Peranan Pustakawan Dalam Meningkatkan Kualitas Layanan Pengguna Di Badan Perpustakaan, Arsip Dan Dokumentasi Provinsi Sulawesi Utara

Penelitian ini bertujuan unuk mengetahui peranan yang dilakukan oleh pustakawan BPAD Prov. Sulut dalam meningkatkan kualitas layanan pengguna.Jenis penelitian yang digunakan adalah penelitian Kualitatif.Pengumpulan data dilkukan dengan observasi, wawancara dan kajian dokumen.Informan dalam penelitian ini berjumlah 12 (duabelas) orang yang dipilih berdasarkan kriteria yang telah dietapkan, yaitu telah menduduki jabatan pustakawan.Hasil penelitian menunjukan bahwa peran yang dilakukan oleh pustakawan dalam meningkatkan kualitas layanan yaitu setiap pustakawan berupaya melaksanakan pekerjaannya dengan maksimal sesuai dengan kerangka kerjanya masing-masing, serta dengan memberikan pelayanan yang ramah dan berperilaku baik agar pengguna puas dengan layanan yang diberikan. Pustakawan juga melakukan pengawasan terhadap koleksi-koleksi yang telah rusak dan di perbaiki.Dengan demikian saran yang diajukan untuk pimpinan perpustakaan dan pustakawan BPAD Prov. Sulut yaitu 1.) Menyediakan informasi dan memberikan layanan kepada pemustaka dari seluruh lapisan masyarakat tanpa melihat latar pendidikan. 2). perpustakaan sebagai sumber informasi, harus lebih memanfaatkan sumber daya yang ada semaksimal mungkin untuk kepentingan pemustaka, agar perpustakaan dapat memberikan layanan yang lebih optimal dalam memenuhi kebutuhan informasi bagi pemustaka yang mempunyai minat serta kebutuhan informasi yang berbeda-beda

Pengaruh Kinerja Perbankan Terhadap Pemberian Remunerasi Dewan Direksi Bank Konvensional 2017-2021

Penelitian ini bertujuan untuk mendorong dan memotivasi dewan direksi agar perbankan lebih mempertimbangkan dalam pembagian remunerasi terhadap dewan direksi Tujuan spesifik dari remunerasi dewan direksi terhadap kinerja bank yaitu untuk meningkatkan kinerja keuangan bank, menarik dan mempertahankan talenta, memotivasi perilaku yang baik mengukur kinerja dan resiko, transparansi dan akuntabilitas. Metode pengumpulan data yang digunakan dalam penelitian ini adalah metode dokumentasi dan kepustakaan. Data yang digunakan dalam dokumentasi adalah data sekunder yang dipublikasikan oleh Otoritas Jasa Keuangan (OJK) periode 2017-2021, serta data yang dipublikasikan di situs resmi masing-masing perusahaan. Informasi perpustakaan adalah informasi yang berkaitan dengan jurnal atau penelitian sebelumnya. Hasil Penelitian menunjukkan bahwa pemberian remunerasi yang memadai kepada Dewan Direksi dapat memberikan dampak positif pada kinerja bank, terutama dalam hal Retrurn on asset (ROA), Return on Equity (ROE), pengelolaan risiko, dan efisiensi operasional. Meskipun tidak terdapat pengaruh signifikan pada Capital Adequacy Ratio (CAR), Biaya Operasional Pendapatan (BOPO) dan Loan to deposit ratio (LDR). Penting untuk diperhatikan bahwa remunerasi yang tepat masih merupakan faktor penting dalam mendorong kinerja bank secara keseluruhan

Facial skin metastasis due to small-cell lung cancer: a case report

<p>Abstract</p> <p>Introduction</p> <p>Cutaneous metastases in the facial region occur in less than 0.5% of patients with metastatic cancer. They are an important finding and are not often the first sign leading to diagnosis.</p> <p>Case presentation</p> <p>We describe the case of a 64-year-old male patient who presented with dyspnea, pleuritic pain, loss of weight and a nodule on his left cheek. A chest X-ray revealed a left upper lobe mass with mediastinal lymphadenopathy. Excision biopsy of the facial nodule revealed small-cell lung carcinoma. Palliative chemo-radiotherapy was administered and the patient survived for 12 months.</p> <p>Conclusion</p> <p>A high index of suspicion is necessary for the early detection of facial cutaneous metastases. Appropriate treatment may prolong patient survival.</p

Rationale and Methods of the Study Protocol: Streptococcus pneumoniae Serotypes in Adults 18 Years and Older with Radiographically-Confirmed Community-Acquired Pneumonia (CAP)

This study was an active, prospective surveillance study of adults 18 years and older hospitalized with community-acquired pneumonia (CAP) due to Streptococcus pneumoniae conducted at 21 hospitals in ten cities across the United States. This report describes the surveillance methodology applied between October 7, 2013 and September 30, 2016, including the identification and description of surveillance areas and populations at-risk for CAP hospitalization for estimation of incidence rates for selected study sites

Angiographic correlations of patients with small vessel disease diagnosed by adenosine-stress cardiac magnetic resonance imaging

Cardiac magnetic resonance imaging (CMR) with adenosine-stress myocardial perfusion is gaining importance for the detection and quantification of coronary artery disease (CAD). However, there is little knowledge about patients with CMR-detected ischemia, but having no relevant stenosis as seen on coronary angiography (CA). The aims of our study were to characterize these patients by CMR and CA and evaluate correlations and potential reasons for the ischemic findings. 73 patients with an indication for CA were first scanned on a 1.5T whole-body CMR-scanner including adenosine-stress first-pass perfusion. The images were analyzed by two independent investigators for myocardial perfusion which was classified as subendocardial ischemia (n = 22), no perfusion deficit (n = 27, control 1), or more than subendocardial ischemia (n = 24, control 2). All patients underwent CA, and a highly significant correlation between the classification of CMR perfusion deficit and the degree of coronary luminal narrowing was found. For quantification of coronary blood flow, corrected Thrombolysis in Myocardial Infarction (TIMI) frame count (TFC) was evaluated for the left anterior descending (LAD), circumflex (LCX) and right coronary artery (RCA). The main result was that corrected TFC in all coronaries was significantly increased in study patients compared to both control 1 and to control 2 patients. Study patients had hypertension or diabetes more often than control 1 patients. In conclusion, patients with CMR detected subendocardial ischemia have prolonged coronary blood flow. In connection with normal resting flow values in CAD, this supports the hypothesis of underlying coronary microvascular impairment. CMR stress perfusion differentiates non-invasively between this entity and relevant CAD

Definitions and incidence of cardiac syndrome X: review and analysis of clinical data

There is no consensus regarding the definition of cardiac syndrome X (CSX). We systematically reviewed recent literature using a standardized search strategy. We included 57 articles. A total of 47 studies mentioned a male/female distribution. A meta-analysis yielded a pooled proportion of females of 0.56 (n = 1,934 patients, with 95% confidence interval: 0.54–0.59). As much as 9 inclusion criteria and 43 exclusion criteria were found in the 57 articles. Applying these criteria to a population with normal coronary angiograms and treated in 1 year at a general hospital, the attributable CSX incidence varied between 3 and 11%. The many inclusion and exclusion criteria result in a wide range of definitions of CSX and these have large effects on the incidence. This shows the need for a generally accepted definition of CSX

Studi Perhitungan Indeks Keandalan Sistem Tenaga Listrik Menggunakan Graphical User Interface Matlab pada PT PLN (Persero) Rayon Kota Pinang

The level of reliability of a distribution system is very important to ensure the continuity of electricity supply to consumers. This research was conducted to calculate the Saidi reliability index and the Saifi 20 kV distribution system in Pinang PLN in 2017 with the help of the Matlab R2008a application. A GUI is one of the Matlab programs that is widely used in describing information and commands, and its users are possible to form and format themselves according to the needs of the system itself. With the help of this software, it is hoped that it will be easier to calculate the system reliability index, namely the calculation of SAIDI and SAIFI, then the results can be made so that the database is more organized. The calculation results obtained will show the highest and lowest SAIDI and SAIFI values ​​that occur in each of the current months, making it easier to evaluate, analyze and improve the reliability of the electrical power system network in the future, especially in PT

Radiologically innocuous breast reduction specimens. Should we send them to pathology lab anyway?

Breast Reduction (BR) is a common procedure around the world. Patients are screened for incidental carcinoma preoperatively by mammography or ultrasonography and BR specimens are sent for pathologic examination postoperatively. Since the incidence of incidental carcinoma is very low, no consensus exist regarding efficiency of pathologic examination. To assess the value of pathologic examination, we examined mammographically and ultrasonographically negative eighty BR specimens from 40 women. Twenty seven women had pathological lesions in their specimens (67,5%). This indicates that, even mammographically and ultrasonographically innocuous, BR specimens may reveal important pathological diagnosis that alters patient management