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Search Results: 1 - 10 of 508 matches for " Sudigdo Adi "
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Effectiveness of Low Cost Laparoscopic Training Box to Increase Laparoscopic Skills in Urology Training Center Universitas Padjadjaran/Hasan Sadikin General Hospital  [PDF]
Aaron Tigor Sihombing, Jupiter Sibarani, Sudigdo Adi
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103412
Abstract:
Laparoscopy has become the standard of care in many urological procedures. Various simulations are used to train laparoscopic skills. This study evaluates the effectiveness of our low cost laparoscopic training box simulation to improve urologic laparoscopic skills. The study was conducted during Urology Laparoscopic Surgery Training Course in the department of Urology Universitas Padjadjaran/Hasan Sadikin General Hospital in year 2016. Eight practicing urologists with mean age 40.2 completed the study. Lecture and video presentation were presented to all participants before box training. Pre- training participants were evaluated for two basic laparoscopic tasks using a global rating scale and a task specific checklist. Participants then were trained under instructor supervision and then evaluated using the same global rating scale and specific task list. Participants performed nephrectomy on the second day on a live animal (pigs) and evaluated. Wilcoxon matched paired signed-rank test was used to analyze pre- and post-training score results. There are statistically significant improvements in global rating scale and task specific checklist for both tasks (P < 0.05). All participants successfully performed nephrectomy on the pigs that reflects low cost laparoscopic training box simulation is effective to improve urologic laparoscopic skills.
Influence of Coffee, Tea and Drinking Water Source on Calcium Kidney Stone Disease in Universitas Padjdjaran/Hasan Sadikin Hospital Bandung West Java Indonesia: A Case Control Study  [PDF]
Aaron Tigor Sihombing, Sudigdo Adi, Bernard Partogu
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103798
Abstract:
The risk of urinary tract stone disease is influenced by lifestyle, genetics and diet. Coffee, tea and drinking water source are one dietary factor that influences the urinary volume and urinary solute concentration. This study investigates the influence of coffee, tea and type of drinking water source to the risk of calcium kidney stone disease in Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung West Java Indonesia. A hospital based case control study was conducted in Universitas Padjadjaran/Hasan Sadikin General Hospital from November 2016 to January 2017. 30 urinary tract calcium disease patients and 30 controlled patients were enrolled in this study. Patient characteristic and number of cup of coffee and tea intake as well as source of water were collected using checklist items. Two tailed independent t-tests Mann Whitney U, Chi square test and Fisher Exact Test were used for statistical analysis. The odds ratios for daily tea and daily tea and coffee intake are 0.33 and 0.2 and are statistically significant (P = 0.038 and P = 0.04). This result showed that tea and coffee have influence on the risk of calcium stone disease.
The Comparison of the Levels of Leukotriene B4, TGF-β1, Collagen in Keloid Fibroblasts and Normal Skin Fibroblast  [PDF]
Yuli Kurniawati, Oki Suwarsa, Achadiyani Agung, Sudigdo Adi
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102801
Abstract:
Keloid pathogenesis occurs due to the longer duration of inflammation and the increase in the production of several factors such as TGF-β1 that causes the increase of fibroblast proliferation and collagen synthesis. The role of B4 Leukotriene (LTB4) in keloid pathogenesis particularly in the inflammation phase and tissue proliferation has not been clearly elucidated. The present study was to analyze the levels of LTB4, TGF-β1 and collagen in keloid fibroblast and normal skin fibroblast. Fibroblasts were cultured by applying explant method to the keloid and normal skin of the petient with the keloid. The measurement of the levels of LTB4, TGF-β1 and collagen was conducted by using Elisa method and triplicate was conducted subsequently. Statistic testing was performed through unpaired t test. The experiment was carried out in cell culture laboratory of The Faculty of Medicine Padjajaran University Bandung. The levels of LTB4, TGF-β1 are higher in keloid fibroblast, despite the fact that it does not show statistically significant difference. The level of collagen 1 is higher than that of collagen 3 in keloid fibroblast. Leukotriene B4 (LTB4) is one of the derivative of arachidonic acid that plays the role as lipid mediumtor of inflammation and fibroblast chemoattractant. The levels of LTB4, TGF-β1, collagen 1 and collagen 3 increase in keloid fibroblast. Such a result shows the role of LTB4 in the inflammation process that stretches in keloid pathogenesis.
Single Session Endourological Management for Bilateral Forgotten/Neglected Double J (DJ) Ureteric Stents Using Galdakao-Modified Supine Valdivia Position  [PDF]
Aaron Tigor Sihombing, Sudigdo Adi, Bambang Sasongko Noegroho, Setiawan S.
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104815
Abstract:
Background: Management of forgotten/neglected DJ stent is time consuming, impairing quality of life, complicated, costly and can be lethal. We use galdakao-modified supine Valdivia position to managed bilateral forgotten/neglected DJ stent to reduce the length of operation time and complication. Case presentation: we treated a 33-year-old female with bilateral forgotten/neglected DJ stent. We decided to performed retrograde intrarenal surgery using semi-rigid ureteroscope for the right forgotten/neglected DJ stent and supine percutaneous nephrolithothomy under galdakao-modified supine valdivia position for the left forgotten/neglected DJ stent in a single session. Post operative course was uneventfull and the patient was discharged on the second day. Conclusion: Galdakao-modified valdivia position is a good patient position to perform multiple endourological safe procedure in a single session that could reduce the length of operation time and hospital stay in managing patient with bilateral forgotten/neglected DJ stent.
Trees and Nests: A Comparison between Two Hierarchical Metaphors in Educational Applications  [PDF]
Adi Katz
Creative Education (CE) , 2012, DOI: 10.4236/ce.2012.31021
Abstract: The aim is to determine whether one of two hierarchical metaphors, the tree (parent-child) or the nested (object-container), is more suitable for designing educational interfaces for children. To cope with this issue an experimental educational application was designed with a prototype for each hierarchical metaphor. The application was evaluated in a laboratory experiment, where children participants interacted with the prototypes to find answers for questions that require searching for information. Task performance was measured in terms of effectiveness, efficiency and subjective aspects such as user perception of ease of use and user preference. The nested (object-container) metaphor was found to be preferred by users and superior in several objective parameters of performance efficiency, but no significant differences were found in the perceived ease of use and in the performance effectiveness. Implications for designing educational applications are discussed.
Heart size, heart function, and plasma B-type natriuretic peptide levels after transcatheter closure of patent ductus arteriosus
Mulyadi M. Djer,Sudigdo Sastroasmoro,Bambang Madiyono
Paediatrica Indonesiana , 2013,
Abstract: Background Patent ductus arteriosus (PDA) is a common congenital heart disease causing some blood in the aorta to flow into the pulmonary artery (PA), resulting in dilatation of the left atrium (LA) and left ventricle (LV), increased B-type natriuretic peptide (BNP) level, and the development of heart failure.Objectives To evaluate the clinical course, changes in heart size and function, and BNP level after transcatheter closure of PDA using the Amplatzer duct occluder (ADO).Methods This quasi-experimental study used a one-group, pretest-posttest design, and was done on PDA patients who underwent transcatheter closure using ADO. The outcomes measurements were performed four times, namely, before the procedure and at one, three, and six months after the procedure. Results were compared using a serial time analysis. Outcomes measured were heart failure scores, chest x-ray (CXR) and echocardiography findings, and plasma BNP level.Results There were 23 PDA patients enrolled, of which 12 were females. Subjects’ median body weight was 11 (range 6.6 to 55) kg. Prior to PDA closure, 12 subjects had mild heart failure (class II) and 7 had moderate heart failure (class III). On follow-up at one month after the procedure, all subjects had improved heart failure scores (P<0.0001), and no heart failure was found on further follow up. Likewise, there was a decreased mean cardiothoracic ratio (CTR) from 58 to 55% at 1-month (P=0.001), and also from 55 to 52% at 3-month follow up (P<0.0001), but no further decrease was found afterwards (P=0.798). The left atrium/aorta (LA/Ao) ratio measured by echocardiography also showed a statistically significant decrease from 1.6 prior to the procedure to 1.3 (P<0.0001) in the first month, but it remained stable afterwards. Diastolic function, represented by peak Ee and A waves also significantly decreased from 127 and 91 cm/sec, before the procedure, to 90 and 68 cm/sec, respectively, at 1 month follow-up (P<0.0001 and P<0.0001, respectively). However, there were no statistically significant changes in E/A ratio, ejection fraction andfractional shortening. Plasma BNP level significantly decreased from 58 pg/mL before the procedure to 28 pg/mL at 1 month follow-up (P=0.001), but no further significant decrease was observed afterwards.Conclusion After PDA closure with ADO, we observe significant improvements in heart failure scores, heart size, diastolic function, and BNP level of our subjects especially in the first month after the procedure.
Parental Authority Styles of Parents with Attention Deficit Disorders (ADD)  [PDF]
Hadas Doron, Adi Sharbani
Open Journal of Social Sciences (JSS) , 2013, DOI: 10.4236/jss.2013.16009
Abstract: The aim of the present study is to examine the differences between parents (mothers and fathers) with attention deficit disorders (ADD), and parents without ADD, regarding their characterizing parenting style (permissive, authoritarian and authoritative) according to Baumrind (1971, 1991). Many theories have aimed to describe and conceptualize the concept of parental authority style. The present research uses Baumrind’s (1971, 1991) theory, which offers three characteristic styles of parental authority, addresses the ways in which parents settle the needs of their children, by means of nurturing and limit setting, each according to his typical style: permissive, authoritarian and authoritative. The point of departure for this study is, that the parent’s gender in combination with the parent being diagnosed as with ADD, will predict his parental authority style. Different researches in the field of Attention Deficit disorders (ADD) point to gender differences in different characteristics along developmental stages from childhood to adulthood (Chen, Seipp, & Johnson, 2008). Thus, we postulated that fathers with ADD will be characterized as with different parenting styles than mothers with ADD, and in comparison to a control group. Based on different studies, we assumed that fathers with ADD will be characterized by a less responsible behavior, yet they will be more direct and active; while mothers with ADD will be typified as more invasive, demanding and negative (Berger & Landau, 2009; Chronis-Tuscano et al., 2008). In addition, we hypothesized that fathers with ADD will be found as more permissive compared to the control group, while mothers with ADD would be more authoritative compared to the control group. The sample in
Marital Patterns among Parents to Autistic Children  [PDF]
Hadas Doron, Adi Sharabany
Psychology (PSYCH) , 2013, DOI: 10.4236/psych.2013.44063
Abstract:

The present research aims to examine the mental welfare of parents to autistic children, the degree of social support they receive and their perceived satisfaction with it, and how these variables affect their couplehood. The research population included parents of children between the ages of 4 and 17 diagnosed within the autistic spectrum. Each parent (within 33 couples) received a personal questionnaire, which was completed by 32 women and 23 men. The research questionnaire was composed of four measures: demographics; degree of childs autism; social support; and mental wellbeing and closeness/distance in the marital relationship. We found that social and familial support is statistically related to positive marital relationships and that the older the child, the less emotional wellbeing is felt by the parents and the more distant their relationship.

Franchise Revenue Guarantee Valuation: Real Options Approach  [PDF]
Lukito Adi Nugroho
Journal of Financial Risk Management (JFRM) , 2015, DOI: 10.4236/jfrm.2015.41004
Abstract: In order to survive in the current severe competition, newly established franchises have been looking for new ways to encourage more individuals to become their franchisees. One approach that becoming increasingly widespread is the inclusion of revenue guarantee. This feature attracts risk averse franchisees because it reduces the apparent risk of joining a franchise with the reassurance that they will earn predetermined level amount of income at the early period of the franchise operation. This paper develops analytical framework using real options approach to value revenue guarantee in business format franchise. The model also will be tested using Monte Carlo simulation to assess the impact of the revenue guarantee agreements on franchisee’s present value. Result shows that guarantee is more needed in higher uncertainty environment, but it also comes with a higher cost.
Emotional Awareness: An Enhanced Computer Mediated Communication Using Facial Expressions  [PDF]
Moran David, Adi Katz
Social Networking (SN) , 2016, DOI: 10.4236/sn.2016.51004
Abstract: This paper describes the design of a prototype for an emotionally enhanced computer mediated communication system which is aimed at compensating for the emotional distance between communicators. The prototype system encourages the sender to take the emotional perspective of the message receiver by giving the sender a sense of how his message may affect the intended receiver, and by allowing the sender to reconsider sending the message or revise it. The objective of an emotionally enhanced communication system is to raise awareness to the ease in which a written word might be misinterpreted since emotions are too often unseen due to the nature of lean communication media. In order to show the receiver’s assumed emotion, the written text would be parsed before sending the message. An algorithm, for demonstrating the prediction of the emotion a written message might evoke, will choose a facial expression from a pool of 7 expressions, according to the words and phrases inserted in the message. We conducted a user test to evaluate the acceptance and attitudes toward such an emotionally enhanced communication system and received a high level of acceptance and favorable attitudes towards using it.
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