bluuebunny/crossref_metadata_2025 huggingface dataset:
Meningkat Keterampilan Membaca Cepat
Authors: Rasyida Afia Hening
Published: May 2019

Sebagai bentuk membina dan mengembangkan bahasa Indonesia kita perlu melatih empat keterampilan bahasa seperti, menyimak, berbicara, membaca dan menulis. Pada paper ini menjelaskan salah satu keterampilan berbahasa yaitu membaca dan di dalam keterampilan membaca itu ada kategori membaca cepat. Pada paper ini juga akan sedikit menjelaskan kegunaan dari membaca cepat dan bagaimana caranya melatih keterampilan membaca cepat kita guna untuk meningkatkan kualitas keterampilan membaca kita.
SUPERVISI PENDIDIKAN UNTUK PENGEMBANGAN PROFESIONALITAS GURU BERKELANJUTAN
Authors: zaki ahmad
Published: May 2019

Dibandingkan dengan negara lainnya prestasi akademik Indonesia masih sangat jauh tertinggal.Kualitas pendidikan yang diharapkan masih sangat jauh dari yang diharapkan.Supervisi memiliki peranan yang sangat penting dalam pendidikan.Dengan adanya supervisi maka kualitas pendidikan dapat ditingkatkan.Pemberian supervisi ini berguna untuk meningkatkan kualitas pedagogi guru yang pada muara akhirnya adalah untuk meningkatkan prestasi belajar siswa.Peningkatan kualitas hasil belajar siswa hendaknya dilaksanakan secara berkesinambungan dengan memperhatikan perkembangan ilmu pengetahuan, teknologi, serta sosial dan masyarakat.Dalam upaya meningkatkan kompetensi pedagogi guru yang profesional maka perlu diterapkan teknik supervisi, menumbuhkan budaya organisasi pembelajar, dan kegiatan pelatihan.
upaya dalam membina profesional guru melalui supervisi kunjungan kelas
Authors: safira Meutya kemala
Published: May 2019

Proses pembelajaran dalam sebuah kelas, siswa dianggap telah belajar apabila tujuan pembelajaran yang telah dirumuskan telah berhasil dikuasi oleh siswa di dalam kelas. Peran guru sangat besar dalam sebuah kelas karena guru berperan sebagai penanggung jawab dan sebagai pengelola dalam proses pembelajaran di kelas. Guru harus memiliki profesionalitas dalam mengajar agar peserta didik didalamnya mengetahui apa yang guru sampaikan serta pemahaman dapat diterima oleh peserta didik. Membina profesionalitas guru dapat melalui supervisi yang merupakan kegiatan pembinan yang dilakukan kepala sekolah kepada guru untuk membantu memperbaiki situasi pembelajaran agar para siswa dapat belajar lebih efektif dengan prestasi belajar yang meningkat. Kinerja guru adalah hasil dari yang dikerjakannya sesuai dengan tuntutan profesi yang dimiliki yang dapat ditunjukkan dengan produktivitas kerja yang tinggi agar siswa yang diajarkannya agan mengalami peningkatan dalam belajar.
Pengaruh Tingkat Penghimpunan Dan Penyaluran Dana Terhadap Rentabilitas (Studi pada Bank Perkreditan Rakyat Siliwangi Tasikmalaya)
Authors: Rustendi Tedi
Published: May 2019

The influence of deposit and lending activities on rentability is research problem that want to answer. This research used case study approach of descriptive analysis, and based on data in range five years. Result of hypothesis testing at 95% confidance interval shown that variability value of rentability can explained by variability value of deposit and lending activities.
Keterampilan Berbahasa Menyimak Kritis Ceramah dengan Metode Kontekstual
Authors: SETYANINGSIH DWI
Published: May 2019

Menyimak ceramah merupakan kegiatan menyimak kritis yang memerlukan pemikiran, penalaran atau logika yang kritis. Dalam tulisan ini metode kontekstual dipilih untuk pembelajaran menyimak kritis ceramah. Dalam hal tersebut, menyimak kritis memberikan peranan penting dalam meningkatkan kecerdasan intelegensi. Dengan terus melatih keterampilan ini, akan meningkatkan kemampuan berbahasa yang lainnya, sehingga dapat melatih berkomunikasi dengan merespons informasi dengan baik secara kritis. Dalam tulisan ini membahas seputar hakikat menyimak, faktor yang memengaruhi dalam kegiatan menyimak, pentingnya keterampilan menyimak, contoh-contoh bahan menyimak kritis, mengidentifikasi gagasan utama, dan kendala-kendala dalam menyimak.
The ties between Hathor and the weaver girl（织女）
Authors: Xu Bohai
Published: May 2019

On the basis of Hathor as a goddess of love, beauty, Queen of wreath weaving, celestial goddess, the mistress of Heaven, goddess of cheerfulness and maternal care; each year, "Hathor travelled south from her temple at Dendera to visit Horus at Edfu”; one particular Egyptian tale - the 'Seven Hathors'. And on the basis of in Egypt, mirrors were another of Hathor’s symbols; Hathor was praised for her beautiful hair; in the Old Kingdom, most priests of Hathor, including the highest ranks, were women and the only known surviving birth brick from ancient Egypt is decorated with an image of a woman holding her child flanked by images of Hathor and so on, so I can get a hypothesis that the weaver girl(织女)is probably Hathor in China.
A Multilevel Analysis of Predictors of Modern Contraceptive Use among Reproductive Age Women in Sierra Leone: Insight from Demographic and Health Surveys.
Authors: Agbadi Pascal , Tagoe Eunice , Akosua Agyemang Florence , Owusu Seth
Published: May 2019

Background: Variations in the effect of predictors of Sierra Leone women’s use of modern contraceptive from one community to another is unknown. The identified gap was addressed using multilevel logistic regression models.Methods: Pooled 2008 and 2013 Sierra Leone Demographic and Health Surveys datasets were used. Single level logistic regression analyses were conducted on 24,032 women, and multilevel logistic regression models were performed on 23,329 women. Statistical significance was pegged at p≤0.01 and p≤0.05.Results: About 22.1% of the reproductive age women ever used a modern contraceptive. The best-fitted model indicated that the effects of individual, household, and geo-residential level factors on the use of modern contraceptives among Sierra Leone Women vary from one community to another. The woman’s age, marital status, educational qualification, listening to the radio, recent sexual activity, household wealth, place of residence, and region of residence were the statistically significant predictors of modern contraceptive use among reproductive-age Sierra Leone women.Conclusion: The study provided in-depth insight into the significant factors that account for the variability in women use of contraceptives in Sierra Leone. The study underscored the need for community-based intervention programs to address the low use of modern contraceptives among Sierra Leone women.
A Clinico-histopathological Correlation of Elective Abdominal Hysterectomy in University Hospital
Authors: Shrestha Sarada Duwal , Shrestha R. , Pradhan R.
Published: May 2019

Introduction: The objective of this study was to correlate preoperative indications of abdominal hysterectomy with histopathological findings.

Methods: This cross-sectional study was conducted in Patan Hospital from April 2016 to March 2018 in all the patients who underwent elective abdominal hysterectomy. Demographic characteristics, clinical symptoms, preoperative diagnosis and final histopathological diagnosis were studied. Preoperative indications were correlated with histopathological diagnosis.

Results: A total of 203 elective abdominal hysterectomies were performed. Menorrhagia was the leading symptom found in 67 (33.00%) patients followed by pain abdomen in 62 (30.54%) patients. Leiomyoma was the most common preoperative diagnosis seen in 105 (51.72%) patients followed by ovarian tumor in 34 (16.75%) patients. The most common histopathological diagnosis was leiomyoma observed in 87 (42.86%) patients followed by ovarian tumor in 35 (17.24%) patients. Clinical and histopathological correlation was 100% in cases of ovarian tumor, complex endometrial atypical hyperplasia, pelvic inflammatory disease (PID), fibroid polyp and chronic cervicitis. Only 40% of preoperatively diagnosed postmenopausal bleeding cases were correlated histopathologically while the rest were missed preoperatively which included endometrial polyp (40%) and adult granulosa cell tumor (20%).

Conclusions: Leiomyoma was the most common preoperative and histopathological diagnosis. Clinical and histopathological correlation was 100% in cases of ovarian tumor, complex endometrial atypical hyperplasia, PID, fibroid polyp and chronic cervicitis.
Prevalence of Shoulder Pain Disability among Assistive Device Users with Paraplegia
Authors: Acharya Bushnu Dutta , Rawal M. , Rokaya P.K. , Karki D. , Limbu D. , Binaya P.L.
Published: May 2019

Introduction: To identify the prevalence of shoulder pain disability in paraplegic patients using assistive devices following Spinal Cord Injury.

Methods: This was a cross-sectional study done among 53 SCI paraplegia patients having shoulder pain after use of assistive devices. Pre-test was done among 5 subjects. The association among different variables with shoulder was tested by using chi-square test. SPSS version 16 was applied to find the result.

Results: The study showed that almost 98.11% of the respondents had shoulder pain with the assistive device users. Among them all of the participants were using wheelchair as the assistive devices and 86.3% had mild disability, 11.8% moderate disability and 2% sever disability. Among them, 72% of the patients had stayed in the hospital for less than six months. Shoulder pain was dependent on age, gender, duration of assistive devices used, type of assistive devices used and level of injury.

Conclusions: Shoulder pain is common and has a high prevalence rate in both traumatic as well as non-traumatic spinal cord injury. Wheelchair user have more shoulder pain then other assistive devices users. Shoulder pain has a negative effect on activities of daily living and is a potential cause of activity limitations.
Status of Abortion Services in Jumla
Authors: Shrestha Anjupa , Sharma S.
Published: May 2019

Introduction: Abortion was legalized in Nepal in September 2002. Only a trained and listed provider can provide abortion services at a health. For many women, especially in developing countries like Nepal, safe abortion may not be available, affordable or accessible despite the liberalization of abortion law. The aim of this study was to determine the status of abortion in Jumla.

Methods: This retrospective study was conducted from the record of District Health Office; Jumla from the month of Ashad 2074 to Jestha 2075. Total Enumerative sampling technique was used. Data of public health sector and Marie Stopes Center, Jumla were retrieved and analyzed in terms of frequency, rate, and percentage.

Results: Total 1196 women have received abortion services and abortion rate was 36.077 per 1000 (15-49 Years women). Most of the women(90%) were more than 20 years of age and majority of women (82%) chose medical method for abortion service. Majority (88.62%) have used Post abortion family Planning services.

Conclusions: The abortion rate of Jumla was still high. Nine out of ten women who received abortion services were more than 20 years of age. Women preferred medical method rather than surgical method for abortion service. Nearly one tenth women had not used any post abortion family planning method.
Neglected Shoulder Presentation with Hand Prolapse: A Rare and Fatal Obstetric Complication Managed in a Rural Hospital
Authors: Shrestha Uma , Aryal B.
Published: May 2019

In the era of modern obstetric care, the neglected shoulder presentation is usually limited in developing countries which increase the risk of the morbidity and mortality of both mother and fetus. In the past, the reports about obstetric management of this serious complication were very few. In this case report, we aim to describe the neglected shoulder presentation at term pregnancy that caused fetal death and discuss management options for this rare obstetric complication during labor.
Malarial Fever Diagnosed and Treated in a Low Risk Endemic Area
Authors: Regmi Dharma Raj , Basnet N. , Jaishwal C. , Pun S.
Published: May 2019

A case of a 2-year-old female child who initially presented with fever, later diagnosed and successfully treated as Malaria in Jajarkot Hospital in the District of Jajarkot which is a low malarial prevalence region. Patient had been treated with oral antibiotics in a local out of hospital pharmacy but continued to remain febrile. Patient admitted for evaluation of fever and inability to feed. Malaria was confirmed with ICT based Rapid Diagnostic Test after other foci/infection with high degree of suspicion were ruled out. Patient was treated based on the recent national guideline and eventually discharged after showing significant signs of improvement. This isolated case of malaria in a hilly low risk area like Jajarkot emphasizes the need to remain vigilant and adopt a stringent protocol-based diagnostic for diagnosis and treatment of a febrile patient.
Anaphylactic Shock in Patient with Hepatic Hydatic Cyst: An Experience at a Rural Hospital
Authors: Khapung Robin , Mahaset N.
Published: May 2019

Hydatid disease is mainly caused by infection with the larval stage of the dog tapeworm Echinococcus granulosus. Infestation by hydatid disease in humans most commonly occurs in the liver (55- 70%) followed by the lung (18- 35%); the two organs can be affected simultaneously in about 5-13% of cases. Hydatid disease is endemic in many parts of the world, including India, Africa, South America, New Zealand, Australia, Turkey and Southern Europe. Hydatid disease is more prevalent in rural areas where there is a closer contact between people and dogs and various domestic animals which act as intermediate vectors. Hydatid disease remains frequent in JUMLA. In Karnali Academy of Health sciences 26 surgeries for hydatid cyst was done between 2016-2018.

Hydatid cyst of liver in a child is a challenge to anesthesiologist in a remote city such as Jumla. Anaphylactic and anaphylactoid reactions during anesthesia are a major cause of concern for anesthesiologists. During the perioperative period, any symptomatology relating to sudden onset hemodynamic collapse or increased airway pressures during certain surgical procedures should raise suspicion of anaphylaxis. We report a case of intraoperative sudden anaphylaxis and its management.
Prevalence of Intestinal Parasitic Infestations in School going Children of Udaya Kharka Secondary School, Chapagaun, Lalitpur, Nepal
Authors: Khadka Damber , Butterworth K.
Published: May 2019

Intestinal Parasitic infestation is major cause of childhood morbidity in developing countries like Nepal with lack of hygiene and safe water supply. This study was done to find the actual scenario of parasitic infestation in a population of Nepal. This cross sectional, prospective study was undertaken in Udaya Kharkha Secoundary School, Chapagaun, Lalitpur. The study population included 246 students from school of age 6 years to 18 years. Routine and microscopic examination was done for stool collected from healthy students. Children among examined incidence of infestation was 52%. And different six types of parasites were found. Among which Giardiasis was the common with 42%. There was high incidence of parasitic infestations in school going children in the school. Incidence of parasitic infestations according to sex showed that girls are infested more than boys and according to age group 11 to 14 years age group is highly infested.
Effects of high altitude in pregnancy: an opportunity of research in KAHS
Authors: Aryal Binod
Published: May 2019

Pregnancy is a special condition in a women’s life with unique physiological changes. There has been some research on physiological changes in human body in high altitude; however, there are many things still unknown about pregnancy at high altitude. It is an estimation that about 140 million people worldwide live in high altitude of above 2500 m, and it is believed that the hypobaric hypoxia of pregnancy at high altitude is the most common cause for maternofetal hypoxia. It has been seen that the babies born at high altitude are smaller, and the degree of smallness is inversely correlated with the number of generations of ancestors of high-altitude residence. Some studies show that women in populations with high-altitude ancestry, such as the Aymaras or Quechuas in South America and Tibetans in Asia, deliver heavier babies than women from European ancestry in South America or Han women in China living at high altitude. A study by Jensen and Moore shows that in Colorado, altitude acts as an independent factor in determining birth weight, with a reduction in birth weight of 100 g per 1000 m elevation gain.

Studies have shown that low birth weight at high altitude has no association with socioeconomic status. Hence, it may reflect either hypoxia-induced intrauterine growth restriction or genetic adaptation. The latter implies a strong fetomaternal interaction involving adaptation to hypoxia on several levels. It also reflects the importance of interaction between the mother and the fetus which is stressed by the fact that better maternal ventilator response to hypoxic stress at high altitude correlates positively with birth weight. Another study shows that people living at altitudes of 4000 m and above have an arterial partial pressure of oxygen of 50 mmHg and an arterial oxygen saturation of just above 80%.

There has been many studies on populations living in high-altitude regions for many generations, like Quechuas and Tibetans, which show many functional and structural adaptations in high altitude. This adaptation helps to allow for a way out for the main metabolic problem they face: maintaining an acceptably high scope for sustained aerobic metabolism despite reduced availability of oxygen in the inspired air. The functional adaptation to high altitude is measured indirectly by determining aerobic capacity, which reflects not only the maximum work performance but also the success of the individual’s biological oxygen transport system.
Management of Immune thrombocytopenic purpura during pregnancy: A single center experience
Authors: Poudyal B.S. , Sampurna T. , Neupane S. , Shrestha P.R. , Chitrakar N. , Pariyar J. , Maharjan K.K. , Mishra Rupesh
Published: May 2019

Background: Immune thrombocytopenic Purpura (ITP) is the second most common cause of an isolated low platelet count during pregnancy. It account for about 3% of thrombocytopenic cases during delivery. Treatment is indicated, if there is an evidence of bleeding or platelet count is less than 30,000/µl. Herein, we presented a medical record of twenty-four pregnant women, who were diagnosed with ITP during pregnancy.

Method: A total number of twenty four pregnant women diagnosed with primary ITP and having platelet count of less than 30000/µl were enrolled in the study. Oral prednisolone (1mg/kg) was started in all patients with an aim to keep the platelet count above 50000/µl during delivery. Steroid was continued for 21 consecutive days and were tapered (10 mg) every week, if platelet counts were above 30000/µl.

Data pertaining to the ITP during pregnancy was recorded for age, platelet count, mode of delivery and complications related to steroid therapy and were analyzed by simple statistical analysis.

Result: ITP was observed in about 58%, 25% and 17% of the cases during first, second and third trimester respectively. About, 63% of patients presented with purpuric rash, 18% presented with mucosal bleed, one present presented with hematuria and others were asymptomatic. More than two third of cases responded to the steroid and in those cases platelet counts were above 50,000/µl at the time of delivery. All subjects delivered a healthy child. There was no maternal mortality and post-partum hemorrhage was absent in all patients.

Conclusion: Steroid is the treatment of choice for all cases of ITP. ITP is no longer a contraindication to the continuation of pregnancy, the tradition and tendency to advice for abortion in these pregnant mothers, may not be justifiable.
Delivery Profile and indications of Cesarean Section in a rural referral Hospital: what could be the implications?
Authors: Shrestha U. , Aryal Binod
Published: May 2019

Introduction: There is huge difference in cesarean section rate between rural (3.5%) and urban (15%) areas of Nepal. The national CS rate is around 5% whereas global CS rate is 26%. The objective of this study is to find out the delivery profile and rate and indications of CS in a rural university hospital.

Methodology: This is a three -year’s retrospective cross-sectional study done from January 2016 to January 2019 (Magh 2072 to Poush 2075) at Karnali Academy of Health Sciences, Jumla. The data was retrieved from hospital birth profile records and analyzed using SPSS 20. Permission was taken from Institutional review committee (IRC) to conduct the study.

Results: Total number of delivery during this period was 1841 out of which 172 were Cesarean delivery giving a CS rate of 9.3%. The most common indication of CS were fetal distress (33.7%), previous CS (9.3%), failed induction of labor (9.3%). Non progress of Labor (8.1%) and post term pregnancy (8.1%). Majority of the CS were done as an emergency procedure.

Conclusion: The CS rate at KAHS teaching hospital was within WHO recommendation of between 5-15% and was very low in comparison to other centers situated in urban areas of the country. The indications of CS was also similar to the other national and international statistics.
Factors Affecting Uterine Prolapse among Females of 20-35 years on Semi-urban Area of Kathmandu District
Authors: Panta Prem Prasad , Phuyal S. , Sharma D. , Amgain K.
Published: May 2019

Uterine prolapse is a significant public health problem in Nepal. The aim of this study was to determine the prevalence of uterine prolapse and to identify the possible risk factors for this. This is a cross sectional study conducted at semi urban area in Kathmadu district. A total of 168 women of age 25 – 34 years were surveyed, and nearly half of them were of 25-29 years. Maximum respondents (38.1%) were Chhettri, and least was Dalit (13.1%). Regarding occupation, two –third of the participants had agriculture and house maker as their main source of living. Among the interviewed population, the prevalence of uterine prolapse was found to be 11.9%. Among them, 15.3% were farmers, 29.4 % were daily wagers, 18.2% were Dalit and 16.7% were of age more than 28 years. This study showed that the income has a vital role in the occurrence of the uterine prolapse, the odds ratio was found to be 13.6 (CI: 4.6-38.5). The pregnancy below the age of 20 was found to be the second major cause (OR: 12.6, CI: 3.5 - 45). Similarly, other factors like parity, gravid, child spacing, lack of rest during pregnancy, heavy weight lifting were the significant factors to uterine prolapse (p<0.05). However, the type of delivery was not associated to the occurrence of uterine prolapse.
Utilization of Family Planning Services in Karnali Academy of Health Science, Jumla
Authors: Shrestha Sharmila , Chaulagain S. , Pandey K.
Published: May 2019

Introduction: Family planning is an integral part of maternal health as its uptake is a significant factor in the reduction of maternal mortality and in ensuring positive child health outcomes specially in developing countries, however, its usage remains low.

Objectives: To describe prevalence and pattern of contraceptive use, among women accessing family planning facilities.

Study design: A retrospective review of hospital records of family planning clinic clients at the teaching hospital was conducted.

Results: Total 2811 clients accepted a family planning service during the period. Contraceptive prevalence rate was 21%. Modal age group of clients (81%) was below 20 years old. Injection Depo was the most common method (69%) and implant was less used method (8%) among the temporary method of family planning.

Conclusion: There is an identified need for promotion of uptake of family planning methods. Involvement of young women, uneducated women and men in contraception counseling and services is essential to improve its uptake and continuity.
Comprehensive Emergency Obstetrical and Neonatal Care (CEmONC) at Karnali Academy of Health Sciences, Teaching Hospital, Jumla
Authors: Bhattarai Saraswoti Kumari Gautam , Dahal M.
Published: May 2019

Introduction: Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries like Nepal with a high burden of maternal and newborn mortality. So this study aims to find out the status of comprehensive emergency obstetrical and neonatal care (CEmONC) service.

Method: A retrospective cross-sectional study was conducted using secondary data sources at maternity ward of KAHS teaching hospital, Jumla. Total 291 women admitted in maternity ward for childbirth were included in the study of six month period of 2075. Sampling technique was census for the study who were admitted for child birth purpose. Cases were selected from the record of the maternity ward. The data was collected by using structured tool. Ethical approval was taken from the ethical review committee of KAHS for ethical clearance. Data was analyzed by using descriptive statistics.

Result: There were 291 women admitted in the maternity ward for the purpose of childbirth during six-month period. Among them 224(76.97%) women delivered baby by spontaneous vaginal delivery; 61(20.96%) delivered with C/S and 6(2.06%) were delivered with instrumental delivery. Regarding the indication of 61 cesarean section (C/S) delivery; 22.95% with fetal distress, 16.39% with cephalopelvic disproportion and 11.47% with meconium stained liquor

Conclusions: About one third childbirth was done by cesarean section with indication of fetal distress, cephalo-pelvic disproportion and meconium stained liquor in higher proportion. Although CEONC service is effective, the rate of cesarean section can be reduced by providing good quality antenatal care.
Health scenario of Karnali Province
Authors: Paudel Tarun , Amgain K. , Sanjel S.
Published: May 2019

Introduction: Although Karnali is an old civilization of Nepal, this province has low human development indexes and the indicators of health are low. This study was carried out to comprehend the trend of public health indicators and disease pattern of Karnali Province.

Methods: Descriptive study using provincial three years’ health data were reviewed from all the 10 districts of Karnali Province using per forma. Data entered in Microsoft Excel software were transferred into the statistical package for social sciences version 21 and descriptive analysis was carried out.

Results: Previous three years’ data were analyzed. The last years’ results were BCG coverage was 106.0%, DPT/Hepa B was 93.0%, 95.0%, tetanus toxoid (TT) 2 & tetanus toxoid 2+ was 82.0%, 0-11 months' growth monitoring was 126.0%, 0-23 months' underweight children was 8.0%, pneumonia among new acute respiratory infection was 24.0% prevalence of acute respiratory infection was 949/1,000, prevalence of diarrhea was 709/1,000 and severe dehydration among diarrhea was 0.9%. Four Antenatal chick up was 55.0% institutional delivery was 67.0%, delivery by skill birth attendant was 56.0%, health examination within 24 hours of delivery was 65.0%, and contraceptive prevalence (CPR) rate was 35.0%. Likewise, treatment success rate of tuberculosis was 86.0%, new case detection for rate/100,000 tuberculosis was 0.5, HIV Incidence rate/10,000 was 5.3 and outpatient department attendance was 83.0%. Among top 10 diseases, respiratory infection was the first with 14.8%, followed by acute peptic disorders 10.4%, headache 7.9%, worm infestations 7.2% and fall injuries/ fractures found 5.9%.

Conclusions: The indicators of health condition of Karnali Province are markedly low in comparison to the other provinces as well as the national figure. The utilization of public health services has to be reinforced in the province and districts.
Complex partial seizure with postictal aggression as a presentation of atypical eclampsia: a case report
Authors: Agrawal Pawan Kumar Bajaj , Gauchan B. , Dhungana S.K. , Wong L.
Published: May 2019

Background: Complex partial seizure with sudden onset in near term pregnancy can be challenging to the attending clinician and it is essential to proceed with a presumptive diagnosis of eclampsia, especially in resource poor settings. Unlike generalized tonic clonic seizures, which are more common in eclampsia, complex partial seizures may not jeopardize the fetus with the same severity. However the associated postictal aggression manifested in self-inflicted trauma poses an imminent risk onto the fetus.

Case presentation: A nineteen year old gravida two para one living zero woman presented with seizure at thirty six weeks and three days of gestation in a district hospital. The blood pressure recordings during her entire pregnancy were normal and proteinuria was not present. Her previous pregnancy had a similar course, with self-inflicted trauma to her abdomen in a postictal state and resulted in loss of fetus. She did not have any seizures in between then and the current admission. While being managed in the labor ward, the family physicians witnessed complex partial seizure with postictal aggression. The delivery was expedited with caesarean section and she had no further seizure activity.

Conclusion: Complex partial seizures with postictal aggression in pregnancy are rare but can be an atypical presentation of eclampsia and poses a diagnostic dilemma to the clinician.
Establishing pain service in Dharan, Nepal: overcoming the inertia
Authors: Bhattarai Balkrishna
Published: May 2019

The author describes the initial days of establishing pain management services in the eastern part of Nepal.
Analisis Perbandingan Perencanaan Metode CPM Proyek ICCP Menggunakan Variasi Peletakan Groundbed pada Line Pipa Gas Eksisting Perusahaan Pupuk
Authors: Novita Vitalia Dian , Antoko Bambang , Mahardhika Pekik
Published: May 2019

Perusahaan pupuk di Indonesia didirikan untuk memenuhi kebutuhan pertanian dan pangan nasional. Untuk menunjang pelayanan distribusi maupun proses, sistem perpipaan di dalamnya didesain dengan memperhatikan performanya, termasuk pada proteksi katodiknya. Pada salah satu pabrik di perusahaan pupuk yang diteliti sedang memiliki permasalahan proteksi katodik sehingga membutuhkan pergantian sistem proteksi dari SACP yang sudah ada menjadi ICCP. Mengacu pada penelitian sebelumnya dan berdasarkan kondisi area yang sudah ada, variasi penempatan groundbed dapat dilakukan untuk dianalisa mana yang paling tepat digunakan untuk sistem perpipaan di perusahaan pupuk tersebut. Sebanyak 5 titik lokasi telah dipilih berdasarkan pertimbangan kondisi area sesuai dengan sketsa terlampir. Langkah pertama adalah melakukan perhitungan teknis pada masing-masing variasi, kemudian melakukan perencanaan proyek yang selanjutnya dianalisa keunggulan dari hasil perhitungannya. Dari hasil perhitungan yang telah dilakukan, dapat disimpulkan bahwa sistem ICCP dengan menggunakan 2 groundbed tipe 3 adalah yang paling efektif digunakan untuk sistem perpipaan eksisting pada pabrik yang diteliti karena memiliki keunggulan terbanyak dibandingkan variasi yang lain.
UJI VISUAL THERMOGRAPHY PADA OSCILLATING HEAT PIPE
Authors: Sukadana Ida Bagus Putu
Published: May 2019

Oscillating Heat Pipes one of the new family of heat pipe is two-phase heat transfer technologies with excellent performance capabilities, simple structure and low production costs. As one of the non-intrusive method in temperature measurement, thermography observation in OHP still very rarely to use although the result was able to explain the relation between temperature oscillation and fluidic motion of fluid. Furthermore this paper aims to study the behavior of thermal profile with the thermography observation. Water with filing ratio (45%) has been chosen as the working fluid for the close loop OHP. The heating power was varying into the evaporator section of OHP from 12 until 142 Watt. It was found that thermography observation very useful tools to define internal flow pattern inside OHP channel. Intermittent oscillation, circulation and dry-out phenomenon was captured more better than conventional temperature measurement. The lowest thermal resistance was found 0.234 °C/W corresponding with 3210 Watt/mK effective thermal conductivity at heat input 142 Watt.
DESAIN ENERGI HIBRIDA SOLAR PANEL DAN LISTRIK UNTUK PENERANGAN AREA PARKIR
Authors: Widodo Sarono , Rochadi Agus , Anif Muhammad
Published: May 2019

The design of hybrid energy by utilizing solar energy and electrical energy (PLN) is further research as a source of energy for cell model lighting in the parking area. The electricity generated from the sun through solar panels stored on the battery as the primary source through a hybrid system. The system is designed using two solar panels (110 Wp), Mesonic MF 1500 and Deep cycle 12V / 100Ah batteries to supply 100 - 250-watt parking lot lighting for three to four hours. With this hybrid method, the use of electrical energy for lighting can be supplied complete with solar panels.
The state research center of Russia “I.P. Bardin CNIIchermet” is 75 years old
Authors: Levinskii D. A.
Published: May 2019

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Effect of steel casting speed mode on quality of continuously casted billet
Authors: Stolyarov A. M. , Retunskaya A. M. , Potapov M. G. , Potapova M. V.
Published: May 2019

The speed of billet withdrawal from a continuous caster (CC) mold has a decisive effect on the CC productivity. However, increase of the speed results in an increase of pollution of the CC metal by non-metallic inclusion and increase of surface defects of CC billet. Estimation of steel casting speed mode impact on the degree of different defects formation presented for long products CC billets, casted at a five-strand CC of radial type. Defects of CC billet from Ст3сп steel grade studied for a billet having section of 150×150 mm. The purpose of the study was to determine the degree of influence of withdrawal speed, metal chemical composition and billets cross section dimensions on billets quality. Array of industrial data of more than 550 billets studied, 80.4% of which were casted by an open stream and the balance – by a closed stream. As a result of the CC billets quality study it was confirmed, that during metal casting by an open stream the degree of evolution of form defect, like rhombic defects, internal and surface defects is higher comparing with those when casting by a closed stream. General tendency of increase of the CC metal pollution by non-metallic inclusions at the increase of billet withdrawal speed. The tendency is similar for both casting by an open and by a closed stream. However, during casting by an open stream the increase takes place rather evenly. During casting by a closed stream a sharp increase of billets with defects were observed at the billets withdrawal speed exceeding 2.4 m/min. Linear dependencies of billets withdrawal speed while casting by a closed stream on the degree of liquation cracks evolution and general strips, edge point pollutions and peripheral fine structure metal zone thickness determined. To improve the long products billets surface, casted by a closed stream, it was recommended to restrict the withdrawal speed of the billet from a carbon steel of general quality by the value of 2.4 m/min.
Study of the thermal treatment modes influence on the forming of microstructure and specified complex of mechanical properties of high-strength sheet product with guaranteed level of hardness (400–450 HB) of low-alloyed steel
Authors: Matrosov M. Yu. , Martynov P. G. , Mitrofanov A. V. , Barabash K. Yu. , Goroshko T. V. , Zvereva M. I.
Published: May 2019

High-strength sheet product of low-alloyed steel, used at manufacturing of heavy-loaded structures, must have, apart from wear resistance, high toughness, good weldability, ability to hot and cold forming, machinability and low cost. Combination of these properties based on forming fine grain austenite structure before the martensitic transformation at definite its thermal treatment modes. Results of study of microstructure, fine structure and mechanical properties of high-strength boron-containing low-alloyed steel after different technological methods of the rolled product manufacturing presented: high-temperature hot rolling and twostages controlled rolling with accelerated cooling followed by thermal treatment – quenching with tempering. Variants of optimal modes of thermal treatment determined, providing combination of high level of impact toughness under negative temperatures, hardness and strength properties of sheet product. The two considered in the article technological variants, comprising treatment of low-alloyed steel with boron (hot rolling and two-stages controlled rolling with accelerated cooling) followed by thermal treatment results in forming fine structure of tempered martensite, which provides high mechanical properties, meeting the made requirements. Depending on the heating temperature before quenching in the range 770–950 °С, the morphology of the actual steel grain is changing from elongated to equiaxed, which is connected with the metal recrystallization process during heating after plastic deformation. The study results obtained allow to optimize the thermal treatment processes of sheet product of low-alloyed boron containing steel for particular conditions of application.
Elaboration of a technology of long rail lashes production without induction heat treatment application
Authors: Kozyrev N. A. , Shevchenko R. A. , Krat’ko S. N. , Kryukov R. E. , Mikhno A. R.
Published: May 2019

Welding butts of rail lashes after resistance butt-welding are subjected to heat treatment to eliminate heat-affected zones. At present facilities of induction heating are used in Russia for the heat treatment and compressed air as a quenching media. However, this method of quenching has significant drawbacks, including appearance of new heat-affected zones at the local heating of the welded butts, deterioration of the welded butts’ straightness after cooling. Shlatter Company proposed a solution of this problem by application of the process of resistance butt-welding by rails fusion. Theoretical calculations and laboratory studies of the thermal cycle of rail steel samples welding were made in the Siberian State Industrial University, which showed a principal possibility of this method application under industrial conditions. The method assumes after the welded butt settling and cooling to keep the preset temperature from the moment of its reaching by passing alternative electric current pulses through the welded butt. The temperature of exposure is selected based on obtaining necessary fine grain seam metal structure. The duration of exposure is determined by latency period of the structure formation and is controlled by the number of current pulses. The carried out industrial experiments at the МСР-6301 resistance butt welding machine resulted in determining parameters of cooling time after settling, heating and cooling after the heating, as well as the number of heating pulses. A method of resistance butt welding was tested, enabling to obtain the welded joint of details of the P65 ДТ350 category rail steel. The welded joint had mechanical properties exceeding technical requirements of СТО РЖД 1.08.002–2009 specifications.
Creation of start-of-the-art steels and technology of large diameter pipes production for oil and gas pipelines
Authors: Morozov Yu. D. , Matrosov M. Yu. , Zin’ko B. F.
Published: May 2019

The pipelines are one of most important section of the fuel and energy complex of Russia. About 75% of them are presented by gas pipelines of large diameter (1020–1420 mm) for the operating pressure up to 7.4 MPa. CNIIchermet after I.P. Bardin put a big contribution into creation of pipe steels and mastering of technologies for their production at steel-works of Russia. The Institute in cooperation with leading steels-works developed an array of pipe steel, which are successfully used at construction of modern gas and oil pipelines. Tendencies of requirements increasing to characteristics of steels for large diameter pipes for pipelines considered, creation stages of grade range of steels and technology of rolled products production analyzed. Main technological requirements for achieving mechanical properties high level determined. It was shown, that K60–K65 strength class steels meet requirements to northern pipelines for a pressure up to 11.8 MPa, to thick walled underwater pipelines for a pressure of 25.0 MPa and to pipes for seismic arears. Steel-works and pipe-manufacturing plant of Russia provide the production of longitudinal-welded pipes with wall thickness up to 40–60 mm with anticorrosion external coating and smooth internal coating.
COMPARISON OF THE EFFECT OF FOREIGN DEBT ON ECONOMIC GROWTH OF INDONESIA IN THREE PERIODS OF GOVERNMENT
Authors: Ningsih Endang Kusdiah , Naruliza Esty , Mario Asma
Published: May 2019

This purpose of this articel is  to determine the ratio of the effect of foreign debt on economic growth. Since the reign of the Old Order  up to the reign of the Reform Order to date, the Indonesian government has always done debt (overseas loans). So as if the growth that accomplished by the Indonesian economy each year can not be separated from foreign debt.The data used are secondary data obtained from the Central Bureau of Statistics and Bank Indonesia. The analysis technique to be used is Quantitative Descriptive Method. The results of hypothesis test show that  the effect of foreign debt on economic growth only during the Reform Order.
DEVELOPMENT OF OPTIMAL INVENTORY MANAGEMENT MODELS WITH HYBRID PUSH/ PULL SYSTEM AS INCREASED PERFORMANCE OF FISHERY ENTITIES IN NORTH SULAWESI
Authors: Wauran Anita Ludia Vivian , Tangon Joseph Nugraha , Toweula Alpindos
Published: May 2019

Proper production and inventory policies are key factors for the success of modern companies in a competitive environment. In order to be a winner and a very high demand, it is very important for the company to overcome the problems of production, timely delivery, and the transfer of which is a limitation or difficult company. There is a need for an optimal management that can manage the resource constraints of a companythrough the theory constrains of a hybrid policy that collaborates between push strategies, which is to make an order by pull strategy, which is to make it stored (David Claudio, Jie Zhang, and Ying Zhang, 2007). The purpose of this research is to produce an optimal management model with hybrid push/pull system as a manifestion of fishery performance in North Sulawesi.The types of data used in this study are qualitative data and quantitative data, qualitative data directly from primary sources of fisheries entities in North Sulawesi through interviews. While quantitative data is obtained from secondary sources is data of corporate financial statements including production reports of Fisheries Entities in North Sulawesi through documents with all the contents of all fisheries entities.
THE EFFECT OF GOOD CORPORATE GOVERNANCE AND TAX PLANNING ON COMPANY VALUE
Authors: Hidayat Angga , Yuliah Nike
Published: May 2019

This study aims to analyze the influence of Good Corporate Governance and tax planning on corporate value. This research is a type of quantitative research. The type of data used is secondary data obtained from www.idx.co.id and the company's website. The analytical method used is multiple regression analysis using SPSS version 22 software. The population in this study are manufacturing companies listed on the Indonesia Stock Exchange during the period 2013-2017. While the sample of this study was determined by purposive sampling method to obtain a total of 105 data that could be processed.Based on the results of good corporate governance regression analysis which is represented by institusional ownership proxy has a significant effect on firm value and tax planning has a significant effect on firm value.
PENGARUH BUDAYA ORGANISASI DAN MOTIVASI KERJA TERHADAP KINERJA KARYAWAN PADA BANK MANDIRI CLUSTER PAMULANG
Authors: Nurdina Anisa
Published: May 2019

ABSTRAK Yang melatar belakangi permasalahan dalam penelitian ini adalah rekapitulasi absen karyawan periode januari sampai desember di cluster Pamulang yang masih cukup tinggi tingkat absensinya. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh budaya organisasi dan motivasi kerja secara bersama-sama (simultan) terhadap kinerja karyawan.  Metode yang digunakan dalam penelitian ini adalah metode Survey dengan bentuk koresional . Populasi dalam penelitian ini adalah 110 karyawan  dengan sampel sebanyak 87 karyawan yang diambil dengan menggunakan teknik Simple Random Sampling. Analisis data yang digunakan adalah analisis korelasi ganda dan regresi ganda dengan bantuan komputer Apikasi SPSS 17. Hasil penelitian menunjukkan, budaya organisasi berada pada kategori cukup kuat sama seperti motivasi kerja dan kinerja. Harga koefisien regresi dalam penelitian ini Ho ditolak dan Ha diterima, artinya budaya organisasi dan motivasi kerja berpengaruh signifikan terhadap kinerja karyawan pada Bank Mandiri Cluster Pamulang, serta memiliki pengaruh 31,47%  terhadap kinerja karyawan sisanya 68,53% dipengaruhi oleh faktor-faktor lainnya.Kata Kunci : Budaya Organisasi, Motivasi Kerja, Kinerja Karyawan
PERBANDINGAN TINGKAT EFISIENSI BANK SKALA BESAR DAN SKALA KECIL
Authors: LISDAWATI LISDAWATI
Published: May 2019

ABSTRAKTujuan penelitian ini adalah untuk melihat apakah tingkat efisiensi bank berskala besar dan skala kecil berbeda secara signifikan, untuk mendapatkan gambaran umum tentang tingkat efisiensi pada industri perbankan, juga bertujuan untuk membandingkan efisiensi perbankan berskala besar dan kecil yaitu masing masing  terdiri dari 5 bank .Alat analisis yang digunakan yaitu rasio-rasio perbankan dan uji beda. Hasil penelitian ini menunjukan  nilai BOPO bank skala besar berada pada 60% – 90 % sedangkan nilai BOPO bank skala kecil berada antara 70% – 90%. Hal ini menunjukan bahwa secara umum bank skala kecil mengalami unefisiensi. Dengan menggunakan uji beda menunjukan adanya perbedaan yang signifikan antara bank skala kecil dan bank skala besar.Kata Kunci : Bank Skala Besar, Bank Skala Kecil, Efisiensi.
ANALISIS KEPUASAN JAMA’AH PADA KINERJA DEWAN KEMAKMURAN MASJID AL-HIDAYAH PERIODE TAHUN 2017
Authors: Pasaribu Veta Lidya Delimah , Krisnaldy Krisnaldy , Senen Senen
Published: May 2019

ABSTRAK Penelitian ini bertujuan Untuk pemahaman tentang bagaimana mengembangkan dan mengelola masjid, sehingga lebih banyak berperan dalam mengatasi problem umat dan masyarakat. serta memberikan gambaran umum tentang kemakmuran umat dan masyarakat melalui sebuah manajemen organisasi berbasis, Penelitian ini akan dilaksanakan dalam waktu kurang lebih 6 (enam) bulan sejak ditanda tanganinya kontrak perjanjian penelitian. Sebagai lokasi penelitianya di Masjid AL-HIDAYAH, yang beralamatkan di Jl. Anggur V Pamulang Permai I,Blok A35-A50 Kelurahan Pamulang Barat.Kecamatan Pamulang.Tangerang Selatan.Dalam penelitian ini proses pengumpulan data menggunakan 3 (Tiga) metode pokok yang saling berkaitan dan melengkapi, yaitu; Metode Wawancara Metode wawancara merupakan metode pengumpulan data dengan jalan komunikasi, yakni melalui kontak atau hubungan pribadi anatara pengumpul data (pewawancara) dengan sumber data (responden) Dalam penelitian ini juga , foto yang akan digunakan adalah foto pribadi yang dihasilkan oleh peneliti sendiri pada saat proses observasi dan kegiatan penelitian atau wawancara berlangsung, serta dokumen foto supervisi yang dimiliki oleh Jamaah Aktif, Pendiri Masjid, Pengurus Masjid.Hasil dari peneltian ini menunjukan penilaian kinerja DKM merupakan sarana untuk memperbaiki Jajaran DKM yang tidak melakukan tugasnya dengan baik dan membuat mereka mengetahui posisi dan perannya dalam menciptakan tercapainya tujuan dari pelayanan di Masjid terhadap Jamaah dan pada pelaksanaanya kegiatan pelayanan jamaah  yang dilaksanakan di Dewan kemakmuran masjid ,  sangat dibutuhkan untuk masyarakat ataupun jamaah sekitar Masjid Al hidayah. Ada beberapa faktor  yang harus menjadi perhatian  dalam kegiatan pelayanan yang dilaksanakan di Masjid Al Hidayah  Kata Kunci : Analisa, Kinerja, Kepuasan Jamaah,