1,539 research outputs found
Abstract 1122‐000190: Persistent DWI Signal for 18 Months in Ischemic Stroke Patient with Carotid Web
No full textIntroduction: Diagnostic tools for acute ischemic infarcts include the use of DWI sequence on MRI to identify acute infarcts is especially useful since lesions can become hyperintense on this sequence very rapidly (Albers 1998). Over the next 15 days, DWI hyperintensity slowly decreases back to isointense. In some patients, however, there is persistent DWI hyperintensity past 1 month. There are theories that these persistent areas exhibit delayed onset infarct, prolonged ischemia, or perhaps different repair processes (Rivers, et al 2006). To this day, all DWI signals have been known to resolve within a few months even for persistent hyperintensities (Rivers, et al 2006). Carotid webs are a rare form of fibromuscular dysplasia that protrudes from the intimal tissues of carotid arteries. They are shelf‐like projections that grow into the lumen and disrupt normal blood flow (Zhang, et al 2018). These outgrowths are theorized to lead to ischemic strokes due to flow stasis and subsequent embolization of clots that form (Zhang, et al 2018). There is no consensus on the best management of carotid webs, and secondary prevention of recurrent strokes range from medical management to carotid stenting. Methods: This is a case report, and information for the patient was gathered through review of medical records on the EMR. Results: We present a case of ischemic stroke in the right basal ganglia/corona radiata, who presented with left sided weakness. The patient was found to have prediabetes, HTN, and HLD. However, she had recurrence of her symptoms over the next 18 months (figure 1). Repeat MRIs showed persistent DWI hyperintensity that slowly decreased in size and signal intensity over this period but in the same area as the initial infarct. The rest of the work up was only significant for a carotid web in the right internal carotid artery identified on conventional angiography. Ultimately she was managed with medical therapy including aspirin, statin, and antihypertensives. Conclusions: It is unclear whether the carotid web is associated with persistent DWI for such an extended time frame. There is very little research that explores the pathophysiology of ischemic strokes from carotid webs. In addition, there is even less information about the physiology of an evolving infarct that shows persistent DWI signals for such an extended time frame. Further studies that look into carotid webs may help us understand the best long term management in such patients. Future studies that explore the physiology of ischemic strokes that show such persistent DWI signals may elucidate and perhaps expand upon current management options and possibly identify new areas for intervention
Strike Three Yer Out!? : Examining the Constitutional Limits on the Use of Prior Uncounseled DWI Convictions to Impose Mandatory Prison Sentences on Repeat DWI Offenders
Get PDFThis Comment examines the constitutional implications of using prior uncounseled DWI convictions to incarcerate repeat DWI offenders. The Comment reviews the Supreme Court decisions that established the right to court-appointed counsel for the indigent accused and examines the federal constitutional limitations on the collateral use of prior uncounseled DWI convictions. It also critically evaluates state court decisions involving the collateral use of prior uncounseled DWI convictions. The author concludes that, because an uncounseled conviction is inherently unreliable, it should not be used to mandatorily incarcerate a DWI repeat offender
KAJIAN NEW HISTORISME DALAM NOVEL HATI SINDEN KARYA DWI RAHYUNINGSIH: A Study Of New Historicism In The Novel Of Hati Sinden By Dwi Rahyuningsih
No full textAbstrak: Penelitian ini menggunakan perspektif new historisme dengan tujuan untuk mengidentifikasi sejarah dan budaya Indonesia dalam novel Hati Sinden karya Dwi Rahyuningsih. Data dalam penelitian berupa teks, baik berupa kata, kalimat, atau wacana yang sesuai dengan rumusan masalah. Adapun sumber data dalam penelitian ini yaitu novel Hati Sinden karya Dwi Rahyuningsih yang diterbitkan oleh Diva Press pada tahun 2011. Instrumen dalam penelitian ini yaitu penulis yang berorientasi pada penelitian tentang sejarah dan budaya Indonesia dalam novel Hati Sinden karya Dwi Rahyuningsih. Teknik pengumpulan data dalam penelitian ini dilakukan melalui dua tahapan yaitu baca dan catat. Teknik analisis data dilakukan melalui tiga tahapan yaitu kategorisasi, deskripsi, dan penyajian data. Hasil penelitian menunjukkan bahwa pertama, dalam novel Hati Sinden karya Dwi Rahyuningsih terdapat representasi sejarah Indonesia yaitu tentang Partai Komunis Indonesia. Kedua, representasi unsur budaya dalam novel Hati Sinden karya Dwi Rahyuningsih yang terdiri dari unsur budaya pada sistem kesenian, sistem mata pencaharian hidup, dan sistem kepercayaan.
Abstract: This research used new historicism perspective with the aim of identifying Indonesian history and culture in the novel of Hati Sinden by Dwi Rahyuningsih. The data in this research is the form of text, either the form of words, sentences, or discourse in accordance with the formulation of problem. The data source in this research is novel of Hati Sinden by Dwi Rahyuningsih, published by Diva Press in 2011. The instrument in this research is the author who oriented towards research on Indonesian history and culture in the novel of Hati Sinden by Dwi Rahyuningsih. The data collection technique in this research was carried out in two stages, namely reading and taking notes. The data analysis technique was carried out in three stages, namely categorization, description, and presentation of the data. The results show that first, in the novel of Hati Sinden by Dwi Rahyuningsih, there is a representation of Indonesian history, namely the Indonesian Communist Party. Second, the representation of cultural elements in the novel of Hati Sinden by Dwi Rahyuningsih, which consists of cultural elements in the art system, livelihood system, and belief system.Penelitian ini menggunakan perspektif new historisme dengan tujuan untuk mengidentifikasi sejarah dan budaya Indonesia dalam novel Hati Sinden karya Dwi Rahyuningsih. Data dalam penelitian yaitu berupa teks, baik berupa kata, kalimat, atau wacana yang sesuai dengan rumusan masalah. Adapun sumber data dalam penelitian ini yaitu novel Hati Sinden karya Dwi Rahyuningsih yang diterbitkan oleh Diva Press pada tahun 2011. Instrumen dalam penelitian ini yaitu penulis yang berorientasi pada penelitian tentang sejarah dan budaya Indonesia dalam novel Hati Sinden karya Dwi Rahyuningsih. Teknik pengumpulan data dalam penelitian ini dilakukan melalui dua tahapan yaitu baca dan catat. Teknik analisis data dilakukan melalui tiga tahapan yaitu kategorisasi, deskripsi, dan penyajian data. Hasil penelitian menunjukkan bahwa pertama, dalam novel Hati Sinden karya Dwi Rahyuningsih terdapat representasi sejarah Indonesia yaitu tentang Partai Komunis Indonesia. Kedua, representasi unsur budaya dalam novel Hati Sinden karya Dwi Rahyuningsih yang terdiri dari unsur budaya pada sistem kesenian, sistem mata pencaharian hidup, dan sistem kepercayaan
The prevention of young driver's DWI (driving while intoxicated) and RWDI (riding with a driver under influence) in Europe: A social-sequential model
No full textInspired by the 'critical incident technique' of McKnight et al. (1995) who analyzed 12,000 drivers' decisions leading to (or not to) DWI, and indentified the influence of social, motivational, and economic factors, the author has developed a social-sequential model of young drivers' DWI and RWDI prevention
Efek Analgetik Dispersi Padat Ibuprofen-Polyethylene Glycol 4000 Pada Mencit Galur Deutschland Denken Yoken (DDY)
Get PDFIbuprofen termasuk salah satu obat yang memiliki permasalahan kelarutan dalam air. Kecepatan disolusi intrinsik ibuprofen terbukti meningkat melalui pembentukan dispersi padat karena adanya peningkatan kelarutan ibuprofen, sehingga meningkatkan efektifitas dari obat. Tujuan dari penelitian ini yaitu untuk mengetahui pengaruh pembentukan dispersi padat terhadap efek analgetik ibuprofen. Hewan uji yang digunakan yaitu mencit galur DDY dengan jumlah 40 ekor, terbagi menjadi 5 kelompok. Kelompok PEG 4000, kelompok ibuprofen dengan dosis 26 mg/kg BB dan kelompok dispersi padat ibuprofen-PEG 4000 dosis 52, 104 dan 156 mg/kg BB. Setiap 5 menit geliat dihitung dan diamati selama 1 jam. Kemudian dihitung persen proteksi dan dilanjutkan analisis data menggunakan uji statistik. Kelompok dispersi padat ibuprofen–PEG 4000 dosis 52, 104 dan 156 mg/kg BB mempunyai aktivitas mengurangi atau menekan rasa nyeri karena mampu menurunkan geliat ≥50%. Dengan adanya peningkatan dosis menunjukkan persentase proteksi semakin meningkat berturut-turut yaitu 71,68, 85,16 dan 91,60%. Dapat disimpulkan bahwa efek analgetik ibuprofen meningkat melalui pembentukan dispersi padat ibuprofen-PEG 400
Payroll Administration System at Smkti Dwi Darma Sukabumi Using Visual Basic 6.0
Get PDFThis Paper is about the design information on the teacher payroll Darma Dwi SMKTISukabumi, because the system is running in this institution which is still operatedmanually. In this system puts the author identification problem as an initial step in themanagement information system governance.Based on these circumstances, the author makes a system by referring to the runningprocedure. This system is expected to help overcome the existing problems in orderto improve the efficiency, effectiveness and productivity and quality of schools.Writing will use the display Microsoft Visual Basic 6.0
An integrated system approach to characterise a drinking water infrastructure system
No full textThe object of this article is the drinking water infrastructure (DWI), a critical societal infrastructure. To make effective decisions it is important to characterise and understand the complexity of DWI systems. DWI systems can be seen as a system of systems, consisting of the social-ecological system and the social-technical system. The social-ecological system determines the location and seize of the water resources, while the social-technical system is about the technical infrastructure. The two systems with different characteristics must align to work effective together in the DWI system. The tension between different lifecycles of the assets and dynamic changes in both systems, the time of change, is important to take into account. The SoPhyTech infra framework was developed based on the two systems and time of change. The advantages of applying the SoPhyTech infra framework is studied in a case comparing two very different DWI systems: Indonesia (Semarang) and the Netherlands (Vitens). The SoPhyTech infra framework was shown to be effective for characterising a DWI system with different interacting lifecycles in different systems and it is expected that it also can be used to characterise other infrastructure systems.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Sanitary Engineerin
PAYROLL ADMINISTRATION SYSTEM AT SMKTI DWI DARMA SUKABUMI USING VISUAL BASIC 6.0
No full textThis Paper is about the design information on the teacher payroll Darma Dwi SMKTISukabumi, because the system is running in this institution which is still operatedmanually. In this system puts the author identification problem as an initial step in themanagement information system governance.Based on these circumstances, the author makes a system by referring to the runningprocedure. This system is expected to help overcome the existing problems in orderto improve the efficiency, effectiveness and productivity and quality of schools.Writing will use the display Microsoft Visual Basic 6.0
The Use of Serial Non EPI DWI MRI Scans to Determine the Growth of Cholesteatoma
Get PDFIntroduction
It is an established practice to use non-EPI DWI MRI scans to detect the presence of cholesteatoma post operatively. In the present era of Covid-19 where routine surgery to remove cholesteatoma has been suspended resulting in potentially unprecedented demands on the service, a review of serial MRI scans performed over a 7 year period was undertaken to determine the rate of growth of cholesteatoma.
Materials and Methods
A retrospective longitudinal study identified 24 middle ear cholesteatomas in 17 patients with serial non-EPI DWI MRI scans (having excluded those having surgical intervention between scans) for a median period of 33 months (range of 6-91 months). Cholesteatomas were measured by the first author and by the consultant radiologist.
Results
Of 24 cholesteatomas, 1 resolved completely, 5 reduced, 6 stayed the same size, 4 grew slowly and 8 grew significantly.
Conclusion
Non-EPI DWI MRI scans to determine cholesteatoma growth in asymptomatic ears is useful in triaging patients in the Covid-19 era
Sistem Informasi Penjualan Berbasis Web pada UD Dwi Surya Aluminium dan Kaca YOGYAKARTA
No full textAt this time the development of information technology is growing very rapidly. Directly or indirectly affect various aspects of life, including the business world. Almost all aspects have used computers as a tool to provide convenience for companies. UD Dwi Surya Aluminum and Glass Yogyakarta need an information system that support and provide satisfactory service for the customer. For that the author tries to make Thesis web-based sales information system on UD Dwi Surya Aluminum and Glass which until now has not been computerized. Sales system running on the UD is still conventional and data processing inside the UD is still manual, such as recording payment transactions and making reports that are still recorded in a book. The data storage in the book is considered less effective because of the data search process that takes a long time and often error recording due to human error. And Marketing of goods made UD Dwi Surya Aluminum and Glass around the scope of Yogyakarta. The design of the sales information system in this UD uses the waterfall method. With this sales website is the best solution to solve existing problems in this company, as well as with this system can improve sales service, especially on product offerings and facilitate in processing sales data that exist in the UD. A computerized system is better than a manual system, a sales system that is now more conducive than the previous system
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