Efficacy of Minimally Invasive Surgery on Giant Cell Tumour of the Bone: A Systematic Review

BACKGROUND: Although major reconstructive surgeries in the form of excision and reconstruction have been the mainstay treatment for Giant Cell Tumour (GCT) of the bone, its recurrence rate remains high and poses various morbidities such as implant failure or skin breakdown. Minimal invasive surgery (MIS) techniques, which has gained popularity mostly in other fields in orthopaedic surgery, are being introduced as an alternative to limit the surgical complications while achieving the best possible outcome. Until now, there has been no literature summarising the evidence of MIS outcome in treating GCT of the bone. AIM: The purpose of this systematic review was to investigate the efficacy of this relatively new treatment. METHODS: We comprehensively searched PubMed, EMBASE, and Cochrane Library to search for studies about MIS for GCT of the bone treatment up to March 1, 2019. The selection of appropriate studies was performed by two independent investigators based on PRISMA guideline. Given the limited number of studies, there was no restriction in terms of patient’s demographics, the specific minimally invasive surgical method, and publication status. RESULTS: We found 120 articles from the database. After evaluating full text, 5 articles (16 patients) were found to be eligible. The minimally invasive methods were curettage, cryosurgery, and argon beam coagulator. The visualisation methods include a computer-assisted navigation system, endoscope, otoscope, CT, and MRI. Location of tumours includes axial and long bones. The follow-up period ranges from 7 to 126 months. The functional and oncological outcome was found to be satisfying with no recurrence or complications. CONCLUSION: In conclusion, MIS is a familiar method in orthopaedic surgery with potential expansion in tumour field. The current evidence shows that this approach for GCT results in good functional outcome, with low risk of recurrence

Moral values in folklore of Pan Balang Tamak story (sociolinguistic study)

In Balinese people, there are allots of folklores that scattered in the society which they call Satua Bali. Narrowly, satua Bali is a story that spread out from generation to generation and words of mouth, it is not known who the creator as well. Meanwhile, in the broad sense, satua Bali is derived from the work of authors, whether it is used Balinese language or ancient Javanese language. There are many satua Bali still survive, one of them is satua Pan Balang Tamak. Pan Balang Tamak is the figure who has very clever character and he does not want to be lost by the villager. Because of his cleverness, the villagers and even the king hate him. And, the attempted to deceive him, but all of their efforts were in vain. Many moral values can be learned from the story of Pan Balang Tamak, that we are as individual as members of the public should not attempt to cheat, or deceive others. And, the brightness brain that we owned should be used to help others. Data was taken from the story which its existence in society, namely satua Pan Balang Tamak. Then, the data is collected by means of written discourse according to the topic above. The method suitable for the study which has written a language is a method refers to an advanced technique such as a technical note. Then, the result of data analysis technique uses a distributional method which works within the scope of language itself without linking it with outside matters

The Realization of Cohesion Devices Applied in Students’ Business Letters

The study aims to discover the students’competency in writing text particularly business letters in English. The study is tried to find out the cohesion devices used by the students’. The participants were the six semester of the Tourism and Business Institut. The number of participant were 50 students. They have got several treatment how to write business letter in English. After the treatment, the researcher collect and analyse data. Qualitative method is used in analysing data. The result shown several types of cohesion applied in students’ writing such as grammatical cohesion; pronoun, substitution, conjunction and lexical cohesion; synonimy, antonimy, and superordinat

Moral values in folklore of Pan Balang Tamak story (sociolinguistic study)

In Balinese people, there are allots of folklores that scattered in the society which they call Satua Bali. Narrowly, satua Bali is a story that spread out from generation to generation and words of mouth, it is not known who the creator as well. Meanwhile, in the broad sense, satua Bali is derived from the work of authors, whether it is used Balinese language or ancient Javanese language. There are many satua Bali still survive, one of them is satua Pan Balang Tamak. Pan Balang Tamak is the figure who has very clever character and he does not want to be lost by the villager. Because of his cleverness, the villagers and even the king hate him. And, the attempted to deceive him, but all of their efforts were in vain. Many moral values can be learned from the story of Pan Balang Tamak, that we are as individual as members of the public should not attempt to cheat, or deceive others. And, the brightness brain that we owned should be used to help others. Data was taken from the story which its existence in society, namely satua Pan Balang Tamak. Then, the data is collected by means of written discourse according to the topic above. The method suitable for the study which has written a language is a method refers to an advanced technique such as a technical note. Then, the result of data analysis technique uses a distributional method which works within the scope of language itself without linking it with outside matters

Moral values in folklore of Pan Balang Tamak story (sociolinguistic study)

In Balinese people, there are allots of folklores that scattered in the society which they call Satua Bali. Narrowly, satua Bali is a story that spread out from generation to generation and words of mouth, it is not known who the creator as well. Meanwhile, in the broad sense, satua Bali is derived from the work of authors, whether it is used Balinese language or ancient Javanese language. There are many satua Bali still survive, one of them is satua Pan Balang Tamak. Pan Balang Tamak is the figure who has very clever character and he does not want to be lost by the villager. Because of his cleverness, the villagers and even the king hate him. And, the attempted to deceive him, but all of their efforts were in vain. Many moral values can be learned from the story of Pan Balang Tamak, that we are as individual as members of the public should not attempt to cheat, or deceive others. And, the brightness brain that we owned should be used to help others. Data was taken from the story which its existence in society, namely satua Pan Balang Tamak. Then, the data is collected by means of written discourse according to the topic above. The method suitable for the study which has written a language is a method refers to an advanced technique such as a technical note. Then, the result of data analysis technique uses a distributional method which works within the scope of language itself without linking it with outside matters

IMPLEMENTATION OF HIGHER ORDER THINKING SKILLS (HOTS)-BASED EDUCATION TO ENHANCE THE QUALITY OF ENGLISH LANGUAGE FOR STUDENTS AT SDN 1 TIMPAG

Quality of education 4.0 is aimed at producing competent and quality human resources in carrying out activities in the industrial world later ( Pohan , 2019). In the current implementation of education in capturing information on the resulting human resources, it is required to obtain information on a very broad scale and human resources are also required to be able to understand various matters, one of which is understanding related to English. In this study, the researcher used a qualitative descriptive method to describe the HOTS concept which would be implemented in English learning activities at SDN 1 Timpag . Qualitative research generally describes the dominant data using words rather than describing phenomena through a numeric number. Based on the results of the research that has been done, some conclusions that can be drawn in this study are that the HOTS indicator learning method is developed in its entirety, there are 6 indicators including Creating, Evaluating, Analyzing, Applying, Remembering and Understanding . At SDN 1 Timpag as a whole there are several implementation indicator ideas that can be improved in the implementation of HOTS in English materials including story telling planning, introduction to animal objects and body anatomy and simple greetings and the use of grammar

Moral values in folklore of Pan Balang Tamak story (sociolinguistic study)

In Balinese people, there are allots of folklores that scattered in the society which they call Satua Bali. Narrowly, satua Bali is a story that spread out from generation to generation and words of mouth, it is not known who the creator as well. Meanwhile, in the broad sense, satua Bali is derived from the work of authors, whether it is used Balinese language or ancient Javanese language. There are many satua Bali still survive, one of them is satua Pan Balang Tamak. Pan Balang Tamak is the figure who has very clever character and he does not want to be lost by the villager. Because of his cleverness, the villagers and even the king hate him. And, the attempted to deceive him, but all of their efforts were in vain. Many moral values can be learned from the story of Pan Balang Tamak, that we are as individual as members of the public should not attempt to cheat, or deceive others. And, the brightness brain that we owned should be used to help others. Data was taken from the story which its existence in society, namely satua Pan Balang Tamak. Then, the data is collected by means of written discourse according to the topic above. The method suitable for the study which has written a language is a method refers to an advanced technique such as a technical note. Then, the result of data analysis technique uses a distributional method which works within the scope of language itself without linking it with outside matters

Analisis Kinerja Motor Terhadap Kerusakan Kompresor Tipe B – 304 pada LRT Jakarta Seri 1100

Compressor is one of the energy conversion machines that has a function to compress or compress the working fluid, in this case compressible fluid. To maintain the reliability of components carried out maintenance including periodic maintenance and maintenance when there is damage, in this final task obtained data on the 71st weekly maintenance obtained compressor is not able to supply air optimally. Output power obtained output power of 61,475 kW, while in data processing obtained the largest output power obtained by 85.6 kW large output power based on high current input due to excess load on the motor. The amount of output power that exceeds the maximum output power results in a fracture in the piston rod. And get a filter that has been dirty on the compressor so that the air can not be compressed to the maximum