1,720,992 research outputs found
TREATMENT OF NEGLEGTED STERNOCLAVICULAR (SC) DISLOCATION WITH CANNULATED SCREW AND CERCLAGE WIRE OSTEOSYNTHESIS
Full text linkAbstrak. Dilaporkan sebuah kasus seorang laki-laki 18 tahun, mengalami kecelakaan lalu lintas terjatuh dari tabrakan sepeda motor 6 bulan sebelum datang berobat ke poliklinik Orthopaedi RSUZA Banda Aceh, pasien mengeluh nyeri bahu kiri. Dari pemeriksaan fisik didapatkan pada inspeksi terlihat hilangnya kontur normal pada sisi kiri sternum dan ada tonjolan ujung bagian dalam tulang klavikula kiri. Pemeriksaan sistem vaskular dan saraf tungkai atas kiri dalam batas normal. Pada pemeriksaan ronsen dada posisi postero-anterior didapatkan dislokasi Sternoklavicula kiri dengan pergeseran sekitar 5 cm. Kami lakukan operasi elektif, reduksi terbuka dengan immobilisasi dan fusi menggunakan canulated screw dan kawat cerclage. Didapatkan hasil operasi yang memuaskan baik dari aspek anatomis dan fungsinya pada evaluasi 1 tahun.
Abstract. Reported a 18-year-old man road motor cycle accident. He presented to the policlinic orthopaedic department at dr. Zainoel Abidin General hospital with left shoulder pain. He was diagnosed with a left anterior SC dislocation neglegted. On physical examination, the patient loss of the normal anatomical contour with prominent of the left medial clavicle into the superior mediastinum was noted. A vascular examination was normal, with intact radial, ulnar, median, and axillary nerve sensation and function. Review of the chest postero anterior view revealed a dislocation of the medial clavicle with displacement of the medial clavicular fragment anterior to the manubrium. We treated with open reduction and internal fixation using cannulated screwing and cerclage osteosynthesis with favourable outcome up to one year follow up
Surgical of Lumbar Disc Herniation at Zainoel Abidin General Hospital Banda Aceh: Experience with 28 Patients
Full text linkAbstrak. Pembedahan adalah salah satu opsi didalam penanganan HNP Lumbal apabila penanganan secara konservatif mengalami kegagalan. Hasil pengobatan HNPL di Rumah Sakit Umum dr. Zainoel Abidin Banda Aceh belum pernah dilaporkan sebelum,nya. Oleh karena itu penelitian ini melaporkan hasil operasi pada HNPL periode tahun 2010-2012. Penelitian ini dilakukan secara retrospektif. Operasi HNPL dalam periode tersebut adalah pada 28 pasien. Tidak ditemukan HNPL pada kelompok umur group 1 (1-18 tahun), pada kelompok umur group II (19-40 tahun) didapatkan 7 pasien (25%), dan pada kelompok group III (usia lebih 40 tahun) didapatkan pada 21 pasien (75%). Berdasarkan lokasi, L2-L3 didapatkan pada 1 pasien (3.57%), L4L5 pada 20 pasien (71,42%), L5-S1 pada 3 pasien(10,71%), dan 4 pasien pasien HNPL dengan lokasi ganda. Kesimpulannya, lokasi tersering dari HNPL adalah di L4-5. Opsi pembedahan pada HNPL perlu dipertimbangkan apabila pengobatan secara konservatif mengalami kegagalan (dicoba secara konservatif dalam kurun waktu 6 minggu-6 bulan). Hemilaminektomi dan disektomi adalah prosedur tersering pada pembedahan HNPL di Rumah Sakit umum dr. Zinoel Abidin, Banda Aceh.
Abstract. Surgery is one of the options in HNPL management if standar conservative treatment failed. HNP surgery results in Aceh have not been reported yet. Therefore, this study reported the HNPL surgery in Zainoel Abidin General Hospital, Banda Aceh period 2010-2012. This research was a descriptive retrospective.The incidence of HNPL who underwent surgery was 28 patients. There was no HNPL case in the age group I (0-18 years), age group II (19-40 years) was 7 patients (25%), and age group III (over 40 years) was 21 patients (75%). Based on HNPL location, no HNPL located in the L1-L2 and L3-L4, L2-L3 was 1 patient (3.57%), L4-L5 was 20 patients (71.42%), L5-S1 was 3 patients (10.71%), and there were 4 patients HNPL in multiple lumbar (14.28%). Hemilaminectomy was the most common type of surgery performed (27 patients or 96.42%), followed by laminotomy (1 patients or 3.57%). In summary, the most common lumbar disc herniation was in L4-L5. The surgical option is only for the patients that failed conservative treatment (in six weeks- six months period). Hemilaminectomy was the most common procedure performed in HNP patient in Aceh
Treatment of Neglegted Sternoclavicular (SC) Dislocation with Cannulated Screw and Cerclage Wire Osteosynthesis
Full text linkTreatment of Neglegted Sternoclavicular (SC) Dislocation with Cannulated Screw and Cerclage Wire Osteosynthesi
THE ANALYSIS YIELD PERCENT BIODIESEL FROM WASTE COOKING OIL IS VIEWED FROM OF TIME REACTION EFFECTAND THE EFFECT OF NaOH CATALYST USING MICROWAVES AND HIGH VOLTAGE
No full textThe use of energy increases related with the increasing of human population on earth, it is increases because human needs energy to move. Fossil energy is the energy that still become a primmadonna. The limited of energy resources in the middle of the increasing human energy needs from year to years (growth of energy consumption in 2004 amount 4.3%) Biodiesel is one of the biomassa fuel that can replacing fuel oil. Biodiesel can be produces from Jelantah oil that has a same type of biomassa. Jelantah oil can be con verted into biodiesel by using the transesterification that reacts the reacts the oil molecules with the alcohol and the catalyst to obtain methyl esters. One of the heating methods that can be used to convert oil into biodiesel is the microwave method. This microwave heating method utilizes the wave emission absorbed by the sample temperatures, so the teperatus can be higher than the surface temperature of the partition wall. There are several factors of making biodieses that can affect the heating process. The effect of the reaction time can be seen from the percent yield of biodiesel obtained. From the result of the research, the reaction time used 5, 10, 15 with the fixed temperature 55◦c, the optimum results are obtained at 15 minutes because the contact between subtances will be more higher so can reach the higher conversion. the process variable is the amount of NaOH catalyst observed in this experiment., the best conditions, the maximum yield of used wastewater biodiesel is 74.45% obtained using a mole ratio of 1: 6 wet / methanol oil at 60 ° C with a reaction time of 10 minutes and a 1.5% NaOH catalyst
PERAN DAN FUNGSI KEPALA SEKOLAH DALAM MENINGKATKAN KOMPETENSI GURU
No full textParadigma baru manajemen pendidikan dalam rangka meningkatkankualitas secara efektif dan efisien, perlu didukung oleh Sumber DayaManusia (SDM) yang berkualitas. Dalam hal ini, pengembangan SDMmerupakan proses peningkatan kemampuan manusia agar mampumelakukan pilihan-pilahan. Proses pengembangan SDM tersebut harusmenyentuh berbagai bidang kehidupan yang tercermin dalam pribadipimpinan. Dalam upaya peningkatan mutu pendidikan, kompetensi gurumerupakan salah satu faktor yang amat penting. Kompetensi guru tersebutmeliputi kompetensi pedagogik, kompetensi personal, kompetensi sosialdan kompetensi profesional. Upaya untuk meningkatkan kompetensi gurudapat dilakukan melalui optimalisasi peran kepala sekolah, sebagai :educator, manajer, administrator, supervisor, leader, pencipta iklim kerjadan wirausahawan. Permasalahan yang menjadi pokok pembahasaandalam penelitian ini adalah bagaimana usaha dan upaya yang dilakukanoleh kepala sekolah dalam meningkatkan profesionalisme guru selama.Pembahasan penelitian ini menggunakan metode penelitian kepustakaan(Library Research), data diperoleh dengan teknik: observasi. Penelitianini bertujuan untuk memberikan masukan bagi kepala sekolah terhadapusaha dan upaya dalam meningkatkan profesionalisme guru di sekolah,bagimana mana mengatasi kendala yang paling mendasar yang di hadapikepala sekolah dalam meningkatkan kompetensi guru. Dari hasilpenelitian bahwa usaha yang dilakukan kepala sekolah dalammeningkatkan profesionalisme guru di sekolah dilakukan dengan caramembuat pertemuan, memberikan motivasi serta mengikutsertakan paraguru dalam Diklat. Hal ini terlihat dari hasi pentingnya pengaruhpenilaian dari kepala sekolah terhadap guru, guru harus selalu dimotivasioleh kepala sekolah agar selalu meningkatkan kompetensinya sebagaiguru
PENGARUH KECAKAPAN MANAJERIAL, SET KESEMPATAN INVESTASI, INTENSITAS MODAL, DAN KONSERVATISME AKUNTANSI TERHADAP TARIF PAJAK EFEKTIF PERUSAHAAN
Full text linkManagement Of The Zakat In Baitul Mal : Relation De-Welfare Improvement With Subulussalam Muslims In Aceh Province Year 2009-2012
Full text linkZakat is social security in shariah Islamic state, poor and needy through charity will be able to expand once observed ter quality resource Muslims. Channeling zakat alms giver understanding of Islam can be channeled to charity staff (Baitul Mal), which is believed to distribute the
zakat recipients. However, sometimes less effective in improving the standard of living of Muslims, such as Baitul Mal Subulussalam, writer look less bless the Muslims, but still a post simply distributor, no construction skills recipient charity, but even if there is no control,
construction, and finally evaluation remains a recipient of zakat recipients
in the following year.
From the above discussion, the researcher interested to investigate
further how the actual management of zakat in the Baitul Mal
Subulussalam for the welfare of Muslims so the authors formulate a thesis
title: "Zakat In Baitul Mal; Relation to Increased Welfare Muslims in Aceh
Province Subulussalam Year 2009-2012 ".
Formulation of the problem here is how the provisions of zakat
management in the province, how the management of zakat in the Baitul
Mal Subulussalam, and how the factors supporting and inhibiting
management of zakah in Baitul Mal Subulussalam?
The research method in this thesis is a field study, which the
authors attempt to collect data from interviews, observations, and
documents in the Baitul Mal Subulussalam as a primary source, Law no.
38 Year 1999 on Zakat as a secondary source, and other books relating to
the management of zakat as a tertiary source.
The findings in this thesis: (1) the management of zakat in Aceh
refer to the Act. No.. 38 Year 1999 on Zakat, (2) management of zakat in
the Baitul Mal Subulussalam still not lead to productive consumption. (3)
the realization of the work program Baitul Mal Subulussalam is inseparable from the support of the Government of the Act. No.. 38 Year 1999 has provided a space for each region to institute zakat, the Muslim community, and Agencies-Agencies in Subulussalam. Whereas inhibitors in Baitul Mal Subulussalam is less coordination, no priorities, lack of
professionalism, and lack of funds
KOMPOR BATOK KELAPA BERTEKANAN
Full text linkFuel is important thing that is used in industries and home. However, if fuel is used in many sectors, it will be decrease. So, the writer design and make stoves that use coconut skin. The specification of stove is 48 cm height, 31 cm diameter. This stove has a control of pressure to add the pressure of stove when it is used. To boil the water this stove need 20 minutes and can reach the maximum temperature is about 610 o
LEGAL PROTECTION FOR USERS OF INTERNET BANKING CUSTOMERS FOLLOWING CHANGES IN INFORMATION AND ELECTRONIC TRANSACTIONS LAW
Full text linkThe presence of the Internet Banking service has offered a number of convenience and flexibility in conducting transactions, both between the bank and its customers, the bank and merchant, bank with the bank and the customer with the customer. However, this simplicity does not mean no risk. In addition to the Internet Banking service provides convenience, also in fact have some risks. The risk of a new character and is a challenge for practitioners and experts in the field of Internet Banking service to handle it, so it becomes important to discuss the legal efforts to protect customers' personal data in the operation of Internet Banking service after changes in legislation and elektronic information transaction. Forms of protection against customer data in Internet Banking in Indonesia are from several types of regulations that have regulated internet banking, namely Bank Indonesia Regulation Number 9/15 / PBI / 2007 concerning Application of Risk Management in the Use of Information Technology by Commercial Banks and Act No. 19 of 2016 concerning Amendments to Act No. 8 of 2011 concerning Electronic Information and Transactions along with the Financial Services Authority Act in the section on consumer protectio
The association between interleukin 6 −174 G/C gene polymorphism and the risk of osteoporosis: A meta-analysis
No full textAbstractObjectivesThis study aimed to investigate the association between the IL6 −174 G/C gene polymorphism and the risk of osteoporosis by performing a meta-analysis.MethodsPublished literature from PubMed and Embase databases was searched for eligible publications. The following information was extracted from each study: Name of first author, year of publication, country of origin, sample size of cases and controls, and size of each allele. The combined odds ratio (ORs) and 95% confidence intervals (95%CIs) for the association between the IL6 −174 G/C gene polymorphism and the risk of osteoporosis were assessed using a random or fixed effects model. A comprehensive meta-analysis (CMA) 2.0 was used to analyse the data.ResultsTwelve studies (4923 cases/3431 controls) were included in this meta-analysis. The results indicated that IL6 −174 G/C gene polymorphism was associated with an increased (G vs C, OR 95%CI = 1.29 [1.03–1.62], p = 0.029) and decreased risk of osteoporosis (C vs G, OR 95%CI = 0.77 [0.62–0.97], p = 0.029; CC vs GG + GC, OR 95%CI = 0.58 [0.39–0.88], p = 0.010).ConclusionThe IL6 −174 G/C gene polymorphism was shown to be positively correlated with osteoporosis risk
- …
