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The Cervical Spinal Epiduritis, pertaining to Diagnosis, Treatment, and Outcomes: on severe spinal cord stenosis. A Case Report and a Literature Review: Cervical Spinal Epiduritis, pertaining to Diagnosis, Treatment, and Outcomes
No full textAbstract Background: Osteomyelitis coupled with immunocompromised people with drug or intravenous drug use produces infective endocarditis. Remember that atlantoaxial subluxation accompanied by infection of the pharynx or nearby tissues is termed Grisel syndrome. [2]. Epidural abscesses are sometimes surgical emergencies, depending on the type of neurological impairments. An upper cervical epidural abscess in the occiput at the level of C2 is highly rare and uncommon. At the level of the subaxial spine at C3-C6 OR C7-T1 is the cervicothoracic area.
Case Presentation
A 54-year-old female patient reported experiencing cough and catarrhal symptoms for three months due to a previous coronavirus infection, accompanied by shortness of breath and joint pain. The patient's neck pain intensified, radiating to the left arm (myelopathy); conservative treatment was ineffective. MRI of the cervical spine indicated purulent spondyloarthritis affecting the left C4-C6 facet joints, with severe spinal cord stenosis (Figure 1), accompanied by epiduritis in the adjacent segment and abscess formation in the posterior paravertebral muscles of the neck. The surgical intervention consisted of a left C5-C6 hemilaminectomy with a microdiscectomy with which a metal cage was placed after sanitation and drainage of the purulent epiduritis, approach to the spondyloarthritis in the C4-C6 segments, and management of an intermuscular abscess with a cage.
Conclusion
Our clinical case shows a cervical spinal epiduritis with spinal cord stenosis, confirmed by imaging; therefore, once the diagnosis was confirmed, the decision was to perform an eminent surgical intervention with a hemilaminectomy and microdiscectomy. 
Correlation Between Platelet Distribution Width and Mean Platelet Volume with Hematocrit in Dengue Hemorrhagic Fever Patients at Prof. Dr. Chairuddin Panusunan Lubis Hospital Universitas Sumatera Utara
Full text linkBackground: Dengue Hemorrhagic Fever (DHF) is a dengue virus (DENV) infection through the bite of an infected mosquito that manifests clinically in the form of high fever, headache, muscle pain, nausea, and rash. Research shows that several regions in Southeast Asia, including Indonesia, will experience an increase in the incidence of dengue infection in 2050 and 2080. Objective: This study aims to determine the correlation between platelet distribution width (PDW) and mean platelet volume (MPV) with hematocrit (Hct) in patients with Dengue Hemorrhagic Fever (DHF) at the Prof. Dr. Chairuddin Panusunan Lubis Teaching Hospital, Universitas Sumatera Utara. Methods: This study was conducted with a cross-sectional design. The subjects of this study were 142 DHF patients aged > 17 years obtained from medical record data at the Prof. Dr. Chairuddin Panusunan Lubis Hospital, Universitas Sumatera Utara. Statistical analysis using the Pearson Correlation Test. Results: In 142 study subjects, it was found that the majority of patients were in the age range of 18-39 years (83,8%) and were male (51.4%). The majority of patients had normal PDW values (85.2%), normal MPV values (91.5%), and normal hematocrit values (59.1%). Conclusion: No significant correlation was found between PDW and MPV with Hct in DHF patients
Analisis Yuridis Penghentian Perdagangan Saham (Suspensi) Oleh Bursa Efek (Studi Penghentian Perdagangan Saham PT Sigmagold Inti Perkasa (TMPI))
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Bursa Efek Indonesia sebagai wadah serta pihak yang menyelenggarakan dan menyediakan sistem dan atau sarana untuk mempertemukan penawaran jual dan beli Efek. Adapun masalah yang diteliti adalah mengapa Bursa Efek melakukan penghentian perdagangan saham emiten dan perlindungan hukum terhadap Investor dan Emiten yang perdagangan sahamnya dihentiakn sementara. Dalam menjalankan fungsinya Bursa Efek merupakan Self Regulatory Organization (SRO). Bursa juga memiliki kekuasaan yang mengatur baik terhadap para anggotanya maupun dengan pihak lain yang terkait dengan Bursa. Investor dalam melakukan kegiatan di Pasar Modal wajib mendapatkan pelindungan hukum dalam bentuk kegiatan di Pasar Modal yang adil, teratur dan efisien. Emiten dapat diberikan sanksi berupa Suspensi atau penghentian sementara pelaksanaan perdagangan atas suatu Efek apabila Bursa Efek Indonesia melihat adanya kegiatan yang tidak wajar dalam perdagangan. Metode yang digunakan penelitian hukum normatif. Data yang dipergunakan adalah data sekunder yang terdiri dari bahan hukum primer, sekunder dan tertier yang dikumpulkan dengan metode analisis data kualitatif. Hasil penelitian menunjukkan bahwa Bursa Efek melakukan penghentian perdagangan saham Emiten (suspensi) dikarenakan terjadinya penurunan harga kumulatif yang signifikan pada saham Emiten atau Peusahaan Tercatat, terjadinya peningkatan harga kumulatif yang yang signifikan pada saham Emiten atau Perusahaan Tercatat, belum menyampaikan Laporan Keuangan Auditan, belum melakukan pembayaran dan denda angsuran pembayaran biaya pencatatan tahunan (ALF) dan belum melakukan pembayaran denda atas belum dilaksanakannya Public Expose, kemudian perlindungan hukum terhadap Investor dan Emiten yang perdagangan sahamnya dihentikan sementara (suspensi) dilakukan secara preventif dan represif dan penghentian sementara perdagangan saham PT Sigmagold Inti Perkasa (TMPI) telah sesuai dengan hukum yang berlaku.
Keyword: Pasar Modal, Suspense, Bursa Efek.
 
Investigating The Influence of Tooth Loss on Salivary Flow Rate: A Community-Based Report
Full text linkIncreasing age has been reported to be associated with a higher prevalence of tooth loss and a greater risk of decreased salivary flow rate. This is because physiological aging affects both the dentition and salivary gland function. Degenerative changes in the oral tissues has also been shown to reduce glandular efficiency. Therefore, this study aims to analyze salivary flow rate based on the number of missing teeth in the elderly. The current study is part of a Community Service activity conducted at Martubung Public Health Center, Medan, in 2023. The sample population included elderly individuals aged ≥60 years who regularly participated in elderly posyandu (integrated health service posts) activities, with a total sample of 50 participants consisting of 38 females and 12 males. For each participant, the number of remaining teeth was counted, followed by the collection and measurement of both unstimulated and stimulated salivary flow rate for 5 minutes. The data obtained were then analyzed using the Pearson test. The results showed that the group with 15–24 missing teeth had the highest number of elderly individuals, totaling 21. In addition, unstimulated and stimulated salivary flow rate were highest in the group with 1–14 missing teeth, with mean values of 1.79±0.90 ml/min and 2.73±1.39 ml/min, respectively. The Pearson test showed a significance value of 0.05. Based on the analysis results, a higher salivary flow rate is associated with fewer missing teeth among the elderly.
Key words: number of teeth, saliva flow rate, elderl
Healthy and wholesome food education for students of Sekolah Indonesia Kuala Lumpur at the Community Learning Center, Sentul Pasar, Kuala Lumpur
Full text linkThe knowledge of children at the community learning center (CLC) in the Kg Chubadak Hilir area, Sentul Pasar, Kuala Lumpur, Malaysia which is under the guidance of Sekolah Indonesia Kuala Lumpur (SIKL) about healthy and nutritious food is still lacking, so it needs to be improved. Therefore, it is important to convey material related to healthy and nutritious food for elementary school age. CLC Sentul students are children aged 6-12 years from Indonesian migrant workers in Malaysia who do not have access to formal education in Malaysia. Community service was carried out on Monday (5/5/2025) at the CLC location, attended by 17 students, the material was delivered while telling stories, visual explanations, games, and video demonstrations, students were engaged in understanding the importance of consuming safe and healthy food. The purpose of international service at CLC SIKL is to increase students' knowledge of healthy and nutritious food and individual health to support student growth and development. The program was conducted in collaboration with SIKL and effectively increased students’ knowledge and awareness of healthy food, as indicated by the rise in active participation from only 1-2 students out of 17 (≈5.9-11.8%) before the session to 5-6 students (≈29.4-35.3%) after the session, reflecting an approximate increase of 24%. Feedback showed enthusiasm for healthy and wholesome food containing various nutrients from various food sources and how to recognize healthy food. This initiative highlights the effectiveness of early healthy food education in nurturing food-conscious choosing and consuming food, supporting Sustainable Development Goals (SDGs) for zero hunger and good health and well being
Palm-based business development at Al Hidayah Islamic Boarding School in Sei Mencirim Village, Kutalimbaru Sub-District, Deli Serdang District
Full text linkeducational institution that offers free education to its students. Its operational funding is supported by a business unit that processes palm sap into molded palm sugar, liquid palm sugar, palm sugar crystals, and other palm-based products such as candied palm fruit. However, the production methods used are still traditional and depend on simple tools, which often lead to variations in product quality. This community service program was designed to enhance productivity and improve the quality of palm sap products through the introduction of modern processing technology. The program consisted of seven phases: socialization, preparation of tools and materials, training, provision of equipment and technology, technology implementation, mentoring and evaluation, and ensuring sustainability. Participants included pesantren leaders, teachers, and students. The technologies introduced such as sap cooking machines, drying ovens, and sieving equipment—significantly improved efficiency. The sap cooking machine reduced processing time to about 2 hours, compared to the traditional 4–6 hours. The resulting molded, liquid, and crystal palm sugar products exhibited better and more consistent quality. Participants have also gained the necessary knowledge and skills to apply these innovations independently
Synergizing Ergo-Technology by Integrating Physical, Cognitive, and Organizational Ergonomics for Sustainable Work System Design in Industry 4.0
Full text linkThe manufacturing industry still relies heavily on manual labor to take advantage of human flexibility. As work-related injuries increase, the importance of ergonomics in engineering is becoming more recognized. However, in small and medium-scale manufacturing, the application of ergonomics has not yet received sufficient attention. The aim of this study is to review literature on the application of ergonomics in work system design, identify common approaches, analyze the impact of ergonomics, and provide recommendations for more effective implementation. A descriptive qualitative approach with a literature review of Google Scholar-indexed articles was used. The analysis concludes that ergonomics application in manufacturing is growing, with a predominant use of quantitative methods. Additionally, integrating physical, cognitive, and organizational ergonomics has positively impacted innovation and job satisfaction. Based on these findings, future research should focus on developing integrated ergonomic interventions, long-term studies, and economic analyses to improve ergonomics implementation
Community Behavior Regarding Waste Management in Slums (Case Study: Lamglumpang, Ulee Kareng, Banda Aceh)
Full text linkIn Banda Aceh, garbage is a significant concern. The trash problem requires the participation of the community. However, there are still numerous litterers, such as in the Gampong Lamglumpang, Ulee Kareng district. Gampong Lamglumpang is one of the villages identified as slums in Banda Aceh City. Poor waste management is a contributing factor to the slums. This study intends to assess the community's waste management practices in Gampong Lamglumpang and propose solutions to these issues. The study uses a descriptive quantitative by employing a questionnaire to collect data, which would be analyzed using Microsoft Excel. The data collection used the purposive sampling method. The sampling was up to sixty families. According to findings, many families were still burning their waste, indicating that their waste management was still insufficient. The author's suggestion for the government is to play a role in changing people's behaviour, such as by giving education and socialization of the 3Rs (reuse, reduce, and recycle) and by teaching the community how to transform garbage into something of economic worth. In addition, the Government must optimize waste transportation for must be optimized for the preservation of a clean environment
Microplastic Content in Water and Fish Species in Simanindo Waters, Lake Toba, North Sumatera: Microplastic Content in Water and Fish Species in Simanindo Waters, Lake Toba, North Sumatera
No full textWith the activities in the waters of Lake Toba will affect the condition of the aquatic environment and also contribute to the presence of microplastics. One of the interesting waste problems in waters to discuss is the presence of microplastics in waters. Microplastics are certainly more than <5 mm in size, there are three processes of microplastic formation, namely biologically, chemically and physically. Microplastics can contaminate fish through fish organs such as gills and digestive tracts. The purpose of this study was to determine the form and abundance of microplastics in the respiratory tract and digestive tract of fish. This study was conducted from November to December 2024. The average abundance in water samples was 21-57 particles / gram while in digestive tract samples it was 37-42 particles / gr dry weight and the last respiratory tract sample was 9 159 particles / gr dry weight. The forms of microplastics found were film-shaped microplastics, fiber microplastics, fragment microplastics and pellet microplastic
Literature Study: Genetic Mutations in Antibacterial Resistance
Full text linkThis study aims to understand how molecular and genetic mechanisms contribute to the development of antibacterial resistance and its impact on public health. The method used is a literature review by analyzing various books and scientific journals. Antibacterial resistance occurs when microorganisms become resistant to drugs that should effectively eliminate them, making treatment less effective. The misuse and overuse of antibiotics are the main causes of this issue. In Indonesia, easy access to antibiotics without a prescription worsens the situation. As a result, infections become more difficult to treat, prolonging illness and increasing the risk of death. Several bacteria, such as Pseudomonas aeruginosa, Escherichia coli, and Klebsiella pneumoniae, have shown high levels of resistance, particularly in hospitals. This resistance can develop through genetic mutations and the transfer of genetic material between bacteria. Therefore, antibacterial resistance is a serious threat that requires special attention in its control efforts