14 research outputs found
Prosedur Pemberian Kredit Pemilikan Rumah (KPR) pada PT. Bank Pembangunan Daerah Nusa Tenggara Timur Kantor Cabang SOE
No full textThe type of research method that the author uses in this study is a qualitative descriptive method, in order to obtain information that describes the existing reality regarding the procedure for granting Kredit Pemilikan Rumah (KPR) at PT. Bank Pembangunan Daerah Nusa Tenggara Timur Kantor Cabang SoE.From the results of the study, it can be seen that the procedures for granting Kredit Pemilikan Rumah at PT. Bank Pembangunan Daerah Nusa Tenggara Timur Kantor Cabang SoE includes seven stages. In the first stage, the customer meets with the developer and then explains its intent and purpose. The second stage is that the developer collects the customer files. The third stage the developer sends all customer files to the bank. The fourth stage, the bank checks all the files and completeness of the customer. In the fifth stage, the bank conducts an analysis. The sixth stage, the bank checks the house as collateral. And the seventh stage is the disbursement of funds after realization, namely the distribution of funds from banks to developers. The method of payment for the Kredit Pemilikan Rumah installments can be through Bank NTT or through monthly salary deductions according to the installment schedule. The problem faced in the process of granting Kredit Pemilikan Rumah is that the certificate has not been resolved or is still in one master certificate, so the solution to overcome these obstacles is that the developer and the bank make an Memorandum of Understanding (MOU) or joint agreement with the National Land Agency of Timor Tengah Selatan Regency to immediately process the resolution of the house certificate.
Keyword : Home Ownership Loans, Procedures for Providing Home Ownership Loan
Apollo e Marsia nel proemio del Paradiso
No full text(1) When Dante invokes Apollo saying “Entra nel petto mio, e spira tue | sì come quando Marsïa traesti | de la vagina de le membra sue” (Par. 1.19-21) he most probably understands Ovid’s model (Met. 6.384-5) as meaning that not only Marsyas, but Apollo too played a reed pipe during their contest: “spira tue” (“inspire”) literally means “breathe” and refers to Apollo “breathing into the reed pipe.” Other passages might have suggested to Dante that Apollo too played a reed during his contest with Marsyas; cf. Liv. 38.13, Plin. NH 5.106. A version which explicitly presents Apollo as playing the reed is attested at Agathias, Hist. 4.23.4, and according to Iacomo della Lana, author of the first commentary to the Paradiso (1324-8), both Marsyas and Apollo/Febo would have played a wind instrument in their contest. (2) The reference to Marsyas and Apollo at Par. 1.19-21 is meant to contrast Dante’s humility in his asking God for help with the foolish arrogance of those who presume of singing of sublime matters trusting entirely in their human capacities. This is the correct interpretation of the terzina. There is also another widespread interpretation, which goes back ultimately to an observation of S. T. Coleridge, reported with approval by J. S. Carroll (1907): Marsyas would be a “figura Dantis,” representing the liberation from the body by means of divine inspiration; so e.g. E. Wind, S. Pasquazi, K. Brownlee, P. S. Hawkins, P. Rigo, J. Levenstein, R. Hollander, N. Fosca, among many others. In fact, this is either an overinterpretation, or a mere misunderstanding of Dante’s text
Exploring the content of epilepsy fellowship program websites: an analysis of information available to applicants
No full textAbstract Background Program websites are essential resources in the process of residency and fellowship application. We evaluated the information furnished on these resources by Epilepsy fellowship programs. The extent of information provided was compared across geographic zones, academic affiliation, and national ranking. Methods A list of Epilepsy fellowship programs was derived from the Fellowship and Residency Electronic Interactive Database (FREIDA). Links to program websites were obtained directly from FREIDA or using Google’s search engine. Online data was categorized to reflect program information, education, recruitment, compensation, epilepsy center-specific information, and social media presence. Data points under each category were collected to develop a standardized scoring system. The frequency of criterion present was compared across geographic zones, academic affiliation, and national ranking using parametric and non-parametric statistical tests. Significance was determined at a p-value ≤ 0.05 for all cases. The study utilized IBM SPSS version 28 and Python 3.11.3. Results We analyzed 80 Epilepsy fellowship programs. The most reported feature was the program director’s name and email (100.0%). The least reported features included board pass rates (1.3%), preparatory boot camp (8.8%), and post-fellowship placements (11.3%). Programs were found to be well-represented on X (88.8%), Facebook (81.3%), and Instagram (71.3%). Most (85.0%) of the programs were searchable through Google. The scores for program information, education, recruitment, compensation, epilepsy center-specific information, and social media visibility did not significantly vary based on location, academic affiliation, or rank status. Conclusions Our results demonstrate that despite an online presence, there is much room for improvement in the content available to the applicant. To improve the Match process and attract a roster of well-informed fellows, Epilepsy fellowship programs should furnish program websites with up-to-date information relevant to program information, education, recruitment, compensation, and epilepsy center-specific information
Effective Community-Based Interventions for the Prevention and Management of Heat-Related Illnesses: A Scoping Review
No full textBackground: Extreme temperatures have negative consequences on the environment, ecosystem, and human health. With recent increases in global temperatures, there has been a rise in the burden of heat-related illnesses, with a disproportionate impact on low- and middle-income countries. Effective population-level interventions are critical to a successful public health response. Objective: This scoping review aims to summarize the evidence on the effectiveness of population-level heat-related interventions and serve as a potential guide to the implementation of these interventions. Methods: Studies that evaluated the effectiveness of community-based interventions to mitigate or reduce the impact of extreme heat on heat-related mortality and morbidity were sought by searching four electronic databases. Studies published in the English language and those that had quantifiable, measurable mortality, morbidity or knowledge score outcomes were included. Results: The initial electronic search yielded 2324 articles, and 17 studies were included. Fourteen studies were based in high-income countries (HICs) (Europe, US, Canada) and discussed multiple versions of (1) heat action plans, which included but were not limited to establishing a heat monitoring system, informative campaigns, the mobilization of health care professionals, volunteers, social workers and trained caregivers in the surveillance and management of individuals with known vulnerabilities, or stand-alone (2) education and awareness campaigns. Multi-pronged heat action plans were highly effective in reducing heat-related mortality and morbidity, especially among vulnerable populations such as the elderly and those with chronic conditions. Conclusions: The heat action plans covered in these studies have shown promising results in reducing heat-related mortality and morbidity and have included instituting early warning systems, building local capacity to identify, prevent or treat and manage heat-related illnesses, and disseminating information. Nevertheless, they need to be cost-effective, easy to maintain, ideally should not rely on a mass effort from people and should be specifically structured to meet the local needs and resources of the community
The time-varying cardiovascular benefits of glucagon like peptide-1 receptor agonist therapy in patients with type 2 diabetes mellitus: evidence from large multinational trials
No full textAims:
As hazard ratios are difficult to interpret, we pooled data from eight contemporary cardiovascular outcomes trials (CVOT) of GLP1-RA drugs using restricted mean survival time (RMST) to evaluate their cardio-protective effect.
Material and methods:
Data from eight multinational CVOT RCT's of GLP1-RA drugs for type 2 diabetes mellitus were pooled. Flexible parametric survival models were fit from published Kaplan Meier plots. The differences between arms in restricted mean survival time (ΔRMST) were calculated at 12, 24, 36 and 48 months. ΔRMST were pooled using an inverse variance weighted random effects model; heterogeneity was tested with the Cochran's Q statistic. The endpoints studied were: 3-point major adverse cardiovascular event (3-pt MACE), all-cause mortality, stroke, cardiovascular mortality, and myocardial infarction.
Results:
We included eight large (3183-14 752 participants, total = 60 080; median follow-up range: 1.5 – 5.4 years) GLP1-RA trials. Among GLP1-RA recipients, we observed an average delay in 3-point MACE by 0.03, 0.15, 0.37 and 0.63 months at 12, 24, 36, 48 months respectively. At 48 months, while CV mortality was comparable in both arms [pooled ΔRMST 0.163 (-0.112, 0.437); p = 0.24], overall survival was higher [ΔRMST = 0.261 (0.08 – 0.43) months] and stroke was delayed [ΔRMST 0.22 (0.15 – 0.33)] in patients receiving GLP1-RA.
Conclusions:
GLP1-RA may delay the occurrence of MACE by an average 0.6 months at 48 months with meaningfully larger gains in patients with cardiovascular disease. This metric maybe easier for clinicians and patients to interpret than hazard ratios which assume a knowledge of absolute risk in the absence of treatment
Heart transplantation after the circulatory death; The ethical dilemma
No full textDonors after brain death (DBD) have been the major source of organ donation due to good perfusion of the organs. However, owing to the mismatch in demand and supply of the organ donors and recipients, donors after circulatory death (DCDDs) has increased recently all over the world. Kidneys, liver, and lungs are being used for transplantation from DCDDs. Recently, heart transplantation from DCDDs has been started, which is under the firestorm of scrutiny by the ethicists. The ethical dilemma revolves around the question whether the donors are actually dead when they are declared dead by cardiocirculatory death criteria for organ procurement. The subsequent literature review addresses all the perspectives by differentiating between the donation methods known as DBDs and DCDDs, explaining the implications of the dead-donor rule on the organ donation pool, and categorizing the determinants of death leading to separation of the arguments under the two methods of donations. Keywords: Heart transplantation, Organ procurement, Brain death, Dead-donor rule, Donor after circulatory deat
History of Urdu language and literature down to 1720.
No full textI. The available material dealing with this subject is very seanty, largely unscientific, and often based on second-hand information. Even the Catalogue have many mistakes in them. Therefore it was necessary to study the original Urdu and Persian manuscripts (both literary and historic) in the British Museum, India Office Library, Edinburgh University Library, and the Bibliotheque National, Paris.;II. New Discoveries. a. Nearly 70 poets hitherto unknown are here discussed, see list of Marsia-writers, p. 297. The others are: 1. Atishi 2. Muqimi 3. Khushnud 4. Amin 5. Nahmud 6. Feroz 7.Shaugi 8. Khisli 9. Ghulam'Ali b. The following Urdu works were also not known before: 1. Qutub Mushtari of Vajhi; 2. Padmavat of Ghulam 'Ali; 3. Jusuf Zalikha of Khushnud; 4. The Diwan of Rustumi (Not contained in any European Library).;III. Some misunderstandings about important writers have been corrected: 1. The author of Hasht Behisht is Khushnud, not Muhammad Shah (p. 121). 2. The author of Candar Badan-o-Mahyar is Muqimi, nor Aziz (p. 103). 3. The real author of Bahram-o-Banu Husn was Amin, not Daulat who only completed it (p. 107). 4. Information given about this Daulat, otherwise unknown (p. 123). 5. The name of Kamal kha was Rustumi, not Rasmi (p. 114); information given about his Khavar Nama (p.p. 114-117). 6. The name of Junaidi was not Shaikh Ahmad but 'Ali Akbar (p. 212). 7. Nusrati Guldasta-e-'Ishq not a masnavi but a collection of ghazals (p. 146). 8. Ibn-e-Nashati not translated a Tuti Nama (p. 216). 9. The Dah Majlis attributed to Vali Aurangabadi really by Vali of Vellore (p. 263). 10. Confusion about certain poets cleared up: (a) The 4 poets called Amin (pp. 106, 221 and 255). (b) " 4 " " Nuri (pp. 109 and 227). (c) " 3 " " Mirza (pp. 160 and 229). (d) Mashim and Hashimi (pp. 152 and 284).;IV. Much new information based on MS. Study about: 1. Vajhi (p. 189) 2. Rustumi (p. 114) 3. Nusrati (p. 126) 4. Ibn-e-Nashati (p. 213) 5. Hashim 'Ali (p. 284).;V. The writer has here presented some new views about the origin and development of Urdu. In this connection he has taken advantage of his belonging to the Dakhan in discussing the divergence between the northern and southern forms of Urdu
History of Urdu Language and Literature Down to the Year 1720.
No full textI. The available material dealing with this subject is very scanty, largely unscientific, and often based on second-hand information. Even the Catalogues have many mistakes in them. Therefore it was necessary to study the original Urdu and Persian manuscripts (both literary and historic) in the British Museum, India Office Library, Edinburgh University Library, and the Bibliotheque National, Paris. II. New Discoveries. a. Nearly 70 poets hitherto unknown are here discussed, see list of Marsia-writers, p. 297. The others are:-1. Atishi 2. Maqimi 5. Mahmud 6. Feroz 3. Khushnad 7. Shauqi 4. Amin 8. Khiali 9. Ghulam'Ali b. The following Urdu works were also not known before:-1. Qutub Mushtari of Vajhi; 2. Padmavat of Ghulam 'Ali; 3. Jusuf Zalikha of Khushnud 4. The Diwan of Rustumi (3 and 4 Not Contained in any European Libraries) III. Some misunderstandings about important writers have been corrected:-1. The author of Hasht Behisht is Khushnud, not Muhammad Shah (p. 121). 2. The author of Candar Badan-o-Mahyar is Muqimi not'Aziz (p. 103). 3. The real author of Bahram-o-Banu Husn was Amin, not Daulat who only completed it (p. 107). 4. Information given about this Daulat, otherwise unknown (p. 123). 5. The name of Kamal kha was Rustumi, not Rasmi (p.114); information given about his Khavar Nama (p.p.114-117) 6. The name of Junaidi was not Shaikh Ahmad but 'Ali Akbar (p. 212). 7. Nusrati's Guldasta-e-'Ishq not a masnavi but a collection of ghazals (p. 146). 8. Ibn-e-Nashati not translated a Tuti Nama (p. 216) 9. The Dah Majlis attributed to Vali Aurangabadi re by Vali of Vellore (p. 263). 10, Confusion about certain poets cleared up:- (a) The 4 poets called Amin (pp. 106, 221, and 255) (b) " 2 " " Nuri (pp. 109 and 227). (c) " 3 " " Mirza (pp.160 and 229). (d) Hashim and Hashimi (pp. 152 and 284). IV. Much new information based on M.S. study about:- 1. Vajhi (p. 189) 2. Rustumi (p. 114) 3. Nusrati (p. 126) 4. Ibn-e-Nashati (p. 213) 5. Hashim 'Ali (p. 284). V. The writer has here presented some new views about the origin and development of Urdu. In this connection he has taken advantage of his belonging to the Dakhan in discussing the divergence between the northern and southern forms of Urdu
Administration of prophylactic levetiracetam in patients with intracerebral hemorrhage: A systematic review and meta-analysis
No full textLevetiracetam (LEV) is not frequently recommended as a preventative medication for seizures after intracerebral hemorrhage (ICH). Although there are differing opinions among clinicians, current recommendations do not support its use. We aim to assess the effectiveness of LEV in seizure prophylaxis in patients with ICH. We systematically searched PUBMED, SCOPUS, and other databases. Clinical trials and observational studies that enrolled patients in Spontaneous ICH and provided independent data on LEV were included. The pooled proportions of reported findings were determined using the random-effects model and forest plots were created. We identified six studies with a total of 1,166 patients for the analyses of primary and secondary outcomes. There were no significant differences in the total frequency of seizures between LEV treatment and placebo (OR=0.52; 95% CI-0.21–1.31; P=0.17) and also LEV treatment did not lower the death rate. (OR=1.14, 95% CI-0.57–2.26, P- 0.71). In half of the investigations (n=3), the poor clinical outcomes were defined using the mRS (i.e. score >3). The results showed that taking the placebo resulted in worse outcomes (OR-6.24, 95% CI-3.97-9.81, P.00001). Overall, there were no appreciable differences between LEV and placebo regarding the change in NIHSS of less than 25 (MID, 1.98; 95%CI, 0.15–4.12; P=0.07). However, these two trials showed a significant amount of heterogeneity (I2=83%). LEV did not significantly reduce mortality and seizure occurrences on average than those on other anti-epileptic medications. Our study is the first to analyze the efficacy of this newer-generation anti-epileptic drug for seizure prophylaxis in patients with ICH
Is Using the Harmonic Scalpel Better than Conventional Hemostasis in Neck Dissection? A Meta-Analysis
No full textStudy Design: Systematic review and meta-analysis. Objective: The clinical decision to pursue harmonic scalpel (HS) method vs conventional hemostasis to treat head and neck cancers has been arguably predicated on the clinical outcomes observed. This study aims to evaluate the surgical outcomes of neck dissection between both techniques and perform an updated meta-analysis using the available literature. Methods: We searched PubMed, Scopus, and Cochrane Library through 31 December 2021, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Outcome metrics included operative time and intraoperative blood loss. Secondary outcomes consisted of length of hospital stay, length of drain stay, total drain output, and postoperative complications. A meta-analysis was conducted using Review Manager Version 5.3 (RevMan) software employing the Random Effects Model. Results: We identified 114 articles, out of which 10 randomized control trials (RCTs) analyzing a combined total of 558 patients met the inclusion criteria after title and full-text screening. Meta-analysis shows the group treated with HS had a significantly shorter operative time. [MD = −23.21, 95% CI (−34.30, −12.12) p value < 0.0001 I2 = 92%] but an insignificant lesser intraoperative blood loss [MD = −61.53, 95% CI (−88.61, −34.45) p < 0.00001 I2 = 79%]. Conclusions: This study confirms that that HS use in neck dissection yields a reduced operative time and intra operative blood loss relative to conventional hemostasis. Furthermore, our paper shows no superiority of HS method over conventional hemostasis where length of hospital stays, length of drain stays, and postoperative complications are concerned. Future RCTs with high-level evidence may further elucidate the relative effectiveness of HS method over conventional hemostasis in treating head and neck cancers
