14 research outputs found
Correlation between Head Computed Tomography Scan, Pre-operative Blood Lactate, and Pre-operative Glucose Level in Acute Traumatic Subdural Hematoma
Get PDFAcute traumatic subdural hematoma (SDH) is a focal brain injury resulting in alteration of cerebral perfusion and glucose metabolism, which would also results in hyperglicemia-induced-hyperlactatemia. A cross-sectional study was performed to analyze acute traumatic SDH patients by head CT scan and observe the effect on pre-operative blood lactate and blood glucose levels in 40 acute traumatic SDH patients at Dr. Hasan Sadikin Hospital, Bandung, Indonesia during the period of July-September 2013. Somers' D correlation were used in the analysis with a p-value of ≤0.05 considered as significant with 95% confidence interval. The mean values of pre-operative blood lactate and blood glucose levels were 3.16±1.49 mmol/L and 155.85±32.95 mg/dl, respectively with a strong positive correlation between the hematoma thickness and the increase in blood lactate (r= 0.656; p= 0.021) and a moderate positive correlation with increased blood glucose (r= 0.556; p= 0.025). In addition, the compressed cistern also had a very weak positive correlation with increase in blood lactate (r =0.156; p=0.043) and very weak positive correlation with increase in blood glucose (r= 0.139; p=0.056) while the midline shift had a weak positive correlation with increased blood lactate (r=0.353; p= 0.041) and a weak positive correlation with increased blood glucose (r = 0.333; p= 0.046). In conclusion, increased hematoma thickness, compressed cistern, and midline shift seen on head CT scan correlate with increasing blood lactate and glucose levels in acute traumatic SDH. Head CT scan, blood lactate level, and blood glucose level can be considered as one of the routine examinations to determine acute traumatic SDH severity at the macroscopic and cellular level
Functional Recovery of Rare Case of Sciatic Nerve Schwannoma with Peripheral Nerve Block and without Intraoperative Neurophysiological Monitoring
Get PDFSchwannoma are benign peripheral nerve tumors derived from the Schwann cells in the neural sheath. Sciatic nerve schwannoma in the lower extremity is uncommon, accounting for only 1% of all schwannoma cases. This report aimed to describe the functional recovery after lower limb surgery of sciatic nerve schwannoma with peripheral nerve block and without intraoperative neurophysiological monitoring (IOM) performed in Semen Padang Hospital in 2019. A 78-year-old woman presented with a complaint of pain on her slowly growing mass at the right popliteal region, which had existed for 22 years. Microsurgical resection was performed with local peripheral nerve block and without intraoperative neurophysiological monitoring. Tumor was removed en-bloc by sharp dissection using a microscope without any complication. The patient had significant pain relief without any neurologic deficit three weeks after the surgery. Penyembuhan Secara Fungsi Kasus Langka Schwannoma Saraf Sciatic dengan Blok Saraf Perifer Tanpa Pemantauan Neurofisiologis Intraoperatif Schwannoma adalah tumor saraf tepi jinak yang berasal dari sel Schwann dalam selubung saraf. Pada ekstremitas bawah, schwannoma saraf sciatic jarang terjadi, terhitung 1% dari semua schwannoma. Laporan ini bertujuan menggambarkan pemulihan fungsional dengan blok saraf perifer setelah operasi tungkai bawah schwannoma saraf sciatic tanpa pemantauan neurofisiologis intraoperatif (IOM) di Rumah Sakit Semen Padang, 2019. Seorang wanita 78 tahun datang dengan keluhan nyeri pada massa yang tumbuh perlahan di daerah popliteal kanannya selama 22 tahun. Reseksi bedah mikro dilakukan dengan blok saraf perifer secara lokal dan tanpa pemantauan neurofisiologis intraoperatif. Tumor terangkat secara en-bloc dengan diseksi tajam menggunakan mikroskop tanpa ada komplikasi. Pada minggu ketiga pascaoperasi, pasien mengalami pengurangan rasa sakit yang signifikan tanpa defisit neurologis
Functional Independence Measure Penderita Cedera Servikal
No full textCervical spine injury is one of the most common spinal cord injuries in trauma patients. From 100,000 spinal cord injury cases reported in the United States of America (2008), 2/3 involved cervical spine injury. American Spinal Cord Injury Association (ASIA) Impairment Score is used as an initial assessment but further prognostic outcome of these patients is often not paid enough attention. The objective of this study was to find the value of functional independence measure (FIM) cervical spine injury patients with conservative management and correlation with age, sex, type of trauma, onset of trauma, cervical bone abnormalities, type of spinal lesion and ASIA Impairment Score. A prospective cohort study was performed to all patients with cervical spine injury which fullfil the inclusion criteria treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung. The subjects were classified based on age, sex, single/multiple trauma, acute/chronic, cervical bone abnormalities, complete/incomplete lesion, ASIA impairment score and initial complication. The patients were performed to FIM examination in Outpatient clinic of Neurosurgery. T-test and chi-square test with p<0.05 were done to analyze the data. There were 17 cervical spine injury patients treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung during April 2009–April 2010. The average FIM value of cervical spine injury in those patients was 4+1.63 by cohort prospective study. There were no correlation between FIM value with age (p=0.064), sex (p=0.144), type of trauma (p=0.959), onset of trauma (p=0.220) and cervical bone abnormalities (p=0.869). We found a significant correlation between FIM value with type of cervical spine lesion (p=0.037) and ASIA Impairment Score (p<0.001) in cervical spine patients. In conclusion, type of cervical spine lesion and ASIA impairment score have significant correlation with FIM value of patients in 3 months after cervical injury
Analysis of the Functional Independence Measure Value of Cervical Spine Injury Patients with Conservative Management
No full textCervical spine injury is one of the most common spinal cord injuries in trauma patients. From 100,000 spinal cord injury cases reported in the United States of America (2008), sixty seven percent involve cervical spine injury. American Spinal Cord Injury Association (ASIA) impairment score is used as an initial assessment but not enough attention prognostic outcome of these patients was paid to. The objective of this study is to analyze the value of functional independence measure (FIM) cervical spine injury patients with conservative management and its correlation with age, sex, type of trauma, onset of trauma, cervical abnormalities, type of cervical spine lesion and ASIA impairment score. A prospective cohort study was performed to all patients with cervical spine injury treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung that fullfiled the inclusion criteria. The subjects were classified based on age, sex, single/multiple trauma, acute/chronic, cervical abnormalities, complete/incomplete lesion and ASIA impairment score. The FIM examination was performed in Outpatient clinic of Neurosurgery. T-test and chi-square test was done to analyze the data. There were 17 cervical spine injury patients treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital during April 2009 - April 2010. The average FIM value of cervical spine injury in those patients is 4+1.63 by cohort prospective study. There were no correlation between FIM value with age, sex, type of trauma, onset of trauma and cervical abnormalities. Significant correlations were found between FIM value with type of cervical spine lesion and ASIA impairment score in cervical spine patients. Type of cervical spine lesion and ASIA impairment score have significant correlation with FIM value of patients in 6 months after cervical injury
Analysis of Factors Affecting The Body Temperature of Postoperative Patients At RSUP Dr. M Djamil Padang
Get PDFIntroduction: Surgery is a medical procedure carried out using invasive methods by opening, cutting or slashing parts of the body to provide treatment to the patient. Changes in body temperature can occur in post-operative patients which are influenced by age, gender, body mass index (BMI), duration of surgery, and type of surgery. Objective: To analyze the factors that influence the body temperature of post-operative patients at RSUP Dr. M. Djamil Padang. Methods: This study is a correlative analytical research using cross sectional design. This study was conducted using primary data and the samples were selected by consecutive sampling technique with a total of 56 samples. Results: The results of this study show that there is a relationship between age with body temperature of the patients after surgery (p=0,021, r=-0,308), there is no relationship between gender with body temperature of the patients after surgery (p=0,876, r=0,021), there is a relationship between BMI with body temperature of the patients after surgery (p=0,033, r=0,140), there is a relationship between duration of surgery with body temperature of the patients after surgery (p=0,027, r=-0,482), and there is no relationship between type of surgery with body temperature of the patients after surgery (p=0,762, r=0,041). Conclusion: There is a significant relationship between age, BMI and duration of surgery with body temperature of the patient's after surgery and there was no significant relationship between gender and type of surgery with body temperature of the patient's after surgery
Argumentasi Alasan Kasasi Penuntut Umum dan Pertimbangan Hukum judex Juris Memutus Pidana Atas Dasar terdapat Dissenting Opinion Dalam Perkara Penggelapan (Studi Putusan Mahkamah Agung Nomor 1427K/Pid/2014)
Get PDFABSTRAK Dofan Henky Pratama. E0012122.ARGUMENTASI ALASAN KASASI PENUNTUT UMUM DAN PERTIMBANGAN HUKUM JUDEX JURIS MEMUTUS PIDANA ATAS DASAR TERDAPAT DISSENTING OPINION DALAM PERKARA PENGGELAPAN (STUDI PUTUSAN MAHKAMAH AGUNG NOMOR 1427 K/Pid/2014). Fakultas Hukum Universitas Sebelas Maret Surakarta. Penelitian ini bertujuan untuk mengetahui kesesuaian alasan kasasi oleh Penuntut Umum terhadap KUHAP dan pertimbangan Judex Juris dalam mengabulkan permohonan kasasi dalam perkara penggelapan. Metode penelitian yang digunakan adalah penelitian hukum normatif bersifat preskriptif.Pendekatan yang digunakan adalah pendekatan kasus.Sumber bahan hukum yang digunakan adalah bahan hukum primer dan bahan hukum sekunder, dengan teknik analisis bahan hukum menggunakan metode silogisme dan interpretasi dengan menggunakan pola berpikir deduktif. Penulis tertarik untuk meneliti sebuah kasus tindak pidana penggelapan di Kabupaten Banyumas dengan Terdakwa KASIMAN bin SAMSURI.Dalam kasus ini Judex factie dalam pertimbangannya tidak didasarkan pada unsur-unsur penggelapan yang tercantum dalam Pasal 372 KUHP. Mahkamah Agung telah memperbaiki putusan dari Judex Factie yang sebelumnya Menyatakan Terdakwa Kasiman bin Samsuri telah terbukti melakukan perbuatan sebagaimana dakwaan Penuntut Umum akan tetapi perbuatan tersebut bukan merupakan tindak pidana melainkan perbuatan wanprestasi yang kemudian diperbaiki oleh Hakim Kasasi yaitu berdasar fakta persidangan perbuatan Terdakwa tersebut bukan perbuatan wanprestasi melainkan telah memenuhi unsur – unsur tindak pidana dalam Pasal 372 KUHP, maka Terdakwa harus dinyatakan bersalah dan dijatuhi pidana. Judex Juris dalam memutuskan perkara ini terdapat adanya Dissenting Opinion dan telah sesuai dengan ketentuan yang termuat dalam Pasal 182 ayat (6) KUHAP jo Pasal 14 Undang-Undang Nomor 48 Tahun 2009 tentang Kekuasaan Kehakiman jo Pasal 30 ayat (3) Undang-Undang Nomor 14 Tahun 1985 tentang Mahkamah Agung sebagaimana telah diubah dan ditambahkan dengan Undang-Undang Nomor 5 Tahun 2004 serta perubahan kedua dengan Undang-Undang Nomor 3 tahun 2009. Berdasarkan hasil penelitian dapat disimpulkan bahwa judex factie dalam kasus di atas tidak tepat dalam pertimbangan dan putusannya karena tidak mempertimbangkan hal-hal yang relevan secara yuridis dengan tepat dan benar. Kata Kunci: Wanprestasi, Penuntut Umum, Dissenting Opinion, Penggelapan ABSTRACT DofanHenkyPratama. E0012122. ARGUMENTS AN EXCUSE OF CASSATION BY PUBLIC PROSECUTOR AND JUDEX JURIS LEGAL CONSIDERATIONS DROP DOWN PENALTY CONCEIVE OF DISSENTING OPINION IN EMBEZZLEMENT CASE (STUDY OF SUPREME COURT VERDICT NUMBER 1427K/Pid/2014). Faculty of Law, SebelasMaret University Surakarta. Research aims to determine conformity of an excuse cassation by Public Prosecutor against Criminal Procedure Code and JudexJuris consideration in granting cassation in embezzlement case. Research method used prescriptive normative law research. Research approach used case approach. Research sources used primary law and secondary law materials, with law material analysis techniques use of syllogism and interpretation use of deductive thinking patterns. Author examines a criminal embezzlement case in Banyumas district with the Defendant KASIMAN bin SAMSURI. In this case JudexFactie in its consideration not based on the elements of embezzlement case as stated in Article 372 Criminal Code. Supreme Court Verdict has improved from the previous JudexFactie Stated that the Defendant Kasiman bin Samsuri already convicted of act as Public Prosecutor charges however the act was not include a criminal act but rather breach which then improved by Supreme Court Judges which based on such fact of the trial that the Defendant instead breach but rather already fulfilled the elements of criminal acts under Article 372 of Criminal Code, then the Defendant should be convicted and punished. JudexJuris in drop down Verdict of the case conceive Dissenting Opinion and in accordance with the provisions stated in Article 182 Paragraph (6) Criminal Procedure Code In Conjunction With Article 14 of Law Number 48 Year 2009 On Judicial Authority In Conjunction With Article 30 Paragraph (3) of Law Number 14 Year 1985 On The Supreme Court, as amended and added by Law Number 5 Year 2004 and The Second Amendment by Law Number 3 Year2009. Based on results of research concluded that JudexFactiein its case not appropriate in its considerations and its Verdict for not consider the relevant juridically proper and correctly. Keywords: Breach, Public Prosecutor, Dissenting Opinion, Embezzlemen
PEMANFAATAN KOLEKSI JURNAL ELEKTRONIK (E-JOURNAL) DALAM PENYELESAIAN TUGAS AKHIR MAHASISWA UNIVERSITAS BANDAR LAMPUNG (UBL)
No full textABSTRAK
Jurnal elektronik merupakan sebuah jurnal yang bentuknya
digital atau elektronik, jurnal elektronik sama dengan buku elektronik
hanya bisa dibuka dan dibaca melalui perangkat elektronik seperti
komputer, tablet, dan smartphone. Tujuan diadakan penelitian ini untuk
mengetahui gambaran koleksi jurnal elektronik (e-journal) Universitas
Bandar Lampung serta mengetahui bagaimana pemanfaatan koleksi
jurnal elektronik dan kendala-kendala yang dihadapi pemustaka dalam
pemanfaatan koleksi jurnal elektronik dalam penyelesaian tugas akhir
mahasiswa Universitas Bandar Lampung.
Jenis penelitian yang digunakan ialah kualitatif deskriptif
dengan menggunakan teknik pengumpulan data observasi, wawancara,
dokumentasi, keabsahan data triangulasi. Jumlah informan dalam
penelitian ini yaitu 7 (tujuh) orang yang terdiri dari 1 (satu) kepala
perpustakaan, dan 6 (enam) mahasiswa perwakilan dari tiap-tiap
fakultas dengan kriteria informan, mahasiswa akhir dan sudah pernah
memanfaatkan koleksi jurnal elektronik. Data yang telah dikumpulkan
kemudian dianalisis menggunakan teknik reduksi data, penyajian data
dan penarikan kesimpulan.
Berdasarkan analisis yang dilakukan, penulis menyimpulkan
bahwa pemanfaatan koleksi jurnal elektronik di perpustakaan
Universitas Bandar Lampung terdiri dari bagaimana gambaran koleksi
yang ada di perpustakaan dalam hal ini koleksi jurnal elektronik masih
kurang dimanfaatkan, sebab masih ada pengguna yang tidak tahu cara
mencari koleksi jurnal elektronik. Pemanfaatan koleksi bisa dilihat dari
faktor internal yaitu kebutuhan, motif dan minat pemustaka serta faktor
eksternal yaitu kelengkapan koleksi, keterampilan pustakawan, dan
ketersedian fasilitas temu kembali informasi. Adapun kendala yang
dihadapi pemustaka dalam pemanfaatan jurnal elektronik adalah
kendala bahasa dan promosi yang kurang tentang koleksi jurnal
elektronik.
Kata Kunci : Pemanfaatan e-journal, Koleksi e-journal, Perpustakaan
perguruan tinggi.
iv
ABSTRACT
An electronic journal is a journal in digital or electronic form,
an electronic journal is the same as an electronic book, it can only be
opened and read via electronic devices such as computers, tablets and
smartphones. The purpose of this research is to find out an overview of
the electronic journal (e-journal) collection at Bandar Lampung
University and to find out how the electronic journal collection is
utilized and the obstacles faced by readers in utilizing the electronic
journal collection in completing final assignments for Bandar Lampung
University students.
The type of research used is descriptive qualitative using data
collection techniques of observation, interviews, documentation,
validity of data triangulation. The number of informants in this
research was 7 (seven) people consisting of 1 (one) head of library,
and 6 (six) student representatives from each faculty with the criteria
of informants, final students and those who had used electronic
journal collections. The data that has been collected is then analyzed
using data reduction techniques, data presentation and drawing
conclusions.
Based on the analysis carried out, the author concludes that the
use of electronic journal collections in the Bandar Lampung University
library consists of a description of the existing collections in the library,
in this case the electronic journal collection is still underutilized,
because there are still users who do not know how to search for
electronic journal collections. Utilization of collections can be seen
from internal factors, , namely the needs, motives and interests of the
library, as well as external factors, namely the completeness of the
collection, the skills of the librarian, and the availability of information
retrieval facilities. The obstacles faced by readers in using electronic
journals are language barriers and lack of promotion regarding
electronic journal collections
Keywords :Utilizatione-journal, Collectione-journal,College library
Trumpet Laminectomy Microdecompression for Lumbal Canal Stenosis
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Spotivibes: Tagging playlist vibes with colors
No full textMusic is often both personally and affectively meaningful to human listeners. However, little work has been done to create music recommender systems that take this into account. In this demo proposal, we present Spotivibes: a first prototype for a new color-based tagging and music recommender system. This innovative tagging system is designed to take the users' personal experience of music into account and allows them to tag their favorite songs in a non-intrusive way, which can be generalized to their entire library. The goal of Spotivibes is twofold: to help users better tag their playlists to get better playlists and to provide research data on implicit grouping mechanisms in personal music collections. The system was tested with a user study on 34 Spotify users.Multimedia Computin
Unfolding the dynamics of free-falling folded chain : Experiments and simulations
No full textFunding Information: The authors would like to thank the Ph.D. candidate Zeeshan Ahmad from Aalto University for his help during the experimental sessions. Publisher Copyright: © 2022 The Author(s)Contrary to educated intuition, the tip of a free-falling U-folded chain accelerates faster than gravity without violating the Newtonian laws. In the current work, we study the dynamics of a free-falling U-folded chain experimentally as well as numerically. To this end, high-speed imaging (up to 10000 fps) is used to capture the chain's falling tip by using different openings between the two tips of the chain. Thanks to high-speed digital imaging, the detailed geometry of the dynamic unfolding is captured. The post-processing of captured images has provided detailed quantitative temporal data for displacement, velocity, and acceleration of the falling tip of the chain. The experimental observations have revealed the various phases of dynamics of the falling U-folded chain, including unfolding, whipping, and rebounding phases for the first time. Furthermore, a Henky-type model is developed to capture the associated phenomena related to these phases, such as rebound effect, whip effect, local buckling, and transverse wave propagation. The model that includes nonlinear elastic, dissipative and bilateral gap-contact features, could successfully capture the experimentally observed phases and phenomena of the unfolding dynamics qualitatively.Peer reviewe
