bluuebunny/crossref_metadata_2025 huggingface dataset:
Female gender and mortality in ST-segment-elevation myocardial infarction treated with primary PCI
Authors: Paradossi Umberto , Taglieri Nevio , Massarelli Giulia , Palmieri Cataldo , De Caterina Alberto Ranieri , Bruno Antonio Giulio , Taddei Alessandro , Nardi Elena , Ghetti Gabriele , Palmerini Tullio , Trianni Giuseppe , Mazzone Annamaria , Pizzi Carmine , Donati Francesco , Bendandi Francesco , Marrozzini Cinzia , Ravani Marcello , Galiè Nazzareno , Saia Francesco , Berti Sergio
Published: January 2022

Aims

To investigate gender difference in mortality among patients with ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous angioplasty (PPCI).

Methods

We analyzed data from the prospective registries of two hub PPCI centres over a 10-year period to assess the role of female gender as an independent predictor of both all-cause and cardiac death at 30 days and 1 year. To account for all confounding variables, a propensity score (PS)-adjusted multivariable Cox regression model and a PS-matched comparison between the male and female were used.

Results

Among 4370 consecutive STEMI patients treated with PPCI at participating centres, 1188 (27.2%) were women. The survival rate at 30 days and 1 year were significantly lower in women (Log-rank P-value < 0.001). At PS-adjusted multivariable Cox regression analysis, female gender was independently associated with an increased risk of 30-day all-cause death [hazard ratio (HR) = 2.09; 95% confidence interval (CI): 1.45–3.01, P < 0.001], 30-day cardiac death (HR = 2.03;95% CI:1.41–2.93, P < 0.001), 1-year all-cause death (HR = 1.45; 95% CI:1.16–1.82, P < 0.001) and 1-year cardiac death (HR = 1.51; 95% CI:1.15–1.97, P < 0.001). For the study outcome, we found a significant interaction of gender with the multivessel disease in females who were at increased risk of mortality in comparison with men in absence of multivessel disease. After the PS matching procedure, a subset of 2074 patients were identified. Women still had a lower survival rate and survival free from cardiac death rate both at 30-day and at 1-year follow-up.

Conclusion

As compared with men, women with STEMI treated with PPCI have higher risk of both all-cause death and cardiac mortality at 30-day and 1-year follow-up.
The utility of apparent diffusion coefficient values in the risk stratification of prostate cancer using a 1.5T magnetic resonance imaging without endorectal coil
Authors: Lopes Dias João , Magalhães Pina João , Vasco Costa Nuno , Carmo Sandra , Leal Cecília , Bilhim Tiago , Mateus Marques Rui , Campos Pinheiro Luís
Published: January 2022

PurposeTo evaluate the relationship between mean apparent diffusion coefficient (ADC) and post-surgical Gleason scores. To determine the diagnostic accuracy of multiparametric magnetic resonance imaging (mp-MRI) on a 1.5T magnet in distinguishing low, intermediate and high-grade prostate tumors.Material and methodsThis is a retrospective institutional-review-board-approved, single-center study including 30 patients (median age, 60 years) who underwent mp-MRI before prostatectomy for prostate cancer. Using histological reports for guidance, the tumors were localized in ADC maps, and mean ADCs were measured and examined for correlation with Gleason scores. 2 patients had 2 measurable foci, so a total of 32 tumors were studied. The diagnostic accuracy of the mean ADC was assessed by using the area under the receiver operating characteristic curve (ROC).ResultsIn the differentiation of tumors with a Gleason score of 6 from those with a Gleason score of at least 7, mean ADC yielded an AUC of 0.76 (95% confidence interval: 0.59, 0.93). In the differentiation of tumors with Gleason scores of 6 or 7 from those with a Gleason score of at least 8, mean ADC yielded an AUC of 0.94 (95% confidence interval: 0.86, 1.00).ConclusionMean ADC values may allow a correct assessment of the patient risk using a 1.5T magnet without ERC.
Focal therapies for the treatment of localized prostate cancer: The role of irreversible electroporation – Present or future?
Authors: Conceição Fernandes Pedro , Pereira Bruno Jorge
Published: January 2022

In the PSA era, the incidence of localized prostate cancer has been increasing. This reality requires new therapeutic strategies, in order to give an answer to patients, in whom active surveillance may be indicate but desire more interventionist strategy with minimal side effects and without compromising cancer control. In these cases, focal therapies that include irreversible electroporation may be effective alternative strategies. The irreversible electroporation is an emergent approach on focal treatment of localized PCa. The nonthermal mechanism that preserves the tissue architecture without damaging tissue structures, such as vessels and nerves within the target region, is the main advantage comparatively to other techniques used in focal treatment. The number of clinical studies is reduced and the results still immature.
Litíase em Rim em Ferradura em Doente com Ureter Reimplantado: A Propósito de um Caso Clínico
Authors: Nunes-Carneiro Diogo , Oliveira Rui , Cavadas Vítor
Published: January 2022

O rim em ferradura é uma anomalia renal congénita muito comum, estando muitas vezes associada a infeções do trato urinário e a litíase renal como consequência das alterações anatómicas que dificultam uma drenagem eficaz de urina. O tratamento dos cálculos nestes casos torna-se um desafio devido às anomalias anatómicas subjacentes exigindo uma adaptação das técnicas normalmente utilizadas para o tratamento da litíase renal.

O artigo reporta o caso de uma mulher de 44 anos, com uma história de reimplantação ureteral à esquerda do tipo Cohen por refluxo vesico-ureteral na infância e com litíase renal. A doente apresentava dois cálculos com 12 e 10 mm de maior diâmetro no pielão superior do hemi-rim esquerdo, cujo infundíbulo tinha um calibre estreito. Procedeu-se a uma ureterorrenoscopia flexível com litotrícia laser Holmium através da colocação de uma baínha ureteral acima do infundíbulo estreitado tendo a doente ficado sem cálculos no final do procedimento.

Torna-se importante, nos casos de litíase em rim em ferradura, pensar e adaptar as várias técnicas disponíveis para o tratamento da litíase renal e eleger aquela que, à partida, proporcionará uma maior taxa de sucesso com menos complicações.
Novas Técnicas Endoscópicas de Diagnóstico do Carcinoma Urotelial do Trato Urinário Superior
Authors: Vieira Maria Teresa , Cavadas Vítor
Published: January 2022

O carcinoma urotelial do trato superior (CUTS) é raro, mas a maioria dos casos apresenta-se invasiva ao diagnóstico. O tratamento padrão do CUTS consiste na nefroureterectomia radical. No entanto, os CUTS de baixo risco podem ser abordados com cirurgia poupadora de nefrónios (CPN), sem compromisso do prognóstico oncológico. As técnicas de diagnóstico atuais apresentam várias falhas no diagnóstico de CUTS, principalmente na deteção de carcinoma in situ (CIS), uma lesão plana, de alto grau e com elevado risco de progressão. Assim, torna-se pertinente a investigação de novas técnicas de diagnóstico capazes de detetar as lesões de CUTS numa fase mais precoce.

Esta revisão procura analisar o desempenho das novas técnicas de imagem disponíveis para o diagnóstico do CUTS. Foi conduzida uma pesquisa da literatura atual na base de dados PubMed e foram revistos artigos sobre a narrow band imaging (NBI), Image1 S, diagnóstico fotodinâmico (DFD), confocal laser endomicroscopy (CLE) e optical coherence tomography (OCT).

Foram selecionados seis artigos para revisão, todos referentes a estudos in vivo em humanos. Não foi encontrado nenhum artigo sobre o Image1 S. Todas as técnicas descritas são compatíveis com os ureterorrenoscópios flexíveis atuais. A NBI, o Image1 S e o DFD visam uma melhor deteção do CUTS. A CLE e a OCT visam a caracterização histopatológica e minimamente invasiva das lesões, em tempo real. Quer a NBI, quer o DFD apresentam melhor taxa de deteção das lesões em comparação com a ureterorrenoscopia flexível (URSF) convencional, mas apenas o DFD mostrou melhor deteção de CIS. A CLE permite distinguir o urotélio saudável do maligno e as lesões de baixo grau das de alto grau. No entanto, não avalia o estadiamento. A OCT apresenta maior sensibilidade do que a biópsia para o estadiamento e gradação do CUTS, mas as lesões com mais de 2 mm de espessura podem gerar diagnósticos falsos-positivos.

A combinação da URSF com uma ou várias das novas técnicas de diagnóstico poderia aumentar a sua precisão diagnóstica e capacidade de selecionar adequadamente os candidatos para CPN. São necessários mais estudos que validem a utilização das novas técnicas no diagnóstico de CUTS.
Editorial
Authors: Botelho Francisco
Published: January 2022

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Correção de Prolapso Apical Via Vaginal com Tecidos Nativos: Sessenta Meses de Experiência
Authors: Cunha Margarida da Silva , Regalo Ana , Rodrigues Milene , Canelas Luís
Published: January 2022

Introdução: O objectivo do estudo foi avaliar a taxa de sucesso e as complicações associadas a diferentes técnicas de correção transvaginal de prolapso apical, recorrendo a tecidos nativos.
Material e Métodos: Estudo retrospetivo de 41 cirurgias vaginais para correção de prolapso apical com tecidos nativos, realizadas no Departamento de Uroginecologia de um hospital terciário, de janeiro/2013 a junho/2018.
Resultados: Nesta amostra, a idade mediana foi de 66 anos, todas eram multíparas e 95,1% encontravam-se na pós-menopausa; 47,5% referiam história pessoal de histerectomia, 17,5% de colporrafia anterior, 10,0% de colporrafia posterior e 7,5% de correção de prolapso apical. À observação, para além do prolapso apical, 24,4% apresentavam prolapso anterior, 4,9% prolapso posterior e 53,7% prolapso dos três compartimentos. As técnicas utilizadas para correção vaginal do prolapso apical foram a suspensão dos ligamentos útero-sagrados (22,0%), a fixação ao ligamento sacro-espinhoso (68,3%) e a fixação à fáscia do músculo iliococcígeo (9,8%). No mesmo tempo cirúrgico, 39,0% foram histerectomizadas (com colporrafia anterior em 4/16; posterior em 3/16 e ambas em 7/16), 7,3% submetidas a colporrafia anterior, 2,4% a colporrafia posterior e 36,6% a colporrafia anterior e posterior. Não se registaram complicações no período peri-operatório. A taxa de sucesso terapêutico foi de 82,9%. Verificou-se recidiva clínica do prolapso apical em 17,1% e de outros prolapsos em 4,9%, um caso de incontinência urinária de urgência e dois de fístulas. Estas complicações ocorreram nos primeiros seis meses após a cirurgia em 34,1%. Não se registaram diferenças estatisticamente significativas relativamente à taxa de sucesso ou de complicações entre as três técnicas estudadas.
Conclusão: O uso de tecidos nativos para correção do prolapso apical revelou-se um método efetivo e seguro com baixa morbilidade. Neste estudo, todas as técnicas estudadas revelaram-se igualmente eficazes, sugerindo que a sua escolha deve depender da experiência do cirurgião.
Heminefrectomia e Istmectomia Videolaparoscópica para Tumor Renal no Rim em Ferradura com Veia Cava Acessória: Relato de Caso e Revisão da Literatura
Authors: Carvalho Ribeiro Daniel , De Castro Almeida Abílio , Pedro Fernandes Lessa  , Ribeiro da Mota Pedro , Prachia Ribeiro Edson Augusto , Prates Eleuterio Soraya
Published: January 2022

Paciente de 71 anos do sexo feminino diagnosticada com um tumor de 10,0 cm em rim direito em ferradura. Estudos de imagem pré-operatórios evidenciaram a presença de um istmo renal localizado em posição posterior à veia cava e anteriormente à aorta, além da presença de uma veia cava acessória rudimentar à esquerda. Foi realizada a heminefrectomia por via videolaparoscópica e o estudo anatomopatológico da peça evidenciou a presença de um oncocitoma renal. Estudos de imagem pré-operatório adequados são fundamentais no adequado tratamento desses pacientes por videolaparoscopia, tornando a via minimamente invasiva uma alternativa segura para esses casos
Results of Repeat Transurethral Resection of Bladder Tumor After Macroscopically Complete Primary Resection
Authors: Eliseu Miguel , Marques Vera , Antunes Hugo , Lourenço Mário , Tavares-da-Silva Edgar , Temido Paulo , Figueiredo Arnaldo
Published: January 2022

Introduction: Non-muscle invasive (NMI) bladder cancers (BC) account for 75% of BC cases, and most are initially diagnosed and treated with transurethral resection of bladder tumor (TURB). After primary TURB, a repeat resection (rTURB) should be carried out in cases of incomplete resection; however, rTURB is recommended by EAU guidelines in pT1 tumors even when the completeness of the original resection is believed by the surgeon, with reported rates of residual tumor in up to 33%-55% and upstaging in up to 25%. Since the quality of initial resection impacts in the result of a rTURB, these rates are largely dependent on the primary treatment and accurate prediction of completeness, with a probable high variability between surgeons and Centres.
Our objectives to determine whether rTURB after initial perceived complete resection would frequently identify residual tumor and if this procedure would improve outcomes in NMIBC patients.
Methods: Patients submitted to TURB from 2015 to 2017 were analysed, identifying which underwent rTURB after initial resection without follow-up cystoscopy in between. Primary perception of completeness, stage and grade were correlated with the eventual presence, stage and grade of residual tumor.
Results: We analyzed 546 TURB procedures; of these, 275 (50.4%) were for primary bladder cancer. pT1 lesions were found in 85 (30.9%) of primary TURBs; 12 of these were selected for rTURB due to incomplete resection. Of the remaining 73 macros- copically completely resected primary pT1 tumors, 26 (30.6%) underwent elective rTURB.
Repeat TURB after complete resection of primary pT1 tumors yielded residual tumor in 11.5% of patients (n= 3). All patients with residual tumor had primary pT1 high grade lesions; no upstaging or upgrading was observed. Patients had similar recurrence rates at 1-year regardless of rTURB.
Discussion/Conclusion: Standard practice in primary TURB pro- cedures varies across surgeons and centers and will reflect on residual tumor rates. Indications for rTURB might not be suitable for all patients, and single Centre results should be taken in consideration when selecting patients for rTURB.
Eficácia Clínica da Antibioterapia na Prostatite Crónica por Microrganismos Resistentes aos Antibióticos de Primeira Linha
Authors: Andrade Ana Catarina , Figueiredo Luís Pacheco , Dinis Paulo
Published: January 2022

Introdução: Métodos: Resultados: Discussão: Conclusão: A prostatite crónica bacteriana corresponde a 5% - 10% dos casos de prostatite crónica, sendo responsável porum declínio significativo na qualidade de vida destes doentes. A abordagem terapêutica atual da prostatite crónica bacteriana baseia-se em antibioterapia de longa duração com fluoroquinolonas. Contudo, muitos destes casos recidivam com resistência e requerem antibioterapia, por vezes por via parentérica, em regime de internamento. Este trabalho apresenta uma revisão da literatura relativa à eficácia de alguns antibióticos, por via oral, no tratamento da prostatite crónica bacteriana por microrganismos resistentes aos antibióticos de primeira linha.
Métodos: Revisão da literatura, seguindo a metodologia PICO, através da PubMed, utilizando como palavras-chave: “prostatitis”, “nitrofurantoin”, “macrolides”, “fosfomycin”, “amoxicillin”, “cephalosporins”, “tetracycline” e “doxycycline”.
Resultados: Foram incluídos 15 estudos que avaliaram a eficácia clínica (cura clínica) e/ou microbiológica (erradicação bacteriana) em homens com prostatite crónica bacteriana por diversos agentes etiológicos tratados com fosfomicina, amoxicilina, macrólidos ou tetraciclinas. E
Discussão: Em duas séries de casos publicadas, a fosfomicina e a combinação amoxicilina-ácido clavulânico apresentaram eficácia parcial na prostatite crónica bacteriana por Enterobacteriáceas multirresistentes. A combinação fluoroquinolona-macrólido revelou-se também muito eficaz na prostatite por agentes etiológicos tradicionais. A maioria da investigação sobre o papel dos macrólidos e tetraciclinas na prostatite crónica bacteriana está direcionada para agentes atípicos intracelulares, sendo de primeira escolha nesta etiologia.
Conclusão: Dada a necessidade de novas alternativas para o tratamento da prostatite crónica bacteriana resistente, são precisos mais estudos nesta área.
Strategi Pemasaran Rumah Sakit UMMI dalam Meningkatkan Pendapatan pada Masa Pandemi Covid-19
Authors: Fathurrahman Ajri , Isnaini Muhammad
Published: January 2022

Rumah sakit merupakan salah satu perusahaan yang awalnya merupakan perusahaan nonprofit yang bergerak dalam membantu masyarakat untuk memberikan pelayanan terutama dalam bidang kesehatan. Persaingan antarindustri penyedia layanan kesehatan semakin ketat, bisa kita lihat dari mulai klinik, rumah sakit umum, hingga rumah sakit khusus. Agar bisa bertahan, rumah sakit harus bisa dikelola secara efisien dengan menghasilkan pelayanan yang prima sehingga mampu memberikan kepusan kepada seluruh konsumen yang menjadi target dari pemasarannya. Oleh karena itu rumah sakit harus memiliki serta melaksanakan program pemasaran yang efisien. Pada penelitian ini peneliti menggunakan paradigma konstruktivis dimana peneliti mencoba untuk mengkonstruksi pengamatan-pengamatan yang diamati oleh peneliti.
PENGARUH KEPRIBADIAN INDIVIDU TERHADAP GAYA MANAJERIAL YANG DIHARAPKAN
Authors: Berliyanti Dita Oki , Dewi Isuan Citra
Published: January 2022

Important to have an employee which is not only suitable in knowledge, skill and ability, but also employee that have good personality and suitable with arganization culture. As a result there are qualified person that is really good employee with vision and mission which is similar with the organization. One of the benefit is those kind of employee will be loyal to the company. There for, It is important to use this theory in selection process.
MEMBANGUN KOMUNITAS MEREK PADA TOYOTA-COROLLA CLUB
Authors: Ibrahim Nidjat , Rosalinda Nia
Published: January 2022

A community is formed from feeling to be unity between partof agroup and goad relationship between them. Community tends to be identified as base on behavior or identification between parts of a group. The purpose of this research is to analyze how to build brand community at Toyota Corolla Club. SEM (Structural Equation Model) is used in this research using AMGS 4.0. Result of this research is the integration in community is a function of good relationship experienced by customers, brand, firm and another customer. Because of that, we suggest to supplier or sales manager to take part in build brand community in order to increase total revenue.
Smart Greenhouse Coffee Dryer with Fuzzy Algorithm on Internet of Things Platform
Authors: Dodit Suprianto  , Muhammad Taufik Prayitno  , Luqman Affandi
Published: January 2022

Coffee is a major commodity of the Indonesian plantation industry. One of Indonesia's lack of competitiveness in the international market is the low quality of coffee beans. This is because traditional farmers still use conventional methods for drying. The undried coffee cherries can damage the quality of coffee beans. Based on these problems, the researchers made a Smart Greenhouse dryer using the Internet of Things Platform. The Internet of Things is used to allow it to be monitored remotely in real-time. Temperature and humidity data in the greenhouse will be analyzed using a fuzzy algorithm. Actuators use the fuzzy output results to control the temperature and humidity of the greenhouse to reach the ideal drying conditions. The perfect drying temperature enables coffee cherries to achieve a moisture content of 12.55% within 14 days. Data on average temperature and humidity per day will be recorded and calculated to determine when the coffee cherries are ready for the next stage. The system can also calculate estimated days based on moisture content. With this, the drying of coffee cherries will be optimal and get the water content of the Indonesian National Standard to increase the quality and selling price of the coffee beans. The results show that Smart Greenhouse can be controlled remotely via the website. The integrated Sugeno Fuzzy algorithm keeps the greenhouse at the ideal drying temperature. Test results show that Smart Greenhouse can reduce the water content of coffee cherries 7.4 days more efficiently than conventional drying methods.
Smart Chicken Coop Ecosystem for Optimal Growth of Broiler Chickens Using Fuzzy on IoT
Authors: Suprianto Dodit , Pristiya Ermi , Prasetyo Arief
Published: January 2022

Chicken consumption is one of the high-value economic sectors. In order to harvest chickens optimally, it is necessary to maintain the temperature and humidity of the chicken coop regularly. The application of IoT to monitor the temperature and humidity of the chicken coop is significant. Therefore, an automatic temperature-humidity control system based on decisions made using the Sugeno fuzzy method is also needed. Smart chicken coop with the fuzzy algorithm on platform internet of things can be used as an alternative process temperature and humidity control automatically replace conventional method. Based on the results of the tests, this system can control temperature and humidity at 30.3°C, which is the ideal temperature for the growing time of broilers.
Grouping Student Awareness on Security Of E-Learning Information Using Fuzzy C-Means Method
Authors: Arie Budi Suprio Yoyon , M. Rizky Maulana
Published: January 2022

Many educational institutions have been forced to adapt how they present the teaching and learning process, including the creation of appropriate learning media due to the current Covid-19 pandemic. This is accomplished through the development of an integrated online learning system known as E-Learning. Aside from all of the benefits and positive outcomes that E-Learning can give, there are also drawbacks to student information security, such as assignment theft, piracy of E-Learning, the misuse of passwords by irresponsible students, and other problems. To anticipate this, the researcher intended to group students' awareness of their respective E-Learning information security by using the Fuzzy C Means method. Fuzzy C Means uses a fuzzy grouping model so that data can be members of all classes or clusters formed with different degrees or levels of membership between 0 to 1. The sample used to represent the population is 20 students of STIKOM PGRI Banyuwangi, Indonesia. The results obtained are to find out how well the grouping of student awareness clusters on E-Learning information security. There are 3 clusters of student E-Learning information security awareness. Cluster 1 consists of students with high awareness, cluster 2 contains categories of students with low awareness, and the third cluster consists of students with moderate awareness.
Implementation of Android-Based Parking Management Applications
Authors: Pramono Anang , M. Ali Shodikin
Published: January 2022

Parking problems are one of the problems faced in every city, especially in big cities. The availability of limited parking spaces and the unavailability of a parking system that can support the ease of parking management are essential things that must be found as the best solution. The parking application developed can provide information easily. In addition, parking users also get convenience in placing orders, extending time, or canceling. The parking system can provide comfort for parking management to manage parking areas with an efficient system, not only in terms of information but also in terms of payment, by utilizing digital payment methods. The parking application developed based on Android is an alternative that provides user-friendly solutions and parking management. The application has worked well based on trials with various scenarios, both normal scenarios (without cancellation or without extension) and testing with abnormal conditions. From the usability test of 40 respondents with ten questions from the SUS method, an average score of 76 was obtained.
PENGARUH KEBIJAKAN DIVIDEN DAN GROWTH OPPORTUNITY TERHADAP NILAI PERUSAHAAN DENGAN KEPEMILIKAN INSTITUSIONAL SEBAGAI PEMODERASI
Authors: . Kevin , Petronila Thio Anastasia
Published: January 2022

The management always provides prosperity for investors or shareholders through the value creation of the firm. The policy of dividend and company growth was considered by investors or shareholders in making investment decisions. This research aims to analyze the impact of the policy of dividend and growth opportunity on the value of a firm. Also, to analyze the effect of institutional ownership in moderating approach of dividend and growth opportunity in value of a firm. The research population was the Miscellaneous Industry sub-sector of manufacturing companies listed on the Indonesia Stock Exchange (IDX) during 2016-2019. According to purposive sampling and outlier data, of the 27 companies, there are 13 companies with 46 units of observations units as a sample in this research. The data were obtained from annual reports that have been audited and published in IDX. The research results show that the dividend policy has an impact on the value of the firm provided by PBV, but growth opportunity is vice versa. Institutional ownership moderates the relationship between a policy of dividend and the value of a firm, while institutional ownership does not moderate the relationship between growth opportunity and the value of the firm
PROSEDUR PELAPORAN IURAN UPAH TENAGA KERJA PADA PROGRAM JAMINAN SOSIAL TENAGA KERJA DI BPJS KETENAGAKERJAAN CABANG MEDAN KOTA
Authors: Anggraini Nadia , . Nurlaila
Published: January 2022

Reporting wage contributions to the Jamsostek program is a critical engagement issue that participants need to understand. It is related to the number of benefits that workers will receive because the management uses the contribution to determine the amount of compensation and provide guarantees for their claims. Therefore, honesty and discipline on the employer's part are required when reporting posts and labor productivity. This type of research is descriptive qualitative research, used primary data and secondary data. Data were collected through observation, interviews, and documentation. The data analysis used in this research is descriptive and uses relevant, accurate, and timely variables. The results showed that: a) BPJS Ketenagakerjaan Medan Kota branch mentions cash or cash receipts from its business income by reporting labor wage contributions. b) The reporting of labor wage contributions carried out by the Medan City branch of BPJS Ketenagakerjaan is already good. The Medan City branch of the BPJS Ketenagakerjaan can divide the contribution report function into four functions, namely administrative functions, financial functions, technology, and information functions, and marketing functions. c) The Medan City branch BPJS Ketenagakerjaan implements all incoming cash receipts, documents, or forms arranged based on the NPP and all contribution receipts either through postal giro or the company directly deposited the bank immediately every day
DAMPAK KEPEMILIKAN MANAJERIAL, KEPEMILIKAN INSTITUSIONAL, LIKUIDITAS, PROFITABILITAS, DAN KEBIJAKAN UTANG TERHADAP KEBIJAKAN DIVIDEN DI INDUSTRI PERTAMBANGAN INDONESIA
Authors: Lajar Stephanie Natalia Ingi , Marsudi Almatius Setya
Published: January 2022

This study tries to see the effect of managerial ownership, institutional ownership, liquidity, profitability, and debt policy on dividend policy. Managerial ownership is measured by the ratio of the number of shares owned to total shares; institutional ownership is measured by the percentage of share ownership in the ownership structure, the current ratio is measured by dividing assets and current liabilities, debt policy is measured by dividing total debt by total equity, profitability is measured by dividing net income with total assets. Profitability is calculated by dividing net income by total assets. This study uses purposive sampling by taking data from 20 mining companies on the Indonesia Stock Exchange from 2011-2019. The technique of testing the hypothesis with multiple regression. This study proves that institutional ownership and debt policy affect the company's dividend policy. Meanwhile, managerial ownership, liquidity, and profitability do not affect dividend policy.
DAMPAK TINGKAT PERPUTARAN PIUTANG USAHA PADA PROFITABILITAS PERUSAHAAN DENGAN GOOD CORPORATE GOVERNANCE SEBAGAI VARIABEL MODERATING
Authors: Evelyn Clarissa , Marsudi Almatius Setya
Published: January 2022

This study tries to analyze the effect of accounts receivable turnover on company profitability. Profitability in this study is measured by the ratio of Return on Assets. This study also uses a moderating variable, namely the audit committee. This study uses a sample of 30 manufacturing companies on the Indonesia Stock Exchange in the 2016-2018 period. The analysis used is panel data regression analysis with random models and multiple linear regression. This study uses data processing software in the form of Eviews. The result of this study is that turnover has a positive and significant effect on the company's profitability.
Penerapan Strategi Freemium pada Aplikasi Permainan Ponsel Online
Authors: Sabella Joanna Jessica
Published: January 2022

The number of smartphone users are significantly increasing as the technology developed. Many people use their smartphone to play online games. Mobile Legends: Bang Bang (MLBB) is one of the online games that has a lot of users, especially in Indonesia. MLBB is developed by Moonton, which uses freemium strategy to promote their game on applications store. This research’s objective is to find the freemium strategy’s effectivity and other important factors that increase the application’s in-app purchase. The methodology approach of this research is qualitative method. The data were collected by doing literature review and interview. The collected data were processed by coding technique. The research’s result shows that freemium strategy and other important factors could increase users’ in-app purchase intention.
Pentingnya Manajemen Isu bagi Maskapai Penerbangan dalam Menghadapi Dampak COVID-19 (Studi: Cathay Pacific Airways)
Authors: Levana Emerentia , Harnadi Agnes , Kusumawicitra Astuti
Published: January 2022

Unplanned events are unexpected and are often referred to as “negative shocks” in the world of tourism. One of the example is an outbreak or a pandemic. When it occurred, one of the tourism sectors that is most affected is airlines. Since the World Health Organization (WHO) declared the pandemic on March 2020, the airlines industry, including Cathay Pacific are experiencing a significant decline because of some restrictions such as lockdown, tourist attractions closed, flights canceled and social distancing. This study was conducted on March-December 2020. The main aim of the study is to examine the steps that Cathay Pacific Airways has taken according to issue management in overcoming the impact of the COVID-19 pandemic. The qualitative reseach method is used with data collection based on interviews with staff of Cathay Pacific Airways representative office in Indonesia, direct observation, and secondary data from supporting documents. The results obtained from this study is that Cathay Pacific Airways can handle the issue by launching Cathay Care Campaign, Cathay Credit and Fly Worry Free. The airlines also followed the stages of issue lifecycle. Through this program, Cathay Pacific Airways is also able to maintain trust and convince the guests (or prospective passangers). Those capabilities can be seen from the operational activities that are still ongoing even though route cuts and departure cancellations often have to be carried out.
Pengaruh Akun Media Sosial Instagram @whiteboardjournal Terhadap Pemenuhan Kebutuhan Informasi Pembaca
Authors: Khansa Shazrin Daniyah , Putri K. Y.S.
Published: January 2022

As time develops, so has globalization. The field of communication and technology is one of the fields that is developing rapidly due to the development of globalization. One of the effects is social media. In this era, social media can be easily used by all people. Various social media provide various information on various platforms so that people can choose according to their information needs. The most frequently used social media in Indonesia is Instagram. Nowadays, Instagram is not only used for individual needs, but now Instagram has many benefits, for example, to do buying and selling or online shop, and to spread the latest information or news. Therefore, the purpose of this study is to find out how the influence of the Instagram @whiteboardjournal social media account on meeting the information needs of readers. This study uses a quantitative approach with a survey method. The population of this research is Communication Science students class of 2019 State University of Jakarta totaling 82 people with a total sample of 68 people. From the results of the study, it can be seen that there is an influence between the Instagram social media account @whiteboardjournal with meeting the information needs of readers.
Kekuatan Instagram dengan Electronic-Word-of-Mouth (Ewom) dan Influencer dalam Komunikasi Pemasaran
Authors: Gultom Atikah Putri Adrilia , Irwansyah Irwansyah
Published: January 2022

Social media has the power to change the patterns of people interacting and communicating. The growth use of Social Networking Sites/SNS has also led to changes in the communications industry, one of this is the integration of communication and marketing. This study aims to understand how the power of Instagram with eWOM and influencers that focus on the beauty and lifestyle in the digital era when conducting communication and marketing activities for one of the beauty products brands. The method in this study uses a “qualitative approach”, while data collection uses the “Indepth Interview” technique. Interview process using the Zoom application on two informants who were actively using Instagram, had used social media for eWOM, had a minimum number of followers was 1000, and focused to the development of beauty trends in Indonesia. The results of this study indicate that currently the brand not only focus on eWOM and influencers with a large number of followers, but also focus to the scope and closeness of influencers with their followers. The eWOM activities carried out by influencers with reviews based on experience. The variety of eWOM is divided into two, sponsored and not sponsored.
Motif Penggunaan Aplikasi Tik Tok di Kota Semarang
Authors: Nuzuli Ahmad Khairul , Natalia Wahyu Kristian
Published: January 2022

Initially the use of Tik Tok received negative views. However, in 2019 Tik Tok managed to beat Facebook and Instagram in popularity. The purpose of this research is to find out the motives of Tik Tok users in creating and sharing their music videos. The theoretical basis used is Uses and Gratification and Media Usage Motives, which assume that media users are active and deliberately determine their motives in using and consuming media. This research is quantitative research with a descriptive approach. The number of samples in this study was 100 people. With the criteria of the people of Semarang City, having the Tik Tok application on a smartphone, having made and uploading at least 5 videos using the Tik Tok application. The results of the study show that there are four main motives in the use of Tik Tok social media, namely: 1) information motives; 2) personal identity; 3) social integration and interaction; 4) and entertainment. The most dominant motive is integration and social interaction.
Optimasi Media Sosial Instagram @kulinersby dalam Mempromosikan Wisata Kuliner Surabaya
Authors: Qorib Fathul , Widodo Herru Prasetya , Rinata Asfira Rachmad
Published: January 2022

The Instagram @kulinersby social media account is one of the platforms that has been promoting culinary tourism in the city of Surabaya since 2014. This study aims to look at optimizing the @kulinersby Instagram account as one of the culinary tourism promotion media. Several social media marketing concepts are used to see how the optimization works, namely content creation, content sharing, connecting, and community building. All uploads and interactions of followers on the account become primary data sources, then compared with secondary data in interviews with the account manager, namely Syafira Defani Putri. The results of this study indicate that @kulinersby has implemented good management in several aspects, especially for content management, starting from its creation, content sharing such as consistently uploading content and sharing food themes, to connecting with followers through interaction and discussion, as well as collaborating with foodvloggers. Meanwhile, for community building, @kulinersby is still adapting with many communities to be uniform and work well together. This research suggests that @kulinersby owners take full advantage of Instagram by considering various new features and Instagram business insights as evaluation and development material.
CUIDADOS PALIATIVOS: A ASSISTÊNCIA DE ENFERMAGEM EM UNIDADE DE TERAPIA INTENSIVA
Authors: Oliveira Jessika do rocio de christo , Vieira da Silva Celanir , Lima Brandão Marlise
Published: January 2022

Introdução: Aliviar o sofrimento dos doentes terminais faz-se necessário, pois mesmo sem possibilidades terapêuticas de cura, ainda há muito o que fazer, afim de proporcionar melhora do seu estado geral, atender ao físico, mental, social e espiritual. Objetivo: Discutir a assistência de enfermagem no cuidado paliativo de pacientes internados em unidade de terapia intensiva. Metodologia: Revisão narrativa de literatura, realizada com artigos científicos publicados no período de 2015 a 2019, nas bases de dados SciELO e Biblioteca Virtual em Saúde. A busca ocorreu nos meses de fevereiro e abril de 2020. Resultados: Os princípios dos cuidados paliativos que se mostraram mais relevantes nessa pesquisa, foram os cuidados com o alívio da dor, a higiene do corpo e medidas de conforto, com falhas na comunicação, e na compreensão da finalidade do cuidado paliativo, com prejuízo ao cuidado integral. Considerações Finais: Consideramos a importância para atualizações de conteúdos sobre a assistência de enfermagem em Cuidados Paliativos, visando reduzir falhas, o que proporcionará apoio a toda equipe envolvida nessa área.
Hemichorea induced by a sphenoid ridge meningioma
Authors: Inoue Hirotaka , Yamamura Rihito , Yamada Kazumichi , Hamasaki Tadashi , Inoue Nobuhiro , Mukasa Akitake
Published: January 2022

Background:

Movement disorders are rare in brain tumors. We describe a 45-year-old woman with hemichorea, a concomitant contralateral sphenoid ridge meningioma.

Case Description:

The meningioma enlarged as her hemichorea worsened, and after meningioma resection, the hemichorea gradually subsided. N-isopropyl-p-[123I]-iodoamphetamine single-photon emission computed tomography performed preoperatively showed decreased regional cerebral blood flow (CBF) to the basal ganglia circuit ipsilateral to the tumor and, when repeated postoperatively, confirmed improved regional CBF.

Conclusion:

We propose that the enlarging sphenoid ridge meningioma had a remote effect on regional CBF and the thalamocortical motor center and that complex changes in the basal ganglia output may have caused the hemichorea.
Multiple cerebral hemorrhages in sepsis-disseminated intravascular coagulation versus septic embolism: An image report
Authors: Akel Omar , Raju Bharath , Suresh Sumatha Channapatna , Jumah Fareed , Gupta Gaurav , Nanda Anil
Published: January 2022

Background:

Septic emboli are commonly attributed to infective endocarditis and can present with a variety of symptoms including altered mental status and focal neurological deficits. Here, we reviewed images of septic emboli with hemorrhagic conversion in a patient with sepsis and a psoas abscess. We aim to show the classical image findings in septic embolism to brain, which is sparsely described in literature and the report differentiates the septic embolism from disseminated intravascular coagulation which can present with almost identical image findings.

Case Description:

A 53-year-old male patient who was operated on for a right inguinal hernia developed a postoperative wound infection 2 weeks after surgery and was started on IV antibiotics. Despite medical management, his infection did not improve, prompting a computed tomography (CT) scan which revealed a psoas abscess. The abscess was drained, and antibiotics continued. A few days later, he developed altered sensorium prompting a head CT which revealed septic emboli and hemorrhage at the gray-white junction. Cultures grew multidrug-resistant Escherichia coli; the patient was treated with IV tigecycline and improved over the following 4 weeks.

Conclusion:

In patients with a known ongoing infectious process with hemodynamic stability who develop altered mental status in the setting of a normal coagulation profile, D-dimer, positive blood cultures, and absent signs of multiorgan failure, a diagnosis of septic emboli should be entertained. Although CT can reveal macrobleeds, MRI is more sensitive in confirming cerebral microbleeds. Thus, patients in sepsis with unexplained altered sensorium should undergo an MRI of the brain to rule out septic emboli and microbleeds.
Effects of ketamine versus dexmedetomidine maintenance infusion in posterior spinal fusion surgery on acute postoperative pain
Authors: Nikoubakht Nasim , Alimian Mahzad , Faiz Seyed Hamid Reza , Derakhshan Pooya , Sadri Mohammad Saleh
Published: January 2022

Background:

One of the most challenging issues after posterior spinal fusion (PSF) surgery is providing appropriate pain control measures to enhance recovery of the patients. We aimed to compare effects of ketamine versus dexmedetomidine infusion during maintenance of anesthesia on acute postoperative pain in PSF surgery.

Methods:

In a double-blinded randomized clinical trial, 87 patients candidates for PSF surgery were randomly assigned into three groups. Anesthesia protocol for all groups was the same except: the first group received 0.2 mcg/kg/h dexmedetomidine infusion, the second received 0.1 mg/kg/h ketamine infusion, and control group received normal saline infusion as a placebo. Pain intensity by VAS scale and level of sedation by Ramsey scale were assessed, and amount of opioid prescribed after surgery was measured and compared for patients during the recovery and at 2, 4, 6, 12, and 24 h after surgery in three groups, and hypotension and bradycardia during operation were reported.

Results:

There was a significant difference among the groups regarding pain intensity and amount of opioids during recovery and at 2, 4, 6, 12, and 24 h after surgery. Pain intensity and amount of opioids for ketamine and dexmedetomidine groups were significantly lower than those in the controls during recovery and at the hours after surgery. There was no significant difference regarding bradycardia and hypotension and level of sedation during recovery and at the hours after surgery.

Conclusion:

Both ketamine and dexmedetomidine infusions during maintenance of anesthesia are effective in reducing acute postoperative pain effectively after PSF surgery.
Tumefactive multiple sclerosis versus high-grade glioma: A diagnostic dilemma
Authors: French Heath David
Published: January 2022

Background:

Tumefactive demyelinating lesions (TDLs) share similar clinical features and MRI characteristics with high-grade glioma (HGG). This study develops an approach to navigating this diagnostic dilemma, with significant treatment implications as the management of both entities is drastically different.

Methods:

A retrospective analysis of 41 TDLs and 91 HGG with respect to demographics, presentation, and classical MRI characteristics was performed. A diagnostic pathway was then developed to help diagnose TDLs based on whole neuraxis MRI and cerebrospinal fluid (CSF) examination.

Results:

The diagnosis of TDL is more likely than HGG in younger females who present with subacute or chronic symptoms. MRI characteristics favoring TDL over HGG include smaller size, open rim enhancement, little or no associated edema or mass effect, and the presence of a T2 hypointense rim. MRI of the whole neuraxis for detection of other lesions typical of multiple sclerosis (MS), in combination with a lumbar puncture (LP) showing positive CSF-specific oligoclonal bands (OCB), was positive in 90% of the TDL cohort.

Conclusion:

The diagnostic pathway, proposed on the basis of specific clinicoradiological features, should be followed in patients with suspected TDL. If MRI demonstrates other lesions typical of MS and LP demonstrates positive CSF-specific OCBs, then patients should undergo a short course of IV steroids to look for clinical improvement. Patients who continue to deteriorate, do not demonstrate other lesions on MRI or where the LP is negative for CSF-specific OCB, should be considered for biopsy if safe to do so. This pathway will give the patients the best chance at neurological preservation.
De-facement of the Subject in the Mirror of Fiction: A de-Manian Reading of E.L. Doctorow’s World’s Fair
Authors: Nedaee Naeem
Published: January 2022

Certain parallels between E.L. Doctorow’s early years of adolescence and his novel World’s Fair (1985) have given rise to a general reception of the novel as an instance of autobiography. The simultaneous merging of illusion and memoir, however, undermines all attempts at categorizing World’s Fair generically insofar as any such categorization fails to capture the essence of the novel in the entirety of its dimensions. The reflection of reality through the fictional medium of the novel, through memory and language, challenges the assumption that autobiography is possible whatsoever. Arguing that it is problematic/ simplistic to recognize any text as either history or fiction, Paul de Man proposes a revolving-door model in which any autobiographical text is shown to feature fictionality while any fictional text might just as well exhibit traces of autobiographicality. In this line, the present undertaking targets the factual and fictional dimensions of World’s Fair by exploring the ways that the text lends itself to a deconstructive reading. The starting point is a specular subject, inside and outside the text, who shows signs of retrospection and prescience. Further explorations of the protagonist in terms of artistic maturation, social development and communal consciousness unveil how aporic mechanisms disrupt the binary dynamics of traditional discourses.
Toni Morison’s Beloved as a Minor Art Practice: A Deleuze-Guattarian Reading
Authors: Nedaee Naeem
Published: January 2022

Toni Morrison’s acute perception and treatment, in her novels, of the human and the postcolonial condition and her proposition of a problematics of individual and communal personhood have astounded contemporary readers and critics alike. This article aims to provide a Deleuze-Guattarian analysis of the workings of human relationships, human captivity and experiential writing in capturing the encounters between a sense of the self, a sense of the other and a remembrance of the past in Toni Morrison’s Beloved. In this line, I argue that the text of Beloved instigates a formalistic deterritorialization of the English language by pushing it to the verge of non-signification. Through depicting a confrontation between traumatized ex-slaves and the haunting memories of captivity in the past, Beloved constitutes a minor art practice that gives rise to non-identitarian modes of self-conception and emancipatory lines of flight. I will also discuss how the clash between a dominating imperialist discourse with its claims to rationality and pragmatism on one hand and a specifically African-American worldview with a more open and inclusive perception of life’s real possibilities on the other leads to the formation of multiple and heterogeneous assemblages of reality, memory and thought against pre-determined and ethnocentric values of being, identity and privilege. This marks Morrison’s attempt in building up a cornerstone of minoritarian writing, a minor literature, in the Deleuze-Guattarian sense of the term.