bluuebunny/crossref_metadata_2025 huggingface dataset:
Gestational Gigantomastia
Authors: Musa Gerald , Malumani M , Teyangesikayi G
Published: January 2023

Gestational gigantomastia (GG) or gravidic macromastia is defined as a disorder characterized by a diffuse, extreme and incapacitating enlargement of one or both breast during pregnancy. Gestational Gigantomastia is a very rare condition with a little over a 100cases reported in history. Gigantomastia has been seen to occur in the face of normal hormonal profile. Due to increase in breast mass, the overlying skin is stretched and may undergo necrosis which in the face of pregnancy can cause severe mastitis and haemorrhage.

We present a rare case of GG in a 36-year-old para 7 gravida 8, Zambian woman at 28weeks gestation with classical features of typical GG with normal hormonal profile with respect with pregnancy. She was managed conservatively on Bromocriptine 5mg once a day during pregnancy and postpartum until breast size had reduced to near normal pre- pregnancy size.

We report a rare case of “True gigantomastia which develops rapidly during pregnancy, undergoes regression after delivery, and recurs with subsequent pregnancies” in Zambia.
Table of Contents, Medical Journal of Zambia Volume 45 Number 2
Authors: Zambia Medical Journal of
Published: January 2023

The Medical Journal of Zambia (MJZ) is a peer- reviewed quarterly journal intended for the publication of papers from all specialities of medicine (Internal medicine, Surgery, Paediatrics and Obstetrics & Gynaecology) and their subspecialities, basic science, public health, social medicine and medical politics. The journal also welcomes contributions from experienced individuals describing the way they deal with particular problems (i.e. intended to pass on the art ofmedicine).
Predictors and Outcomes Associated with Household Hunger in Lusaka, Zambia: Secondary Analysis of a Citywide Survey
Authors: Chi Dr. Ben , Fuseini N M , Halwiindi H , Winston J , Stoner C D M , Martin S L , Kusanthan T , Banda R , Rathod S , Stringer J S A
Published: January 2023

Background: Food insecurity has important social and health consequences for affected individuals and households. We sought to measure one aspect of food insecurity—household hunger—and evaluated its possible association with household morbidity and mortality.

Methods: We analyzed data from the final two rounds of a repeat cross-sectional, population-based survey conducted in Lusaka Zambia (May and August 2011). Using the Household Hunger Scale, we categorized participating households into three groups using established convention in the public health literature: little to no hunger, moderate hunger, and severe hunger. We used multilevel logistic regression to investigate associations between household hunger and the following morbidities, adjusting for individual, household, and cluster characteristics: malaria, persistent cough, tuberculosis, diarrhea, hospitalization, and death.

Results: Overall, 90.0%, (95%CI: 88.1–91.7%) participating households were considered to have little to no household hunger; 9.8% (95%CI: 8.2–11.6%) reported moderate household hunger; and 0.2% (95%CI: 0.1–0.4%) reported severe household hunger. Marital status, functional status, education, employment, household member requiring nursing care, and household wealth index were associated with all levels of hunger. Adjusted for individual and household characteristics and sampling cluster, hunger was associated with malaria (OR:1.29, 95%CI:1.03–1.63 [mild] and OR:3.68, 95% CI:1.76 –13.74 [severe]), persistent cough   (OR:1.64,   95%CI:1.13–2.38 [mild]),

tuberculosis (OR:2.24, 95%CI:1.45–3.46 [mild], OR:6.06;   95%CI:1.56–23.57   [severe]), and

hospitalization (OR:1.95; 95%CI:1.38–2.76 [mild]; OR:5.52; 95%CI:1.78-17.16 [severe]).Household hunger was not associated with death (p>0.05).

Conclusions: Household hunger was associated with a number of adverse health outcomes. Although further studies are needed, our findings suggest that programs to alleviate household hunger—an important aspect of food insecurity—could lead to measurable public health impacts.

LIST OF ABBREVIATIONS

DHS Demographic and Health Survey

HFIAS Household Food Insecurity Access Scale HHS Household Hunger Scale

HOH Head of household
Fertility Desires of Women Following Manual Vacuum Aspiration for Incomplete Abortion at the University Teaching Hospital, Lusaka
Authors: Mubambe Mulaya , Vwalika B
Published: January 2023

Objectives: To explore and determine the fertility desires of women who underwent Manual Vacuum Aspiration (MVA) procedure for the management of incomplete abortion at The University Teaching Hospitals (UTH) Women and new born hospital emergency gynaecology ward.

Methods: An unmatched case control study design with 142 women who had undergone an MVA enrolled into the study while the 142 controls were sampled from women attending the antenatal clinic with pregnancies below age of viability. Systematic random sampling with a sampling interval of 5 was used to select both cases and controls. Data was collected using an investigator-administered questionnaire. Association between fertility desire (birth interval) and demographic and socioeconomic factors was determined by bivariate analysis. Odds ratios were used to  determine statistical significance. Associations with a p-valueof <0.05 were further analyzed by multivariate logistic regression.

Results: Logistic regression showed that post-MVA most women would like to wait for 2 years or more before the next pregnancy (p<0.001). Multivariate analysis model after adjusting for confounders also showed that exposure to MVA procedure was a statistically significant factor (p<0.001, 95%CI 2.281, 14.153) associated with determining future fertility desire. In bivariate analysis, statistically significant factors included residence, religion, having experienced a miscarriage before and type of contraceptive method chosen after counseling. On average 50% of the cases of abortions were incomplete abortions with most of them managed with MVA procedure and experiences by the women post-MVA were different. Of the 142 women who underwent MVA, 56 described the pain as severe with 89 accepting to undergo a similar procedure in future should need arise while 53 would not. Ninety women preferred to wait for more than two years before the next pregnancy while 45 wanted to try for another pregnancy earlier, which is in conflict with the options for contraception, more preferred short acting methods.

Conclusion: Manual Vacuum Aspiration had a negative effect on preferred birth interval, with a significant number of women post MVA desiring to wait two or more years before the next pregnancy despite the poor outcome of the index pregnancy. Most of the women cited the pain and the discomfort from the procedure as the main reason for the preferred birth interval. Other independent variables
Feto-Maternal Outcomes of Term Assisted Breech Deliveries at the University Teaching Hospital, Lusaka, Zambia
Authors: Kasela J , Ahmed Y , Vwalika B
Published: January 2023

Background: Breech presentation occurs when the fetus presents with buttocks or feet first. Globally, the incidence of breech is 3-4% at term. The safest mode of delivery for most breeches at term is still controversial despite extensive research. The aim of this study was to determine the feto-maternal outcomes of assisted term breech deliveries at the University Teaching Hospital (UTH).

Methods: A cross sectional study was conducted in 73 pregnant women with term breech admitted to the labor ward that delivered vaginally. Data was collected by administering a structured questionnaire and from medical records. The Pearson's chi-squared test was used for comparison of proportions between groups. One multivariate logistic regression was used to determine associations with neonatal intensive care unit (NICU) admission and also a second one associations with type of breech.

Results: The mean age of the participants was 30.6 ±

5.5 (range 18-41) years. The mean gestational age at delivery was 38.6 weeks and mean parity was 3.4, with a 5% history of previous breech. The average levels of asphyxia measured by Apgar score were 7.1 at 1 minute, 8.1 at 5 minutes and 8.6 at 10 minutes. 

The average fetal weight was 3200g, with 10% admissions to Neonatal intensive care unit(NICU). For the maternal outcomes, one participant had post- partum haemorrhage (PPH), and one participant had an episiotomy and none had symphysiotomy.

On multivariate analysis, NICU admission was associated with lower Apgar score at 1 minute. Babies that were not admitted to NICU had 90% reduced odds for low Apgar score < 7 [Adjusted Odds Ratio (OR) = 0.10, 95% Confidence Interval (CI)  =  0.004  –  0.24,  P-value  <  0.01.  Also,  on

multivariate analysis, type of breech was associated with lower Agpar score at 5 minutes. Compared to footling breech, patients with extended breech had 97% reduced odds for low Apgar score < 7 (OR 0.03, 95% CI 0.004 – 0.22, p-value < 0.01). Patients with complete breech had 85% reduced odds for lower Apgar score < 7 (OR 0.15, 95% CI 0.05 – 0.44, p-

value < 0.01).

Discussion and Conclusion: Feto-maternal outcomes of assisted term vaginal breech deliveries at UTH were favourable with low levels of asphyxia, neonatal admissions to NICU, and need for blood transfusion. Therefore, breech vaginal delivery at term may still be a viable option at UTH as demonstrated by this study.
Myxopapillary Ependymoma
Authors: Ergen Selçuk
Published: January 2023

Myxopapillary ependymomas (MPEs) are a variant of the spinal ependymomas, which are common in the conus medullaris and filum terminale in the sacrococcygeal region. Approximately 13 % of the spinal ependymomas are myxopapillary ependymomas. These tumors are usually a gradual development. It is mostly localized in the intradural space and may cause local pressure on the paravertebral soft tissue and neighboring bone. MPEs may be found in extraspinal, extradural, subcutaneous tissues, in the cervical and thoracic vertebras and in the brain. The prognosis of the small lesions are usually good and a complete resection is usually curative. A local extension to the soft tissue and a dissemination to the subarachnoidal space may be encountered as a result of the incomplete resection. Our objective was to remind this rare tumor with the occasion of an adult patient.
Bronchogenic Cyst of the Tongue in an Infant
Authors: Lawal A O , Ogunmuyiwa S A , Adisa A O , Ogundeyi M M , Dedeke I O , Adeyemi B F
Published: January 2023

Bronchogenic cysts are rare congenital lesions and represent the most common primary cysts of the mediastinum. However, extra thoracic bronchogenic cysts are uncommon occurrences and very few bronchogenic cysts in intraoral sites have been reported. Lingual bronchogenic cysts are rare and are considered by many authors to be choristomas. Although the aethiopathogenesis is not known with certainty, it has been suggested that the cysts may arise from undifferentiated embryonic rests of primitive foregut that are misplaced or entrapped between parts of the developing tongue. This case report discussed the case of a large lingual bronchogenic cyst of the tongue in 31 day old infant that enucleation of cyst done without recurrence 12 months after treatment.
Peritoneal Tuberculosis Mimicking Peritoneal Carcinomatosis
Authors: Zaki Mark M , Martynov A , Saleeb M S , Assad Y M , Kerolos M M
Published: January 2023

Tuberculosis is a serious infection that can appear in many forms and presentations. Here, we highlight a case of a 13 year old patient with a three-month history of nonspecific abdominal pain whose symptoms persisted after treating Typhoid and H. pylori infections. She had subsequent computed- tomography imaging notable for nodular thickening of the omentum and ascites concerning for possible carcinomatosis. Diagnostic laparoscopy with peritoneal biopsy revealed abdominal tuberculosis, and she had resolution of symptoms following appropriate medical therapy. We discuss the risk factors, clinical features, and work-up in the diagnosis of peritoneal tuberculosis.
Echocardiography in Patients with Chest X-ray Diagnosis of Cardiomegaly at an Academic Hospital in Zambia
Authors: Gwaba Nchimunya , Isaacs Ferial , Harneck Maria
Published: January 2023

Background: Cardiomegaly is the most diagnosed condition on Chest X-ray (CXR) at the study site. However, little is found on the association between cardiomegaly and echocardiography (ECHO) findings at this site. The main objective of this study was to establish whether there is an association between cardiomegaly diagnosed on a CXR and ECHO findings of the same patient.

Methods and Materials: This retrospective study involved the retrieving of data from files of 124 patients who had cardiomegaly diagnosed on CXR and had undergone an ECHO examination. The study sought to establish whether there is an association between cardiomegaly diagnosed on a CXR and ECHO findings of the same patients.

Results: There was a positive association between cardiomegaly diagnosed on CXR and ECHO findings and the association was significant at 5%. In addition, there was also a strong association between age and cardiomegaly and the association was also significant at 5%. The Chi-square results at 5% level of significance showed that there is not enough evidence to suggest an association between gender and cardiomegaly. Therefore, both women and men have an equal chance of acquiring cardiomegaly. Left Ventricular Diastolic Dysfunction was the most prevalent condition, having been seen in more than 50% of patients. Most of the conditions identified in patients were very severe. In addition, 70% of these patients had a raised blood pressure with 43% having severely raised blood pressure.The test results also showed that 66% of patients in the sample had increased blood flow on Doppler measured at certain points of the heart with 6% of the patients having severely increased blood flow. Patients with increased blood flow showed an increase in blood pressure with those with severe increased blood flow showing a strong positive association with severe high blood pressure.

Conclusion: These findings show that there is a strong association between cardiomegaly diagnosed on CXR to ECHO findings of the same patient. Therefore, echocardiography should be done on all patients diagnosed with cardiomegaly on CXR. In addition, priority should be given to elderly patients (65 years and above) as most of these had both severe cardiomegaly and one or more cardiovascular diseases.
Serosurvey and factors associated with Leishmania Donovani infection in febrile HIV infected individuals attending Abuja Teaching Hospital, Nigeria
Authors: ABDULLAHI Idris Nasir , Shuwa H A , Emeribe A U , Olayemi L O , Yunusa T , Ahmad A E , Musa P O
Published: January 2023

Background: Leishmania Donovani (L. donovani) is an obligate intracellular pathogen. L. donovani and HIV co-infection is neglected clinical entity in sub-Saharan African. L. donovani infections have been shown to deplete host cellular immunity and proceed to severe diseases. As part of the ongoing research efforts in Nigeria to improve the healthcare of HIV infected individuals through diagnosis and treatment of co-infections with leishmaniasis, this study was instigated.

Methods & Materials: Three hundred and forty blood samples were individually collected from HIV infected individuals with fever>10 days attending University of Abuja Teaching Hospital, Nigeria. EDTA anticoagulated blood was tested for CD4+ cell counts, while sera were tested for L. donovanii IgG antibodies using flow cytometry and Enzyme linked immunosorbent Assay (ELISA) respectively. Interviewer-based questionnaires were used to collect participants' sociodemographic variables. Data were analysed for statistical association and relation between seropositivity of L. donovani IgG and risk factors.

Results: Of the 340 participants studied, the seroprevalence of L. donovanii antibodies was 8.2%. The mean CD4+ cell count of those with L. donovani seropositivity ( n = 28 ) was 119.4cells/mm3. There was statistical relation between CD4+ cell counts and L. donovani antibodies. There was statistical association between L. donovani IgG seropositivity with age of participants (p = 0.014), residential area (p = 0.033), living condition (p = 0.0006) and Proximity to water collection (p<0.0006) and bushes/ vegetation (p=0.049). Skin disfiguration was significantly associated with L. donovani IgG antibodies (p=0.000).

Conclusion: Findings from this study revealed that L. donovani is an etiological agent of acute fever and skin disfiguration in HIV infected patients and significantly associated with CD4+ lymphopaenia in HIV co-infected patients.
Relative Frequencies of Odontogenic Cysts and their Protein and Glucose Content
Authors: Adisa Akinyele Olumuyiwa , Olusanya Adeola A , Abe Elizabeth O , Lawal Ahmed O
Published: January 2023

Background: Odontogenic cysts are derived from remnants of odontogenic apparatus entrapped within jawbones. The diagnosis of cysts is based on histology features; however, these features are not clear-cut in many cases, except for a few like OKC and Calcifying Odontogenic cyst. The knowledge of the content of these cysts may assist in the differentiation and diagnosis of the cysts. This study reviewed the pattern of jaw cysts presentation and further analyzed the glucose and protein contents of some odontogenic cysts among them. The findings from our local environment were compared with findings globally as regards jaw cysts.

Methods: Aretrospective search of the departmental records of Oral and Maxillofacial Surgery and Oral Pathology of the University College Hospital Ibadan was done from the year 2010 to 2017 for jaw cysts. The cystic content of odontogenic cysts was analyzed prospectively from 2016 to 2017 for total protein, albumin and glucose. Some cases of unicystic ameloblastoma were included because as at the time of obtaining the aspirate the working diagnosis was jaw cyst. Total protein, albumin and glucose estimations of the cysts were done by Biuret, Bromocresol Green and Glucose Oxidase methods respectively. The literature search was done on PubMed, using the keywords cysts, jaw cysts, odontogenic cysts, protein, albumin, glucose content.

Results: 1,156 lesions were diagnosed within the study period of 7 years, among which 45 lesions (3.9%) were jaw cysts of odontogenic origin. Collectively the mean age at presentation was 30.8 (SD± 17.2) years while it was 32.7 (SD±14.4), 21.6 (SD±14.6) and 40.1 (SD±24.0) years for radicular cyst, dentigerous cyst and OKC respectively. The mean concentration of total protein was highest in radicular cysts (6.2g/dL) compared with the dentigerous cysts.

Conclusion: Radicular cyst is the most common odontogenic cyst followed by the dentigerous cyst. The radicular cyst favours the anterior maxilla while the dentigerous cyst favours the posterior mandible. Caution should be exercised when interpreting the results of protein estimation of odontogenic cystic fluids.
Table of Contents, Medical Journal of Zambia Volume 45 Number 4
Authors: Zambia Medical Journal of
Published: January 2023

The Medical Journal of Zambia is a peer-reviewed quarterly journal intended for the publication of papers from all specialities of medicine (Internal Medicine, Surgery, Paediatrics and Obstetrics & Gynaecology) and their subspecialties, basic sciences, public health, social medicine and medical politics.  The journal also welcomes contributions from experienced individuals describing the way they deal with particular problems (i.e. intended to pass on the art of medicine).
KINERJA PAVING BLOCK ASPAL MENGGUNAKAN AS BUTON LAWELE (LGA) SEBAGAI LAPIS PERMUKAAN JALAN
Authors: Agus Irzal , Qamar L.M. Sjamsul
Published: January 2023

Penelitian ini berupa pembuatan paving block dengan bahan utamanya adalah pasir dan abu batu, sama halnya dengan paving block dari semen, tetapi bahan perekatnya adalah aspal buton. Tujuan dari penelitian ini adalah untuk mengetahui kinerja dari jalan yang terbuat dari paving block yang berbahan dasar As Buton Lawele. Perencanaan benda uji dilakukan dengan menentukan komposisi campuran agregat. Kadar aspal pada penelitian ini dilihat dari Variasi LGA yaitu 20%, 25%, dan 30%. Total benda uji yang dibuat 9 buah briket dan 50  buah paving block aspal. Campuran dengan variasi LGA 20 % diperoleh nilai density 1,51 gr/cm³; VMA 32,21 %; VIM 4,45 %; VFB 86,22 %; Stabilitas 1512,14 kg; flow 3,7 mm; MQ 414,58 kg/mm. Campuran dengan variasi LGA 25 % diperoleh nilai Density 1,47 gr/cm³; VMA 38,15 %; VIM 3,92 %; VFB 89,74 %; Stabilitas 1630,06 kg; Flow 4,3 mm; MQ 413,41 kg/mm. Campuran dengan variasi LGA 30 % diperoleh nilai density 1,43 gr/cm³; VMA 43,83 %; VIM 3,52 %; VFB 91,97 %; Stabilitas 1704,15 kg; flow 4,47 mm; MQ 389,67 kg/mm. Berdasarkan hasil pengujian di laboratorium dan uji gelar dapat disimpulkan bahwa Asbuton Lawele dapat digunakan sebagai bahan pembuatan paving block aspal untuk lapis permukaan jalan. Hal ini ditunjukkan dengan adanya peningkatan nilai stabilitas marshall, dan untuk uji gelar paving block aspal yang menggunakan campuran dengan LGA 30% dari pada saat pemasangan sampai dengan saat ini belum menunjukkan adanya tanda-tanda keretakan, ini berarti bahwa paving block aspal tersebut stabil terhadap gilasan kendaraan.
Studi Kasus Pengolahan Air Limbah Pemukiman Di Kelurahan Bataraguru Kecamatan Wolio Kota Baubau
Authors: Surianti Surianti
Published: January 2023

Padatnya penduduk maka akan menimbulkan masalah yang berkaitan dengan limbah domestik. Penelitian ini bertujuan untuk menganalisis penyaluran air limbah di Kelurahan Bataraguru Kecamatan Wolio dan mengevaluasi pengolahan air limbah di pemukiman Kelurahan Bataraguru Kecamatan Wolio.  Metodeyang digunakan Metode peneltian yang digunakan yaitu dengan melakukan pengamatan secara langsung serta melakukan wawancara dan pembagian kuisioner terhadap masyarakat.  Adapun hasil dari penelitian  ini yaitu Kondisi lingkungan air limbah di Kelurahan Bataraguru masih kurang baik. Dikarenakan kurangnya pemahaman masyarakat terkait masalah air limbah dan dampak yang ditimbulkan bagi lingkungan sekitar dan sumber daya air yang dapat dilihat dari hasil penelitian sebesar 28,9% masyrakat membuang air limbah rumah tangga langsung ke sungai dengan atau tanpa menggunakan pipa pembuanga, diperoleh 87,67% yang kurang nyaman dengan pembuangan air limbah yang tidak pada tempatnya dan sebesar 84,54% bahwa dampaknya sangat berpengaruh terhadap kualitas air minum (sumber air minum dari sumur).
Evaluasi Daya Dukung Tanah Pada Perkerasan Jalan Ruas Jalan Lawela - Labalawa Buton Selatan
Authors: Gasruddin Ahmad
Published: January 2023

Penelitian ini bertujuan untuk mengetahui berapa besar daya dukung tanah dasar pada lapisan perkerasan dan mengetahui tebal lapisan perkerasan dengan menggunakan Metode Analisa Komponen Bina Marga. Untuk mengetahui nilai  CBR atau daya dukung tanah dasar dibutuhkan penggunaan alat Dynamic Cone Penetrometer (DCP). Pengujian Dynamic Cone Penetrometer (DCP) dilakukan secara zig-zag dari STA awal sampai dengan STA akhir dengan jarak pengujian 100 meter per STA. Nilai hasil DCP dihitung berdasarkan total kedalaman penetrasi ujung konus dibagi kumulatif tumbukan. Dari hasil pengujian Dynamic Cone Penetrometer (DCP) pada ruas jalan Lawela - Labalawa diperoleh nilai CBR sebesar 3,11 % dan nilai daya dukung tanah dasar (DDT) sebesar 3,82. Perhitungan tebal lapisan perkerasan dengan Metode Analisa Komponen Bina Marga untuk umur rencana 10 tahun diperoleh tebal lapis permukaan 5 cm menggunakan laston MS 774.
Pengaruh Suhu Pada Penghamparan Lasbutag Campur Dingin Hampar Panas Menggunakan Lawele Granular Asphalt (LGA) Dan Modifier AC/Solar Terhadap Karakteristik Marshall
Authors: Asidin Asidin
Published: January 2023

Salah satu dampak yang terjadi apabila suhu tidak sesuai dengan spesifikasi saat penghamparan adalah ikatan antar agregat dengan aspal tidak akan maksimal sehingga bisa mengakibatkan aspal cepat rusak. Tujuan dari penelitian ini untuk mengetahui pengaruh suhu pada penghamparan lasbutag menggunakan Lawele Granular Asphalt dan modifier AC/Solar dengan metode campur dingin hampar panas terhadap nilai karakteristik Marshall. Dalam penelitian ini penentuan komposisi agregat dilakukan dengan cara trial and error. Variasi suhu penghamparan yang digunakan yaitu 80ºC, 90ºC, 100ºC, dan 110ºC. Pada masing-masing suhu dibuat 3 sampel. Kadar bitumen dalam campuran 6,5% dan total persentase modifier 3% dengan komposisi modifier 65%:35%. Dari hasil penelitian didapatkan bahwa pengaruh suhu penghamparan sangat mempengaruhi nilai karakteristik Marshall. Dimana nilai stabilitas yang memenuhi spesifikasi terdapat pada suhu 100°C dan 110°C. nilai (VIM) dan (VMA) yang memenuhi spesifikasi terdapat pada suhu 80°C dan 90°C, sedangkan nilai (MQ) yang memenuhi spesifikasi terdapat pada suhu 80°C, 100°C, dan 110°C. Dan untuk nilai flow, density, dan (VFA) semua memenuhi spesfikasi pada ke-4 variasi suhu penghamparan. Adapun hasil dari penelitian ini belum bisa diterapkan pada pekerjaan perkerasan jalan dikarenakan beberapa nilai Marshall yang tidak memenuhi spesifikasi.
Kajian Kehilangan Air Pada Wilayah Pelayanan PDAM Kota Baubau (Tirta Semerbak) Zona I (Kecamatan Betoambari, Kecamatan Murhum, Kecamatan Batupoaro).
Authors: Haryati Nina
Published: January 2023

Tujuan penelitian adalah untuk mengetahui besarnya tingkat kehilangan air dan kebocoran PDAM Kota Baubau (Tirta Semerbak) di Zona I (Kecamatan Betoambari, Murhum, Batupoaro). Penelitian survei meliputi data akurasi meter, tekanan, dan pola pemakaian air di Zona I. Penelitian survei dilakukan selama 30 hari pada tanggal 27 November sampai tanggal 7 Desember 2021 dan dari hasil penelitian dapat ditentukan bahwa berdasarkan besarnya tingkat kehilangan air yakni 13,41% per bulannya, dengan kerugian sebesar Rp 47.024.102.50 /bulan atau Rp 1.567.470.08 /hari. Jika dilihat dari neraca air sebelum progam pengendalian NRW, nilai Infrastructure Leakage Indeks (ILI) didapat 2,10 dan tekanan 0,93 atm termasuk dengan golongan A, dimana nilai tersebut berada pada range 2 – 4 maka didapat nilai kebocoran 48,2 liter/sambungan/hari. Sesuai peninjauan di lapangan, faktor-faktor penyebab terjadinya kehilangan air yaitu pada jaringan distribusi dan meteran air pelanggan yang tidak akurat sebanyak 7 dari 102 sampel meteran air pelanggan di Zona 1 PDAM Kota Baubau.
Desain Beton Berongga (Porous Concrete) Dengan Variasi Faktor Air Semen (FAS) Sebagai Beton Ramah Lingkungan
Authors: Agus Irzal
Published: January 2023

Beton berongga (porous concrete) adalah beton tanpa agregat halus dan hanya terdiri dari agregat kasar, semen dan air serta bahan kimia tambahan. Penelitian terhadap beton berongga dilakukan dengan menggunakan bahan material kerikil lokal gradasi ukuran maksimum 20 mm, serta variasi faktor air semen (FAS) 0,27, 0,30 dan 0,35. Pengujian sifat fisik material beton yang dilakukan berupa pengujian kuat tekan, kuat tarik belah, uji perkolasi serta volume pori. Untuk ketiga pengujian ; kuat tekan dan kuat tarik belah pada umur 3 hari, 7 hari dan 28 hari. Benda uji untuk pengujian kuat tekan, kuat tarik belah berupa silinder berdiameter 15 cm x tinggi 30 cm, pengujian porositas dan perkolasi. Pada pengujian sampel beton berongga umur 28 hari memiliki kuat tekan rata-rata terbesar pada FAS 0,35 yaitu 11,04 MPa, dan kuat tarik belah sebesar 3,41 MPa, serta hasil pengujian volume pori rata-rata sebesar 21,13 %. Pengujian perkolasi untuk FAS 0,27 dapat mengalirkan air selama 7,75 detik/liter, FAS 0,30 dapat mengalirkan air selama 9 detik/liter dan FAS 0,35 dapat mengalirkan air selama 14,5 detik/liter. Sampai pada umur 60 hari rumput dapat tumbuh diatas permukaan beton berongga dengan dan tanpa tanah di atasnya.
PEMANFAATAN LIMBAH KACA SEBAGAI FILLER TERHADAP KARAKTERISTIK CAMPURAN ASPAL PANAS (AC - WC)
Authors: Hartini Hartini
Published: January 2023

Tujuan penelitian ini untuk mengetahui pengaruh penggunaan Aspal BRAM (Buton Rockh Asphalt Macadam) terhadap karakteristik Marshall pada campuran Aspal Panas. Penelitian ini menggunakan metode Trial And Error. Benda uji dipadatkan dengan pemadatan yaitu 2x75 tumbukan. Adapun variasi kadar aspal rencana yaitu :  7% sedangkan variasi aspal Bram yaitu : 0%, 1%, 2%, 3% dan 4%. Setiap variasi dibuat 3 sampel benda uji, sehingga total benda uji adalah sebanyak 25 buah. Kemudian dilakukan pengujian Marshall Test. Dari hasil pengujian aspal Laston (AC-WC) menggunakan aspal penetrasi 60/70 sebagai bahan pengikat diperoleh nilai Density 2,35gr/cc, 2,35 gr/cc, 2,34 gr/cc, 2,34 gr/cc, 2,34 gr/cc. Nilai VIM yaitu 3,93%, 4,13%, 4,33%, 4,46% 4,60. Nilai VMA yaitu 17,47%, 17,63%, 17,81%, 17,91%, 18,04%.Nilai VFB yaitu 77,85%, 76,58%, 76,96%, 75,15% 74,67%. Nilai stability yaitu 836,92 kg, 1096,83 kg, 1350,26 kg, 1655,99 kg, 1427,76 kg. Nilai Flow yaitu 4,67 mm, 3,97 mm, 3,50  mm, 3,00 mm, 3,33 mm. Nilai MQ yaitu 180,13 kg/mm, 276,35 kg/mm, 388,85 kg/mm, 552,00 kg/mm, 438,19 kg/ mm.
ANALISA KEBUTUHAN RUANG PARKIR (Studi Kasus Pasar Baru Kabupaten Buton Tengah)
Authors: Haryati Nina
Published: January 2023

Pasar merupakan salah satu tempat yang memiliki aktivitas yang cukup adat dimana pada jam-jam tertentu banyak kendaraan yang sulit mencari tempat untuk parkir. Tujuan penelitian ini adalah untuk menganalisis karakteristik dan kebutuhan ruang parkir di Pasar Baru. Metode yang digunakana dalam penelitian ini adalah melakukan survey langsung di pasar baru dengan mengetahui jumlah kendaaran roda dua dan roda empat yang masuk dan keluar dari/ke pasar. Dari data kendaraan kemudian dianalisis untuk mendapatkan akumulasi, durasi, volume parkir, tingkat pergantian parkir, indeks parkir serta kebutuhan ruang parkir. Hasil dari penelitian ini adalah jumlah kendaraan yang parkir untuk kendaraan roda dua sebanyak 237 unit dan roda empat sebanyak 44 unit dan memiliki karakteristik parkir yaitu durasi kendaraan parkir maksimum masing masing berkisar kurang dari 1 jam , volume parkir tertinggi sebesar 1.290 pada kendaraan roda dua dan 106 pada kendaraan roda empat, tingkat pergantian parkir  maksimum untuk kendaraan roda dua sebesar 8,26 dan 2,84 untuk kendaraan roda empat dan indeks parkir sebesar 99% untuk kendaraan roda dua dan 27% untuk kendaraan roda empat serta kebutuhan ruang parkir diperoleh sebesar 35,03 SRP kendaraan roda dua dan 4,78 SRP untuk kendaraan roda empat, sedangkan kapasitas parkir adalah sebesar 156 SRP kendaraan roda dua dan 37 SRP untuk kendaraan roda empat. yang berarti kapasitas parkiran kendaraan roda dua dan roda empat di Pasar Baru dapat menampung permintaan ruang parkir.
STUDI EKSPERIMENTAL SIFAT MARSHALL AC-WC MENGGUNAKAN TEGEL SEBAGAI PENGGANTI SEBAGIAN AGREGAT HALUS
Authors: Abzarih Abdul Widayat
Published: January 2023

Tujuan dari penelitian ini adalah untuk mengetahui karakteristik marshall AC-WC menggunakan limbah tegel sebagai pengganti sebagian agregat halus. Dalam penelitian ini, perencanaan benda uji dilakukan dengan menentukan komposisi campuran baik penentuan komposisi agregat maupun penentuan kadar aspal rencana. Penentuan komposisi agregat dilakukan dengan cara mengkombinasi ke tiga fraksi (Agregat Kasar, Agregat Halus, Abu Batu) dengan komposisi tertentu, sedangkan penentuan kadar Aspal rencana dalam campuran yaitu : 6% serta penggunaan tegel sebagai pengganti sebagian agregat halus dalam campuran sebesar 0%, 5%, 10%, 15%, dan 20% terhadap berat total agregat halus. Dengan rincian tiap kadar aspal terdiri dari 5 sampel pada campuran aspal panas. Kemudian dilakukan penyiapan benda uji untuk tes Marshall.
Ahmatova :Nőirodalom a történelmi és lírai emlékezet erőterében
Authors: Józsa György Zoltán
Published: January 2023

A dolgozat fő problémakörét a nőíró és a nemzeti ikon fogalmainak összefüggései, az emlékezet központi kérdése mint a művészet és az ember antropológiai lényege alkotják. A történelmi emlékezet az egyén identitásának része Ahmatova értelmezésében, aki tisztában volt Oroszországnak a szovjethatalom bevezetése következtében történt megszűnésével, A feltárulkozó források folytán hitelesebb képet kaphatunk a legnagyobb orosz költőnő életéről, jelentőségéről a múlt század történetében, s arról, hogy az emlékezetpolitika, ill. állami cenzúra milyen szűrőket vélt szükségesnek szövegei tekintetében. Irodalomtörténeti nóvumot kínál a Sztálin védelmezőihez című vers homályos keletkezéstörténetét tisztázására irányuló kísérlet, továbbá a vele távoli egyezéseket mutató Sztálin örökösei című Jevtusenko-vers különös tényekkel tarkított közléstörténete. A tudományos és művészi emlékezet közötti különbségre vonatkozó következtetések is megvonhatók.
Szöveg és ikon, verbális és vizuális ikonok közötti viszonyrendszerek tipológiája
Authors: Lepahin Valerij
Published: January 2023

A dolgozat célja a szöveg és ikon, verbális és vizuális ikonok közötti lehetséges összefüggések rendszerszerű feltárása. A világi festészettől elkülönülő hagyományos ikonfestészet kanonikus elveinek tisztázásán túl a szerző a szöveg és ikon közti viszony négy típusát tételezi, nevezetesen a projekciót, a transzpozíciót, a transzfigurációt és az impozíciót. Ez az osztályozás a német tudós, A. Hansen-Löve által az orosz modernizmusról írt monográfiájában javasolt rendszert vizsgálja felül. A bizánci és posztbizánci ikonfestészetre jellemző fordított perspektíva kérdése szükségképpen alapos tárgyalás tárgya. A teoretikus diskurzust Raffaello híres festményének, A Krisztus Színeváltozásának részletes elemzése egészíti ki.
„Kegyeskedjék a szent Rendet megalapítani olyképpen, hogy az a gör. kath. nő-ügyet magasabb nívóra emelje” : A máriapócsi Szent Bazil-rendi nővérek letelepítésének indítványa egy családi dokumentum tükrében
Authors: Ivancsó István
Published: January 2023

A jelen dolgozat egy olyan kezdeményezést kíván bemutatni, amely Magyarországon a görögkatolikus apácarend – a bazilissza nővérek – újonnan történő letelepítését célozta meg 1917- ben. Valójában újjáélesztésről lett volna szó, hiszen a bizánci szertartású apácák már Szent István korában, sőt előtte jelen voltak hazánkban. Ivancsó Anna nagyszabású és részletekbe menő tervet dolgozott ki, amit az akkori megyéspüspöknek nyújtott be. A 20. század elején a „nő-ügy” magasabb nívóra emelését kívánta elérni: az imádkozás mellett a szociális, karitatív, oktatási és nevelési tevékenységek megvalósítását tűzte ki célul. A családi levéltári dokumentumon szereplő püspöki följegyzés azonban azt mutatja, hogy a kérés akkor nem volt aktuális, s a letelepítés és újrakezdés csaknem két évtized múlva történt meg.
A modern fizika kopernikuszi paradigmaváltása (és következményei a világképünkre)
Authors: Rockenbauer Antal
Published: January 2023

A tömegközéppontú fizikát a mozgás elsőbbségét valló gondolkodásnak kell felváltani. A tér fénysebességű mozgása nem valamilyen anyagi objektum vagy közeg mozgása, hanem teremtő mozgás, amely létrehozza az anyagot. A tér pontjait gömbszimmetrikus kettősforgások, vagyis fermionok jelölik ki, melyek önfenntartó mozgások, ahol egyensúlyban van a kifelé ható centrifugális erő és a befelé húzó (centripetális) extrém gravitáció, amit a fénysebességgel forgó tér görbülete hoz létre. A fermionokat összekötik a kibocsátott és elnyelt fénysebességgel terjedő mozgások, melyeket a fénysebességgel forgó rendszerben működő tehetetlenségi erők (Coriolis és Euler) idéznek elő. Minden kölcsönhatást fénysebességgel terjedő mozgás közvetít: bozon az elektromágneses és erős kölcsönhatásban (foton, illetve gluonok), egy bozon és egy fermion (Wés Z-bozon, illetve neutrínó), a gyenge kölcsönhatásban, és a spinnel nem rendelkező kepleronok a gravitációban.
Saberes pulsados por la “guerra”. Una revisión del corpus foucaulteano alrededor de la politicidad de la actividad experta
Authors: Lijterman Eliana
Published: January 2023

En las últimas décadas, se ha consolidado un campo de estudios alrededor de la expertise que articula enfoques y programas de investigación heterogéneos, según los modos de conceptualizar la relación entre ciencia y política, saber y poder, de fijar sus conexiones y de determinar el nivel del análisis para su abordaje. El corpus foucaulteano contiene herramientas analíticas fructíferas para el tratamiento sustantivo de la politicidad inherente a los saberes, al cuestionar las lecturas instrumentales de aquella relación e inscribir la actividad especializada en estrategias de gobierno y en formas de resistencia hacia ellas. Sin embargo, las conceptualizaciones del saber experto desde una matriz foucaulteana registran cierta dispersión y, pese al avance de los estudios sobre gubernamentalidad en este aspecto, la ausencia de una reflexión sobre la categoría de expertise introduce el riesgo de que en estos análisis se establezca una cuestionable relación de coherencia y correspondencia entre saberes y racionalidades de gobierno. En este artículo, nos proponemos revisar el corpus foucaulteano y sistematizar otras claves de lectura sobre los saberes y su condición política, a fin de aportar con ello al campo de estudios sobre expertise. Examinamos la “hipótesis de la guerra”, mostramos su pulso en el ejercicio de saber y ponemos en juego estas coordenadas analíticas en un pequeño trabajo de archivo sobre una serie documental de textos de Hayek, a propósito de la articulación de la racionalidad neoliberal de gobierno. La conformación del corpus y el análisis de los textos se valieron, metodológicamente, de una traducción instrumental de tales coordenadas mediada por una perspectiva materialista del discurso.
Terapeutas de zona gris. La perdurable persistencia de las artes de curar híbridas en la República Argentina, entre los siglos XIX y XXI
Authors: Beaulieu Julián
Published: January 2023

Reseña del libro Diego Armus (director). Sanadores, parteras, curanderas y médicas. Las artes de curar en la argentina moderna. Buenos Aires, Fondo de Cultura Económica, 2022.]
MONETARY INDICATORS OF THE STABILITY OF PRICES
Authors: Dewi Mahrani Rangkuty  , Bakhtiar Efendi  , Antonius Gulo
Published: January 2023

This study aims to analyze the contributions of the variable interactions of monetary policy in the stability of goods and services prices. Where is the monetary  policy variable (inflation, kurs, consumer price index, gross domestic products, the money supply, and interest rates). Research in conducted in the country of Indonesia and uses secondary data or time series from 2008 to 2021. The data analysis model in this study is Simultaneous Model. Simultaneous equations to analyze the relation between independent and variable variables found in the research country. Simultaneous analysis of equations on statistical test common equation 1 suggests that variable interest rates, money distribution, exchange rates and consumer price indexes have significant adverse effects on the inflation. Whereas in the same equation 2, it suggests that gross domestic product variables have a positive relationship that is significant to the ihk. And inflation has a negative relationship significantly insignificant to consumer price index. For this reason, the researcher hopes that the monetary authority, namely Bank Indonesia, can improve monetary stability and maintain the BI rate in regulating the money supply so that it can suppress the inflation rate as an effort to stabilize the prices.
THE FACTORS OF NATURAL TOURISTS FOR BATU KATAK IN BATUJONGJONG VILLAGE, BAHOROK, DISTRICT IN LANGKAT REGENCY
Authors: Anggia Ramadhan  , Ahmad Fadlan  , Nurul Nabila Utami
Published: January 2023

This study aims to determine and analyze the influence of tourism promotion, tourist attractions, tourist facilities, accessibility, service quality, accommodation, tourist age, and tourist income in Batu Katak Tourism Object, Batujonjong Village, Bahorok District, Langkat Regency. This study used primary data collected to see the classification of tourist visit levels using a sample of 90 visitors to tourist attractions, using the Confirmatory Factor Analysis (CFA) analysis method and then using Multiple Linear Regression. The results of the study showed that of the 8 variables analyzed using a factor analysis model that affects the level of tourist visits to Batu Katak, only 3 factors affect the level of tourist visits, namely tourism promotion, service quality, and tourist income. Based on the results of multiple linear regression analysis, it shows that tourism promotion and service quality have an effect and are signed on the factors of Batu Katak tourism visitation rates, while tourist income has an effect and is not significant on the level of tourist visits to Batu Katak Batujongjong Village, Bahorok District, Langkat Regency.
DEVELOPMENT OF MARKETING STRATEGY THROUGH SOCIAL MEDIA IMPACT ON CONSUMER BEHAVIOR IN THE DIGITAL ERA
Authors: Widyatmoko Widyatmoko
Published: January 2023

The purpose of this research is to find out new activities regarding consumer behavior attitudes to make a purchase decision due to the marketing strategy that applies in the digital era. For the research method using a study through library research. With a literature review, it can describe and explain that the digital era is proven to be able to influence all areas of life, including the business world. The digital era has produced renewable and up-to-date ideas for consumers or marketers or also for other users. Marketing strategies that are always developing can influence consumer behavior because they are starting to switch habits in shopping online through platforms on social media. The results of this study indicate that marketing strategies through social media have caused a shift in consumer attitudes and behavior from conventional or traditional activities to activities using digital or online technology. Marketers are required to adapt to changes in consumer behavior which is the key to success in being able to maintain the viability of the company through marketing strategies according to the era and changes in consumers. The ability of marketers or companies to be able to always understand consumer behavior is a strategy that is needed and considered because it is something that needs attention to achieve competitive advantage. By carrying out a marketing strategy that uses digital information technology devices, it will be easy to provide opportunities for consumers to find information about the products they will buy as well as testimonials from other consumers about consumer experiences after experiencing the benefits and success of consuming a particular product.
UNEMPLOYMENT, POVERTY AND INCOME INEQUALITY IN NORTH SUMATRA PROVINCE
Authors: Ince Weya
Published: January 2023

. This study aims to determine how much influence unemployment and poverty have on the level of income inequality in North Sumatra Province. This research is a quantitative research using data analysis techniques Panel Data Regression with Random Effect Model. The data period used in the study is from 2017 - 2021 sourced from the Central Bureau of Statistics for North Sumatra Province. The results of this study are that unemployment has a positive and significant effect on income inequality in 33 districts/cities of North Sumatra province. Poverty has a negative and insignificant effect on income inequality in 33 districts/cities of North Sumatra province. Unemployment and poverty have a significant effect on income inequality.
Digital Transformation at Regional General Hospitals of Prof. dr. H.M. Anwar Makkatutu, Bantaeng Regency
Authors: Muhajir Muhajir  , Haedar Akib  , Risma Niswaty
Published: January 2023

Hospitals need adaptation to environmental changes and demands that change rapidly and dynamically. Digital transformation contributes to reducing costs, increasing speed and transparency. The purpose of the research is to describe the implementation, identify the determinants and digital transformation strategies. The method uses a qualitative approach with informants from structural officials, heads of installations, staff, and patients with a total of 15 people. Data were obtained through interviews, observation, and documentation. The results showed that the hospital implemented digital transformation refers to the Generic Process Transformation Model Theory by adding cooperation in the operative stage. The reason for the dominant digital transformation is the need for officers and patients as well as superior services. Impacts include increasing speed, efficiency, transparency, and accountability. The determinant factors include officer competence, teamwork, market strategy, regulation, and cooperation. The dominant inhibiting factors are the comfort zone, sectoral ego, and lack of literacy. According to Albukhitan, there is an update on the digital transformation strategy with the appearance of working together and cultivating innovation.
Optimizing Monetary Policy Transmission Through The Emerging Market Interest Rate Channel
Authors: Wahyu Indah Sari  , Ade Novalina  , Annisa Sanny
Published: January 2023

Research using the ARDL Panel Model includes Inflation, Gross Domestic Product, Total Money Supply, Exchange Rates, Consumption, Investment, and Interest Rate in Asia's Three Emerging Markets namely India, China, and Indonesia which aims to boost the economy. This study uses secondary data with a quantitative research type using ARDL Panel Regression, the software used is Eviews 10 with cross-section data for 3 Emerging Market Countries, namely India, China, and Indonesia time series data for 2001-2020. The research results show that Exchange Rates, Investments, and Interest Rates can also be leading indicators to support price stability in Indonesia, China, and India, but their positions are unstable in the long run and short run. The main leading indicator in optimizing the variables in controlling price stability in the Three Emerging Markets Asia is Consumption seen from the stability of the short run and long run, where the long-term and short-term interest rate variables are significant in controlling price stability.
The Influence of the Family Environment, Utilization of Social Media Marketing, and Entrepreneurial Orientation on the Performance of Millennial SMEs in Makassar City
Authors: Roni Herison  , Ifah Finatry Latiep  , A. Reski Fausia Putri
Published: January 2023

Business performance is something that must be considered by SMEs, including millennials. The purpose of this study is to find out the extent of the role of the environment, the use of social media marketing and entrepreneurial orientation towards the performance of Millennial SMEs in Makassar City. This research is a quantitative study using data from the distribution of questionnaires and processed using SmartPLS 4 software. The results of the study found that the family environment, the useof social media marketing and entrepreneurial initiatives can partially improve the performance of Millennial SMEs in Makassar City.

 

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