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الملخص: مرض هيرشسبرونغ هو شذوذ خلقي في الجزء البعيد من الجهاز الهضمي، ويتميز بغياب الخلايا العقدية العصبية في الضفيرة العضلية المعوية وتحت المخاطية، مما يتسبب في تراكم البراز في الجزء القريب. يعتبر تفكك مفاغرة القولون أحد مضاعفات جراحة السحب داخل المستقيم عبر الشرج (تيبت). تبلغ هذه الورقة عن حالة مرض هيرشسبرونغ في فتاة تبلغ من العمر ست سنوات عانت من إفراز تفاغر بعد خضوعها لجراحة تيبت. بسبب تفكك التفاغر بعد جراحة تيبت، أجرينا عملية سحب متكررة باستخدام طريقة شبيهة بسوينسون باستخدام جذع مؤقت. يتم الاحتفاظ بالجذع لمدة أسبوعين، ثم يتم إزالتها. في التقييم طويل الأمد، كانت هناك وظيفة هضمية طبيعية، ولا سلس بول، ونتائج شرجية ممتازة. يمكن أن تكون طريقة السحب المعدلة التي تشبه سوينسون مع جذوعها المؤقتة تقنية جراحية بديلة لإعادة السحب بعد فشل جراحة تيبت، مع نتائج مرضية. Abstract: Hirschsprung's disease is a congenital anomaly in the distal part of the gastrointestinal tract, characterised by the absence of neuronal ganglion cells in the myenteric and submucosal plexus, causing the accumulation of faeces in the proximal portion. Dehiscence of coloanal anastomosis is one of the complications of Transanal Endorectal Pull-through (TEPT) surgery. This paper reports a case of Hirschsprung's disease in a six-year-old girl who experienced anastomotic dehiscence after undergoing TEPT. Due to post-TEPT anastomotic dehiscence, we performed a re-do pull-through with the modified Swenson-like method using a temporary stump. The stump is maintained for two weeks, then removed. On long-term evaluation, there was normal digestive function, no incontinence, and an excellent anal outcome. The modified Swenson-like pull-through with temporary stumps can be an alternative surgical technique for re-do pull-through after failed TEPT, with satisfactory results.

Nowadays there are many cases of plagiarism that are becoming our concern. Therefore, the writings on plagiarism are one of the things that is important to be understood by the world of education, to avoid plagiarism. Respect, acknowledge and give credit for the work of others is a necessity in producing writing. We all know that science is developed based on pre-existing science. So that there is no need to hesitate for anyone among Educators when composing scientific papers / written works, mentioning the reference sources. This must be understood as intellectual honesty that will not reduce the weight of our writing. Mention honestly, the source of reference that we use, or quote, so that it will be seen clearly, which parts of our work are ideas or taken from dictionaries, encyclopedias, articles, reports, books, magazines, internet, and others.

Conventional cooling systems based on vapor compression have a high coefficient of performance (COP). However shortage of vapor compression cooling systems still using refrigerants that have detrimental effects on the environment. For that purpose, the research of fruit and vegetable storage machine using thermoelectric system TEC1-12706 with temperature control system using arduino. In this study the temperature in the cabin can be stable at 15° C and still feasible for use as a storage of fruits and vegetables.

RESPON PETANI TERHADAP PELAKSANAAN DISPLAI PADI GOGO VUB PADA LAHAN SUB OPTIMAL DI SULAWESI SELATAN Farmers Response on VUB “Gogo” Rice Display on Sub-Optimal Land in South Sulawesi Sunanto * dan Abd. Wahid Rauf Balai Pengkajian Teknologi Pertanian (BPTP) Sulawesi Selatan * Kontak penulis: sunanto_bptpsulsel@yahoo.co.id The Gogo rice is a food crop that contributes to food self-sufficiency. Food demand, especially rice continues to increase along with population growth. Because of the higher food needs and the narrowness of fertile land, due to the land conversion function. So the utilization of sub-optimal lands / landed with appropriate food crops. The potency of the sub-optimal area in South Sulawesi is 274,549 hectares. The purpose of this research is to know how sub-optimal land used and farmer appraisal to gogo rice. This research was conducted in Wajo and Jeneponto Regencies from January to December 2017. The research used survey method and display of gogo rice plant NSV of Agricultural Research Agency in the field. The number of farmers taken as a sample of 80 farmers. The technique of collecting data by interview method and observation of vegetative and generations of display gogo rice plant. The collected data are then tabulated and then analyzed descriptively and test the agreement and business feasibility. The activities of rice farming on sub-optimal land are done by farmers that have the productive age. The application of rice farming technology to suboptimal land has not been intensive yet. Display gogo rice plant VUB resulted from Agricultural Research Agency appropriate to be planted with / out sub-optimal land of dry land and irrigated rice fields limited. Understanding farmers on superior gogo rice are not optimal (77.50%). Farmer's preference to superior gogo farmers. Rice farming of farmers provides income (implicative). Rp 4.575.000/ha, (explicit). Rp 7.245.000/ha and R/C (implicative ) 1.62 and (explicit ) 2.53. Keywords: upland rice; VUB; land; sub optimal.

Nearly 50% of patients suffering inferior myocardial infarction will have complications or distinguishing features associated with an increased mortality. This study aimed to identify dominant risk factors related to re-occurrence of acute coronary events in patients with inferior myocardial infarction. This historical cohort included patients with inferior myocardial infarction who received fibrinolytic therapy at emergency department of National Cardiovascular Center Harapan Kita, Jakarta during 2001 to 2004 and was followed-up for two years. Patients with previous myocardial infarction, left bundle branch block, ventricular rhythm, and ventricular pacing were excluded. QRS distortion is ratio between J-point and R wave more than 50% at 2 or more inferior leads. Re-occurrence of acute coronary events is incident of myocardial infarction and unstable angina pectoris. Of 181 subjects with inferior AMI, there were 21 (11.6%) incidents of acute coronary event. Those who had positive than negative QRS distortion had almost three-fold increased risk for re-occurrence of acute coronary events [adjusted relative risk (RRa) 2.88; 95% confidence interval (CI) = 1.05 – 7.90]. In term of TIMI risk score, those with higher than lower risk score had 6.7 times higher risk to be re-occurrence of acute coronary events (RRa = 6.66; 95% CI = 1.94 – 22.92). However, those who had than did not have successful fibrinolysis had 57% lower risk to be re-occurrence of acute coronary event (RRa = 0.43; 95% CI = 0.18 – 1.05; P = 0.065). Re-occurrence acute coronary events were related to QRS distortion, TIMI risk score, and successful fibrinolysis. (Med J Indones 2007; 16:240-4) Keywords: QRS distortion, fibrinolysis, inferior myocardial infarction