A case of pancreatic cancer with concomitant median arcuate ligament syndrome treated successfully using an allograft arterial transposition

An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary

Stereotip Gender Pada Iklan Kecap Sedaap Versi “ Ayahku Jago Masak”

Dewasa ini, iklan televisi adalah suatu media promosi yang sangat efektif dalam penyampaian pesan dan menarik minat bagi orang yang melihatnya. Ternyata dalam iklan televisi bukan hanya mempromosikan suatu produk barang atau jasa, melainkan pada iklan terdapat pemahaman ideologi tertentu. Seperti yang terlihat dalam iklan kecap Sedaap versi “Ayahku Jago Masak”. Tujuan penelitian ini adalah melihat adanya proses stereotip gender beroperasi pada iklan kecap Sedaap versi “Ayahku Jago Masak”. Metode penelitian yang digunakan adalah kualitatif deskriptif, serta metode yang digunakan adalah metode semiotika menurut John Fiske, karena dalam semiotika menurut Fiske terdapat beberapa tahapan untuk penelitian dan menggunakan teori Marxism sebagai teori penunjang dalam penelitian ini. Dari hasil penelitian ini, penulis menyimpulkan bahwa di dalam iklan ini tidak ada isu gender yang terkait dari teori Marxis

A Comparison on Hyponymy and Cultural Symbolism of Six Color Words Between Chinese Language and Bahasa Indonesia

Color words originate from natural world. In general different languages have similar patterns of color hypernymy. Nevertheless, when it comes to color hyponymy, it is not the case. Specific color hyponyms have emerged because different countries have different cultures. Besides, color words are also rich in cultural symbolism. In other words, same colors in different countries have different cultural symbolisms. This paper analyzed six color words (red, white, yellow, blue, green, and black) between Chinese language and bahasa Indonesia to find similarities and differences both in hyponymy and in culture symbolism

The affective sustainability of objects; a search for causal connections. Studies of theory, processes and practice related to timelessness as a phenomenon.

The phenomenon of timelessness has important connotations beyond its popular meaning. Although philosophical, timelessness is frequently applied to objects: there are various suggestions concerning the properties of a timeless object in literature and popular publications, but there is no apparent unanimity on how to realise these characteristics. The approach to sustainable development has broadened, but the impact of immaterial properties of objects needs to be further explored. This thesis addresses these issues through cross-disciplinary research, which is located in industrial and product design and embraces the subject areas of history of design and art, philosophy, cultural studies, cognitive science and sustainable development. The research question is: what makes some objects retain their significance over time and in a changing human context? Although the analyses of literature presented in this thesis have made it evident that the discourse on sustainability, including system thinking, has an apparent focus on material characteristics, there is nothing implicating opposition to an expanded view comprising immateriality. On the other hand, there are indications that the ambiguity of timelessness and related notions, including how the judgment is formed causes confusion for designers pursuing longevity in objects. The aim for this thesis is hence to address this ambiguity and introduce directions, which would allow designers to consider the immaterial qualities of objects when designing and thereby promote a more profound holistic approach to sustainability and sustainable design. The thesis embarks on a deconstruction of timelessness, resulting in the phenomenon being conceptualised: affective sustainability, and subsequently explored through three applications. These initiate new lines of inquiry and allow for the thesis to conclude the key findings of the research. The study concludes that affective sustainability is considered to be a lived experience. Re-considering sustainability and rethinking time, tradition, aesthetics and perception facilitate comprehension of affectively sustainable objects: a designer has to use intuitive judgements and to reach beyond the personal these have to be balanced by the verbal visualisation of thoughts and the study of un-reflected human behaviour outside laboratory settings

Periodontitis-induced systemic inflammation exacerbates atherosclerosis partly via endothelial-mesenchymal transition in mice.

Growing evidence suggests close associations between periodontitis and atherosclerosis. To further understand the pathological relationships of these associations, we developed periodontitis with ligature placement around maxillary molars or ligature placement in conjunction with Porphyromonas gingivalis lipopolysaccharide injection at the ligature sites (ligature/P.g. LPS) in Apolipoprotein E knock out mice and studied the atherogenesis process in these animals. The mice were fed with high fat diet for 11 weeks and sacrificed for analyzing periodontitis, systemic inflammation, and atherosclerosis. Controls did not develop periodontitis or systemic inflammation and had minimal lipid deposition in the aortas, but mice receiving ligature or ligature/P.g. LPS showed severe periodontitis, systemic inflammation, and aortic plaque formation. The aortic plaque contained abundant macrophages and cells expressing both endothelial and mesenchymal cell markers. The severity of periodontitis was slightly higher in mice receiving ligature/P.g. LPS than ligature alone, and the magnitude of systemic inflammation and aortic plaque formation were also notably greater in the mice with ligature/P.g. LPS. These observations indicate that the development of atherosclerosis is due to systemic inflammation caused by severe periodontitis. In vitro, P.g. LPS enhanced the secretion of pro-inflammatory cytokines from macrophages and increased the adhesion of monocytes to endothelial cells by upregulating the expression of adhesion molecules from endothelial cells. Moreover, secretory proteins, such as TNF-α, from macrophages induced endothelial-mesenchymal transitions of the endothelial cells. Taken together, systemic inflammation induced by severe periodontitis might exacerbate atherosclerosis via, in part, causing aberrant functions of vascular endothelial cells and the activation of macrophages in mice

Automorfisma Graf Warna Cayley Yang Dibangun Oleh Suatu Grupoid

Groupoid adalah suatu himpunan tak kosong yang tertutup terhadap operasi biner, himpunan generator grupoid merupakan subset dari grupoid dimana setiap elemen grupoid dapat ditulis sebagai hasilkali berhingga pada elemen generator.Graph warna Cayley digraph dengan titik-titiknya adalah dan himpunan busurnya . Generator grupoid befungsi sebagai warna dan arah busur digraph.Pemetaan adalah pemetaan bijektif antara graph dengan dirinya sendiri.. Automorphism parsial pada graph warna Cayley adalah pemetaan bijektif antara dua tail graph warna Cayley . Himpunan Automorphisma Parsial graph warna Cayley adala

The idea of culture: Kant's boundary of reason as an imperative in the education of a modern person

The culturological twist in modern science and practical activities implies the clarification of the essence of culture. Turning to the history of the philosophical thought, it is possible to trace the transformation of the understanding of culture, the origins of the current discontinuity between the rational cognition and the life-purpose positions, which are discovered in the renaissance anthropocentrism and metaphysics of the practical reason of the Modern period. The article addresses the perspective of the Kantian interpretation of culture, which examines the reason with regard to its origin and highest maxims

Pengaruh Metode Resitasi dalam Model Pembelajaran Kooperatif untuk Meningkatkan Hasil Belajar Materi Kalor dan Perpindahannya

The purpose of this study was to determine whether there is an effect of the recitation method in the cooperative learning model to improve the learning outcomes of heat and its transfer. This type of research was quasi-experimental. The sampling technique was purposive sampling. The samples of this research were students of class VII A and VII B of SMP Negeri 3 Bulagi. Class VII A is the experimental group and class VIIB is the control group. The learning outcome test instrument was a multiple-choice test. Based on the results of data processing, the N-gain value in the experimental group was obtained at 45.97%, which was in the medium category. Then for the control group, the N-gain value was obtained at 33.43%, which was also in the medium category. These results indicate that the learning outcomes of physics in the experimental group are higher than those in the control group. The results of statistical calculations from the average difference test using t-test (two-tailed) obtained tcount > ttable (tcount = 4.22 and ttable = 2.02) at a significance level of 5% and dk = 45, thus H0 is rejected and H1 is accepted. So, it can be concluded that there is an effect of the recitation method in the cooperative learning model to improve the learning outcomes of heat and its transfer