New Applications for Real-Time Three-Dimensional Echocardiography

Conventional two-dimensional echocardiography (2DE) has been established as the most widely diagnostic tool in clinical cardiology practice. Its application helps in morphological and functional assessment of cardiac chambers and valves. The advancement in technology of echo machines and its software analysis minimized many difficulties and limitations. However, 2DE application still carries many limitations. It requires mental conceptualization of a series of multiple orthogonal planer or tomographic images into an imaginary multidimensional reconstruction for better understanding of complex intracardiac structures and their spatial relation with surroundings (1). Many of 2DE formula used for volume quantification and ejection fraction calculation especially for left ventricle are based on geometric assumption that may not true providing varied results in the setting of chamber dilatation or distortion and in the presence of regional wall motion abnormalities (2). Interobserver variability for 2DE images interpretation is still due to different ways of data interpolation especially for measurement of mitral and aortic valve orifice area (3,4). These limitations encourage numerous investigators to obviate it by the attempt to obtain three-dimensional images. Three-dimensional echocardiography was developed since more than 15 years provide more accurate assessment of ventricular volume, mass and function and provide a more complete view of the valves. Despite these advantages, it remained a research tool due to many limitations like electrocardiographic and respiratory gating, motion artifacts, time consuming offline analysis and reconstruction. Over the last few years, the advances in transducer and computer software technology led to enhancement of real-time three-dimensional echocardiography (RT3DE) to be applied for clinical utility. The recently developed matrix array transducer consists of approximately 3,000 firing elements improved the contrast resolution and penetration. By this transducer, the entire heart image could be obtained by a pyramidal full-volume acquisition of four cardiac cycles. The development in software made the data off-line analysis faster and easier

ANNs-Based Early Warning System for Indonesian Islamic Banks

This research proposes a development of Early Warning System (EWS) model towards the financial performance of Islamic bank using financial ratios and macroeconomic indicators. The result of this paper is ready-to-use algorithm for the issue that needs to be solved shortly using machine learning technique which is not widely applied in Islamic banking. The research was conducted in three stages using Artificial Neural Networks (ANNs) technique: the selection of variables that significantly affect financial performance, developing an algorithm as a predictor and testing the predictor algorithm using out of sample data. Finally, the research concludes that the proposed model results in 100% accuracy for predicting Islamic bank’s financial conditions for the next two consecutive months

Pola penguasaan pemilikan dan penggunaan tanah secaraa tradisional Kalimantan Barat

Buku ini membahas tentang Pola penguasaan pemilikan dan penggunaan tanah secaraa tradisional di daerah Kalimantan Barat. Buku ini juga berisi tentang identifikasi lokasi dan masyarakat, sejarah mengenai tanah tersebut, analisa pola penguasaan, pemilikan, dan penggunaan tanah

Resistance in Mungbean to bacterial leaf spot disease

Fifty-eight mungbean genotypes/cultivars of indigenous as well as exotic origin were screened against natural infection of bacterial leaf spot disease under field conditions at National Agriculture Research Centre, Islamabad during Kharif season of 2002. Two genotypes exhibited highly resistant reaction, 10 displayed resistant reaction and 18 were tolerant, while the rest were either susceptible or highly susceptible against the disease. Identified resistant sources may be exploited for the development of high yielding disease resistant cultivars of mungbean by using in hybridization programme.&nbsp

Effect of Substituting Soybean Meal with Moringa oleifera Meal on the Growth and Body Composition of Labeo rohita Fingerlings

Peer reviewedPublisher PD

Assessment of pulmonary valve and right ventricular outflow tract with real-time three-dimensional echocardiography

Aim: Assessment of pulmonary valve (PV) and right ventricular outflow tract (RVOT) using real-time 3-dimensional echocardiography (RT3DE). Methods: Two-dimensional echocardiography (2DE) and RT3DE were performed in 50 patients with congenital heart disease (mean age 32 ± 9.5 years, 60% female). Measurements were obtained at parasternal views: short axis (PSAX) at aortic valve level and long axis (PLAX) with superior tilting. RT3DE visualization was evaluated by 4-point score (1: not visualized, 2: inadequate, 3: sufficient, and 4: excellent). Diameters of PV annulus (PVAD), and RVOT (RVOTD) were measured by both 2DE and RT3DE, while areas (PVAA) and (RVOTA) by RT3DE only. Results: By RT3DE, PV was visualized sufficiently in 68% and RVOTexcellently in 40%. PVAD and PVAA were measured in 88%. RVOTD and PVAD by 2DE at PLAX were significantly higher than PSAX (P < 0.0001) and lower than that by RT3DE (P < 0.001). Conclusion: RT3DE helps inRVOT and PV assessment adding more details supplemental to 2DE

PENDAMPINGAN PEMBUATAN MINYAK SUMBAWA PADA KARANG TARUNA DESA REMPE SETELUK SUMBAWA BARAT

ABSTRAK                                                               Tujuan dilakukan pengabdian kepada masyarakat khususnya Pembuatan Minyak Sumbawa (Melala) dalam rangka siar budaya dan pengenalan pada Karang Taruna Desa Rempe Seteluk Sumbawa Barat.  Pengenalan pembuatan minyak Sumbawa pada generasi muda saat ini sebagai langkah memperkenalkan minyak Sumbawa sebagai  Obat tradisional sebagai obat-obatan yang diolah secara tadisional, turun-temurun berdasarkan resep nenek moyang, adat-istiadat, kepercayaan dan kebiasaan setempat, sehingga merupakan pengetahuan tradisional. Pengabdian kepada masyarakat dilakukan di Desa Rempe Kecamatan Seteluk Kabuapten Sumbawa Barat. Metode yang digunakan adalah sosialisasi dan praktek langsung. Hasil Pengabdian kepada masyarakat ini diketahui bahwa antusias dari karang taruna dalam ikut terlibat dalam pembutan minyak Sumbawa cukup tinggi karena memberikan pengetahuan baru dalam mengembangkan budaya local di masa akan datang. Kata Kunci: pendampingan; minyak sumbawa dan karang taruna. ABSTRACTThe purpose of doing community service, especially Sumbawa Oil Production (Malala) in the context of cultural broadcasting and introduction to the Youth Organization of Rempe Seteluk Village, West Sumbawa. The introduction of Sumbawa oil manufacture to the younger generation today is a step to introduce Sumbawa oil as traditional medicine as medicines that are processed traditionally, from generation to generation. from generation to generation based on ancestral recipes, customs, beliefs and local customs, so that it is traditional knowledge. Community service is carried out in Rempe Village, Seteluk District, West Sumbawa Regency. The method used is socialization and direct practice. The results of this community service show that the enthusiasm of youth organizations in being involved in the production of Sumbawa oil is quite high because it provides new knowledge in developing local culture in the future. Keywords: mentoring; sumbawa oil and youth organizations

True mitral annulus diameter is underestimated by two-dimensional echocardiography as evidenced by real-time three-dimensional echocardiography and magnetic resonance imaging

Background: Mitral annulus assessment is of great importance for the diagnosis and treatment of mitral valve disease. The present study sought to assess the value of real-time three-dimensional echocardiography for the assessment of true mitral annulus diameter (MAD). Methods: One hundred and fifty patients (mean age 38 ± 18 years) with adequate two-dimensional (2D) echocardiographic image quality underwent assessment of MAD2Dand MAD3D(with real-time three-dimensional echocardiography). In a subgroup of 30 patients true MAD was validated with magnetic resonance imaging (MRI). Results: There was a good interobserver agreement for MAD2D(mean difference = -0.25 ± 2.90 mm, agreement: -3.16, 2.66) and MAD3D(mean difference = 0.29 ± 2.03, agreement = -1.74, 2.32). Measurements of MAD2Dand MAD3Dwere well correlated (R = 0.81, P < 0.0001). However, MAD3Dwas significantly larger than MAD2D(3.7 ± 0.9 vs. 3.3 ± 0.8 cm, P < 0.0001). In the subgroup of 30 patients with MRI validation, MAD3Dand MADMRIwere significantly larger than MAD2D(3.3 ± 0.5 and 3.4 ± 0.5 cm vs. 2.9 ± 0.4 cm, both P < 0.001). There was no significant difference between MADMRIand MAD3D. Conclusion: MAD3Dcan be reliably measured and is superior to MAD2Din the assessment of true mitral annular size