bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Public Relations in Promoting the Educational Community Via Instagram @Aksararembaka
Authors: Balqis Farah Dalilah , Nurhanifah Nurhanifah , Siregar Almaidah , Ardianti Indah , Albarry Ahlan Adib
Published: July 2024

The purpose of this research is to find out what strategies are used in promoting the community and what obstacles usually occur when promoting on Instagram. This study uses a qualitative method by conducting interviews with the founder of Aksara Rembaka. In this study, the results obtained are that the strategies used to promote vary greatly, including providing creative content and conducting various collaborations and the obstacles that usually occur are unstable Instagram algorithms and resources, both human and financial, so that public relations are very influential for the success of a community to be recognized.
ANALISIS TREND PENGANGGURAN PASCA COVID-19
Authors: Fitri Handayani  , Noviar Helmi
Published: July 2024

This study aims to analyze the trend of unemployment and work in Aceh Province after the Covid-19 pandemic. The Covid-19 pandemic has led to a higher unemployment rate. This study uses secondary data, namely time series data using the least squares analysis method or forecasting method. The results of this study indicate that unemployment in Aceh Province for the next three years will decrease, while for work there has been an increase in workers. This has a positive effect on unemployment and employment rates in Aceh Province. With this forecasting method, the government should make it to the appropriate investment policies to reduce unemployment.
PENGARUH DANA ALOKASI UMUM TERHADAP PROGRAM PENGENTASAN KEMISKINAN DI KABUPATEN SIMEULUE TAHUN 2017-2021
Authors: Nengsi Puspita Sari  , Alisman
Published: July 2024

Indonesia has 34 provinces, of which Aceh is one of the provinces, with 23 districts currently. Simeulue Regency in Aceh Province, off the west coast of Aceh, is a division of West Aceh and with its inauguration in 1999, Sinabang was designated as the capital. The aim achieved in this research is to determine the influence of the General Allocation Fund (DAU) on the Poverty Alleviation Program in the 5 year period from 2017 to 2021. The use of the Simple Linear Regression Statistical Data Analysis method makes it easier for researchers to obtain the desired results, with secondary data from BPS. As a result of the research, a significant regression coefficient was obtained, which means that there is a positive relationship between DAU and poverty, where if DAU funds increase, there will also be an increase in the level of poverty. The large amount of General Allocation Funds in Simeulue Regency greatly influences the number of residents who are on the poverty line. The R-square result is 39.2% to see the magnitude of the influence, which means that the General Allocation Fund in Simeulu Regency has an influence on community poverty.
ANALISIS KINERJA USAHA MIKRO KECIL (Studi Kasus Pada PT. PNM Mekaar Syariah Takengon Kabupaten Aceh Tengah)
Authors: Ristika Yani , Yanna Sri
Published: July 2024

The aim of the research is to analyze the performance of Micro, Small and Medium Enterprises through analysis of 1) The influence of credit on the income of MSEs and customers, 2) The effect of loan duration on the income of MSMEs and customers, 3) The influence of the Business Capacity Development (PKU) program on the income of actors and customers. Study on PT. National Capital Madani Mekaar Syariah Takengon. Research results on a sample of 70 customers engaged in culinary businesses, farming and livestock businesses as well as other service businesses. Based on statistical data processing and testing, there is a positive influence from the aspect of utilizing the Business Capacity Development (PKU) program provided by the company on the income of micro and small businesses. The loan length factor has a negative effect, but the credit size does not have a significant effect. But simultaneously all credit factors, length of loan and PKU) influence income, with a contribution of 21%.
PENGARUH KONTROL PERILAKU DAN KEPERCAYAAN TERHADAP PRODUKTIVITAS PRODUK HOME INDUSTRI DI KECAMATAN PEUSANGAN KABUPATEN BIREUEN
Authors: Renayani Renayani , M. Saleh , Asrida Asrida
Published: July 2024

This research aims to analyze the influence of behavioral control and trust on the productivity of home industry products in Peusangan District, Bireuen Regency. Quantitative research and analysis using a multiple linear regression model approach. The results of this research state that behavioral control and trust partially influence the productivity of home industry products in Peusangan District. And simultaneously, behavioral control and trust influence the productivity of home industry products in Peusangan District. Where trust has a higher influence.
ANALISIS PERBANDINGAN KINERJA KANTOR SAMSAT UPTD WILAYAH IV BIREUEN DAN UPTD WILAYAH IV LHOKSEUMAWE
Authors: Yusri Yusri , Konadi Win
Published: July 2024

This research aims to determine the performance of UPTD Samsat Region IV Bireuen and Region V Lhokseumawe City based on the realization of Motor Vehicle Tax (PKB) collection, Motor Vehicle Transfer of Title Fee (BBN-KB) services. Analysis was carried out using independent two mean test statistics with t-statistics. The research results show that; A). The performance level of Samsat UPTD Region IV Bireuen in terms of the PKB Realization aspect during 2010 - 2021 is on average better than the performance level of UPTD Samsat Region V Lhokseumawe. B). The performance level of UPTD Samsat Region IV Bireuen from the aspect of BBN-KB Realization during 2010 - 2021 is also better on average, although not significantly different from the performance level of UPTD Samsat Region V Lhokseumawe. C). The diversity of PKB and BBN-KB income at the Samsat IV Bireuen office varies more between years than at Samsat V Lhokseumawe
PERTUMBUHAN KREDIT AKIBAT TINGKAT INFLASI DAN SUKU BUNGA KREDIT DI INDONESIA
Authors: Rahma Nafaza , M. Rasyidin
Published: July 2024

The research aims to examine the influence of inflation and credit interest rates on credit growth in Indonesia. This research uses quantitative methods, data analysis techniques using multiple linear regression models. From utilizing secondary data 2000-2022 from BPS. The results of this test show that inflation and credit interest rates have no effect on credit growth
ANALISIS PENYERAPAN TENAGA KERJA DI SEKTOR KULINER KABUPATEN BIREUEN
Authors: Zarimah Zarimah , Haryani Haryani
Published: July 2024

The purpose of this research is to analyze how wage levels and production values influence the absorption of labor in the culinary sector of Bireuen district. The type of research used in this research is quantitative research. In this study, the population is the culinary sector in Bireuen district by taking 49 culinary samples as respondents. Data collection techniques through questionnaires. Statistical tools used via multiple linear regression. Based on the SPSS calculation results, it shows that partially the wage rate variable (x1) has a positive and significant effect on employment absorption and the production value variable (x2) has a positive and significant effect on employment absorption. Then simultaneously the wage rate (x1) and production value (x2) have an influence on employment.
REFLEXÕES SOBRE A MITIGAÇÃO DE RISCOS EM CONTRATOS ADMINISTRATIVOS FRENTE ÀS SITUAÇÕES DE CALAMIDADE PÚBLICA E O INSTITUTO DE RECUPERAÇÃO JUDICIAL
Authors: Dos Santos Lucas Meira , Sousa Carlos Roberto dos Santos
Published: July 2024

This article aims to reflect on the impact of the COVID-19 pandemic on Brazilian public contractual relations, focusing on the following aspects: i) the institute of judicial recovery, as a legal instrument to assist institutions that were unable to recover the financial crisis; ii) government risk management mechanisms that mitigate the impact of such events on the management of public accounts. In this sense, at the same time, it points out the business difficulties left by the pandemic and their relationship with the legislation currently in force, with the main focus being the Judicial Recovery and Bankruptcy law and the Strategic Management of Government Risks. Qualitative research methods were used, based on the documentary data collection instrument and data processing: content analysis. The research results indicate the need to change the legislation in question, in order to enable the judicial recovery mechanism to be improved and integrity and risk management practices to be better developed in the strategic management of the public sector.
Performance Analysis of Permanent Magnet Synchronous Generator for Small Scale Wind Energy Applications
Authors: BENHACINE Tarek Zine-eddine , DALI Ali , KHERBACHI Abdelhamid , TATA Madjid
Published: July 2024

This paper presents a study of the performances of a permanent magnet synchronous generator (PMSG) used in small scale wind energy applications. The d-q model is adopted for the performance analysis of the PMSG under variable operating conditions. In addition, in order to validate the results obtained with the theoretical model, an experimental test bench based on a small PMSG equipped with a data acquisition system has been developed. The study carried out on the experimental test bench made it possible to determine both the dynamic and the steady state performances of the PMSG under variable loads and rotational speeds.
A Quantitative Analysis of Information Security Management System Audit Results in Critical and Non-Critical Information Technology Infrastructure
Authors: Georg Sven LAMPE , Stephan MASSNER , Matthias NAUMANN Michael , Fabian PITZ , Stelian-Mircea OLARU , Anke WITTSTOCK-LAMPE
Published: July 2024

Due to the increasing frequency and severity of Information Security (IS) and Cyber Security (CS) incidents, organizations are focusing on the secure design of technical Information and Communication Technology (ICT) systems as well as organizational development and process orientation within the critical and non-critical Infrastructures. This procedure serves the purpose of reliably providing the official and corporate services that are essential for maintaining social and economic activities. By fulfilling the legal requirements, critical service organization should also be able to avert potential cross-sector and cross-border disruptions as well as deal with serious security incidents. In addition, the operators of critical services are required to certify the scope of the established management system in accordance with the recognized international standard for compliance with information security. This research focuses on the development of measurement models for management systems, which are based on the results of external audits and audit findings as part of an empirical analysis within critical and non-critical infrastructures. The audit findings regarding personnel knowledge gaps and organizational, technical and physical problems identified in the implementation and use of management systems in the consulting environment and in the audit of management systems are discussed in more detail.
Game Theory and Their Applicative Importance in the Economic-business Reality: A Valid Tool for ensure the Success of Business Decisions
Authors: Concetta Boniello Carmine - Cuozzo
Published: July 2024

Game theory is a discipline that studies mathematical models of strategic interaction between rational agents. Game theory was developed in the 1950s by many scholars. It was explicitly applied to natural evolution in the 1970s, although similar developments date back to at least the 1930s. It has applications in various fields of the social sciences, as well as in logic, systems theory, and computer science. In light of this, the work was born with the intention of highlighting some types of games by paying attention to their applicative importance in the economic-company reality.
The Influence of Corporate Entrepreneurship, Industry 4.0 Adoption, Digital Transformation Capability on Business Performance Mediated by Employee Engagement in the Telecommunication Industry in Indonesia
Authors: Sandhi Agung Fitra , Usman Bahtiar , Santosa Wahyuningsih
Published: July 2024

The development of the Industrial Revolution has been going on since the era of the 1st industrial revolution starting in the 18th century using steam engine technology, then continuing with the 2.0 industrial revolution in the 19th century, where electricity as an energy source was continued with the 3rd industrial revolution in the 20th century, namely using electronics and computers and currently Industry 4.0 with the development of IT automation such as big data, Internet of Things, Artificial Intelligence and Machine Learning and cloud computing. The rapid development of technology needs to be seen as to its impact, especially in Indonesia and the telecommunications supporting industry sector, where with the wide demographics of the region and population, the development of equitable technology has become a phenomenon and a challenge for equal distribution of technological progress. The aim of this research is to test how stakeholders and decision makers (corporate entrepreneurship), industry 4.0 adoption and digital transformation capability have a direct influence on business performance and indirectly through employee engagement in telecommunications support sector companies. This research data was collected through a questionnaire with a five-point scale. The research population is based on companies supporting the telecommunications industry in Indonesia which are based in Jakarta and managerial level respondents with a total of 317 out of a target of 305 respondents with a time span of February – March 2024. The results of this research show that stakeholders (corporate entrepreneurship) provide positive influence on business performance both directly and indirectly through the role of employee support (employee engagement) inherent in the organization and also the direct and indirect influence of the adoption of industry 4.0 (industry 4.0 adoption) and Digital Transformation (digital transformation capability) on business performance through employee engagement with the organization.
A Study on the Improvement of Income Tax reporting For Business Combinations in Mongolia
Authors: Dulamsuren Nyamaa , Minjin Khatantumur
Published: July 2024

In line with the international trend and practice of deeming associated entities as a single economic unit and assessing the taxable income at the group level based on the consolidated income tax statements, many countries in the world including the United States, Australia, New Zealand, and France allow the preparation of consolidated income tax returns and provide special tax credits and exemptions for transactions between the parent and subsidiaries companies of the group, unrealized gains (losses) arising from them, and intercompany dividends. This study aims to examine the needs and demand to prepare a consolidated income tax report, the current practice of business combinations to file income tax returns, and some issues related to the methodology of preparing a consolidated income tax statement. This study also attempts to prepare a consolidated income tax statement form for national business combinations according to the international trend within the framework of the currently acting laws and regulations of Mongolia and to prepare recommendations for improving the consolidated income tax reporting for the business combinations. This paper uses a Ten-step methodology for recording the impact of income tax within the framework of IFRS used in the research of B.Byambakhishig (2017). Our data covers separate financial statements, income tax reports, intercompany transactions, and other related financial data of "AM" LLC (Canadian-invested mining company) and its fully controlled "ASI" LLC, which operates business in mining subcontracting, software development, and analytics. The study lacks a recording of the impact of income tax and income tax consolidation, therefore, a further study will be conducted on the consideration related to the analysis of the Consolidated Income Tax Statements.
Factors Influencing Consumer’s Attitude Toward Adopting e-wallets in Purchase Transactions
Authors: Almawash May , Saleh Mahmoud
Published: July 2024

This research paper explores the factors influencing consumer attitudes toward adopting ewallets in purchase transactions in Saudi Arabia. The study integrates the Technology Acceptance Model (TAM) with consumers' mindfulness and self-efficacy to comprehensively understand e-wallet adoption. The study highlights the growing importance of electronic money services and the need to promote e-wallet adoption in Saudi Arabia. The research examines the impact of mindfulness, self-efficacy, perceived usefulness, ease of use, and new technology anxiety on consumer attitudes toward e-wallet adoption. The sampling method is snowball sampling, through which 273 complete responses were collected. Structural Equation Modeling was employed to test the study hypotheses. The study found a positive relationship between mindfulness, perceived usefulness, and perceived ease of use. Furthermore, the study found a strong positive relationship between perceived usefulness and consumer attitude and a positive relationship between self-efficacy and perceived ease of use. Similarly, the study found a strong positive relationship between perceived ease of use and attitude. Lastly, the study revealed no significant moderating influence of technological anxiety on the association between perceived usefulness and consumer attitude.
Determinants of Brand Love of e-retailers Towards Purchase Intention and the Moderating Role of e-WOM
Authors: Alhuwaishel Najoud , Saleh Dr. Mahmoud
Published: July 2024

This study explores brand experience, brand trust, and affective commitment as determinants of brand love of e-retailers. The study also investigates the impact of brand love on consumers’ purchase intention and the moderating role of electronic word-of-mouth (e-WOM) on the relationship between brand love and purchase intention. The study was conducted in the dynamic Saudi Arabian consumer market. Data was collected through an online survey, resulting in a sample size of 329 respondents. Statistical analysis, including validity and reliability assessments, was conducted using SPSS and Smart PLS software. The findings highlighted the significant relationships between each of brand experience, brand trust, affective commitment as independent variables, and brand love. The findings also revealed a positive relationship between brand love and purchase intention. However, electronic word-of-mouth (e-WOM) did not moderate the relationship between brand love and purchase intention. This study provides valuable insights for businesses in developing effective marketing strategies in the digital market.
The Influence of Sharia Financial Inclusion and Unemployment Rate on Income Inequality in Indonesia
Authors: Putri Ade Arin Capriansyah , Kartika Metasari , Yacoub Yarlina
Published: July 2024

Income inequality can hamper economic growth if it gradually reaches a high point. This research aims to analyze the influence of sharia financial inclusion and unemployment rates on income inequality in Indonesia. The independent variables were measured using data on sharia bank office networks, third party funds, and the open unemployment rate. For the dependent variable, Gini index data obtained from the Financial Services Authority and the Central Statistics Agency is used. The research was conducted from 2016 to 2023 and involved 33 provinces in Indonesia. The method used is quantitative research with panel data regression analysis, processing data using Eviews 13. This research concludes that the sharia bank office network, third party funds, and the unemployment rate together have a significant influence on income inequality. In contrast, this study finds that bank office networks and third party funds have an influence on income inequality, while the unemployment rate does not affect income inequality. It can be said that sharia financial inclusion, which is measured using sharia bank office network data and third party funds, has an effect on reducing income inequality in Indonesia, this is because sharia financial inclusion can provide financial access and services to low-income people so that they can build assets and increase their income. wealth by setting up your own business and creating jobs.
Why Should Non-profit Organisations in Zambia Strive for Transparency, Accountability and Relationship Practices?
Authors: Mangisha Denny Mangisha , Kapasa Agape
Published: July 2024

Zambia’s Non-profit Organisations (NPOs) depend much on donor funding for their sustenance. In turn, the donors expect NPOs to practice corporate governance which has brought about much debate and change in the governance of business corporations of both public and private sectors. However, little is known about the likely impact of transparency, accountability and relationships in NPOs. This article fills this gap in understanding their role as drivers of donor confidence. The question,“Why Should NPOs in Zambia strive for the three practices?” triggers an inquiry. This question suggests an existence of a problem requiring a solution among some NPOs in Zambia. Reviewed empirical literature reveals issues of mismanagement of donated funds among NPOs. This article aims to assess whether the application of the three practices help address financial misdemeanors. These values are believed to be crucial for building donor confidence, securing funding, and maintaining the public trust. They also support ethical stewardship of the resources entrusted to the organization and the ability to fulfill the organization’s mission. To achieve the objective, an empirical study was conducted on the NPO practitioners. A mixed research design was used: an econometric model called multiple linear regression and confirmed through interviews triangulation. The result of the study revealed that transparency, accountability and relationships are statistically significant in explaining the influence of donor confidence at 95% confidence level. The study implication is that organizational commitment to three practices lead to enhanced donors’ confidence in the third sector, while the opposite has negative implication.
The Influence of Motivation and Work Discipline on Employee Performance at the Class IB Religious Court Office in Martapura Banjar Regency
Authors: Fatimah Siti , Rachmi Dhiena Fitria , Kadir Abdul
Published: July 2024

This research aims to determine the influence of motivation variables and work discipline variables on employee performance at the Martapura Class IB Religious Court Office, Banjar Regency, a government agency that operates in the field of services for people seeking justice. The population in this study were all employees of the Martapura Class IB Religious Court Office, Banjar Regency. The sample in this study was 42 people taken from the entire population consisting of leaders, civil servants and honorary employees. This research was conducted by distributing questionnaires to 42 employees as respondents. In this research, the types of data used are primary data and secondary data. The data analysis techniques used in this research are multiple linear regression analysis techniques and statistical tests. Research data was collected from respondents' results and analyzed using linear regression and hypothesis testing. The results of the analysis from this research show that work motivation has no significant effect on employee performance at the Class IB Martapura Religious Court Office, Banjar Regency with a calculated t value of (1.508<2.022), while work discipline has a positive and significant effect on employee performance at the Class IB Religious Court Office Martapura, Banjar Regency with a calculated t value of (2.951>2.002).
Comparison of punch biopsy and Loop Electrosurgical Excision Procedure (LEEP) on abnormal colposcopy findings in daily use which is preferable
Authors: Sastra Wianta I Gde , Marvy Khrisna Pranamartha Anak Agung Gde , Alexander Setiawan William
Published: July 2024

Cervical cancer has become a global problem with high mortality and morbidity and contributed to around 311,000 deaths in 2018 which tends to rise every year. Detection of cervical cancer is very necessary to provide appropriate management to patients. Various detection and diagnosis approaches to cervical cancer continue to be developed along with advances in technology. However, comparisons of the types of methods used have not been widely reported. A biopsy is a tool used to detect a suspected malignancy that has been used for many years. One of them is a punch biopsy, a method often used to detect cervical cancer. Currently, technology is developed with the discovery of various other diagnostic tools such as Loop Electrosurgical Excision Procedure (LEEP). LEEP is an excisional procedure in high-resource settings to provide tissue for histopathology. However, the role of punch biopsy can’t be ruled out. This article discusses the differences between a punch biopsy and a LEEP procedure and the advantages and disadvantages of both.
Dilemmatic treatment of recurrent right breast mucinous carcinoma in a 34-year-old pregnant woman: a case report
Authors: Widhusadi Ni Luh Wita Astari , Setiawan William Alexander
Published: July 2024

Introduction: In females under 35, the incidence of mucinous carcinoma (MC), a rare form of breast carcinoma, is 1%. When pregnancy-associated breast cancer is diagnosed, it presents a challenge to strike a balance between a potentially fatal therapy for the fetus and a life-saving therapy for the mother's breast cancer. This study aimed to present an MC case in a 34-year-old female with seven weeks-old gestations.
Case presentation: The 34-year-old woman presented with a lump on her right breast in 2012 and was diagnosed with giant fibroadenoma. Then, an excisional biopsy was performed, and the pathological finding showed a grade II MC. After one year of tumor regression, another mass was found on the same side of the breast. A repeated ultrasound was carried out, and then the patient was scheduled to have a radical mastectomy followed by radiotherapy. During the schedule of radiotherapy, she found out that she was 6-7 weeks pregnant. This condition brought a new problem since there was a chance that the radiotherapy may have affected the fetus. Therefore, the radiotherapy treatment was postponed until the 6-month gestational age or after the delivery of the baby.
Conclusion: Our case report shows the complexity of judgments to achieve the holistic treatment of our patient's condition. Furthermore, the determination of 'wait-and-observe' could be contemplated for the characteristics of the tumor and the patient's decision.
Pulmonary hypertension in pregnancy
Authors: Bernolian Nuswil , Kesty Cindy , Mirani Putri , Lestari Peby Maulina , Martadiansyah Abarham , Agustria Rizky
Published: July 2024

Pulmonary hypertension (PH) is a persistent increase in mean pulmonary arterial pressure (mPAP) of at least 20–25 mm Hg during right cardiac catheterization. For every million patients, there were 97 PH cases. Women are more likely than men (1.7:1) to receive a diagnosis, with a mean age of 37 years. The classification, pathophysiology, mechanism, and management of postpartum hemorrhage (PH) are the main aims of this review study. Pulmonary artery hypertension (PAH), pulmonary hypertension (PH) associated with left heart disease, pulmonary hypoxia and/or lung illnesses, chronic thromboembolic PH, and PH with unknown multifactorial processes are the five categories into which PH is divided. Women, particularly those of reproductive age, make up about 80% of individuals with idiopathic PAH. Pregnancy-related PH is one of the long-standing heart conditions with a significant morbidity and mortality rate. Its estimated death rate ranges from 30.56%. Pregnancy is therefore not advised in PH patients. Treating people with PH requires early diagnosis and effective treatment. These patients have optimism because of the impending PH medications (phosphodiesterase type 5 inhibitors, nitric oxide, endothelin receptor antagonists, and calcium channel blockers) as well as the advancements in hemodynamic monitoring and intensive care in PH specialty facilities. Pregnant women with PH should be treated with a multidisciplinary approach, such as obstetricians, cardiologists, intensivists, and neonatologists.
Differences in enteral nutrition on weight gain and length of stay of premature LBW at Kraton Hospital, Pekalongan Regency
Authors: Ayu Gista , Chabibah Nur
Published: July 2024

Introduction: Premature birth and low birth weight are major risk factors for infant mortality. The lower the birth weight, the higher the risk of mortality. Providing nutritional intake is very important for the survival of premature babies. Types of enteral nutrition that can be given are breast milk, HMF breast milk, and formula milk. This study aims to determine the difference in enteral nutrition on weight gain and length of stay of premature LBW.
Method: This is a cross-sectional study with a simple random sampling technique—data from medical records of premature LBW babies from 2019 to 2023.
Results: There was no significant difference between the type of enteral nutrition given on weight gain, both in the type of enteral breast milk (p-value: 0.081; mean: 134.19; SD: 103.31), breast milk HMF (p-value: 0.081; mean: 119.36; SD: 157.94), formula milk (p-value: 0.081; mean: 163.32; SD: 120.51). There was no significant difference between the type of enteral nutrition provided and the length of stay in both types of enteral breast milk (p-value: 0.256; mean 12.26; SD: 9.61), breast milk HMF (p-value: 0.256; mean: 20.91; SD: 17.277), formula milk (p-value: 0.256; mean: 13.46; SD: 11.877).
Conclusion: The highest average weight gain of premature LBW infants was in HMF breast milk nutrition. The average length of the fastest period of care for premature LBW babies is on breast milk nutrition. Suggestions to provide education to pregnant women in optimizing breastfeeding through expressed breast milk for premature LBW babies who are being treated in the hospital. So that it can increase body weight and shorten the period of hospitalization.
The Role of Cytokines, Hormones, and Cellular Regulation in Improving Maternal and Fetal Well-Being
Authors: Hariyasa Sanjaya I Nyoman , Sutandi Chatrine , Syauta Fetrisya
Published: July 2024

Maternal and fetal well-being is a complex interplay of various factors. A key factor is that women receiving early and adequate pregnancy care are more likely to achieve positive pregnancy outcomes. Several studies have identified internal maternal factors as significant contributors to the well-being of both mother and fetus. However, scientific research and discussions on the role of cytokines, hormones, and cellular regulation in maternal and fetal well-being outcomes still need to be completed. Progesterone, a vital hormone for pregnancy and humans, influences immune function directly and through mediators by promoting the synthesis of T helper cell-type cytokines. The favorable benefits of dydrogesterone on repeated spontaneous miscarriages and impending miscarriages may be attributed to the regulating effects of these cytokines and the hormone's capacities. T helper cell-produced cytokines are linked to allograft rejection. Lastly, our finding of cellular regulatory mechanisms, including apoptosis, autophagy, and cellular senescence, highlights the multifaceted nature of maintaining maternal and fetal health during pregnancy. This review aims to delve deeper into the role of cytokines, hormones, and cellular regulation in enhancing maternal and fetal well-being.
Diagnostic and Management Ruptur Artery Radialis and Ulnaris Sinistra et causa Vascular Trauma : A Case Report
Authors: Okthara Sebayang Abed Nego , Ibnu Syahroni
Published: July 2024

Background: Vascular trauma is a life-threatening injury caused by a stab wound, blunt, or iatrogenic wound that damages a blood vessel. Vascular trauma can involve arteries and veins. Vascular trauma requires diagnosis and action fast handling to avoid fatal consequences in the form of amputation. This case report will discuss vascular trauma to the radial and ulnar arteries due to work accidents.
Case Description: A 19-year-old patient came with his colleague from the Emergency Department with the chief complaint of bleeding in his left hand. The patient experienced this while working on repairing electrical pipes an hour ago. The incident began when the electric cable fell from the power pole, and then the car grabbed the power cable so that it wrapped around the patient's left hand, injuring the patient's hand and bleeding. The supporting examination was an X-ray of the upper extremity. Although the impression on the radiological examination was that the radial and ulnar bones looked good, there were soft tissue defects in the dorsal-lateral of the distal antebrachial. However, on laboratory examination, blood was within normal limits. The treatment included vascular exploration surgery, vein autograft, harvesting of vena saphena Magna for vascular reconstruction, skin graft, and debridement. During treatment, the cruris Sinistra is given light therapy to repair damaged vascularisation.
Conclusion: Vascular trauma is an injury caused by a stab wound, blunt object, or iatrogenic wound that damages a blood vessel.  In this case, ruptured artery radialis and ulnaris sinistra et cause trauma was found. Therefore, the treatment was to do vascular exploration surgery, vein autograft, harvesting of vena saphena magna for vascular reconstruction, and debridement.
An unusual phenomenon of recurrent aortic dissection with hypertension: a rare case report
Authors: Kurnia Atthoriq Hayat , Sohan Verry Gunawan
Published: July 2024

Introduction: Recurrent aortic dissection is a rare and challenging phenomenon for cardiovascular cases in the world. In the last two decades among patients with initial aortic dissection, only 5% have become recurrent aortic dissection, typically seen in patients with connective tissue disorders. We report an unusual case of recurrent aortic dissection with hypertension.
Case Presentation: A 55-year-old female came with complaints of chest pain from the mid and left chest to the back. The symptoms had occurred for almost three years after treatment and post-surgery of her prior aortic aneurysm dissection. But she still had the same signs and symptoms as before. We requested thoracoabdominal CT angiography to confirm the diagnosis. A thoracoabdominal CTA shows recurrent aortic dissection, because of its difficulty and rarity we need proper consideration. For now, we prefer conservative medical treatment with management of blood pressure and pain control, also treatment for other diseases.
Conclusion: Recurrent aortic dissection is still a special challenge for physicians and a rare extreme phenomenon that may need a special approach and more complex treatment strategies.
Pulmonary aspergilloma presenting with recurrent hemoptysis in a patient with previously treated pulmonary tuberculosis: a case report from a rural hospital in Ketapang Regency
Authors: Willim Herick Alvenus , Munthe Eva Lydia , Mujono Widi
Published: July 2024

Introduction: Pulmonary aspergilloma, also known as mycetoma or fungus ball, is a type of pulmonary aspergillosis characterized by colonizing fungi within a preexisting lung cavity, typically in previously healed tuberculosis (TB). We present a case report from a rural hospital in Ketapang Regency, Indonesia, highlighting the complexities of diagnosing and managing pulmonary aspergilloma in a patient with a history of treated pulmonary TB.
Case Description: A 32-year-old man with recurrent hemoptysis, fever, weight loss, and productive cough sought care after years of inconclusive tests. Despite a history of pulmonary TB and multiple negative acid-fast bacilli tests, a thorax computed tomography scan showed the presence of aspergilloma within the upper lobe of the left lung. He was given antifungal therapy. During follow-up, he continued to experience recurrent hemoptysis. Eventually, he was referred to a provincial referral hospital with cardiothoracic surgical facilities for definitive surgical management.
Conclusion: Pulmonary aspergilloma presents significant challenges in diagnosis and management. Recurrent or massive hemoptysis, a hallmark symptom of this condition, demands vigilant attention in patients with a history of pulmonary TB.
Correlation Between Intraoperative Blood Vessel Diameter and Technical Success Rate of AV Shunt Surgery in Dr. Soetomo Hospital Surabaya
Authors: Saphira Diva , Soebroto Heroe , Thaha Mochammad , Hakim Arief Rakhman , Widipriyatama Gabriel Rio
Published: July 2024

Introduction: An arteriovenous (AV) shunt is an anastomosis between vein and artery made in a surgical procedure as vascular access for patients with end-stage renal disease that are projected to undergo hemodialysis. Unfortunately, AV shunt failure remains a significant clinical problem for hemodialysis patients. In general, the cause of most early AV shunt failure is still unknown, but the quality of the blood vessels is suspected as a factor. This study aimed to determine the correlation between blood vessel diameter and the success of AV shunt surgery.
Methods: This study is a cross sectional study that uses a descriptive-analytic design. The samples were obtained from the patient’s medical records with the total sampling technique of all patients who have undergone AV shunt surgery from January 2019 – December 2020 at Dr. Soetomo General Hospital which matches the inclusion and exclusion criteria.
Results: Patients’ blood vessel diameter measurement is divided into four categories which are <2 mm, 2 - <4 mm, 4 - <6 mm, and ≥6 mm. From a total of 62 patients, the highest successful surgery rate is carried out in patients with a vein diameter of 2 - <4 mm (77.59%) and artery diameter of 2 - <4 mm (63.79%). The results of the Chi-Square analysis found no significant correlation between vein diameter (p=0.769) or artery diameter (p=0.922) and the success of AV shunt surgery at Dr. Soetomo Hospital, Surabaya 2019-2020.
Conclusions: In conclusion, this study did not find a correlation between the intraoperative blood vessel diameter and the technical success of AV shunt surgery.
Pain score evaluation in patients underwent hand surgery under WALANT compared to those under local or general anesthesia with tourniquet
Authors: Teuku Nanda Putra  , Yanis Melissa Abigail
Published: July 2024

Background: The Wide Awake Local Anesthesia No Tourniquet (WALANT) has been reported to offer simpler pre-surgical instruction and assessment, faster operating time, better surgical visualization, shorter hospital stay, fewer complications and side effects, lower cost, faster post-operative recovery time, better patient’s satisfaction, and less pain and discomfort. This study aims to review the pain score in hand surgery using the WALANT technique compared to local anesthesia or general anesthesia with a tourniquet.
Methods: A comprehensive literature search was conducted in PubMed, Cochrane Library, and Google Scholar in March 2021. Eligible randomized-controlled trials (RCTs) and cohort studies compared injection time intra-operative or post-operative pain using Visual Analog Score (VAS) in WALANT and local anesthesia or general anesthesia with a tourniquet.
Results: Five studies (3 RCTs and two cohorts) were included in this article, including 645 hand surgeries (376 carpal tunnel syndrome cases, 181 trigger finger cases, 42 cubital tunnel syndrome cases, 44 de Quervain’s disease cases, and two ganglion cyst cases). Three studies reported a significantly lower VAS in the WALANT group, while the other two reported a lower VAS in the WALANT group, but not statistically significant.
Conclusion: WALANT is still a technique worth considering in hand surgery because of its superiority in minimizing intra-operative and post-operative pain.
Mirror foot: a case report of rare ten toes polydactyly
Authors: Sitorus Gina Yunita J. , Putra Teuku Nanda , Ikhsan Muhammad , Jannah Siti Miftahul
Published: July 2024

Introduction: A rare congenital deformity known as "mirror image polydactyly" of the feet is typified by symmetrical duplication of the foot's digits. According to one study, only 28 cases (seven of which have treatment records) have been described in the English-language literature. Mirror foot can arise as a single congenital defect or a component of a hereditary syndrome involving several congenital defects. In this study, we reported a mirror foot case and emphasized its rarity, unusual presentation, and successful surgical treatment.
Case presentation: A 3-month-old female child was born with unilateral mirror image polydactyly of the foot with congenital talipes equinovarus (CTEV) and congenital genu recurvatum. She was referred to the outpatient clinic of the surgery department of dr. Kariadi General Hospital. In a radiological examination, ten digits and nine metatarsals were found on the left foot. Preaxial duplicates of the first to fourth metatarsals were disarticulated, followed by ablation of five digits. The aim of surgical management for this case was to reconstruct a functional and cosmetically pleasing foot, which will benefit orthopedic surgeons in managing CTEV for serial cast correction. Six months after surgical intervention, the foot showed a satisfactory appearance. However, management of the CTEV was uneventful at the local orthopedic department, and the patient was referred to the pediatric orthopedic center in Jakarta.
Conclusion: Incidence of mirror foot is extremely rare, and treatment must be tailored to each individual. Coordination among different departments should be pursued to ensure optimum care for patients.
Breastfeeding significant correlated with decreasing of breast cancer risk
Authors: Muharram Girry Gustianugraha , Darmi Noer Faisal , Razi Fachrul
Published: July 2024

Background: Extensive literature has established a strong correlation between breastfeeding and a decreased susceptibility to breast cancer. The objective of this study was to examine the breastfeeding status of moms diagnosed with breast cancer.
Methods: This study employs a descriptive-analytical approach with a cross-sectional design. The study comprised adult female patients (aged 20-60) who were diagnosed with Breast Cancer, irrespective of the specific kind of cancer confirmed by anatomical pathological investigation. Only non-smokers were considered for analysis. The study excluded patients who had a history of malignancy and those with a family history of cancer. A bivariate analysis was performed to evaluate the study hypothesis. The analysis was conducted utilizing the Chi-Square and unpaired T-test statistical methods using SPSS software. A p-value less than 0.05 is deemed statistically significant.
Result: This research encompassed a total of 45 individuals diagnosed with breast cancer. The majority of individuals diagnosed with breast cancer (55.6% of the total) did not engage in exclusive breastfeeding. Similarly, individuals without a breast cancer diagnosis also tended to refrain from exclusive nursing (24.4%). The association between the two variables is statistically significant, as indicated by a p-value of 0.000. The average length of nursing in individuals diagnosed with breast cancer was 2.04 ± 1.81, but in those without breast cancer, it was 10.10 ± 9.01. The statistical tests indicate a substantial association between the two variables, as evidenced by a p-value of 0.000.
Conclusion: A notable correlation exists between breastfeeding and a diminished likelihood of developing breast cancer.
The relation between vitamin D, calcium, and phosphor in growth retardation of child with chronic kidney disease
Authors: Wijaya Radwika Swastanti , Ariani  , Krisni Subandiyah
Published: July 2024

Background: Growth retardation was a complication in chronic kidney disease (CKD). It is a condition that a child can not achieve linear potential growth. Fifty percent of children with CKD will have a height below the third percentile. The causes of growth disorders in CKD are multifactorial. Electrolyte hemostasis (calcium and phosphorus) and lack of vitamin D play a role in growth in children with CKD. The aim of this study was to determine the relationship between growth problems in children with chronic kidney disease and the correlation with vitamin D, calcium, and phosphorus.
Method: This study was a retrospective observational analytical study design. The research subjects were taken from medical records from Saiful Anwar General Hospital in Malang from January 1st to December 2019. 68 pediatric patients aged 2 – 18 years old were diagnosed with chronic kidney disease, divided into 2 groups (with growth retardation and normal stature). Data were analyzed using SPSS
v.26 for windows.
Results: There was significant correlation between low vitamin D levels and growth retardation (p = 0.005), and significant correlation between calcium levels (p = 0.026) and phosphor levels (p = 0.222) and the incidence of growth retardation. Levels of vitamin D, calcium, and phosphor have a positive correlation with growth retardation 0.427, 0.277, dan 0.300 (p<0.05). Path analysis found a significant direct relationship between vitamin D on growth retardation (β = 0.358, p = 0.002) and had a greater effect when compared to the indirect relationship between vitamin D and growth retardation mediated by calcium and phosphorus.
Conclusion: there is a correlation between vitamin D, calcium, and phosphorus with growth retardation in children with chronic kidney disease.
Correlation between leukocyte count and hemoglobin with the incidence of febrile seizures at RSUD Abdul Wahab Sjahranie Samarinda
Authors: Acikdin Muhammad Harbiyan , Muhyi Annisa , Toruan Vera Madonna Lumban
Published: July 2024

Background: Febrile seizures occur at the age of 6 months to 5 years, ranging from 2-5% of cases in children. The sign when the body is fighting infection is the process that occurs, the presence of infection in the body causes a change in the leukocyte count, and high fever can trigger a decrease in hemoglobin. This study aims to determine the relationship between leukocytes and hemoglobin with the incidence of febrile seizures in children.
Methods: This research is analytic observational with a cross-sectional design. The research data was taken from medical records at Abdul Wahab Sjahranie Hospital Samarinda with a purposive sampling method. The study sample was children aged 6 months to 5 years who had febrile seizures and fever without seizures and met the inclusion and exclusion criteria. Statistical analysis of this study used the chi-square test.
Results: The chi-square test results were obtained on hemoglobin and leukocyte count with the incidence of febrile seizures with a p-value on the number of leukocytes (p=0.032) and hemoglobin (p=0.019).
Conclusion: There is a significant relationship between the number of leukocytes and hemoglobin with the incidence of febrile seizures in children.