The Contribution of Custom Institutions in Implementing Custom Sanctions in Gorontalo

Efforts to optimize existing customary institutions in the province of Gorontalo in law enforcement during society are significant. The organization of customary institutions needs to be addressed and arranged so that they can be enjoyed and utilized. This study uses a sociological juridical approach by obtaining data by interviewing figures from the Gorontalo traditional institutions. This research carries out by analysis through reduction, presentation of data, and conclusion?Gorontalo customary institution. The study results show that the position of traditional institutions in Gorontalo Province is one of the guidelines for people's lives. Customary institutions are the tools that are used and considered to be able to maintain the values of customary law itself. Imposing sanctions through traditional institutions is more effective because an adat institution grows based on values that live in society and recognize and adhered to for generations. In addition, customary institutions help prevent the accumulation of cases in court. The maximum of this research lies in the space given by the government to customary institutions both in ceremonial activities such as marriages and in law enforcement processes. In addition, community participation needs to maintain and utilize the presence of this traditional institution

Impact of User Privacy and Mobility on Edge Offloading

Offloading high-demanding applications to the edge provides better quality of experience (QoE) for users with limited hardware devices. However, to maintain a competitive QoE, infrastructure, and service providers must adapt to users' different mobility patterns, which can be challenging, especially for location-based services (LBS). Another issue that needs to be tackled is the increasing demand for user privacy protection. With less (accurate) information regarding user location, preferences, and usage patterns, forecasting the performance of offloading mechanisms becomes even more challenging. This work discusses the impacts of users' privacy and mobility when offloading to the edge. Different privacy and mobility scenarios are simulated and discussed to shed light on the trade-offs (e.g., privacy protection at the cost of increased latency) among privacy protection, mobility, and offloading performance.Comment: 2023 Annual IEEE International Symposium on Personal, Indoor, and Mobile Radio Communications (IEEE PIMRC 2023

Persepsi Pasien Dan Suami Tentang Pengaruh Mastektomi Terhadap Citra Tubuh Dan Fungsi Seksual

Penelitian ini bertujuan untuk menggali secara mendalam persepsi isteri dan persepsi suami tentang pengaruh mastektomi terhadap citra tubuh dan fungsi seksual. Penelitian ini menggunakan rancangan deskriptif eksploratif (descriptive explorative design) dengan metode riset kualitatif. Lima pasien kanker payudara yang menjalani mastektomi dan suaminya diwawancara mulai dari satu minggu sebelum mastektomi hingga sebulan setelah mastektomi. Temuan penelitian ini adalah: 1) persepsi istri dan persepsi suami tentang pengaruh mastektomi terhadap citra tubuh dan fungsi seksual dalam perkawinan memberikan gambaran fenomena yang tidak terpisah tetapi merupakan interaksi dari berbagai faktor; 2) terdapat perbedaan persepsi istri dan persepsi suami terhadap citra tubuh dan fungsi seksual, istri merasa suami tidak tertarik pada penampilannya, sedangkan suami merasa takut menyakiti isterinya jika berhubungan seksual; 3) pengaruh mastektomi terhadap citra tubuh sudah dipersepsikan pasien bahkan sejak sebelum mastektomi dilakukan; 4) upaya mencari dukungan sudah dilakukan sejak sebelum mastektomi, meliputi dukungan spiritual, dukungan social, dan dukungan professional; 5) tem alai yang muncul yaitu beban lain psikologik, stigma social, dan financial yang dipersepsikan oleh pasangan; 6) besarnya pengaruh mastektomi terhadapa citra tubuh dan fungsi seksual dalam perkawinan ditentukan oleh kualitas hubungan perkawinan khususnya komunikasi. Rekomendasi: 1) mengembangkan program pelatihan Bimbingan Antisipatif bagi perawat; 2) memfasilitasi komunikasi yang lebih terbuka antara pasien dan suaminya; 3) mengembangkan program self help group yang terdiri dari pasien dan suaminya; 4) menyediakan informasi tentang sumber bantuan yang tersedia di fasilitas kesehatan maupun masyarakat; 5) mempertahankan kesinambungan asuhan keperawatan; dan 6) melakukan penelitian lanjutan menggunakan pendekatan antropologis dan sosiologis. The purpose of the study was to explore the perception of breast cancer patients and their husband on the influence of mastectomy towards body image and sexual functioning. A descriptive explorative design with qualitative method of research was used. Five selected breast cancer patients and their husbands meeting criteria were interviewed from the first week after diagnose until one month after mastectomy. The findings were: 1) the influence of mastectomy on body image and sexual functioning as perceived by wives and their revealed the contributions of multi factors and dimensions; 2) there were different perceptions between the patients and their husband on the influence of mastectomy towards body image and sexual functioning, patients felt their husband were not attracted to them anymore while their husbands were afraid to hurt the patients if they had sexual relationship; 3) the influence of the mastectomy on body image had been perceived by the patients even before the mastectomy; 4) both patients and husbands had seeking for spiritual, social and professional supports before mastectomy; 5) other theme revealed were: psychological, social stigma, and financial burdens; 6) the extent of mastectomy had influence body image and sexual functioning was determined by the quality of marriage, particularly the openness of communication. Recommendations were: 1) to develop anticipatory guidance training program for nurse; 2) facilitate open communication between patients and their husband; 3) to develop self group program for patients and their husbands; 4) to provide information on resource available in the community; 5) to sustains continuity of care for patients and family; 6) to conduct further research using anthropological and social approaches

Une tumeur rare de la paroi thoracique: le synovialosarcome

Les sarcomes ténosynoviaux ou synovialosarcomes sont des tumeurs malignes des tissus mous, l’atteinte primitive de la paroi thoracique est rare. Nous rapportons l'observation d'un patient suivi pour des douleurs thoraciques avec à l'examen une masse pariétale, le bilan radiologique a montré un développement également endothoracique de la tumeur. L’analyse anatomopathologique de la biopsie de la masse a conclu à un synovialosarcome, le patient a eu une résection de la tumeur associé à une radio chimiothérapie, le suivi a été marqué par la récidive au bout d'un an. A travers cette observation, nous insistons sur la rareté de la localisation, les caractères histologiques, les différentes approches thérapeutiques et le pronostic de ces tumeurs qui reste péjoratif.Key words: Chirurgie, synovialosarcome, Thorax, Maro

Pengaruh Terapi Kelompok Suportif Terhadap Tingkat Ansietas Keluarga Dalam Merawat Anak Tunagrahita

Mental retardation is a special needs child who has a physical or social limitations that need care and responsibilities of all time. Care and responsibility it takes time, effort, and cost quite a bit, and could pose a anxiety to the family, so the need to strengthen support in the form of supportive group therapy. The purpose of this study was to analyze the effect of supportive group therapy toward the anxiety level in the care of children at SLB Banyumas District. This study used a quasi experimental design, pre-post test with control group, which will be compared to family anxiety levels between the intervention group and the control group. The results of the statistical test obtained p value of 0.008 indicating a significant difference in anxiety levels between the family intervention group and the control group after administration of supportive group therapy (p≤: 0.05). Supportive group therapy contributes to improved family functioning psychologically so as to reduce anxiety levels of caring for mental retardation. Recommendations of this study is to establish a parent support group in SLB, composed of families who have children with mental retardation

Maladie de Castleman: Localisation inhabituelle du thorax

La maladie de Castleman est une affection rare qui peut toucher le thorax. La localisation diaphragmatique est exceptionnelle. Nous rapportons le cas d’une patiente de 47 ans, chez qui une thoracotomie exploratrice a permis l’exérèse d’une masse du sinus médiastinal antérieur droit, en continuité avec le diaphragme et dont l’histologie est en faveur de la maladie de Castleman de type hyalino-vasculaire. Les particularités cliniques,radiologiques et évolutives ont été revues.Key words: Maladie de Castleman, localisation, thorax, exérèse, chirurgi

Ostéite costale tuberculeuse

Nous rapportons un cas de tuberculose costale chez une patiente de 44ans ayant des antécédents de miliaire tuberculeuse. L’atteinte costale était pseudotumorale ayant conduit à une biopsie exérèse chirurgicale de la masse costale dont l’étude histologique est revenue en faveur d’une tuberculose. Cette observation ainsi que celles de la littérature, confirment les difficultés diagnostiques de cette forme rare de tuberculose