The purpose of this research is to examine the effect of characteristics of management accounting system information, environmental uncertainty, and decentralization on managerial performance. Data collection techniques in this study were collected by distributing questionnaires to 70 managers who had been set as samples in 18 BUMN companies in Banda Aceh. Statistical tests are performed using multiple linear regression analysis with SPSS 20. The results of the study prove that the four characteristics of management accounting information systems (broad scope, timeliness, aggregation, integration), and decentralization have a positive and significant effect on managerial performance. Enviromental uncertainty have a negative and significant effect on managerial performance.

Bajakah is one of the plants found in the forest around Muara Badak. Bajakah root contains flavonoids which have potential as natural ingredients that have medicinal properties. Currently, there are two types of bajakah root on the market, namely tampala and kalalawit. This study aims to determine the content and total flavonoid content of the extract of the Bajakah root from the two types of Bajakah root. The research procedure was initiated by the process of extracting the roots of the Bajakah root using the reflux method using 96% ethanol. The reflux extraction results are then carried out by an evaporation process to obtain a thick extract. The second step is to test the flavone content through a color test. And the quantitative test for determining total flavonoid levels was carried out by UV-Vis Spectrophotometry. Based on the results of a qualitative test using a color reaction, it shows that the roots of the kalalawit and tampala bajakar contain flavonoids. Where the total flavonoid content in the roots of Bajakah Tampala was 59.38% and in Bajakah Kalalawi roots was 47.14%.

Background: Pregnancy with cardiac defects and pulmonary hypertension happen 0.2% to 3% and is correlated with valuable hemodynamic burden due to cardiocirculatory changes which becomes a remarkable indirect cause of maternal mortality and poor fetal outcome. Ventricular septal defect (VSD) is one of the most common forms of heart disease among pregnant women, meanwhile the VSD-specific pregnancy data are insufficient. This case report addresses the anesthetics management for patient with uncorrected ventricular septal defect and pulmonary hypertension. Case: A 30-year-old multigravida with 37 weeks of gestation weighing 52 kg referred elective cesarean section and tubal ligation. She was compos mentis with arterial oxygen saturation was 87-88% room air. A grade IV/VI systolic murmur was heard at the second intercostal space of the left midclavicular line and the punctum maximum at the fourth intercostal spaces of the left sternal border. She had cyanotic in all of her extremities and clubbing fingers. Other examination is within normal limit. Titrated epidural was given at L1-2 level with parenteral levobupivacaine and fentanyl used as an adjuvant. The patient was stable during the surgery. Both maternal and fetal had a good outcome. The patient was discharged at the 7th day after surgery. Conclusion: To achieve a good outcome from management of the high-risk obstetric patients requires multidisciplinary approach involving anesthetist, obstetrician, and cardiologist in planning and managing the case.

Provisions for summons contained in Article 390 HIR paragraph (3) and Article 718 RBg constitute an extraordinary summons often referred to as a general summons. The provisions of the article only implicitly regulate making general summons to the defendant whose whereabouts are unknown, thus creating an ambiguity in the proceedings and the duration of the General Summon. By implicitly regulating the article regarding the General Summon, this article tries to analyze the provisions of the General Summons to the Defendants. It is because the provisions do not regulate the process and the period. It can cause legal consequences in society as well as in the application of the law. With a normative juridical method, the author reviews the regulations in national legislation and their application to 3 (three) courts, namely the Kepahiang District Court, Subang District Court and Nabire District Court, by comparing three legal theories, which are the rule of law theory, the theory of legal certainty and the theory of positivism. So that in the end, through the analysis, it can be found that the article contained in the general summons has a vague norm or lack of clarity regarding legal norms; while the rules regarding general summons are still unclear, it can be said that regarding general summons there is a legal vacuum in the rules regarding the explanation. Predictably, the condition of the vague norms and legal vacuum in the law can be abused by the law enforcers dealing with implementing general summons. For example, the misuse of legal conditions and actions contrary to temporary norms in justice-seeking communities can have social consequences where the rights of the parties seeking justice are not fulfilled. Keywords: General Summons, Defendant, Legal Consequences

Latar belakang: Megacolon congenital atau hirschprung disease merupakan penyebab umum obstruksi usus neonatal di mana segmen dari saluran usus bagian distal tidak memiliki elemen sistem saraf enterik yang normal. Transanal endorecral pull-through (TAERPT) merupakan salah satu prosedur operasi sebagai tatalaksana megacolon congenital yang sering dipakai karena metodenya yang invasif minimal dan memberikan efek kosmetik yang lebih baik daripada metode transabdominal.Kasus: Kami melaporkan seorang anak perempuan usia 1 tahun dengan berat badan 9,2 kg dengan megacolon congenital, patent ductus arteriosus (PDA) 0,3 cm dan TR mild yang akan menjalani prosedur TAERPT. Pemeriksaan fisik preoperatif didapatkan pasien sadar dan aktif, tanda vital lain dalam batas normal, SpO2 95-97% dalam posisi supine. Pemeriksaan fisik lain dan laboratorium dalam batas normal.Pembahasan: Tujuan anestesi selama tindakan pada pasien dengan kelainan jantung bawaan asianotik PDA adalah menjaga keseimbangan aliran agar tidak terjadi peningkatan aliran darah pulmonal yang menyebabkan hipertensi pulmonal. Pilihan obat dan tindakan anestesi pada pediatri didasarkan pada anatomi, fisiologi, dan farmakologi pada anak yang berbeda dengan pasien dewasa.Kesimpulan: Pengelolaan perioperatif pasien dengan PDA yang menjalani TAERPT pada anak perempuan usia 1 tahun dalam laporan ini menuliskan pentingnya pemahaman terkait patofisiologis penyakit dan pendekatan anestesi pediatri untuk mendapat hasil yang baik.