17 research outputs found
A Holistic Supplementation Regimen for Tongue-Tied Babies With Slow Weight Gain and Failure to Thrive
No full textBreastfeeding is the best way to feed infants, but optimal milk transfer and weight gain depend on good latching. Tongue- and lip-tie can prevent successful latching and prevent adequate nutrition. Tongue- and lip-tied babies can either have slow weight gain (SWG) or failure to thrive (FTT). We examine the effect of a holistic supplementation regimen on tongue-tied babies with SWG and FTT. This was a descriptive, cross-sectional study of 55 tongue- and lip-tied babies with SWG and FTT at KMC Hospital, Jakarta, Indonesia. All babies underwent frenotomy and received supplementation with formula (64%) or pasteurized donor breast milk, using either a modified lactation aid (78%) or the Medela Supplemental Nursing System (22%). All mothers received domperidone and acupuncture to improve milk supply. A majority of babies had type 3 tongue-tie (46%) and class 3 upper lip-tie. Twenty-five subjects (45%) had SWG, and 30 subjects (55%) had FTT. All mothers had low milk supply. At-the-breast supplementation improved the nutritional status of 44/55 subjects (80%,p< .001), whereas 11 subjects received early complementary feeding at 4 months of age. By the end of the study, all subjects were solely breastfed without at-the-breast supplementation. The holistic management of tongue- and lip-tied babies with SWG or FTT consisting of frenotomy, at-the-breast supplementation, domperidone, and acupuncture improved infant nutritional status and the mother’s milk supply. Babies could breastfeed without supplementation after treatment and gained weight.</jats:p
Method of Strengthening Structure of Building
No full textThe owner asks the author to see the condition of the commercial building. The author recognizes that Commercial Buildings do not meet the requirements of the structure of strength, stability, and stiffness. Of the substructure and upper structure of commercial buildings in the business center in Riau Province. Even though they have been built, they do not meet the structural requirements. A thorough analysis is needed from the bottom structure to the top structure. This research aim is strengthening under and upper structure, nothing moving the user and operational — survey methodology with collecting primary and secondary data. Substructure and upper structure data are analyzed for the cause of the damage. The solution is the design and construction stages — design of substructure and upper structure strengthening. The right construction stage applies for an essential role in the success of the construction because the condition of the existing structure from the bottom up is weak. The structural improvement achieved successful results
Method of Strengthening Structure of Building
No full textThe owner asks the author to see the condition of the commercial building. The author recognizes that Commercial Buildings do not meet the requirements of the structure of strength, stability, and stiffness. Of the substructure and upper structure of commercial buildings in the business center in Riau Province. Even though they have been built, they do not meet the structural requirements. A thorough analysis is needed from the bottom structure to the top structure. This research aim is strengthening under and upper structure, nothing moving the user and operational — survey methodology with collecting primary and secondary data. Substructure and upper structure data are analyzed for the cause of the damage. The solution is the design and construction stages — design of substructure and upper structure strengthening. The right construction stage applies for an essential role in the success of the construction because the condition of the existing structure from the bottom up is weak. The structural improvement achieved successful results
The Role of Reviewing Building Structures to Fulfill Requirements for Stiffness, Stability and Strength of Building Structures
No full textIndonesia at the location of the earthquake All building structures must meet the structural requirements, namely stiffness, stability, strength. Review structures before building are built determine whether they meet the requirements Methodology Case studies based on secondary data. from the design consultant. The author analyzes with the help of structure software. The purpose of this research is to make sure the building structure meets the structural requirements before it is built. The author conducted a design review based on the Indonesian Code (SNI) Desain consultant data, building structure is still twist in shape mode 1 and 2 after checking in software. Then the authors review and improve mainly dimensions, reinforcement columns and add shear walls. As a result of the addition of shear walls and column changes, the structure meets the requirements of strength, stiffness and stability. Building structure does not occur twist in shape modes 1 and 2. That is the role of design structure review before it is built. To increase the stability of the structure at the bottom of the stairs out towards the back is given a retaining wall, overcoming the horizontal direction of active soil pressure, ground water and surface water from the direction of the hill
The Role of Reviewing Building Structures to Fulfill Requirements for Stiffness, Stability and Strength of Building Structures
No full textIndonesia at the location of the earthquake All building structures must meet the structural requirements, namely stiffness, stability, strength. Review structures before building are built determine whether they meet the requirements Methodology Case studies based on secondary data. from the design consultant. The author analyzes with the help of structure software. The purpose of this research is to make sure the building structure meets the structural requirements before it is built. The author conducted a design review based on the Indonesian Code (SNI) Desain consultant data, building structure is still twist in shape mode 1 and 2 after checking in software. Then the authors review and improve mainly dimensions, reinforcement columns and add shear walls. As a result of the addition of shear walls and column changes, the structure meets the requirements of strength, stiffness and stability. Building structure does not occur twist in shape modes 1 and 2. That is the role of design structure review before it is built. To increase the stability of the structure at the bottom of the stairs out towards the back is given a retaining wall, overcoming the horizontal direction of active soil pressure, ground water and surface water from the direction of the hill
Dataset Microtransaction Study RPG/MMORPG Players
No full textThis study aims to see what factors influence purchase intention, which increases the microtransaction actors. This study uses a quantitative approach by distributing questionnaires to collect data through Google Forms. The dataset and related materials are not publicly available due to respondent privacy. However, they are available upon reasonable request for academic or non-commercial research purposes. Please contact the author to request access
Accounting dan Tax Service pada PT Winner Image (Winnindo)
No full textThe author did intership at PT. Winner Image and was positioned in tax division.
During the internship, the tax was to provide tax service by making projected
audited financial report for PT. Maju Mundur, projection of SPT for Individual
Tax Payer , projection SPT, SSP, PPh 21, PPh 25, and PPN for PT. Wade Wijaya
Mandiri, PT. Cimcee, Tata Subroto dan Rekan Certified Public Appraisal Firm,
PT. Dwiplast, PT. Sentra, PT. Dewa Sejahtera, PT. CBA Indonesia, PT. Larisee,
PT. Mantana, and making projection financial report for Reataurant XYZ and
also input journal voucher for PT. Dwiplast and PT. Wade Wijaya Mandiri.
The main problem in intership was lack of making projected audited financial
report for PT. Maju Mundur, recapitulation in PPN of PT. CBA Indonesia,
making projected SPT for Individual Tax Payer, and making projection financial
report for Restaurant XYZ. Company should have a standard for making
projected audited financial report, standard of counting in projected SPT, should
have good procedure in collecting PPN recapitulation and standard format for
projected financial report
PERSEPSI GURU TERHADAP KESIAPAN BERSEKOLAH ANAK UNTUK MASUK SEKOLAH DASAR
No full textPenelitian ini bertujuan untuk mengetahui persepsi guru terhadap kesiapan bersekolah anak untuk masuk sekolah dasar. Metode penelitian yang digunakan adalah kualitatif dengan teknik pengumpulan data menggunakan wawancara dengan tiga guru. Berdasarkan hasil penelitian yang telah dilakukan dapat disimpulkan guru memiliki persepsi bahwa kesiapan bersekolah sangat penting disiapkan sebelum anak masuk sekolah dasar. Adapun indikator kesiapan bersekolah yang perlu disiapkan oleh anak sebelum masuk sekolah dasar meliputi, aspek perkembangan kognitif, motorik, bahasa, sosial, dan emosi. Kesiapan bersekolah ini sangat bermanfaat bagi anak saat ia berada di jenjang sekolah dasar nanti, karena anak yang sudah memiliki kesiapan bersekolah salah satu manfaatnya adalah anak akan lebih mudah untuk menerima pembelajaran di sekolah dasar, hal ini disebabkan anak sudah mendapatkan pendidikan dasar sejak ia menempuh jenjang di TK. Namun, kesiapan bersekolah ini tidak hanya bermanfaat bagi anak saja, orang tua juga mendapatkan manfaatnya, seperti orang tua hanya sebagai fasilitator anak, artinya orang tua tidak perlu menyiapkan buku serta mengerjakan PR anak, orang tua hanya perlu mengingatkan dan mendampingi anak di rumah. Munculnya kesiapan bersekolah ini dikarenakan faktor lingkungan keluarga dan sekolah. Guru di TK mengungkapkan bahwa faktor paling utama yang dapat memengaruhi munculnya kesiapan bersekolah pada anak adalah orang tua, karena orang tua memiliki waktu lebih banyak dengan anak di rumah. Rekomendasi dari penelitian ini penulis berharap agar guru tetap selalu mengembangkan kegiatan-kegiatan yang menarik dalam menyiapkan kesiapan bersekolah pada anak.
This study aims to determine teachers' perceptions of children's school readiness to enter elementary school. The research method used is qualitative with data collection techniques using interviews with three teachers. Based on the results of the research that has been done, it can be concluded that teachers have the perception that school readiness is very important to prepare before children enter elementary school. The indicators of school readiness that need to be prepared by children before entering elementary school include aspects of cognitive, motor, language, social, and emotional development. This school readiness is very beneficial for children when they are in elementary school later, because children who already have school readiness, one of the benefits is that children will find it easier to accept learning in elementary school, this is because children have received basic education since they were in kindergarten. However, this school readiness is not only beneficial for children, parents also get benefits, such as parents only as child facilitators, meaning parents do not need to prepare books and do their children's homework, parents only need to remind and accompany their children at home. The emergence of this school readiness is due to family and school environmental factors. Kindergarten teachers revealed that the most important factor that can influence the emergence of school readiness in children is parents, because parents have more time with their children at home. The recommendation from this study is that the author hopes that teachers will continue to develop interesting activities in preparing school readiness in children
