Introduction : Nasal reconstruction presents a challenge in case of patients with unilateral cleft lip and palate (UCLP). Correction of the nasal deformity to achieve a symmetrical nose from the deficient columella and malformed nasal cartilage in cleft patients presents a great challenge. Nasoalveolar molding (NAM) was developed as a neoadjuvant therapy for patients with cleft lip and palate to improve nasal deformity before surgical intervention. The aim of this systematic review was to understand more about the effect of NAM on nasal symmetry and proportions in patients with UCLP. Method : We searched for manuscripts involving patients with UCLP who received NAM prior to cleft lip repair. Electronic literature searching of the PubMed, Scopus, Cochrane and Google scholar databases was conducted for the studies that had been published up to December 2021. Result : Presurgical NAM demonstrated benefits in nasolabial form when compared with patients who did not receive any presurgical infant orthopaedic appliances (PSIO). The use of presurgical NAM helps to achieve favourable reshaping of the nose and decrease the severity of the initial cleft deformity, resulting in improvement on nasolabial form. These changes lead to improved nasal symmetry and proportions in UCLP patients. Conclusion: The preponderance of evidence in this review suggests that presurgical NAM is a beneficial adjuvant therapy for nasal deformity correction and helps achieve nasal symmetry in patients with UCLP. However, there is insufficient evidence to conclude whether presurgical NAM produces these benefits at the time of nasal maturity.

Intestinal malrotation is a rare abnormality, resulting in intestinal malrotation and impaired fixation. This clinical entity encompasses spectrum of anatomical conditions and associated clinical disorders. Main symptoms of intestinal obstruction related to malrotation are sudden bilious emesis in a previously healthy term neonate. Upper gastrointestinal (UGI) contrast study is the examination of choice and remains as gold standard for intestinal malrotation. With 90% positive predictive value, misdiagnosis in rotational abnormalities could still happen in UGI contrast study. We report a case of pitfall diagnosis in an 8-day-old male neonate, in which obstruction has been misinterpreted as duodenal web rather than malrotation that was furthered found during surgery.

Background: Patient education has become a pivotal component in neurosurgery. However, it is difficult to ensure a good patient understanding, mainly due to the complex nature of the diseases and procedures. The increased utilization of technological advancements such as Internet and mobile devices has provided the opportunity for health-care professionals, including neurosurgeons to incorporate them into their practice. In this review, we present the potential use of a free, web-based, three-dimensional (3D) visualization app (BioDigital®) along with the practical steps needed to set it up. Materials and Methods: This journal is done by electronic searching using “Patient Education” and “Imaging, 3D” as keywords. Final 23 journals met the criteria for this paper, from 325 journals that were reviewed. Results: Three-dimensional visualization apps have the potential to provide better neurosurgical patient education. Conclusion: The ease of use, portable nature, and low barrier of entry of using 3D visualization apps are expected to provide better neurosurgical patient education in a low-resource setting.

The equation of the ball and beam plant model has a lot of research. Generally, ball and beam plants use a lever on the part that is connected to the motor. In this paper plant ball and beam is used without a lever. The lever is changed by a circle that is moved not through the center so that it can raise and bring down the beam through the side of the circle which causes changes in the motorservo position to the movement of the ball becomes non-linear. For this reason, the equation of the existing ball and beam plant cannot be used to represent the characteristics of the plant. In this paper, ball and beam plants without levers were identified using the least square method to obtain the model equation.The least square method was successfully used to identify the model of plant ball and beam without a lever in the form of a second-order equation consisting of 2 poles and 1 zero with a validation value (loss function) of 0.1220.

Penelitian ini bertujuan untuk merumuskan dan mengetahui strategi yang paling sesuai dari PT. Ciracasindo Perdana dalam menghadapi persaingan usaha food and beverages yang ketat dengan metode Quantitative Strategic Planning Matrix dan analisa SWOT. Jenis penelitian yang digunakan adalah jenis penelitian kualitatif yang bersifat deskriptif. Data-data yang diperoleh diambil dengan teknik wawancara langsung kepada tiga narasumber dari perusahaan. Selain itu juga menggunakan observasi langsung di lapangan dan analisa kepustakaan seperti buku, company profile, dan laporan keuangan perusahaan. Dari sisi eksternal perusahaan, diketahui faktor yang paling berpengaruh pada perkembangan perusahaan yaitu sektor dari pangsa perusahaan cukup luas dan dapat dijadikan sebagai peluang, sementara faktor eksternal yang paling berpengaruh adalah banyaknya kompetitor pada bidang bisnis ini yang menjadi ancaman perusahaan. Sedangkan di sisi internal, perusahaan menonjolkan kualitas produk dan peningkatan pelayanan kepada pelanggan sebagai kekuatan utama perusahaan. Sementara yang dijadikan sebagai kelemahan perusahaan yang harus diperbaiki adalah kurangnya diferensiasi produk dan tidak agresifnya pengenalan produk di pasar. Perusahaan sendiri sedang berada pada posisi pasar yang sedang bertumbuh dan agresif sehingga meghasilkan 2 opsi strategi yang dapat diambil perusahaan ke depan yaitu perluasan pasar baru dengan dari sektor pasar utama yang ada dan juga perluasan produk baru dari produk unggulan yang selama ini dijual di pasaran. Dengan metode QSPM (Quantitative Strategic Planning Matrix) dan kemudian didapat kembali beberapa kesimpulan yang berupa analisa SWOT (Strength Weakness Opportunity Threat) perusahaan, maka strategi yang paling cocok pada perusahaan dengan kondisi pasar yang ada yaitu perlunya perluasan produk baru.