bluuebunny/crossref_metadata_2025 huggingface dataset:
BISNIS DROPSHIPPING KOSMETIKA PADA SHOPEE MENURUT FATWA DEWAN SYARIAH NASIONAL MAJELIS ULAMA INDONESIA NO: 145/DSN-MUI/XII/2021 TENTANG DROPSHIP BERDASARKAN PRINSIP SYARIAH
Authors: Uyun Qurrotul , Sulaiman Rusdi , Anggriana Anggita
Published: November 2024

Penelitian ini bertujuan untuk mengetahui mekanisme bisnis dropshipping kosmetika di shopee menurut Fatwa Dewan Syariah Nasional Majelis Ulama Indonesia No: 145/DSN-MUI/XII/2021 tentang Dropship Berdasarkan Prinsip Syariah. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian normatif empiris. Sumber data diperoleh dari hasil wawancara dropshipper pada aplikasi shopee. Sementara data sekunder diperoleh melalui bahan hukum primer yaitu Fatwa Dewan Syariah Nasional Majelis Ulama Indonesia No: 145/DSN-MUI/XII/2021 tentang Dropship Berdasarkan Prinsip Syariah dan bahan lain seperti buku, jurnal, Undang-undang, dan artikel yang berkaitan dengan penelitian. Teknik pengumpulan data melalui observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan 1). Dalam memulai bisnis droshipping pada aplikasi shopee, langkah awal yang harus dilakukan oleh dropshipper shopee yakni membuat akun shopee serta akun toko dan mencari supplier kosmetika yang tepat. Ketika terdapat pesanan dari pembeli, dropshipper memesankannya kepada supplier, dengan menggunakan alamat pembeli sebagai tujuan pengiriman dan mengaktifkan fitur kirim sebagai dropshipper. Dana penjualan akan dapat diterima oleh supplier dan dropshipper ketika pembeli ataupun dropshipper mengklik pesanan selesai atau masa garansi di aplikasi shopee telah berakhir.  Pembeli juga dapat melakukan pengembalian barang ataupun dana dengan alasan-alasan tertentu sebelum masa garansi berakhir. 2). Mekanisme dropshipping pada aplikasi shopee telah sesuai dengan Fatwa Dewan Syariah Nasional Majelis Ulama Indonesia No: 145/DSN-MUI/XII/2021 Tentang Dropship Berdasarkan Prinsip Syariah.
Examining mobile medical supplies in supply chain: Exploring the impact of intention to use mobile medical apps
Authors: Ezmigna Ibrahim , Omain Siti Zaleha , Alghizzawi Mahmoud
Published: November 2024

All sectors have an increasing interest in smart phone applications based on their many advantages that support business, especially the medical sector, which is constantly competing to develop the medical services provided, and accordingly in this research study we industrialized a mobile medical supplies and equipment ordering application (mobile medical app) classic and make an effort to authenticate it factually. When clients (hospitals doctors) create consumptions on the application, three dimensions can be identified: platform emotion stage, fear effect, and familiarity with product. This research designed to reinforce and brighten the most important magnitudes that improve a physician’s judgment of mobile medical app and the purpose to usage. Furthermore, this study inspected the availability of the model between hospital physicians in UAE. The classic ideal was observed by means of a model of 340 UAE clinic physicians and their personal assistant who utilize mobiles facilities in overall. The review technique, a calculable method, was applied; the fractional smallest cubes organizational calculation exhibiting systems was owned to inspect the planned agenda. The platform emotion dimension, especially fear and resistance to change, and the familiarity with the products were evaluated, and it was discovered that these factors positively influenced the objective to use the application. And the other side, the first dimension of emotion, fear, manifested as “apparent threat”, had no outcome on the purpose to using. These discoveries recommended that scholars should emphasis more on the facilities, merchandises, and the key task of the mobile medical app to control their inspirations on clients’ ordering purpose. This will progress the purchasing ways associated to acquiring medicinal materials utilizing mobile medical app and/or on other operational stages in unambiguously in UAE and the Central East at great.
Paths for the development of financial intermediation in industry 5.0: Opportunities for developing economies (On the example of former USSR republics)
Authors: Turyan Karen
Published: November 2024

Currently, there is a unique situation in the global economy, industrial eras coexist together, there is interaction and transformation of financial systems simultaneously within the framework of Industry 4.0 and Industry 5.0. New, digital resources are entering the economy, intellectual capital is becoming virtual, artificial intelligence is increasingly finding its application in the structure of financial support. Financial intermediation in developing countries is also subject to global trends, the active development of new instruments for developing economies is especially important. The aim of the study is to identify effective ways to develop financial intermediation in Industry 5.0 for the economies of developing countries. Based on the results of the study on the development of financial institutions mediation revealed a problem related to the lack of reasonable tools that could be used to improving the efficiency of the financial intermediaries market, proposed the main directions of such a process: mobilization of savings, distribution financial assets, payment system, risk management and control over market agents involved in financial operations.
Teoria do desestímulo: uma leitura à luz do ordenamento jurídico brasileiro
Authors: Silva Paulo Vinicius Franciscato da , Ningeliski Adriane de Oliveira
Published: November 2024

No Ordenamento Jurídico brasileiro, o dano moral ganha uma reinterpretação à luz da Carta Maior, haja vista a elaboração e o aprimoramento de mecanismos jurídicos que possibilitem a efetiva proteção e promoção da Dignidade da Pessoa Humana. Por conseguinte, os direitos personalíssimos entram em pauta, posto que, em última análise, protegem e garantem esse axioma máximo. Neste cenário, exsurgem discussões sobre formas de promovê-la, ao mesmo tempo em que reparam o dano moral e direcionam uma função educativa e inibitória ao agressor. Os danos punitivos, sob o enfoque da teoria do desestímulo, portanto entram em voga, uma vez que fornecem um norte conciliatório desses vieses circundantes, em especial quanto à compensação e à pedagogia, almejados pelo Direito. A metodologia deste trabalho consistirá em pesquisa bibliográfica e jurisprudencial, por intermédio do método dedutivo, posto que se analisa do contexto teórico geral para o particular, a fim de se alcançar uma conclusão sobre o assunto. Far-se-á, assim, análise da evolução social e jurídica quanto à resolução dos litígios, partindo para a influência da dignidade da pessoa humana, inclusive na temática dos direitos da personalidade, e, por fim, analisar-se-ão aspectos da responsabilidade civil, dos danos morais e dos danos punitivos, com atenção às divergências doutrinárias e jurisprudenciais, bem como aos nuances legais sobre o tema.  O assunto é espinhoso e controvertido, divergindo – e muito – a comunidade jurídica pátria sobre a sua (in)aplicabilidade. Apesar de fornecer um norte, faz-se necessário um maior amadurecimento, em especial com o cotejo dos princípios que norteiam o Direito Civil contemporâneo.
The Quality of Online Higher Education Teaching during the COVID-19 Pandemic: Evidence from Serbia
Authors: Vuković Ana Jovičić , Damnjanović Jelena , Vranješ Marija
Published: November 2024

Introduction:
This research aims to analyze students’ expectations and satisfaction with the quality of online learning in Serbia during the COVID-19 pandemic, while examining its advantages, disadvantages, and future intentions.

Methods:
The research included both desk and field research. Data were collected through an online survey and analyzed with IBM SPSS using frequency, descriptive, reliability, and correlation analysis.

Results:
The results showed high student satisfaction with online education during the pandemic, which is correlated with their future intentions to use online learning platforms.

Discussion:
These results highlight the importance of student satisfaction for online learning quality and the potential of online education during COVID-19.

Limitations:
The research is limited by the sample size of 308 students, which may not fully represent the entire student population.

Conclusions:
While the results confirm the high quality of online learning organization at Serbian higher education institutions (HEIs), the study also identifies areas for improvement.
The Epistemology of Modality
Authors: Rychter Pablo , Zerbudis Ezequiel
Published: November 2024

We describe the main issue debated at the IV Blasco Disputatio: whether our knowledge of metaphysical possibility and necessity rests on knowledge of essence. But before getting to this specific issue, we offer a broader introduction to the more general problems in the epistemology of modality. In this way, we establish a background against which the contributions to this SI can be better appreciated.
The Problem of Modal Epistemic Friction, Similarity, Essence and Induction
Authors: Wallner Michael
Published: November 2024

Vaidya & Wallner [2021] have recently formulated the Problem of Modal Epistemic Friction (PMEF) for three of the most discussed accounts in the epistemology of modality: conceivability-based, counterfactual-based and deduction-based accounts. They propose essentialist solutions in all three cases, arguing that all three discussed accounts should be supplemented by a suitable epistemology of essence. In this paper I argue that the PMEF also applies to Roca-Royes’ similarity-based account in the epistemology of modality. I also discuss if or to what extent the version of the PMEF that applies to Roca-Royes can be given an essentialist solution. With regard to this question, I argue that besides the inductivist variant of the similarity-based account that Roca-Royes favors, there might also be an essentialist variant that would be successful in at least some cases. As for Roca-Royes’ inductivist variant I argue that the PMEF ultimately boils down to the notorious Problem of Induction. I shall discuss a popular solution to the Problem of Induction and the role essences might play in it.
Perceptual Modal Justification
Authors: Omoge Michael
Published: November 2024

Can experience justify modal beliefs? A long tradition dating back to Descartes, Hume, and Kant, which denies that experience plays a justificatory role in modal justification, says ‘no’. Here, I answer ‘yes’. Specifically, I argue that perception justifies some of our modal beliefs, namely the perceptual ones. Using a naturalized reliabilist framework for perceptual justification, I argue that one of the assumptions perception makes about the world, which enables it to organize itself, is modal—namely, ‘objects presented within peripersonal space are reachable and graspable’—such that relying on this modal assumption, perception outputs modal beliefs reliably, and so we can render perceptual modal justification as a function of the reliability of perception as a modal-belief-forming process.
The ‘Black Swan’ theory in aviation safety
Authors: Balcerzak Tomasz , Kostur Katarzyna , Rajchel Jan
Published: November 2024

The article is a review and focuses on the analysis and interpretation of Nassim Nicholas Taleb’s ‘Black Swan’ theory in the context of aviation safety, considering various aspects of risk management and preparation for unforeseeable events in aviation.

We present the thesis that the Black Swan theory has significant implications for the development of risk management strategies in aviation, emphasising the need to prepare for rare but catastrophic events that traditional risk analysis methods may overlook.

The aim of the research is to understand how the Black Swan theory can be integrated into existing aviation safety frameworks and how it can contribute to the aviation industry being better prepared for extreme events.

The article stands out for its original approach to the analysis of the Black Swan theory in the context of the specific nature of aviation safety, highlighting new perspectives in aviation risk management. It provides valuable insights into the practical aspects of applying the Black Swan theory to aviation, offering a novel approach to predicting and responding to unexpected aviation events. This is important for both aviation safety theorists and practitioners in this field.

The research covers extensive literature analysis, including case studies, risk management theories and current aviation safety strategies, providing a comprehensive overview of the issue.
Representation of Locality in Media Art in Yogyakarta: Dedy Shofianto's Kinetic Art Case Study
Authors: Wicaksono Satrio Hari
Published: November 2024

In the development of contemporary art, the issue of identity becomes a central and important thing to be studied more deeply, especially the personal or communal identity of marginalized parties in the context of modern society. This is what makes local values elevated and become a specific, unique identity character and become the characteristic of the artist in his work. Similarly, artists in Indonesia form a qualified personal representation with specific local values based on their background. Not just dwelling on conventional media, artists explore media more broadly. New media such as digital devices, kinetics, sound and so on are felt to be able to represent the state of the surrounding environment without abandoning the local identity that remains attached. Dedy Shofianto is one of the Yogyakarta artists whose execution uses conventional media but with a different approach, where kinetic elements become an identity that is closely related to the artist, which is supported by a strong local content narrative. The visual representation and material characteristics carried have a background and cultural narrative that is a unique characteristic of each of Shofianto's works, such as the use of wood materials that are attached to Indonesia as a tropical country and the myths of the archipelago are visible representations in Shofianto's works.
Penggunaan Kosakata Ciptaan Roald Dahl Sebagai Ide Penciptaan Karya Seni Lukis
Authors: Kurniawan Naja Izzah , Wicaksono Satrio Hari , Junaedi Deni
Published: November 2024

Painting is a visual language that can be the means of expressing one's creative expression and is useful in improving one's ability to think and imagine, especially one's aesthetic sensitivity. The transfer of language from verbal language to visual language is carried out in this Final Project by adopting the use of unique vocabulary found in Roald Dahl's children's novels in the form of paintings.‘Gobblefunk’ is a term created by Dahl to describe his own language. In this Final Project, his gobblefunk vocabulary is interpreted and used in the title of the work which has personal tendencies before being realized as a painting. The hope of achieving this Final Project is to represent the use of vocabulary created by Roald Dahl and the world of fantasy contained in his writings. This is channeled through a series of works that have a surrealistic component, colours that give a fantasy feel, human figures, and/or man-made or natural objects/subjects that are integrated into watercolour paintings with the addition of other media. Seni lukis merupakan salah satu bahasa imaji yang mampu menjadi sarana dalam mengeluarkan ekspresi kreatif seseorang dan bermanfaat dalam mengasah kemampuan berpikir dan berimajinasi, ataupun kepekaan estetika seseorang. Alih wahana dari bahasa verbal menjadi bahasa imaji dilakukan dalam Tugas Akhir ini dengan mengangkat penggunaan kosakata unik yang ditemukan dalam novel anak ciptaan Roald Dahl ke dalam wujud karya seni lukis. ‘Gobblefunk’ merupakan istilah yang dibuat oleh Roald Dahl untuk menyebut bahasa ciptaannya sendiri. Dalam Tugas Akhir ini, kosakata gobblefunk ciptaan Roald Dahl diinterpretasi dan digunakan dalam judul karya yang bersifat personal sebelum diwujudkan sebagai lukisan. Harapan capaian dari Tugas Akhir ini untuk merepresentasikan penggunaan kosakata ciptaan Roald Dahl dan dunia fantasi yang terdapat dalam tulisan-tulisannya. Hal tersebut disalurkan melalui rangkain karya yang memiliki komponen surealistik, warna yang memberikan nuansa fantasi, figur manusia, dan atau objek/subjek buatan manusia maupun alami yang terpadukan dalam lukisan cat air dengan tambahan media lain.
Kajian Teori Formalistik Pada Patung Figur Deformatif Karya Win Dwi Laksono Dengan Pendekatan Semiotika
Authors: Berna Edbert Antonio , Wicaksono Satrio Hari , Wantoro Yoga Budhi
Published: November 2024

In this article, we will examine the signs and meanings of five works by Win Dwi Laksono. Win Dwi Laksono is an artist, especially in sculpture, who uses his body as the embodiment of his artistic ideas in his figurative sculpture works. His works are full of symbolic expressions about various thoughts, life experiences, and the philosophy of life that he believes in. The research method used in this writing is qualitative which is analyzed using a combination of Clive Bell's formalistic theoretical approaches and Roland Barthes' semiotics to analyze the work of deformative figure sculpture by Win Dwi Laksono. This approach will provide comprehensive insight into the formal elements and meaning contained in these works of art. From the results of the study, it can be seen how broad his feelings are in responding to and interpreting life. In creating his work, Laksono generally has two types of processes in producing shapes and textures, namely textures with finger strokes and smooth textures. This choice came from long practice in making sketches and illustrations which provided him with the precise processing of deformation in each of his personal works. Pada penulisan ini akan mengkaji secara kebentukan dan makna dari lima karya Win Dwi Laksono. Win Dwi Laksono adalah seorang perupa khususnya seni patung yang menggunakan tubuh sebagai perwujudan ide-ide seninya di dalam karya-karya patung figuratifnya. Karya-karyanya sarat dengan ungkapan simbolik tentang berbagai pemikiran, pengalaman hidup serta falsafah kehidupan yang diyakininya. Metode penelitian yang digunakan pada penulisan ini adalah kualitatif yang dianalisis menggunakan gabungan pendekatan teori formalistik Clive Bell dan semiotika Roland Barthes untuk menganalisis karya seni patung figur deformatif karya Win Dwi Laksono. Pendekatan ini akan memberikan wawasan yang komprehensif tentang elemen-elemen formal dan makna yang terkandung dalam karya-karya seni tersebut. Dari hasil pengkajian tampak umbar rasa beliau dalam menyikapi dan memaknai kehidupan. Pada penciptaan karyanya, Laksono secara garis besar memiliki dua jenis proses dalam menghasilkan bentuk dan tekstur yaitu tekstur dengan pelototan jari dan tekstur halus. Pemilihan ini datang dari latihan yang panjang dalam membuat sketsa dan ilustrasi yang menjadi bekal atas pengolahan tepatnya mendeformasi pada setiap karya personalnya.
Proses Penciptaan Dan Penyajian Karya Patung Publik Pada Jogja Street Sculpture Project #5
Authors: Rahayu Ananta Dewi , Rosidi Muhammad Rain , Wicaksono Satrio Hari
Published: November 2024

The Jogja Street Sculpture Project (JSSP) exhibition is a programme by the Indonesian Sculptors Association (API) in collaboration with the Culture Service in the form of a public sculpture. The fifth JSSP, with the theme Ruwat Gatra Rasa: Redefining Form and Space, is located along Jalan Malioboro. The author researches the creative process of creating and presenting public sculpture using a qualitative descriptive method with an approach to the theory of the creation process, the theory of the function of art, the presentation of public sculpture, and the elements of sculpture. Data collection was carried out through a literature review, interviews, and observations. Public interest is present in four stages of creation, (1) Pre-Design, (2) Design, (3) Realization, and (4) Presentation. Aspects of public response are also explained, where anticipation of public interaction is also taken into account in the process of creating works exhibited by artists and the organizing committee. In the presentation aspect, the author examines the elements of sculpture that are present, the public response, and improvements made by the artist. Pameran Jogja Street Sculpture Project (JSSP) merupakan program Asosiasi Pematung Indonesia (API) yang bekerjasama dengan Dinas Kebudayaan, berbentuk pameran patung di ruang publik. JSSP kelima dengan tema Ruwat Gatra Rasa: Redefining Form and Space berlokasi di sepanjang Jalan Malioboro. Penulis meneliti tentang proses kreasi penciptaan dan penyajian seni patung publik menggunakan metode deskriptif kualitatif dengan pendekatan teori proses kreasi, teori fungsi seni, penyajian patung publik, dan elemen-elemen seni patung. Pengumpulan data dilakukan dengan kajian pustaka, wawancara, dan observasi. Kepentingan publik hadir dalam empat tahapan penciptaan, (1) Pra Perancangan, (2) Perancangan, (3) Perwujudan, dan (4) Penyajian. Aspek respon publik juga dipaparkan, di mana antisipasi interaksi publik juga diperhatikan dalam proses penciptaan karya yang dipamerkan oleh seniman dan panitia penyelenggara. Dalam aspek penyajian, penulis mengkaji elemen seni patung yang hadir, respon publik, dan perbaikan yang dilakukan seniman.
001. Large Wilms Tumor in A 3-Year-Old Child at Abdoel Wahab Sjahranie Hospital: A Case Report
Authors: Muladi Jafar Sidiq , Soenjoto Dadik Agus
Published: November 2024

Background: Wilms tumor (WT) is the most common primary renal tumor in children, typically diagnosed between ages of 1 and 5, with peak incidence at 3 years. Imaging modalities like ultrasound, CT, and MRI can predict WT in up to 95% of cases, but histological subtypes necessitate tissue examination. Management usually involves surgery, chemotherapy, and sometimes radiation therapy. This report aims to present and analyze the clinical presentation, diagnostic approach, and management of an unusually large Wilms tumor in a 3-year-old child at our hospital, highlighting the challenges and treatment strategies for such rare case. Case: A 3-year-old girl with hematuria for two weeks and an abdominal mass that had been present for years but had enlarged in the last 2-3 months. Physical examination revealed a palpable mass in the left hypochondrium. Abdominal CT showed grade II/III left hydronephrosis with a cystic and solid lesion measuring 10.3 x 8.1 cm and enlarged right para-aortic glands. Conclusion: This case underscores the importance of a multidisciplinary approach involving surgery and chemotherapy to effectively manage WT and highlights the positive prognosis associated with timely treatment
002. Case Report: High Jejunal Atresia Type 1 Treated by Side to Side Anastomosis Jejuno-Jejunostomy
Authors: Zisnanda Wildan Kharisma , Balela Naisya , Poerwasusanta Hery , Andayani Pudji
Published: November 2024

Background: Jejunal atresia characterized by complete occlusion lumen of the intestinal, is a rare congenital abnormality occurring in 1 out of 12.000 live births. The most recent hypothesis is that it caused by vascular accidents in the uterus during embryonic development. jejunal atresia Type I is characterized by mucosal, stenosis of the intestine. Some literature explains that side to side anastomosis surgery cannot be used in cases of jejunal atresia. The purpose of this case report is to present a case of high jejunal atresia type 1 managed with side to side anastomosis. Case: A 6 days old female with abdominal distension and billous vomiting since birth. the babygrams obtained a triple bubble sign. On emergency exploratory laparotomy, jejunum atresia was found 5 cm from the treitz ligament, no mesenteric defect, a web was found, the ratio of the diameter of the proximal and distal jejunum lumen was 7:1. The patient was decided to do Kimura procedure. The remaining bowel was normal.  We initiated enteral feeding on day 7 post operatively and then achieve full enteral feeding on day 25. Patient discharged without complication. Conclusion: High jejunal atresia type 1 can be managed with side to side anastomosis (jejuno-jejunostomy) surgery technique and the outcome was good.
003. Diagnosis And Management Flow of Patients with Spontaneous Intestinal Perforation: A Case Report
Authors: Auliadina Diana , Balela Naisya
Published: November 2024

Background: Spontaneous intestinal perforation is the second most common cause of neonatal bowel perforation. The major dilemma for neonatologists and pediatric surgeons may be caused by NEC and severe SIP may have comparable physical examination findings, as well as radiological examinations showing pneumoperitoneum. Case: This case report describes a five-day-old boy brought by his parents to the ED because of abdominal distension that had occurred for the past two days. Physical examination showed a moderate general condition, CRT <2 seconds, pulse rate 128 beats per minute, respiratory rate 32 breaths per minute, body temperature 38 ?C, SpO2 99% room air, body length 40 cm and body weight 2,800 grams. The patient's abdomen was distended. The patient underwent laparotomy and was diagnosed with post laparotomy exploration + ileum resection + ileoustomy + adhesiolysis in patients Peritonitis dt spontaneous ileum perforation. Differentiation between SIP and NEC is usually based on clinical manifestations and abdominal radiographic findings, although there are many similarities between the two conditions. Conclusion: Primary peritoneal drainage can serve as the primary treatment for critically ill neonates requiring stabilization. Laparotomy allows for assessment of the severity of the disease, removal of necrotic bowel, and hastening recovery and discharge.
007. Distal Ileal Atresia and Total Colon Agenesis with Anorectal Malformation: A Case Report
Authors: Pramudita Nyoman , Darmajaya I Made
Published: November 2024

Background: Atresia of the distal ileum and colon agenesis are rare conditions and can be the cause of obstructive symptoms. Case: A 1 day old baby girl complained of no anus since birth. The patient has no bowel movements or vomiting. The patient's stomach appears increasingly bloated. On physical examination of the abdomen revealed distension accompanied by difficult to hear bowel sounds. There was no anus or fistula in the patient but there is a dimple in the anus. Another abnormality found in the patient was the presence of CTEV on both of the patient's legs. The patient was planned for exploratory laparotomy and colostomy surgery. the length of the jejunum and ileum proximal to the ligament of Treitz was found to be 50 cm. The distal ileum, caecum, colon, rectum and anus were not found. An ileostomy was performed on this patient. The patient died 13 hours after surgery. Conclusion: Total colonic agenesis is a rare case and usually occurs with other congenital abnormalities. Early diagnosis and appropriate initial treatment are very important in this case. colonic agenesis causes congenital short bowel (CSB). CSB causes malabsorption due to inadequate intestinal length, which interferes with absorption. Staged surgery is a good option in the management of total colonic agenesis.
008. Massive Teratoma Attached to The Inferior Vena Cava and Abdominal Aorta in Pediatric Patient: A Case Report
Authors: Natario Natario , Darmajaya I Made
Published: November 2024

Background: Massive teratomas are rare and complex tumors that can grow large and involve crucial structures, such as the inferior vena cava (IVC) and abdominal aorta. These tumors can be challenging to resect, especially in pediatric cases, due to their size and proximity to vital organs. Case: A 9-year-old boy was admitted with a history of an abdominal mass first detected at age 3. Over the years, the mass had progressively enlarged, initially the size of a grape and later the size of a tennis ball by age 6. Recent imaging, including CT scans, showed a retroperitoneal mass measuring approximately 20 x 10 cm with characteristics of a mature cystic teratoma. The mass was compressing surrounding structures, including the duodenum, pancreas, and left kidney, and was adherent to both the IVC and abdominal aorta. The surgical team performed a laparotomy with adhesiolysis, extensive tumor excision, and vascular repair. Vascular control was established, and the tumor was successfully removed, including sheared portions of the abdominal aorta, which required ligation and repair of the affected vessels. Conclusion: This case illustrates the complexity and challenges of managing massive retroperitoneal teratomas. Through a multidisciplinary approach, it was possible to achieve complete excision and ensure the patient’s recovery with no immediate complications.
018. Supraclavicular Flap and Reconstruction With Radial Forearm Flap In Basal Cell Carcinoma Of The Buccal Region: A Rare Case Report
Authors: Hamzah Birgitta Stella Dewi , Riasa Nyoman Putu
Published: November 2024

Background: Basal cell carcinoma (BCC) progression can invade surrounding tissues, causing local destruction and disfigurement. About 85-90% cases of BCC occur on the head, greatly affecting facial appearance of patients. Functional or cosmetic concerns require skin flap or graft. Case: A patient presented with a wound on his left cheek for 8 years, bleeds easily and painful. There is a muscle-based ulcer, penetrating the oral cavity and a post-biopsy wound is covered with granulation tissue. Laboratory examination showed moderate anemia and chest x-ray did not show any metastases. A supraclavicular flap and intraoral and supraclavicular insertion and intraoral and supraclavicular insertion were performed. In addition, harvesting of the radial forearm flap and partial palmaris longus tendon was conducted. Conclusion: Reconstruction of facial defects in different facial esthetic units is essential following excision of BCC. But it is necessary to plan the stages of reconstruction when more than one facial region is involved. Surgeon skills, patient’s preference, defect size and location are important determinants of esthetic outcomes
019. Craniofacial Fracture and Secretome: A Systematic Review
Authors: Yong Hengki , Oley Mendy H. , Suoth Stevy C.
Published: November 2024

Background: The challange in craniofacial fracture management is restore the morphology and physiology of the carniofacial features to pre-injury remains a challenge. Tissue engginering such as secretome become a great hope as a modern and comprehensive therapy for handling craniofacial fractures. To evaluate the effectiveness of application of secretome in craniofacial bone regeneration in animal and human models. Methods: We conducted in August 2024 through several online databases, including PubMed (MEDLINE), The Cochrane Library, and Google Scholar. The inclusion criteria include methodological research (in vivo, in vitro, or clinical studies) which provided a complete set of data and full-text articles. We omitted studies of non-craniofacial bone fracture repair. COCHRANE RoB 2.0 checklist to analyze the risk of bias. Results: Twenty articles selected, 16 investigated animal models and four conducted clinical studies. Two animal studies researched on rabbits (n=34), one on dogs (n=4) and 13 on rats (n=281). There are 48 participants on the clinical studies. Secretome in animal and humans model increase titer which had effect to bone regeneration such as IGF, VEGF, TGF-B-1, osteocalcin, Runx2, PCNA, ANG1, ANG2, MMP8, BMP2, IBSP, MMP13 and ICAM-1. In radiology and histology evaluation, secretome reported increase rate of bone regeneration. Conclusion: Secretome promotes the expression of cytokines required for bone healing. secretome can enhace craniofacial bone regeneration by speeding up healing and increasing the areas of repair. Analysis is done through morphological studies, CT scan results,  and histological findings.
025. Brain Corpal Evacuation Caused by Air Gun: Management and Surgical Approach Evacuation with Neuronavigation Guiding
Authors: Putri Etna Irianti , Wardhana Donny Wisnu
Published: November 2024

Background: In Indonesia, cases of injury from airgun are relatively common and do not immediately result in death because the projectile velocity of airgun is slower compared to the gunshot. Consequently, if the pellet hits the brain (brain injury), it may cause the patient to live with disabilities or infection problems due to the non-sterile of the airgun pellet. Surgical procedures often difficulties in determining the location of the pellet or foreign body, especially if the pellet of air gun penetrates to the contralateral side of the entry point. Neuronavigation is a modern system in neurosurgery that helps surgeons precisely locate targets with minimal disruption to critical brain and spinal structures. This allows for more precise and easier pellet evacuation. Report a patient who had a gunshot wound with the bullet entering from the left parietal region and penetrating through to the right parietal surface of the head, managed comprehensively with neuronavigation guidance. Case: A 5-year-old female patient presented to the emergency department with an open wound on the left parietal region of the head. Her Glasgow Coma Scale score was 8 (GCS: Eye: 2, Verbal: 2, Motor: 4), indicating a sedated state. Initial and specific treatments were administered to prevent deterioration and improve the patient’s prognosis. Surgical management, using neuronavigation guidance, was employed to determine the exact location of the foreign body. The procedure included debridement of the entry point in the parietal region and evacuation of the foreign body using neuronavigation guidance. Conclusion: Early management of gunshot injuries is crucial for improving prognosis. Neuronavigation guidance proved effective, and minimally invasive neurosurgical techniques may be a safe option for treating traumatic brain injuries caused by gunshots. This approach facilitates easier, faster, and more precise incision and evacuation of foreign bodies.
030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report
Authors: Tsurayya Zulfa , Fauzie Rayhan , Krislee Andre , Waelauruw Shania Quency Alexandra , Yani Irhamna Syari
Published: November 2024

Background: Traumatic diaphragmatic rupture is rare with incidence between 0.8-8% and often resulting from blunt or penetrating trauma. We present a case of delayed diaphragmatic hernia in a 41-year-old male, 15 years after blunt abdominal trauma. Case: A 41-year-old male presented with dyspnea and severe abdominal pain. He reported being struck in the abdomen with wood during a gang attack 15 years prior. A year after the accident, he complained of uncomfortable breathing that worsened in the past 6 years. Physical examination revealed decreased breath sounds on the left side and a distended abdomen. Imaging confirmed bowel herniation into the left hemithorax, partial lung collapse, and a mediastinal shift. Emergency laparotomy revealed a 5 cm diaphragmatic defect, massive gastric necrosis, and herniation of abdominal organs into the thoracic cavity. The defect was closed with primary repair, and necrotic gastric tissue was excised and repaired using primary closure with omental patch. The patient recovered well and was discharged on day 11. Conclusion: Diaphragmatic ruptures require prompt surgical repair to prevent complications. Physicians must carefully evaluate trauma history and conduct thorough examinations to improve outcomes in emergency settings.
031. Urine Neutrophil Gelatinase-Associated Lipocalin (NGAL) Levels as a Predictor of Early Acute Kidney Injury in Post Coronary Artery Bypass Graft (CABG) Patients in H. Adam Malik Hospital Medan
Authors: Adrian Muhammad Ali , Marshal Marshal , Syahputra Muhammad Ali , Lelo Aznan , Buchari Frank Bietra , Siregar Denny Rifsal
Published: November 2024

Background: One of the main complications after open heart surgery is acute kidney injury. Coronary Artery Bypass Graft surgery is one of the main factors in this complication. Currently, the use of serum creatinine as one of the diagnostic criteria for AKI is not sensitive for diagnosing AKI at an early stage. Elevated urine NGAL levels are more indicative of a renal damage process than an increase in circulation. An increase in NGAL levels in urine can occur 100 times faster than circulating NGAL. Thus our research aimed to view NGAL ability to predict AKI in CABG patient. Methods: This research is an observational study with cross-sectional data collection methods to find out whether NGAL can be a predictor of AKI in patients who have undergone CABG surgery. Results: The collection of research subjects was stopped when the number of samples had been reached so that this study was a cohort study with consecutive sampling techniques. In the results of this study, we obtained 31 research samples. In 31 research samples, it was found that the average age was 61.46 years with a standard deviation of 8.2 years. This study was dominated by male gender with a total of 20 people or 64% of the total sample. After CABG surgery, it was found that 4 patients had postoperative acute renal failure or 13.3% of the total sample. The sensitivity of the instrument is 100% with a specificity of 96%. The accuracy of the NGAL is 97.5%. Conclusion: NGAL is a useful parameter to predict AKI and would have significant advantage however further study with multi-center design would be necessary to validate these result.
034. Arterials Re-Repair with Saphenous Vein Graft for Acute Limb Ischemia in Previously Repaired Patient: A Complicated Case Report
Authors: Trixie Jessica
Published: November 2024

Background: Acute upper extremity ischemia following trauma is a potentially limb-threatening condition that requires prompt diagnosis and intervention. We presented a complicated case of a patient who had previously undergone repair for his left arm but developed post-operative acute limb ischemia. Case: A 51-year-old male presented to the emergency room (ER) with acute numbness in his left hand. He previously underwent a muscle, artery, and nerve repair for his left arm due to a wooden impaled wound. Other comorbidities were denied, and the patient’s hemodynamics were stable. Physical examination showed left antebrachial covered with Backslab, tenderness upon palpation, and limited range of motion. The left fingers’ oxygen saturation were lower (90-93%). Left antebrachial imaging revealed no fracture. Vascular exploration, thrombectomy, and left radial and ulnar arteries repair using the saphenous vein graft were performed. The post-surgical outcome was great, and the numbness began to fade away. Left fingers’ oxygen saturation rose dramatically (94-95%). The patient was satisfied with the outcomes, followed by discharge from the hospital. Conclusion: Prompt recognition and surgical intervention of vascular trauma complications effectively restore function and alleviate symptoms.
045. The Prevalence and Overview of Cholelithiasis at Achmad Mochtar Hospital, Bukittinggi
Authors: Abror Muhammad , Manjas Ambiar
Published: November 2024

Background: Cholelithiasis (gallstone disease) is one of the most common diseases of the digestive tract.1 The incidence of Cholelithiasis in Indonesia certainly unknown, in China the incidence of all diseases is 10.7% and in Asia 3-10%.2 The risk factors for cholelithiasis have been generally known, namely the four "F": female, fat, forty, and fertile, (female, obesity, age 40 years, fertile age).3 Achmad Mochtar Hospital is a Provincial Hospital located in Bukittinggi city area which is famous for its history and cuisine. This study aims to obtain a profile of Cholelithiasis within the scope of Achmad Mochtar Hospital Bukittinggi. Methods: This study is a descriptive cross-sectional study. The subjects of the study were taken from medical record data of Cholelithiasis patients at Achmad Mochtar Hospital Bukittinggi in August 2023 - June 2024 that get in the inclusion criteria, all Cholelithiasis patients recorded in the medical records at Achmad Mochtar Hospital Bukittinggi in August 2023 - June 2024. The research variables are age, gender, and patient address. All data obtained are then analyzed using SPSS version 23 for Windows. Results: the results of the study obtained a total of 197 patients with ages <40: 56 (28%), and >40 : 141 (72%). The majority of patients are women 125 (63%) and men 72 (36%), demographically the most patients are from the Bukittinggi city (26%). Conclusion: Cholelithiasis patient at Achmad Mochtar Hospital Bukittinggi August 2023 - June 2024 were 197 people, the majority were aged >40 years with women being the most patient and a lot of patient come from Bukittinggi suspected because Bukittinggi is tourism city.
047. Comparison of Single-Port and Three-Port Laparoscopic Appendicitis Techniques in Adult Appendicitis
Authors: Wibisono Prathama , Jeo Wifanto Saditya
Published: November 2024

Background: Laparoscopic appendectomy (LA) become the standard for treatment of appendicitis in many countries, offering benefits such as quick recovery, fewer postoperative complications, and good cosmetic outcomes. Minimally invasive surgical techniques like single-port laparoscopic appendectomy (SPLA) are increasingly performed for better cosmetic results. However, the outcomes and safety of this technique compared to conventional three-port laparoscopic appendectomy (CTLA) still debated among experts. To compare the outcomes between SPLA and CTLA in adult appendicitis, focusing on outcomes such as postoperative wound infection rates, operating time, and surgical costs. Methods: Comprehensive search through various online databases such as PubMed, ScienceDirect, Scopus, Cochrane, and Google Scholar from 2014-2024 was performed. This research was conducted following the PRISMA guidelines. Oxford Evidence-Based Medicine criteria to assess the quality of the paper. Articles that fulfilled the eligibility criteria were retrieved and extracted for study characteristics and outcomes. Results: Four studies met the inclusion criteria, 434 patients undergoing either SPLA or CTLA procedures. There were no significant differences in complication rates such as wound infection and ileus between the two techniques. Conclusion: The SPLA technique is safe and reliable option with advantages in better cosmetic outcomes and shorter hospital stay duration, despite requiring longer operating time compared to CTLA.
054. Loop Ileostomy Versus Loop Colostomy to Prevent Complications of Anterior Resection for Rectal Cancer: A Systematic Review and Meta-Analysis
Authors: Dewi Pande Ayu Kirana , Mulyawan I Made
Published: November 2024

Background: Anastomotic leaking constitutes a significant complication of colorectal cancer surgery, extending hospitalizations and adversely affecting patient prognosis. The preventative defunctioning stoma was created to diminish reoperation morbidity and death in high-risk anastomoses. Nonetheless, it is still uncertain if the often-employed loop colostomy (LC) or loop ileostomy (LI) can mitigate the risks associated with colorectal surgery. This study aims to evaluate the morbidities associated with LC and LI following anterior rectal cancer resection. Methods: We searched PubMed, Embase, WileyOnline Library, and the Cochrane Library to identify studies and trials published from 2019 to early 2024. The results of this investigation included stoma formation, stoma restriction, stoma stricture, and necrosis. We employed Revman 5.4.2 to do the meta-analysis. Results: Five studies were considered, comprising 1,011 patients, with 482 undergoing loop ileostomy and 529 undergoing loop colostomy. Our findings indicate that loop ileostomy was correlated with a reduction in the incidence of stoma formation, with a relative risk (RR) of 1.31 (95% CI [1.14; 1.49], p < 0.0001), and a decrease in stoma stricture, with an RR of 0.45 (95% CI [0.28; 0.72], p = 0.0009). Our results reveal that loop ileostomy was associated with an increased incidence of stoma retraction (RR 0.50, 95% CI [0.18; 1.37], p = 0.17) and necrosis (RR 0.84, 95% CI [0.47; 1.49], p = 0.54). Conclusion: This study demonstrated that loop ileostomy was related to reducing the incidence of stoma formation and stoma restriction. Additional investigations are required to validate these findings.
058. A Rare Case: Anterior Wall Rectum Perforation Due to Intrauterine Device Migration
Authors: Bhaktiyasa I Nyoman Marsel Rama Grandita , Mahayasa I Made
Published: November 2024

Background: Intrauterine devices (IUDs) are widely used for contraception due to their long-acting, safe, and effective nature in preventing pregnancy. However, common side effects and complications, such as vaginal bleeding, expulsion, displacement, translocation, and perforation necessitate attention, with translocation and perforation being rare but potentially severe, warranting prompt removal according to WHO recommendations. This study aims to document and analyze a rare case of rectal perforation resulting from the migration of an IUD. Case: A report was made from 31-year-old pregnant woman with a history of two cesarean sections presented with 10-day abdominal pain and an IUD inserted 42 days post-surgery, which MRI revealed had translocated into the left anterolateral rectal wall, prompting retroscopy for extraction. Uterine perforation and IUD migration into adjacent organs can result in various complications, including uterine, bladder, and intestinal perforation, with initial symptoms potentially being asymptomatic, emphasizing the need for routine check-ups. Retrieval of migrated IUDs can be achieved through methods such as endoscopy, laparoscopy, or laparotomy, as illustrated in a case involving a patient with abdominal pain and imaging evidence of IUD translocation to the rectum's anterior wall, managed through less invasive rectoscopy. Conclusion: Translocated IUDs may exhibit varying symptoms or none at all, necessitating removal regardless of type or location, with management guided by radiological and endoscopic findings alongside understanding abdominal organ anatomy
063. Characteristics and Predisposing Factors of Bile Duct Injury in Hasan Sadikin General Hospital
Authors: Audina Florence , Nugraha Prapanca , Sulthana Bambang Am Am Setya
Published: November 2024

Background: Iatrogenic bile duct injuries (BDI) are associated with fatal complications and increased mortality. Bile duct injuries can be caused by imprecise bile duct cutting, dislodged surgical clips, tearing or obstruction by fibrosis as a result of thermal injury by electrocautery resulting in biliary leakage and/or stricture. The aim of this study is to identify characteristics and predisposing factors of bile duct injury in our center. Methods: This study is a cohort retrospective study, with 42 cases of iatrogenic BDI following cholecystectomy (after both open and laparoscopic approaches); both happened in or were referred to Hasan Sadikin Hospital from September 2023 to September 2024. Patients were classified according to age, gender, BMI, Strasberg – Bismuth classification, laboratory values, and imaging findings. Results: In this study, there were 43 subjects, with majority of subjects aged ?40 years old (58%). There was no difference in gender, with 22 males and 21 females. The mean BMI was 26.1 ± 5.1 kg/m2. Majority of the cases were type E2 Strasberg – Bismuth classification (76.7%). This study found age ?40 years old (p value = 0.00), abnormal preoperative liver function (p value = 0.01), and gallbladder wall thickening (p value = 0.01) as significant predisposing factors of BDI. Conclusion: Age ?40 years old, abnormal preoperative liver function, and gallbladder wall thickening are significant predisposing factors of BDI. Data of anatomical variations and surgeon’s expertise should be beneficial for improvement of future studies.