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2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Aisyah Amirah binti Mohd Zahari ◽  
Firdaus Ujang

Background: Intraocular foreign body (IOFB) is a common ocular trauma and is a leading cause of visual impairment. Majority of the cases reported the occurrence at the workplace and usually related to activities involving metallic objects. Hammering, drilling, explosion and usage of machining tools are among the causes of IOFB. Foreign body in the angle are frequently missed as it is not visualised directly during a routine examination. Thus, a thorough examination which includes gonioscopy and imaging must be done in all penetrating and full thickness cornea laceration cases. Purpose: We report a case of self-sealed full thickness cornea laceration with presence of metal foreign body in the angle. Method: Case Report Result: A 19 year-old boy, presented with right eye discomfort following trauma 1 week prior to presentation. Examination revealed a self-sealed full thickness cornea laceration at 1-2 o’clock with a foreign body found seated on the angle from gonioscopy. A foreign body consist of metal had successfully removed surgically with the facilitation of intraocular magnet. Conclusion: All self-sealed penetrating injury to the eye required a high index of suspicious of intraocular foreign body. An imaging and complete examination with dilated fundus examination and gonioscopy will be helpful to identify the location of foreign body. Hence, definitive treatment will prevent long term complication related to intraocular foreign body.


ASTONJADRO ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 109
Author(s):  
Husnul Khatimi ◽  
Muhammad Reza Fardian ◽  
Yuslena Sari

<p>Development of The Syamsudin Noor Airport Project in Banjarmasin is one of the largest projects in Banjarmasin, South Kalimantan. This project applied BIM-based cost estimation on a steel roof structure. However, the cost estimation for this steel roof structure is applied conventionally. The BIM-based cost estimation could have been applied in collaborating a building information becomes unity in one model. This research will raise the issue of applying BIM-based cost estimation at The Syamsudin Noor Airport Project to find out the effectiveness calculation of cost estimation conventionally and BIM-based cost estimation. The report result by 3D modeling of Tekla is quantity take-offs using as a data for processing the cost analysis conventionally. Whereas the 3D model made by Tekla will be exported to Revit through the interoperability of IFC or application of extention of Tekla warehouse that is “Export to Revit Geometry” for the processing the BIM-based cost estimation analysis. The unit price for the cost calculation is acquired by list price (AHSP or subcontractor value). The result of these both cost calculation, there are large enough difference in cost of these both calculations. Difference of conventional calculations and BIM-based cost estimation using Revit worth Rp 3,690,741,474 - Rp 5,047,206,780 with a percentage of 14% - 20%. Cause of these large enough differences in cost due to the model exported is only 90% succeeded. It happened due to difference thing in the mapping of object profile and difference in shape BREP geometry conditions.</p>


2021 ◽  
Vol 2 (3) ◽  
pp. 45-49
Author(s):  
Silvia Herlina

This study aims to describe the form of the role of parents in improving discipline and responsibility for children who are still in elementary school (SD) in Korong rimbo karambia, ulakan tapakis sub-district, padang pariaman district, as well as to find out the inhibiting factors for planting discipline and responsibility. answer to elementary school students in Korong rimbo karambia, ulakan tapakih sub-district, padang pariaman district. This study uses a qualitative approach with descriptive analysis research type. The research focus is a form of child discipline. The activity stage is the planning stage, the implementation stage, and the report result stage, the data sources used are primary and secondary data. The instrument used in this study was an interview guide sheet, data collection procedures, namely observation, interviews and documentation. Checking the validity of the data, namely the triangulation of techniques and triangulation of sources, while the data analysis used was to explain, describe, and describe according to the problem. The results showed that (1) parents still supervise their children both in terms of time and behavior, (2) the inhibiting factor in instilling discipline and responsibility for elementary school students, namely the lack of consistency of parents in providing examples due to the busyness of parents at work.


2020 ◽  
Vol 43 (2) ◽  
pp. 159
Author(s):  
Zikry Aulia Hidayat

Objective: Systemic lupus erythematosus (SLE) is a complex autoimmune disease involving many systems. Highest incidence and prevalence of SLE is found in Northern America 23.2/100,000 population/year and 241/100,000 population. According to sex differences, SLE is predominantly occurs in women than men with ratio 15:1 to 22:1. This discrepancy often causes delay in diagnosing SLE in male patients. Method: Case report. Result: We reported a male patient aged 21 years with pain of his joints, hyperpigmentation lesions on his face, alopesia, oral ulcers and decrease of body weight. Laboratory results showed increases in AST, ALT and D-Dimer, and from ANA Profile examination we got several positives results such as RNP/Sm (RNP/Sm) (++), Sm (Sm) (+), Ro-52 recombinant (52) (+), PCNA (PCNA) (+), DsDNA (DNA) (+), Nucleosome (NUC) (+), Histone (HI) (++), Ribosomal-P-protein (RIB) (+++) dan AMA-M2 (M2) (+). This patient met SLE criteria based on ACR 1997, SLICC 2012 and EULAR/ACR 2018. Patient was given oral methyl prednisolone 16-16-8 mg and VTE prophylaxis with subcutaneous heparin 2x5000 IU. Conclusion: SLE occurs rarely in male patients than female patients and has more diverse manifestations.


2020 ◽  
Vol 6 (1) ◽  
pp. 603-608
Author(s):  
Fajar Ardianing Gofur ◽  
Cucu Herawati

Berdasarkan  hasil  laporan  Indeks  Kepuasan  Msyarakat  (IKM)  tahun  2013  di UPTD Puskesmas Astanagarib Kota Cirebon, dilaporkan bahwa Puskesmas Astanagarib berada di peringkat 4 terbawah dengan persentase tingkat kepuasan secara keseluruhan 73,54% dengan jumlah peserta Badan Penyelenggara Jaminan Sosial  (BPJS)  selama  5  bulan  terakhir  sebanyak  2.577  peserta  dari  5.983 penduduk, rendahnya persentase dalam IKM dan jumlah peserta BPJS tersebut dipengaruhi oleh berbagai macam faktor seperti kemudahan dalam prosedur pelayanan, informasi, ketepatan waktu pelayanan, kehandalan, kecepatan dalam pelayanan, kenyamanan lingkungan, serta kesopanan dan keramahan. Tujuan penelitian  ini  adalah  untuk  mengetahui  hubungan  antara  faktor-fakto yang berhubungan dengan  kepuasan  peserta  Badan  Penyelenggara  Jaminan  Sosial (BPJS) terhadap pelayanan program Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di UPTD Puskesmas Astanagarib Kota Cirebon tahun 2014. Jenis penelitian deskriptif analitik dengan desain studi Cross Sectional. Populasi dalam penelitian ini adalah seluruh peserta BPJS di Kelurahan Pekalipan (wilayah kerja UPTD Puskesmas Astanagarib) Kota Cirebon tahun 2014 sebanyak 2.577 peserta. Jumlah sampel sebanyak 97 peserta yang diambil secara Accidental Sampling.  Data  dianalisis  secara  statistik  menggunakan  uji  Chi  Square  pada tingkat kemaknaan 5% (0,05). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara ketepatan waktu dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan yang bermakna antara informasi dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan  yang bermakna antara kompetensi teknis dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00) dan tidak ada hubungan yang bermakna antara hubungan antar manusia dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,39).Kata Kunci : Tingkat Kepuasan, peserta BPJS ABSTRACTBased on report result of Indeks Kepuasan Masyarakat (IKM) 2013 in UPTD local government clinic of Astanagrip Cirebon, reviewed that Astanagrip local government clinic was in bottom 4 through overall of satisfaction percentage is 73,54% with participants of Badan Penyelenggara Jaminan Sosial (BPJS) as long as 5 months are 2.577 of 5.983 inhabitants, the low of percentage on IKM and the number of BPJS participants is influenced on kind of factors like easy of service procedure, information, punctuality of service, professionalism, speed, comfortable, polite behavior and friendly. Aim of this research is to know the relation of that related factors with Badan Penyelenggara Jaminan Sosial (BPJS) participants   satisfaction              on   Badan   Penyelenggara   Jaminan   Sosial   (BPJS) Kesehatan program service in UPTD local government clinic of Astanagrip Cirebon 2014. Analytical Descriptive research with Cross Sectional design. Population in this research is all of district Pekalipan (UPTD local government clinic work area) Cirebon BPJS participants 2014 are 2.577 participants. The writer has taken 97 participants by Accidental Sampling for the sample of research. The data was analyzed by statistical accounting used Chi Square test on sense level 5% (0, 05). Result of this research shows that there was a means relation between punctuality of service with BPJS Kesehatan program service satisfaction (p = 0,00), information  with  BPJS  Kesehatan  program  service  satisfaction  (p  =  0,00), technical competence with BPJS Kesehatan program service satisfaction (p = 0,00), and there wasn’t a means relation between people relation with BPJS Kesehatan program service satisfaction (p = 0,39).Key Words  : Level of Satisfaction, participants BPJS


2020 ◽  
Author(s):  
Evgeny Limanov ◽  
Valentina Butvina ◽  
Oleg Safonov

&lt;p&gt;Phlogopite is accepted as a major mineral indicator of the modal metasomatism in the upper mantle within a very wide P-T range and fluid/melt compositions. It extensively forms in mantle peridotites transforming initial harzburgites and lherzolites to phlogopite wehrlites both in garnet and spinel-facies. A reaction 5En + Grt + [K&lt;sub&gt;2&lt;/sub&gt;O + 2H&lt;sub&gt;2&lt;/sub&gt;O in fluid] = Phl + Di (Grt &amp;#8211; pyrope-grossular garnet CaMg&lt;sub&gt;2&lt;/sub&gt;Al&lt;sub&gt;2&lt;/sub&gt;Si&lt;sub&gt;3&lt;/sub&gt;O&lt;sub&gt;12&lt;/sub&gt;) is considered as the major mechanism for phlogopite formation in garnet-facies peridotites. This reaction is commonly accompanied by regular compositional changes of primary garnet and pyroxenes. In order to illustrate the regularities, we report result of experimental study of the phlogopite-forming reactions in the model systems pyrope-enstatite, grossular-pyrope-enstatite and knorringite-pyrope-enstatite systems in presence of a H&lt;sub&gt;2&lt;/sub&gt;O-KCl fluid at pressure 3 and 5 GPa and temperatures of 900 and 1000&amp;#176;C. The experiments were aimed at the tracing of variations of grossular and knorringite contents in garnet, as well as Al content of pyroxenes, with variations of the KCl content in the fluid.&lt;/p&gt;&lt;p&gt;The increase of X&lt;sub&gt;KCl&lt;/sub&gt; in the fluid is accompanied by gradual decomposition of garnet and Al-bearing enstatite in all systems. The Al&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;3&lt;/sub&gt; content in orthopyroxene decreases in the pyrope &amp;#8211; enstatite system at 5 GPa and 900&amp;#176;C. In the system enstatite-pyrope-grossular at 5 GPa and 1000&amp;#176;C phlogopite forms at the KCl content 10 mol. % in the fluid. Further increase of the KCl content in the fluid results in gradual disappearance of garnet and orthopyroxene and stronger domination of phlogopite and clinopyroxene. Grossular content in garnet increases with the KCl concetration in the fluid up to 10 mol. %, but further increase of the KCl concentration to 20 mol. % results in decrease of the grossular content in garnet. In the system enstatite-pyrope-knorringite at the KCl content in the fluid 0 &amp;#8211; 10 mol. %, garnet contains 8-9 mol. % of knorringite. Cr-bearing phlogopite (about 2 wt. % Cr&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;3&lt;/sub&gt;) appears in this system at 10 mol. % KCl in the fluid, and its formation results in a slight increase of the knorringite content in garnet. Because of relatively high SiO&lt;sub&gt;2&lt;/sub&gt; bulk content in comparison to the typical peridotite, Cr-bearing kyanite (not spinel) forms at 20 mol. % KCl in the fluid resulting in a decrease of the knorringite content in garnet down to 3-5 mol. %. The Cr&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;3&lt;/sub&gt; content in the coexisting phlogopite concomitantly decreases by about 1 wt. %.&lt;/p&gt;&lt;p&gt;The above experiments reproduced some characteristic regularities in variations of garnet and pyroxene compositions in the course of phlogopite formation in mantle peridotites. The applicability of the experimental results is illustrated by examples from peridotite xenoliths from kimberlites. These effects can be applied for the quantitative and qualitative estimates of variations in K activity during the modal mantle metasomatism.&lt;/p&gt;


2019 ◽  
Vol 3 (2) ◽  
pp. 137-141
Author(s):  
Tria Sari Retno Asih ◽  
Roza Sriyanti

Objective: Report a case of thanatophoric dysplasiaMethod: Case report Result: Case of a 25-year-old woman, with a diagnosis of gravid preterm G4P2A1H2 31-32 weeks + polyhydramnios + fetal hydrops, a single intrauterine live fetus with thanatophoric dysplasia. On ultrasound examination found fetal biometry; BPD: 7.78 cm, FL: 3.58 cm, HL: 3.11 cm, AC: 30.90 cm, HC: 28.48 cm AFI: 33.27 cm, a frontal bossing (+) picture appears, claver leaf skull (+) and micromelia (proximal, distal, phalanges). The ultrasound examination suggested Severe skeletal dysplasia (thanatophoric dysplasia), polyhydramnios, + single intrauterine live fetus + SC 1x scars. Then an amnioinfusion is performed and results are obtained. Chromosome analysis is carried out using the G-banding technique. Chromosomes have been studied from 20 cells from 3 different cell culture preparations and obtained the number of chromosomes in each cell studied is 46, XY which means the number of chromosomes 46 pieces with fetal sex chromosome XY. Mosaic chromosome abnormalities generally occur due to non-disjuntion in the mitotic phase after conception. At 33-34 weeks gestation, an infant was born by SC with birth weight: 1900 g, baby’s length: 31 cm, A / S 2/3.Conclusion : Thanatophoric dysplasia is a "lethal" skeletal dysplasia. A careful prenatal examination is needed in the diagnosis and termination of pregnancy.Keywords: Thanatophoric dysplasia, prenatal diagnosis


2019 ◽  
Vol 48 (2) ◽  
pp. 189
Author(s):  
Vicky Eko ◽  
Rokhaeni Rokhaeni

Latar belakang: Hemangioma merupakan proliferasi dari pembuluh darah yang tidak normal dan dapat terjadi pada setiap jaringan pembuluh darah. Adanya massa di laring harus dibedakan sebagai suatu proses inflamasi, atau massa tumor seperti polip laring, karsinoma laring, atau hemangioma. Tujuan: Untuk mengetahui hemangioma kavernosa laring dan penatalaksanaannya. Laporan kasus: Pasien laki-laki, 45 tahun dengan keluhan suara serak yang terus-menerus sejak 1 tahun sebelum masuk rumah sakit. Keluhan serak makin lama makin berat dan dirasakan sangat parah dalam 1 bulan terakhir. Keluhan sesak dan batuk tidak ada, riwayat merokok ada, pekerjaan petani, dan sering terpapar obat hama. Pada pemeriksaan endoskopi kaku 700 didapatkan massa menutup laring, batas tidak tegas, dan pada pemeriksaan CT Scan laring didapatkan massa pada laring bilateral. Dari pemeriksaan Patologi Anatomi didapatkan kesimpulan hemangioma kavernosa. Penatalaksanaan pasien ini berupa trakeostomi dengan anestesi lokal, dan bedah laring mikroskopi dengan anestesi umum. Metode: Telaah literatur berbasis bukti mengenai hemangioma kavernosa laring melalui database Cochrane dan Pubmed Medline. Berdasarkan kriteria inklusi dan ekslusi didapatkan 3 jurnal yang relevan dengan kasus yang dilaporkan. Hasil: Berdasarkan literatur bahwa hemangioma kavernosa laring merupakan kasus jarang, dan lokasi yang sering terjadi di regio supraglotis dan glotis. Gejala tersering yaitu suara serak. Faktor yang mempengaruhi pilihan terapi adalah usia pasien, tipe, ukuran dan lokalisasi tumor. Kesimpulan: Penatalaksanaan hemangioma kavernosa laring berupa trakeostomi dan bedah laring mikroskopik dengan hasil yang baik. Background: Hemangioma is an abnormal proliferation of blood vessels and it can occur in any blood vessel tissue. The presence of laryngeal masses has to be differentiated as an inflammation process or tumor mass such as polyps of the larynx, laryngeal carcinoma, or hemangioma. Purpose: To gain knowledge of laryngeal cavernous hemangioma and its management. Case Report:  Male, 45 years old, complained of persistent hoarseness for about 1 year, and getting much worse since the last month. No complaint of breathing difficulty nor coughing. Had a positive history of smoking, worked as a farmer, often exposed to insecticides. A seventy degree rigid endoscopy examination showed an irregular shaped mass occluding the larynx, indistinct borders, and the CT scan confirmed an isodense mass in larynx bilaterally. The  Pathology Anatomy examination result concluded as cavernous hemangioma. The patient underwent tracheostomy with local anesthesia and microlaryngoscopic surgery under general anesthesia. Method:  An evidence based literature study on laryngeal cavernous hemangioma was performed through Cochrane and Pubmed Medline. Based on inclusion and exclusion criteria, there were 3 journals which were relevant with the case report. Result: Literature study revealed that laryngeal cavernous hemangioma is a rare case. The frequent  location was  in supraglotis and glotis regions. Conclusion: The management of laryngeal cavernous hemangioma consisted of tracheostomy and microlaryngoscopic surgery with good result.


2018 ◽  
Vol 15 (2) ◽  
pp. 45
Author(s):  
Aprilya Dwi Yandari ◽  
Erina Sudaryati

This article writes related the purpose of writing is to measure the extent of audit fees, audit committee on audit quality in a decision making. When to pay a fee should not be done by an auditee, because avoiding the existence of a form of problem to the loss of an auditor independence. Especially for clients who have opinions other than unqualified (WTP). It may also encourage an auditee to pressure the auditor, such as the form of pressure that will replace his or her public accounting firm with another accounting firm. Fee audit and audit committee are very influential in audit quality, when the actual audit cost is higher than normal audit cost. And then, audit fee of expensive can create an incentive to the auditor to agree on client pressure in a form of report result so that it can result to quality audit. In addition, audit fees also arise over a clients business risk relationship which has important implications for the obligation of an independent auditor for an audit that has been allegedly negligent in doing so, as well as on audit fees which theoretically relate to both an audit effort and a business's risk auditors. Keywords: Fee Audit, Audit Committee, Audit Quality, Financial Statements


2018 ◽  
Vol 4 (1) ◽  
pp. 85
Author(s):  
Yeni Suprihatin ◽  
Etika Lisyana Dewi

Life skill education is an education that provides basic supplies and training to learners about the values of life needed and useful for the development of everyday life. Research on integrated life skill education in enterpreneurship subject in SMP Cahaya Bangsa School aims to know what life skill orientation in Entrepreneurship subject and examine the extent of life skill education implementation in Enterpreneurship subject. The design of this study used qualitative research with case study type. A descriptive inductive approach is used to describe a case by understanding symptoms and meaning. Researchers use in-depth interview techniques, digging information with direct observation, and study documentation. In analyzing the data, the researcher through three main components, namely, data reduction, display data, and data conclusion drawing. The results showed that the concept of life skill education is internalized in the entrepreneurship subject syllabus, then the teacher describes it in various learning activities such as washing activities, ironing activities, live in program, and market day. Evaluation done by teacher in assessing ability of life skill of student is by observing directly activity in enterpreneurship subject and student also given duty to write report result of activity live in.


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