bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH MODERNISASI SISTEM ADMINISTRASI PERPAJAKAN, SANKSI PAJAK TERHADAP KEPATUHAN WAJIB PAJAK ORANG PRIBADI PADA KPP PRATAMA
Authors: Alvin Faiz , Apollo
Published: June 2020

Penelitian ini bertujuan untuk menguji pengaruh modernisasi sistem administrasi perpajakan, sanksi perpajakan terhadap kepatuhan wajib pajak orang pribadi yang terdaftar di Kantor Pelayanan Pajak (KPP) Pramata Jakarta – Palmerah. Penelitian Ini termasuk ke dalam jenis penelitian kausal. Populasi dalam penelitian ini adalah wajib pajak orang pribadi yang terdaftar di Kantor Pelayanan Pajak Pratama Jakarta –Palmerah, dengan pengumpulan data mengguanakan metode langsung dengan menyebarkan kuesioner kepada wajib pajak. Teknik pengambilan sempel menggunakan simple random sampling. Teknik analisis data yang digunakan dalam penelitian ini adalah Analisis Partial Least Square (PLS) dengan menggunakan software Smart-PLS 3.0. Berdasarkan hasil analisis data diambil kesimpulan bahwa pertama, terdapat pengaruh signifikan dan positif Modernisasi Sistem Administrasi Perpajakan terhadap kepatuhan wajib pajak. Kedua, terdapat pengaruh signifikan dan positif Sanksi pajak terhadap kepatuhan wajib pajak.
THE IMPACT OF BOARD INDEPENDENCE, PROFITABILITY, LEVERAGE, AND FIRM SIZE ON INCOME SMOOTHING IN CONTROL OF AGENCY CONFLICT
Authors: Ekadjaja Agustin , Andre Chuandra  , Margarita Ekadjaja
Published: June 2020

This research is aimed to earn empirical results about the effect of board independence, profitability, leverage and firm size on income smoothing. The study used purposive sampling as its sampling method on manufacture companies that’s listed on BEI for years 2015-2017. Information for this research was acquired from multiple online sources that store financial reports of companies. This research used Eckel Index to determine if a corporation did an income smoothing on its financial report or not. The results were significant relationships between board independence and income smoothing and between profitability and income smoothing while insignificant relationships were found in between leverage and income smoothing and between firm size and income smoothing. To improve this study there are mulitple ways that has been written in conclusion part.
BUSINESS ETHICS PADA PT.CONTROL SYSTEMS ARENA PARA NUSA
Authors: Dewi Rintis Sukma
Published: June 2020

Etika bisnis adalah aturan-aturan yang menegaskan suatu bisnis boleh bertindak dan tidak boleh bertindak. Aturan-aturan tersebut dapat bersumber dari aturan tertulis maupun yang tidak tertulis. Jika suatu bisnis melanggar aturan-aturan tersebut, sanksi akan diterima. Sanksi tersebut dapat berbentuk langsung maupun tidak langsung. Manajemen dan seluruh karyawan PT. Control Systems Arena Para Nusa wajib mengikuti etika bisnis dan pedoman perilaku yang berlaku. Dengan menerapkan etika bisnis yang baik di dalam lingkungan perusahaan, dapat membangun reputasi perusahaan yang baik di mata pelanggannya. Perusahaan yang memiliki reputasi yang baik di mata pelanggannya, dapat berpengaruh terhadap keputusan pelanggan dalam membeli produk atau jasa yang akan digunakannya. Reputasi yang baik dapat meningkatkan keunggulan bersaing terhadap perusahaan tersebut. Dengan menggunakan metode penelitian kualitatif deskriptif menunjukkan bahwa penerapan etika bisnis Pada PT. Control Systems Arena Para Nusa dapat memengaruhi kualitas terhadap barang atau jasa yang dihasilkan sehingga dapat diterima oleh pelanggan dan dapat mencapai kepuasan pelanggan.
ANALISIS PENERAPAN ETIKA BISNIS PADA PT PLASTIK XYZ
Authors: Apriliani Rahayu Nuur
Published: June 2020

Abstrak: Etika menjadi pembahasan yang penting. dalam kegiatan bisnis saat ini, bahkan etika menjadi pusat sorotan bisnis. kontemporer. Etika bisnis ialah studi yang mempelajari moral yang baik. dan tidak, yang berkonsentrasi. pada standar moral sebagaimana diterapkan dalam kebijakan, institusi, dan perilaku bisnis. PT. Plastik XYZ adalah perusahaan yang bergerak dibidang manufaktur yang menjalankan bisnisnya dibidang Recycling plastik. Tidak hanya berorientasi pada keuntungan PT. Plastik XYZ juga melindungi hak konsumen, dimana visi perusahaan ialah dapat memberikan produk serta layanan yang terbaik sekaligus menjadi perusahaan yang dapat berkontribusi positif bagi lingkungan hidup. PT. Plastik XYZ juga menerapkan etika bisnis yang baik yaitu berkontribusi positif bagi lingkungan dan memberikan service terbaik kepada customer.
USULAN PERUMUSAN STRATEGI PERUSAHAAN DENGAN ANALISIS SWOT UNTUK PENCAPAIAN TARGET PENJUALAN CAT
Authors: Rachmiarti Kusumah Judiatin
Published: June 2020

Abstrak: Dengan perkembangan teknologi dewasa ini, banyak sekali perusahaan cat yang beroperasi dan membuka bisnis di Indonesia, tidak hanya perusahaan local tetapi juga perusahaan asing. Dan semua perusahaan menawarkan berbagai produk dengan tujuan untuk mencapai target yang telah ditetapkan oleh perusahaan. Dalam upaya pencapaian dan peningkatan target volume penjualan produk cat, supaya penyusunan strategi manajemen perusahaa dapat lebih terarah, maka perusahaan harus memperhatikan betul-betul apa yang menjadi kekuatan dan kelemahan yang dimiliki perusahaan sehingga perusahaan tersebut dapat mengelola peluang secara efektif dan menghadapi ancaman yang terdapat dalam lingkungan yang berpengaruh cukup kuat terhadap perusahaan. Tujuan pembuatan makalah ini adalah untuk merumuskan strategi sesuai dengan kondisi perusahan. Dengan menggunakan metoda penerapan analisis SWOT (Strength, Weakness, Opportunities and Threats). Tahap pengambilan keputusan menggunakan pendekatan perbandingan bagi perusahaan produsen cat, dalam penerapan perilaku bisnis sebagai perumusan strategi manajemen perusahaan.
Kata kunci : Formulasi Strategi, Matriks SWOT (Strengths, Weakness, Opportunities and Threats)
Etika KODE ETIK & PEDOMAN PERILAKU DALAM ETIKA BISNIS DI PT AJ ADISARANA WANAARTHA
Authors: Lumban Gaol Kiki
Published: June 2020

Setiap Perusahaan atau Pelaku Bisnis dalam aktivitas bisnis yang dilakukan tidak bisa terlepas dari kualitas moralnya dalam menjalankan suatu Bisnis tersebut. Penerapan Etika Bisnis merupakan syarat utama Perusahaan agar mampu menjaga nama baik Perusahaan, mampu bersaing dan meminimalisir setiap resiko yang mungkin dihadapi oleh Perusahaan. Maraknya pelanggaran Etika Bisnis dalam berbagai industri khususnya industri Asuransi yang ada di Indonesia melatarbelakangi penulis melakukan penelitian terhadap penerapan Etika Bisnis pada perusahaan  PT AJ Adisarana Wanaartha.  Penelitian  ini menunjukkan bahwa seluruh Karyawan, Manajer, Agen, dan Direksi PT AJ Adisarana Wanaartha sudah menerapkan kode etik dan pedoman perilaku yang dimiliki Perusahaan dalam menjalankan kegiatan operasional sehari-hari. Setiap Perusahaan atau Pelaku Bisnis dalam aktivitas bisnis yang dilakukan tidak bisa terlepas dari kualitas moralnya dalam menjalankan suatu Bisnis tersebut. Penerapan Etika Bisnis merupakan syarat utama Perusahaan agar mampu menjaga nama baik Perusahaan, mampu bersaing dan meminimalisir setiap resiko yang mungkin dihadapi oleh Perusahaan. Maraknya pelanggaran Etika Bisnis dalam berbagai industri khususnya industri Asuransi yang ada di Indonesia melatarbelakangi penulis melakukan penelitian terhadap penerapan Etika Bisnis pada perusahaan  PT AJ Adisarana Wanaartha.  Penelitian  ini menunjukkan bahwa seluruh Karyawan, Manajer, Agen, dan Direksi PT AJ Adisarana Wanaartha sudah menerapkan kode etik dan pedoman perilaku yang dimiliki Perusahaan dalam menjalankan kegiatan operasional sehari-hari.
ANALISIS KINERJA KEUANGAN DENGAN MENGGUNAKAN LAPORAN KEUANGAN PADA PT. BANK BRI (PERSEROAN), Tbk
Authors: Yuliana Reni
Published: June 2020

Abstrak
Penelitian ini dilakukan untuk mengetahui kinerja keuangan pada bank BRI. Berbagai masalah perekonomian saat ini dihadapi dapat mempengaruhi dunia bisnis dimana setiap perusahaan saling bersaing satu dengan yang lainnya untuk memperlihatkan kinerja perusahaan yang baik, salah satu perusahaan yang bersaing tersebut adalah perbankan. Dalam menilai kinerja keuangan dapat dilihat dari laporan keuangan bank. Dari laporan keuangan tersebut kita dapat melihat aset bank, liabilitas bank, laba yang diperoleh oleh bank, hingga jumlah Rasio Kewajiban Penyediaan Modal Minimum (CAR), Rasio Kredit Non-Performing (NPL), Rasio LDR. Posisi laporan keuangan yang disajikan adalah periode 2016-2018. Rasio CAR pada bank BRI masih stabil selama 3 tahun terakhir, Rasio NPL bank BRI mengalami penurunan pada tahun 2018 dan Rasio LDR mengalami penurunan selama 3 tahun ini, dalam kondisi ini dapat dikatakan bahwa perusahaan cukup sehat karena belum mampu menyalurkan kredit secara efektif. Dari analisis kinerja keuangan bank BRI cukup mampu meningkatkan pendapatan atau laba untuk perusahaan dengan cara menekan jumlah biaya yang dikeluarkan. Untuk meningkatkan kinerja keuangan, bank perlu mengevaluasi kinerja manajemen dengan cara meningkatkan pinjaman dan mengelola aset dengan baik.
 
Kata Kunci:  Laporan Keuangan, Analisis Rasio, Kinerja Keuangan
ANALISIS PERUMUSAN STRATEGI BISNIS TOSERBA 165 UNIVERSITAS PUTRA INDONESIA YPTK PADANG
Authors: Bayu Putra Ramdani , Andhika Putra Rio , Fitri Hasmaynelis
Published: June 2020

Eksistensi organisasi bisnis dimasa mendatang ditentukan oleh strategi bisnis yang andal. Penelitian ini bertujuan untuk menentukan dan merumuskan strategi bisnis yang tepat untuk Toserba 165 Universitas Putra Indonesia. Objek penelitian ini adalah Toserba 165 yang merupakan unit Usaha dari Universitas Putra Indonesia YPTK Padang. Jenis penelitian ini adalah metode deskriptif dengan teknik pengumpulan data melalui wawancara dan kuesioner kepada pihak pengelola. Teknik Analisis data mengunakan analisis SWOT meliputi IFE, EFE, CPM, TOWS, IE, SPACE, Grand Strategy dan QSPM. Hasil penelitian menemukan Matrik IFE dan EFE bahwa Toserba 165 telah memiliki kekuatan internal yang baik yang mampu meminimalkan kelemahan dan mampu memanfaakan peluang untuk mengurangi acaman. Hasil analisis Matriks TOWS, SPACE, IE, Grand Strategy sebagai hasil akhir, merekomendasi kepada Toserba 165 untuk menerapkan strategi bisnis strategi pengembangan pasar yang diikuti oleh pengembangan produk.
PENGARUH DEBT TO EQUITY RATIO, RETURN ON ASSET DAN PRICE EARNING RATIO TERHADAP HARGA SAHAM PADA SUB SEKTOR MAKANAN DAN MINUMAN YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2012-2016
Authors: Sopyan Sopyan , Perkasa Didin Hikmah
Published: June 2020

Penelitian ini bertujuan untuk mengetahui pengaruh Debt to Equity Ratio(DER), Return On Asset(ROA), Price Earning Ratio (PER) terhadap harga saham. Objek penelitian adalah sub sektor industri Makanan dan Minuman yang terdaftar di bursa efek indonesia tahun 2012-2016. Teknik pengambilan sampel dengan metodesampel Jenuh. Dari metode tersebut diperoleh 9 perusahaan yang memenuhi kriteria dan total perusahaan 16 perusahaan selama lima tahun.Teknik analisis yang digunakan adalah analisis regresi berganda baik secara parsial (t Test). Hasil penelitian ini menunjukkan bahwa koefisien determinasi ( ) sebesar 36,1%.sedangkan sisanya 63,9% dijelaskan oleh faktor lain diluar model penelitian. DER dan ROA tidak berpengaruh signifikan terhadap harga saham, sedangkan PER berpengaruh signifikan terhadap harga saham
ETIKA BISNIS PADA PT XYZ
Authors: Rahimaji Ahmad
Published: June 2020

Etika merupakan keyakinan mengenai tindakan yang benar dan yang salah, atau tindakan yang baik dan yang buruk, yang mempengaruhi hal lainnya. Nilai-nilai dan moral pribadi perorangan dan konteks sosial menentukan apakah suatu perilaku tertentu dianggap sebagai perilaku yang etis atau tidak etis. Etika bisnis adalah istilah yang biasanya berkaitan dengan perilaku etis atau tidak etis yang dilakukan oleh manajer atau pemilik suatu organisasi. Etika mempengaruhi perilaku pribadi di lingkungan kerja. Penulisan ini bertujuan untuk mengetahui bagaimana etika bisnis pada PT XYZ Karena di dalam berbisnis etika sangatlah diperlukan dengan etika perusahaan dapat mengetahui jati diri kita dan dapat memberikan keputusan apakah kita layak bekerja di perusahaan tersebut atau tidak. Dengan memegang teguh etika atau moral bisnis yang ada bisnis kita akan berjalan dengan baik, karena dengan memiliki etika kita dapat bersaing dengan perusahaan lain tanpa menyakiti pihak manapun. Etika telah berkembang di kehidupan masyarakat, jika kita dapat mempergunakannya dengan baik maka etika kita akan memberikan dampak yang positif terhadap bisnis kita dan perusahaan orang lain.
ANALISIS SWOT PADA PT. MEDIA PAJAK INDONESIA (TAXMEDIA)
Authors: Aipama Widya
Published: June 2020

PT Media Pajak Indonesia (Taxmedia) adalah perusahaan yang bergerak dalam bidang jasa konsultan pajak. Tujuan dari penelitian ini adalah untuk menganalisis kondisi internal dan eksternal perusahaan guna memperoleh keunggulan bersaing bagi perusahaan. Metode penelitian yang digunakan dalam penelitian ini adalah metode analisis swot Teknik pengumpulan data menggunakan wawancara yang dilakukan terhadap pihak-pihak terkait di dalam perusahaan. Data-data yang telah diperoleh tersebut dianalisis menggunakan deskriptif analisis swot. Srategy menunjukkan alternatif yang dapat diterapkan perusahaan adalah strategi marketing, operasional dan finance. Hasil akhir penelitian ini menyimpulkan bahwa rekomendasi atau usulan strategi bisnis yang tepat bagi perusahaan didapat berdasarkan hasil perumusan analisis swot.
EFEKTIVITAS PENGAMBILAN KEPUTUSAN DALAM PERCEPATAN PEMBANGUNAN SUMBER DAYA MANUSIA DI PROVINSI JAMBI
Authors: Maisah Maisah , Norainun
Published: June 2020

Pemimpin adalah orang yang menentukan tercapainya suatu tujuan organisasi. Sebab pemimpin sebagai faktor pengerak dalam kegiatan organisasi, baik secara individual maupun secara berkelompok. Pengambilan keuputusan yang  dilakukan pimpinan Institut  Agama Islam Negeri Sulthan Thaha Saipuddin Jambi dengan melakukan kerja sama dengan Kepala Daerah Kabupaten Sarolangun dan Kabupaten Merangin untuk  meningkatkan kualitas Kompetensi Kualifikasi serta mempercepat pembangunan Sumber Daya Manusia di Program Pasca Sarjana Institut Agama Islam Negeri Sulthan Thaha Saipuddin Jambi, suatu pengambilan keputusan yang sangat efektif. Perencanaan kerjasama  sudah di susun secara sistematis, dari kedua belah pihak. Pelaksanaan perkuliahan mahasiswa beasiswa  dari Kabupaten sudah berjalan sesuai dengan aturan yang berlaku. Namun dalam pelaksanaan finansial operasional untuk mahasiswa beasiswa belum efektif dan efisien  sesuai dengan apa yang telah disepakati oleh Kepala Daerah dari Kabupaten, sampai sekarang belum jelas informasi pembayarannya ke pihak pelaksanaan perkuliahan (Prgram Pasca Sarjana).
PENGARUH KONSEP DIRI TERHADAP MOTIVASI BELAJAR PADA MATA PELAJARAN IPS SMA NEGERI 7 MERANGIN
Authors: Sundra Rike , Elvina Safitri
Published: June 2020

This research is motivated by the low self-concept of students which is characterized by a lack of student confidence in themselves and low motivation to learn in students. The purpose of this study was to determine the effect of self-concept on student learning motivation in social studies. The research method used is quantitative with simple linear regression analysis techniques. The research respondents were 50 high school students of SMA Negeri 7 Merangin. Data collection by researchers is done by questionnaire or questionnaire. Trials on the research instrument of the researcher are validity and reliability testing. The test for classical assumptions using the normality test and Linearity test with the help of SPPS application 20. The results showed that students' self-concepts have a significant influence on student motivation which is shown in the regression coefficient of 0.728 and the R Square coefficient of 0.403 is terminated.
PENGARUH KESELAMATAN DAN KESEHATAN KERJA (K3), LINGKUNGAN KERJA DAN BEBAN KERJA TERHADAP KINERJA KARYAWAN
Authors: Parashakti Ryani Dhyan , Putriawati
Published: June 2020

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh keselamatan kesehatan kerja (K3), lingkungan kerja dan beban kerja Terhadap kinerja karyawan. Objek pada penelitian ini adalah karyawan PT. Bahagia Idkho Mandiri Bagian Produksi. Sampel yang digunakan dalam penelitian ini adalah sebanyak 78 responden. Pendekatan yang digunakan dalam penelitian ini adalah Component atau Variance Based Structural Equation Model. Dengan metode deskriptif kuantitatif. Analisis data yang di gunakan adalah analisis statistic dalam bentuk SEM PLS. hasil penelitian ini menunjukan bahwa keselamatan kesehatan kerja berpengaruh positif signifikan terhadap kinerja karyawan PT. Bahagia Idkho Mandiri Bagian Produksi. Lingkungan kerja berpengaruh positif signifikan terhadap kinerja karyawan PT. Bahagia Idkho Mandiri Bagian Produksi. Beban kerja berpengaruh positif signifikan terhadap kinerja karyawan PT. Bahagia Idkho Mandiri Bagian Produksi.
IMPLEMENTASI ETIKA BISNIS DAN GOOD CORPORATE GOVERNANCE PADA PERKEBUNAN KELAPA SAWIT PT. BUMITAMA GUNAJAYA AGRO
Authors: Kusmiarti Partini
Published: June 2020

Sebagai negara yang memiliki jumlah penduduk yang besar, Indonesia menjadi pangsa bisnis yang menjanjikan, karena itulah semakin baik untuk mengembangkan bisnis di segala bidang. terlebih ditunjang berlimpahnya Sumber Daya Alam. Hal ini membuat berbagai perusahaan tumbuh pesat di Indonesia. Tidak hanya menyumbangkan dampak positif, tetapi juga ada dampak negatif berupa eksternalitas yang semakin meningkat. Pelaku bisnis perlu diingatkan untuk memberikan fokus pada antisipasi dampak negatif, tidak hanya berorientasi pada keuntungan. Perusahaan PT Bumitama (BGA), sebagai perusahaan publik, dalam pengelolaannya telah menjalankan bisnis secara beretika. Tidak  hanya berorientasi pada profit, tetapi menggunakan cara-cara yang beretika dan taat hukum serta peraturan perundang-undangan yang berlaku untuk mendapatkan profit. Selain itu BGA juga menjalankan Tata Kelola Perusahaan yang Baik (Good Corporate Governance disingkat GCG). Prinsip-prinsip GCG seperti: Transparansi, Akuntabilitas, Pertanggungjawaban, Kemandirian, Kewajaran dan Kesetaraan. Prinsip-prinsip tersebut merupakan kewajiban bagi setiap karyawan dalam menjalankan tugas dan tanggung jawabnya sehari-hari.
ANALISIS PERPINDAHAN MEREK (STUDI KASUS PADA PENGGUNA SMARTPHONE OPPO DI CIGANJUR, JAGAKARSA)
Authors: Mahayu Putri Endah , Astuti Miguna
Published: June 2020

Penelitian ini adalah penelitian kuantitatif yang bertujuan untuk mengetahui pengaruh atribut produk, pencarian variasi, dan harga pada pergantian merek. Populasi dalam penelitian ini adalah pengguna smartphone Oppo di Ciganjur, Jagakarsa. Ukuran sampel diambil sebanyak 75 responden, dengan metode non probability sampling dengan metode purposive sampling. Pengumpulan data dilakukan melalui penyebaran kuesioner. Teknik analisis yang digunakan adalah metode analisis PLS (Partial Least Square) dengan perangkat lunak SmartPLS 3.2.7. Hasil penelitian ini menunjukkan bahwa (1) Atribut produk memiliki pengaruh positif dan signifikan terhadap pengalihan merek. (2) pencarian varietas tidak memiliki pengaruh dan tidak signifikan terhadap pengalihan merek (3) Harga memiliki pengaruh positif dan signifikan terhadap pengalihan merek. Dari tiga variabel independen yaitu atribut produk, mencari variasi dan harga yang memberikan kontribusi terbesar adalah variabel atribut produk.
GREEN PRODUCT SEBAGAI PENERAPAN ETIKA BISNIS PADA PERUSAHAAN PRODUSEN CAT
Authors: Rachmiarti Kusumah Judiatin
Published: June 2020

Green Product tidak hanya memproduksi barang dan jasa tetapi melibatkan semua aspek kegiatan bisnis mulai proses produksi, penawaran produk, dan distribusi produk ramah lingkungan kepada konsumen. Lingkungan bisnis berbasis aktivitas, perkembangan baru dalam produksi barang dan jasa, merupakan peluang potensial dan strategis yang memiliki keunggulan ganda baik bisnis maupun komunitas. Makalah ini bertujuan untuk menilai penerapan konsep produk hijau yang terkait erat dengan etika bisnis, bahwa setiap kegiatan bisnis harus melestarikan lingkungan, memiliki kepedulian terhadap lingkungan, dengan menerapkan penilaian dampak lingkungan, karena undang-undang memerlukan penilaian dampak lingkungan (Environment Impact Assessment) dan pemberian label ekolabel pada setiap produk sesuai dengan standar ISO14020 dan ISO14024. Penilaian menggunakan pendekatan kualitatif dan memeriksa penerapan manajemen hijau dilakukan sesuai dengan etika bisnis firma hukum. Dari hasil studi dalam beberapa dekade terakhir banyak perusahaan sudah menerapkan produk hijau dalam kegiatan produktivitas. Para pemangku kepentingan memiliki kesadaran etika bisnis menerapkan satu kesadaran menghasilkan produk yang ramah lingkungan dan sehat. Motif moral bahwa bisnis individu dapat menjadi motor penggerak etika dalam organisasi bisnis.
AKTUALISASI TEKNOLOGI DALAM PEMBELAJARAN PENDIDIKAN AGAMA ISLAM
Authors: . Rochmad
Published: June 2020

Abstract

The development of the era from the traditional, now entering the modern era. That is, many people are now spoiled with technological. In the past, people traveled to one city with another city requires a lot of time. Furthermore, people see the world still using the Globe and the information needed takes a long time. Conditions are inversely proportional after the public knows the technology. Society is facilitated and spoiled with technology. When lazy to move all what we need today can be directly delivered today. In this era, service bureaus have begun to stand up everywhere. Now there is no need to worry about the daily needs that are needed. Likewise in the world of education. Therefore, the development of the times certainly also requires a technology.

Keywords: Technology, Learning, Islamic Religious Education.

Abstrak

Perkembangan zaman dimulai dari tradisional, kemudian sekarang memasuki era modern. Artinya, banyak masyarakat sekarang yang dimanjakan dengan kecanggihan teknologi. Dahulu, orang bepergian ke kota satu dengan kota yang lain membutuhkan banyak waktu. Selanjutnya, masyarakat melihat dunia masih menggunakan Globe dan informasi yang dibutuhkan diperlukan waktu yang lama. Kondisi berbanding tebalik setelah masyarakat mengetahui teknologi. Masyarakat dipermudah dan dimanjakan dengan teknologi. Ketika malas bergerak semua apa yang kita butuhkan hari ini bisa langsung diantar hari ini juga. Di era ini, biro jasa sudah mulai berdiri dimana-mana. Sekarang tidak perlu khawatir tentang kebutuhan sehari-hari yang dibutuhkan. Begitu juga dalam dunia pendidikan. Karenanya, perkembangan zaman tentunya juga membutuhkan sebuah teknologi.

Kata Kunci: Teknologi, Pembelajaran, Pendidikan Agama Islam
Spatial-temporal dynamic simulation of anti-noise urban expansion based on fuzzy intelligent control system and GIS
Authors: Liangliang Zhou
Published: June 2020

On the basis of FHWA model of the Federal Highway Administration and the combination with the geographic information system (GIS) and Fuzzy intelligent control system, the group independently researches and develops a simulation and evaluation system for the traffic noise in the urban road. This system is able to simulate the influence of traffic source, point source, and arbitrary shape area source on the urban sound field environment. It is combined with the noise radiation and the communication model, and the occlusion and attenuation by the buildings and forest belts on the traffic noise have been considered. It can calculate the traffic noise in urban areas and directly render the predicted results on the GIS map, and form a traffic noise map, which visually and clearly displays the pollution degree and distribution map of the traffic noise in urban areas. The noise maps of Guangzhou inner ring roads and Zhujiang New Town are drawn to provide scientific decision-making basis for the control of urban traffic noise pollution.
Assessment of image quality and dose in contrast-enhanced head and neck CT angiography of New Zealand rabbit
Authors: Hsiao Chia-Chi , Chen Po-Chou , Kuo Pei-Chi , Ho Chih-Hao , Jao Jo-Chi
Published: June 2020

BACKGROUND:

Although computed tomography (CT) is a powerful diagnostic imaging modality for diagnosing vascular diseases, it is some what risky to human health due to the high radiation dosage. Thus, CT vendors have developed low dose computed tomography (LDCT) aiming to solve this problem. Nowadays, LDCT has gradually become a main stream of CT examination.

OBJECTIVE:

This study aimed to assess the feasibility of LDCTAin an animal model and compare the imaging features and doses in two clinical scanners.

METHODS:

Twenty-two New Zealand rabbit head and neck CTA images pre- and post-contrast agent injection were performed using256-sliceand 64-slice CT scanners. The tube voltages used in the 256-slice and the 64-slice CTA were 70 kVp and 80 kVp, respectively. Quantitative images indices and radiation doses obtained from CTA in these two scanners were compared.

RESULTS:

More neck arterial vessels could be visualized in multi-planar reconstruction (MPR) CTA on the 256-slice CT scanner than on the 64-slice CT scanner. After contrast agent injection, all observed neck arterial vessels had higher CT numbers in 256-slice CTA than in 64-slice CTA. There was no significant difference in contrast-to-noise (CNR) of CTA images between these two scanners. CT dose index (CTDI) and dose length product (DLP) for the 256-slice CTA were lower than those for the 64-slice CTA.

CONCLUSIONS:

Low dose CTA of rabbits with 70 or 80 kVp is feasible in a 256-slice or a 64-slice CT scanner. The radiation dose from the 256-slice CTA was much lower than that from the 64-slice CTA with comparable SNR and CNR. The technique can be further applied in longitudinal monitoring of an animal stroke model in the future.
Criterios y planes energéticos
Authors: Martinez Galdeano Fernando
Published: June 2020

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El sindicalismo como motor de cambio
Authors: Rul–Lán Baudes Gaspar
Published: June 2020

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El cambio de valores en España
Authors: Ortega Victorino
Published: June 2020

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Alternative Medicine’ Complaints Lodged to the Tehran Forensic Medicine Organization From 2011 to 2017
Authors: Emam Hadi Mohammad Ali , Sabet Divshaly Baharak , Azimy Farahnaz , Sabet Divshaly Babak
Published: June 2020

Background: Complementary and alternative medicine is a non-conventional therapy and includes a wide range of medical treatments in different countries. This study was done to evaluate alternative medicine complaints lodged to the Tehran Forensic Medicine Organization from 2011-2017.Methods: In this cross-sectional study, all documented complaints of complementary medicine lodged to the Tehran Forensic Medicine Organization from 2011-2017 were reviewed and assessed with retrospective follow-up. The inclusion criterion was complaints from complementary and alternative medicine, and the exclusion criterion was incomplete data. The study data included patients’ demographic data, the therapist, the specialty of the therapist, type of disease, treatment method, adverse effects, the initial and final decision by the commission, and the amount of medical error. This information was extracted from the existing documents and recoded in the checklists.Results: Medical errors were found in 53.4% of the complaints examined. The most common cause of complaint (63%) was the adverse effects, of which the most common ones were phytotherapy (45.2%) and cupping (Hijama) (20.5%). The error was significantly different between physician and non-physician healers (P=0.001).Conclusion: Based on this study, among the alternative medicine complaints lodged to the Tehran Forensic Medicine Organization from 2011-2017, the adverse effects were the main problem of complementary therapies confirmed in more than half of the complaints.
Investigation of the Frequency of Foodborne Botulism in Patients Referred to Loghman Hospital in Tehran City, Iran, From 2008 to 2019
Authors: Soltan Dallal Mohammad Mehdi , Najar Fares , Karbalaei Shabani Ahdie , Ezoji Khadijeh , Shabani Minoosh , Montazer Khorasan Mohammad Reza , Jannani Alireza
Published: June 2020

Background: Foodborne botulism is a fatal paralytic illness caused mainly by the neurotoxin produced by an anaerobic bacterium called Clostridium botulinum. In this study, the frequency of foodborne botulism in patients referred to a hospital in Iran has been reviewed for ten years.Methods: In this routine database study, medical records of patients with foodborne botulism referred to Loghman Hospital in Tehran City, Iran, from March 20, 2008, to March 20, 2019, were reviewed. Information on variables of age, sex, place of residence, food consumed, clinical symptoms of patients (such as dysphagia, nausea, vomiting, ataxia, etc.), toxin type, and length of hospitalization were collected with a researcher-made questionnaire. Finally, the collected data were analyzed in SPSS-24 with descriptive and analytical statistical tests.Results: In this study, 61 suspected botulism patients were clinically diagnosed in Loghman Hospital, of whom 55 patients were clinically suspected of foodborne botulism, 5 patients had iatrogenic botulism, and 1 patient had infant botulism. Of these 55 patients with the clinical diagnosis of foodborne botulism, 19 patients were confirmed by laboratory examinations, and 2 patients died. Sixteen patients confirmed by laboratory had neurotoxin botulinum type A. The mean age of the patients was 36.9 years with a standard deviation of 18.6 years. About 54.5% of the patients were male and 45.5% female. Weaknesses (58.2%), ptosis (droopy eyelid) (56.4%), and diplopia (double vision) (52.7%) were the common clinical symptoms of the patients under study. Canned foods and dairy products were the main foods consumed by the patients. The duration of admission time ranged between 1 and 41 days, with an average of 7.7 days. About 23.64% of patients were admitted to the intensive care unit.Conclusion: The prevalence of foodborne botulism is rare compared with other food poisonings but is still a major public health problem due to the consumption of traditional food products and unboiled canned foods in Iran.
Lessons Learned From Trauma Injuries in Arbaeen 2019 in Ilam Province, Iran
Authors: Mozafari Aliashraf , Shafiei Elham , Jamshibeigi Yousef , Sahebi Ali
Published: June 2020

Arbaeen is the largest peaceful religious gatherings on Earth. In this event, millions of people go to the holy city of Karbala in Iraq.  Annually, about 20 million pilgrims attend Arbaeen ceremony, including about three million foreigners, that most of whom are Iranians. Ilam province is located near Iran’s western border with Iraq. Every year, many Iranian pilgrims enter Iraq through Ilam borders for the Arbaeen ceremony, which lasts two weeks before and after Arbaeen day. Pilgrims after the religious rituals enter to their home.
高层建筑沉降观测技术的应用
Authors: 焦 兴博
Published: June 2020

高层建筑在整个施工过程中,沉降观测环节是必不可少的重点内容,也是保障建筑安全性与稳定性的前提条件。因此,对高层建筑工程沉降观测进行探究具有十分重要的现实意义。
无人机遥感技术在测绘工程测量中的应用
Authors: 戈 乐乐
Published: June 2020

在我国科学技术水平得到显著化提升的背景下,各行业在发展过程中对信息技术的运用范围也有了很大程度扩大,这其中应用信息技术较为广泛的即建筑工程,其主要是由于工程项目规模大,其所包含工作内容多,必须要通过合理的技术手段才可以确保整体的工作进度。而现今,在测绘工作测量中应用较多的技术为无人机遥感技术,通过该技术的应用可以在保证测绘工程测量结果准确性和有效性基础上,推动相关行业的后续发展。对此,本文将对无人机遥感技术的应用现状进行分析,后续对其在测绘工程测量中的应用优势进行探究,并总结出其在测绘工程测量中的实际应用,以此来为相关行业的后续发展提供一定的参考。
地理信息系统在测绘工程中的运用研究
Authors: 白 健燕
Published: June 2020

当前社会经济发展动力十足,各类工程项目建设持续活跃,对测绘工程提出了更为严格的要求。作为可有效优化测绘工程效果的技术手段之一,地理信息系统的特殊优势不言而喻,其在测绘工程领域中的应用价值极为突出,必须采取有效措施不断强化其应用效果。本文就此展开了探讨。
建筑工程测绘技术存在的问题与优化措施探究
Authors: 范 词洋
Published: June 2020

建筑工程测量对于建筑来说至关重要,对建筑工程的准确性及后续工作的开展具有决定性作用。随着我国经济的飞速发展及建筑行业的进步,测绘技术被广泛应用于建筑工程施工环节,成为其重要组成部分。测绘技术的主要内容为测绘及制图,对建筑工程质量及效率有重要作用。但是随着测绘技术的广泛应用,目前建筑工程测绘技术的应用仍存在一定的不足之处,不仅对建筑工程的效益产生较大的影响,还对工期及质量产生较大影响。
探讨建筑工程规划验收竣工测量关键工艺
Authors: 王 宝玉
Published: June 2020

基于对建筑工程规划验收竣工测量关键工艺的探讨研究,本文首先从建筑工程验收竣工数据处理入手,再以此为基础对测量关键工艺进行分析,希望能够为有关人士提供帮助。
浅谈新常态下矿山地质环境的生态修复
Authors: 刘 云欢
Published: June 2020

近几年来,我国社会对于矿产能源开发越来越重视,矿山地质环境受到了越来越多的关注,如何有效处理矿山地质环境与环境地质之间关系,在保证矿山地质资源开发同时保护矿山地质环境,是当前矿产能源开发行业研究重点,我国对生态文明的建设要求越来越高。矿山地质环境治理工作是重要的组成部分,需要不断完善和加强。这也是矿山地质环境治理的一个新里程,在新的要求下,治理工作需要更加全面,治理模式也需要不断创新。只有学习更多的技术和方法,投入更多的金钱和精力,采用更有效的治理模式,修复矿山地质环境,才能使我国的矿山地质环境得到改善,还一方蓝天白云。
浅析农村土地确权项目内业数据处理与检查的过程及其优化方案
Authors: 王 美霞
Published: June 2020

描述农村土地确权项目中数据处理的内容与检查方法,列举常见问题并作出解决方案,引入先进技术优化流程,针对项目需求开发数据处理工具,优化全局。
基础地质工程与地质勘察的应用探析
Authors: 黄 若龙 , 吴 实 , 汤 丽莎
Published: June 2020

地质勘查是进行施工之前的关键环节,地质工程勘察的主要工作内容是评估基础地质的稳定性和安全性,从而为设计部门提供相关的设计信息。因而,为了提高地质工程与勘察工作效率,深入探究其地质工程与勘察应用问题具有非常重要的意义。
黔东北地区奥陶系-志留系多层型组合及其意义
Authors: 周 宁 , 叶 飞 , 蒋 天锐 , 周 灵 , 覃 智贵
Published: June 2020

黔东北地区广泛发育的志留系下部滞留盆地相龙马溪组黑色碎屑岩组合,具备的先天成油气地质条件和现今分布的规模巨大的古油藏昭示了其良好的油气资源潜力。但笔者通过区域上精细的地质剖面测量,在区域上发现了多个奥陶系-志留系层型组合,而页岩气集中赋存于滞留盆地相碳质页岩中,在其它多个层型组合中均缺乏页岩气的储存条件,据此,详细解剖区内奥陶系-志留系多层型组合及其分布,对于后期页岩气的勘查、规划具有重大的现实意义。
超千米埋深高地压掘进工作面新型支护技术研究与应用
Authors: 惠 纪永
Published: June 2020

梁宝寺煤矿-1020水平3507轨道顺槽掘进工作面属于超千米埋深高地压条件下支护巷道,煤层具有冲击倾向性,巷道托顶煤施工,煤层破碎,在分析原支护方式存在问题的基础上,研究提出释能吸能抗冲耦合让均压支护系统设计,引进使用释能高吸收功应力显示锚杆和“鸟窝”抗剪切锚索等新型支护材料,巷道支护效果有了较大改观,实践表明,新型支护方式为超千米埋深高地压掘进工作面提供了有效的支护手段,在同类巷道中具有较大推广应用价值。
探析土地勘测定界中的3S测绘技术及其应用
Authors: 孙 一琳 , 虞 丹斐
Published: June 2020

随着信息技术的不断发展,3S技术已经能够应用在我国土地勘测定界的工作中了。测绘是做好土地勘测定界工作的重要手段,基于此,本文对土地勘测定界工作中的3S测绘技术及其应用进行了探讨分析,以供参考。
大数据下的国土资源空间规划分析
Authors: 虞 丹斐 , 孙 一琳
Published: June 2020

大数据下的国土资源空间规划管理通过各种信息的收集、传递以及分析,从而确保国土资源空间规划管理的合理性和科学性,促进国土资源的合理利用。基于此,本文阐述了国土资源空间规划管理的基本原则,对大数据下的国土资源空间规划管理特征及其策略进行了探讨分析。
关于石灰岩矿找矿标志及找矿的方法探讨
Authors: 季 瑞隆 , 李 金虎
Published: June 2020

随着改革开放的逐步深入,我国的城市化进程发展迅速,由此带动了建筑业的快速进步。水泥是建筑物中最为常见的基础性原料,水泥的主要来源为石灰石,故应加大石灰石的开采力度,保障建筑业的健康发展。寻找石灰岩矿已成为维持水泥正常生产的重要措施,应予以足够的重视。本文通过介绍某矿区的矿床、矿体、矿石的特征,提出了石灰岩矿的找矿标志及找矿方法。
遥感技术在山水林田湖草生态修复的应用
Authors: 吴 霞
Published: June 2020

山水林田湖草的综合保护与修复成为生态环境修复的主导思想。文章探讨了山水林田湖草生态修复的特征,分析无人机遥感技术的特点以及这一技术的应用现状,从场地调查、控制修复过程以及长期监测生态修复情况三个方面探讨这一技术在山水林田湖草生态修复中的作用,结合实际案例探讨了这一技术的应用价值。
RTK技术在城市测绘工程中的应用分析
Authors: 单 义 , 叶 宗磊
Published: June 2020

随着我国城镇化进程的不断推进,城市测绘工作显得更加重要。在城市测绘工作开展时,主要信息的采集和处理,比如地质、工程等相关的内容。城市测绘工作对城市建筑的发展非常重要,研究新时期RTK技术在城市测绘工程中的应用具有非常重要的现实意义。
测绘工程质量管控的重要途径
Authors: 孙 俊飞
Published: June 2020

测绘工程质量管理与控制不仅关系到测绘工程建设的质量与安全,而且关系到我国经济社会发展规划的科学决策,还对顺利推进我国信息化建设具有十分重要的意义与作用。此外,测绘工程质量管理与控制作为测绘单位统一管理、统一监督、统一控制的一项重要内容,在测绘事业发展中具有极为重要的意义与作用。
GPS测绘技术在工程测绘中的应用范畴研究
Authors: 孙 俊飞
Published: June 2020

随着城镇化进程的不断加快,各种建设项目不断增加,只有保证工程建设安全,才能推动城市发展。GPS测绘技术与以前的测绘技术比较优势明显,如测绘快、定位准、操作便捷等,因此,在工程測绘领域得到广泛应用。
Development and initial validation of a simplified gestational age score in low birth weight newborns in India
Authors: Patel Archana B , Lothe Ashish , Belekar Neelam , Thakur Hemant
Published: June 2020

Background: Assessment of gestational age (GA) based on the last date of menstrual period is often inaccurate. Scores to predict GA of newborns are difficult to use particularly by health workers. An accurate, easy to use the method of assessing GA, particularly in low birth weight (LBW) babies, is needed to detect and link premature newborns to the appropriate level of care. Objectives: The objectives were (1) to develop a “simplified GA score” (SGAS) by selecting items from 3 standard GA scores that significantly predict the GA as measured by the best obstetric estimate (BOE), (2) to validate the accuracy of SGAS against the BOE, (3) to compare the accuracy of SGAS to assess the GA as compared to the accuracy of GA assessment by the New Ballard Score (NBS), and (4) to assess inter rater agreement of SGAS as compared to that of NBS. Materials and Methods: Both the development and validation studies were cross-sectional studies. In the development study, two neonatology residents trained in the use of the 3 scores assessed LBW (<2,500 g) newborns within 24 h of birth. The residents were blinded to each other’s assessment and the BOE (GA obtained from last menstrual period [LMP] and confirmed by ultrasound (USG) to be within 2 weeks of the GA ascertained by LMP). Items significantly predictive of GA in multiple regressions were included in the SGAS. In the validation study, two different neonatology residents trained in the use of SGAS assessed the same LBW newborns within 24 h of birth, blinded to each other’s assessment and the BOE. Results: In 171 LBW newborns enrolled in the development study, 4 items (Skin, breast, genitals, and posture) were selected for the SGAS. The prevalence of very preterm (<32 weeks) was similar to the actual prevalence. Agreement between the two ratters for SGAS (Cohen’s kappa 0.825) was better than that for the NBS (Cohen’s kappa 0.709). SGAS had higher positive predictive value for <32 weeks and for ?32 weeks to ?35 weeks as compared to the NBS. Conclusions: SGAS is a promising scale for assessment of GA. It needs further validation by public health nurses and community health workers of low resource settings.
Preparedness of nurses to work in neonatal intensive care unit in a selected tertiary care facility: An observational study
Authors: Joshi Poonam , Paul Jessy Shaji , Surya Sonali , Thukral Anu , Deorari Ashok K
Published: June 2020

Background: Neonates admitted in neonatal intensive care units (NICUs) require specialized neonatal nursing care. Objective: The objective of this study was to generate evidence on quality of neonatal nursing by assessing the preparedness of nurses in terms of knowledge and skills in neonatal nursing at pre-service level with respect to specific neonatal procedures and to further explore their self-perception about performing these procedures. Materials and Methods: In this cross-sectional observational study, 36 out of 600 newly joined nurses were randomly recruited. A pre-validated tool consisting of structured knowledge questionnaire, observation checklists for objectively structured clinical examination stations, and self-preparedness scale was used. The knowledge and skill scores were graded as excellent (>80%), average (60–80%), and poor (<60%). Results: A total of 36 nurses (age median, interquartile range; 24 [23–29]) participated in the study. The basic qualification of majority of subjects (30, 83.4%) was BSc nursing. The median duration of didactic classroom learning (h) and clinical posting (weeks) in neonatology was 15 (3–45) and 1.5 (0.3–4), respectively. One-third of the subjects (12, 33.3%) did not have any clinical posting in NICU at pre-service level. The mean knowledge, skill, and self-preparedness scores of nurses along with the range were 11.8 ± 2.1 (8–16), 56.9 ± 7.2 (42–72), and 60.0 ± 13.4 (26–80), respectively. More than 60% of nurses had excellent knowledge scores (>80%); similar number had poor overall skills (<60%). Skills of the more than half of nursing personnel were average in hand hygiene (58.3%), temperature recording (52.8%), and prevention of hypothermia (52.8%) while poor in weight recording (75%), bag and mask ventilation (69.4%), intravenous drug administration (63.9%), and orogastric feeding (58.3%). No correlation was found among knowledge, skill, and preparedness scores (p>0.05). The median self-preparedness scores of the nurses suggested their overestimation regarding performing the neonatal procedures. Conclusion: Preparedness of the nurses to work in NICU in terms of skills to perform various neonatal procedures was inadequate and hence requires attention.
Clinical profile of late-preterm infants admitted to a tertiary care hospital
Authors: Manerkar Swati Amol , Kumar Rajeev , Mondkar Jayashree
Published: June 2020

Background: Late-preterm babies account for nearly 10% of the total births. Understanding clinical profile of late-preterm infants is important for helping newborn care providers to anticipate and manage potential morbidity during the birth hospitalization and early follow-up. Objective: The objective of this study is to study the clinical profile of late-preterm newborns (340/7 to 366/7 weeks of gestation). Methods: This was a prospective observational study conducted in the neonatal unit of a tertiary care public hospital. All late-preterm babies delivered in the hospital from July 2016 to December 2016, who met the inclusion criteria, were enrolled after taking consent from parents. Detailed antenatal and natal history were noted along with neonatal morbidities and mortality, and the interventions and treatment required by the infants were noted in a structured pro forma. These late-preterm infants were followed up till death/discharge and readmission to hospital and reasons for readmission were evaluated. Results: We enrolled 110 late-preterm babies delivered in our center. The most common morbidity was jaundice requiring phototherapy (63.63%) followed by respiratory distress (24.54%). 25.45% of infants required respiratory support in the form of continuous positive airway pressure or mechanical ventilation. Hypocalcemia and sepsis were observed in 10% of the babies. Feed intolerance was also observed in 16.36% of the babies. The mortality in this group of late preterms was 4.54%. Conclusions: Late-preterm infants show a considerably high rate of medical complications, including need for respiratory support and prolonged hospital stay. Awareness about the neonatal morbidities in late-preterm newborns will facilitate better management of these neonates.
Comparison of cord bilirubin and bilirubin albumin ratio to predict significant hyperbilirubinemia in healthy full-term neonates
Authors: Ramteke Sharmila , Shrivastav Jyotsna , Agrawal Amit , Mishra Nihar Ranjan , Saravanan A Thanga , Tikkas Rajesh
Published: June 2020

Background: Early prediction and identification of severe hyperbilirubinemia for that age and appropriate treatment are must to prevent kernicterus. Objective: The objective is to study the predictive value of bilirubin albumin ratio (BAR) and to compare it with cord bilirubin alone for early identification of significant neonatal hyperbilirubinemia in healthy term neonates. Materials and Methods: This prospective cross-sectional study was done in a tertiary care center located in Central India on 543 healthy term neonates. Cord blood of 2 ml was collected during the delivery from the placental end and sent for BAR and cord bilirubin analysis. All the neonates had undergone total serum bilirubin estimation and neonates with serum bilirubin â‰¥17 mg/dl at â‰¥72 h of age were defined to have significant hyperbilirubinemia. Results: Among the study population, 44 neonates developed significant hyperbilirubinemia. Sensitivity and specificity of cord BAR were 95.45% and 89.78%. Sensitivity and specificity of cord blood bilirubin were 95.65% and 95.57%. Positive predictive value (PPV) and negative predictive value (NPV) of cord BAR were 45.16% and 99.55%. PPV and NPV of cord blood bilirubin were 64.70% and 99.58%. Considering mean as the cutoff value, cutoff value for cord BAR was 0.89 and it was 2.95 for cord blood bilirubin. Diagnostic accuracy of cord BAR and cord blood bilirubin in predicting the hyperbilirubinemia was 90.79% and 96.31%, respectively. Conclusion: Both cord BAR and cord blood bilirubin are the early predictors of neonatal significant hyperbilirubinemia, but cord blood bilirubin is the better diagnostic tool than the former in early detection of neonatal jaundice.
Congenital chloride diarrhea: A rare cause of recurrent polyhydramnios
Authors: Mathew Jisha , Chandrakala B S , Shashidhar A , Rao P N Suman
Published: June 2020

Congenital chloride diarrhea (CCD) is a rare, inherited disorder. Our case was a preterm neonate who presented with severe watery diarrhoea since Day 2 of life. There was maternal history of polyhydramnios and dilated bowel loops. The diagnosis of CCD was confirmed by mutation analysis. The infant is 9 months corrected age, on salt and potassium supplementation, with age-appropriate milestones. The diagnosis of CCD must be made early to prevent life-threatening fluid and electrolyte imbalance.
A case of auricular tuberculosis - Is it congenital or neonatal tuberculosis?
Authors: Kumar R. Kishore , Yerur Kishore Vrajananda
Published: June 2020

Tuberculosis (TB) in children is one of the leading infectious diseases worldwide and is still a serious public health problem in many countries. True congenital TB is rare; the greatest threat to the neonate is the acquisition of TB infection shortly before or after birth, which tends to progress rapidly to serious TB disease in a large proportion of untreated infants. The definition of congenital TB is so stringent that some cases of neonatal TB like the one we are reporting here lead to confusion as to whether we should report it as congenital TB or neonatal TB. We report an unusual case of localized auricular TB in a preterm neonate. Neonatal TB is rare but can be severe.
Congenital hypothyroidism presenting as isolated macroglossia in a term neonate: A case report
Authors: Basani Laxman , Aepala Roja
Published: June 2020

Macroglossia is a clinical condition in which the tongue protrudes beyond the teeth or alveolar ridge during resting posture, or there is an impression of a tooth on the lingual border with the mouth open. True macroglossia occurs in hypothyroidism, Beckwith–Wiedemann syndrome, and storage disorders. Apparent or pseudo macroglossia may result from neurological impairment of the tongue or a relatively small buccal cavity as in Pierre Robin syndrome and Down’s syndrome. Rarely, macroglossia is inherited as an autosomal dominant condition. A wide variety of primary conditions of the tongue can cause tongue enlargement, e.g., lingual thyroid, cysts, tumors, hemangioma, lymphatic malformations, and myositis. Symptoms associated with macroglossia include noisy breathing, stridor, snoring, and feeding difficulties. Although macroglossia is described in hypothyroidism, there are few publications on macroglossia presenting in the neonatal period. We report a case of congenital hypothyroidism presenting as isolated macroglossia at birth in a term neonate.
Diagnostic utility of neutrophil CD64 as a marker of early-onset sepsis in very low birth weight neonates
Authors: Meena Kessh Ram , Tiwari Priyanka , Debata Pradeep
Published: June 2020

Background: Sepsis is a major cause of neonatal morbidity and mortality. It is extremely important to make an early diagnosis of sepsis, as early recognition and prompt institution of treatment is critical for improved outcome. Objectives: This prospective observational study was aimed to evaluate the diagnostic utility of neutrophil CD64 expression for the identification of early-onset sepsis in very low birth weight (VLBW) neonates. Methods: All VLBW neonates with signs and symptoms of sepsis before 72 h of age, born to mother with or without risk factors for sepsis were enrolled. Complete blood cells count, C-reactive protein, absolute neutrophil count, I/T ratio, blood culture, and neutrophil CD64 assessment were performed. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of neutrophil CD64 and its combination with other hematological makers for sepsis were measured. Results: A total of 302 VLBW neonates were enrolled; of which, 151 were cases and 151 were controls. Neutrophil CD64 was significantly increased in cases than in controls (p<0.001). The highest performance of CD64 was at 0
Role of female birth attendants to enhance breastfeeding rates and essential newborn care
Authors: Benakappa Asha , Gowda Vykuntaraju K , Gowda Vishwanath , Benakappa Naveen
Published: June 2020

Background: Women who received support during labor are more likely to give birth “spontaneously.” The role of the female birth attendant (FBA) has not been very well established; hence, this study was planned. Objective: The objective of the study was to train, educate, assess, and evaluate the role of FBA before, during and after labor in terms of mother’s satisfaction, early initiation and continuation of breastfeeding and providing essential newborn care. Methods: In this prospective cohort study, 400 pregnant women, 200 cases and 200 controls in their third trimester were enrolled. FBAs were given training using flipchart. Thesenewborns were followed up at 1½ month at an immunization clinic. Data were collected and analyzed. Results: 88% (176) of cases initiated breastfeeding in the 1st h of birth compared to 14.5% (29) in controls. 57 (28.5%) of controls had given prelacteal feeds to newborns compared to 7% (14) of cases. 108 (59%) of cases put the baby skin-to-skin contact following delivery compared to none in controls. There was more number of hospital visits in neonates of controls 26.25% (52) compared to cases 12.5% (25). Conclusion: The presence of FBAs improves early initiation of breastfeeding, decreases prelacteal feeds, improves skin-to-skin contact indirectly preventing hypothermia, and decreases the number of hospital visits.