11 research outputs found
Implementasi Audit Operasional Pada PT. Tunggal Djaja Indah Di Waru Sidoarjo
Full text linkSales become part of corporaate activity that has much support. Success corporate are supported also by it’s good internal control. Effectivity and efficiency became the most important things at operational scope in order to reach the goal. Therefore, operational audit are needed in a corporate to evaluate any operational activity, especially at sales departement. Research on operational audit aims to analyze implementation of operational audit on sales departement at PT Tunggal Djaja Indah. The research are using two X variable and one Y variable, they are Operational Audit (X1), sales (X2) and Effectivity (Y). It is also using SOP Checklist of sales activity and operational audit which is contains 30 times sales activity observation and once operational audit.
As the result of research, it can be described that operational audit of sales departement at PT Tunggal Djaja Indah has already according to SOP (Standart Operating Procedure). It is very useful to raise sales effectivity
CT and political transnationalism of the Senegalese diasporas in Spain, Italy, and the US
Full text linkA través de observaciones empíricas, entrevistas individuales o colectivas, y con la perspectiva de una socioantropología de los actores, este texto pretende visibilizar las distintas formas en las que las Tecnologías de la Información y la Comunicación (TIC) influyen en la articulación del transnacionalismo de la diáspora senegalesa en España, Italia y EEUU. Las nuevas tecnologías de la comunicación permiten a los emigrantes senegaleses no sólo gozar de una mayor facilidad a la hora de enviar remesas y mantenerse en contacto con sus allegados, sino que también son utilizadas por estos como medio de influencia en las cuestiones políticas de su país. Por último, el creciente acceso a las TIC de los senegaleses en el extranjero determina que surja un espacio de crítica política y que, pese a las diferencias iniciales entre capital escolar y profesional de las élites tradicionales y los trabajadores migrantes que deciden retornar, aparezcan nuevas oportunidades de acceso a la política profesional en Senegal para estos últimosThis article aims to highlight the ways in which the Information and Communication Technologies (ICT) relate to the articulation of the transnationalism of the Senegalese diasporas in Spain, Italy, and the US. The new communication technologies allow for easier formulas to transfer remittances and bridge the spatial gap between the migrants and their families, but also provide leverage instruments for them to influence the political arena in Senegal. Moreover, the increased access of Senegalese migrants to ITC abroad has at least two important consequences: firstly, it fosters the appearance of a critical climate towards Senegalese politics, and secondly, despite the initial differences regarding educational and professional capitals between traditional elites and migrant workers who decide to return, it opens up new opportunities to access the professional political arena in Senegal for the latter. The author has opted for an approach that focuses on the socio-anthropology of the actors, and its methodology combines empirical observations and individual and group interview
Las tecnologías de la información y la comunicación (TIC) en el transnacionalismo político de los senegaleses de Italia, España y Estados Unidos
No full textThis article aims to highlight the ways in which the Information and Communication Technologies (ICT) relate to the articulation of the transnationalism of the Senegalese diasporas in Spain, Italy, and the US. The new communication technologies allow for easier formulas to transfer remittances and bridge the spatial gap between the migrants and their families, but also provide leverage instruments for them to influence the political arena in Senegal. Moreover, the increased access of Senegalese migrants to ITC abroad has at least two important consequences: firstly, it fosters the appearance of a critical climate towards Senegalese politics, and secondly, despite the initial differences regarding educational and professional capitals between traditional elites and migrant workers who decide to return, it opens up new opportunities to access the professional political arena in Senegal for the latter. The author has opted for an approach that focuses on the socio-anthropology of the actors, and its methodology combines empirical observations and individual and group interviews.A través de observaciones empíricas, entrevistas individuales o colectivas, y con la perspectiva de una socioantropología de los actores, este texto pretende visibilizar las distintas formas en las que las Tecnologías de la Información y la Comunicación (TIC) influyen en la articulación del transnacionalismo de la diáspora senegalesa en España, Italia y EEUU. Las nuevas tecnologías de la comunicación permiten a los emigrantes senegaleses no sólo gozar de una mayor facilidad a la hora de enviar remesas y mantenerse en contacto con sus allegados, sino que también son utilizadas por estos como medio de influencia en las cuestiones políticas de su país. Por último, el creciente acceso a las TIC de los senegaleses en el extranjero determina que surja un espacio de crítica política y que, pese a las diferencias iniciales entre capital escolar y profesional de las élites tradicionales y los trabajadores migrantes que deciden retornar, aparezcan nuevas oportunidades de acceso a la política profesional en Senegal para estos últimos
Regards sur la migration irrégulière des Sénégalais : vouloir faire fortune en Europe avec des pirogues de fortune
Full text linkEuro-Mediterranean Consortium for Applied Research on International Migration (CARIM)Avec une agriculture peu rentable à cause des sols peu fertiles et des précipitations irrégulières mais aussi du fait du désengagement de l’État de ce secteur au début des années 80 imposé par les programmes d’ajustement structurel, de nombreuses populations sénégalaises rurales ont émigré vers les centres urbains pour échapper à la pauvreté endémique. Dans ces villes, les migrants deviennent de simples acteurs du secteur informel où ils cohabitent avec des citadins victimes de déflations, de licenciements, de fermeture d’entreprises, etc. L’émigration vers d’autres pays devient dans ce contexte une alternative au dénuement économique. Ce papier met en exergue le voyage des sénégalais qui utilisent des pirogues de fortune dans l’espoir d’atteindre l’Europe via les îles canaries. L’auteur analyse les motivations sous-tendant ces itinéraires « irréguliers » ou « illégaux » et met en lumière les stratégies ainsi que les ressources que ces migrants utilisent pour partir.
Abstract
As agriculture is becoming unprofitable with only partially productive land and irregular precipitation, not to mention the disengagement of the state-imposed structural adjustment programmes, many rural Senegalese have moved to urban centers to escape poverty. In these towns, they become informal sector workers where they coexist with the urban victims of deflation, layoffs, business closures, and so on. Thus, emigration to other countries becomes an alternative to economic deprivation. The paper focuses on the Senegalese who embark on “fortune seeking pirogues”, hoping to reach Europe via the Canary Islands. The author analyses the motivations of these ‘irregular’ or illegal migratory itineraries and sheds light on the strategies and resources that they employ in order to leave
Application of α-lipoic acid beyond peripheral diabetic polyneuropathy (A report of 3 cases)
Full text linkBackground: In Germany, lipoic acid is registered with the indication of "peripheral diabetic polyneuropathy". This report intends to demonstrate therapeutic activity beyond this indication. In Indonesia, the substance is not registered for therapy.
Methods: Three patients (two of them in Germany and one in Indonesia) with pathoneurological symptoms different from peripheral diabetic polyneuropathy were treated with α-lipoic acid: i) post-borelliosis inflammation with arthritic and paraesthetic symptoms, ii) post-operative (mamma carcinoma) and post-chemotherapeutic sensoric and motoric neural deficits occurring in parallel with additional radiation therapy, and iii) post-traumatic (cerebral) and postoperative (brain surgery) cardiovascular and pulmonary crisis with broad pathoneurological (sensoric and motoric, visual, auditory) deficits and dysarthria.
Results: All three patients improved in close correlation with the onset and continuation of lipoic acid intake, whereas other therapeutic measures did not appear very successful. It cannot be ruled out that the other therapeutic regimens applied interacted with lipoic acid in a supporting additive or synergistic manner, because three cases as reported here do not allow for such conclusion; however, separately, or with interaction, lipoic acid helped the patients to recover from their pathoneurological symptoms in the meaning of the traditional medical term "restitutio ad integrum".
Conclusion: In the three cases in this study, lipoic acid was effective in therapy of pathoneurological symptoms different from peripheral diabetic neuropathy. Further confirmative studies are suggeted. (Med J Indones 2011; 20:143-8
Anterior cervical corpectomy and fusion in a 7-year-old boy: a case report
No full textBicycle mishap, a common and ordinary event occurring in children, can have devastating consequences associated with cervical spine injury. Furthermore, either diagnosis or surgical management of cervical spine injury in children is a challenging issue. This research report a challenging case of an anterior cervical corpectomy and fusion with plating in a 7-year-old boy due to cervical spine instability with spinal cord compression after a bicycle mishap. After 20 months of the primary surgery, the titanium-based cervical plate was removed by a second surgery to allow the growth of the cervical spine
A Dumbbell-shaped hypoglossal schwannoma managed by a combination of open surgery and endoscopic assistance
No full textBackground: Hypoglossal schwannoma is a rare benign tumor that comprises about 5% of all intracranial schwannoma. Surgical management for hypoglossal schwannoma is still evolving along with our understanding of neuroanatomy and surgical equipment improvement, especially endoscopy. The far lateral transcondylar approach is commonly used for hypoglossal schwannomas. This traditional approach requires great effort and is considered a lengthy procedure. The use of endoscopy gives an additional advantage to microscopic surgery in managing this tumor, making surgery less complicated and faster. Combining the microscope and endoscope is an effective way to operate in small corridors. Case: In a stepwise fashion, we present a case of a 53-year-old female with hypoglossal schwannoma, which was successfully resected using a retrosigmoid transcondylar approach with endoscopic assistance. Conclusion: A retrosigmoid transcondylar approach with endoscopic assistance is an excellent option in surgical management for hypoglossal schwannoma. Both microscopic and endoscopic approaches will be gaining more usefulness in managing skull base tumors and should be used collaboratively
In retrospective, the gentle learning curve of unilateral laminectomy promotes favorable clinical outcomes
No full textBackground: The learning curve in implementing a new surgical procedure is often time-consuming and potentially comes with the additional risk of injury associated with an unusual surgical procedure, which may harm the patient. Aim: Evaluate intraoperative burden and neurologic recovery of spinal tumor resection following unilateral laminectomy procedures. Methods: Medical records of patients undergoing surgery for intradural spinal tumors from January 2015 to June 2020 were retrospectively reviewed. Preoperative and postoperative data were collected from medical records and interviews. The intraoperative burden was assessed by duration of surgery, estimated intraoperative blood loss (EIBL), and postoperative leukocyte count. Short-term and long-term outcomes were recorded. Data analysis was performed using descriptive statistics and Fisher's exact test. The neurological recovery rate is calculated by the Hirabayashi method, where a 75–100% score indicates an excellent neurological recovery. Results: Twenty-six records were included in this study. The mean duration of surgery was 180 (120–540) minutes, the mean EIBL was 175 (50 – 1,200) mL, and mean increase in postoperative leukocyte count was 5,670 (2,210 – 13,250) cells/mL, and the mean LOS was 6.5 (4 – 42) days. In 20 of 26 (76.9%) patients, gross total resection was achieved. An excellent neurological recovery rate was achieved in 81% of patients. Conclusion: Unilateral laminectomy procedures are adaptable without additional disadvantages, resulting in satisfactory clinical results
Luaran Nilai Fungsional Kasus Tumor Primer Spinal Intradura Ekstramedula Pascaoperatif di RSUPN Dr. Cipto Mangunkusumo 2014-2016
No full textTumor spinal primer memiliki morbiditas dan disabilitas yang tinggi. Profil demografi dan luaran nilai fungsional penderita tumor primer spinal intradural ekstramedular 60% dari seluruh tumor spinal primer sehingga penting dinilai karena dapat dijadikan parameter keberhasilan operasi dan dapat digunakan dalam memberikan informasi kepada pasien dan keluarga sebelum operasi. Studi retrospektif deskriptif analitik ini menggunakan data rekam medis penderita tumor spinal intradural ekstramedular yang baru menjalani operasi pertama kali di RSUPN dr. Cipto Mangunkusumo tahun 2014 – 2016. Skor luaran fungsional Medical Outcome Study 36-item Short-form Health Survey (SF-36) pra dan pasca-operasi dievaluasi dan dibandingkan menggunakan uji korelasi Friedman. Rerata usia subjek adalah 46,3 tahun (min-maks 15-71 tahun), dengan 31% penderita berusia 50-60 tahun, 69% penderita perempuan, dan rerata lama awitan keluhan hingga operasi adalah 7,79 bulan. Sebanyak 65% menderita Schwannoma dan 34,5% meningioma. Dibandingkan dengan skor pra-operasi, skor pasca-operasi kuesioner SF-36 memperlihatkan peningkatan bermakna pada kedelapan aspek kuesioner. Nilai fungsional SF-36 penderita tumor primer spinal intradural ekstramedular menunjukkan perbaikan bermakna pada masa 1 tahun pasca-operasi. Kata kunci: Tumor primer spinal, intradura ekstramedula, SF -36. Evaluation of Functional Outcome of Primary Extramedullar Intradura Spine Tumor Operated in Dr. Cipto Mangunkusumo General Hospital, 2014–2016 Abstract Spinal tumor is one of the neural disorders that contributes to high number of morbidities disabilities. Demographic profile and functional outcome of primary intradural extramedullary spinal tumor patient is important to be evaluated for the purpose of providing holistic information for patients and their family prior to surgery, as well as measuring surgical results. This analytical descriptive retrospective study utilized medical record of primary intradural extramedullary spinal tumor patient who underwent first surgery in dr. Cipto Mangunkusumo General Hospital from 2014-2016. Pre- and postsurgical Medical Outcome Study 36-item Short-form Health Survey (SF-36) functional score were evaluated and compared using Friedman correlation test. The mean age of study participants is 46,3 years old (min-max: 15-71 years old), with 31% participants included in the age group of 50-60 years old, 69% participants were female, and the mean of onset-to-surgery time is 7,79 months. The dominant histopathological finding was Schwannoma (65%). Compared to the pre-surgical score, post-surgical SF-36 showed significant improvements in all eight aspects of the questionnaire. SF-36 functional score of primary intradural extramedullary spinal tumor patient presented significant improvement in 1 year after surgery. Keywords: Primary spinal tumor, intradural extramedullar, SF-36
Status Koagulasi Pasien Cedera Kepala Sedang Berdasarkan Tromboelastografi dan Hemostasis Konvensional
No full text Pasien cedera kepala paling banyak di RSUPN dr. Cipto Mangunkusumo (RSCM), Jakarta adalah cedera kepala sedang (CKS) dan kelainan koagulasi dapat memperburuk luaran pasien cedera kepala. Untuk mengetahui status koagulasi dan luaran pada pasien CKS di RSCM dilakukan studi kohort prospektif pada bulan Oktober 2019 – Januari 2020 dengan subjek 20 pasien CKS. Dilakukan pemeriksaan hemostasis konvensional (trombosit, PT, APTT) dan viskoelastisitas darah menggunakan tromboelastografi (TEG). Dari pemeriksaan konvensional didapatkan gangguan koagulasi pada 5% pasien sedangkan dari pemeriksaan TEG diperoleh 60% subjek dengan gangguan koagulasi (55% hiperkoagulasi dan 5% hipokoagulasi). Median lama rawat inap adalah 7 (3-27) hari dan tidak didapatkan mortalitas. Tidak didapatkan perbedaan bermakna antara pemeriksaan hemostasis konvensional dengan TEG (uji Fisher, p>0,999) serta antara status TEG dengan lama rawat inap (Uji Mann-Whitney, p=0,243). Dari parameter TEG (R time, K time, alpha angle, dan MA) tidak didapatkan perbedaan bermakna dengan lama rawat (uji Mann Whitney dan korelasi Spearman). Terdapat perbedaan bermakna antara parameter TEG, yaitu R time (p<0,001) dan alpha angle (p=0,028) dengan hasil CT scan. Disimpulkan, hiperkoagulasi merupakan kelainan koagulasi yang paling sering pada pasien CKS. Coagulation Status of Patients with Moderate Traumatic Brain Injury Based on Thromboelastography and Conventional Haemostasis Test It is known that the majority of traumatic brain injury (TBI) patients in Cipto Mangunkusumo Hospital, Jakarta (RSCM) are comprised of moderate TBI. This prospective cohort study was done in RSCM to evaluate the coagulation status profile of 20 patients with moderate TBI using conventional hemostatic test (platelet count, PT, APTT) and blood viscoelasticity using thromboelastography (TEG) from October 2019 – January 2020. From conventional test, coagulopathy were detected in 5% patients, while from the TEG, coagulopathy were detected in 60% patients (55% hypercoagulopathy and 5% hypocoagulopathy). The outcome of the patients were evaluate using length of stay (LOS) which is 7 days (3-27 days) and mortality (no mortality found in this study). From statistical analysis, the conventional test result and TEG test are not significantly correlated (p>0.999). Thromboelastography test result are not significantly correlated with LOS (p=0.243). From each parameter of TEG (R time, K time, alpha angle, and MA) are not correlated with LOS (Mann Whitney test and Spearman’s correlation test). We found that 2 parameters of TEG, R time (p<0,001) and alpha angle (p=0,028) are significantly correlated with CT scan. In conclusion, hypercoagulopathy is the most coagulation abnormality that occurred in moderate TBI.  
