220 research outputs found
Redesign Terminal Terpadu Pinang Baris
No full textThe project chosen by the author is a terminal facility which is located at Pinang
Baris Terminal. The Pinang Baris Terminal serves public transport vehicles with a
route west to the Nanggroe Aceh Darussalam (NAD) Region. The problems found
were unified vehicle circulation, less strategic departure and arrival areas, and a lack
of a number of standard facilities not found at the Pinang Baris Bus Terminal, such
as the absence of a health post, bus maintenance and washing areas and the absence
of barriers between vehicle traffic and passengers. Other facilities required by the
regulations are available, although not all of them function properly, many of the
facilities are damaged or unused, such as waiting rooms which are rarely used by
passengers while waiting for the bus. On this project which is the scope of the design
consists of designing the terminal in accordance with the regulations, laws and
provisions of the Government, redesigning the Pinang Baris Terminal according to
the predetermined land area, and expanding the terminal. In designing this project,
the authors apply and follow the laws and regulations regarding terminals in design,
so that the Pinang Baris Integrated Terminal can become a terminal that complies
with terminal standards. With this application to the project, it is hoped that the author
will be able to produce design solutions that can provide comfort for users and make
the Pinang Baris Integrated Terminal a standard-compliant terminal108 HalamanSkripsi Sarjan
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First record of the genus Baris Germar, 1817 (Coleoptera: Curculionidae), in Dominican amber
No full textA new weevil species – Baris grossacavis Poinar
and Legalov, sp. nov. (Coleoptera: Curculionidae) – is described
from Dominican amber. The new species is close to
Baris rubripes Casey, 1892, but differs by possessing large
punctures over much of its body, including the pronotum;
elytral intervals with rows of narrow scales, and narrow elytral
intervals.
The fossil is the first record of the subfamily Baridinae
from any amber source and the first record from the Miocene.This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by Copernicus Publications on behalf of the Museum für Naturkunde Berlin. The published article can be found at: www.fossil-record.net/home.html
Evaluasi Karakteristik Parkir Bus Tipe A Di Terminal Pinang Baris sebagai Terminal Bus Tipe A
No full textThis study was conducted to determine how the condition Pinang Baris Terminal currently associated with the characteristics of parking. This study uses a field survey by direct observation in Terminal Pinang Baris by spreading surveyor at certain points in order to facilitate the recording of data in order to obtain a valid observation. Direct observation is done by manually recording the arrival time data and exit the bus, license plate number, and the name of the bus company. Research analysis using Microsoft Exel. Results of identification and field research has been on the analysis shows a maximum level of parking characteristics in Pinang Baris Terminal and it is known that there are three issues that must be resolved. First, the buildup of bus parking AKDP manifold small and MPU bus that we can see on the pictures and the documentation of the calculation in the Parking Index. Secondly, the vehicle bus parking AKDP which do not in place and this can be seen in the image documentation. Third, when the AKAP bus will maneuver to get into the parking lot AKAP bus, it takes quite a long time and could hinder other transport to pass. In this thesis, the author has provided solutions to three problems are found, because it must be found a solution that does not affect the operational performance in the future Pinang Baris Terminal
Neurosyphilis in Psychiatric Settings: Three Case Reports
No full textWOS: 000398584900008Syphilis is a generally sexually transmitted and multisystem disease caused by the spirochete Treponema pallidum. All of the organs of the body may be involved during the course of the disease. Neurosyphilis is a clinical form of syphilis with the central nervous system (CNS) involvement. While primarily meningeal and vascular structures are involved in early neurosyphilis, a parenchymal affection of the brain and spinal cord emerges at later stages of neurosyphilis. It presents with symptoms of meningitis, meningovasculitis and parenchymal neurosyphilis (presenting as tabes dorsalis and general paresis). Clinically, it can mimic a variety of psychiatric disorders such as depression, psychosis, mania, delirium, personality changes and dementia. During its progression making presentations similar to many systemic or neuropsychiatric diseases, syphilis is defined as "great imitator". Nowadays, neurosyphilis is a rare disease as a result of the widespread use of antibiotics that must be kept in mind in the differential diagnosis of neurological and psychiatric disorders. In this article, three neurosyphilis cases with different psychiatric presentations are reported and literature relevant to syphilis are reviewed
Cognitive impairment in long-COVID
No full textBackground – Long Covid is a complex
condition characterised by symptoms that
persist for weeks and months after the
Covid infection, accompanied by cognitive
impairment that negatively affects daily life.
Understanding this complex condition is
important for the development of diagnostic
and therapeutic strategies.
Purpose – This article aims to provide a
comprehensive overview of cognitive impairment in long-COVID, including its definition,
symptoms, pathophysiology, risk factors,
assessment tools, imaging abnormalities, potential biomarkers, management strategies,
long-term outcomes, and future directions
for research.
Methods – The search methodology used in
this review aimed to include a wide range of
research on cognitive impairment related to
both COVID-19 and long-COVID. Systematic
searches of PubMed and Google Scholar
databases were conducted using a mixture
of MeSH terms and keywords including
‘cognition’, ‘cognitive impairment’, ‘brain fog’,
‘COVID-19’ and ‘long-COVID’. The search was
restricted to studies published in English between 1 January 2019 and 11 February 2024,
which presented findings on neurological
manifestations in human participants.
Results – Long-COVID is characterized by
persistent symptoms following COVID-19
infection, with cognitive impairment being a
prominent feature. Symptoms include brain
fog, difficulties with concentration, memory
issues, and executive function deficits.
Pathophysiological mechanisms involve
viral persistence, immune responses, and
vascular damage. Risk factors include age,
pre-existing conditions, and disease severity. Cognitive assessment tools such as
the Montreal Cognitive Assessment (MoCA)
are essential for diagnosis. Imaging studies, including MRI, PET, and SPECT, reveal structural and functional brain alterations. Potential biomarkers include C-reactive protein,
interleukin-6, and neuron-specific enolase.
Management strategies encompass cognitive
rehabilitation, occupational therapy, medications, and lifestyle modifications.
Discussion – Long-COVID poses a multifaceted challenge, and cognitive impairment
significantly impacts patients’ lives. A multidisciplinary approach, including cognitive
rehabilitation and medication when appropriate, is essential for effective management.
Future research should focus on validating
biomarkers and understanding long-term
cognitive outcomes.
Conclusion – Long-COVID is a global health
concern, and cognitive impairment is a
distressing symptom. While pharmacological
interventions have potential, they require
careful consideration. Continued research
is crucial for improving the understanding
and treatment of cognitive impairment in
long-COVID
Value Chains and WTO Disputes: Compliance at the dispute settlement mechanism
No full textAs economic populism and protectionism increasingly threatens the global trade order, this book examines the behavior of World Trade Organization (WTO) members at the judicial arm of the WTO—the dispute settlement mechanism (DSM). The author explores why and when governments cooperate at the WTO and comply with the ruling of its panels, focusing on how the growth of global value chains through the internationalization of trade and production has increased the importance of both trade liberalization and supra-national governance and policy-making. Finding that domestic organized interests—i.e. firms and sectors—mobilize and lobby national governments to change their domestic policies to better harmonize with their international trade commitments, the author outlines how the time it takes to comply with adverse WTO rulings is shorter when the potential domestic costs of non-compliance outweigh protectionist interests. The author’s innovative research design highlights the conditions under which the WTO can preserve the rules of international trade and support a more open, global economy
Peranan Yayasan Pusat Kajian dan Perlindungan Anak (PKPA) Dalam Meningkatkan Kemandirian Masyarakat Melalui Credit Union Sumber Rejeki Pinang Baris Kecamatan Medan Sunggal Kota Medan
No full textThe poverty rate currently experienced a decrease although not significant
through a variety of programs designed in such a way. The program not only can
be given or actuated by the government, but also by the community itself through
non-governmental organizations (NGO) .One of the proper way to reduce the
poverty rate is not through the provision of assistance only to meet the needs, but
through the community capacity development .The notion of alternative
development program in accordance with community in Indonesia is credit union
which have been introduced in Indonesia since the year 1958 .
This research using a descriptive qualitative studies, The role of the
Foundation's Center for Study and Child’s Protection (PKPA) in enhancing Selfreliance
Community Through Credit Union located in Pinang Baris Subdistrict
Medan Sunggal. Data on the research done by committing to interviews and
observation; 5 informant consisting of four informant of CU Sumber Rejeki’s
Member and 1 informant was PKPA’s staf.
Based on the results of the data analysis, the authors concluded that PKPA
role in promoting community self-reliance through CU Rejeki Pinang Baris very
much up and running well, particularly through economic assistance, savings and
loans providers an easy and training activities that have been planned. This is
evident from the answers of the informants posed by the author.115 HalamanSkripsi Sarjan
Longitudinal Study of Cognitive Impairment in Multiple Sclerosis: A 5-year Follow-up
No full textObjectives: Cognitive impairment can be demonstrated in 40 to 65% of MS patients, starting from early stages. The aim of this study was to investigate alteration in cognitive impairment during long-term follow-up and the association with the disease characteristics
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