bluuebunny/crossref_metadata_2025 huggingface dataset:
MURABAHA ORIENTED AT SHARIA BANKS IN KENDARI CITY
Authors: Rahmat Rahmat , Ernawati Ernawati
Published: January 2021

The proportion of murabaha financing in sharia banking is more dominant than profit-sharing financing, so that Sharia banking behaves murabaha oriented. The study aims to determine whether the risk and the level of profit loss sharing financing have an effect on murabaha-oriented behavior in sharia banks. The research was conducted in Kendari City from January to April 2019 with four informants from the bank management. It is a descriptive quantitative research using percentage assistance. The results show that the risk factor for profit sharing financing is the most important consideration for sharia banks to choose murabaha financing, while the profit sharing rate received is a factor that is considered after the risk. The financing risk experienced by sharia banks in Kendari City is in the form of financing problems. Meanwhile, the profit sharing rate factor determines the murabaha oriented behavior which is driven by the lower rate of return for the results compared to murabaha financing.
CORPORATE SOCIAL RESPONSIBILITY AS A CORPORATE GREEN ACCOUNTING IMPLEMENTATION
Authors: Prahara Rahma Sandhi , A'yuni Diah Syifaul
Published: January 2021

The phenomenon of environmental multicrisis occurring today has created a new paradigm of Green Accounting. The concept of Green Accounting directs corporations to make business decisions at an advantage that not only leads to profit orientation but also to the environment and society around the company. Of course, the domino effect of these concerns and considerations is that corporate sacrifices in the form of assets / assets may even be more than that. The role of corporations in supporting Green Accounting is the implementation of Corporate Social Responsibility (CSR). CSR is the moral responsibility of a company to its social, economic, and environmental strategies because of the impact of its operations so that it is expected to contribute benefits to society and the environment. If it is related to Green Accounting, then this will be the right concept to support the 2030 SDGs program.
Kekerasan terhadap Perempuan dalam Novel Cinta 2 Kodi Karya Asma Nadia
Authors: Utami Puspa Indah
Published: January 2021

Tujuan penelitian ini adalah untuk memperoleh pemahaman yang mendalam terhadap kekerasan perempuan dalam novel Cinta 2 Kodi karya Asma Nadia. Metode penelitian menggunakan metode analisis isi. Teknik pengumpulan data menggunakan teknik dokumentasi berupa novel Cinta 2 Kodi karya Asma Nadia. Data dalam penelitian ini adalah kata, frase, dan kalimat tentang kekerasan yang dialami oleh tokoh perempuan dalam novel Cinta 2 Kodi karya Asma Nadia. Teknik analisis data dengan cara tahap deskripsi data, reduksi data, seleksi data, dan interpretasi. Berdasarkan hasil penelitian ditemukan bentuk tindakan kekerasan psikis terhadap tokoh perempuan yaitu Aryani dan Kartika. Kekerasan psikis yang dilakukan oleh suami Aryani menyebabkan Aryani mengalami penyakit yang tidak terdeteksi akibat stres berkepanjangan. Tokoh Aryani dan Kartika memiliki sikap sabar, ikhlas, kerja keras, dan berani dalam menghadapi setiap ujian dalam hidupnya. Keunggulan dalam mengemas cerita dengan konflik berupa kekerasan psikis yang diterima tokoh perempuan dalam mencapai kesuksesan dan nilai karakter sabar, ikhlas, kerja keras, dan berani yang dihadirkan membuat novel ini layak dijadikan salah satu bahan bacaan sastra di tingkat sekolah dan perguruan tinggi.
Private and Public Investment Linkages: Some Evidence Using Sectoral Level Data
Authors:   International Islamic University Islamabad, Zahra Umbreen , Ihsan Hajra
Published: January 2021

This study empirically investigates the relationship between public and private investment in Pakistan at the aggregate and sectoral level, including the sectors of Agriculture, Manufacturing, Finance, Construction, Transport & Communication and Mining & Quarrying. For this purpose, annual time series data is utilized from 1971 to 2019 except for the Agriculture sector covering the period of 1981-2019 as data for previous years is not available from any published sources. Multivariate co-integration approach and ECM are employed to empirically analyze the existence of long-run and short-run association among public and private investment. The results indicate a long run complementary type relationship of public investment with private investment at both the aggregate and sectoral level except for the Finance sector. The short-run analysis supports this long-run positive association at an aggregate level and four sectors, excluding Transport & Communication and Agriculture sector where the results were insignificant. Our results and generally declining share of public investment highlight that the government is playing its role as an “enabler” (or facilitator) of private investment in terms of association between public and private investment.
An Empirical Relationship Between Human Capital, Institutional Quality, and Economic Growth in Pakistan
Authors:   COMSATS University Islamabad, Lahore Campus, Farooq Abdul , Arshi Sarah , Sattar Nyla , Khalil Amber
Published: January 2021

Pakistan is a developing economy where different policies have been adopted to increase economic growth, but the targeted growth rates have remained an elusive dream. Low quality of institutions and less attention towards the development of human capital are two major reasons for this failure. This study explores the association of institutional quality and human capital on economic growth in Pakistan from the time period between years 1984 to 2018. For the estimation of our model, Auto-Regressive Distributed Lag (ARDL) model has been used. The variance decomposition analysis is also used to check the shocks, direction, and magnitude of the shocks within the selected variables. Impulse response function confirms that the magnitude and direction of the shocks are positive. The outcome of this research suggests that accumulation in human capital increases productivity, and institutional quality helps to sustain economic growth. Therefore, policy makers should design such policies, which are helpful for the development of human capital. It is also recommended that law and order situation be improved so that the confidence of people and trust of investors is restored that eventually will drive economic growth in Pakistan.
Environmental Quality and Health Status: Dynamic Ordinary Least Square Estimation for Developing Asian Countries
Authors:   University of Sarghoda, Ullah Saif , Awan Masood , Hasan Mahmood
Published: January 2021

The present study attempts to estimate the long-run relationship between health and environmental quality indicators along with other explanatory variables by using a balanced panel data for 20 developing Asian countries. Levin-Lin-Chu (LLC) and Im, Pesaran and Shin (IPS) unit root tests are employed for analyzing the panel unit root properties of data. Dynamic Ordinary Least Square (DOLS) is used to obtain the long-run estimates. The Carbon Dioxide (CO2) emission, Sulphur Dioxide (SO2) emission, and Particulate Matter (PM2.5) concentrations are used as environmental quality variables. Three models are estimated to assess the relationship between environmental quality and health. Life expectancy at birth is used as a proxy of health. The environmental quality indicators are negatively associated with health status showing an adverse effect on health. This means that air pollution is worsening human health in developing Asian countries. Per capita GDP is positively associated with health indicators in all models. Moreover, the urban population, access to improved sanitation facilities, and immunization are positively related to population health. These all variables are positively contributing to the improvement in public health. However, the effect of urban population is insignificant in the case of PM2.5. The effect of health expenditures on life expectancy is positive and statistically significant in the case of CO2, SO2 emissions, and PM2.5 concentrations. It shows a positive contribution of health expenditures towards improving life expectancy.
Social Capital as a Resource of Subjective Well-Being: Mediating Role of Health Status
Authors:   t University of Management & Technology, Lahore, Danish Muhammad , Khan Hafeez
Published: January 2021

Increase in social capital increases the social support in society, thus improves the health and well-being of an individual. This paper aims to analyze the role of social capital on subjective well-being (happiness, life satisfaction, and worth of life) and self-reported health status. The study deploys the Generalized Structural Equation Model with order logit to link social capital with health and subjective well-being (SWB) of people by utilizing the data of 1566 households and individuals in Punjab, Pakistan. Results of the study illustrate that social trust and the number of friends are strong predictors of self-reported health (SRH) status and subjective well-being of people. While memberships with organizations or alike is a weak predictor of SRH, it significantly affects the happiness of people. Our results also depict that SRH is the strong mediator between social capital and SWB; improved social networks lower the risk of poor health status, which improves the level of happiness and life satisfaction. The study suggests that a balanced distribution of different kinds of social networks is important for the self-reported health and subjective wellbeing of people in Pakistan.
Acute Erythroleukemia in a Trauma Patient. A Case Report.
Authors: Taulla Eriselda
Published: January 2021

Introduction: Acute erythroid leukemia (AEL) is a rare type of acute myeloblastic leukemia. Acute erythroid leukemia is characterized by a predominant erythroid proliferation, there are 2 subtypes: erythroleukemia (erythroid/myeloid leukemia) and pure erythroid leukemia…

Myelodysplastic syndromes (MDS) are a group of biologically and clinically heterogeneous clonal disorders characterized by ineffective hematopoiesis and peripheral cytopenia due to high apoptosis

The purpose to presenting this case is how to differentiate an acute erythroleukemia (AEL) from myelodysplastic syndrome (MDS).

Case report. A 74-year-old man came to emergency room after he falling down from the stairs and then was hospitalized with a two weeks history of severe weakness, anorexia, weight loss. He suffered of diabetes mellitus type II insulin dependent, and HTA. The physical examination showed cutaneous and conjunctival pallor, large ecchymosis in the low extremities and hepatosplenomegaly. CBC showed: pancytopenia and macrocytosis, neutrophils 60%, normoblasts 4:100 and reticulocyte count 3%.

Conclusions: The diagnosis was Acute Erythroid Leukemia. The % of myeloblasts in bone marrow was > 20% of non-erythroid cells. Erythroleukemia characterizes from hepatomegaly this is found and in our case. Differential diagnosis is based mainly in bone marrow aspiration, immunophenotyping (flow cytometry).
Demographic Profile of Hand Injuries in North India: A Tertiary Care Hospital Experience.
Authors: Singh Sandesh Bharat , Vardhan Harsha , Halageri Sameer , Singh Arun K , Kumar Vijay , Mishra Brijesh , Upadhyaya D N
Published: January 2021

Introduction: Hand injuries are the most complex injuries when compared to other bodily injuries. A better understanding of the biological, behavioral, and socioeconomic risk factors that are associated with hand injuries is therefore needed. This data can help identify individuals at risk and define preventive measures to help reduce the incidence.

Material and Methods: We present a study of 350 consecutive patients of hand injury treated between 2017- 2018. The demographic profile of the patient along with the type & cause of the injury sustained, hand dominance, type of procedure, and requirement of hospital administration was extracted from hospital records.

Results: 159 (45.5%) of the patients were in the age group of fewer than 20 years. Out of the 350 patients, 288 (82%) were male. 302 (86%) patients were right-handed. The most common mode of injury was machine injury in 205 (59%) patients. 181 (52%) patients had crush injury, 107 (31%) had the sharp cut injury, and 32 (9%) had blast injury. 94 (27%) patients needed hospital admission for management. 119 ( 34%) patients had the injury to the thumb, 89 (25%) had injury to the middle finger. Primary suturing was done in 116 (33%) patients, tendon and nerve repair in 209 (60%), and 177 (51%) patients respectively.

Conclusions: The study describes the demography and etiology of the cases of hand injury. The study has a limitation of having absence of assessment of functional outcome. There is a necessity of hand trauma registry to quantify the burden of hand injuries and formulate a prevention strategy at the national level.
Out of Hospital Cardiac Arrest: A Case Report
Authors: Ljuhar Kenan , Zalihić Adem , Gavranović Aida , Lenjani Basri , Rashiti Premtim , Arslani Nuhi
Published: January 2021

Introduction: Sudden OHCA (Out of hospital cardiac arrest) is the third leading cause of death in industrialized nations. With more than 60% of cardiovascular deaths resulting from cardiac arrest, it remains the leading cause of death worldwide. Heart rhythms associated with cardiac arrest are divided into two groups: shockable rhythms (ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) and non-shockable rhythms (asystole and pulseless electrical activity (PEA)). VF is the most commonly identified arrhythmia in cardiac arrest patients. Urgent medical treatment includes cardiopulmonary resuscitation and early defibrillation.

Material and Methods: Materials for this case report are data collected from the medical records of the Emergency Medical Center of Sarajevo protocol of patients.

Case report: Our case report is presented with 59 years old man who had OHCA in his apartment. The initial rhythm was VF, and cardiopulmonary resuscitation was provided due to the Advanced life support guidelines to shockable rhythms. It was delivered 3 DC Shock-s (200J, 300J, 360 J) with the biphasic defibrillator, it was administered 1mg Adrenalin and performed endotracheal intubation. After the third DC shock, we got the return of spontaneous circulation ROSC. The patient was transferred to the University hospital, were he was stabile, and PCI of the LAD was performed as per the standard protocol. Echocardiography performed in the CCU revealed hypokinesia of RV, with preserved systolic function. On hospital day 7 he had a full neurological recovery. He was conscious, oriented, with normal breathing, blood pressure 125/79mmHg, sPO2 99, ECG: sinus rhythm, fr 87/min, without pathological signs. Echocardiography revealed the reduced systolic function of the left ventricle, with mitral regurgitation MR+2.

Discussion: Out-of-hospital cardiac arrest (OHCA) is a major health problem in Europe and in the United States. The numbers of patients who have OHCA annually in these two parts of the world have traditionally been reported to be 275,000 and 420,000 respectively. The success of resuscitation depends on many factors: well-organized health care, organization of outpatient emergency services, but primarily when it comes to OHCA, education of the population on Basic life support, and early Cardiopulmonary resuscitation and use of AED (automated external defibrillator).
Incarcerated Amyand’s Hernia with Destructive Appendicitis Complicated with Myocardial Infarction. A Case Report and Review of the Literature.
Authors: Hadzhiev Dimitar , Chakarov Dzhevdet , Moshekov Evgeniy , Sakakushev Boris , Hadzhieva Elena
Published: January 2021

Amyand hernia is a rare presentation in inguinal hernias (less than 1% of cases with inguinal hernias) which is evidenced when in herniated masses the presence of inflamed appendix is ​​ascertained or not. It was named after a French surgeon, Claudius Amyand (1660-1740), who performed the first successful appendectomy in 1735, where he found an acute appendicitis in a herniated mass. Most cases are diagnosed intraoperatively, as an accurate preoperative diagnosis rarely becomes evident.

Management is individual depending on the stage of inflammation of the appendix, the presence of abdominal sepsis and concomitant factors. The decision should be based on factors such as the patient's age, the size and anatomopathological shape of the appendix, and in the case of an inflamed appendix, standard appendectomy and retinal herniorrhage should be the gold standard of treatment.

Amyand hernia is usually misinterpreted as a common incarcerata hernia. Symptoms that mimic appendicitis may appear. Treatment consists of a combination of appendectomy and hernia repair. The inflammatory status of the appendix determines the type of hernia repair and the surgical technique. Occasional appendectomy in the case of a normal appendix is ​​not recommended.

Amyand hernia is a rare type of inguinal hernia in which the appendix is located in the hernia sac. We present a case of a recurrent incarcerated Amyand’s hernia with complicated appendicitis. The 78 old polymorbide patient with right-sided incarcerated recurrent hernia was emergently operated on and appendectomy and non-mesh hernioplasty performed, on the 3rd postoperative day for a heart attack he was placed cardio stimulator with uneventful outcome. Fifteen months follow up did not show complications or complaints.
A case report of Xanthogranulomatous Cholecystitis
Authors: Abdelmoneim Ahmed Hassan , Darweesh Adham , Kounsal Avin , Abougazia Abdelwahed Samir
Published: January 2021

Xanthogranulomatous cholecystitis is a benign, uncommon type of chronic cholecystitis manifested by focal or diffuse severe inflammatory process of the gallbladder (GB).  It is inflammatory disease of the gallbladder characterized by the infiltrations of plasma cells, lipid-laden histiocytes, and the fibroblasts proliferation in GB wall. Gallstones are present in all patients, and like most symptomatic gallbladder diseases, there is a female predominance. It is an active inflammatory process which could leads to significant morbidity. The term Xanthogranulomatous cholecystitis was initially proposed by Goodman and Ishak in 1981. The pathogenesis of XGC is the rupture of Rokitansky-Aschoff sinuses and extravasation of bile into the muscular layer. The rupture of the serosa results in adhesion to the adjacent liver, duodenum, and transverse colon.  Macroscopically, it appears like yellowish masses in the wall of the GB. Radiologically it is an important mimic of gallbladder carcinoma.
The Benefits of early Extubation in OR and ICU after Cardiac Surgery
Authors: Kuci Saimir , Ibrahimi Alfred , Likaj Ermal , Llazo Stavri , Bejko Ervin , Goga Marsela , Dumani Selman , Refatllari Ali , Zeitani Jacob
Published: January 2021

Objective: Operating room (OR) extubation after adult cardiac surgery with cardiopulmonary bypass CPB is rare. We examined the outcome, factors, and benefits of OR extubation.

Methods: We operated on 60 patients in German Hospital Tirana, from January 2019 to September 2020, who had undergone CABG cardiac operations: 52 patients, mitral valve repair 5 patients, aortic stenosis 1patient, Bentall procedure 1 patient, left atrial myxoma 1 patient. The patient's age was from 46-82 years old, there were 24 female patients and 36 male patients, 24 diabetic patients, 36 non-diabetic patients, in all cases we did not apply epidural anesthesia.

Anesthesia was used with low doses of fentanyl. in combination with propofol, sevoflurane. In all cases, neostigmine was used for decurarisation.

The quality and depth of anesthesia were assessed with obvious signs such as tachycardia, hypertension, sweating. Endogenous stress was also assessed by monitoring glycemia during the intervention.

As extubation criteria were assessed the patient's consciousness, respiratory mechanics, hemodynamic stability, diuresis, bleeding from drains.

Results: 16 patients were extubated in the OR and 44 patients were extubated 15-20 minutes after the intervention in ICU. There was no reintubation. 2 patients were transferred immediately from OR to the pavilion. 35 patients were transferred to the pavilion 3-4 hours after extubation. 23 patients were transferred to the pavilion the next morning. Patients left the hospital after 5-7 days.

Conclusions: Extubation in the OR in the early postoperative period has now become a routine in all specialized clinics. The time spent in the ICU is very low and the day spent in the ward was 5-7 days. The benefit is in the best and fastest activation of patients in the early postoperative period as well as in reduced intervention costs.
Relation between Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Cerebral Infarct Volume in patients with Ischemic Stroke.
Authors: Seyhan Avni Uygar , Yilmaz Erdal , Korkut Semih
Published: January 2021

Abstract : 

Objectives: The activation of inflammatory processes in ischemic stroke might be important for the pathophysiological processes of ischemic stroke. The correlation between the Neutrophil to Lymphocyte Ratio (NLR), Platelet to Lymphocyte Ratio (PLR) and stroke volume is increasingly being recognized as a prognostic biomarker for patient outcome after an ischemic stroke incidence. This retrospective study aimed at determining if there is existed correlation between the NLR, PLR and stroke volume in patients presenting with ischemic stroke at the emergency department. The results will aid emergency doctors to gain an understanding on how to rapidly identify the most high-risk patients based on the NLR and taPLR obtained from routine blood tests permitting rapidly therapeutic interventions and better long-term survival outcomes for patients with ischemic strokes.

 Methods: A retrospective study was performed between May 2016-2019. Patients 18 years and older of both genders presented to the emergency department with symptoms of ischemic stroke with time of onset of symptoms within the last 24 hours of whom complete blood count (CBC) tests were conducted and ischemic stroke was confirmed by Diffusion weighted Magnetic Resonance Imaging (DWI-MRI) were enrolled. NLR and PLR were calculated from CBC tests and ischemic stroke volume was measured in mm3 using Manual Segmentation Process.

Results: A total of 489 patients were enrolled in this study of which 266 (54.5%) were male and 223 (45.6%) were female. It was observed a statistically significant correlation between the ischemic stroke volume and NLR while no significant correlation was observed between stroke volume and PLR.

Conclusion: There is a significant weak positive relationship between NLR and ischemic stroke volume. NLR is significantly correlated with cerebral ischemic stroke volume and thus can be utilized as a guide by emergency doctors in the emergency department to predict the severity and the outcome of patients diagnosed with ischemic stroke.
Emergency Medical Care and Management of Sports Injuries on the Football Court
Authors: Lenjani Basri , Rashiti Premtim , Shabani Gani , Demiri Arber , Pelaj Besarta , Demi Arban , Sylaj Rilind , Voca Mulaj Erza , Lenjani Dardan
Published: January 2021

Introduction; Sports medicine is a clinical subspecialty that deals with the examination, monitoring, diagnosis, treatment, and prevention of injuries that occur during sports events, training and physical activities in pre-hospital settings. Managing dramatic situations with minor and multiple injuries is a challenge that requires a quick approach to a dramatic event in managing minor and multiple injuries on the football field and in other sports in support of SHME at pre-hospital and hospital level.

Purpose of the paper. Providing emergency medical care at all basic stages of managing minor and multiple injuries on the football field and in other sports in order to implement BLS, ACLS, BTLS, PTLS, ATLS care measures reducing morbidity, disability, and mortality.

Material and methods. The research is of retrospective, descriptive, qualitative type. The material was taken from the archive of the Emergency Clinic of UCCK for the period January-December 2019. Only the sick or injured in sports matches were taken in the research; Age, gender, type of illness and injury and type of medical care, equipment available, and training and education.

Result. Sports injuries are very costly, and according to the pathology with diseases were 15 cases or 21.4 %, injuries were 55 cases or 78/6 %. Injured by age. The largest number of injured with injuries in the field of football sports the most affected age was the age of 21-25 years with 28 cases or 40.00%, over 25 years were 27 cases or 38.58% and with a smaller number were aged 15-20 years15 cases or 21.42%.

Discussion and conclusions. A very important factor in sports injuries is the provision of optimal medical care for footballers and other sports in head, neck, spine, chest, abdomen, and pelvis and limb injuries and with a joint communication with the cooperation of health care professionals in the selection of priority cases. Education of medical staff, nurses, paramedics with courses, use of medical equipment, BLS, ACLS, BTLS, PTLS, ATLS as well as standard procedures for providing and transporting medical care to the hospital.
Treatment of COVID-19 Complications at Home Conditions
Authors: Kuci Saimir , Ibrahimi Alfred , Bejko Ervin , Llazo Stavri , Goga Marsela , Likaj Ermal , Kacani Andi , Collaku Alket , Dhimitri Diana
Published: January 2021

This paper reports the clinical characteristics, diagnosis, and treatment of myself after being infected with Covid-19. After comprehensive treatment including nasal cannula oxygen therapy, antiviral and anti-infection therapies, liquid volume management, glucocorticoids, analgesia and sedation, blood tests control, anticoagulation, and thrombus prevention, and electrolyte balance maintenance, after 24 days finally my health situation was good. The purpose of this case report is to provide a reference for the clinical diagnosis and treatment of myself, in-home condition in this critical situation.
Management of Frailty and its Challenges in Geriatric Patients on General Abdominal Anesthesia.
Authors: Naço Majlinda , Gani Haxhire , Belba Monika , Mukaj Suzana , Kodra Nertila , Naço Eden , Llukaçaj Alma , Dibra Arvin
Published: January 2021

Introduction: In that material, we are doing to informed for frailty, how we can measure it, surgical outcome and its management from the anesthesiologist. Frailty is a condition of decreased physiological reserves that often increases with increasing age and decided in adverse outcomes.

Frailty in elderly surgical patients may be varied from 25,5 -56.1% and is a strong predictor for surgical outcomes.

The anesthetist needs to predict how a geriatric patient will tolerate the stress of surgery and to do what is necessary to protect and save elderly lives.

In Albania, there are almost 439 000 elderly people in 2021 and suspect to 626 000 in 2051. According to the WHO, 1 in 25 persons performed surgery, so the number of geriatric patients that done surgery will be very high.

According to deficits’ in function, mobility, cognition, chronic diseases, and geriatric syndromes we can use the clinical frailty scale, the Edmonton Frailty Scale, or frailty index for calculation of frailty.

We need frailty patients to evaluated preoperative risk-classification, intra-operative care, management of general anesthesia, early immobilization as well as treatment of postoperative delirium because frailty increased intra-operative morbidity, increased postoperative complications especially delirium, extends hospitalization, non – home discharge, and mortality.

Anesthesiologists would be always aware to prepare the geriatric patients for surgery, to maintain the intra-operative functional reserve of frailty patients, to manage perfect anesthesia, to realized early mobilization, and discharge back home.

Conclusion: Many geriatric patients have multi-organ problems. Frailty is a practical, unifying concept in the care of these older people that directs attention away from organ-specific diagnoses towards a more holistic viewpoint of the patient and their medical medicament. All geriatric patients need to screen for frailty.
Management of COVID-19 Patient in Cardiac Surgery with Cardiopulmonary Bypass.
Authors: Ibrahimi Alfred , Kuci Saimir , Bejko Ervin , Llazo Stavri , Goga Marsela , Bulku Esmerilda , Burimi Jonela , Dumani Selman , Likaj Ermal , Zeitani Jacob , Prifti Edvin
Published: January 2021

Introduction; The diagnosis of COVID-19 is quite challenging due to the inconsistent correlation between laboratory findings, radiological imaging, and the clinical picture and contact history of the patient. The patients who underwent cardiac surgery with cardiopulmonary bypass (CPB) face double risk because CBP triggers an intense inflammatory response and the leading cause of mortality in COVID-19 patients is “cytokine storm”. In our institution 15 confirmed cases operated on with open-heart surgery. 9 cases isolated CABG, 4 cases valvular combined with CABG, and 1 valvular disease.

Materials and method; All patients undergoing elective or urgent cardiac surgery at “Mother Theresa” ’s Hospital from 11 March to 30 November 2020 were included in this study. Patients diagnosed with COVID-19 infection via positive throat swab taken due to clinical suspicion postoperatively were reviewed. Patients characteristics, type of intervention, date of COVID-19 diagnosis.

Results: 9 patients (72%) normal recovery, no respiratory failure, only 3-5 days of fever (max 39,4). 3 of them a moderate respiratory failure. 3 patients with severe respiratory failure. Only 3 deaths (26,6%).

Recommendation: It's important to a preoperative screening for COVID-19 patients.

The outcome of cardiac surgical patients who contracted COVID-19 infection perioperatively is extremely poor. Aggressive respiratory assistance (early intubation), high doses of corticosteroids, and anticoagulation, better results.
Ulcerative Colitis: the Role of Elective and Emergency Surgery
Authors: Mulita Francesk , Iliopoulos Fotios , Liolis Elias , Tchabashvili Levan , Drakos Nikolas , Tsilivigkos Christos , Maroulis Ioannis
Published: January 2021

Inflammatory bowel disease (IBD) is a group of auto-inflammatory conditions characterized by chronic, remitting, and relapsing inflammation of the alimentary tract. It is comprised of two phenotypically different entities: Crohn’s disease, and ulcerative colitis (UC). The aim of this article is to explore the role of the general surgeon regarding the treatment of patients suffering from UC while presenting a case of a 55-year-old woman with low-differentiated colon adenocarcinoma associated with ulcerative colitis. Patients with UC have a high-risk of developing colorectal cancer. While medical treatment is commonly the initial approach to UC, surgery constitutes a major contributor in dealing with UC. 

Inflammatory bowel disease (IBD) is a group of auto-inflammatory conditions characterized by chronic, remitting, and relapsing inflammation of the alimentary tract. It is comprised of two phenotypically different entities: Crohn’s disease, and ulcerative colitis (UC). The aim of this article is to explore the role of the general surgeon regarding the treatment of patients suffering from UC while presenting a case of a 55-year-old woman with low-differentiated colon adenocarcinoma associated with ulcerative colitis. Patients with UC have a high-risk of developing colorectal cancer. While medical treatment is commonly the initial approach to UC, surgery constitutes a major contributor in dealing with UC. 

Case report. A 55-year-old female with hypertension and iron deficiency anemia presented to our emergency department with fever, diarrhea, and epigastric pain for 24 hours which was not associated with heartburn, vomiting, melena, or hematemesis. On examination, the patient’s temperature was 39oC, heart rate was 104 beats per minute, blood pressure was 108/65 and the respiratory rate was 20 breaths per minute. Her abdomen was soft, without distension, and with no evidence of palpable mass...
METAPLASTIC CARCINOMA OF BREAST
Authors: Aseri Lalit , Kumar Vanita , Dhawa Sharda , Fatima Qadir , Gupta Neelu
Published: January 2021

Metaplastic carcinoma of the breast is a rare but aggressive type of breast cancer that has been recognized as a unique pathologic entity by the World Health Organization. Morphologically, it is characterized by the differentiation of neoplastic epithelium into squamous cells and/or mesenchymal-looking elements (spindle cells, cartilage or bone, etc). It shares many similarities with invasive ductal carcinoma and benign lesions on mammography, which further complicates the diagnosis. Treatment for metaplastic breast carcinoma is relatively unknown because of the rarity of the disease, but studies suggest that removal of the tumor and adjuvant radiation therapy has the greatest benefit.
TO STUDY SERUM ZINC LEVEL IN CHILDREN WITH FEBRILE SEIZURE.
Authors: Choudhary Deepak , Kulhari Sandeep
Published: January 2021

Background: Febrile seizures are the most common cause of convulsions in children. However, the exact underlying etiology and the pathophysiological mechanisms are yet to be established. Various theories have been put forward regarding the role of trace elements as predisposing factors in causing the convulsions. Among them, Zinc is the most interesting trace element whose role in diarrhea and pneumonia is well proven.

Methods: Hospital based Prospective, Analytical, Case – Control study conducted on 100 patients were enrolled in the study out of which 50 were cases which were febrile convulsion patients and 50 were control who were age and weight matched children.

Results: Mean zinc level was 69.80±13.13mcg/dl and 80.76±10.24 mcg/dl in study and control groups respectively and this difference was found statistically highly significant (p<0.001).

Conclusion- This study establishes a definite relationship between zinc deficiency and febrile seizures thereby substantiating zinc as an important predisposing factor in febrile seizures.

Keywords: Zinc, Epilepsy, Deficiency
TO EVALUATE THE EFFECT OF MATERNAL EDUCATION ON INITIATION OF BREASTFEEDING
Authors: Sodawat Rishi , Kumar Nayan
Published: January 2021

Background: Breastfeeding practices play an important role in reducing child mortality and morbidity. This study describe the breastfeeding practices.

Methods: This observational prospective study was conducted on 500 newborns delivered at Department of Rajkiya Mahila Chikitsalaya (RMC), Ajmer and outborn section of Department of Pediatrics, Jawaharlal Nehru Medical College & Hospital.

Results: The effect of mother’s education on initiation of breastfeeding was found to be significant. The effect of higher family income on early initiation of breastfeeding was found statically significant.

Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups.

Keywords: Breastfeeding, Immunization, Infants.
Formulasi Peraturan Desa Tentang Lubuk Larangan
Authors: Bustanuddin Bustanuddin , Radjab Dasril
Published: January 2021

Penelitian mengenai Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan ini didasarkan pada permasalahan yakni ketidakadanya peraturan desa yang mengatur tentang kelestarian lingkungan khususnya berkenaan dengan lubuk larangan. Sehingga perlu dibentuk suatu aturan yang mengatur perihal tersebut. Penelitian ini mengkaji bagaimana Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan. Pembentukan Peraturan Desa ini bertujuan untuk mengahsilkan suatu produk hukum yang dapat memberikan perlindungan akan memberikan jaminan kelestarian akan keberadaan lubuk larangan yang terdapat di Desa sungai Rotan. Pembentukan Peraturan Desa dilaksalanakan, sebagai bagian dari proses penyelenggaraan pemerintahan daerah dan pemerintahan desa untuk mewujudkan kedaulatan rakyat  dan pembangunan berkelanjutan yang sesuai dengan ketentuan hukum yang berlaku, yang bermuara pada peningkatan kesejahteraan dan kepentingan rakyat dan penyelesaiaan permasalahan dalam masyarakat. Penelitian ini merupakan penelitian hukum normatif.  penelitian ini melakukan pengkajian yang menitik beratkan kepada proses Formulasi Pembentukan Peraturan Desa Sungai Rotan Kecamatan Renah Mendaluh Kabupaten Tanjung Jabung Barat Tentang Lubuk Larangan. Penelitian ini menghasilkan suatu kajian akan kebutuhan produk hukum desa bagi masyarakat Desa Sungai Rotan sebagai pedoman dalam bermasyarakat khususnya berkenaan dengan tanggaung jawab akan kelestarian lingkungan hidup.
Politik Hukum Kewenangan Pemerintah Daerah dalam Pengaturan Hak Kekayaan Intelektual
Authors: Darwance Darwance , Yokotani Yokotani , Anggita Wenni
Published: January 2021

Seiring dengan perkembangan ilmu pengetahan dan teknologi, objek perlindungan hak kekayaan intelektual pun semakin berkembang dari waktu ke waktu. Objek-objek yang dimaksud tidak hanya ada di satu tempat saja, tetapi menyebar di berbagai daerah. Pada beberapa cabang HKI, salah satunya karena kepemilikan komunal atau penemunya tidak lagi diketahui, tidak dapat diberikan perlindungan perspektif HKI, misalnya pengetahuan atau obat-obatan tradisional. Beberapa kasus di antaranya adalah pembajakan keanekaragaman hayati dari pengetahun obat-obatan tradisional Indonesia, yakni dipatenkannya tanaman brotowali oleh perusahaan Jepang. Di sisi lain, peraturan perundang-undangan bidang HKI minim memberikan kewenangan secara langsung kepada pemerintah daerah berkaitan dengan perlindungan HKI. Oleh sebab itu, penelitian yang bersifat normatif dengan pendektan peraturan perundang-undangan ini mengkaji politik hukum tentang kewenangan pemerintah daerah dalam peraturan perundang-undangan di bidang hak kekayaan intelektual. Hasilnya, dari seluruh peraturan perundang-undangan bidan HKI, kewenangan pemerintah daerah secara eksplisit hanya diatur dalam Undang-Undang Merek dan Indikasi Geografis. Selebihnya penyebutannya bersifat umum, misalnya penggunaan istilah “negara” dalam Undang-Undang Hak Cipta sebagai pemegang ekspresi budaya tradisional dan hak cipta atas ciptaan yang penciptanya tidak diketahui. Padahal, dalam konteks negara hukum, wewenang pemerintahan berasal dari peraturan perundang-undangan yang berlaku,  sejalan dengan asas legalitas yang merupakan dasar dalam setiap penyelenggaraa kenegaraan dan pemerintahan.
Pengaruh Return on Asset, Net Profit Margin dan Current Ratio Terhadap Harga Saham Food and Beverage di Bursa Efek Indonesia
Authors: Manullang Januardin , Pratiwi Nanda , Sihombing Refiensa Yohana , Harahap Rifka Aulia , Tampubolon Kevin Christian
Published: January 2021

This study aims to examine the effect of Return on Asset, Net Profit Margin and Current Ratio on Food and Beverage Stock Prices listed on the Indonesia Stock Exchange for the 2014-2018 period. The population in this study were all companies in the Food and Beverage sub-sector listed on the Indonesia Stock Exchange, amounting to 15 companies with a sample of 11 companies with the 2014-2018 period for 5 years and using a sampling technique, namely purposive sampling. The method of analysis used in this research is the Multiple Linear Regression Method. This research uses quantitative research. This type of research is descriptive statistics and the nature of the research is explanatory. The results of this study indicate that partially (t) Return On Asset and Net Profit Margin have no and insignificant effect on Stock Prices, while Current Ratio has a negative effect on Food and Beverage Stock Prices which simultaneously affect Return On Asset, Net Profit Margin, and Current Ratio. to the Food and Beverage Stock Price
Pengaruh Pertumbuhan Penjualan, Likuiditas, Risiko Bisnis, Profitabilitas & Struktur Aset Terhadap Struktur Modal Pada Perusahaan Sektor Properti yang terdaftar di Bursa Efek Indonesia
Authors: Putri Arie Pratania , Cheserio Jovian , Katherine Katherine , Celine Celine , Jeslin Jeslin
Published: January 2021

This research was conducted in order, so we can find out how much influence the variable x on variable y. The independent variable (x) on this research are Sales Growth, Liquidity, Business Risk, Profitability, Asset Structure and the variable (y) is Capital Structure. The population in this research was taken from the property sector companies. This research used purposive sampling technique in order to find out the total sample, and the total is 132 samples. This research also used the Z-Score method, which used to remove the extreme data (abnormal data), which is equals to 15 samples, that means the final number in this research is 117 samples, and the data analysis used multiple linear regression, namely the coefficient of determination (R2), simultaneous (F test), partial (t test). And the result of the t test (partial) are Sales Growth, Liquidity doesn’t have a significant effect on Capital Structure, then Business Risk, Asset Structure has a significant effect on Capital Structure, and Profitability has no effect, but the significant on the Capital Structure of Property Sector Companies that listed on the Indonesia Stock Exchange between 2014 until 2017, the result of F test (simultaneous) is, all of the X variable are taking effect with variabel Y.
Pengaruh Rasio Kesehatan Bank (CAR, NPF, FDR, BOPO) Terhadap Return On Assets pada Bank Umum Syariah di Indonesia
Authors: Devi Heidy Paramitha
Published: January 2021

Banking financial performance is reflected in their financial reports. Assessment of bank performance can be measured through financial ratio analysis approaches, one of which is the ratio of the bank's ability to generate profits or ROA. In generating good profits, a bank must be said to be healthy, the bank's health ratio which can describe the bank's health condition includes the level of capital adequacy, liquidity ratios, and bank operating expense ratios. The aims of the research are to find out and analyze the influence of the level of bank health ratio on the financial performance of Syariah Public Banks. The population are Bank Umum Syariah (BUS) in Indonesia which is registered in Bank Indonesia directory period 2016- 2020  that is 14 Bank Syariah. This study combined of a research object and one-time dimension, measurement by data analysis tools eviews 8, the test model chosen is the Fixed Effect Model - Least Square Dummy Variable. F test results showed that six variables simultaneously affect the amount of lending with the value of Prob (F-statistic) 0.000000. Hypothesis test results showed that CAR and NPF ratios have no influence to ROA, while FDR has a positive significant influence to ROA and BOPO ratio has a negative influence on ROA.
Pengaruh Pengetahuan Auditor, Pengalaman Auditor, dan Tekanan Ketaatan Terhadap Audit Judgment pada Kantor Akuntan Publik di Kota Medan
Authors: Wati Krishna , Manao Desnitar , Doloksaribu Irene Srimawati , Sitepu Wilsa Road B
Published: January 2021

In making the right judgment, the public accountant must have a lot of knowledge and experience so that when assessing an entity, the decisions made are not wrong. And in making decisions, it should not be influenced by the entity or its own superiors. There is a case in 2018 that happened to two public accountants who did not understand how to take the right judgment in carrying out the task of auditing the annual report to PT Sunprima Nusantara Financing (SNP Finance). Based on this case, this research aims to analyze the making of audit judgment in the city of Medan. It must be influenced by the existence of knowledge, experience and obedience pressure so that cases like the above do not occur in the city of Medan. In collecting the questionnaire data using a Likert scale and choosing multiple linear regression analysis as a research hypothesis testing. The results showed that the determination coefficient test resulted in a percentage of 54% with the conclusion that audit judgment can be explained by auditor knowledge, auditor experience, and pressure.
Pengaruh RGEC (Risk Profile, Good Corporate Governance Earning, Capital) terhadap Financel Distress
Authors: Ermar Fikri Hakim , Suhono Suhono
Published: January 2021

This study aims to determine the effect of RGEC (Risk Profile, Good Corporate Governance, Earnings and Capital) on Financial Distress in banks listed on The Indonesia Stock Exchange (IDX) for the period of 2016-2019. The sample data used is the result of the purposive sampling technique and the samples declared worthy to be utilized are 21 banks. During the study conducted, the method was adopted which is a method of logistic regression analysis using SPSS 25 program aid. The results of the research show that the variables that are known can affect the Financial Distress is Return On Asset affect negatively and significantly. Meanwhile, variables that do not affect Financial Distress are Non-Performing Loan (NPL), Loan to Deposit Ratio, Good Corporate Governance, and Capital Adequacy Ratio. Simultaneously Non Performing Loans, Loan to Deposit Ratio, Good Corporate Governance, Return on Assets and Capital Adequacy Ratio have a significant effect on Financial Distress.
Pengaruh Net Profit Margin, Return on Asset, Return on Equity dan Inflasi terhadap Harga Saham
Authors: Zamzami Fikri , Hasanuh Nanu
Published: January 2021

The researcher conducted this research because he was interested in investing in uncertain returns, because this was because the researcher used the variables in this study as consideration.This study aims to determine the effect of Net Profit Margin (NPM), Return On Asset (ROA), Return on Equity (ROE), and Inflation on Stock Prices in LQ45 companies listed on The Indonesia Stock Exchange (IDX) for the period 2015-2019. Stock prices can be an assessment of investor to buy shares of the company. Stock prices tend to fluctuate, so it needs proper observation when making stock purchases. Independent variables in this study are Net Profit Margin (NPM), Return on Asset (ROA), Return on Equity (ROE), and Inflation. Dependent variable in this study is Stock Prices. This study uses quantitative methods using descriptive analysis and verification analysis of companies listed in LQ45. Data analysis technique using the classic assumption test, multiple linear regression, and hypothesis testing using SPSS 21 application. Based on the result of this study indicate the partially Net Profit Margin (NPM) has no effect on Stock Prices. Return on Asset (ROA) has no effect on Stock Prices. Return on Equity (ROE) has a significant effect on Stock Prices. Inflation has no effect on Stock Prices. Simultaneously Net Profit Margin (NPM), Return On Asset (ROA), Return on Equity (ROE), and Inflation have a significant effect on Stock Prices.
Pengaruh DER, ROE, SG, NPM, CR, DPR terhadap Nilai Perusahaan Sektor Industri yang terdaftar di BEI
Authors: Wulandari Bayu , Albert Albert , Harianto Feren , Sovi Sovi
Published: January 2021

The purpose of this study was to see and test whether the effect of DER, ROE, Sales Growth, NPM, CR, Dividend Policy (DPR) on firm value (PBV) in consumer goods industry sector companies listed on the IDX (Indonesia Stock Exchange) year 2017-2019. This research uses a method with a quantitative descriptive approach. The population obtained was 51 companies listed on the IDX (Indonesia Stock Exchange) from 2017-2019. Samples were taken using the purposive sampling technique. This technique is also often used by other researchers because the samples obtained are closer to the research objectives. The samples obtained were 20 companies. Data analysis used several analyzes, namely multiple linear analysis, the coefficient of determination test, classical assumption test, F test, and t-test. This study shows positive results, that is, if seen partially, this research shows that the DER, ROE, Sales Growth, NPM, CR variables have no effect on the Firm Value variable. Variable Dividend Policy shows that the opposite result and significant effect on the variable value of the company (PBV)  listed on IDX (Indonesia Stock Exchange). Variable DER, ROE, Sales Growth, NPM, CR, Dividend Policy (DPR) simultaneously affect the Company's variable value (PBV) in the company consumer goods listed on IDX (Indonesia Stock Exchange).