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The election of the class president is one of the activities that is often carried out when students are in school. A class in school can be interpreted as a country that has a government system. So, it is very important for a class to have a leader. Usually the election of the chairman is done by voting from class members. Later as a chairman, you will have various obligations. Simple Additive Weighting (SAW) is a method that is often known as the weighted sum method. Based on the needs gathering, an approach is proposed using a decision support system using the SAW method in selecting class leaders. There are 4 criteria used in selecting class leaders. The purpose of the weighted sum is to find the weighted sum of the ratings in each alternative on all criteria. Based on the calculation results using SAW for the election of the class leader, the 1st rank of the class leader election is Ahmad Jatmiko with a score of 0.99. Ranked 2nd in the class leader election was Muhammad Akbar with a score of 0.9. And ranked 3rd in the class leader election is Siti Setianingsih with a score of 0.8525.

The initial description of robotic tracheobronchoplasty for the treatment of tracheobronchomalacia demonstrated feasibility, safety, and short-term symptomatic and functional improvement. The purpose of the current study was to demonstrate intermediate outcomes in postoperative pulmonary function and quality of life after robotic tracheobronchoplasty.We retrospectively reviewed prospectively collected clinical data from 42 patients who underwent robotic tracheobronchoplasty from May 2016 to December 2017. The Institutional Review Board or equivalent ethics committee of the Northwell Health approved the study protocol and publication of data. Patient written consent for the publication of the study data was waived by the Institutional Review Board.A total of 42 patients underwent robotic tracheobronchoplasty during the study period. Median total follow-up is 40 months. There was 1 death since surgery from an unrelated disease. Significant decreases in St George's Respiratory Questionnaire total score (preoperative mean: 64.01, postoperative mean: 38.91, P = .002), St George's Respiratory Questionnaire symptom score (preoperative median: 82.6, postoperative median: 43.99, P .001), and St George's Respiratory Questionnaire impact score (preoperative median: 55.78, postoperative median: 25.95, P .001) were apparent at a median follow-up of 13 months. Comparison of preoperative and postoperative pulmonary function tests revealed a significant increase in percent predicted forced expiratory volume in 1 second (preoperative median: 74% vs postoperative median: 82%, P = .001), forced vital capacity (preoperative median: 68.5% vs postoperative median: 80.63%, P .001), and peak expiratory flow (preoperative median: 61.5% vs postoperative median: 75%, P = .02) measured at a median follow-up of 29 months.Robotic tracheobronchoplasty is associated with low intermediate-term mortality. Robotic tracheobronchoplasty results in significant improvement in quality of life and postoperative pulmonary function. Longer-term follow-up is necessary to continue to elucidate the effect of robotic tracheobronchoplasty on halting pathologic progression of tracheobronchomalacia and to determine the long-term impact of tracheobronchoplasty on symptomatic and functional improvement.

Menjalani kehidupan dalam suasana kedamaian tentu menjadi sebuah dambaan bagi setiap masyarakat. Masyarakat Toraja adalah orang-orang yang hidup berdampingan dalam berbagai perbedaan yang ada. Salah satu pemandangan unik Toraja orang-orang tentang cara menjaga perdamaian adalah berkorban sebesar-besarnya demi damai dengan orang lain.Kata Kunci: Kedamaian, Hidup, Masyarakat, Perbedaan, Toleransi

Dalam kehidupan sehari-hari tentunya kita perlu memperhatikan etika. Etika itu sendiri tercermin pada diri setiap individu masing-masing yang dimana dibawakan dalam dan dimana saja. Etika biasanya digunakan untuk memperoleh perhatian lebih atau mendapatkan sesuatu yang kita inginkan, namun tujuan dari etika sendiri lebih menonjolkan karakter seseorang.

Currently, the goods sorting process in industry still uses a manual method. Therefore, it is necessary to propose an automatic sorting method using control technology. In order to realize the above issue, an automated method is proposed to separate plastic materials and metallic materials in a prototype of goods sorting process. In our study, a plastic bottle and metal bottle detector was designed using a TCRT5000 infrared sensor and an Arduino Uno-based Proximity sensor. The TCRT5000 sensor functions to detect nonmetallic materials while the proximity sensor detects metallic and nonmetallic materials. The sensors will provide logic output to the microcontroller so that the types of materials that enter the sorting system can be distinguished. After the material passes through the sensor, the LCD will automatically display the object value, then the servo motor will sort the objects by moving the actuator to sort the material. Based on the design and implementation of the prototype and based on testing, the plastic bottle material and metal bottle material can be separated properly

BACKGROUND: Aggregated α-synuclein plays an important role in Parkinson's disease pathogenesis. Cinpanemab, a human-derived monoclonal antibody that binds to α-synuclein, is being evaluated as a disease-modifying treatment for Parkinson's disease. METHODS: In a 52-week, multicenter, double-blind, phase 2 trial, we randomly assigned, in a 2:1:2:2 ratio, participants with early Parkinson's disease to receive intravenous infusions of placebo (control) or cinpanemab at a dose of 250 mg, 1250 mg, or 3500 mg every 4 weeks, followed by an active-treatment dose-blinded extension period for up to 112 weeks. The primary end points were the changes from baseline in the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) total score (range, 0 to 236, with higher scores indicating worse performance) at weeks 52 and 72. Secondary end points included MDS-UPDRS subscale scores and striatal binding as assessed on dopamine transporter single-photon-emission computed tomography (DaT-SPECT). RESULTS: Of the 357 enrolled participants, 100 were assigned to the control group, 55 to the 250-mg cinpanemab group, 102 to the 1250-mg group, and 100 to the 3500-mg group. The trial was stopped after the week 72 interim analysis owing to lack of efficacy. The change to week 52 in the MDS-UPDRS score was 10.8 points in the control group, 10.5 points in the 250-mg group, 11.3 points in the 1250-mg group, and 10.9 points in the 3500-mg group (adjusted mean difference vs. control, -0.3 points [95% confidence interval {CI}, -4.9 to 4.3], P = 0.90; 0.5 points [95% CI, -3.3 to 4.3], P = 0.80; and 0.1 point [95% CI, -3.8 to 4.0], P = 0.97, respectively). The adjusted mean difference at 72 weeks between participants who received cinpanemab through 72 weeks and the pooled group of those who started cinpanemab at 52 weeks was -0.9 points (95% CI, -5.6 to 3.8) for the 250-mg dose, 0.6 points (95% CI, -3.3 to 4.4) for the 1250-mg dose, and -0.8 points (95% CI, -4.6 to 3.0) for the 3500-mg dose. Results for secondary end points were similar to those for the primary end points. DaT-SPECT imaging at week 52 showed no differences between the control group and any cinpanemab group. The most common adverse events with cinpanemab were headache, nasopharyngitis, and falls. CONCLUSIONS: In participants with early Parkinson's disease, the effects of cinpanemab on clinical measures of disease progression and changes in DaT-SPECT imaging did not differ from those of placebo over a 52-week period. (Funded by Biogen; SPARK ClinicalTrials.gov number, NCT03318523.).