Treatment Challenges and Prevalence of Antibiotic Resistance Stenotrophomonas maltophilia an Emerging Pathogen Isolated from Leafy Greens and Clinical Samples

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Stenotrophomonas maltophilia is a commensal and an emerging pathogen earlier noted in broad-spectrum life-threatening infections among the vulnerable, but more recently as a pathogen in immunocompetent individuals. In the current study, S. maltophilia was identified from 78% of vegetable samples. Bacterial population count ranged from 5.50 × 10-1to 4.3 × 10-4 cfu/g (mean 8.9 × 105 cfu/g, median 7.75 × 103 cfu/g). Based on a cross-sectional study performed during 2015-2016 n=35 and 2016-2017 n=55 S. maltophilia was isolated from clinical samples. The occurrence of S. maltophilia from clinical samples increased during 2016-2017 with a significant value of P=.0008. Out of the total of n=90 S. maltophilia, clinical isolates (35.28%) were from tracheal aspirates, followed by cerebrospinal fluid (CSF) (17.70%), sputum (15.20%), blood (16.82%), and urine (15.0%).  Sample sources were taken from different age groups of patients between 0-75 years. Almost all the isolates > 97% confirmed multiple drug resistance (MDR). Above 95% of the isolates are biofilm formers and the resistance rate increases among the biofilm formers.

JCI Correlation with JII and LQ45 on The Indonesia Stock Exchange

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Investors who invest want to earn profits from the funds invested in the capital market. This study will see whether Economic Growth, SBI, Dollar Exchange, LQ-45 and JII affect the JCI.

The method of analysis is multiple regression (Multiple Regression Analysis) and the research data is processed using the SPSS (Statistical Package for Social Science) program and the research period is from 2010 to 2021.

The conclusion is that Economic Growth, SBI, Dollar Exchange and JII have no significant effect on the JCI, while LQ-45 has a significant effect on the JCI. Simultaneously Economic Growth, SBI, Dollar Exchange, LQ-45 and JII have a significant effect on the JCI for the period 2010 to 2021.

Etiopathogenesis of Calcium–Phosphorus Metabolism in Rabbits

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In this article clinical signs, hematological indicators and photo morphological changes in bones of the etiopathogenesis of calcium–phosphorus metabolism in rabbits are described. Low–nutrition, poor–quality feeding of mother rabbits during the estrus period means that the needs of the mother rabbits’ body for vitamins and macro–microelements are not fully met. Disorders of calcium and phosphorus metabolism in rabbits are on average 53,3% during the gestation period and on average 73,3% during the postpartum period. It is accompanied by symptoms such as a decrease in response to external influences, swelling of the skin, a decrease in gloss, strong whitening of the mucous membranes, a decrease in body weight, accompanied by symptoms such as a change in appetite.

Interactive Multimedia Development Using Adobe Flash Cs6 to Improve Critical and Creative Thinking Skills of Class VIII Junior High School Students

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Education has a huge impact on the existence of the 21st century. Improving the quality of human resources through education, from primary and secondary education to higher education is the key to being able to follow the development of the Industrial Revolution 4.0. This 21st century learning applies creativity, critical thinking, cooperation, problem solving, communication skills, community skills and character. The education system needs a new movement to apply skills in the era of the industrial revolution 4.0. One of the movements designed by the government is the new literacy movement in the form of digital literacy and technology. Interactive multimedia is a new literacy movement based on digital and technology in learning that can improve students’ critical and creative thinking skills. The purpose of this research is to produce interactive multimedia for the respiratory system and excretory system material in humans that can improve critical and creative thinking skills of VIII grade students of junior high school.

An Aberrant branch of Hypoglossal Nerve-A Rare Anatomical Variation

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Introduction: Hypoglossal nerve is formed from the hypoglossal nucleus situated in the medulla oblongata. It leaves the medulla through the anterolateral sulcus. It carries general somatic efferent fibres that means purely motor in nature. Landmark of the nerve is of paramount importance to avoid the damage during neck surgeries. Variations in the extracranial course may lead to the iatrogenic injuries to the important structures related to it. In our case, we found an aberrant branch from the hypoglossal nerve.

Conclusion: Very few cases are reported of an aberrant hypoglossal nerve. Therefore, finding such rare cases is helpful for the surgeon before the operative procedures in the region to prevent serious injuries leading to neurological deficits

The Values of Inclusive Education as a Basis for Building Students Character of Mambaus Sholihin Islamic Boarding School Gresik Indonesia

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This study discusses the values of inclusive Education as a base for building students’ characters at the Islamic boarding school of Mamba’us Sholikhin (PPMBS) Gresik Indonesia. The research paradigm of this study use phenomenology and qualitative approach, also using a case study. The data collection techniques use three types of strategies, namely interviews, observation, and documentation. This study found the conclusion that building the values of inclusive education as the basis for building the character of students was carried out by applying the value of tasamuh (tolerance), Al-Infitah (openness), tanawue (diversity) and the value of Islam Rahmatan lil Alamin (peaceful Islam).

A Study into the Effects of Internal Audit on the Financial Performance of Commercial Banks in Zambia (A case of Standard Chartered)

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Commercial banks play an important role in an economy by providing financial services. However, in the course of providing these financial services, banks face risks such as fraud that pose a threat to the financial performance of the bank ultimately affecting both shareholders and stakeholders. The internal audit is one of the functions that were created to help mitigate or prevent these risks. The purpose of this study was to determine the effects of internal audit on the financial performance of commercial banks in Zambia with Standard Chartered being the case study. The study had 3 specific objectives; to determine the relationship between internal audit and the financial performance of Standard Chartered, to determine the impact of internal controls on the financial performance of Standard Chartered and to determine the impact of internal audit independence on the financial performance of Standard Chartered. The study presented the theoretical and conceptual frameworks as part of the literature study, which focused on information that is relevant to the internal audit function and the financial performance of commercial banks. The sample population for the study was 156 respondents and the researcher used a questionnaire and interviews to collect data as this was the most appropriate tool given the time of 3 months to complete the research. The questionnaire administered to respondents used the five-point likert scale to rate the responses of the respondents. The researcher used the Statistical Package for Social Sciences (SPSS version 20) software to process and analyse quantitative data while qualitative data was analysed using the thematic analysis. The software was also used to ensure reliability and validity of the research findings. To make the findings easy to understand and interpret, the findings were presented using pie charts, bar charts and tables. Based on the findings, the study concluded that there is a strong positive relationship between internal audit and the financial performance of Standard Chartered. The findings also found that internal controls and internal audit independence have a strong positive impact on the financial performance of Standard Chartered. This research will aid in making sure shareholders and management are aware of the impact internal audit has on the financial performance of commercial banks due to its role as a control system put in place to safeguard interests of both shareholders and stakeholders. The researcher recommended that Standard Chartered must always make sure their internal control systems technology are up to date and that they must also train their internal audit staff regularly to enhance their informational and technical competency. The researcher then proposed what future researchers can research on with regards to this research topic.

Online Application of Hotel Point of Sales: System Development Life Cycle of the Wing Ed Hotel of the Bali State Polytechnic

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Purpose: This research aims to design and develop a web-based application, which will make it easier, faster and accurate for the hotel management both in operations and hotel supervision. The application also has the advantage of being able to be accessed all the time from all points in the world with various media.

Method: The development of this application is carried out using the Waterfall method, which is a sequential and systematic software development method consisting of analysis, design, coding, and testing. The analysis is the process of gathering software requirements. Design is a software design process. Encoding is the process of translating designs into a form that can be read and done by a computer. Testing is the process of testing the results of coding to ensure results are free from error and according to what is needed.

Result: Online Point of Sales Application at The Wing Ed Hotel Bali State Polytechnic provides facilities in accordance with business fields and user authority as follows: Manager, Front Office Officers, Restaurant Officer, and Laundry Officer. All transactions carried out on each business field have been integrated and processed automatically to produce fast, easy and accurate information at the hotel point of sales. This has fulfilled the needs of the hotel revenue information system as planned previously.

Novelty: Produce online applications that simplify and speed up hotel operations because the entire process has been done automatically.

Phenotypic Traits of Echinococcus Granulosus Parasite Isolated from Cattle and Goats in AL-Diwaniya City, Iraq

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Hydatid cyst is the larval stage of Echinococcus granulosus and is found in tissues of the intermediate host and other structures. It has a spherical or semi-spherical shape and takes the shape of the affected organ, and its size varies with age.

Seven samples of hydatid cysts were collected from the liver and lungs of infected animals, 5 samples from cows and 2 samples from goats. The incidence of liver injury was 57.1%, compared to the lungs, which accounted for 42.9%. The colors of the inner layers of hydatid cysts were studied in both cows and goats. Three colors were found: white with 14.2%, yellow and yellowish-white with 42.9% for each. The lengths of the large hooks (LH) were also studied, which were 26.9 ± 0.585 for goats and 25.9 ± 0.555 for cows.

Acute Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis Presenting as Guillain Barre Syndrome

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A 52 year old female patient presented to emergency casualty with Acute onset quadriparesis with respiratory muscle involvement in. During initial work up Serum electrolytes showed severe hypokalemia. Arterial blood gas showed normal anionic gap metabolic acidosis with positive urine anion gap and urine examination showed alkaline PH in the presence of systemic acidosis. All these findings suggest Distal Tubular Acidosis. Further evaluation revealed strongly positive Anti nuclear antibodies with SS-A also being positive suggesting Sjogren’s Syndrome.