scholarly journals Karakteristik Katarak Kongenital di RSUD Provinsi NTB Periode 2018-2019

2021 ◽  
Vol 1 (12) ◽  
pp. 946-956
Author(s):  
Rani Salsabilla ◽  
Marie Yuni Andari ◽  
Monalisa Nasrul

Congenital cataracts are the leading cause of blindness in children. Lens opacity in early life has the potential to cause permanent visual impairment if not treated promptly. Cataract surgery performed at the right time can prevent children from amblyopia (lazy eye). This study aims to determine the characteristics of congenital cataracts at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. This research uses descriptive method. The data used is secondary data from medical records of congenital cataract patients at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. In the 2018-2019 period, 40 children had congenital cataracts. Most of the cataract sufferers were women (52.5%); living outside the city of Mataram (92.5%) with an age distribution of under 12 months (95%) and the rest over 12 months. For infants under 12 months, 53 percent have been diagnosing at the age of 1-2 months. The characteristics of congenital cataracts found were generally bilateral (52.5%), had standard birth weight (52.5%), history of natural birth delivery (67.5%), and had other extraocular congenital abnormalities (72.5%). Most patients with congenital cataracts in the West Nusa Tenggara Provincial General Hospital have been diagnosing at a (pretty/moderately) early age of 1-2 months at the beginning of their lives. So, with appropriate and prompt therapy, hoping that it can reduce the risk of amblyopia.

Author(s):  
David Abulafia

The relationship between Rome and the Mediterranean was already changing significantly before the fall of Carthage and of Corinth. This relationship took two forms. There was the political relationship: it was clear before the Third Punic War that the Roman sphere of influence extended to Spain in the west and to Rhodes in the east, even when the Roman Senate did not exercise direct dominion over the coasts and islands. Then there was the commercial relationship that was creating increasingly close bonds between Rome’s merchants and the corners of the Mediterranean. Yet the Senate and the merchants were distinct groups of people. Like Homer’s heroes, Roman aristocrats liked to claim that they did not sully their hands in trade, which they associated with craft, peculation and dishonesty. How could a merchant make a profit without lies, deception and bribes? Rich merchants were successful gamblers; their fortune depended on taking risks and enjoying luck. This condescending attitude did not prevent Romans as eminent as the Elder Cato and Cicero from commercial dealings, but naturally these were effected through agents, most of whom were Romans in a new sense. As it gained control of Italy, Rome offered allied status to the citizens of many of the towns that fell under its rule, and also established its own colonies of army veterans. ‘Romanness’ was thus increasingly detached from the experience of living in Rome and, besides, only part of the population of the city counted as Roman citizens, with the right to vote, a right denied to women and to slaves. There may have been about 200,000 slaves in Rome around 1 BC , about one-fifth of the total population. Their experience forms an important part of the ethnic history of the Mediterranean. Captives from Carthage and Corinth might be set to work in the fields, having to endure a harsh existence far from home, ignorant of the fate of their spouses and children. Iberian captives were put to work in the silver mines of southern Spain, in unspeakable conditions.


Author(s):  
Deep K. Datta-Ray

The history of Indian diplomacy conceptualises diplomacy racially—as invented by the West—and restrictively—to offence. This is ‘analytic-violence’ and it explains the berating of Indians for mimicking diplomacy incorrectly or unthinkingly, and the deleting, dismissing, or denigrating, of diplomatic practices contradicting history’s conception. To relieve history from these offences, a new method is presented, ‘Producer-Centred Research’ (PCR). Initiating with abduction, an insight into a problem—in this case Indian diplomacy’s compromised historicisation—PCR solves it by converting history’s racist rationality into ‘rationalities’. The plurality renders rationality one of many, permitting PCR’s searching for rationalities not as a function of rationality but robust practices explicable in producer’s terms. Doing so is exegesis. It reveals India’s nuclear diplomacy as unique, for being organised by defence, not offence. Moreover, offence’s premise of security as exceeding opponent’s hostility renders it chimerical for such a security is, paradoxically, reliant on expanding arsenals. Additionally, doing so is a response to opponents. This fragments sovereignty and abdicates control for one is dependent on opponent’s choices. Defence, however, does not instigate opponents and so really delivers security by minimising arsenals since offence is eschewed. Doing so is not a response to opponents and so maintains sovereignty and retains control by denying others the right to offense. The cost of defence is courage, for instance, choosing to live in the shadow of nuclear annihilation. Exegesis discloses Balakot as a shift from defence to offence, so to relieve the Bharatiya Janata Party’s (BJP) leadership of having to be courageous. The intensity of the intention to discard courage is apparent in the price the BJP paid. This included equating India with Pakistan, permitting it to escalate the conflict, and so imperiling all humanity in a manner beyond history.


Author(s):  
Rodney A. Smolla

This personal and frank book offers an insider's view on the violent confrontations in Charlottesville during the “summer of hate.” Blending memoir, courtroom drama, and a consideration of the unhealed wound of racism in our society, the book shines a light on the conflict between the value of free speech and the protection of civil rights. The author has spent his career in the thick of these tempestuous and fraught issues, from acting as lead counsel in a famous Supreme Court decision challenging Virginia's law against burning crosses, to serving as co-counsel in a libel suit brought by a fraternity against Rolling Stone magazine for publishing an article alleging that one of the fraternity's initiation rituals included gang rape. The author has also been active as a university leader, serving as dean of three law schools and president of one and railing against hate speech and sexual assault on US campuses. Well before the tiki torches cast their ominous shadows across the nation, the city of Charlottesville sought to relocate the Unite the Right rally; the author was approached to represent the alt-right groups. Though the author declined, he came to wonder what his history of advocacy had wrought. Feeling unsettlingly complicit, the author joined the Charlottesville Task Force, and realized that the events that transpired there had meaning and resonance far beyond a singular time and place. Why, he wonders, has one of our foundational rights created a land in which such tragic clashes happen all too frequently?


2021 ◽  
Vol 201 (3) ◽  
pp. 534-545
Author(s):  
Janusz Zuziak

Lviv occupies a special place in the history of Poland. With its heroic history, it has earned the exceptionally honorable name of a city that has always been faithful to the homeland. SEMPER FIDELIS – always faithful. Marshal Józef Piłsudski sealed that title while decorating the city with the Order of Virtuti Militari in 1920. The past of Lviv, the always smoldering and uncompromising Polish revolutionist spirit, the climate, and the atmosphere that prevailed in it created the right conditions for making it the center of thought and independence movement in the early 20th century. In the early twentieth century, Polish independence organizations of various political orientations were established, from the ranks of which came legions of prominent Polish politicians and military and social activists.


ZARCH ◽  
2020 ◽  
pp. 58-69
Author(s):  
Tiago Lopes Dias ◽  
Rui Jorge Garcia Ramos

Modern Portuguese architecture has been seen as the result of an eminently empirical and intuitive practice, dissociated from any effort of theoretical structuring. This paper intends to contradict that predominant view, presenting the notion of spatial limit as a subject that earned particular consideration from a younger, more critical and intellectually demanding generation of architects. Firstly, it introduces two notions directly related to limit - ‘extensions of the dwelling’ and ‘transition-space’ - presented in theses by Nuno Portas (b. 1934) and Pedro Vieira de Almeida (1933-2011) respectively, two highly innovative works in the academic panorama of early 1960s. Next, it focuses on the fundamental role each of the notions taken in investigative works that are parallel in time but substantially different. The first, Habitação evolutiva, is a typological study reflecting the spirit of its time by claiming the ‘right to the city’ as the founding principle of a model critical of CIAM urbanism. The second is an essay stemming from a critical reflexion on the work of an eclectic architect that eludes categorization (Raul Lino, 1879-1974) which sheds light on the need for a critical approach to the history of modern architecture.


Author(s):  
David Faflik

Urban Formalism radically reimagines what it meant to “read” a brave new urban world during the transformative middle decades of the nineteenth century. At a time when contemporaries in the twin capitals of modernity in the West, New York and Paris, were learning to make sense of unfamiliar surroundings, city peoples increasingly looked to the experiential patterns, or forms, from their everyday lives in an attempt to translate urban experience into something they could more easily comprehend. Urban Formalism interrogates both the risks and rewards of an interpretive practice that depended on the mutual relation between urbanism and formalism, at a moment when the subjective experience of the city had reached unprecedented levels of complexity. What did it mean to read a city sidewalk as if it were a literary form, like a poem? On what basis might the material form of a burning block of buildings be received as a pleasurable spectacle? How closely aligned were the ideology and choreography of the political form of a revolutionary street protest? And what were the implications of conceiving of the city’s exciting dynamism in the static visual form of a photographic composition? These are the questions that Urban Formalism asks and begins to answer, with the aim of proposing a revisionist semantics of the city. This book not only provides an original cultural history of forms. It posits a new form of urban history, comprised of the representative rituals of interpretation that have helped give meaningful shape to metropolitan life.


1957 ◽  
Vol 24 (2) ◽  
pp. 201-209 ◽  
Author(s):  
T. W. Griffiths ◽  
J. Featherstone

1. During the period September 1954—August 1956 monthly samples of milk were obtained from individual cows in herds selected because of known history of low solids-not-fat. Records were kept of general feeding and management. Milk was analysed for total solids, butter fat and s.n.f. (by difference). Crude protein and lactose were also estimated at three-monthly intervals.2. Mean lactation averages were calculated for s.n.f. These showed a normal distribution around a mean of approximately 8·5%.3. Throughout the period a high proportion of samples failed to reach 8·5%. The seasonal effect is at its worst in March and April when 70% of the samples were below 8·5%.4. Effect of advancing lactation (uncorrected for the effect of season) agreed broadly with previously published work but marked differences in the shape of the lactation curve were found between different herds. Variations in s.n.f. are largely a reflexion of variations in crude protein.5. Age distribution of the cows agreed favourably with published figures for the national herd, and a mean regression of s.n.f. with age gave 0·11% per year.6. Supervision of the feeding of the herds in the investigation gave no measurable improvement in s.n.f. and no significant response was obtained from short-term trials where extra s.e. was fed.7. There was no undue incidence of disease of the udder, either clinical or subclinical.8. Little information could be obtained on breeding, but it is concluded that the major cause of the problem is the genetically poor potentialities of the cows as judged from the average composition of the milk they produce.


2020 ◽  
Vol 10 (1) ◽  
pp. 9-15
Author(s):  
Lisna Hutahean ◽  
◽  
Edison Sagala ◽  
Jamaluddin Jamaluddin ◽  
◽  
...  

This study aims to examine both the application and the accuracy of the accounting information system on outpatient and inpatient service at Medan General Hospital of Mitra Sejati. The research method used is a descriptive method using secondary data, in which the obtained data come from existing sources such as the profile of Medan General Hospital of Mitra Sejati, organizational structure, flowchart, and reports of outpatient and inpatient service at Medan General Hospital of Mitra Sejati. Based on the results of this research, it can be concluded that the accounting information system for outpatient service at Medan General Hospital of Mitra Sejati has not been effectively executed. There are a great number of mistakes made by medical staff in inputting patient data. Accordingly, in the future, Medan General Hospital of Mitra Sejati can provide training for employees in using the accounting information system effectively and is expected to improve outpatient and inpatient service to avoid errors that will impact the quality of service in the hospital.


10.12737/6572 ◽  
2014 ◽  
Vol 8 (4) ◽  
pp. 20-33
Author(s):  
Наталья Гаршина ◽  
Natalya Garshina

Having a look at the tourist space as a cultural specialist, the author drew attention to the fact that the closest to the modern man is a city environment he contacts and sometimes encounters in everyday life and on holidays. And every time whether he wants it or not, it opens in a dif erent way. One way of getting to know the world has long been a walking tour. It’s not just a walk hand in hand with a pleasant man or hasty movement to the right place, but namely the tour, in which a knowledgeable person with a soulful voice will speak about the past and present of the city and its surroundings, as if it is about your life and the people close to you. Turning to the beginning of the twentieth century, the experience of scientists-excursion specialists we today can learn a lot to improve the process of building up a tour, and most importantly the transmission of knowledge about the world in which we live. Well-known names of the excursion theory founders to professionals are I. Grevs, N. Antsiferov, N. Geynike and others. They are given in the context of ref ection on the historical development of walking tours, which haven’t lost their value and attract both creators and consumers of tour services.


2021 ◽  
pp. 172-179
Author(s):  
Martin Harutyunyan

In Yerevan, as well as in a number of other Armenian cities, gardens were designed and constructed mainly during the Soviet era, and most of them were transformed, distorted and devastated in the first decade of the period of independence. In the last decade, a unique number of gardens/parks have been built or reconstructed in Yerevan. The city of Yerevan needs this kind of investigation. To observe and analyse the current state of gardens and parks, architectural and design structures as well as compositional design issues and problems concerning Yerevan’s gardens and parks can be the first study in the Armenian history of design and architecture We still do not have any information about similar research efforts in the given sphere carried out in the countries neighbouring Armenia and other foreign countries. This article presents the right process of modernization and/or construction of gardens/parks based on the study of the best models envisions and requires application and implementation of different tools of compositional design and modification not only in the design proper of gardens/parks, but also in the external design and aesthetic nuances of the adjacent surrounding, leaving any compositional design setup unchanged.


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