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Cystography examination technique with clinical Bladder Stone in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito in the AnteroPosterior (AP) projection uses a perpendicular vertical beam direction. Meanwhile, according to Lampignano & Kendrick, (2018) Cystography examination in the AnteroPosterior (AP) projection, the beam direction is angled 10˚-15˚ towards the caudad. The purpose of this study was to determine the Cystography examination procedure and the role of the antero posterior (AP) projection in cystography examination with clinical bladder stone using a perpendicular beam direction to the image receptor in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito. This research method uses qualitative descriptive with a case study approach. This research was conducted at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito from March to May 2025. The objects in this study were patients undergoing Cystography examination, with the research subjects consisting of one patient who experienced a case of Batu Buli. After the data was reduced, the data presentation was carried out in narrative form and then reviewed with a theoretical basis so that conclusions could be drawn. The results of this study indicate that the examination procedure for Cystography with clinical Batu Buli at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito includes patient preparation, preparation of tools and materials, examination techniques, and gradual injection of contrast media. The gradual administration of contrast medium is effective for monitoring the patient's condition and preventing complications such as bladder rupture. This modification of the technique demonstrates that standard procedures can be adapted while maintaining optimal diagnostic quality.

Academic dishonesty, particularly cheating during examinations, remains a common issue among high school student and undermines the development of students integrity and responsibility. This study aims to determine the effectiveness of group counselling using the Rational emotive behaviour theraphy (REBT) approach with the disputing technique in reducing cheating behaviour among 11 grade students were selected throught purposive sampling and divided into experimental and control groups. The experimental group received eight sessions of group counselling integrating REBT and Socretes dialogue as the disputing technique. Data were analysed using paired sample t-test and independent sample t-test. The result indicated a significant desrease in cheating behaviour in the experimental group compared to the control group. The findings suggest that group counselling based on the REBT approach and disputing technique is effective in reducing students cheating behaviour. This study contributes to the development of character education strategis and prpvides pratical implications for school based counselling progams to foster academic integrity.

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.

Hemolitic anemia is a condition of anemia caused a shortened lifespan of eritrocytes due to an increase in a rate of eritrocytes destruction higer than eritrocytes production in the bone marrow. Congenital Citomegalovirus Infection (CMV) is one of the most common viral infections that causes congenital infections. CMV is transmitted by contact with an individual who carries CMV infection. Approximatelly 90% of congenitally infected infants develop symptoms at birth. Jaundice, petechiae, and hepatosplenomegaly are the three most common sequences in infants. Congenital CMV infection can be diagnosed by isolating the virus by urine and saliva within first three weeks of life. Case Description A 24-day-old baby comes with jaundice all the body since the age of 14 days. Innitially Indah Afriwanty Simatupang, Ricke Loesnihari. Congenital Citomegalovirus Infection., light carried out at hospital but there was no change, the the patient was referred to Adam Malik Hospital. From the examination it was found thrombocytopenia, metabolic acidosis, increased SGOT and SGPT, increased total bilirubin and direct bilirubin, decreased procalcitonin, positive anti CMV IgG, and positive IgG CMV (Avidity). CONCLUSION Based on the history of physical and laboratory examination, its supports the diagnosis of Congenital Cytomegalovirus Infectios.

This study rigorously investigates the Ulul Albab spiritual leadership construct and its impact on psychological well-being among campus da'wah activists, employing a Confirmatory Factor Analysis (CFA) approach grounded in both theoretical integration and empirical data. The inquiry draws upon a meta-analysis of 47 quantitative studies encompassing a total of 12,847 respondents from leading universities in Indonesia, Malaysia, and Brunei Darussalam, spanning the years 2018 to 2024. This methodological scope enhances the external validity of the findings. The CFA results confirm that the Ulul Albab spiritual leadership model exhibits a robust level of model fit, as indicated by optimal statistical indices (χ²/df = 2.34; CFI = 0.956; TLI = 0.943; RMSEA = 0.047; SRMR = 0.039), suggesting strong coherence between the theoretical construct and field data. The three core dimensions conceptualized in this model are statistically validated through high factor loadings: intellectual spirituality (0.847), Islamic transformational leadership (0.823), and emotional-spiritual intelligence (0.791), each serving as integral pillars of the Ulul Albab paradigm. Furthermore, structural regression analysis reveals a significant effect of Ulul Albab spiritual leadership on the psychological well-being of da'wah activists (β = 0.673; p < 0.001; R² = 0.453), thereby affirming the model's predictive strength in fostering individual potential rooted in Islamic spiritual values. These findings reinforce the theoretical propositions advanced by Garden, M. (2004), Fry (2003), and Zohar and Marshall (2000) regarding the significance of spiritual leadership within organizational dynamics. However, this study offers a novel conceptual contribution through the epistemological synthesis of the Ulul Albab construct, integrating intellectual and spiritual intelligence within a holistic Islamic framework. Unlike Western-based models of spiritual leadership proposed by Fry and Nisiewicz (2020), the Ulul Albab construct demonstrates a notable advantage in the dimension of intellectual spirituality, as evidenced by its higher factor loading (0.847 compared to 0.634), underscoring the imperative of balancing dzikir and fikir as both ethical and cognitive foundations in contemporary Islamic leadership.

The aim of this study is to explore how children Accounts found in the Qur'an can function as a learning medium in instilling religious values in early childhood. Religious values play a crucial role and should be familiarized with from an early stage on as a basis to foster children's character development and morals in facing life. This study uses the Observation method approach through an in-depth examination of various relevant scientific literature, including books, journals, and According to prior research, it has been shown that learning based on Qur'anic stories is effective in conveying moral and religious messages because they are in line with the imaginative aslo concrete world of children. Stories such as the Prophet Ismail, the little Prophet Yusuf, and the Ashabul Kahfi provide examples of honesty, obedience, patience, and faith that may be delivered using enjoyable approaches such as storytelling, role playing, and visualization. These findings reinforce the importance of the role of teachers and parents in internalizing religious values through contextual learning media that touch the emotional aspects of children.

The Dayak Sanggau community practices a number of cultural traditions during pregnancy, childbirth, and the postpartum period, reflecting a blend of spiritual beliefs and medical needs. This study employed a qualitative method with a literature review (library research) approach to explore pregnancy, childbirth, and postpartum practices among the Dayak Sanggau people. The findings identified supportive practices such as spousal involvement and basic check-ups by traditional midwives, as well as potentially harmful practices including non-sterile vaginal examinations, childbirth in the kitchen area, and the use of alcoholic herbal concoctions for infants. The conclusion emphasizes the importance of understanding local culture and integrating medical education so that positive traditional practices can be preserved, while risky ones are minimized through culturally sensitive interventions.

This study explores how Aman Kuba Coffee Shop in Yogyakarta manages its raw material inventory to maintain product quality and deliver excellent customer service. Effective inventory management is crucial to ensuring consistent coffee flavor and customer satisfaction. This research employs a qualitative method using a case study approach, involving direct observation of inventory management practices at the shop. Data were collected through interviews with the owner, manager, baristas, and customers; on-site observations; and examination of documents such as stock records and quality standards. The findings reveal that a structured and consistent inventory system plays a key role in preserving raw material quality. Moreover, efficient inventory management positively influences customer satisfaction and supports the overall operational efficiency of the coffee shop.

Background: Myxoid liposarcoma is a malignant tumor composed of uniform, partially round to oval cells with lipoblast, in the myxoid stroma with branching capillaries. Very rarely presents as a primary neoplasm of the subcutis or retroperitoneum. Myxoid liposarcoma in the retroperitoneum is the most common metastases. Case description: We reported a case of  Mr M, male, 48 years old, came to the hospital. Private in the city of Medan on April 19 2021 with complaints of upper left abdominal pain, nausea (+), vomiting (-), fever. vital sign, general condition: compos mentis, temperature: 36 ℃, Pulse: 80 x/min. Breathing: 20x/min, Blood pressure: 120/80 mmHg. Previously, a gastric biopsy was performed on suspicion of gastric carcinoma and a histopathological examination was carried out with the results of a gastric adenoma. Subsequently, an exploratory laparotomy was performed with tumor debulking and the tissue was sent to the H. Adam Malik Hospital unit. On macroscopic examination, the tissue was split in a state of 16 cm x 12 cm x 7 cm, yellowish-gray in color, chewy consistency. The of cutting, a solid mass of white, yellow, and brown color appears, the consistency is chewy and brittle. With a tissue-weight of 800 grams then labeled O/1260/21. On microscopic examination of the tumor mass, it appears that the tumor mass is mostly arranged in solid sheets, consisting of round, relatively uniform cells, arranged back to back. Round and oval nuclei with increased N/C ratio, coarse chromatin, eosinophilic cytoplasm. Among them are lipoblast cells with spider web and small signet ring lipoblast. Atypical mitoses are relatively easy to find > 19 mitoses / 10 LPB. Proliferative and congested blood vessels, necrotic masses <50% are also seen. Immunohistochemical examination was carried out with S100 positive staining results on the nuclear membrane and cytoplasm of tumor cells with a proportion of more than 70% moderate to strong intensity. Conclusion: Based on macroscopic and microscopic examination this patient was diagnosed with High grade myxoid round cell liposarcoma grade III with ICD-O 8852/3.

Poromas are benign neoplasms composed of epithelial cells that show tubular differentiation, which arises from the intraepidermal part of the eccrine of the sweat glands. This lesion can resemble melanoma or non melanoma.1,2 Case description We reported a case of eccrine poroma in a man, Mr. ES, 50 years old, with complaints of a lump in the head of the temporal region of the region. On macroscopic examination, a blackish-brown scalp tissue size 2x1x0.5 was received, the surface was uneven, the consistency was springy. Microscopic examination of squamous epithelial coating with round, oval, monotone, smooth chromatin, eosinophilic cytoplasm appear. In the sub-epithelium, there is a mass of tumors consisting of proliferative eccrine glands, in groups forming islands, with cuboidal coatings, with round, oval, monotonous nuclei, fine chromatin, eosinophilic cytoplasm. The stroma consists of fibrous connective tissue and blood vessels. The sebaceous glands, hair follicles and infiltration of lymphocyte cells appear. Discussion and conclusions: Based on the results of histopathological examination, it can be concluded as eccrine poroma. In this case electrosurgery is performed, removal with the help of a carbon dioxide laser, or excision surgery can be performed.

Sharp trauma is an abnormality in the body caused by the contact of objects whose surface is able to slice so that tissue continuity disappears. It is usually caused by knives, swords, scissors, razors, axes and others. The types of wounds due to sharp violence that can be identified are stab wounds, iris wounds and also stab wounds. All of these types of injuries can endanger the victim's life and cause death for the victim. Every case of persecution or violence against life that causes death must be medically examined. This must be done to help the police as law enforcers in uncovering murder cases based on forensic medical science. This examination includes an examination of the outside of the victim's body and also an examination of the victim's internal organs. The results will be used as valid evidence used in the judicial process. Case description: A case was reported, a male corpse, known, with the initials DR, with the suspected death of elements of a criminal act.Conclusion From the results of the examination, the cause of death of the victim was a stab wound to the left chest that penetrated the heart and heart sac due to sharp violence that resulted in bleeding and tissue damage..

This article explores the integration of creative and historical tourism through a comparative examination of two prominent cultural destinations in East Java, Indonesia: Bandar Grisse in Gresik and the Bung Karno Memorial Park in Blitar. Bandar Grisse, a revitalized old-town district, exemplifies a unique urban tourism model that blends colonial architectural heritage with a contemporary pedestrian-friendly layout reminiscent of Malioboro Street in Yogyakarta. Central to its historical significance is the Garling (Gardu Suling), an iconic heritage structure equipped with a siren, strategically located amidst a multicultural urban fabric encompassing Dutch, Arab, Chinese, and indigenous settlements. The institutionalization of the “Bandar Grisse” tourism brand has catalyzed a series of recurring cultural events, including the annual Bandar Grisse Festival and the biweekly Cokro Ekraf Festival, fostering local creative economies. Complementing this urban heritage is the Bung Karno Memorial Park, a monumental site that not only serves as the final resting place of Indonesia’s first president but also as a locus of national remembrance and civic education. Employing a qualitative descriptive approach, this study underscores the symbiotic relationship between heritage preservation and cultural innovation in promoting sustainable tourism rooted in local identity and historical consciousness.

Varicella is a contagious skin infection caused by the varicella zoster virus (VZV). Varicella, scabies, and pityriasis versicolor are diseases with the same risk factors, namely in adolescents with high physical activity and living in crowded places such as dormitories. Case: A 13-year-old male adolescent complained of fluid-filled bumps on the body and face accompanied by itching that had been felt since yesterday. Low fever that fluctuates accompanied by dizziness, nausea since 2 days ago. Due to the itching, the patient scratched the area of ​​the bumps so that the bumps burst. The patient is currently undergoing scabies treatment. The patient also complained of white spots all over the body that had appeared since 2 months ago and worsened when the patient sweated. The patient is a student living in an Islamic boarding school. The patient said he often changed clothes, sarongs, and caps with his dorm mates. The patient also has high physical activity such as playing ball and does not immediately change clothes if he sweats. The diagnosis of varicella, scabies, and pityriasis versicolor is based on anamnesis and physical examination. Treatment options in this case are administration of drugs in the form of Acyclovir 400mg 4 x 2, Paracetamol 500mg 3 x 1, Permethrin 5% applied to the entire body 1x for 8 hours, Fucilex cream 2 dd ue, and Ketoconazole 2% shampoo. Conclusion: in this case, a 13-year-old patient with varicella, scabies, and pityriasis versicolor with risk factors of adolescence with high physical activity and living in crowded places such as dormitories was found.

Lung adenocarcinoma is one of the most common types of lung cancer, especially in non-smoking women. This disease can develop progressively to cause complications such as pleural effusion and hydropneumothorax. Risk factors involved include exposure to secondhand smoke, air pollution, radon, and a history of previous tuberculosis. A 61-year-old woman came with complaints of right chest pain radiating to the back, shortness of breath, dry cough, weakness, and weight loss. The medical history showed that the patient had undergone chemotherapy for lung cancer and had a history of pulmonary tuberculosis that had been resolved. Supporting examinations such as CT-scan, bronchoscopy, and cytology showed a mass in the right lung inferior lobe and massive pleural effusion leading to a diagnosis of stage IVA right lung adenocarcinoma (T3N1M1A) complicated by hydropneumothorax. The patient underwent management in the form of chemotherapy, supportive therapy, and symptomatic care.

This study conducts a comprehensive comparative analysis of one-tier board supervision mechanisms across Indonesia, Malaysia, and Singapore, examining the effectiveness of corporate governance frameworks in emerging market contexts. The research employs a doctrinal normative legal methodology, analyzing statutory instruments including Indonesia's Job Creation Law No. 6 of 2023, Malaysia's Companies Act 2016, and Singapore's Companies Act 1967. The introduction of Indonesia's Individual Limited Liability Company (PT Perseorangan) represents a significant paradigmatic shift from traditional two-tier governance structures, necessitating examination of supervisory adequacy within simplified corporate frameworks. The comparative analysis reveals fundamental disparities in regulatory sophistication, with Malaysia and Singapore demonstrating comprehensive fiduciary duty frameworks, mandatory company secretary requirements, and graduated enforcement mechanisms. In contrast, Indonesia's PT Perseorangan exhibits critical institutional deficiencies, including normative conflicts between statutory provisions, limited directorial responsibility regulation, and inadequate enforcement responsiveness. The findings demonstrate that effective one-tier governance systems require sophisticated institutional support mechanisms extending beyond regulatory simplification. Malaysia's stringent Section 213 fiduciary duty provisions and Singapore's technology-enabled enforcement approach provide robust oversight despite absent traditional supervisory boards. The research establishes that successful governance transitions require institutional preparation rather than mere regulatory amendment, with Indonesia's framework requiring substantial reform incorporating company secretary mandates, comprehensive fiduciary duty provisions, and graduated enforcement systems. These findings contribute to institutional theory literature by demonstrating context-dependent governance effectiveness and provide practical recommendations for enhancing corporate accountability in simplified governance structures within emerging market jurisdictions.

Inguinal hernia is a condition where a bulge occurs in the groin area and is the most common type of hernia with 75% of all abdominal wall hernias. The diagnosis of inguinal hernia can be made easily through physical examination, where the lump can be seen or felt when pressed on the external inguinal ring. In this case study, a 51-year-old man complained of a lump on the right underarm to the scrotum area that had been painful since 1 day before admission to the hospital. The lump had been felt since 2 years ago, but the lump seemed to disappear. The patient was diagnosed with incarcerated lateral inguinal hernia from the results of anamnesis, physical examination, supporting examination, and performed hernioraphy with mash graft.

Colorectal cancer (Ca Colon) is a malignancy originating from abnormal neoplastic masses in the epithelial tissue of the colon and rectum. It primarily affects the gastrointestinal tract, particularly the proximal colon and the distal rectum. The incidence of colorectal cancer has significantly increased since the 1900s due to economic and industrial advancements, making it the third leading cause of cancer-related deaths in both men and women in the United States. In Indonesia, colorectal cancer ranks second and third among cancer cases in men and women, respectively. This malignancy often manifests in the rectosigmoid region of the colon. Epidemiological data highlight geographical variations in colorectal cancer incidence, with higher rates observed in developed countries compared to developing nations. The etiology of colorectal cancer involves genetic and environmental factors, including dietary habits, lifestyle, and age. The pathophysiology involves genetic mutations leading to uncontrolled cell growth. Diagnosis is based on clinical symptoms, histological examination, and imaging techniques. Treatment options include surgery, chemotherapy, and radiation therapy, depending on the stage and location of the tumor. Early detection and intervention are crucial for improving prognosis and reducing mortality rates associated with colorectal cancer.

This study looks at the deixis used in the commercial "Garuda Indonesia For A Better Life," emphasizing how it works and how it affects the story. In advertising, deixis, a basic language characteristic, is vital in determining meaning and audience involvement. The study classifies and examines the personal, geographical, and temporal deixis used in advertising using Yule's deixis paradigm. To investigate how deixis creates meaning, encourages emotional connection, and strengthens the commercial's persuasive appeals court, data were gathered through document examination of the advertisement text using a descriptive qualitative technique. The results show that first-person deixis is more common, which has consequences for our comprehension of customer behavior and the efficacy of advertising tactics.

Background of the incident of increasing cases of polycystic ovary syndrome (PCOS) with a prevalence of insulin resistance of 50-75%, insulin resistance will cause oxidative stress due to hyperglycemia which will then increase proinflammatory cytokines in TNF-α and other cytokines, thus triggering an increase in inflammation resulting in an increase in infertility cases of 89.6%. The aim is to investigate the prevention of PCOS through red ginger injected with testosterone propionate in vivo, insilico using open babel software on PyRx V.1.0. The in vivo method is an experimental laboratory study, using two five rats of the rattus norvegicus type divided into five groups using PCOS prevention through red ginger, examinations carried out on blood and ovarian organs, preparations were made which were observed with a binocular microscope on TNF-a examination with immunohistochemistry, ELISA examination on insulin levels, blood examination on blood glucose, data analysis was carried out using one way ANOVA. The study began with the preparation of control activator ligands, 6-Shogaol (Pubchem ID 5281794) and 6-Gingerol (Pubchem ID 442793) and target receptors TNF-α (PDB ID: 2AZ5) and KEAP1-NRF2 (PDB ID: 5CGJ), Insilico results that occur in red ginger are able to interact at a similar position in the interaction of TNF-α with control compared to KEAP1. In vivo research results showed that testosterone propionate 100 mg / kg BW significantly increased the inflammatory cytokine TNF-α, along with polycystic markers in folliculogenesis (p <0.05) compared to negative controls and administration of red ginger at 800 mg / kg significantly decreased TNF-α levels. red ginger also prevents the occurrence of pcos. The conclusion shows that the bioactive 6-shogaol 6-gingerol in red ginger can provide preventive benefits in polycystic ovary syndrome (pcos) by modulating the inflammatory pathway.

Posterior Capsule Opacification (PCO), also known as secondary cataract, is the most common complication following cataract surgery, particularly extracapsular cataract extraction (ECCE). PCO results from the proliferation, migration, and differentiation of residual lens epithelial cells within the posterior capsule, leading to the formation of structures such as Elsching pearls and Soemmering rings. The incidence of PCO is notably high among pediatric patients due to the increased mitotic activity of lens epithelial cells. Major risk factors include younger age, certain ocular conditions such as glaucoma and age-related macular degeneration, as well as the design and material of the implanted intraocular lens (IOL). Diagnosis is established through slit-lamp and ophthalmoscopic examinations, with decreased visual acuity being the primary clinical symptom. The current mainstay of treatment is Nd:YAG laser capsulotomy, which is effective and minimally invasive but may be associated with complications such as cystoid macular edema and retinal detachment. Preventive strategies focus on improved surgical techniques and appropriate IOL selection. With proper intervention, the incidence of PCO can be reduced, thereby improving postoperative visual outcomes.