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Congenital Basal Meningocele: An Unusual Cause of Nasal Obstruction in Early Life
Full text linkAbstract— Basal meningoceles are rare congenital defects that can cause nasal obstruction and often clinically occult until they result in life-threatening complications. Knowing the clues to early diagnosis, management, and complications is essential. Case: A 7-day-old baby girl was referred to our hospital because of high fever and dyspnoea, and the baby was diagnosed with pneumonia, lip tie, cup ears and suspicion of laryngomalacia. The patient got dyspnoea with stridor when drinking, and it decreased when her mouth was open. The suction catheter could not enter through the left choana. The nasal endoscopy showed an elevation of the hard palate. A 3-dimensional facial CT scan demonstrated a transsellar–transsphenoidal meningocele protruding into the left nasal cavity. A diluted liquid came out from the left nose with a yellowish-clear colour, and the baby showed a high-pitched cry. Bacterial meningitis was established from cerebrospinal liquor analyses. After meningitis treatment, surgical repair to meningocele reposition and bone defect repair was done at 40 days. Conclusion: In our case, the nasal obstruction was not detected from the beginning of birth, and it led to delays in finding the cause. Basal meningocele in this case was accidentally diagnosed by a facial CT scan exploring the cause of choana atresia. It’s essential to detect choana atresia since birth, explore the etiology immediately, and manage it well to prevent life-threatening complications.
Keywords: nasal obstruction, congenital basal meningocele
Abstrak—Meningocele basal merupakan kelainan kongenital langka yang dapat menyebabkan obstruksi hidung yang secara klinis sering tersembunyi sehingga baru diketahui saat sudah terjadi komplikasi. Oleh karena itu sangat penting untuk mengetahui cara menegakkan diagnosis dini agar dapat diberi tata laksana yang tepat untuk mencegah terjadinya komplikasi yang mengancam nyawa. Kasus: Seorang bayi perempuan berusia 7 hari dirujuk ke rumah sakit kami karena demam tinggi dan dispnoea dan bayi itu didiagnosis sebagai pneumonia, ikatan bibir, telinga cangkir dan kecurigaan laringomalesia. Pasien mengalami dispnea dengan stridor saat minum; dan menurun ketika mulutnya terbuka. Kateter hisap tidak bisa masuk melalui choana kiri. Endoskopi hidung menunjukkan peningkatan langit-langit keras. CT scan wajah 3 dimensi menunjukkan transsellar – meningocele transsphenoidal yang menonjol ke dalam rongga hidung kiri. Cairan encer keluar dari hidung kiri dengan warna bening kekuningan, dan bayi itu menunjukkan tangisan nada tinggi. Meningitis bakteri ditetapkan dari analisis cairan serebrospinal. Setelah meningitis diobati, perbaikan bedah reposisi meningocele dan perbaikan cacat tulang dilakukan pada usia 40 hari. Kesimpulan: Dalam kasus kami, meningocele basal secara tidak sengaja didiagnosis dengan CT scan wajah yang mengeksplorasi penyebab choana atresia. Sangat penting untuk mendeteksi choana atresia sejak lahir, segera mengeksplorasi etiologinya, dan mengelolanya dengan baik untuk mencegah komplikasi yang mengancam jiwa.
Kata kunci: obstruksi hidung, meningocele basal kongenita
Dari Diam Menjadi Agensi: Membingkai Ulang Tantangan Pendidikan Pascasarjana Indonesia di Inggris
Full text linkThis study critically re-examines the academic struggles of Indonesian postgraduate students in the United Kingdom (UK), drawing on empirical data from a prior qualitative study. The study employs a dual theoretical lens from Freire's Pedagogy of the Oppressed and Bandura's Social Cognitive Theory of Human Agency, grounded in a critical realist ontology, to explore the underlying structural forces of how academic practices contribute to student's educational experiences. Three interrelated themes are developed: (1) silence and pedagogical disempowerment; (2) destabilization of self-efficacy within unfamiliar academic conventions; and (3) the tension between agentic aspiration and marginalization. The findings challenge neoliberal assumptions of meritocracy and call for more awareness, reflexive, and humanizing approaches to international education that treat students not as culturally deficient or individually lacking but as subjects shaped by and capable of transformation within and against inherited educational systems.Studi ini secara kritis meninjau kembali tantangan akademik yang dialami oleh mahasiswa pascasarjana Indonesia di Inggris, dengan merujuk pada data empiris dari studi kualitatif terdahulu. Berlandaskan pada ontologi realisme kritis, studi ini menggunakan kerangka teoretis ganda dari Pendidikan Kaum Tertindas oleh Freire dan Teori Sosial Kognitif Tentang Agensi Individu oleh Bandura untuk menelaah aspek struktural yang mendasari bagaimana praktik akademik turut membentuk pengalaman pendidikan para mahasiswa. Terdapat tiga tema utama yang saling berkaitan dalam studi ini: (1) diam dan ketidakberdayaan pedagogis; (2) goyahnya keyakinan diri dalam lingkup akademik yang baru; serta (3) adanya penekanan terhadap agensi diri dan marginalisasi. Temuan studi ini menantang asumsi neoliberal mengenai meritokrasi dan mendorong pendekatan pendidikan internasional yang reflektif, menyadari aspek struktural, dan memanusiakan mahasiswa–memposisikan mereka bukan sebagai individu yang kurang secara kultural atau lemah secara personal, namun sebagai subjek yang dibentuk oleh sistem pendidikan yang diwariskan sekaligus memiliki kapasitas untuk mentransformasikannya
Kesejahteraan Subjektif Anak Indonesia: Eksplorasi Dimensi Emosional dan Kognitif
Full text linkSavahl et al. (2021) propose a quadripartite model for children's subjective well-being (SWB) that includes both: global (context-free items assessing overall well-being) and specific (domain-based items evaluating particular life aspects) cognitive components, as well as positive affect (PA) and negative affect (NA). The goal of this study is to test this model of SWB among Indonesian children using data from the third wave of the Children’s Worlds Survey. A representative sample of West Java children aged 10 and 12 years (N = 9,526). Data analysis involved confirmatory factor analysis (CFA). Results for a model with a second-order latent variable using the pooled sample displayed good fit indexes. The second-order analysis showed significant standardized regression weights of the SWB items of each latent variable, and of the first order latent variables on the second order latent variable as expected The high internal consistency of the CW-SWBS5, CW-DBSWBS, and CW-PNAS indicates that the quadripartite model of SWB is psychometrically robust among Indonesian children aged 10 and 12. However, the notably low factor loadings for items related to “satisfaction with the people children live with”—particularly when compared to higher-loading items such as “satisfaction with safety”—suggest a potential cultural divergence in how certain SWB domains are interpreted. Multigroup CFA showed that all statistics can be meaningfully compared between boys and girls and between 10 and 12-year-olds age groups. The findings of this study confirm this model can be used with Indonesian children and results offer valuable insights for parents, teachers, and policymakers aiming to develop evidence-based interventions that support child well-being across cognitive and emotional domains.Savahl et al. (2021) mengusulkan model quadripartit untuk kesejahteraan subjektif (subjective well-being [SWB]) anak yang mencakup dua komponen kognitif, yaitu: global (butir bebas konteks yang menilai kesejahteraan secara keseluruhan) dan spesifik (butir berbasis domain yang mengevaluasi aspek kehidupan tertentu), serta dua komponen afektif, yaitu afek positif (positive affect [PA]) dan afek negatif (negative affect [NA]). Tujuan dari studi ini adalah untuk menguji model SWB tersebut pada anak Indonesia dengan menggunakan data dari gelombang ketiga Children’s Worlds Survey. Sampel yang digunakan merupakan representasi anak usia 10 dan 12 tahun di Jawa Barat (N = 9.526). Analisis data dilakukan menggunakan confirmatory factor analysis (CFA). Hasil analisis terhadap model dengan variabel laten tingkat kedua pada data gabungan menunjukkan indeks kesesuaian model yang baik. Analisis tingkat kedua menunjukkan bobot regresi terstandar yang signifikan dari tiap butir SWB terhadap variabel laten masing-masing, serta dari variabel laten tingkat pertama terhadap variabel laten tingkat kedua, sesuai dengan yang diharapkan. Konsistensi internal yang tinggi pada CW-SWBS5, CW-DBSWBS, dan CW-PNAS menunjukkan bahwa model kuadripartit SWB secara psikometrik kuat di antara anak-anak Indonesia berusia 10 dan 12 tahun. Namun, factor loading yang sangat rendah untuk butir yang terkait dengan “kepuasan dengan orang yang tinggal bersama anak”—terutama jika dibandingkan dengan butir dengan nilai loading yang lebih tinggi seperti "kepuasan dengan keamanan"—menunjukkan potensi divergensi budaya dalam bagaimana domain SWB tertentu ditafsirkan. Analisis CFA multikelompok menunjukkan bahwa semua statistik dapat dibandingkan secara bermakna antara anak laki-laki dan perempuan, serta antara kelompok usia 10 dan 12 tahun. Temuan dari studi ini mengonfirmasi bahwa model ini dapat diterapkan pada anak-anak Indonesia dan hasilnya memberikan wawasan yang berharga bagi orang tua, guru, dan pembuat kebijakan dalam mengembangkan intervensi berbasis bukti yang mendukung kesejahteraan anak dalam domain kognitif dan emosional
Determinan audit report lag dengan adopsi teknologi informasi sebagai moderasi pada bursa efek tiga negara
No full textPurpose – This study aims to examine the factors that influence audit report lag, including auditor reputation, audit opinion, and audit tenure, with the moderating role of information technology adoption across stock exchanges in three countries: Indonesia, Malaysia, and Australia.
Methods – This research uses a quantitative method with secondary data. The tool used for data processing and analysis is EViews 13, employing a panel data regression model.
Findings - The results of the study reveal that: (1) Auditor reputation has a negative effect on audit report lag, (2) Audit opinion does not have a negative effect on audit report lag, (3) Audit tenure does not have a negative effect on audit report lag, (4) Information technology adoption does not moderate the effect of auditor reputation on audit report lag, (5) Information technology adoption does not moderate the effect of audit opinion on audit report lag, and (6) Information technology adoption does not moderate the effect of audit tenure on audit report lag.
Implications - A This study reinforces agency theory by showing that auditor reputation can accelerate audit report lag. However, the insignificant findings of audit opinion and audit tenure suggest that traditional factors may not always apply in a cross-country context, thus audit theory should consider contextual factors and technological developments.
Originality - The novelty of this research lies in the use of information technology adoption as a moderating variable and the comparative analysis across three countries
Determinan minat karir mahasiswa akuntansi dengan penghargaan finansial sebagai moderasi
Full text linkPurpose – this study intend to examine and analyze the factors that may influence accounting students' career interest by adding a moderating effect in the form of financial rewards.
Methods – This study uses a quantitative approach with purposive sampling. The population consists of 332 accounting students enrolled in 2022, and the sample includes 181 students. The analytical tool used is Warp PLS 8.0.
Findings - This study found a significant influence of job market considerations, social values, and work environment on accounting students' career interest. but, if moderating effect added is financial rewards, not all variable can be moderated by it. Financial rewards proven strengthen the influence of job market considerations and work environment on students' career interest, but were not able to strengthen or weaken the influence of social values on accounting students's career interest.
Implications - This study can provide a theoretical contribution that supports the Theory of Planned Behavior and Expectancy Theory, which state that career choices are influenced by social attitudes, subjective norms, and perceived control.
Originality - This study combines variables from two previous studies by adding a moderating effect in the form of financial rewards
Upaya Hukum Terhadap Rumah Susun yang Tidak Memenuhi Persyaratan Teknis dalam Sertfikat Laik Fungsi
Full text linkThe scarcity of land has prompted a shift towards vertical housing solutions, with apartments gaining prominence as a viable alternative to traditional single-family dwellings. However, In creating a suitable apartment development, the apartment developer should pay attention to the requirements for the apartment, one of which is contained in the form of Sertifikat Laik Fungsi (SLF) based on Law No. 20 of 2011. SLF essentially functions in providing legality for the operation of an apartment and providing a sense of security. However, in fact there are still flats that have SLF, but they do not comply with the actual condition of the building's reliability, causing losses to the flat's occupants. One of them occurred at the PH Flats. For this reason, the author is interested in studying legal violations regarding SLF ownership by the PH Flats along with the legal measures that can be taken by the residents of the flats due to the losses they suffer. This research is based on normative research methods as well as statutory and conceptual approaches with data sources and types of primary legal materials. The results of this research indicate that legal violations regarding SLF ownership are caused by mal administrative actions by Dinas Cipta Karya dan Tata ruang in issuing SLF along with violations of building reliability requirements carried out by apartment developers. There are legal remedies that can be taken by apartment residents, both in litigation and non-litigation efforts.
 
Study on the Banana Peel Hydrolysate for Lactic Acid Bacteria Growth Media
Full text linkAbstract—Banana peel is food waste material that may contain certain beneficial nutrition and be useful for bacterial media production. This experiment aims to determine the effect of several variables which may have influence on the ability of banana peel to support probiotic growth. The thermal treatment used autoclave. In the hydrolysis step for probiotic growth, the variables studied were pH and temperature. The best result of hydrolysis was obtained by the initial steam treatment, followed by hydrolysis process at pH 4.5 and 95oC. The reducing sugar content obtained was 0.96 g/L. In the fermentation process, pure banana peel hydrolysate media was able produces to support Lactobacillus plantarum growth better than mixed media. The pure banana peel hydrolysate media could achieve up to 12.89 log CFU/ml. The amylase activity produced in the pure banana peel hydrolysate media was 8.14 DP.
Keywords: banana, probiotic, hydrolysis, growth, amylase
Abstrak—Kulit pisang merupakan bahan limbah yang memiliki kandungan nutrisi menguntungkan dan berguna untuk produksi media pertumbuhan bakteri. Penelitian ini bertujuan menentukan pengaruh beberapa variabel yang dapat mempengaruhi kulit pisang untuk mendukung pertumbuhan probiotik. Kulit pisang tersebut diolah melalui hidrolisis enzimatik menggunakan enzim amylase termofilik. Variabel sebelum proses hidrolisis adalah penggunaan pengolahan termal menggunakan uap air dan tanpa pengolahan. Pada langkah hidrolisis, variabel yang dipelajari adalah pH dan suhu. Hasil hidrolisa terbaik adalah dengan penggunaan pengolahan awal dengan uap air diikuti dengan hidrolisis pada pH 4,5 dan suhu 95oC. Kandungan gula pereduksi yang diperoleh sebesar 0,96 g/L. Pada proses fermentasi, media dari hidrolisat kulit pisang murni dapat menghasilkan pertumbuhan Lactobacillus plantarum sampai 12,89 log CFU/mL. Aktivitas amylase yang dihasilkan dari media hidrolisat kulit pisang tersebut adalah 8,14 DP.
Keywords: pisang, probiotic, hydrolysis, growth, amylas
Transdisciplinary Approaches To Developing A Mice Tourism Model Based On Local Cultural Heritage: A Case Study Of Binh Duong
Full text linkPurpose: This study aims to develop a culturally grounded Meetings, Incentives, Conferences, and Exhibitions (MICE) tourism model for Thanh Hoi and Bach Dang islands in Binh Duong, Vietnam. Although both islands possess rich tangible and intangible heritage—from archaeological sites and ancient communal houses to pomelo orchards and wartime narratives—they have yet to feature in formal tourism circuits. The novelty lies in employing a transdisciplinary co-design approach, involving academic researchers, local residents, cultural officers, and tourism businesses.
Method: The study employed Participatory Rural Appraisal (PRA) workshops with community members, semi-structured interviews with 35 stakeholders (including local authorities and tourism providers), and field observations. The conceptual framework integrated systems knowledge, target knowledge, and transformation knowledge, analyzed using thematic coding and comparative stakeholder analysis.
Result: Key findings reveal that while the islands have high cultural tourism potential, development is hindered by infrastructure gaps (internet, event venues), fragmented branding, and limited service capacity. Stakeholders proposed innovative MICE products—such as agro-heritage retreats and river-ecology workshops. The study concludes that a stakeholder-driven, heritage-based MICE model can position these rural islands as distinctive destinations. Future research should test the model’s scalability in similar riverine heritage sites across Southeast Asia
Creative Economy of Batik: Product Design, Service Quality, Pricing, and Customer Satisfaction
Full text linkThe batik creative industry is important and vital to Indonesia's cultural economy, but it faces challenges from digital competition and changing consumer behavior. This study examines how product design, service quality, and price affect customer satisfaction when purchasing bold batik online. It builds on earlier research that studied these factors one at a time. The study used a quantitative approach to collect data from 300 people who purchased batik through digital platforms, and employed the SEM-PLS method for analysis. The results show that all three factors—product design, service quality, and price—positively and significantly influence customer satisfaction. Among them, product design has the biggest and most significant impact, showing how important design innovation is for the most significant impact, underscoring the importance of design innovation in keeping the batik industry connected to cultural identity. Digital service quality and fair pricing also help shape the customer experience and satisfaction. The study suggests that small and medium businesses should focus on improving design through technology, boosting digital service quality, and adopting pricing strategies that add value. From a policy standpoint, there is a need for digital training, authentic product certification, and financial support to help these businesses remain competitive and sustainable in the long run
Pengaruh pengetahuan, sosialisasi, dan sanksi pajak terhadap kepatuhan wajib pajak orang pribadi di surakarta
Full text linkPurpose – This study aims to analyze the effect of tax knowledge, tax socialization, and tax sanctions on compliance of individual taxpayers in Surakarta.
Methods – This research uses a quantitative approach. The population is individual taxpayers in the Surakarta area. Data collection techniques with conviening sample. Data analysis tools using SPSS version 20. Primary data is generated from distributing questionnaires.
Findings - The results showed that knowledge and socialization variables had a positive and significant effect on taxpayer compliance. On the other hand, tax sanctions have a positive, but insignificant effect on compliance.
Implications - The findings support the theory of planned behavior which strengthens the research results to further consider effective programs to improve compliance. This research is expected to be a consideration for the government in making policies.
Originality - This research has a significant research area and the findings produced can answer the differences in the results of previous studies