323 research outputs found
NH Smart Sensor Bottleblender / Nadzatul Hajar Mhd Nizam
Get PDFNowadays, people are very concerned about their own health despite having a busy life. Due to that busy schedules and activities, they do not have time to keep track of their daily dietary intake. The nutrients that should be needed and should be out are not been detected henceforth concern a lot of people. Therefore, we have produced a product that can relief everyone’s problem and bring comfort with the name ‘NH BottleBlender’. It has a high technology to detect nutritional food value and more technologies. The company is established in January 2020 and focuses on target customer with certain age of 18 to 40 years old in the working age group which is workers and students. The company is a partnership company that manufacturers are located in Kuala Lumpur. At the beginning of business, we will concentrate states in Malaysia and slowly expand. Marketing will be made through social e- commerce, social media, flyers, retail stores and websites. NH BottleBlender is a new product that can improve our lifestyle in a better way and a great investment for individuals that really take care of their own health but needs to save time. It is light which can be carried everywhere and anywhere whilst with various colours and high-quality components. The prediction of total market size for three years is consistent by 45% where it will rise more in the future, although the market share and sales will grow by at least 0.000100% for within three years. In this company, it is a partnership with the every partner contributed a certain amount of capital which are Nadzatul Hajar as a General Manager, Nuraiman Khaliesah as Financial Manager, Syafiqa Emylyana as Administrative Manager, Muhammad Amirul as Marketing Manager and Muhammad Adam as Operation Manager. Each partner has its own obligations where all partners are expected to plan and manage the department's operations wisely
Self-Rolling Yoga Mat / Adam Roslan ... [et al.]
Get PDFNowadays, yoga mats are vital equipment that many people use during workouts or exercise. Yoga mats are easy to get at any big store or sports store. This equipment provides a surface for the users to perform any exercise comfortably. Due to technological advancement, yoga mats can be improvised to a better version and use innovative ideas to make the product have more functions for the consumer. SELO Mat is a yoga mat created by us with improvements and the implication of a "slap bracelet" technology. This technology allows SELO Mat to roll on its own after use. We target this product to students, travellers and athletes. SELO Mat is priced at RM89.90 for small size, RM129.90 for medium size and RM179.90 for large size. Before we open the price of the research and development, we have made a study related to the price that will be placed; the purpose of this is to provide satisfaction with the quality of goods and reasonable prices to our potential consumers. We believe that our products can provide satisfaction in terms of materials used and existing technology. Our profit is 50% of the cost price for potential investors, which is RM30.70 for small size, RM44.80 for medium size, and RM61.30. The project is led by Muhammad Amirul Muhamad Herry Chan as General Manager and assisted by his team, namely Muhammad Hazwan Bin Mohd Nizam as Assistant Manager, Mohamad Hariz Bin Mohamad Sani as Administrative Manager, Nor Husnina Binti Mohd Yusni as Financial Manager, Adam Bin Roslan as Operating Manager, Najwa Syafiqah Binti Mazelan as Research & Development Manager and Shuhaidah Binti Mohd Noh as Marketing Manager
An inspection report on applicatıon of nizam‐i cedid on anatolia (1806)
No full textIn the present study, a report written by a clerk who was appointed to a center belonging to Nizam‐ ı Cedid was examined. The clerk visited Kütahya, Hüdavendigar, Karesi, Saruhan, Aydın, Menteşe, Teke, Hamid, Konya, Beyşehir and reported the problems. However, it is still unknown who the author of thisreport was. It is also suspicious whether thisreport was applied or not. On the other hand,the report is an important document asit presentsthe situation of Anatolia at that time. Because of this,the documents are compared with previous studies, presented in Turkish.Bu çalışmada, Anadoludaki Nizam‐ı Cedid ortalarına dair merkezden görevlendirilen bir memurun yazdığı ariza incelenmiştir. Memur Kütahya, Hüdavendigar, Karesi, Saruhan, Aydın, Menteşe, Teke, Hamid, Konya, Beyşehir sancaklarını gezmiş, gördüğü eksikleri raporuna yazmıştır. Fakat raporu kimin yazdığı belli değildir. Bu raporun uygulanıp uygulanmadığı da kuşkuludur. Ancak 1806da Nizam‐ı Cedid askerinin Anadoludaki durumunu göstermesi açısından ise ariza önemli bir belgedir. Bu nedenle belgenin günümüz Türkçesiyle okuyucunun anlayacağı şekilde verilerek daha önce bu konuda yapılan çalışmalarla karşılaştırılmıştır
Book of Government or Rules for Kings (Nizam al-Mulk)
No full textDiplomová práce se zabývá Knihou o vládě, kterou napsal jeden z nejslavnějších vezírů íránských dějin Nizam al-Mulk v 11. století. Autor v knize shrnul své teoretické a politické myšlení a i své praktické zkušenosti z vysoké politiky. Snažil se podat návod na správnou vládu. Stručně je v diplomové práci popsána doba vzniku knihy (seldžucké období za sultána Alparslána a Malekšáha), vliv islámu a islámského práva na vznik knihy, autorův stručný životopis, literární žánr "zrcadlo princů". Dále jsou z knihy rozebrány a okomentovány "příběhy" týkající se soudců, úředníků a duchovenstva. Pozornosti neuteklo ani postavení žen, jak je zachyceno v Knize o vládě.ObhájenoThe thesis deals with the Book of Government, written by one of the most famous viziers in Iranian history, Nizam al-Mulk in the 11th century. In the book, the author summarized his theoretical and political thinking as well as his practical experience in high politics. He tried to give instructions for good government. The diploma thesis briefly describes the time of the book's origin (Seljuk period under Sultans Alparslán and Malekšáh), the influence of Islam and Islamic law, the author's brief biography, the literary genre "mirror for princes". Furthermore, "stories" concerning judges, officials and clergy are analyzed and commented. The position of women has not escaped attention either, as described in the Book of Government
Perbandingan Akurasi Algoritma Easy-WPW, Algoritma Arruda dan Algoritma Pambrun dalam Menentukan Posisi Accesory Pathway pada Pasien dengan Wolff-Parkinson-White Syndrome di RSUP Haji Adam Malik Medan
Get PDFIntroduction : Wolff-Parkinson-White Syndrome (WPW) is a form of ventricular pre-excitation in which part of the ventricular myocardium is depolarized early by one or more accessory pathways (AP) that pass through the atrioventricular (AV) node. In cases with severe or recurrent symptoms, electrophysiologic study EPS followed by catheter ablation using radiofrequency ablation (RFA) is recommended as definitive first-line therapy due to its high success rate. This study aimed to compare the accuracy of EASY-WPW algorithm with Arruda algorithm and Pambrun algorithm in determining the position of AP in patients with WPW at H. Adam Malik Hospital, Medan.
Methods : This study is a cross sectional analytic study of patients with WPW syndrome who underwent EPS at HAM Hospital from January 2021 to August 2023. Then ECG data was read with three WPW algorithms by a cardiologist to see the concordance between AP location using ECG algorithm and AP location based on SEF. Intraobserver reliability analysis was also performed to minimize bias. Kappa coefficient >0.8 and P-value <0.05 indicated reliable measurement.
Results : The number of subjects in this study were 27 people, consisting of 19 people (70.4%) male and eight people (29.6%) female with an average age of 35.5 ± 14.4 years. This study shows that the Easy WPW algorithm has the best accuracy with a suitability percentage of 74.1% followed by the Pambrun algorithm 70.4% and the Arruda algorithm has the lowest accuracy with a suitability percentage of 66.1%. From the results of the kappa test, the reading of the Easy WPW algorithm obtained a Kappa coefficient of 0.908 and a P-Value <0.01 so that the measurement results are reliable.
Conclusion: Easy WPW algorithm is better than Arruda algorithm and Pambrun algorithm in determining AP position in WPW Syndrome patients at H Adam Malik Hospital Medan.90 PagesTesis Magiste
Hubungan Distorsi Terminal Qrs dengan Derajat Keparahan Lesi Arteri Koroner yang Dinilai dengan Skor Syntax pada Pasien Infark Miokard Akut dengan Elevasi Segmen ST (IMAEST) di RSUP Haji Adam Malik
No full textObjective: STEMI is still the leading cause of death in the world. Many studies on electrocardiography (ECG) can play a role in diagnosing and also determining the prognosis of acute myocardial infarction. The Sclarovsky-Birnbaum Ischemia Grading (SB-IG) algorithm classifies 3 degrees of ischemia, namely grade I (G1I), grade II (G2I), and grade III (G3I). This study aimed to determine the relationship between QRS terminal distortion (G3I) and the severity of coronary artery lesions as measured by the Syntax score in IMAEST patients undergoing coronary angiography at H. Adam Malik General Hospital.
Methods: This study is an ambispective cohort study from January 2020 to February 2021. There were 112 patients diagnosed with STEMI with an onset of under 24 hours and underwent coronary angiography during their stay at the Integrated Heart Center H. Adam Malik Hospital. Each variable will be calculated with a p value <0.05 is considered statistically significant.
Results: There were 112 people consisting of 100 (89.3%) male and 12 (10.7%) female. This study found a significant difference in Syntax scores between the distorted group compared to the group without QRS terminal distortion, with score 27 (7-36) vs 15 (6-29) and p value <0.001. The OR value of QRS terminal distortion in this study was 5,576 (CI 95%; 2,418-12,859). The calculation of sensitivity, specificity, PPV, and NPV values in this study were 59.3, 79.3, 72.7, and 67.6%, respectively.
Conclusion : The QRS terminal distortion has a relationship with the severity of coronary artery lesions as measured by Syntax score.Tujuan : IMAEST masih merupakan penyebab kematian utama di dunia. Banyak penelitian tentang elektrokardiografi (EKG) yang dapat berperan untuk mendiagnosa dan juga menentukan prognosis pada infark miokard akut. Algoritme Sclarovsky-Birnbaum Ischemia Grading (SB-IG) mengklasifikasikan 3 derajat iskemia yaitu derajat I (G1I), derajat II (G2I), dan derajat III (G3I). Penelitian ini ditujukan untuk mengetahui hubungan antara distorsi terminal QRS (G3I) dengan derajat keparahan lesi arteri koroner yang dinilai dengan skor Syntax pada pasien IMAEST yang menjalani angiografi koroner di RSUP H. Adam Malik.
Metode : Penelitian ini merupakan suatu studi kohort ambispektif mulai Januari 2020 sampai Februari 2021. Jumlah sampel sebanyak 112 orang pasien yang didiagnosis dengan IMAEST dengan onset di bawah 24 jam serta menjalani angiografi koroner selama masa rawatan di Pusat Jantung Terpadu RSUP H.Adam Malik yang memenuhi kriteria inklusi dan eksklusi. Masing-masing variabel akan dihitung nilai p, dengan nilai p <0,05 dianggap signifikan secara statistik.
Hasil : Subyek penelitian sebanyak 112 orang yang terdiri dari 100 orang (89.3%) laki-laki dan 12 orang (10.7%) perempuan. Penelitian ini mendapatkan perbedaan signifikan skor Syntax antara kelompok dengan distorsi dibandingkan dengan kelompok tanpa distorsi terminal QRS, yaitu skor 27 (7-36) vs 15 (6-29) dengan nilai p<0.001. Nilai OR distorsi terminal QRS pada penelitian ini ialah 5.576 (IK95%; 2.418-12.859). Perhitungan nilai sensitivitas, spesifisitas, NPP, dan NPN pada penelitian ini ialah 59.3, 79.3, 72.7, dan 67.6% secara berurutan.
Kesimpulan : Gambaran distorsi terminal QRS dan fraksi ejeksi pada pasien IMAEST memiliki hubungan dengan derajat keparahan lesi arteri koroner yang dinilai dengan skor Syntax.76 HalamanTesis Magiste
Hubungan NT Pro BNP dan Gambaran Ekokardiografi Disfungsi Ventrikel Kanan Dengan Penyakit Paru Obstruktif Kronik di Rumah Sakit Urnum Pusat Haji Adam Malik Medan
No full textPenelitian ini merupakan studi statistik potong lintang untuk menilai
hubungan antara abonormalitas kadar NT Pro BNP dan gambaran ekokardiografi
disfungsi ventrikel kanan pada Penyakit Paru Obstruktif Kronik. di unit rawat jalan
Pusat jantung Terpadu Rumah Sakit H. Adam Malik Medan. Penderita PPOK
dikelompokkan berdasarkan kriteria GOLD dari pemeriksaan spirometri, kemudian
dibagi dalam 2 kelompok besar derajat keparahan penyakitnya yaitu kelompok
penderita PPOK berat (GOLD III) dan penderita PPOK sangat berat (GOLD IV).
Subyek kemudian dilakukan pemeriksaan NT pro BNP dan pemeriksaan ekokardiografi
untuk menilai perubahan patologis pada jantung.
Hasil : Temuan abnormalitas NT Pro BNP lebih tinggi pada PPOK derajat sangat berat
(GOLD IV) dibanding PPOK derajat berat (GOLD III). Didapat perpotongan nilai (ROC)
NT Pro BNP sebesar >172 pg/nL yang merupakan parameter awal adanya disfungsi
ventrikel kanan. Hipertensi pulmonal dijumpai pada 93% kasus. Temuan patologis
jantung yang banyak dijumpai adalah hipertrofi ventrikel kanan sebesar 71%, subyek
mengalami disfungsi ventrikel kanan sebesar 86,7% dan regurgitasi pulmonal sebesar
87,5%. Temuan patologis pada ekokardiografi ini lebih banyak ditemukan pada
kelompok dengan GOLD IV. Beratnya derajat keparahan PPOK berhubungan dengan
abnormalitas NT Pro BNP (p < 0.001) dan berhubungan dengan temuan patologis
ekokardiografi (p < 0.001).94 HalamanTesis Magiste
EKG Pola Strain Sebagai Prediktor Disfungsi Sistolik Ventrikel Kiri Subklinis (DSVKS) pada Penderita Hipertensi dengan Fraksi Ejeksi Ventrikel Kiri (FEVK) Normal di Rumah Sakit Umum Pusat Haji Adam Malik Medan
No full textBackground: Early detection of subclinical left ventricular systolic dysfunction (DSVKS) is
important in the patient with hypertension to prevent heart failure. Electrocardiography
(ECG) can simply predict the cardiac abnormality of patients with hypertension and
echocardiography examination. Global longitudinal strain (GLS) is a very promising method
of echocardiographic examination to identify patients with mild systolic dysfunction that is
not reflected in the reduction in left ventricular ejection fraction (LVEF)
Methods: A total of 77 hypertensive patients who underwent outpatient treatment at the
Cardiac Centre of Haji Adam Malik Hospital were analyzed cross-sectionally. The patient
then performed an ECG examination to assess the presence or absence of a strain pattern
ECG and an echocardiography examination to assess cardiac function and structure,
especially GLS in addition to other parameters. Patients will be divided into two groups
based on GLS [ > -18, DSVKS (+) and ≤-18, DSVKS (-) ]. Then it will be tested whether the
strain pattern ECG can be predictor of an DSVKS and assess any factor affecting DSVKS, p
<0.05 is considered statistically significant
Results: Of the 77 subjects, there were 35% (27 people) with abnormal GLS (GLS ≥ -18) .
Of the 16 subjects with strain pattern, there were 13 subjects (81.3%) with , while from 61
subjects without strain pattern, only 23% with DSVKS (+) with dengan PR 3.54 CI 95%
(2.11- 5.93) p<0.001. In a multivariate analysis, patients with strain pattern had an increased
risk of DSVKS 6.79 times compared with patients without strain pattern [OR 6.79 (1.12 -
41.02), p = 0.03]. Other factors related to DSVKS were lasting hypertension (p = 0.04),
diastolic blood pressure (p = 0.02), IVSD (p = 0.01), and Sokolow-Lyon criteria (p = 0.01)
Conclusion: Strain pattern ECG is an independent predictor of DSVKS. In this study, GLS
echocardiography can detect 35 % DSVKS in hypertensive patients with normal LVEF.Latar Belakang: Deteksi dini disfungsi sistolik ventrikel kiri subklinis (DSVKS) merupakan
hal yang penting pada penderita hipertensi untuk mencegah terjadinya gagal jantung.
Elektrokardiografi (EKG) secara sederhana dapat memprediksi kondisi struktural jantung
penderita hipertensi dan pemeriksaan ekokardiografi. Global longitudinal strain (GLS)
merupakan modalitas yang dapat digunakan untuk mendeteksi DSVKS khususnya pada tahap
awal penyakit dimana fraksi ejeksi ventrikel kiri (FEVK) masih normal
Metode: Sebanyak 77 pasien hipertensi yang menjalani perawatan rawat jalan di pusat
jantung terpadu (PJT) Rumah Sakit Haji Adam Malik dianalisis secara cross-sectional.
Pasien kemudian dilakukan pemeriksaan EKG untuk menilai ada tidaknya pola strain dan
dilakukan pemeriksaan ekokardiografi untuk menilai fungsi dan struktur jantung khususnya
global longitudinal strain (GLS) selain parameter lain. GLS>-18 dikatakan abnormal
(DSVKS). Pasien akan dibagi kedalam dua kelompok berdasarkan GLS [>-18, DSVKS (+)
dan ≤ -18, DSVKS (-)]. Kemudian akan diuji apakah EKG pola strain dapat dijadikan
prediktor GLS abnormal dan menilai faktor apa saja yang mempengaruhi DSVKS, nilai p
<0,05 dianggap bermakna secara statistik.
Hasil: Dari 77 subjek, terdapat 35 % (27 orang) dengan GLS <-18 [GLS (+)]. Dari 16 subyek
yang memiliki EKG pola stain, terdapat 13 subyek (81,3%) dengan DSVKS (+), sedangkan
dari 61 subyek yang tidak memiliki LV strain, hanya 23% dengan DSVKS (+) dengan nilai
p<0.001. Pada analisis multivariate, pasien dengan EKG pola strain memiliki peningkatan
risiko DSVKS 6.79 kali dibandingkan pasien tanpa EKG pola strain [OR 6.79 (1.12 – 41.02),
p=0.03]. Adapun faktor lain yang berkaitan dengan DSVKS yaitu lama hipertensi (p= 0.04),
tekanan darah diastole (p=0.02), IVSD (p=0.01), dan kriteria Sokolow-Lyon (p=0.01)
Kesimpulan: EKG pola strain merupakan prediktor independen dari DSVKS. Dalam
penelitian ini, ekokardiografi GLS dapat mendeteksi 35% DSVKS pada pasien hipertensi
dengan FEVK normal.Tesis Magiste
Voltase Gelombang QRS yang Rendah pada Ekg Sebagai Prediktor Kejadian Multi Vessel Disease pada Pasien Infark Miokard Akut Elevasi Segmen ST Anterior di Rsup Haji Adam Malik
No full textBackground: Normal myocardium generates a QRS complex voltage on the electrocardiogram (ECG) that indicates the viability of the myocardium. Low voltage ECGs can be associated with a variety of cardiac and non-cardiac conditions which low voltage QRS is defined by the total voltage of the QRS complex in a precordial lead less than 10 mm (1 mV) or the total voltage of the QRS complex in a limb lead less than 5 mm (0.5 mV). In STEMI, the coronary artery is total occluded and reperfusion do not perform, the viability of the myocardium will be disrupted. The aims of this study is to examine whether low QRS voltage can be used as a predictor of the incidence of multi vessel disease (MVD) in anterior STEMI patients at the Haji Adam Malik Haji Genereal Hospital. Methods: This is a cross-sectional study consist of anterior STEMI patients who were hospitalized from February 2019 to June 2019. All subjects diagnosed with anterior STEMI and already fulfilled the inclusion and exclusion criterias. The QRS voltage on the ECGs were assessed first time when the patient came to emergency departement. Then during hospitalization, the patients will undergo coronary angiography to assess the condition of the coronary arteries. Results: Of the 60 anterior STEMI patients, 33 people had a low QRS voltage and 27 people in normal voltage. Among the low QRS voltage group, 32 people had MVD based on coronary angiography results. While in the normal voltage group, 21 people have CAD 1VD. Low QRS voltage can predict the MVD event with sensitivity of 84.2%, specificity of 95.5%, negative predictive value (NPV) of 77.7% and positive predictive value (PPV) of 96.9%. Multivariate analysis showed that a low QRS voltage was the only independent factor to predict MVD in this study (OR 47.6, p = 0.037). Conclusion: Low QRS voltage is a simple, very useful, and easy to remember and can be an independent factor for predicting MVD event in patients with anterior STEMI.Latar Belakang : Miokard normal umumnya akan menghasilkan voltase kompleks QRS pada elektrokardiogram (EKG) yang mengindikasikan viabilitas miokardium tersebut. EKG low-voltage dapat dihubungkan dengan berbagai macam kondisi kardiak maupun nonkardiak dimana voltase gelombang QRS yang rendah (low-voltage QRS) didefinisikan dengan dijumpainya voltase total kompleks QRS pada sadapan prekordial kurang dari 10 mm (1 mV) atau voltase total kompleks QRS pada sadapan ekstremitas kurang dari 5 mm (0,5 mV). Pada keadaan IMAEST akan terjadi oklusi pada pembuluh darah koroner yang jika tidak dilakukan reperfusi maka akan mengganggu viabilitas miokardium. Penelitian ini bertujuan untuk menguji apakah voltase gelombang QRS yang rendah dapat digunakan sebagai prediktor kejadian multi vessel disease (MVD) pada pasien IMAEST anterior di Rumah Sakit Umum Pusat Haji Adam Malik Medan.
Metode : Penelitian ini merupakan penelitian potong lintang terhadap pasien IMAEST anterior yang menjalani perawatan di RSUP HAM sejak Februari 2019 sampai Juni 2019. Semua subyek penelitian yang didiagnosa dengan IMAEST anterior dan memenuhi kriteria inklusi dan eksklusi diikutsertakan dalam penelitian dan dinilai voltase QRS pada EKG saat pasien pertama kali datang ke rumah sakit. Selama perawatan pasien akan menjalani tindakan angiografi koroner untuk menilai keadaan pembuluh koroner. Kemudian dilakukan analisa untuk melihat peran voltase gelombang QRS yang rendah dalam menilai kejadian MVD.
Hasil : Dari 60 pasien IMAEST anterior, sebanyak 33 orang mempunyai voltase QRS yang rendah dan 27 orang mempunyai voltase QRS yang tidak rendah. Dari kelompok voltase QRS rendah, 32 orang mempunyai MVD berdasarkan hasil angiografi koroner. Sedangkan dari kelompok voltase QRS tidak rendah, sebanyak 21 orang mempunyai 1VD. Voltase QRS yang rendah dapat memprediksi kejadian MVD dengan sensitivitas 84.2%, spesifisitas 95.5%, negative predictive value (NPV) 77.7% dan positive predictive value (PPV) 96.9%. Analisa multivariat menunjukkan bahwa voltase QRS yang rendah merupakan satu-satunya faktor independen untuk memprediksi terjadinya kejadian MVD pada penelitian ini (OR 47.6, p = 0.037).
Kesimpulan : Voltase QRS yang rendah merupakan sebuah indikator yang mudah dikerjakan, sangat berguna, mudah diingat dan dapat menjadi faktor independen untuk memprediksi kejadian MVD pada penderita IMAEST anterior.75 HalamanTesis Magiste
Independence or Development?: An Overview of TurkeyÃs Foreign Language Education Policies
Get PDFMany countries have long had two sorts of interests; on the one hand, they have had to remain independent via protecting and promoting their official languages as a powerful symbol of their identities, and on the other hand, they have had to enable technological and economic development, which essentially involves international communication, usually by means of a foreign language. These two sorts of interests have often posed a dilemma for those countries and their peoples, because protecting and promoting identities have often implied closed and egocentric policies while international communication has involved more open and other-conscious policies. In todayÃs world, this dilemma is even more highlighted because of the so-called "globalization", which is taking place. In this article, I will present this dilemma by focussing on one country, Turkey, and its foreign language education policies. An historical account of the countryÃs interaction with other languages (than Turkish) will precede a presentation of the recent shape the recurring dilemma took, namely, teaching foreign languages versus teaching in a foreign language, in the daily national papers and publications in the1989 and 1997 discussions. I will then make personal suggestions of conduct for decision-makers in Turkey and other countries facing the same dilemma.Turkey, foreign language education, language planning
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