A case series of craniotomy in obstetric patients: a lifesaving treatment modality

BACKGROUND:Neurosurgical disorders are a significant cause of non-obstetric death and disability in pregnant women. They pose a unique therapeutic challenge. The changes in normal physiology during pregnancy add to the complexity of management. The common conditions encountered are intracranial hemorrhage, tumours, trauma and spinal pathologies. It is preferrable to wait until the third trimester if the indication is semi-elective.MATERIALS AND METHODS: Here we present a prospective study of four cases , managed with neurosurgery in pregnancy and puerperium.RESULTS: Of the 4 cases two cases were craniotomy done for cortical vein thrombosis and two cases of excision of space occupying lesions.  CONCLUSIONS: Pregnancy itself should not be considered a contra-indication to neurosurgery, which when considered early in some patients, proves to be life-saving

Perjanjian Kerja Antara Pekerja Kontrak Dengan Pihak Bank Rakyat Indonesia Kantor Cabang Abunjani Sipin Kota Jambi

The workforce greatly influences the progress of the company, theposition of the workforce as development actors has a role in increasing thewelfare and progress of the company so that the company can compete in theglobal era. Work agreements made between companies and workers according tothe Labor Law on Employment can be divided into two, namely, Certain Time WorkAgreements (PKWT) or Indefinite Time Work Agreements (PKWTT). In theimplementation of PKWT, there are still many irregularities found, namely thatemployers do not want to elevate the status of PKWT workers to permanentworkers. This happens because of the unclear norms in this agreement. Thepurpose of this research is to determine and analyze the Specific Time WorkAgreement (PKWT) and the factors that constrain contract worker agreements atBank Rakyat Indonesia Abunjani Sipin Branch Office, Jambi City. This type ofresearch is empirical juridical with a purposive sampling method. Bank RakyatIndonesia Abunjani Sipin Branch Office has implemented PKWT in recruiting newemployees. Based on the Manpower Law, the contract work system is onlypermitted for supporting work, but in practice there are many irregularities due tothe absence of legal sanctions and weak supervision.Tenaga kerja sangat mempengaruhi pada kemajuan perusahaan,kedudukan tenaga kerja sebagai pelaku pembangunan mempunyai peranan dalampeningkatan kesejahteraan dan kemajuan perusahaan sehingga perusahaantersebut dapat bersaing di era global. Perjanjian kerja yang dibuat antaraperusahaan dan pekerja menurut Undang-Undang Ketenagakerjaan tentangKetenagakerjaan dapat dibedakan menjadi dua yaitu, Perjanjian Kerja WaktuTertentu (PKWT) atau Pekerjaan Kerja Waktu Tidak Tertentu (PKWTT). Dalampelaksanaan PKWT, masih banyak ditemukan penyimpangan, yakni pihak pemberikerja tidak mau mengangkat status pekerja PKWT menjadi pekerja tetap. Hal initerjadi lantaran ketidakjelasan norma di dalam perjanjian ini. Tujuan penelitian iniSubmission :Revision :Publication :Perjanjian Kerja Bagi Pekerja Kontrak Pada Bank Rakyat Indonesia KantorCabang Abunjani Sipin Kota Jambi2untuk mengetahui dan menganalisis Perjanjian Kerja Waktu Tertentu (PKWT) danfaktor kendala perjanjian pekerja kontrak pada Bank Rakyat Indonesia KantorCabang Abunjani Sipin Kota Jambi. Tipe penelitian ini adalah yuridis empiris denganmetode penentuan sampel purposive sampling. Berdasarkan data yang penulisdapatkan dapat terlihat bahwa Bank Rakyat Indonesia Kantor Cabang AbunjaniSipin telah menerapkan PKWT dalam merekrut karyawan barunya. Selanjutnyamengenai faktor kendala dalam perjanjian kerja bagi pekerja kontrak pada BankRakyat Indonesia Kantor Cabang Abunjani Sipin, Berdasarkan Undang-UndangKetenagakerjaan, sistem kerja kontrak hanya diperbolehkan untuk pekerjaanpendukung, tetapi dalam prakteknya banyak penyimpangan akibat tidak adanyasanksi hukum dan lemahnya pengawasan

A case series of craniotomy in obstetric patients: a lifesaving treatment modality

BACKGROUND:Neurosurgical disorders are a significant cause of non-obstetric death and disability in pregnant women. They pose a unique therapeutic challenge. The changes in normal physiology during pregnancy add to the complexity of management. The common conditions encountered are intracranial hemorrhage, tumours, trauma and spinal pathologies. It is preferrable to wait until the third trimester if the indication is semi-elective.MATERIALS AND METHODS: Here we present a prospective study of four cases , managed with neurosurgery in pregnancy and puerperium.RESULTS: Of the 4 cases two cases were craniotomy done for cortical vein thrombosis and two cases of excision of space occupying lesions.  CONCLUSIONS: Pregnancy itself should not be considered a contra-indication to neurosurgery, which when considered early in some patients, proves to be life-saving