bluuebunny/crossref_metadata_2025_split huggingface dataset:
Total Intra Venous Anesthesia (TIVA) Target Controlled Infusion (TCI) Propofol Remifentanil untuk Seksio Sesarea Emergensi pada Pasien Meningioma dengan Peningkatan Tekanan Intrakranial
Authors: Aryasa Tjahya , Fajar Apsari Ratih Kumala , Rahardjo Sri 
Published: July 2020

Meningioma sangat jarang ditemukan pada kehamilan, tapi kehamilan dapat memicu pertumbuhan meningioma. Ibu hamil yang menjalani seksio sesarea dengan penyulit tumor otak merupakan indikasi anestesi umum dengan kombinasi Target Controlled Infusion (TCI) propofol dan remifentanil. Propofol pada seksio sesarea dapat mengatasi respons simpatis akibat laringoskopi. Remifentanil berhubungan dengan hasil luaran lebih baik pada neonatus dari opioid lainnya. Perempuan 34 tahun, hamil 37 minggu datang dengan keluhan utama nyeri perut hilang timbul disertai kebutaan dan tanda peningkatan tekanan intrakranial tanpa penurunan kesadaran. Tidak dilakukan CT-Scan kepala karena direncanakan seksio sesarea emergensi. Dilakukan seksio sesarea dengan teknik anestesi umum menggunakan TCI propofol mode Marsh dengan target efek 3–4 mcg/ml dan TCI remifentanil dengan target 2–3 ng/ml, dan rocuronium dengan dosis 0,7 mg/kgBB. Pada menit kesepuluh, lahir bayi laki-laki, dengan berat badan 2000 gram dan skor APGAR 7–8. Selama operasi hemodinamik stabil dan tidak ada komplikasi. pascabedah dilakukaan pemeriksaan CT-scan dan ditemukan meningioma yang besar. Teknik ini memberikan hasil luaran pada neonatal dan ibu yang baik. Total Intra Venous Anethesia (TIVA) Target Controlled Infusion (TCI) with Propofol Remifentanil for Emergency Caesarean Section in Meningioma Patient with Increase Intracranial PressureAbstractMeningiomas are very rare in pregnancy, but pregnancy triggers the growth of meningiomas. Pregnant women who undergo cesarean section complicated with brain tumor are an indication of general anesthesia with Target Controlled Infusion (TCI) propofol and remifentanil. Propofol can blunt sympathetic response due to laryngoscopy. Remifentanil has a better outcomes in neonates than other opioids. A 34-year-old woman, 37-weeks pregnant presented with uterine contractions accompanied with blindness and signs of increased intracranial pressure without decreased consciousness. Head CT scan was not performed because an emergency cesarean section was planned. Caesarean section was performed with general anesthesia using Target Controlled Infusion (TCI) Marsh mode propofol with a target effect of 3-4 mcg/ml and remifentanil TCI with a target of 2-3 ng/ml, and rocuronium 0.7 mg/kg. At the tenth minute, a male baby was born, weighing 2000 grams and an APGAR score of 7-8. During surgery, the hemodynamic was stable without complications. Postoperatively, a CT scan was performed and a large meningioma was found. This technique provided good neonatal and maternal outcome outcomes.
Analisis Penambahan Dexmedetomidine pada Operasi Besar Tulang Belakang Elektif di RSUD Dr. Soetomo
Authors: Rizkiya Putri , Rehatta Nancy Margarita , Harijono Bambang , Herawati Lilik 
Published: July 2020

Latar Belakang dan Tujuan: Dexmedetomidine (DEX) suatu agonis α2, telah banyak digunakan untuk mengendalikan respon stress pembedahan melalui penekanan respon simpatis dan endokrin. Studi ini bertujuan untuk menganalisis efek penambahan dexmedetomidine terhadap kadar kortisol, nadi, tekanan arteri rerata, kebutuhan penggunaan fentanyl dan isoflurane pada operasi tulang belakang.Metode: Sebuah studi randomisasi terkontrol tersamar ganda dilakukan pada pasien yang menjalani operasi besar tulang belakang elektif di RSUD Dr. Soetomo, Surabaya. Nadi, tekanan arteri rerata, kebutuhan fentanyl dan isoflurane serta perubahan kadar kortisol pre dan post-operatif dibandingkan antara pasien yang memperoleh dexmedetomidine (DEX) dan placebo (SAL).Hasil: Nadi dan tekanan arteri rerata lebih stabil pada kelompok DEX pada saat intubasi, prone positioning dan insisi. Perubahan kadar kortisol pada kelompok DEX (9,9±5,2 mcg/dl) lebih rendah dibanding kelompok SAL (11.7±8.4 mcg/dl) namun tidak berbeda bermakna secara statistik (p=0.88). Penggunaan fentanyl dan isofluran pada kelompok DEX dapat dikurangi masing-masing 50% (p=0,00) dan 30% (p=0,00). Kecepatan pulih sadar kelompok DEX lebih cepat. (p=0,001) Simpulan: Hemodinamik yang stabil, berkurangnya penggunaan opioid dan anestesi inhalasi serta proses pulih sadar yang lebih cepat pada kelompok DEX mendukung penggunaan dexmedetomidine dalam operasi besar tulang belakang. Analysis of Dexmedetomidine Addition in Elective Major Spinal Surgery in RSUD Dr. SoetomoAbstractBackground and Objective: Dexmedetomidine (DEX) an α2 agonist, is widely used to control stress response during surgery through inhibition of sympathetic and endocrine response. This study aims to analyze the effect of dexmedetomidine addition towards blood cortisol level, pulse rate, mean arterial pressure, and fentanyl and isoflurane use during major spinal surgery.Method: A randomized doubleblind controlled study was conducted on twenty patients undergoing major spinal surgery in RSUD dr. Soetomo, Surabaya. Pulse rate, mean arterial pressure, fentanyl and isoflurane used, and plasma cortisol changes were compared between patients receiving dexmedetomidine (DEX) and placebo (SAL). Results: Pulse rate and mean arterial pressure was more stable in DEX group during intubation, prone positioning and incision. Changes in cortisol level in DEX group (9.9±5.2 mcg/dl) was lower, but not statistically significant fromSAL group (11.7±8.4 mcg/dl,p=0.88). Fentanyl and isoflurane use in DEX group was reduced 50% (p=0.00) and 30% (p=0.00) respectively. Recovery time in DEX group was faster (p=0.001).Conclusion: Hemodinamik stability, reduced opioid and inhalational anesthesia use, and faster anesthesia recovery time supports dexmedetomidine as anadjunct in general anesthesia in major spinal surgery.
Tatalaksana Pasien Post Ventriculo Peritoneal (VP) Shunt et causa Meningitis disertai Aspirasi Pneumonia dan Gagal Napas di Ruang Rawat Intensif
Authors: Kurniawan Arief , Zulfariansyah Ardi 
Published: July 2020

Ventriculo Peritoneal (VP) Shunt adalah tindakan operasi pemasangan kateter yang menghubungkan ventrikel otak dan rongga peritoneum. Tindakan VP Shunt bertujuan menurunkan tekanan intrakranial yang tinggi pada hidrosefalus. Pasien hidrosefalus akibat meningitis sering mengalami gagal napas akibat gangguan otak atau aspirasi pneumonia. Terapi ventilasi mekanik diperlukan sebelum, selama dan setelah operasi VP Shunt. Laporan kasus laki-laki 21 tahun datang ke rumah sakit karena gangguan kesadaran dan didiagnosis dengan meningitis. Pasien mengalami gagal napas akibat aspirasi pneumonia dan mendapat terapi ventilasi mekanik, kemudian menjalani operasi VP Shunt atas indikasi hidrosefalus komunikan. Induksi anestesi menggunakan fentanil dan propofol, pemeliharaan anestesi menggunakan sevofluran dan analgesi pascabedah menggunakan fentanil kontinyu. Berdasarkan pemeriksaan cairan serebrospinal pasien didiagnosis meningitis serosa akibat Tuberkulosis. Pasien mendapat terapi antibiotik empirik untuk aspirasi pneumonia dan antituberkulosis. Setelah kesadaran membaik dan weaning ventilator pasien dipindahkan dari ruang perawatan intensif. Management Patient Post Ventriculo Peritoneal (VP) shunt et causa Meningitis with Pneumonia Aspiration and Respiratory Failure in ICUAbstractVentriculo Peritoneal (VP) Shunt is a surgery that connects the brain ventricles and the peritoneal cavity with a catheter. VP Shunt aims to reduce high intracranial pressure in hydrocephalus. Hydrocephalus patients due to meningitis often experience respiratory failure from brain disorder or pneumonia aspiration. Mechanical ventilation therapy is needed before, during and after VP Shunt surgery. Case report of 21-year-old came to the hospital with decreased of conciousness and diagnosed with meningitis. The patient experienced respiratory failure and received mechanical ventilation therapy in the intensive care unit. The patient underwent VP Shunt surgery for indications of communicant hydrocephalus. Induction of anesthesia used fentanyl and propofol, maintenance of anesthesia used sevoflurane and postoperative analgesia used continuous fentanyl. Based on the results of the examination of cerebrospinal fluid, the diagnosis leads to serous meningitis due to Tuberculosis bacteria. Empiric antibiotics therapy for aspiration pneumonia and antituberculosis were given even if no bacteria was found in the blood or cerebrospinal fluid. After improvement in clinical condition and weaning from mechanical ventilator, the patient discharge from the ICU and sent to the ward.
PENERIMAAN DARI PEMERINTAH PUSAT, UKURAN LEGISLATIF, DAN TEMUAN AUDIT TERHADAP TINGKAT PENGUNGKAPAN LAPORAN KEUANGAN PEMERINTAH DAERAH (STUDI KASUS PADA PEMERINTAH DAERAH KABUPATEN/KOTA DI ACEH)
Authors: Fuadi M. Zahrul , Asmara Jhon Andra 
Published: July 2020

This study aims to see the influence of regional distribution characteristics, legislative measures, and audit findingsagainst the level of disclosure of Preliminary Unaudited Regional Government Financial Report. The population that used in this study is the District and Urban District Government in Aceh Province during 2015-2017. This study usespurposive sampling techniques, so the selection of samples is done by according to specific considerations or goals.The independent variables examined in this study are regional government size, regional independence, intergovernmental revenue, legislative measures, and audit findings. The dependent variable is the level of disclosure of Preliminary Unaudited Regional Government Financial Report. The type of data used in this study is secondary data. The analysis used in this study is multiple linear regression. The data is processed by using the SPSS software test tool. The results showed that variables of regional government size, regional independence, intergovernmental revenue, legislative measures, and audit findings have positive affect on the level of disclosure of Preliminary Unaudited Regional Government Financial Report. Partially, intergovernmental revenue and audit findings have negative affect on the level of disclosure of Preliminary Unaudited Regional Government Financial Report, while regional government measures, regional independence and legislative measures have no significant effect on the level of disclosure of Preliminary Unaudited Regional Government Financial Report.
Morpho-Anatomical Characterisation of the Rhizomes of Ten Species of Curcuma L. (Zingiberaceae) from south India
Authors: Anu S , Navas M , Dan Mathew 
Published: July 2020

The morphological and anatomical characterisation of ten medicinally and economically important species of Curcuma L. from South India namely, C. aeruginosa (neela-kua), C. amada (manga-inchi), C. aromatica (kasturi-manjal), C. aurantiaca, C. caesia (kari-manjal), C. haritha (karpura-kua), C. longa (manjal), C. montana, C. zanthorrhiza (manja-kua) and C. zedoaria (chenthandan-kua) were studied and compared. Eventhough, all the species show similarity in their characters, striking differences were noticed with respect to morphological characters such as shape and size of mother rhizome and lateral branches, colour of the cut surface, aroma and taste of rhizomes etc. Differences were also observed in some anatomical characters such as nature of endodermoid layer, size and shape of starch grains, oil cells and curcumin cells, etc. Based on the distinct morpho-anatomical features, an artificial dichotomous key was proposed for taxonomic delimitation of the species with their rhizome.
Keselamatan Kini dan Nanti dalam Konsep Ayii dan Mobu serta Korelasinya dengan Konsep Keselamatan Paulus
Authors: Keiya Benyamin 
Published: July 2020

Salvation is hoped by all people. Salvation is the purpose of human being to have a good life not only in the world but also in the afterlife. The question of whether it is historical or eschatological salvation as the most important in life comes up among the different religions and cultures. Culturally, people seek to find salvation inn the world and hopefully in the hereafter. Ayii and mobu are concepts of salvation of the Ekagii tribe in Papua, Indonesia. These concepts want to give answers to the Ekagii people needing salvation in this world and in the afterlife as well. Mobu is an understanding of how a person survives in this world, but especially with regards of the material as well as the spiritual needs. Ayii is an understanding of how salvation could be experienced after death. The Ekagii people are trying to find the eternal life, ayii, in their life. This article correlates these concepts of salvation with that of Saint Paul especially in his escathology. Paul’s tension between the terms ‘already’ and ‘not yet’ is different, but in some sense similar to the cultural concepts of the Ekagii people. Paul is also providing some answers to the Christians concerning their need of salvation in the world and in the world to come. The author underlines the focus of both concepts on the process of salvation that is experienced historically and dinamically in the world.
THE PREVALENCE OF PSYCHOSOMATIC DISORDERS AMONG ADOLESCENT SCHOOL GIRLS IN KHARTOUM STATE –SUDAN
Authors: Ali Abuzied Nadia Mahmoud 
Published: July 2020

Psychosomatic health of adolescent girls at crossroads of childhood and mature adulthood, may lead to various health problems in future. To measure the prevalence and identify factors associated with psychiatric morbidity & psychosomatic symptoms among adolescent secondary school girls in Khartoum. This ‘Study’ was conducted, in three secondary schools of Khartoum North. The Simple Random Sampling Technique was applied to select three schools from the spot map of Khartoum North for this study, and 491 girl students in the adolescent age group were selected from the completed updated list of students from the enrollment registers in these schools. according to the cut-off point (≥ 24 in the G.H.Q -28) findings showed that the prevalence of psychiatric morbidity (severe depression and anxiety) was 60.89% among the adolescent secondary school girls while the psychosomatic disorder was 34.62%. The psychosomatic disorder was found to be significant (P<0.05) with the following three factors: a) late (18-19 yrs.) adolescent age, (61.30%), chi- square= 18.611, df=1, O.R=0.435617 ,CI95%=(0.276629, 0.685981) ; b) physicals abuse (39%) chi- square= 22.34, df =1, O.R=0.281,CI95%=(0.172871, 0.458281) and c) verbal abuse (72%) chi- square= 21.86, df=1, O.R=0.433,CI95%=(0.27331, 0.688). A borderline significant was seen with the family moderate (40%) and low income (40%), chi- square= 5.09, df=2, O.R=(0.839, 0.799),CI95%=((0.508247, 0.503899),( 1.755645 , 1.426668)). However, no significance was there in relation to marital status (married 83.5%), chi- square= 2.324,df=1, O.R=1.06 ,CI95%=(0.586947, 2.197218),mother education (elementary 61.76%) chi square=1.692,df=2,O.R=(1,0.951),CI95%=((0.385528,0.554214),(2.674766, 1.626457)) and further education (high level 73 %) chi- square= 3.17, df=2, O.R=(1.282, 1.024),CI95%=((0.354603, 0.55087,)( 4.49567, 1.903074)). Despite the fact that there is no significant (P>0.05) relation between the fathers' level of education and the occurrence of psychosomatic however, the odds ratio of disease is 28% higher among the girls whose fathers were illiterate in comparison to the girls whose fathers were of high level of education. among adolescent school girls.
ASSESSMENT OF FAILURE ON DRAINAGE STRUCTURES ALONG THE ETHIOPIAN NATIONAL RAILWAY LINE OF SEBETA-MIESO (CASE STUDY OF AKAKI RIVER CROSSING DRAINAGE STRUCTURE)
Authors: Hirpessa Yerosan Abera , Hailu Ing. Dereje 
Published: July 2020

A railway drainage system gives vital role for effective, efficient operation of rail track. This study worked on an assessment of railway drainage system problem along the Addis Ababa- Mieso railway line, specifically on Akaki rives crossing. It was done to check adequacy of hydraulic structure provided on Akaki River crossing by undertaking hydrologic and hydraulic analysis.
Hydrologic modeling of the Akaki catchment area was developed by HEC-GeoHMS program with the help of Arc-GIS and hydrologic analysis was computed by HEC-HMS program. The catchment land use, soil type, rainfall data, Akaki river stream flow data, etc were used to develop hydrological model. SCS unit hydrograph and flood frequency analysis methods were used to estimate instantaneous peak design discharge for 50 and 100 year return period. Model input parameters were calibrated and verified with observed flow data of the river at Akaki gauging station.
Hydraulic models were developed by HEC-RAS step-backwater to determine water-surface profiles for the bridge. Cross-sectional elevation data, hydraulic-structure geometries, roughness coefficients along with peak-discharge esti¬mated were used as input for the model.
Finally, adequacy of the bridge was evaluated where the bridge was hydraulically efficient over its design period.
Pelatihan dan Pendampingan Usaha Kreatif VCO Desa Palingi Timur Konawe Kepulauan
Authors: Bubun Rita L , Mahmud Amir , Sumarlin Sumarlin 
Published: July 2020

This activity was purposed to enhance the knowledge and skill of partner group (Ibu-ibu PKK) in business creative processing coconut to be virgin coconut oil (VCO). Training and mentoring were conducted in July 2019 at Palingi Timur Village, North of Wawonii Subdistrict, Konawe Kepulauan Regency Southeast of Sulawesi Province. Implementation methode was the establishment of cooperation with the goverment in Palingi Timur Village, socialization, training and mentoring partner group. The result showed that training and mentoring business creative of VCO were enhance until 95% of knowledge and skill of processing partner in Palingi Timur Village, and than they have had skill to utilizing and processing of local resources.
PENERAPAN REGRESI DATA PANEL UNTUK MEMODELKAN APBD DI PROVINSI MALUKU
Authors: Tuwanakotta Thaniel , Talakua Mozart Winston , Nanlohy Yonlib Weldri Arnold , Sinay Lexy Janzen 
Published: July 2020

Penetapan APBD harus didasarkan pada pengelolaan keuangan daerah yang berpihak pada kepentingan masyarakat. Tujuan penelitian ini adalah menganalisa karakteristik APBD, DAU, dan DAK setiap Kabupaten/Kota di Provinsi Maluku. Kemudian memodelkan hubungan APBD dengan DAK/DAU menggunakan model regresi data panel untuk mengetahui faktor yang mempengaruhi APBD. Data yang digunakan merupakan data sekunder pada periode 2011-2014. Hasil yang diperoleh adalah karakteristik data APBD, DAU, dan DAK untuk setiap kabupaten/kota di Provinsi Maluku memiliki kemiripan, yakni berdistribusi normal. Kemudian, model terbaik adalah model REM, yakni APBD = 88.959.809+1,246DAU+c_i+u_(i,t). Dengan demikian, APBD Provinsi Maluku dipengaruhi oleh DAU.

Kata Kunci: APBD, DAK, DAU, Provinsi Maluku, Regresi Data Panel
Analisis Lean Manufacturing untuk Minimasi Waste pada Proses Door PU
Authors: Novitasari Ratna , Iftadi Irwan 
Published: July 2020

PT XYZ merupakan sebuah perusahaan manufaktur yang bergerak dalam penyedia alat-alat rumah tangga, salah satunya adalah kulkas. Pada proses produksi Door PU di divisi refrigerator terdapat permasalahan pencapaian output produksi yang lebih rendah dibandingkan dengan target produksi pada Door PU produk kulkas 1 pintu serta freezer. Penelitian ini membahas mengenai analisis lean manufacturing pada proses identifikasi dan minimasi waste yang ada pada proses Door PU di divisi refrigerator PT XYZ. Penelitian dilakukan dengan 4 tahapan. Tahap pertama adalah pembuatan Value Stream Mapping (VSM) untuk menunjukan keseluruhan proses produksi Door PU. Tahap kedua dilakukan identifikasi waste dan break down tahapan proses produksi dalam bentuk process activity mapping. Tahap ketiga adalah proses identifikasi akar permasalahan dari waste yang telah diketahui dengan menggunakan root cause analysis - 5 Why's. Berdasarkan penelitian yang dilakukan, didapatkan hasil waste berupa waiting dan defect, dengan nilai operasi value added sebesar 11,54%, non value added 7,69%, dan operasi necessary non value added sebesar 76,43%. Rekomendasi perbaikan mampu mengurangi total aktivitas proses dari 26 menjadi 24 serta peningkatan nilai PCE menjadi 31,45%.
KINERJA KEUANGAN PERUSAHAAN DENGAN MENGGUNAKAN RASIO KEUANGAN DAN KONSEP ECONOMIC VALUE ADDED (EVA) (Studi Kasus pada PT. Pertamina Periode 2012-2014)
Authors: Riberu Dorotea Noesman , Sandari Tries Ellia 
Published: July 2020

ABSTRACTState-Owned Enterprise is a state-owned company. Weak control and control that causes a decline in the performance of state-owned companies. The purpose of this study is to determine the company's financial performance using financial ratio analysis and EVA concepts. The method used in this research is descriptive quantitative approach, because it only describes the company's financial condition through quantitative calculations of some financial ratios and EVA concepts. The object of this research is PT Pertamina which is listed on the Indonesia Stock Exchange. Performance of PT. Pertamina has a very poor performance, because the liquidity ratio has not reached maximum results. The solvency ratio must improve DTAR derived from loans or debt. Activity ratio is only inventory turnover which shows quite good, profitability ratios increase sales so that the resulting profit increases. The results of the analysis of financial performance using EVA, that the financial performance of PT. Pertamina experienced a decline in 2012 and 2013, then experienced an increase in 2014. It shows that the company's financial performance using EVA is considered not good, because it has not managed to achieve a positive value (EVA> 0) in 2012 and 2013. But in 2014, EVA is considered quite good, because it has managed to achieve a positive value (EVA> 0), so it can be concluded that the company is only able to produce economic added value in 2014. This means that in 2014 the company can meet the level of returns expected by investors, both creditors or shareholders. Keywords: Financial Performance. Financial Ratios, EVA
ANALISIS PENERAPAN STANDAR AKUNTANSI KEUANGAN ENTITAS TANPA AKUNTABILITAS PUBLIK ( SAK ETAP) TERHADAP LAPORAN KEUANGAN (Studi Kasus UD. Dwi Putra Surabaya)
Authors: Robiah Lailatul , Amiranto Jianto B. 
Published: July 2020

ABSTRACTThe financial report is a tool for analyzing the financial performance of companies that can provide information about the financial position, performance an clash flow, so it can serve as a basis for decision making by management. This study to describe the condition of the financial statements and describes the making SAK ETAP to the financial statements textile company Dwi Putra This study used descriptive qualitative method with primary and secondary data sources and Data collection was done by means of interviews, documentation and observation. The study research are that the financial statements Dwi Putra consist of the balance sheet and income statements, where it does not conform to the presentation SAK ETAP, the accounting cycle of the company is also not in accordance with SAK ETAP. SAK ETAP does not stipulate rules of writing format or order against the post presented. Therefore, the presentation of the balance sheet and income statement Dwi Putra is not at issue in financial accounting standards entities without public accountability (SAK ETAP). Keywords : Financial Statements,SAK ETAP