstract

Laterite is one of the most widespread raw materials, especially in Madagascar. Its valorization as a building material would help to solve many socio-economic problems in Madagascar as well as in Africa. The use of this type of material fits well within the framework of high environmental quality, since the process uses an abundant material that does not require too much energy for its manufacture because it is dried in the open air. The aim of this work was to stabilize the laterite with cassava starch. The valorization of the latter would contribute to the development of new building materials. The study focuses on the mechanical characterization of specimens made with Vontovorona laterite in different proportions, which goes hand in hand with the determination of the physico-chemical parameters of the starch. To make specimens, we used techniques such as extraction, sieving, heating, laterite-stabilizing dosage, mixing, rotting, moulding, clamping, demoulding, drying. The results obtained show that the best stabilizing material is obtained if 15% of starch is mix to lateritic soil. The compressive strength in the dry state of the test specimens (samples) gave a significantly interesting result with a value of 54.8 bars (85% laterite with 15% starch). Thus the use of starch as a stabilizer in construction gave satisfactory results. This eco-friendly process, simple in its steps and practice, should be popularized among artisanal brick makers. Thus, replacing proportions of the Portland cement in soil stabilization with Cassava starch will reduce the overall environmental impact of the stabilization process. 
Anesthesia-Related Mortality in Children: A Surgeon’s Perspective Chukwubuike Kevin Emeka
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 3 (2021): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i3.2079

Abstract

Background: Anesthesia-related mortality refers to death resulting from the complications of anesthesia or death due to at least one anesthesia-related complication happening as a cause among the multiple causes of death. The aim of this study was to evaluate the incidence and causes of anesthesia-related mortality in pediatric patients, as experienced by a surgeon.  Materials and Methods: This was a retrospective study of children aged 15 years and younger who died at the pediatric surgery unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria following administration of anesthesia between January 2010 and December 2019. Results: A total of 31,210 pediatric anesthesias/surgeries were performed during the study period; out of which 78 mortalities occurred due to anesthesia. There was male predominance and the median age of the patients was 4 years with a range of 1 week to 12 years. Mortality occurred more in neonates and during emergency surgeries. Airway complications and intussusception were the most common etiology of mortality and pathology in the children respectively. About two-thirds of the deaths occurred in the operating room before commencement of the surgery. Conclusion: Anesthesia-related deaths in children in middle income country like Nigeria are higher than what is obtainable in developed countries. The risk factors for anesthesia-related mortality include male gender, neonates and emergency surgeries. Airway problem is a common cause of mortality.
Soft Skill Development in Vocational Schools to Produce Competent Graduates Needed by the Business/Industry World Rismaja Putra
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 1 (2021): Budapest International Research in Exact Sciences, January
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i1.1520

Abstract

Companies looking for employees, the most important thing is not hard skills, but soft skills, this is because 80 percent of people are successful because of soft skills. In this case, students from the State Vocational School (SMK) in Banda Aceh need to develop good soft skills since grade X. Special attention and synergy between school principals as leaders, teachers and school officers as teachers and mentors need to be done properly. Implementation in a consistent and integrated manner in a sustainable manner will produce graduates and human resources who are superior and skilled, and graduates who are able to meet the needs of the business world and industry.
Effect of Parents' Characteristics and Perceptions on Basic Immunization in Children at Dr. Zainoel Abidin Banda Aceh Octavina Susanti; T.M. Thaib; Rusdi Andid; Sulaiman Yusuf; Anidar Anidar; Jufitriani Ismy; Darnifayanti Darnifayanti
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 4 (2020): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i4.1402

Abstract

Immunization is a form of health intervention that is effective in reducing infant and under-five mortality rates. In Indonesia Aceh is the province with the lowest immunization coverage, where only 20% of Acehnese children receive complete basic immunization. M e n g analysis of the influence of parents' characteristics and perceptions of primary immunization in children in the General Hospital Dr. Zainoel Abidin Banda Aceh. This type of research is descriptive analytic with approach cross sectional using a questionnaire as a research instrument to the parents of the patients in the wards and child polyclinic period from June to July 2020. A sample of 51 people with methods Consecutive sampling. Data analysis used Chi-square test and Fisher exact test. Based on the results of the analysis of the relationship between parental perceptions and completeness of basic immunization, the results were obtained ( p > 0.05 ), for the assessment of the relationship between parental characteristics in the form of age, monthly income level and number of children with completeness of basic immunization in children, the results were obtained ( p > 0.05). , while the characteristics of the level of parental education with completeness of basic immunization in children obtained hacil ( p <0.05). There is an influence of parental characteristics, namely the level of education with completeness of basic immunization in children, while other variables, namely parents' perceptions, parental age, monthly income and number of children in one family do not affect the completeness of basic immunization in children at Dr. Zainoel Abidin Banda Aceh.     
Performance Measurement System Design with Balanced Scorecard Method at PT. Z Yudi Daeng Polewangi; Nukhe Andri Silviana; Agustinus Silaban
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 3 (2021): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i3.2285

Abstract

This study aims to determine the performance of PT. Z with a Balanced Scorecard approach for the 2016-2020 period based on four perspectives, namely Finance, Customers, Internal Business Processes, and Learning and Growth. The results of this study provide evidence that the Financial Perspective can be said to have been well characterized by an increase in the amount of income, total net income, total equity, and total assets owned. Judging from the financial ratios used (ROE, ROA, and BOPO), it shows that in general there is also an increase. From the customer perspective, consumers are quite satisfied with the service so far in terms of customer satisfaction attributes, interest in innovation changes, and company image. Overall the performance of PT. Z from an Internal Business Process Perspective on the innovation side is very bad with no product innovation being carried out from 1990-present. Meanwhile, in terms of operating processes, the company has implemented process time efficiency well. From the perspective of training and development, based on the results of interviews with company leaders, the company has never conducted training and development for employees. Judging from the job satisfaction indicator in the learning and growth perspective, the average overall employee answer is 3.74, this means that the employees of PT. Z felt quite satisfied while working at PT. Pabrik Es Siantar.

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