ROLE OF ANATOMICAL OBSTRUCTION IN THE PATHOGENESIS OF CHRONIC SINUSITIS

Sinusitis is a commonly diagnosed condition in the general population.This article is a study to asses the role of anatomical obstruction in the pathogenesis of chronic sinusitis,based on symptomatology and radiological findings of the patients.The frequency of major anatomical variants like deviated nasal septum,concha bullosa and paradoxical middle turbinate leading to chronic sinusitis have been analyzed.Most of the time the obstruction at osteomeatal complex leading to chronic sinusitis is caused by more than one anatomical factor. 

Analysis of Implementation the Evaluation of Guidance and Counseling Program at Senior High Schools of Singkawang

Focus of this study are (1) describe and analyze the implementation of the guidance and counseling program, (2) find some factors inhibiting the implementation of the guidance and counseling program. This study uses qualitative methods; using interview data collecting technique, tested its validity through triangulation. Subjects in this study are all teachers of guidance and counseling in the Senior High School of Singkawang as many as 10 people as well as principals and supervisors as the informants with the total of 11 people. Results (1) the implementation of evaluation of guidance and counseling program by the teachers still has many weaknesses on each phase of the evaluation, such as not understanding the evaluation models of the guidance and counseling program, how to apply them, and monitoring process that is not done in deeply and in detail, (2) Some factors inhibiting the implementation of the evaluation of guidance and counseling program are lack of knowledge and understanding of the evaluation of guidance and counseling program in the schools, lack of interest in developing professional competencies, and lack of guidance to the teachers in implementing the guidance and counseling evaluation program

Analysis of Implementation the Evaluation of Guidance and Counseling Program at Senior High Schools of Singkawang

Focus of this study are (1) describe and analyze the implementation of the guidance and counseling program, (2) find some factors inhibiting the implementation of the guidance and counseling program. This study uses qualitative methods; using interview data collecting technique, tested its validity through triangulation. Subjects in this study are all teachers of guidance and counseling in the Senior High School of Singkawang as many as 10 people as well as principals and supervisors as the informants with the total of 11 people. Results (1) the implementation of evaluation of guidance and counseling program by the teachers still has many weaknesses on each phase of the evaluation, such as not understanding the evaluation models of the guidance and counseling program, how to apply them, and monitoring process that is not done in deeply and in detail, (2) Some factors inhibiting the implementation of the evaluation of guidance and counseling program are lack of knowledge and understanding of the evaluation of guidance and counseling program in the schools, lack of interest in developing professional competencies, and lack of guidance to the teachers in implementing the guidance and counseling evaluation program

HAIR DYE POISONING (An emerging emergency for airway surgeon- a case report)

Super-Vasmol, a cheap, freely-available hair dye isemerging as a major cause of suicidal poisoning in India. It contains potential toxins including paraphenylene diamine, resorcinol, sodium ethylenediaminetetraacetic acid and propylene glycol which can result in multiorgan dysfunction2 .This case report is an attempt to throw light on this emerging problem.

Pengaruh Kualitas Produk Dan Kualitas Pelayanan Terhadap Kepuasan Pelanggan Dan Loyalitas Pelanggan (Survei Pada Pelanggan De'pans Pancake and Waffle Di Kota Malang)

The purpose of this study is to analyze and explain the effect of product quality and service quality on customer satisfaction and customer loyalty. This type of research is explanatory research. The samples in this study were 112 customers of De'Pans Pancake and Waffle Malang. Sampling technique use sistematic random sampling. Method of data collection is questionaire. Data analysis using descriptive analysis and path analysis (path analysis). The results showed that a significant difference between the quality of products to customer satisfaction, service quality on customer satisfaction and customer satisfaction to customer loyalty, with a p-value (p <0.05), where as the effect of product quality on customer loyalty and influence the quality services to customer loyalty is not significant, with a p-value (p> 0,05)

Invasi Fatimiyyah ke Mesir

Berdirinya Dinasti Abbasiyah di Bagdad telah semakin menjauhkkan kaum Alawiyyin dari percaturan politik. Bahkan mereka terus dikejar Abbasiyah di manapun berada untuk dimusnahkan. Salah satu keturunan Ali adalah Isma’il bin Ja’far al-Sadiq. Para pengikutnnya telah berhasil mendirikan kekhalifahan Fatimiyyah di tempat yang dapat dikatakan jauh dari pusat kekuasaan Abbasiyah di Bagdad. Selama beberapa abad, Fatimiyyah menguasai Afrika Utara, Mesir dan Magrib. Untuk dapat menguasai wilayah-wilayah tersebut, Fatimiyyah memiliki keyakinan bahwa jika Mesir bisa dikuasai, maka akan menjadi mudah menguasai wilayah-wilayah sekitarnya, sebab Mesir memiliki arti strategis baik dari sisi letak geografis maupun ekonomis. Atas dasar itu, ide penaklukan Mesir diwariskan secara turun temurun oleh para khalifah Fatimiyyah. Ada proses invasi yang dilakukan para khalifah Fatimiyyah untuk menaklukkan Mesir oleh 4 Khalifah yaitu al-Mahdi, al-Qaim, al-Mansur dan al-Mu’iz lidinillah yang berlangsung selama kurang lebih 57 tahun. Akhirnya, perjuangan tak kenal menyerah dengan berbagai strategi telah membuahkan hasil ditaklukkannya oleh oleh Fatimiyyah pada tahun 358 oleh khalifah al-Mu’iz lidinillah di bawah pimpinan panglima Jauhar

Anomalous coercivity enhancement with temperature and tunable exchange bias in Gd and Ti co-doped BiFeO3_3 multiferroics

We have investigated the effect of temperature on magnetic properties of Bi$_{0.9}$Gd$_{0.1}$Fe$_{1-x}$Ti$_x$O$_3$ (x = 0.00-0.20) multiferroic system. Unexpectedly, the coercive fields ($H_{c}$) of this multiferroic system increased with increasing temperature. The coercive fields and remanent magnetization were higher over a wide range of temperatures in sample x = 0.10 i.e. in sample having composition Bi$_{0.9}$Gd$_{0.1}$Fe$_{0.9}$Ti$_{0.1}$O$_3$ than those of x = 0.00 and 0.20 compositions. Therefore, we have carried out temperature dependent magnetization experiments extensively for sample x = 0.10. The magnetic hysteresis loops at different temperatures exhibit an asymmetric shift towards the magnetic field axes which indicate the presence of exchange bias effect in this material system. The hysteresis loops were also carried out at temperatures 150 K and 250 K by cooling down the sample from 300 K in various cooling magnetic fields ($H_{cool}$). The exchange bias field ($H_{EB}$) values increased with $H_{cool}$ and decreased with temperature. The $H_{EB}$ values were tunable by field cooling at temperatures up to 250 K.Comment: 7 page

PERBEDAAN WAKTU MUNCULNYA GEJALA KLINIS STENOSIS CANALIS LUMBALIS DEGENERATIF MENGGUNAKAN UJI TREADMILL DAN UJI TREADMILL DENGAN PEMBEBANAN DI RS ORTHOPAEDI PROF DR R SOEHARSO SURAKARTA

ABSTRAK Latar Belakang : Stenosis canalis lumbalis degeneratif merupakan penyakit umum pada populasi lanjut usia. Meskipun definisinya sering mengacu hasil pencitraan, diagnosis klinis dan penilaian beratnya stenosis sangat tergantung deskripsi pasien dan pemeriksaan fisik. Hubungan antara pemeriksaan obyektif dan keluhan subyektif pasien dengan beratnya penyempitan canalis spinalis sering tidak jelas. Penelitian ini menilai hubungan tersebut berdasarkan metode obyektif dan kuantitatif. Metode : Dilakukan penelitian eksperimental terhadap pasien dengan diagnosis klinis stenosis canalis lumbalis degeneratif yang memenuhi kriteria inklusi menggunakan uji treadmill dan uji treadmill dengan pembebanan yang kemudian dilakukan pemeriksaan MRI lumbal. Hasil perbedaan kedua uji dan hubungan antara kedua uji dengan hasil MRI lumbal dianalisis secara statistik. Hasil Penelitian : Didapatkan 18 pasien dengan stenosis canalis lumbalis degeneratif yang menjalani uji treadmill dan uji treadmill dengan pembebanan. Dari 18 pasien tersebut, didapatkan hasil positif pada semua pasien, dimana terjadi provokasi gejala pada kedua uji. Melalui analisis statistik menggunakan uji ANOVA didapatkan hasil dimana pada uji treadmill dengan pembebanan gejala klinis lebih cepat muncul dan kemampuan berjalan pasien lebih buruk dibandingkan uji treadmill. Menggunakan uji korelasi bivariate didapatkan bahwa luas penampang level stenosis lumbal pada hasil MRI tidak berhubungan dengan waktu munculnya gejala klinis pada kedua uji. Kesimpulan : Waktu munculnya gejala klinis maupun kemampuan berjalan pasien pada kedua uji berbeda secara signifikan. Tingkat beratnya stenosis canalis lumbalis berdasarkan hasil pemeriksaan MRI secara umum tidak berhubungan dengan kondisi klinis maupun beratnya keluhan pasien dengan stenosis canalis lumbalis degeneratif. Kata kunci : Stenosis canalis lumbalis degeneratif, uji treadmill, uji treadmill dengan pembebanan, MRI lumbal