Common Bile Duct Stricture Post Open Cholecystectomy

Common bile duct stricture is a common complication following open cholecystectomy. Approximately 80% of benign strictures occur following injury during a cholecystectomy. We report a female aged 70 years old, with a history of open cholecystectomy due to gallbladder stones. She was admitted to Cipto Mangunkusumo Hospital with symptoms and signs of obstructive jaundice. Endoscopy retrograde cholangio-pancreaticography (ERCP) examination revealed proximal common bile duct (CBD) stricture. She underwent open laparotomy, during which, a narrowing of proximal CBD was seen due to a fibrosis involving part of the duodenum. The patient then underwent a hepatic-duodenostomy bypass surgery. The symptoms and signs of obstructive jaundice were relieved after surgery

Kajian Teknologi Budidaya dan Kelayakan Ekonomi USAhatani Kedelai dengan Pendekatan Pengelolaan Tanaman Terpadu di Lahan Pasang Surut Jambi

Assesement of Cultivation Technology and Economic Feasibility of Soybean Farming Systemwith Integrated Crop Management Approach in Tidal Land at Jambi Province. This assessment aims todetermine the performance of cultivation technology and the economic feasibility of soybean farming systemthrough integrated plant control on tidal swamp land. Assesment was conducted on dry season 2007 in BandarJaya village, Rantau Rasau sub District, Tanjung Jabung Timur District, Jambi Province, on tidal land withacid soils and sulfate land type C. Technology packed involved: seed quality, varieties, manure and dolomiteapplication, fertilizer dosage, water management, and pest diseases control. Data were collected through directobservation in the field with Participation Rural Appraisal (PRA) approach. Descriptive data were analyzedqualitatively and quantitatively using partial budget analysis with the economic parameters of R/C, MBCR,PBE, and TIH. The assessment indicated that the PTT technology is able to increase productivity .6 fold, andit was economically improve the profitability of farming for Rp.2,528,720/ha with MBCR score of 3.68, so thatthe PTT technology was feasible to be implemented. In order for PTT technology development to continue, itneeds supply of inputs, alternative fertilizer, seed multiplication by farmer, and direct supervision. Disseminationefforts need to be done both through technology and communication, and through direct propagation.Key words: Tidal swamp land, economic feasibility Tujuan pengkajian ini adalah untuk mengetahui keragaan teknologi budidaya, dan kelayakan ekonomiusahatani kedelai dengan pendekatan Pengelolaan Tanaman Terpadu di lahan pasang surut. Pengkajian inidilaksanakan pada MK 2007 di desa Bandar Jaya Kecamatan Rantau Rasau Kabupaten Tanjung Jabung TimurProvinsi Jambi dilahan pasang surut dengan tipologi lahan sulfat masam dan tipe genangan air C. Paketteknologi PTT kedelai meliputi benih bermutu, varietas, penggunaan pupuk kandang dan dolomit, dosis dan carapemupukan, pengaturan tata air dan pengendalian OPT. Sebanyak enam petani kooperator yang menggunakanpaket teknologi PTT dilibatkan dalam pengkajian ini. Data diperoleh dengan pengamatan langsung dilapangan,data primer dikumpulkan dengan pendekatan PRA. Analisis data dilakukan secara deskripif kualitatif dankuantitatif menggunakan analisis anggaran parsial dengan parameter ekonomi R/C, MBCR, TIP dan TIH.Hasil pengkajian menunjukkan bahwa teknologi PTT mampu meningkatkan produktivitas ,6 kali lipat,Kajian Teknologi Budidaya dan Kelayakan Ekonomi Usahatani Kedelai Dengan Pendekatan Pengelolaan Tanaman Terpadu diLahan Pasang Surut Jambi (Jumakir dan Abdullah Taufiq)2dan secara ekonomis meningkatkan keuntungan USAhatani sebesar Rp.2.528.720/ha dengan nilai MBCR 3,68sehingga teknologi PTT layak untuk diterapkan. Agar pengembangan teknologi PTT berlanjut, diperlukandukungan saprodi dan harga terjangkau, penggunaan pupuk alternatif dan pemanfaatan agen hayati sertapenangkaran benih oleh petani. Disamping itu masih perlu pembinaan dan pendampingan oleh petugas. Upayadiseminasi perlu dilakukan baik melalui teknologi informasi dan komunikasi maupun diseminasi langsung

Paradigma Baru Pendidikan Tinggi dan Makna Kuliah Bagi Mahasiswa

The quality of higher education institutions in Indonesia to date is still is low. This can be known when compared with institutions higher education in other countries. It is also known that there is the gap between the existing reality with the goals and standards of graduate competence universities that have been formulated in laws and regulations government and related universities. Many factors play a role in it. One is the paradigm education - including higher education - is becoming a community benchmark. This growing paradigm will then determine how students give meaning to the lecture that is being pursued. Meanwhile, meaning and any understanding they have about college, will determine their attitudes, behaviors, actions and activities in the process learning. And it will ultimately determine their success within learn. After quite a while, in the recent paradigm behavioristik become displaced by a new paradigm. The developing and the will be more established lately is a constructive paradigm. With referring to this paradigm, students become the central point in the process learning. Therefore, whatever meaning is given by the students of lectures will determine their attitudes and actions in following learning process. Furthermore, this meaning will determine success educational goals as will be achieved together

Bank dan Riba: Implikasinya dalam Ekonomi Islam

Islamic banks are banks whose activities leave usury problems. While usury is meant is excess property in a muamalah with no compensation. The mechanism of interest-free Islamic banking / usury based on philosophical and practical reasons. The principle of Islamic banking profit sharing makes the risk of loss smaller than deposit interest, but this high profit share still cannot provide a large influence on the economy. The reason is people still choose bank interest because the negative implications of the bank interest system are not felt directly individually in the near future by the publicIslamic banks are banks whose activities leave usury problems. While usury is meant is excess property in a muamalah with no compensation. The mechanism of interest-free Islamic banking / usury based on philosophical and practical reasons. The principle of Islamic banking profit sharing makes the risk of loss smaller than deposit interest, but this high profit share still cannot provide a large influence on the economy. The reason is people still choose bank interest because the negative implications of the bank interest system are not felt directly individually in the near future by the publi

PRAGMATIC ASPECT OF GODDES OF PANTURA BOOK COVER

Goddes of Pantura is a photography book created by Arum Tresnaningtyas which discuss about dangdut music in the North-coast of Java. Cover works as an exciting main image representative to represent what it is inside—the book. Goddes of Pantura uses certain materials and colors to deliver its communication message. Using thinking principal, pragmatic graphic design is focused to risen up the sensitivity of a process through technique, materials, and media to be poured to the artpiece. This technique will answer how design process is, deliver a communication message and its perception, is not only about the final result of creating design, as what it presents on Goddes of Pantura book cover. This research is using qualitative method with Morris’ semiotic approach. The result of this research will be served further in this writing. Keywords: Cover, Goddes of Pantura, Pragmati

A study on tourism challenges at Tasik Kenyir / Taufiq A Rahman

Tourism is the act of travel for predominantly recreational or leisure purposes, and refers to the provision of services in support of this act. Tasik Kenyir is located in the interior of the Terengganu and spanning over 209, 199 hectares. It is the largest man-made lake in south east Asia. Sharing its border with Kelantan in the west and Pahang in the south , this immense lake also serve as another gateway to Taman Negara

Nearest Neighbour Decoding and Pilot-Aided Channel Estimation in Stationary Gaussian Flat-Fading Channels

We study the information rates of non-coherent, stationary, Gaussian, multiple-input multiple-output (MIMO) flat-fading channels that are achievable with nearest neighbour decoding and pilot-aided channel estimation. In particular, we analyse the behaviour of these achievable rates in the limit as the signal-to-noise ratio (SNR) tends to infinity. We demonstrate that nearest neighbour decoding and pilot-aided channel estimation achieves the capacity pre-log - which is defined as the limiting ratio of the capacity to the logarithm of SNR as the SNR tends to infinity - of non-coherent multiple-input single-output (MISO) flat-fading channels, and it achieves the best so far known lower bound on the capacity pre-log of non-coherent MIMO flat-fading channels.Comment: 5 pages, 1 figure. To be presented at the IEEE International Symposium on Information Theory (ISIT), St. Petersburg, Russia, 2011. Replaced with version that will appear in the proceeding

Perubahan Perdagangan Bebas Ke Integrasi

Free trade towards ASEAN integration within the framework of AFTA are valid independently using the Common Effective Preferential Tariff - CEPT. Based on the implementation of the policy of economic liberalization. It is political interests and others, then this issue stated that the GCC investment regimes open and free is key in improving the competitiveness of ASEAN. Through the case study method and theory of comparative advantage, actually trade in the ASEAN region can also be increased because of the movement of the flow of goods to be not constrained by competitive production. It is mainly in an effort to attract foreign investments further strengthen comparative competition among ASEAN countries. Similarly, trade between ASEAN member countries provide space for integration by increasing the activity of industrial network in advance of the ASEAN countries. Activity ASEAN-AFTA reinforce ASEAN free trade towards the condition of an International regime heyday region.Free Trade, ASEAN Integratio

Manajemen Kemasjidan di Kecamatan Lappariaja Kabupaten Bone

Penelitian ini bertujuan untuk mengetahui manajemen masjid di Kecamatan Lappariaja Kabupaten Bone, serta untuk mengetahui upaya yang dilakukan pengurus masjid untuk meningkatkan kualitas masjid dan pengurus Jenis penelitian yang digunakan adalah penelitian kualitatif. Dalam penelitian ini ada dua sub masalah yang akan diteliti lebih dalam, yaitu: proses pengelolaan masjid di Kecamatan Lappariaja Kabupaten Bone dan tingkat keberhasilan dalam pengelolaan masjid di Kecamatan Lappariaja Kabupaten Bone. Penulis menggunakan metode pengumpulan data dan sumber data. Pengumpulan data dengan melakukan obsevasi, wawancara dan dokumentasi. Sedangkan sumber data dilakukan wawancara dengan pimpinan masjid. Hasil penelitian ini, menunjukkan bahwa proses dalam meningkatkan kualitas masjid yang diterapkan oleh pengurus masjid yang ada di Kecamatan Lappariaja Kabupaten Bone, sudah memenuhi syarat-syarat ilmu manajemen yang adanya. Program kegiatan yang dilakukan berupa lomba qasiadah rabbana, lomba adzan, hafal Al-Qur’an, puisi dan lain-lain, sistem administrasi yang baik dan team work yang koordinasinya lancar. maka dari itu penulis dapat mengatakan manajemen masjid yang ada di Kecamatan Lappariaja Kabupaten Bone sudah menerapkan manajemen masjid dengan baik walupun masih ada kesulitan, yaitu dalam mengatur waktu kegiatan. Kemudian dari segi kegitan yang telah dirancang menjadi sebuah subjek utama pada masjid-masjid yang ada di Kecamatan Lappariaja Kabupaten Bone. Implikasi dari penelitian ini adalah: 1) kepada pengurus masjid di wilayah Kecamatan Lappariaja Kabupaten Bone dapat mempertahankan sistem yang digunakan. 2) kepada jama’ah untuk bisa menjaga kedisiplinan shalat berjama’ah di masjid dalam tercapainya kebersamaan dalam memakmurkan masjid serta dalam menjaga keimanan dan bertaqwa kepada Allah swt