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ULKUS AFTOSA KOMPLEKS MANIFESTASI PENYAKIT CROHN
Get PDFLatar belakang : Ulkus aftosa kompleks mengacu pada ulkus mulut kronis berkaitan dengan gangguan sistemik. Kondisi tersebut, selain menimbulkan rasa sa kit dan gangguan fungsi, dapat memperburuk kualitas hidup penderitanya. Tujuan : Penulisan ini bertujuan untuk melaporkan keterkaitan antara ulkus aftosa kompleks dengan gangguan gastrointestinal, yaitu penyakit Crohn. Kasus dan penanganannya: Laki-Iaki 73 tahun mengeluhkan nyeri mulut sejak 3 bulan lalu, yang disertai dengan perut sebah, kembung dan terkadang nyeri ringan disertai sa kit kepala. Saat pemeriksaan, tampak adanya ulkus dengan dasar bergranuler, tepi sedikit meninggi dan tertutup lapisan putih pada mukosa lipatan mukobukal, pipi, dasar mulut dan palatum. Permukaan mukosa bibir dan pipi memberikan gambaran seperti batu bata (cobblestoning). Mengacu pada gejala dan temuan klinis, ditegakkan diagnosis kerja ulkus aftosa kompleks manifestasi gangguan gastrointestinal, suspek penyakit Crohn. Terapi awal berupa kombinasi spiramycin -metronidazole, methyl-prednisolone, parasetamol dan larutan kumur perhidrol. Satu minggu kemudian, tampak adanya perbaikan lesi dan aktivitas fungsional. Berdasar pemeriksaan dari Poli Penyakit Dalam Rumah Sakit Umum Sardjito (RSS), pasien mendapatkan medikasi lanzoprazole, ulsidex dan enzyplex. Terapi lanjutan berupa methyl-prednisolone dengan dosis tapering, anti jamur topikal nistatin untuk mencegah infeksi ikutan dan larutan kumur yang mengandung Benzydamine HCI untuk mengurangi nyeri. Kesimpulan : Ulkus mulut manifestasi penyakit Crohn mempunyai karakteristik unik dan dapat dibedakan dari ulkus mulut kronis lainnya. Dalam penegakan diagnosis ulkus aftosa kompleks, identifikasi etiologi gangguan sistemik yang tepat akan sangat membantu dalam menetapkan perawatan lesi mulut yang sesuai. Maj Ked Gt, Juni 201219(1): 33-3
NILAI-NILAI BUDAYA LOKAL DAN KEKERASAN TERHADAP PEREMPUAN MASA HAMIL DI KABUPATEN DONGGALA, SULAWESI TENGAH
Get PDFThis researchaims to analyzefactors of local cultural valuesand religiouscausesof violenceduring pregnancy-post-childbirth.This researchhas been conducted in Sunju Village (rural) and TanjungBatu Village (urban) in the Regencyof Donggala.Central elebes.Surveywere carried out amongall married women of childbearingage who are pregnant. women at post-childbirth. those who hove experienced
pregnancyand giving birth at maximum of two yearsago.and experiencedviolenceduring that time. A total number of 94 respondent swereinvolvedin this research.The resultsshowedthat husbandto wife
violenceoccurredduring pregnancyand post-childbirth both in urban and rural areas. The percentage of violencetoward wife in the urban reached43.28 percent. while that in the rural was 42.8 percent. Local cultural values refelected in the concept of siri\u27 or naeya and the practice of doi\u27 balanca are portly responsiblefor the violence. In addition. religious doctrine has also significant contribution to trigger the husbandto wife violencein urban and rural areas
SIGNIFIKANSI SURAT WASIAT DALAM BUDAYA KOMUNITAS KULIT PUTIH AMERIKA BAG IAN SELATAN
No full textThis paper aims at revealing that last will and testament in southern white culture does not limit
its function as the legal document for transfering material and worldly property as it has recently been the focus of some researchers and the belief of the majority of modern southerners. Southern last will and testament is a symbolic construct. Individually it is the representation or the self expression of the intention of the makers. Southern last will and testament is the expression of individual p-eedom to give or not to give his property to others and to keep or to reveal their hidden secret to public in the intention of preserving their honor.1t is also utilized to embed familial and religious values
RIVALITAS TRADISI-MODERNITAS DALAM PERSPEKTIF POSKOLONIAL: TELAAH ATAS SEJUMLAH SAJAK ABAD 20
Get PDFSince modernity go to Indonesia along with the application of ethical politics of the Dutch colonial government. it can be said of conflict and rivalrybetween traditionand modernity in this
country. A number of poems written in the early to late 20th century reflected the rivalry between tradition and modernity is. With the post-colonial approach is expected to be seen who the party is dominant and the marginalized in the rivalry between tradition and modernity in this country. as reflected in a number of poems
OPTIMASI ISOLALSI LIPASE INDIGENOUS BIJI KAKAO (Theobromcaacao L) = The Optimizing of Isolation of Cocoa Bean Indogenous Lipase (Theobroma cacao L)
Get PDFPenelitian ini bertujuan untuk mengoptimasi isolasi lipase indigenous biji kakao. Optimasi diawali dengan menentukan keberadaan lipase kemudian optimasi medium ekstraksi dan proses ekstraksi. Hasil penelitian menunjukkan bahwa lipase berada dalam sitosoi. Penghilangan lemak tidak meningkatkan aktivitas lipase. Senyawa polifenol menghambat aktivitas lipase dan penghilangan polifenol dapat meningkatkan aktivitas lipase. Polyvinilpolypirrolidone (PVPP) dapat menghambat polifenol sehingga dapat meningkatkan aktivitas lipase. Konsentrasi PVPP optimum adalah 8 % dari berat biji kakao. Proses homogenisasi optimum diperoleh dalam waktu 10 menit pada kecepatan 10.000 rpm.
Medium ekstraksi untuk isolasi lipase biji kakao terbaik adalah bufer fosfat 0,15 M dan pH 7,5 yang mengandung sukrosa 0,6 M dan 1,0mM CaCI2
KAJIAN CIDER SEBAGAI ALTERNATIF PENGANEKARAGAMAN PRODUK KOPI = Study of Cider as Alternative Product Diversivication from Coffee
Get PDFKopi merupakan komoditas ekspor penting Indonesia. Tidak banyak produk olahan dari kopi, yang lebih dikenal sebagai minuman menyegarkan dan menyenangkan, sehingga menarik untuk membuat diversifikasi produk kopi. Salah satu alternatif adalah pengolahan cider. Kopi yang digunakan dalam peQelitian ini adalah kopi tanpa kafein, Robusta dan Arabika. Jumlah gula yang ditambahkan adalah 15 %, 20 %, dan 25 %. Kultur alami, kombinasi Sacharomyces cerevisea dan Acetobacter xylinum, kombinasi Sacharomyces Ludwigii dan Acetobacter xylinum, kombinasi S. cerevisiae, S.Ludwigii, danA.xylinum digunakan sebagai starter.Parameter yang diamati meliputi: kadar gula pereduksi, alkohol, total asam tertitrasi, pH dan Uji Organoleptik (warna, aroma,rasa, kejernihan, dan penerimaan umum). Cider kopi dengan skor penerimaan keseluruhan tertinggi dibuat dari kopi tanpa kafein, dengan penambahan gula 20 % dan kombinasi S. Ludwigii dan A. xylinum sebagai starter. Hasil analisis korelasi menunjukkan hubungan signifikan negatif antara pengurangan kadar gula dan aroma sari kopi. Hubungan yang bermakna positif ditemukan antara keasaman total dan aroma, rasa dan penerimaan keseluruhan cider kopi
TANGGUNG JAWAB DIREKSI DALAM KEPAILITAN PERSEROAN TERBATAS BERDASARKAN UNDANG-UNDANG PERSEROAN TERBATAS
Get PDFIn running their duties, the board of directors are given rights and full authority to represent the companyas long as they act in conformity to the corporation s Article of Associations. The directors of a limited liability company have both internal and external responsibilities. Internal responsibility includes the Directors\u27 liability towards the Company and its Shareholders, meanwhile external responsibility covers the Directors\u27 liability towards third parties to whom the company owes direct or indirect legal connection. There are two approaches to reason the effect of insolvency order to directors of a limited liability, i.e. \u27by operation of law\u27 and \u27rule of reason \u27.
Keywords: director, corporation, bankrupt
PEMBERDAYAAN TERHADAP KINERJAANGGOTA DEWAN PERWAKILAN RAKYAT DAERAH KOTA DEPOK JAWA BARAT
Get PDFOrganisation performance is of the utmost importance, as through performance the degree of achievement can be seen. Such achievement must be in accordance with the pre-determined mission as a ground to complete the tasks. This study aims to learn the effect of empowerment towards the performance of Depok City Legislation Council. This study employs a quantitative approach and the path analysis model. The research results shows: (1) the effect of the empowerment to DPRD performance is significant. (2) the effect of a collaborative team on DPRD performance is not significant, (3) the effect of the superior on DPRD performance is not significant. and (4) the effect of communication effort on the DPRD performance is not significant.
Keywords: empowerment, performance, member of Depok City Legislation Council
Asupan zat gizi mikro dengan fungsi kognitif pada lanjut usia Micronutrients intake and cognitive function of the elderly
Get PDFBackground: The elderly population in Indonesia increased signifi cantly in the last two decades as the life expectancy increase from 66.7 years to 70.5 years with impact to the emergence of diseases in the elderly. One of them is degradation of cognitive function that may disrupt productivity, daily activities, and quality of life of the elderly. Adequate micronutrients intake may help in maintaining cognitive function.
Objective: To identify association between intake of micronutrients (vitamin B6, folate, vitamin C, and vitamin E) and cognitive function of the elderly at Among Yuswa Club of Banteng Baru, District of Sleman.
Method: This was an observational study with cross sectional design. Subjects were elderly people at Among Yuswa Club of Banteng Baru, District of Sleman. Data on cognitive function was obtained using the Mini Mental State Examination (MMSE) and intake of micronutrients were collected using Semi Qualitative Food Frequency Questionnaire (SQFFQ). The data was analysed by chi square and logistic regression tests.
Result: The result showed statistically signifi cant association between cognitive function and intake of vitamin B6 (p=0.010RP=2.51495%CI=1.133-5.575), vitamin C intake (p=0.011RP=3.03995%CI=1.454-6.353) and vitamin E intake (p=0.021RP=1.26695%CI=1.057-1.516)meanwhile folate intake has no signifi cant association with cognitive function (p>0.05).
Conclusion: There were signifi cant associations between intake of vitamin B6, vitamin C and vitamin E with cognitive function. There was no signifi cant association found between intake of folate and cognitive function in the elderly.
KEY WORDS micronutrients, cognitive function, elderl
PARADOKSALITAS DI BALIK KEMEGAHAN BOROBUDUR
Get PDFThis article aimes at exploring the destination organization management in Borobudur temple. The approach method used in this writing is descriptive interpretative of organization behavior. The data is collected from literature study, participated observation, and the discussions in the seminars. Its findings shows that the succes of an organization in managing Borobudur temple is not significant with the level of welfare at the community around it. In fact, the behavior\u27s organization management of Borobudur has been focusing on the running of legal and economics responsibilities rather than the social onessuch has been mandated by the vision of Ministry of State-Owned Enterprises in Law Nomor 40 of2007 and Law Nomor 10 of2009. Moreover, it is aggravated by the behavior of urban society who also has their own interests. Finally, the local community would be more marginalized if there is no serious empowerment actions taken by the government immediately.
Keywords: management, organization, destination, welfare
Penulisan artikel ini bertujuan untuk mengetahui tata kelola organisasi destinasi candi Borobudur. Pendekatan metode yang digunakan dalam penulisan, yaitu deskriptif interpretatif mengenai perilaku organisasi yang datanya didapat dari studi literatur, pengamatan terlibat, dan diskusi-diskusi dalam seminar. Hasil temuan menunjukkan bahwa kesuksesan organisasi mengelola candi Borobudur, tidak sebanding dengan tingkat kesejahteraan masyarakatnya karena perilaku organisasi Taman Wisata Candi Borobudur lebih fokus menjalankan tanggung jawab hukum dan ekonomi dari pada tanggung jawab sosial yang diamanahkan oleh visi Kementrian Badan Usaha Milik Negara, Undang-Undang Nonier 40 Tahun 2007, dan Undang-Undang Nomer 10 Tahun 2009. Hal ini juga diperburuk oleh perilaku masyarakat urban yang juga mempunyai kepentingan. Masyarakat lokal akan terus semakin termarginalkan apabila tidak segera dilakukan langkah-Iangkah pemberdayaan secara serius.
Kata kunci: tata kelola, organisasi, destinasi, kesejahteraa