Pelatihan dan Keterlibatan Kerja: Pengaruhnya terhadap Kepuasan Kerja dan Niat Keluar Karyawan

Penelitian ini meneliti mengenai besar pengaruh pelatihan kerja dan keterlibatan kerja terhadap kepuasan kerja karyawan serta dampaknya terhadap niat keluar karyawan. Responden penelitian ini adalah karyawan Di PT. Sinar Nusra Press Utama yang berjumlah 62 orang. Teknik analisis data yang digunakan adalah path Analysis. Hasil penelitian menemukan bahwa pelatihan dan keterlibatan kerja berpengaruh signifikan terhadap kepuasan kerja namun tidak signifikan terhadap niat keluar karyawan dan kepuasan kerja berpengaruh signifikan terhadap niat keluar karyawan

Stable ankle after modified brostrom technique using one anchor with double suture at Sanglah Hospital: a case report

Ankle sprains are commonly seen injuries among athletic and young population, and it is necessary to stabilize the patient ankle as soon as possible. Authors report the cost-effective option of using a modified Brostrom technique with one suture anchor in a limited resource setting. Case a 24- year-old male came to the orthopaedic clinic with chief complaint of left ankle pain for the past 2 weeks after jumping and landing in a twisted position. Patient also complained of unstable ankle after the fall. On physical examination, the ankle showed tenderness and instability when anterior drawer test was performed. The patient was diagnosed with lateral ankle instability. This case report describes a modification to the original Brostrom procedure using one suture anchor to anatomically reconstruct the lateral ankle ligaments in treating high demand patient who have lateral ankle instability. After six months follow up, the patient has shown significant improvement on his left ankle. Despite of all the modifications of Brostrom procedure, the use of more suture anchors or sophisticated technique such as arthroscopy might result in increasing cost. Reasonably good outcome can still be achieved with modified Brostrom procedure that utilizes minimal incision, simple steps, and single suture anchor. Due to its cost-effectiveness, authors believe that modified Brostrom technique with one suture anchor is an effective and practical treatment option for lateral ankle instability. Brostrom technique using suture anchors as shown here can provide similarly good outcomes compared with other more complex techniques

IMPLEMENTASI CMS (CONTENT MANAGEMENT SYSTEM) PADA PEMBUATAN WEBSITE ALUMNI STMIK AKAKOM YOGYAKARTA

Content Management System merupakan sebuah sistem yang dibuat untuk memudahkan dalam pembuatan dan pengolahan isi website, kebutuhan akan produktifitas dan efisiensi dalam penyediaan layanan informasi berupa web mendukung perkembangan dari CMS. CMS ini diimplementasikan pada pembuatan situs web alumni akakom yang disebut juga “Kaloka” (Keluarga Alumni Akakom). Pemanfaatan CMS ini menggunakan bahasa pemrograman web PHP, dengan database MySQL sebagai penampung data, dan JavaScript dan CSS (Cascading Styling Sheet) untuk tampilan yang lebih dinamis. Dengan menggunakan prinsip kerja Content Management System (CMS), maka pengaturan website alumni menjadi semakin mudah dilakukan. Diharapkan dengan Sistem Informasi Alumni berbasis CMS ini bisa mempermudah pengelolaan website serta informasi yang dihasilkan menjadi lebih informative, dinamis, dan berguna bagi para alumni, serta mahasiswa. Terakhir terdapat beberapa saran yang bisa dipergunakan untuk pengembangan selanjutnya yaitu, dalam pemanfaatan CMS agar lebih ditingkatkan supaya tingkat usability aplikasi ini semakin baik, dan mudah untuk digunakan sehingga diharapkan proses pengelolaan data alumni juga menjadi semakin mudah. Kata kunci: CMS, CSS, JavaScript, MySQL, PHP

Management of trimalleolar fracture in Sanglah hospital: a case series

Trimalleolar fractures are one of the most complex fracture around ankle. This study aims to assess the functional outcome and result of the surgical treatment for trimalleolar fracture. Case 1: A 49-years-old male experience closed fracture left ankle Lauge-Hansen PER type IV caused by traffic accident. Patient present with swollen and painful around ankle with an inability to bear weight on the affected extremity. Case 2: A 36-years-old female sustained closed fracture at right trimalleolar ankle, closed fracture at right talus nondisplace Hawkins I, and closed fracture at second, third, and fourth metatarsal. Case 3: A 57-years-old female came with history the left ankle twisted after got slipped and fell down at the yard. Patient was diagnosed by closed fracture left ankle Lauge Hansen SER type IV. Ankle fracture mostly happen in young men and older women during sporting activities or even bicycle or car accidents. The Lauge-Hansen system classify the fracture based on the postion and the direction of the ankle when trauma happen. The AOFAS was use for evaluation patient-relevant outcomes in patients operated on with anatomical ankle injury. In or present study of 3 patients with ankle fractures that were unstable, displaced or both treated surgically by open reduction with internal fixation in accordance with Lauge-Hansen classification. The result in our series confirm that all of 3 patients have a good result based on AOFAS scoring for evaluation the treatment and it means the management approve the good functional outcomes for the patients with ankle fractures

Comparison between the results of bipolar hemiarthroplasty with lateral approach and posterior approach in Sanglah General Hospital in 2018: a case series

The purpose of this study was to compare the preoperative, intraoperative and postoperative parameters of Bipolar Hemiarthroplasty procedure using lateral approach and posterior approach in Sanglah General Hospital in 2018. Thirty-five patients diagnosed with femoral neck fracture or intertrochanter fracture underwent Bipolar Hemiarthroplasty using either lateral approach or posterior approach at our institution between January 2018 and December 2018. The primary outcome measures were postoperative complication and hip function. The secondary outcome measures were surgical time, transfusion rate, length of hospital stay, intraoperative blood loss and postoperative haemoglobin. There were 14 patients in Lateral Approach group and 21 patients Posterior Approach group included for analysis. There were no significant differences between the two groups regarding to the Harris Hip Score at 6 months follow up. Significant differences were found between Bipolar Hemiarthroplasty with Lateral Approach and Bipolar Hemiarthroplasty with Posterior Approach group in comparison of intraoperative blood loss (p<0.05) and length of stay (p<0.05). The present study concluded that both lateral and posterior approaches are comparable in terms of functional outcomes and complications. However, there is a tendency of longer hospital of length of stay and more of intraoperative blood loss using posterior approach which should be kept in mind when orthopaedic surgeon is performing a bipolar hemiarthroplasty

SUPPLEMENTATION WITH 2:1 RATIO OF N-6:N-3 POLYUNSATURATED FATTY ACID IMPROVES LIVER STEATOSIS AND SERUM CYTOKINE LEVELS IN YOUNG OBESE BALINESE WOMEN: A RANDOMIZED CLINICAL TRIAL

  Objectives: In addition to the rise in obesity prevalence globally, morbidity due to nonalcoholic fatty liver disease is increasing. Primary modalities for preventing and managing this problem include dietary modification and improved physical activities. A daily diet with a low n-6:n-3 polyunsaturated fatty acid (PUFA) ratio is suspected to contribute to ameliorating liver steatosis (LS). The present study was conducted to elucidate the effects of an n-6:n-3 PUFA ratio of 2:1 in alleviating LS.Methods: Twenty-four young obese women with LS were recruited from Denpasar, Bali, Indonesia. They were randomly allocated to an intervention or control group. Both groups were given linoleic acid:α-linolenic acid at ratios of 2035:970 and 240:100 g, respectively, for 12 weeks. Baseline and end-line data were obtained. All patients were advised to maintain their daily energy intake no more than 1500 kcal and to perform structured physical exercises once a week.Results: The intervention significantly decreased the body fat (body mass index, p=0.040; triglyceride, p=0.008) and serum tumor necrosis factor-α (TNF-α) levels (p=0.002) and increased serum interleukin-10 (IL-10) levels (p=0.004). The severity of LS was reduced through the intervention (odds ratio=0.064; 95% confidence interval=0.013-0.310; p=0.001).Conclusion: An increased intake of 2:1 n-6:n-3 PUFA ratio alleviated LS, decreased body fat composition and serum TNF-α levels, and increased serum IL-10 levels

Comparison of mortality rate between bipolar hemiarthroplasty and proximal femoral nail anti-rotation for intertrochanteric fractures in Sanglah hospital, Bali

Introduction: Intertrochanteric fractures occur in about 50% of all hip fracture events, with a mortality rate within 1 year after fracture reaching 15 to 20%. The most common treatment nowadays is either the bipolar hemiarthroplasty procedure or proximal femoral nail anti-rotation (PFNA), although there is still no consensus regarding which is better from the two, especially on patient mortality.Method: This study was an observational study using a retrospective cohort design. A total of 102 study subjects who met the inclusion requirements were grouped into 2 groups, one with bipolar hemiarthroplasty fixation treatment and another with PFNA fixation treatment. Mortality rate was recorded by survey 2 years after surgery.Result: Chi-square test showed that 2-year mortality rate after intertrochanteric fracture treated with bipolar hemiarthroplasty (21.4%) was significantly higher than the PFNA group (10.3%) (p=0.028). Bipolar hemiarthroplasty group also had longer length of stay (LoS) (50%) than the PFNA group (32.4%), albeit statistically insignificant (p=0.13). There was no significant difference between the 2-year mortality rate and LoS (p=0.976).Conclusion: Patients with intertrochanteric fractures who underwent bipolar hemiarthroplasty have significantly higher 2-year mortality rate than similar patients underwent fixation with PFNA, while they did not experience higher LoS than the PFNA group. Future prospective, multi-center study with larger sample size will be likely to validate similar fixation choice needed to decrease the mortality rate in intertrochanteric fractures

Sistem perulangan Bahasa Bali

Buku Sistem Perulangan Bahasa Bali ml semula merupakan naskah laporan penelitian yang berjudul "Sistem Perulangan Bahasa Bali", yang disusun oleh tim peneliti Fakultas Sastra Universitas Udayana dalam rangka kei)a sama dengan Proyek Penelitian Bahasa dan Sastra Indonesia dan Daerah Bali tahun 1980/1981. Setelah melalui proses penilaian dan disunting oleh Drs. Hans Lapoliwa, M.Phil dari Pusat Pembinaan dan Pengembangan Bahasa, naskah iiii diterbitkan dengan dana yang disediakan oleh Proyek Penelitian Bahasa dan Sastra Indonesia dan Daerah - Jakarta