bluuebunny/crossref_metadata_2025 huggingface dataset:
A randomized comparison between interscalene block and dexmedetomidine for arthroscopic shoulder surgery
Authors: Kanakalakshmi Sushma Thimmaiah , Prabhu Manjunath , Varghese Nita , Pandey Vivek
Published: May 2022

Introduction: Management of intraoperative hemodynamics and postoperative analgesia during arthroscopic shoulder surgeries remains a challenge. Although interscalene brachial plexus block (ISB) is considered ideal for shoulder anesthesia it requires skill and proficiency unlike intravenous (IV) dexmedetomidine.

Objective: This randomized trial was performed to observe the efficacy of dexmedetomidine infusion which is less invasive and demands lesser skills than plexus block.

Methodology: All patients scheduled for elective arthroscopic shoulder surgery under general anesthesia were assigned either to group DEX, which received an IV dexmedetomidine bolus of 0.5 mcg/kg over 20 minutes, followed by an infusion of 0.5 mcg/kg/hour that was stopped 30 minutes before surgery the end of surgery or to group BLOCK which received ultrasound guided ISB with 20ml of 0.25% bupivacaine. The primary outcome assessed was intraoperative hemodynamics; the secondary outcomes were immediate postoperative pain, operating condition as assessed by the surgeon, recovery time, and patient satisfaction after 24 hours. Blinded investigator and composite scores were used for the assessment.

Results: Both groups displayed equivalent scores for intraoperative hemodynamics whereas ISB resulted in a better post-operative analgesia (p < 0.001). Surgeon’s opinion and recovery time were comparable. Overall, the patients had a satisfactory experience with both techniques, according to the quality assessment.

Conclusion: IV dexmedetomidine infusion is an effective alternative to ISB for reconstructive shoulder surgeries under general anesthesia.
The Surgical Safety Checklist from the resident's perspective. Observational study
Authors: Galeano Castañeda Carlos Andrés , Hoyos Redondo Jessica Valentina , Gómez Salgado Juan Camilo
Published: May 2022

Introduction: The Surgical Safety Checklist implemented by the World Health Organization has proven to decrease perioperative morbidity and mortality; however, the barriers and limitations to its implementation are consistently reported in the literature. Objective: To establish the level of appropriation of the surgical safety checklist in the training of human resources in anesthesiology, in addition to identifying the perception and the level of implementation of such checklist at the national scale.   Methods: Descriptive cross-sectional study conducted through a survey administered to the residents of anesthesiology in Colombia. Likert-type questions were included, distributed into three domains: appropriation, perception and implementation. Results: 215 answers corresponding to 54.5 % of the population were analyzed, comprising participants from all of the anesthesiology programs in the country. 20% of the residents have never been subject to formal academic reviews about checklists, and this trend did not change throughout the residency; 97.2 % considers that the implementation of the lists improves the safety of surgical procedures and 40 % have seen rejection or indifference by surgeons. 80.5 % of the residents have seen the frequent use of the checklist, while only 13.5% have seen the use of the checklist during the three surgical moments – before the induction of anesthesia, before the surgical incision, and before the patient leaves the operating room -; 88 % have observed that the form is completed without actually doing the verification. Conclusions: There is limited exposure to education about the surgical safety checklist in anesthesiology postgraduate programs in the country. The residents have a favorable perception about the value of the list, however, there are some shortcomings in its administration.
Students Career Readiness: Issues and Evidence from Mawuko Girls Senior High School in Ho Municipality
Authors: Paul Kobina Annan Bedu-Addo  , Mary Braimah  , Dogbey Alice Emmanuella
Published: May 2022

The purpose of the study was to examine the issues and evidence of the career readiness of students in Mawako Girls in the Ho Municipality. Utilizing an explanatory sequential mixed method research design, a sample of one hundred and thirty students from Mawuko Girls Senior High School and ten teachers, from a population of 484, (comprising of 412 students and 72 teachers), were used for the study. A self-developed questionnaire (0.85) was used for students’ data collection and as an interview guide for teachers. The study was guided by four research questions. Percentages and weighted means were used to analyse the quantitative data, while thematic analysis was utilised to analyse the quantitative data. The findings of the study revealed the following: Mawako Girls students have a good level of career awareness. Additionally, students acquire information on careers from the school. electronic media, newspapers, magazines, teachers, and friends. Finally, students are faced with four major challenges as they make their career choices, namely: lack of funds to pursue required courses for the job they want to do in the future; lack of the required information for career choice-making; acceding to the career choice preferred by parents and guardians; and finally, a lack of teachers to teach required subjects for students’ preferred careers. The study recommends that the headmaster of the school should insist that students receive career guidance once they are admitted into the school. The school's library should be furnished with adequate magazines and newspapers since students read them for various reasons, including information about their career choices. The school should be connected to the World Wide Web to create a good source for educating pupils with career information. Finally, the school's computer lab must be well-equipped with internet connection and computers so that students can research careers on their own.
Implementasi Change Management pada Unit Kerja Pengadaan Barang/Jasa
Authors: Syandri Pratama Riski
Published: May 2022

Perkembangan ilmu pengetahuan dan teknologi dalam era globalisasi ini terjadi dengan sangat cepat. Kemampuan sebuah perusahaan dalam kedua hal tadi menjadi salah satu faktor daya saing yang sangat penting. Saat sebuah organisasi mencoba mengembangkan skala ekonominya, maka dibutuhkan tingkat pengetahuan yang sangat luas pada setiap personil yang ada untuk dapat berkompetisi dan bertahan. Keunggulan daya saing ini umumnya diturunkan dari kompetensi inti (core competence) yang dimiliki oleh perusahaan atau organisasi tersebut. Untuk dapat meraih dan mempertahankan suatu keunggulan kompetitif, perusahaan harus menanggapi situasi baru secara proaktif, terukur dan tangkas.  Apabila sebuah organisasi tidak tanggap terhadap perubahan yang terjadi pada lingkungan bisnisnya, maka organisasi tersebut secara tidak langsung sudah mematikan pasarnya sendiri. Dengan demikian sebuah change management merupakan hal yang penting untuk diperhatikan organisasi, untuk keberlangsungan hidupnya dan meraih keunggulan kompetitif.

Kajian dalam penelitian ini akan membahas secara sistematis tentang pengelolaan proses perubahan melalui proses transisi, model perubahan yang digunakan adalah model yang diperkenalkan oleh John P. Kotter melalui 8 (delapan) tahapan proses perubahan untuk menciptakan perubahan utama yang penting untuk dilakukan.  Implementasi praktis dari metodologi yang digunakan untuk proses perubahan ini melalui pendekatan manajemen proyek dan faktor-faktor kunci keberhasilannya. Langkah - langkah prkatis yang dirancang diarahkan untuk dapat memastikan bahwa change management dapat dilakukan dengan cara yang aktif serta dapat menunjukan nilai - nilai untuk meraih keunggulan, bertindak dengan kematangan, integritas dan tanggung jawab, dapat melibatkan pengguna system, mendorong inovasi, kreativitas dan keluasan visi.
Indikator Pengadaan Barang / Jasa Berkelanjutan Pada Pembangunan Bendungan
Authors: Pudjijono Agus , Nursani Dharma
Published: May 2022

Salah satu fokus pembangunan infrastruktur utama di Indonesia adalah pembangunan bendungan. Karena membutuhkan sumber daya dan energi, pembangunan bendungan dapat mempengaruhi, secara langsung atau tidak langsung, kelestarian alam, pencemaran lingkungan, dan keanekaragaman hayati. Pembangunan bendungan oleh pemerintah dilakukan melalui proses pengadaan publik. Melalui Penerapan Pengadaan Barang/Jasa Pemerintah Berkelanjutan (PPB), dampak negatif pengadaan bendungan, dipandang dari aspek sosial, ekonomi, dan lingkungan, dapat diminimalisasi. Namun penerapan PPB selama ini tidak terlaksana dengan baik, karena kurangnya pemahaman terkait indikator-indikator PPB. Oleh karena itu diperlukan adanya indikator standar untuk setiap langkah pelaksanaan PPB. Tidak adanya indikator standar antara lain disebabkan langkanya penelitian mengenai PPB di negara berkembang dibandingkan dengan di negara maju. Terlebih lagi, pembahasan tentang implementasi PPB dalam pembangunan sumber daya air khususnya di sektor bendungan sangat minim, padahal sektor bendungan dianggap sebagai salah satu dari banyak konstruksi besar yang berdampak signifikan secara sosial, ekonomi, dan lingkungan. Dalam penelitian ini, kami mengusulkan 64 indikator pelaksanaan PPB yang terdiri dari aspek sosial, ekonomi, dan lingkungan, sebagai alternatif pemecahan masalah. Indikator PPB dapat diidentifikasi pada setiap tahapan PPB sehingga indikator-indikator keberlanjutan tersebut dapat diterapkan sebagai pedoman dalam perencanaan, kriteria dalam proses tender, dan sebagai ukuran kinerja dalam pelaksanaan konstruksi.
Mendeteksi Persekongkolan dari Pola Penawaran Harga
Authors: Darmawan Sastyo Aji
Published: May 2022

Larangan untuk melakukan persaingan usaha tidak sehat (persekongkolan) dalam Pengadaan Barang/Jasa Pemerintah telah tertuang didalam regulasi yang mengaturnya. Sanksi bagi peserta pemilihan yang terindikasi melakukan persekongkolan pun tidak tanggung-tanggung, yakni dapat digugurkan dalam proses pemilihan dan dikenakan sanksi Daftar Hitam. LKPP telah memberikan model dokumen pemilihan yang di dalamnya tertuang indikasi-indikasi persekongkolan yang dapat terjadi di dalam proses tender. Akan tetapi ada satu indikasi persekongkolan yang belum termuat secara eksplisit di dalam model dokumen pemilihan tersebut, yaitu indikasi persekongkolan yang dapat dilihat dari pola penawaran harga. Ada dua kondisi yang harus dipenuhi untuk menjamin sebuah tender berjalan dengan kompetitif. Pertama, penawaran-penawaran perusahaan yang dikompetisikan tidak boleh saling berkorelasi (conditional independence). Kedua, penawaran yang diajukan harus bersifat exchangeability (Bajari dan Ye, 2003). Minimnya informasi tentang indikasi-indikasi persekongkolan di dalam MDP tidak mengurangi tanggung jawab para pihak untuk memastikan Pengadaan Barang/Jasa Pemerintah bebas dari praktik persekongkolan. Terlebih, larangan pesekongkolan telah menjadi Etika bagi semua Pelaku Pengadaan. Oleh karena itu dengan keterbatasan yang ada kita harus mengoptimalkan upaya untuk mendeteksi dan mencegah terjadinya praktik persekongkolan di dalam tender.
Kekuatan Indirect Evidence Dalam Pembuktian Kasus Persekongkolan Tender dan Penerapannya di Dalam Proses Tender
Authors: Darmawan Sastyo Aji
Published: May 2022

Dalam menumpas praktik persekongkolan tender, KPPU sulit menemukan bukti-bukti langsung. Seringkali KPPU menggunakan bukti-bukti tidak langsung, salah satunya Bukti Ekonomi, untuk memproses perkara-perkara tersebut di peradilan. Bukti ekonomi merupakan penggunaan dalil-dalil ilmu ekonomi yang ditunjang oleh metode analisis data kuantitatif dan atau kualitatif serta hasil analisis ahli, yang semuanya bertujuan untuk memperkuat dugaan praktik monopoli dan atau persaingan usaha tidak sehat. Dalil ilmu ekonomi yang menjadi acuan pada cara pendeteksian persekongkolan yang saya ajukan diambil dari penelitian Porter dan Zona (1993) serta Bajari dan Ye (2003) yaitu dimana penawaran-penawaran pelaku usaha yang dikompetisikan tidak boleh saling berkorelasi. Sementara itu, perdebatan tentang bukti permulaan yang cukup dalam proses peradilan pidana pun belum usai di kalangan para penegak hukum. Kondisi ini menuntut Pokja Pemilihan bekerja lebih hati-hati dalam memastikan bahwa proses pemilihan yang mereka lakukan bebas dari praktik persekongkolan. Pendekatan Rule of Reason yang digunakan dalam Undang-Undang Nomor 5 Tahun 1999 Tentang Larangan Praktik Monopoli dan Persaingan Usaha Tidak Sehat seharusnya juga menjadi pendekatan yang digunakan oleh Pokja Pemilihan dalam memenuhi kewajibannya itu.
A Rare Injury Due to Blunt Trauma: Rupture of Subclavian Artery Branch
Authors: SÖNMEZ Cihad , TURGUT Kasım , YAVUZ Erdal , GÜLAÇTI Umut , LÖK Uğur , AYDIN İrfan
Published: May 2022

Subclavian artery injury is an extremely rare and life-threatening condition. In this case, we discussed the diagnosis and treatment of the subclavian artery branch injury due to chronic blunt trauma caused by inappropriate traditional physical therapy. A 72-year-old male patient was admitted to the emergency department with sudden onset of pain and swelling in the left chest wall after inappropriate traditional physical therapy. He had a medical history of hemorrhagic stroke causing paralysis in his right arm and right leg. Muscle tension exercises were given to the patient by his relatives with the mechanism they built. Pulses were normal in the left upper extremity, and there was no difference in temperature and diameter between both upper extremities. The patient diagnosed with left subclavian artery branch rupture with computed tomography angiography was followed up with compression therapy without any surgical intervention and discharged with full recovery.
Sports-Related High-Grade Renal Injury: A Case Report
Authors: ÖZDEMİR Serdar , KOKULU Kamil
Published: May 2022

Sport is defined as a set of movements that improve an individual's health status, physical ability and performance. While sports-related injuries mostly affect the musculoskeletal system, soft tissue, bone and nerve tissue elements are also injured in different forms and degrees. It has been found that sports injuries often cause muscle tendon injuries in the lower extremities. In this paper we report a case of sports-related high-grade renal injury because of that he did not have a solitary kidney and was during football makes it unusual among sports-related renal injuries, which are rare.
Evaluation of Systemic Thrombolytic Treatment in the Emergency Service in Unstable and Resuscitated Patients Due to Massive Pulmonary Embolism
Authors: BİLİR Özlem , ÜNLÜ Alpaslan , TAŞÇI Filiz , ERSUNAN Gökhan , ATAŞ İsmail
Published: May 2022

Background: PE accounts for 3% of out-of-hospital cardiac arrest. In this case, treating patients with thrombolysis during resuscitation has been associated with better survival.
Objective: The aim of this study is to evaluate the use of systemic thrombolytic in unstable and/or resuscitated patients who are evaluated in the red area in emergency service practice and who are diagnosed with massive pulmonary embolism with bedside examinations.
Methods: This prospective study was designed on 17 patients who were transferred as unstable to the emergency service of a tertiary hospital by Emergency Health Services and/or who needed resuscitation due to non-shockable fatal rhythm disorder on admission and who underwent systemic thrombolysis due to the diagnosis of pulmonary embolism during resuscitation.
Results: Of the 17 patients included in the study, 52.9% were discharged and improvement was detected in unstable vital findings in 47.1% patients after thrombolysis. Of the bedside examinations performed on admission, ECG showed T wave negativity at V1-4 deviations and P-pulmonale in 41.2% patients and ECHO showed right ventricle dilatation indicating right ventricle dysfunction in 82.4% patients. CTPA taken after stabilization showed thrombus at bilateral pulmonary artery in 88.2% patients.
Conclusion: Cardiopulmonary arrest caused by PE is a life-threatening condition that requires urgent systemic thrombolysis. Patients who are evaluated as unstable or in need of resuscitation in the emergency service should be diagnosed quickly as a result of examinations performed at bed-side and thrombolytic treatment should be started.
Determination of Demographic Changes of Acute Pulmonary Embolism Patients Applied to Emergency Service: Retrospective Analysis of 60 Cases
Authors: ÖRÜN Serhat , BOL Oğuzhan , AKÖZ Ayhan
Published: May 2022

Aim:
The aim of this study was to determine the clinical and demographical traits of the increasing number of patients diagnosed with pulmonary embolism and hence to contribute to the literature in order to analyze the possible changes occurred in time.
Our study is a retrospective study conducted with all patients over the age of 18 who applied to the emergency service and diagnosed with pulmonary embolism between 01.01.2017 and 01.01.2019. Demographic and clinical data of patients such as patients’ complaints, background story, physical examination and laboratory inspections were determined by analyzing physical files formed at the application and saved data in the information system, and relationship between all the data was analyzed by determination of calculated wells criteria scores.
Results:
A total of 60 patients were included in the study. The average age of the patients was 64.46 (16.95). Among the patients, 34 (56.7%) were female while 26 (43.3%) were male. Shortness of breath and chest-back pain were the leading complaints of emergency service applications by 36 (60%) and 16 (26%), respectively. The leading background stories of the cases were malignity with 14 (23%) patients, and hypertension with 12 (20%) patients. The most common physical examination indication was bruit with 21 (35%) patients and pretibial edema with 11 (18%) patients, while 12 (20%) patients did not show any symptom. Thrombolytic treatment was applied to 4 patients in the emergency service.
Conclusion
We believe that studies investigating demographic traits of life-critical and easy to skip diseases like pulmonary embolism which causes to apply to the emergency service will contribute to diagnosis.
Monumentalizing ritual texts in Ancient Egyptian pyramids
Authors: Alvarez Christelle
Published: May 2022

The aim of this paper is to contribute to the discussion of the relationship between manuscript and epigraphic traditions in premodern cultures by addressing aspects of the monumentality of writing in the context of Ancient Egyptian tombs near the end of the third millennium BC (the late Old Kingdom). Ritual texts inscribed on the walls of subterranean chambers of kings' and queens' pyramids at Saqqara are known as 'The Pyramid Texts', the earliest known mortuary corpus of any civilization. The texts, which are inscribed in hieroglyphs, are carved, decorated, and painted in green. They are laid out in columns and cover surfaces up to three metres high in the main chambers and in the passages leading to the entrances of the pyramids. While the texts were performed during rituals and recorded in writing in contexts that are now lost, the carved hieroglyphic forms in the pyramids make it possible to glimpse the extent of manuscript culture and scribal practices of this period. The process of inscription involved not only reconfiguration from manuscript to wall, but also reinterpretation of the texts in terms of the spatial, architectural, and symbolical context of the tomb. This paper investigates the idea of monumentality in relation to the way these texts were reconfigured in the pyramids.
Monumentalizing metaphors: diphrasis in the murals of Tulum
Authors: Davis Caitlin Reddington
Published: May 2022

At Tulum, as well as other Maya sites in the Yucatan Peninsula, mural painting traditions are related to the style and symbol-set associated with Central Mexican manuscript cultures. The murals reflect the widespread Postclassic Mesoamerican manuscript cultures lourishing from the twelfth to sixteenth centuries AD, during which iconic and logosyllabic scripts were used in the construction of regionally distinct manuscript forms. The murals at Tulum relate to manuscript culture not only in their style and symbol set, but also in their use of metaphorical dualisms, in which significant iconic elements are contrasted as an indicator of a more abstract concept. Recognizing metaphorical juxtaposition as an underlying principle of Mesoamerican ritual language, this paper discusses the process by which manuscripts become monuments and considers the sacred metaphors painted on the temples of Tulum as mechanisms for reinforcing political power.
In the midst of great kings: the monumentalization of text in the Iron Age Levant
Authors: Hogue Timothy
Published: May 2022

The Bar-Rakib Palace Inscriptions from Zincirli have received relatively little attention from philologists and archaeologists alike because of their predictable and derivative content. However, these monuments provide an unparalleled insight into the monumentalization of text in the Iron Age Levant. As might be expected, Bar-Rakib's Aramaic inscriptions and reliefs repeat themes and tropes from other monuments. They also were strategically deployed at the site so as to interact with nearby monuments left by earlier rulers. What has received less attention is the fact that Bar-Rakib's monuments also shared many artistic tropes with small finds from Zincirli, including letters, incantation plaques, seals, and amulets. These correspondences suggest that monumental texts functioned by appropriating aspects of personal artifacts to be used on a communal scale. By projecting not only prestige but also intimacy, Bar-Rakib's inscriptions invited their audience to interact with them in imaginative ways. As the audience related to the monumental texts through acts of reading, viewing, and ritual, they would in turn reconfigure their own relationships to other communicative media, places, each other, and the polity as a whole. It was this ability to relate to communities and thus reshape them that made a text monumental in the Iron Age Levant. This was accomplished through the strategic juxtaposition of text with visual and performative media in particular spatial contexts.
From royal court to ancestral shrine: transposition of command documents in Early Chinese epigraphy
Authors: Škrabal Ondřej
Published: May 2022

While the earliest attested Chinese manuscripts date only from the late fifth century BC, bronze inscriptions cast between the tenth and eighth centuries BC provide abundant evidence of the administrative use of manuscripts at the royal court, especially during the appointment ceremonies in which the royal secretaries read out the king's command to the aristocratic elite. These command documents were sometimes quoted at length in inscriptions cast on the ritual bronze vessels by these appointees, who had them displayed in their ancestral shrines and used them in ancestral sacrifices and ensuing feasts. Based on the epigraphic evidence, this paper explores various aspects of manuscript production in the Western Zhou administration (1045--771 BC) and investigates the complex editorial process behind the textual transfer from the command documents onto bronze ritual paraphernalia. Through an analysis of various editorial approaches to the composition of bronze inscriptions, the value and status imputed to manuscripts by Western Zhou aristocracy has been further discussed. Such reconstruction of lost manuscript practices can enrich our understanding of textual production not only during the Western Zhou period but in Early China in general.
PROBLEMATIKA PROSES REHABILITASI & REONSTRUKSI PASCA BENCANA MENGUNAKAN METODE PARTISIPATIF MASYARAKAT
Authors: Modifa Ira , Siregar Robert Tua , Sinaga Rudi Salam
Published: May 2022

In the handling of the 2004 Aceh Tsunami Disaster and the 2004 Nias Earthquake, many parties as providers of assistance used a community-based rehabilitation and reconstruction development model one of which is UN-HABITAT under the auspices of the United Nations, This study aims to find the most effective and fair participatory postmortem participatory development guidelines for disaster-affected communities through case studies of Aceh Nias Settlement Support Program (ANSSP) 2005-2007. Analytical descriptive methods are used to obtain data. Data collection techniques used literature study and documentation study. The results of the study found that participatory community-based development, especially post-disaster handling, has proven good results. The literature study, interview and ANSSP report book 2007 published by UN - Habitat, illustrates that the participatory development model is able to answer all negative factors.
KONTRUKSI PEMBERITAAN KORAN SERAMBI INDONESIA TERHADAP BUPATI BIREUEN MENGENAI PROGRAM BEASISWA DAN BEDAH RUMAH
Authors: Rizki Nanda , Purba Amir , Sabarina Yovita
Published: May 2022

Media massa memiliki peran yang strategis dalam membentuk persepsi dan opini masyarakat terhadap suatu pemberitaan. Dalam konteks pembangunan daerah kebijakan yang ditempuh kepala daerah akan mudah diketahui oleh masyarakat secara luas melalui pemberitaan di media massa, Penelitian ini bertujuan untuk mengetahui konstruksi pemberitaan tentang pencitraan Bupati Bireuen pada program pemberian beasiswa dan bedah rumah kepada masyarakat tidak mampu di Kabupaten Bireuen di Koran Serambi Indonesia. Penelitian ini menggunakan metode kualitatif deskriptif dengan menggunakan paradigma konstruktivisme. Data diperoleh dari studi dokumentasi dan studi pustaka serta wawancara dengan redaktur koran. Dalam melakukan analisis studi ini menggunakan analisis framing yang dikembangkan oleh Pan dan Kosicki. Hasil penelitian menyimpulkan bahwa terdapat konstruksi pemberitaan yang menciptakan makna positif bagi citra diri Bupati Bireuen
ANALISIS FUNGSI BADAN PERMUSYAWARATAN DESA DALAM PEMBANGUNAN DESA
Authors: Simamora Evi Hardiyanti , Nasution M. Arif , Suriadi Agus
Published: May 2022

In Law No. 6 of 2014 the village affirms that the village is no longer an administrative area, not even a subordinate or an element of regional implementation, but a special and independent area. The purpose of this research is to analyze the implementation of the function of Village Consultative Board in village development in Aloban Village, Portibi District, Padang Lawas Utara District. The method used in this study using descriptive method with a qualitative approach, research directed to provide accurate and systematic symptoms, facts or events about the properties of specific populations and areas. The results of this study found that the function of Village Deliberation Agency in Aloban Village has not been running as its function
KOMPETENSI KOMUNIKASI KEMITRAAN BIDAN DESA DAN DUKUN BAYI DALAM MENDUKUNG PENURUNAN ANGKA KEMATIAN IBU DAN BAYI
Authors: Koto Ernawati
Published: May 2022

The purpose of this study is to analyze the communication competence of village midwives and TBAs in supporting the decrease of maternal and infant mortality rate and to analyze the efforts of village midwives and TBAs in maintaining partnership in Singkohor sub-district of Aceh Singkil district. The method used is qualitative method with constructivist paradigm. Data were collected based on in-depth interviews on 6 informants consisting of 3 village midwives and 3 dukun bayi. The results showed that the midwives 'midwives' partnership and midwife communications process worked well. The communication competence of village midwives and midwives is seen from the motivation, knowledge and skills indicate that the motivation of the village midwife to partner with the dukun baby is due to the belief and closeness of the community to the midwife whose knowledge is gained from the experience passed down from generation to generation while the shaman has motivation partnering with the village midwife because the TBA believes in the credibility of midwives in handling childbirth where knowledge is gained from the learning process.
IMPLEMENTASI PROGRAM KONSELING DAN TES HIV PUSKESMAS TELADAN GUNA PENCAPAIAN TARGET SUSTAINABLE DEVELOPMENT GOALS (SDGS)
Authors: P Adelia Risa , Nasution M. Arif , Achmad Nurman
Published: May 2022

Fokus penelitian ini adalah untuk mengetahui dan menganalisa pelaksanaan kebijakan program konseling dan tes HIV di Puskesmas Teladan guna pencapaian target SDGs dengan menggunakan isu-isu interaktif yang digagas oleh George C Edward III berupa komunikasi, sumber daya, disposisi dan struktur birokrasi yang berperan dalam pelaksanaan kebijakan. Keberperanan empat isu ini sangat bermakna bagi implementasi kebijakan dan penelitian ini menggunakan metode kualitatif melalui analisis deskriptif dan objek penelitiannya adalah Dinas Kesehatan Kota Medan, Puskesmas Teladan dan masyarakat di wilayah kerja Puskesmas Teladan. Hasil penelitian ini menunjukkan  bahwa implementasi kebijakan program konseling dan tes HIV di Puskesmas Teladan guna pencapaian target SDGs telah memenuhi empat isu implementasi kebijakan publik model George C Edward III walaupun belum sempurna. Hal ini terbukti dari masih adanya pengelola program dan masyarakat yang belum bisa memperoleh informasi dengan baik dan cepat tentang pelaksanaan konseling dan tes HIV.
ANALISIS PERAN DAN FUNGSI INTERNAL AUDIT INSPEKTORAT KABUPATEN DELI SERDANG TERHADAP PENYELENGGARAAN URUSAN PEMERINTAHAN DAERAH DI KABUPATEN DELI SERDANG
Authors: Tarigan David Efrata , Subhilhar Subhilhar , Thamrin Husni
Published: May 2022

Penelitian ini bertujuan untuk mengetahui dan menganalisis gambaran pelaksanaan peran dan fungsi pengawasan terhadap penyelenggaraan urusan pemerintahan daerah yang dilakukan oleh Inspektorat Kabupaten Deli Serdang serta kendala-kendala yang dihadapi pemerintahan daerah di Kabupaten Deli Serdang. Secara teknis penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif yaitu dengan menggambarkan secara operasional aktivitas serta lakon yang dilaksanakan oleh inspektorat Kabupaten Deli Serdang. Dengan demikian sumber datanya adalah orang- orang atau individu yang memahami betul permasalahan yang diteliti serta secara formal terlibat dalam proses pengawasan.Hasil penelitian menyimpulkan bahwa peran pengawasan melalui audit internal terhadap penyelenggaraan urusan pemerintahan daerah di Kabupaten Deli Serdang oleh Inspektorat Kabupaten telah dilaksanakan dengan baik. Meski demikian terdapat pula beberapa kelemahan yang menjadi informasi bagi perbaikan perencanaan pengawasan di masa yang akan datang.
NILAI-NILAI KEKUASAAN DALAM UKIRAN RUMAH TUO DI KELURAHAN KAMPUNG BARUH KECAMATAN TABIR KABUPATEN MERANGIN
Authors: Jaya Mulia , Ariska Dwi Pradana
Published: May 2022

The values ​​of power possessed by traditional holders or ninik mamak in the Bungo Malay community can be seen from their position in the tuo house. Tuo's house is one of the cultural relics of ancient Malay, Jambi's house is synonymous with Old Malay customs. The method used in this research is a qualitative research method which is a case study. Research informants were selected by purposive sampling method. The results of the study found that the values ​​of power in the carving of the tuo house in Kampung Baruh Village, Tabir District, Merangin Regency, can be seen from the carvings on the tuo house ornaments, including: Carving of Keluk Paku (Pakis Wood) means that every development actor (leader) must be able to protect the The function and role it carries, Tampuk Manggis Carving means that the inner tribe shows politeness, sweet-faced hospitality to any guests who come. Carved Rope Philosophy of a strong bond and close kinship in the family, Carving Mensinding Gulung Paku (Pakis) showing the boundaries between mamak grandmothers, traditional elders, religious leaders with family and guest rooms, Carving Roots related to inner tribes if married their children from elements (matched) from their own family or from the same tribe. The efforts of the Merangin Regency Government in preserving the existence of tuo houses in Kampung Baruh Village, Tabir District, Merangin Regency, include making the area attractive, improving facilities and infrastructure and increasing accessibility.
EVALUASI KEBIJAKAN PEMERINTAH DALAM PELAKSANAAN PEREMAJAAN (REPLANTING) PERKEBUNAN KELAPA SAWIT DIDUSUN LEMBAH KUAMANG TAHUN 2019
Authors: Dison Ronal , Wulansari Dewi
Published: May 2022

The replanting, which was carried out for the first time in the Kuamang Valley hamlet in 2018, which was funded by the BPDPKS grant, was carried out on an area of ​​110 hectares that participated in the registration of 51 oil palm farmers. However, in its implementation there are various obstacles that make the program not run well in Lembah Kuamang Hamlet. This research method uses a qualitative method with the selection of informants by purposive sampling. The results of the study found that the oil palm replanting policy at KUD Citra Merkadi Dusun Lembah Kuamang had not run according to the rules set out in the Minister of Agriculture Regulation No. 6 of 2018 concerning Palm Oil Relanting Guidelines which occurred due to various obstacles that arise in the implementation of replanting coconut plantations. oil palm in the hamlet of Lembah Kuamang, Pelapat Ilir sub-district, Bungo regency. Constraints in replanting are the difficulty of communicating with operators who handle the implementation of rejuvenation of oil palm plantations in the village of Kuamang valley, the absence of socialization to the community of oil palm farmers and the workforce who have experienced complete cessation due to non-current wages from contractors. As for the efforts made by the Village Unit Cooperative (KUD) in solving the problems that are happening in the valley of Kuamang, the village unit cooperative gives a warning to the contractors and operators and finally decides on a contract with the operator and looks for another contractor who is more professional.
ANALISIS PERANAN DINAS PERINDUSTRIAN DAN PERDAGANGAN DALAM PENGEMBANGAN INDUSTRI KECIL DI KOTA MEDAN
Authors: Putra Rizki Arif , Nasution M. Arif , Suriadi Agus
Published: May 2022

At a time when banking is facing difficulties to make the debtor which is not problematic, UMK became an alternative credit channeling of banking. There is little industry in the city of Medan have a very strategic role, both in the Equalization of opportunities, equitable spread of the Interest of the industry that supports the development, employment equity, and aims to form indentations the Community industry is small, independent, tough, and developed into a major industry. This research aims to analyze the role of the Service industry and are experts in developing small industries in the city of Medan. This research uses descriptive qualitative approach method. Results of the study showed a number of productive activities performed by the Department of industry and experts and the weakness of the perpetrators of the small and medium industries to expand the network of ekternal.
IMPLEMENTASI KONSEP PEMERINTAHAN YANG BAIK (GOOD GOVERNANCE) KECAMATAN DI KOTA PEMATANGSIANTAR
Authors: Sinaga Saut Parlindungan , Sihombing Marlon , Suriadi Agus
Published: May 2022

This study used a qualitative approach with descriptive form that menyajikat picture of good governance phenomena that occur at the level of districts in the province of North Sumatra. This research was conducted in 2016, located in Pematangsiantar specifically phenomenon observation area of ​​research carried out in several districts scattered in Pematangsiantar.Results of research descriptively explained that the application of the values ​​of good governance in the sub-districts scattered in Pematangsiantar is good enough. Nevertheless strategic efforts aimed at improving the implementation of the spirit of the values ​​of good governance will be developed as sustainable as needed empowerment and service to the community.There are several factors that significantly affect the successful implementation of the values ​​of good governance throughout the District Government in Pematangsiantar which includes aspects of delegation of authority fully to implementing the wheels of government as to regions remote / rural areas, improvement of infrastructure especially in districts away from the district capital, and no less importantly include improved aspects of community development districts through qualified human resources and be able to compete as in trying to meet their basic needs.
POLA PEMBINAAN NARAPIDANA DI LAPAS KELAS II/B MUARA BUNGO BERDASARKAN UNDANG-UNDANG NOMOR 12 TAHUN 1995
Authors: Maryam Siti , AR Iskandar
Published: May 2022

Correctional institutions are organizations that have the same important duties and functions as other institutions in the Criminal Justice System, such as the Police, Prosecutors and Courts. The duties and functions of the Correctional Institution are to carry out guidance for prisoners and correctional students. The formulation of the problem in this research is what are the patterns, what are the obstacles and what are the efforts of the Class II/B Muara Bungo prison in conducting prisoner development based on Law Number 12 of 1995. The method used is descriptive qualitative. Informants in this study were all Penitentiary Class II/B Muara Bungo and all convicts and ex-convicts. With the number of informants as many as 12 people. The results of the study show that the pattern of fostering prisoners at the Class II/B Muara Bungo prison based on Law Number 12 of 1995 has been implemented well through spiritual development and independence. With the aim of building mental and spiritual as well as developing the potential, talents and interests of prisoners. The results of inmates coaching by the Class II/B Muara Bungo prison can also be said to be quite good because it has been able to improve the abilities and skills of prisoners in various fields of business and has been able to increase the obedience of the prisoners. However, the implementation has not been optimal due to limited facilities and infrastructure, human resources, and low awareness of prisoners to be able to do coaching. Efforts are being made to increase human resources, improve facilities and infrastructure and collaborate with the Bungo Regency Job Training Center, and provide motivation and understanding to prisoners about the importance of coaching programs.
PERSEPEKTIF SOSIAL DAN POLITIK TERHADAP KEBANGKITAN PEMBANGUNAN EKONOMI MELALUI KEPEMIMPINAN ABU BAKAR AL- SHIDDIQ DAN UMAR IBN AL-KHATTAB
Authors: Faisal Faisal , Mukti Abdul , Dahlan Zaini
Published: May 2022

Basically humans are born as leaders, since Adam was created as a caliph to be assigned to take care of the earth, the word caliph itself can be interpreted as a liaison or leader to convey to lead something. As a leader, his expertise is required in regulating the behavior of others in his work by using power. Leaders have the right to power to direct, mobilize, and influence the people they lead to carry out orders that must be carried out in achieving a desired goal. Therefore, a leader must have good leadership skills, so that harmony will be achieved in a leadership, and the goals that have been outlined will also be achieved. In connection with this leadership, Islam began a leadership with the sending of Muhammad SAW as a prophet and apostle to invite people to the truth, embrace Islam as a belief. In the course of the struggle and spread of Islam, the prophet Muhammad automatically became the leader of the Muslims until the end of his life. After the death of the Prophet Muhammad, the Muslims were afflicted with deep sadness, they lost a beloved leader, a leader who had a unique and complex personality, broad-minded, and trustworthy.
Caractérisation Pomologique de 21 Cultivars Locaux de Figuier (Ficus carica L.) Cultivés dans les Oasis Tunisiennes
Authors: Aljane Fateh , Ferchichi Ali
Published: May 2022

La diversité pomologique du figuier (Ficus carica L.) dans les oasis tunisiennes a été étudiée en utilisant les descripteurs morphologiques. Vingt et un cultivars de figuier originaires des oasis de Kébili, Tozeur et Gafsa ont été analysés et comparés. L'analyse de la variance, l'analyse en composantes principales et l'analyse canonique hiérarchique de caractères liés aux fruits montrent une grande diversité au sein des cultivars étudiés. L'étude de cette diversité de germoplasme du figuier permet de détecter des cas homonymes et synonymies. Certains d'entre eux ont été sélectionnés. Parmi les descripteurs de haut degré de discrimination celles relatifs aux dimensions des fruits, la couleur des fruits, etc. Certains traits morphologiques sont susceptibles d'être utilisés comme descripteurs pour la classification des cultivars de figuier en Tunisie.
Association study and expression analysis of olfactomedin like 3 gene related to meat quality, carcass characteristics, retail meat cut, and fatty acid composition in sheep
Authors: Listyarini Kasita , Sumantri Cece , Rahayu Sri , Uddin Muhammad Jasim , Gunawan Asep
Published: May 2022

Objective: The objective of this study was to identify polymorphism in olfactomedin like 3 (OLFML3) gene, and association analysis with meat quality, carcass characteristics, retail meat cut, and fatty acid composition in sheep, and expression quantification of OLFML3 gene in phenotypically divergent sheep.Methods: A total of 328 rams at the age of 10 to 12 months with an average body weight of 26.13 kg were used. A novel polymorphism was identified using high-throughput sequencing in sheep and genotyping of OLFML3 polymorphism was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Among 328 rams, 100 rams representing various sheep genotypes were used for association study and proc general linear model was used to analyse association between genotypes and phenotypic traits. Quantitative real-time polymerase chain reaction (qRT-PCR) was used for the expression analysis of OLFML3 mRNA in phenotypically divergent sheep population.Results: The findings revealed a novel polymorphism in the OLFML3 gene (g.90317673 C>T). The OLFML3 gene revealed three genotypes: CC, CT, and TT. The single nucleotide polymorphism (SNP) was found to be significantly (p<0.05) associated with meat quality traits such as tenderness and cooking loss; carcass characteristics such as carcass length; retail meat cut such as pelvic fat in leg, intramuscular fat in loin and tenderloin, muscle in flank and shank; fatty acids composition such as tridecanoic acid (C13:0), palmitoleic acid (C16:1), heptadecanoic acid (C17:0), ginkgolic acid (C17:1), linolenic acid (C18:3n3), arachidic acid (C20:0), eicosenoic acid (C20:1), arachidonic acid (C20:4n6), heneicosylic acid (C21:0), and nervonic acid (C24:1). The TT genotype was associated with higher level of meat quality, carcass characteristics, retail meat cut, and some fatty acids composition. However, the mRNA expression analysis was not different among genotypes.Conclusion: The OLFML3 gene could be a potential putative candidate for selecting higher quality sheep meat, carcass characteristics, retail meat cuts, and fatty acid composition in sheep.
Fatty acid profiles and flavour-related compounds of retorted Korean ginseng chicken soup (Samgyetang) affected by pre-treated black garlic extract
Authors: Barido Farouq Heidar , Utama Dicky Tri , Kim Yeong Jong , Lee Sung Ki
Published: May 2022

Objective: This study aimed to characterize the effect of pre-treated black garlic (BG) extracts addition into retorted Korean ginseng chicken soup (Samgyetang) on the fatty acid composition and flavour-related indexes.Methods: Four different treatments; Samgyetang made with a 5% (w/w) addition of garlic (G), fresh BG (FBG), oven-dried BG (DBG), or encapsulated BG (EBG) extracts were developed and compared to negative control (NC) without any extract addition. Prepared samples were cooked via retorting at 121.1°C, 1.5 kgf/cm2 for 1 h.Results: The BG treated samples were higher in C18:3n3 and C18:2n6 fatty acids, with thrombogenic index was 18% to 20% lower than the NC. EBG yielded the highest umamirelated nucleotides (5′-guanosine monophosphate and 5′-inosine monophosphate) and modified some free amino acid (alyne, phenylalanine and leucine) thus possessed the highest equivalent umami concentration among samples. Some individual aldehydes (pentanal, hexanal, and heptanal) were lower, while furans and volatile sulfur compounds were higher than the NC and G treatment group, indicating a potential suppression of unpleasant flavour alongwith the intensificiation of favourable flavour from the addition of BG extracts into retorted Samgyetang.Conclusion: Taken together, the synergistic results of this study indicate that incorportating suitable pre-treatment of BG extract could be of critical importance for the development of the retorted Samgyetang with improved flavour and functionalities.
Effects of feeding high-energy diet on growth performance, blood parameters, and carcass traits in Hanwoo steers
Authors: Kang Dong Hun , Chung Ki Yong , Park Bo Hye , Kim Ui Hyung , Jang Sun Sik , Smith Zachary K , Kim Jongkyoo
Published: May 2022

Objective: Our study aimed to investigate the effects of a 2% increase in dietary total digestible nutrients (TDN) value during the growing (7 to 12 mo of age) and fattening (13 to 30 mo of age) period of Hanwoo steers.Methods: Two hundred and twenty Hanwoo steers were assigned to one of two treatments: i) a control group (basal TDN, BTDN, n = 111 steers, growing = 70.5%, early fattening = 71.0%, late fattening = 74.0%) or high TDN (HTDN, n = 109 steers, growing = 72.6%, early = 73.1%, late = 76.2%). Growth performance, carcass traits, blood parameters, and gene expression of longissimus dorsi (LD) (7, 18, and 30 mo) were quantified.Results: Steers on the BTDN diets had increased (p≤0.02) DMI throughout the feeding trial compared to HTDN, but gain did not differ appreciably. A greater proportion of cattle in HTDN received Korean quality grade 1 (82%) or greater compared to BTDN (77%), while HTDN had a greater yield grade (29%) than BTDN (20%). Redness (a*) of LD muscle was improved (p = 0.021) in steers fed HTDN. Feeding the HTDN diet did not alter blood parameters. Steers fed HTDN diet increased (p = 0.015) the proportion of stearic acid and tended to alter linoleic acid. Overall, saturated, unsaturated, monounsaturated, and polyunsaturated fatty acids of LD muscle were not impacted by the HTDN treatment. A treatment by age interaction was noted for mRNA expression of myosin heavy chain (MHC) IIA, IIX, and stearoyl CoA desaturase (SCD) (p≤0.026). No treatment effect was detected on gene expression from LD muscle biopsies at 7, 18, and 30 mo of age; however, an age effect was detected for all variables measured (p≤0.001).Conclusion: Our results indicated that feeding HTDN diet could improve overall quality grade while minimum effects were noted in gene expression, blood parameters, and growing performance. Cattle performance prediction in the feedlot is a critical decisionmaking tool for optimal planning of cattle fattening and these data provide both benchmark physiological parameters and growth performance measures for Hanwoo cattle feeding enterprises.