Profile of appendicitis patient: epidemiology, clinical, and laboratories evaluation in rural-urban area

Appendicitis is one of the most common abdominal inflammations in daily emergency cases. The diagnosis of appendicitis is often delayed because the symptoms resemble other abdominal emergencies. The present research aimed to describe the clinical and epidemiological profile of acute appendicitis patients. The research design is a cohort retrospective study employing appendicitis patients' medical record data at PKU Muhammadiyah Hospital from January 1, 2016, to December 31, 2020. The variables obtained through the patient records were age, gender, domicile location, vital signs, physical examination, blood laboratory, ultrasound, histopathology, postoperative diagnosis, the incidence of peritonitis, and length of stay. The median age value in patients with appendicitis was 27 years (0-95), and the largest group was young adults (19-44 years). Abdominal pain was found in almost all research subjects. The median of leukocytes was 10.1 (3.32-65.80)×106/ml and the neutrophil-lymphocyte ratio (NLR) was 3.52 (0.47-30.57)/μl. The median percentage of the neutrophil count was 70.7 (27.90-94.81). The final diagnosis of complicated appendicitis was more than uncomplicated appendicitis (51.2% vs. 48.8%). We conclude that several detailed parameters, such as the location of abdominal pain, leukocyte count, and NLR can help the physician diagnose appendicitis and guide surgeons in deciding the type of surgery

PENGARUH UPAH KERJA DAN INSENTIF TERHADAP KEPUASAN KERJA DRIVER GORIDE DI BREBES

Abdi Tri Setya Heriyanto. Pengaruh Upah Kerja dan Insentif Terhadap Kepuasan Kerja Driver GoRide di Brebes. Skripsi: Program Studi Manajemen Fakultas Ekonomi dan Bisnis Universitas Pancasakti Tegal 2023. Perkembangan Ilmu Pengetahuan dan Teknologi mengakibatkan dampak yang besar bagi masyarakat. Teknologi yang saat ini mengalami perkembangan pesat adalah teknologi komunikasi. Dampak dari perkembangan teknologi komunikasi adalah bidang transportasi, seperti adanya ojek online. Ojek online dapat dipesan dengan menggunakan sebuah aplikasi yang telah disediakan oleh perusahaan ojek online. Setiap perusahaan memerlukan Sumber Daya Manusia (SDM) yang berkualitas sehingga pada akhirnya berdampak kepada tingkat efektifitas dan efisiensi pekerjaan para karyawan di perusahaan. Bahwa terdapat masih rendahnya upah kerja dan insentif yang didapatkan driver GoRide yang mengutamakan pencapaian poin yang tinggi akan kesusahan dalam mencapai insentif penuh tiap harinya yang membuat kurangnya kepuasan yang dirasakan driver GoRide. Dimana hal itu akan tercipta apabila terdapat kepuasan kerja yang dapat dipengaruhi oleh upah dan insentif dari perusahaan. Metode penelitian yang digunakan pada penelitian ini adalah penelitian Kuantitatif. Metode analisis data yang digunakan adalah uji validitas, uji reliabilitas, uji method succesive interval (MSI), uji asumsi klasik, analisis regresi linier berganda, uji t, uji F dan uji determinasi. Hasil penelitian ini adalah 1) Upah kerja berpengaruh positif dan signifikan terhadap kepuasan kerja driver GoRide di Brebes. Hal tersebut dibuktikan dengan tingkat signifikansi 0.000 < 0.05. 2) Insentif tidak berpengaruh positif dan signifikan terhadap kepuasan kerja driver GoRide di Brebes. Hal tersebut dibuktikan dengan tingkat signifikansi 0.251 > 0.05. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa upah kerja dan Insentif secara simultan atau bersama-sama berpengaruh terhadap kepuasan kerja driver GoRide di Brebes. Kata kunci : Upah Kerja, Insentif, Kepuasan Kerja, Driver GoRid

Effect of the Nucleotide and Turmeric Extract Supplementation and different Cage Floors on the Blood Profile and Physiological Status of Broiler Chicken

Climate change has been responsible for the high prevalence of heat stress (HS) among broiler chickens. In this research, efforts are made to curb the negative impact of HS on chickens by modifying the feed and cage floor. The blood profile and physiological responses of broiler chickens supplemented with nucleotide and turmeric powder and kept in different floor cages were recorded (litter, slatted, and combination of slat-litter). A total of 245 broiler day-old chicks (DOC) were randomly allotted to seven treatment groups of the combined supplementation of nucleotide and turmeric extract and different types of cage floor (litter, slate, combination of slat-litter) for 35-day maintenance. Each treatment was replicated five times. The supplementation of nucleotide and turmeric extract into feed and different types of cage floor did not significantly affect (P&gt;0.05) body temperature, respiratory rate, pulse rate, lien index, PVC, TPP, heterophils, lymphocyte, and monocyte, but significantly affected (P&lt;0.05) the erythrocyte level, hemoglobin, leukocyte, rectal temperature and the index of bursa fabricius of broilers. Results of this study concluded that the combined treatments of supplementing nucleotide and turmeric extract in feed and using slat-floored cages tend to reduce the comfort of broiler chickens

Anti-microbial activities of Syzigium cumini leaves against periodontophatic bacteria (Porphyromonas gingivalis) = Actividades antimicrobianas de las hojas de Syzigium cumini contra bacterias periodontopáticas (Porphyromonas gingivalis)

Introduction: Syzigium cumini has been known to have an anti-microbial effect and is traditionally used as medicine for some human diseases. However, only a few studies were done on water extracts of these leaves. This study aimed to elucidate the minimum inhibition concentration (MIC) and minimum bactericidal concentration (MBC) of water extract of Syzigium cumini leaves against Porphyromonas gingivalis that represent periodontopathic bacteria. Methods: S. cumini leaves were collected from local farms. The leaves were washed and dried. Water extraction was performed to collect the compound, then was diluted into concentrations of 1 %, 2.5 %, 5 %, 7.5, 10 %, 12.5 %, 15 %, and 20 %. The bacteria were grown in triplicates agar blood and then put inthe anaerobic jar to incubate for 48 hours at 370C. Disc Diffusion test, MIC, and MBC were performed. Result: The anti-microbial disc diffusion test of S. cumini extract against P. gingivalis indicated by the presence of a 6.9 ± 0.14 mm clear area around the extract starting at a concentration of 7.5 %, and 13.6±0.32 mm at a concentration 20 %. The minimum inhibition concentration of S. cumini was 0.156 %. The clear sight starting from the 6th well indicates that there was no growth of bacteria. After incubation for 2x24 hours, there was no growth of bacteria on the agar blood with a 2.5 % concentration of S. cumini extract. Conclusion: Aqueous extract of S. cumini leaves has an anti-microbial potential effect against Periodontophatic bacteria which was represented by Porphyromonas gingivalis. Further research on Syzigium cumini leaves at the molecular level is advisable

Sinonasal or nasopharyngeal undifferentiated Carcinoma?: diagnostic pitfall and the role of Epstein-Barrvirus (EBV) and human papillomavirus(HPV) examination

Undifferentiated carcinoma of the head and neck is frequently observed in nasopharynx, however it may also occur in oropharynx, salivary gland and sinonasal. Overlapping lesions in those regionscreate difficulty in determining the origin of the tumor. Thus, it causes diagnostic pitfall not only for pathologists, but also for clinicians. A 40 yearold man, presented with nasal obstruction, epistaxis, diplopia, and headache for a yearand showed nasal cavitysinistra and nasopharynx masses on CT-scan. Lymph node enlargement was not detected. First biopsywas performed and histopathologically diagnosed as nasopharyngeal undifferentiated carcinoma(NPC), extended into nasal cavity. Chemo-radiation protocol for NPC was conducted, and showing uncomplete response. Second biopsy was done, and reviewed with the first biopsy result. Thetumourwas arranged insolid, syncytial and trabecular pattern, with vesicular nuclei, prominent nucleoli, and lack of lymphoplasmacytic infiltrat. Immunohistochemistry (IHC) analysis of p16, EBNA1 and LMP1 were negative. PCR analysis of HPV-18 was positive, while EBV detection showed negative result. General association of EBV with NPC suggests that the presence of latent EBV infection can serve as a positive marker for NPC. Therefore, in this case, the EBV negativity and strong HPV association led to diagnosis of SNUC. The distinction of sinonasal undifferentiated carcinoma (SNUC) or from NPC was important for appropriate management and therapy

The Effectiveness of The Settlement of Alleged Criminal Offences of Insult or Defamation Through Electronic Media with Restorative Justice at The Investigation Stage

Restorative justice aims for legal settlement to create an agreement on the settlement of criminal cases. This research study aims to find the effectiveness of the settlement of alleged criminal offences of insult or defamation through electronic media at the investigation stage. This type of research is descriptive qualitative research using a combination approach between doctrinal (normative) and non-doctrinal (empirical) research. The results showed that the settlement of alleged criminal offences of insult or defamation through electronic media with restorative justice at the investigation stage has been effective. This is measured by the level of knowledge of Law Enforcement Officials and the public that has been sufficient and the dominant respondent considers that the justice of the victim can be fulfilled through restorative justice. However, there is still a need for regulations at the level of laws that can serve as guidelines for law enforcement officials in handling criminal cases

Strategi Efektif Kepala Madrasah dalam Meningkatkan Mutu Pendidikan

Peran kepala madrasah sangat penting dalam meningkatkan kualitas pendidikan. Mereka memainkan peran strategis dalam memastikan standar pendidikan sekolah ditegakkan. Pemimpin lembaga pendidikan harus memiliki keterampilan kepemimpinan yang efektif, menjadi sumber inspirasi, dan mendorong pertumbuhan mental dan moral bawahan mereka. Transformasi kepemimpinan mereka melampaui aturan tertulis, mencakup perilaku, karakter, dan kepemimpinan dengan memberi contoh. Pemimpin harus melihat bawahan mereka sebagai mitra dalam pekerjaan mereka untuk menghilangkan kesewenang-wenangan dan ketidakadilan. Penelitian ini bertujuan untuk mengkaji peran kepala madrasah dalam meningkatkan mutu pendidikan dengan menggunakan metode deskriptif dan pendekatan kepustakaan

Strategi Efektif Kepala Madrasah dalam Meningkatkan Mutu Pendidikan

Peran kepala madrasah sangat penting dalam meningkatkan kualitas pendidikan. Mereka memainkan peran strategis dalam memastikan standar pendidikan sekolah ditegakkan. Pemimpin lembaga pendidikan harus memiliki keterampilan kepemimpinan yang efektif, menjadi sumber inspirasi, dan mendorong pertumbuhan mental dan moral bawahan mereka. Transformasi kepemimpinan mereka melampaui aturan tertulis, mencakup perilaku, karakter, dan kepemimpinan dengan memberi contoh. Pemimpin harus melihat bawahan mereka sebagai mitra dalam pekerjaan mereka untuk menghilangkan kesewenang-wenangan dan ketidakadilan. Penelitian ini bertujuan untuk mengkaji peran kepala madrasah dalam meningkatkan mutu pendidikan dengan menggunakan metode deskriptif dan pendekatan kepustakaan

Perbandingan Konsentrasi NO2, SO2 dan Partikel Debu Luaran WRF-Chem dengan Data Pengukuran : Studi Kasus DKI Jakarta 2009

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