Mastoiditis causing Sinus Thrombosis and Posterior Fossa Epidural Haematoma : Case report

Spontaneously occurring epidural haematomas are an uncommon entity. A spontaneous post fossa epidural haematoma due to sigmoid sinus thrombosis secondary to mastoiditis has not been reported in English medical literature. We report a 40 year-old man who presented to us with headache and incoordination. A magnetic resonance imaging (MRI) confirmed epidural sub-acute bleeding in the right side of posterior fossa with mastoiditis and right sigmoid sinus thrombosis. A right suboccipital craniotomy and evacuation of the haematoma was done and the patient was relieved of his complains

MENINGKATKAN HASIL BELAJAR SISWA PADA MATERI POKOK VOLUME KUBUS DAN BALOK MELALUI PENDEKATAN KONTEKSTUAL KELAS V SD NEGERI 2 LABALAWA

This study aims to "Improve student learning outcomes on the subject matter of the volume of cubes and blocks through a contextual approach to the fifth grade of SD Negeri 2 Labalawa". This research is classroom action research (CAR) in 3 cycles, each cycle includes: planning stage, action implementation stage, observation stage and reflection stage. The subjects of this study were fifth grade students of SD Negeri 2 Labalawa in the 2020/2021 academic year totaling 25 students consisting of 11 male students and 14 female students. Based on the results of actions, observations, evaluations and reflections in each cycle, it can be concluded that through a contextual approach, the learning achievement of fifth graders at SD Negeri 1 Topa on the subject of cube and cuboid volumes can be improved. This can be seen from the increase in student learning outcomes who experienced completeness, namely in the first cycle as much as 45.94%, the second cycle as much as 64.86% increased to 89.18% in the third cycle. Teacher activity has increased, namely in the first cycle as much as 72.91%, the second cycle 77.77% in the good category and in the third cycle 91.66% in the very good category. Student activity has increased, namely in the first cycle as much as 60.41%, in the second cycle 73.95% in the good category and in the third cycle 86.45% in the very good category

Meningkatkan Hasil Belajar IPA tentang Menguji Lemak pada Makanan melalui Metode Eksperimen Kelas V SDN 57 Buton

Penelitian ini bertujuan untuk mengetahui peningkatan hasil belajar dan pelaksanaan pembelajaran menggunkan metode eksperimen. Lokasi penelitian dilaksanakan di SDN 57 Buton dengan subjek penelitian adalah siswa kelas V yang berjumlah 9 siswa. Jenis penelitian ini yakni Penelitian Tindak Kelas (PTK). Teknik pengumpulan data dilakukan dengan observasi aktivitas siswa dan tese evaluasi pada setiap siklus. Berdasarkan hasil analisis yang didapat disimpulkan bahwa terdapat peningkatan aktivitas siswa dan hasil belajar siswa menggunakan metode eksperimen pada pelajaran IPA materi uji lemak pada makanan pada siswa kelas V SDN 57 Buton Tahun ajaran 2022/2023 pada sikluss I menunjukkan presentase tertinggi sebesar 79,5% pada indikator kehadiran, sedangkan presentase aktivitas siswa terendah sebesar 47,5% pada indicator kejujuran. Hasil belajar siswa siklus I siswa yang mencapai KKM dengan presentase sebesar 55,56%. Pada siklus II hasil observasi aktivitas siswa memiliki peningkatan yakni siswa mencapai di atas rata-rata dengan presentase 70%, dan untuk hasil belajar siswa meningkat dengan presentase sebeser 100%

Pelatihan Penggunaan Mendeley Reference Dalam Penulisan Karya Ilmiah

Writing scientific papers is an essential foundation in the academic sphere, requiring researchers, students, and academics to manage, refer to, and cite various sources that support their arguments and findings. Emerging as a solution to this challenge, Mendeley Reference has the potential to change the way writers manage references in the context of higher education. This Community Service Activity (PKM) aims to provide a more comprehensive understanding to students, especially those in the 7th semester of the PGSD major at the Teaching and Education Faculty of Buton Muslim University, regarding the benefits of using the Mendeley application in writing scientific assignments. This PKM is carried out through three stages: preparation, implementation, and evaluation. The evaluation results showed that most participants had a good understanding, but some required further training. The positive impact of the training can be seen in the academic and professional development of the participants. Therefore, as a follow-up, practical exercises will be intensified, increased structured discussions between participants and presenters, and gathering input from participants for future improvements. Overall, this training significantly contributes to providing students with essential skills in scientific writing and better preparation for future academic and professional challenges

Influential Article Review - Flexible Job Arrangements: A Meta-Analytical Analysis

This paper examines management We present insights from a highly influential paper. Here are the highlights from this paper: This meta-analysis investigates how three flexible work practices (FWPs), flexible work schedules, telecommuting and sabbaticals, affect organizational attractiveness for job seekers and the organizational attachment of employees. Based on organizational support theory and signalling theory, we conjecture that anticipated organizational support mediates the positive relationship between FWPs and organizational attractiveness. Applying the conservation of resources theory, we suggest that FWPs increase organizational attachment through increased perceived autonomy. Meta-analytic results based on 68 studies and 52,738 employees indicate that FWPs increase organizational attractiveness and that the positive effects are partially mediated by anticipated organizational support. We also find that flexible work schedules and sabbaticals (but not telecommuting) increase organizational commitment and that all FWPs decrease turnover intention. Furthermore, these effects are partially mediated by perceived autonomy. Implications for practice and future research are discussed. For our overseas readers, we then present the insights from this paper in Spanish, French, Portuguese, and German

PENGARUH PELAKSANAAN MODEL PEMBELAJARAN KONTEKSTUAL TERHADAP MOTIVASI BELAJAR SISWA KELAS V PADA MATA PELAJARAN MATEMATIKA SD NEGERI TOPA KOTA BAUBAU

ABSTRAK SITTI HERMAYANTI KAIF, 2019. Pengaruh Pelaksanaan Model Pembelajaran Kontekstual Terhadap Motivasi Belajar Siswa Kelas V Pada Mata Pelajaran Matematika SD Negeri Topa Kota Baubau (dibimbing oleh penasehat Ismail Tolla dan Kartini Marzuki). Tujuan penelitian ini untuk memperoleh gambaran pelaksanaan model pembelajaran kontekstual terhadap motivasi belajar siswa kelas V pada mata pelajaran matematika SD Negeri Topa Kota Baubau, untuk mengetahui motivasi belajar siswa kelas V pada mata pelajaran matematika SD Negeri Topa Kota Baubau dan untuk mengetahui pengaruh pelaksanaan model pembelajaran terhadap motivasi belajar siswa kelas V pada mata pelajaran matematika SD Negeri Topa Kota Baubau. Jenis Penelitian quasi experimental design dengan desain penelitian nonequivalent control group design yang bersifat kuantitatif. Variabel bebas pada penelitian ini adalah model pembelajaran kontekstual sedangkan variabel terikat adalah motivasi belajar siswa. Populasi dalam penelitian ini adalah kelas V di SD Negeri Topa Kota Baubau, sampel diambil dengan teknik probability sampling dengan metode simple random sampling yang berjumlah 44 siswa. Data variabel diperoleh dengan teknik angket, lembar observasi dan dokumentasi yang kemudian dianalisis secara statistik deskriptif dan inferensial. Hasil penelitian menunjukkan bahwa motivasi belajar siswa terjadi peningkatan pada kelas eksperimen dalam kategori tinggi. Penggunaan model pembelajaran kontekstual berpengaruh secara signifikan terhadap motivasi belajar siswa di SD Negeri Topa Kota Baubau. Kata Kunci: Model Pembelajaran Kontekstual, Motivasi Belajar Sisw

EXAMINING THE INFLUENCE OF AFFORDABILITY AND ACCESSIBILITY ON TOURIST DELIGHT

The objectives of the study are to assess the relationship and significant influence of affordability and accessibility on tourist delight taking into account the mountain areas of Khyber Pakhtunkhwa province, Pakistan and tourists who visit these sites. This is a survey type quantitative research. Data has been collected through the questionnaires from the selected population. Stratified and convenience sampling techniques are being employed. Sample comprises of respondents from three main regions/strata consisted of Malakand division, Mansehra division and Galiyat region of Khyber Pakhtunkhwa and from each stratum data were data collected using the convenience sampling technique. The Structural Equation Modeling (SEM) was used to test relationship between variables of the study on Smart PLS 4. Results of the study show that the affordability and accessibility have significant relationship with the tourists' delight. The findings suggest that the tourist delight can be increased in the mountain tourism through the travel attributes (affordability and accessibility) have significant impact on the tourist delight

A Study On Cyp2c19 Genetic Variations Of Clopidogrel And Ticagrelor Treatment Among Coronary Artery Disease (CAD) Patients Undergoing Percutaneous Coronary Intervention (PCI)

The P2Y12 receptor inhibitors, especially clopidogrel, are common antiplatelet drugs used for the prevention of recurrent adverse cardiovascular events among patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI). Several factors may affect the effectiveness of antiplatelet therapy, including genetic variations in CYP450 enzymes. Loss of function (LOF) carriers of the CYP2C19 gene are associated with the decreased metabolism of clopidogrel into active metabolites via CYP2C19 enzyme, leading to decreased platelet inhibition. This causes an increased risk of recurrent cardiovascular events. Drug regulatory authorities suggested using alternative P2Y12 inhibitor, which is ticagrelor. Therefore, this study aims to investigate the adverse effects, and CYP2C19 genetic variations of clopidogrel and ticagrelor treatment among CAD patients undergoing PCI

Long term results of Endoscopic Lumbar Discectomy using Side viewing Conical working tube

Object: Endoscopic discectomy is a common procure performed worldwide with various devices being used and studies have reported their long term results. In this study we present the long term results of the unique device with separate side viewing channel. Methods: 66 patients of lumbar disc herniation treated between March 2009 to April 2012 using the unique conical working tube with separate side viewing endoscopic channel. Their preoperative and postoperative Oswestry Disability Index (ODI) and Macnab scores were used to evaluate the outcome after a minimum follow of 5 years with mean follow up of 76.18 months. Results: There were 46 males and 20 females with age ranging from19-72 (mean-38.4 years). The follow up ranged from 61 months to 95 months with mean of 76.18 months. The mean preoperative ODI score was 74.7 which decreased to a mean of 7.8 and the outcome evaluated by Macnab criteria was 69.69% excellent, 17 % good, 10% fair, 3.03% poor. 2 patients underwent second surgery. None of the patient had to change their occupation due to their lumbar disc disease. Complications occurred were dural tear in 2 patients, transient foot paresis in 1 patient and 1 discitis in 1 patient which improved on medical management. Conclusion: Endoscopic discectomy using thins Conical working tube is a safe and effective technique for lumbar disc prolapse. It has the advantage for early mobilization, short hospital stay and low cost. The long term results are comparable to the conventional techniques