LAPAR Sulsel that actively contributes to the development of political understanding and participation at the local level. Political education is a key factor in enhancing people's political participation and developing inclusive democracies. Methodology of this study is descriptive and qualitative. The researchers conducted in-depth interviews with LAPAR Sulsel staff, community members and other key stakeholders in the Makassar city area. Researchers also performed participatory observations and document analysis to collect comprehensive data. Research results show that LAPAR Sulsel has taken an important step in the development of civic education for the people of Makassar city. By providing easily accessible information, advice, training, debates and political awareness campaigns, the company has helped people better understand complex political processes and increase political participation. This has resulted in increased participation in elections, greater knowledge of political rights and an improved ability to make better informed political decisions. General conclusion of this study is that the company contributed to the development of people's political understanding, increased political participation, and made a great contribution to the development of local democracy.
{"title":"LAPAR Sulsel's Action In Building Political Literacy In Makassar City Communities","authors":"Riya Anjarsari","doi":"10.59888/ajosh.v1i11.98","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.98","url":null,"abstract":"LAPAR Sulsel that actively contributes to the development of political understanding and participation at the local level. Political education is a key factor in enhancing people's political participation and developing inclusive democracies. Methodology of this study is descriptive and qualitative. The researchers conducted in-depth interviews with LAPAR Sulsel staff, community members and other key stakeholders in the Makassar city area. Researchers also performed participatory observations and document analysis to collect comprehensive data. Research results show that LAPAR Sulsel has taken an important step in the development of civic education for the people of Makassar city. By providing easily accessible information, advice, training, debates and political awareness campaigns, the company has helped people better understand complex political processes and increase political participation. This has resulted in increased participation in elections, greater knowledge of political rights and an improved ability to make better informed political decisions. General conclusion of this study is that the company contributed to the development of people's political understanding, increased political participation, and made a great contribution to the development of local democracy.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74007309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The development of banking services through electronic media was increasingly widespread along with the rapid growth of information technology. Technological developments through digital transformation in the banking system require banking services in Indonesia to switch to e-banking services. E-banking is a form of service innovation by utilizing technological developments. E-banking services that are currently developing rapidly are mobile banking and internet banking. The increase in mobile banking and internet banking transactions in Indonesia has increased by more than 300% from 2016 to August 2021. One of the banking companies that has the largest number of e-banking users in Indonesia is BCA. With the rapid development of e-banking services, it is necessary to evaluate the quality of e-banking services including reliability, privacy and security, website design and customer service and support. Therefore, this study aims to determine impact of the quality of BCA e-banking services on customer satisfaction (e-satisfaction) and loyalty (e-loyalty). The sample used in this study was 230 data taken by purposive sampling. The data obtained were analyzed using structural equation model analysis (SEM) with the help of the AMOS 24 application. The results showed that there was a significant impact between reliability, website design and customer service and support on e-satisfaction. Meanwhile privacy and security have a significant impact on e-loyalty. In addition, this study also found that there was a significant impact of e-satisfaction on e-loyalty.
{"title":"Impact of BCA E-Banking Service Quality on Customer E-Satisfaction and E- Loyalty","authors":"Leo Agung Feri Wicaksono","doi":"10.59888/ajosh.v1i11.96","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.96","url":null,"abstract":"The development of banking services through electronic media was increasingly widespread along with the rapid growth of information technology. Technological developments through digital transformation in the banking system require banking services in Indonesia to switch to e-banking services. E-banking is a form of service innovation by utilizing technological developments. E-banking services that are currently developing rapidly are mobile banking and internet banking. The increase in mobile banking and internet banking transactions in Indonesia has increased by more than 300% from 2016 to August 2021. One of the banking companies that has the largest number of e-banking users in Indonesia is BCA. With the rapid development of e-banking services, it is necessary to evaluate the quality of e-banking services including reliability, privacy and security, website design and customer service and support. Therefore, this study aims to determine impact of the quality of BCA e-banking services on customer satisfaction (e-satisfaction) and loyalty (e-loyalty). The sample used in this study was 230 data taken by purposive sampling. The data obtained were analyzed using structural equation model analysis (SEM) with the help of the AMOS 24 application. The results showed that there was a significant impact between reliability, website design and customer service and support on e-satisfaction. Meanwhile privacy and security have a significant impact on e-loyalty. In addition, this study also found that there was a significant impact of e-satisfaction on e-loyalty.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79316775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Today narcotics crime is seen as a crime that is an enemy of humanity, therefore countries in the world including Indonesia continue to struggle to eradicate this crime. The issues raised in writing this thesis are Law Enforcement Against Members of the Police Who Abuse Narcotics and Psychotropics, how to regulate and Criminal Sanctions against the National Police who commit Narcotics Crimes, and how to apply criminal sanctions and a code of ethics to the National Police as perpetrators of Narcotics Crimes. The research method used in this paper is the normative juridical research approach. The normative juridical method in which this research examines the literature or secondary data which includes books and legal norms contained in statutory regulations, legal principles, legal rules and legal systematics and also examines the provisions of statutory regulations and legal materials others. From this research it can be concluded that 1) The process of law enforcement against members of the police who are caught in cases of criminal acts of narcotics abuse is in accordance with the applicable laws and regulations, in which in the process all people are equal in the eyes of the law, even in law enforcement the suspects is a member of the police, the sentence can be more severe. This is because the suspect is a law enforcement officer who should carry out a position order to fight narcotics, but the suspect is involved in a criminal case of drug abuse. 2) The process of enforcing the police professional code of ethics against members of the police who are caught in criminal cases of narcotics abuse in fact has not been carried out properly where the police do not immediately take firm action against members who are caught in criminal cases of narcotics abuse, as if the police are still protecting their members and are considered after their members have tried in general court and found guilty of committing a narcotic crime.
{"title":"Legal sanctions against members of the National Police who Abusing Narcotics at Bengkulu Police Station","authors":"Anggi Pratiwi, Jeane Neltje Saly","doi":"10.59888/ajosh.v1i11.66","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.66","url":null,"abstract":"Today narcotics crime is seen as a crime that is an enemy of humanity, therefore countries in the world including Indonesia continue to struggle to eradicate this crime. The issues raised in writing this thesis are Law Enforcement Against Members of the Police Who Abuse Narcotics and Psychotropics, how to regulate and Criminal Sanctions against the National Police who commit Narcotics Crimes, and how to apply criminal sanctions and a code of ethics to the National Police as perpetrators of Narcotics Crimes. The research method used in this paper is the normative juridical research approach. The normative juridical method in which this research examines the literature or secondary data which includes books and legal norms contained in statutory regulations, legal principles, legal rules and legal systematics and also examines the provisions of statutory regulations and legal materials others. From this research it can be concluded that 1) The process of law enforcement against members of the police who are caught in cases of criminal acts of narcotics abuse is in accordance with the applicable laws and regulations, in which in the process all people are equal in the eyes of the law, even in law enforcement the suspects is a member of the police, the sentence can be more severe. This is because the suspect is a law enforcement officer who should carry out a position order to fight narcotics, but the suspect is involved in a criminal case of drug abuse. 2) The process of enforcing the police professional code of ethics against members of the police who are caught in criminal cases of narcotics abuse in fact has not been carried out properly where the police do not immediately take firm action against members who are caught in criminal cases of narcotics abuse, as if the police are still protecting their members and are considered after their members have tried in general court and found guilty of committing a narcotic crime.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83783400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rizky Yananda, Husni Satra Mihardja, Gerry Firmansyah, Habibullah Akbar
The current technological development is progressing rapidly. However, the implementation of this technological advancement is still not optimally applied in all areas, especially in rural areas. Therefore, the application of Knowledge Management System (KMS) is necessary. According to Law Number 6 of 2014 concerning villages, in section 3 of the Village Law, Article 86 on the village information system and rural area development, it is stated in the first point that villages have the right to access information through the village information system developed by the local government of the district/city. Currently, the problems that occur in villages are the lack of maximum service and information, the scarcity of village officials in managing computerized data, and the lack of systematic archiving. By implementing KMS, it can be a solution for public services and information, as well as data processing and correspondence in the village, so that the community will receive excellent services from the village government.
{"title":"The Implementation of Knowledge Management System as the Basis for Public Services and Public Information in the Village Service Unit","authors":"Rizky Yananda, Husni Satra Mihardja, Gerry Firmansyah, Habibullah Akbar","doi":"10.59888/ajosh.v1i11.88","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.88","url":null,"abstract":"The current technological development is progressing rapidly. However, the implementation of this technological advancement is still not optimally applied in all areas, especially in rural areas. Therefore, the application of Knowledge Management System (KMS) is necessary. According to Law Number 6 of 2014 concerning villages, in section 3 of the Village Law, Article 86 on the village information system and rural area development, it is stated in the first point that villages have the right to access information through the village information system developed by the local government of the district/city. Currently, the problems that occur in villages are the lack of maximum service and information, the scarcity of village officials in managing computerized data, and the lack of systematic archiving. By implementing KMS, it can be a solution for public services and information, as well as data processing and correspondence in the village, so that the community will receive excellent services from the village government.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77209961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-05DOI: 10.59888/ajosh.v1i11.101
Patresia J Maiseka
This study purposed to determine the level of knowledge of TBAs in assisting deliveries according to health standards, and its correlation to personal factors such as age, education, family history, and history of training in Gorom Island, East Seram, Maluku. 25 TBAs in Gorom Island agreed to participate in a survey by filling out questionnaires concerning their personal data and knowledge of delivery assistance according to health standards. The questions include the stages of labor management, the sterility of techniques and tools used, and the emergency responses. The data were then examined by analytical descriptive study with a cross-sectional approach. This study found Only 20% of TBAs had a good level of knowledge to assist delivery according to health standards. The history of training is correlated with the level of knowledge. Approximately 80% of TBAs with good knowledge had attended delivery training by health workers. They understood the management, limits, and responses to emergencies in labor. In contrast, most TBAs with moderate (44%) and poor (36%) knowledge with no training history, still had a traditional understanding of labor equipment and methods used. The skills and knowledge of TBAs in assisting deliveries according to health standards are highly dependent on education and guidance from health workers.
{"title":"Analysis of The Traditional Birth Attendants Knowledge Level in Assisting Delivery According to Health Standards And Its Influencing Factors","authors":"Patresia J Maiseka","doi":"10.59888/ajosh.v1i11.101","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.101","url":null,"abstract":"This study purposed to determine the level of knowledge of TBAs in assisting deliveries according to health standards, and its correlation to personal factors such as age, education, family history, and history of training in Gorom Island, East Seram, Maluku. 25 TBAs in Gorom Island agreed to participate in a survey by filling out questionnaires concerning their personal data and knowledge of delivery assistance according to health standards. The questions include the stages of labor management, the sterility of techniques and tools used, and the emergency responses. The data were then examined by analytical descriptive study with a cross-sectional approach. This study found Only 20% of TBAs had a good level of knowledge to assist delivery according to health standards. The history of training is correlated with the level of knowledge. Approximately 80% of TBAs with good knowledge had attended delivery training by health workers. They understood the management, limits, and responses to emergencies in labor. In contrast, most TBAs with moderate (44%) and poor (36%) knowledge with no training history, still had a traditional understanding of labor equipment and methods used. The skills and knowledge of TBAs in assisting deliveries according to health standards are highly dependent on education and guidance from health workers.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73414112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helena Lasria Parhusip, Maria Astrid, Wilhelmus Hary Susilo
Pain usualy experienced by patients on ventilator in the ICU. Efforts to reduce pain with foot massage done independently on the patient. Foot massage safe complementary therapy, providing relaxing effect, feeling comfortable and reducing pain. This study used quasi experiment research design with pre and post test control group design. The total sample of 40 respondents was divided into an intervention group 30 respondents were given foot massage once a day for 2 consecutive days, the control group was 10 respondents given analgesic therapy for 2 consecutive days. Post test pain scores 30 minutes after getting treatment on first and second days. Results showed that majority of the age group 46-55 years 30%, majority male 57%, 65% were suctioned, and body position changes 82%, there was difference in pre-test (p = 0.001) and post-test (p=0.007) the intervention group, there was difference in the level of pain after foot massage in the intervention group and the administration of analgesics the control group (p=0.000), there was effect of suctioning mucus (p=0.003), there was effect of changes in body position (p=0.008). This means that foot massage has effect reducing pain levels in patients. This study recommends the need for further research and foot massage one of independent nurse interventions in nursing care for patients with ventilatory pain.
{"title":"The Effect of Foot Massage Relaxation Techniques To Reduce Pain Level In Patients With Ventilator In ICU Cengkareng Hospital In 2022","authors":"Helena Lasria Parhusip, Maria Astrid, Wilhelmus Hary Susilo","doi":"10.59888/ajosh.v1i11.85","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.85","url":null,"abstract":"Pain usualy experienced by patients on ventilator in the ICU. Efforts to reduce pain with foot massage done independently on the patient. Foot massage safe complementary therapy, providing relaxing effect, feeling comfortable and reducing pain. This study used quasi experiment research design with pre and post test control group design. The total sample of 40 respondents was divided into an intervention group 30 respondents were given foot massage once a day for 2 consecutive days, the control group was 10 respondents given analgesic therapy for 2 consecutive days. Post test pain scores 30 minutes after getting treatment on first and second days. Results showed that majority of the age group 46-55 years 30%, majority male 57%, 65% were suctioned, and body position changes 82%, there was difference in pre-test (p = 0.001) and post-test (p=0.007) the intervention group, there was difference in the level of pain after foot massage in the intervention group and the administration of analgesics the control group (p=0.000), there was effect of suctioning mucus (p=0.003), there was effect of changes in body position (p=0.008). This means that foot massage has effect reducing pain levels in patients. This study recommends the need for further research and foot massage one of independent nurse interventions in nursing care for patients with ventilatory pain.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90573695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The outpatient unit is a part of the hospital. The outpatient unit has an important role because it is the first door or medium for contact and interaction with service users or patients. Outpatient care is also an entry point for other inpatient services. Seribu Islands Regional General Hospital as the only hospital in the Thousand Islands region has not yet reached the required minimum outpatient service standard. This study aims to analyze the quality of outpatient care at Seribu Islands Hospital with the criteria of Malcolm Baldrige. The criteria for evaluating organizations are based on seven criteria, namely leadership, strategic planning, customer focus, measurement, analysis, and knowledge management, staff focus, process management, and performance results. This study uses a descriptive analytic research design with quantitative and qualitative approaches. The data collected was obtained through questionnaires, in-depth interviews, and document review. The results of the study using the Malcolm Baldrige Criteria showed that Seribu Islands Hospital won a score of 379.83 out of a maximum of 1000. This means that for hospital performance assessment based on MBNQA, Kepulauan Seribu Hospital won the average title and was included in the Early Improvement category (point scale 376-475 ). Early improvement means that Seribu Islands Hospital is in a position of early stage improvement in the health service sector. For this reason, it is recommended that Thousand Islands Hospital develop strong leadership and good teamwork in order to determine the right strategic plan.
{"title":"Quality Analysis of Outpatient Care at Kepulauan Seribu General Hospital based on Malcolm Baldrige Criteria","authors":"Ghamal Ahmad Pramana, D. Ayuningtyas","doi":"10.59888/ajosh.v1i11.90","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.90","url":null,"abstract":"The outpatient unit is a part of the hospital. The outpatient unit has an important role because it is the first door or medium for contact and interaction with service users or patients. Outpatient care is also an entry point for other inpatient services. Seribu Islands Regional General Hospital as the only hospital in the Thousand Islands region has not yet reached the required minimum outpatient service standard. This study aims to analyze the quality of outpatient care at Seribu Islands Hospital with the criteria of Malcolm Baldrige. The criteria for evaluating organizations are based on seven criteria, namely leadership, strategic planning, customer focus, measurement, analysis, and knowledge management, staff focus, process management, and performance results. This study uses a descriptive analytic research design with quantitative and qualitative approaches. The data collected was obtained through questionnaires, in-depth interviews, and document review. The results of the study using the Malcolm Baldrige Criteria showed that Seribu Islands Hospital won a score of 379.83 out of a maximum of 1000. This means that for hospital performance assessment based on MBNQA, Kepulauan Seribu Hospital won the average title and was included in the Early Improvement category (point scale 376-475 ). Early improvement means that Seribu Islands Hospital is in a position of early stage improvement in the health service sector. For this reason, it is recommended that Thousand Islands Hospital develop strong leadership and good teamwork in order to determine the right strategic plan.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74513309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The development of Indonesia's digital transformation has a high potential for success due to the Indonesian people themselves possessing great interest in adapting to use of digital innovations. In promoting the development of information technology, the government, authorized institutions, companies and all parties involved must be aware of the rapidity with which access is expanded, as well as the accessibility of infrastructure and experts, to prevent disparities in information technology development among regions. Digital transformation is often used to facilitate the process of delivering information and communication between many parties so that the progress of a business, activity or plan can run more quickly. However, there are certain forms of development that can create high-risk legal relationships which generate controversy. Research on these models needs to be further undertaken to avoid contingencies, and the results will be discussed in this scientific paper. The method used in this research is normative based legal research. The research concluded that agreements are carried out after digital transformation is influenced by the subjects involved and related. It is essential for them to agree on how their agreement is made and will be performed as well as its substance. Good faith remains the foundation of the parties' commitment to achieve what they have agreed to. Subjects who act as users must comply with the terms of the agreement in entirety as the initial promisors, both on a practical level and in the "delivery" model, which is perilous for the subject who is the user
{"title":"The Effects of Digital Transformation In The Covid-19 Era Towards Elements of An Agreement","authors":"I. Martinelli, S. Fitzgerald","doi":"10.59888/ajosh.v1i11.77","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.77","url":null,"abstract":"The development of Indonesia's digital transformation has a high potential for success due to the Indonesian people themselves possessing great interest in adapting to use of digital innovations. In promoting the development of information technology, the government, authorized institutions, companies and all parties involved must be aware of the rapidity with which access is expanded, as well as the accessibility of infrastructure and experts, to prevent disparities in information technology development among regions. Digital transformation is often used to facilitate the process of delivering information and communication between many parties so that the progress of a business, activity or plan can run more quickly. However, there are certain forms of development that can create high-risk legal relationships which generate controversy. Research on these models needs to be further undertaken to avoid contingencies, and the results will be discussed in this scientific paper. The method used in this research is normative based legal research. The research concluded that agreements are carried out after digital transformation is influenced by the subjects involved and related. It is essential for them to agree on how their agreement is made and will be performed as well as its substance. Good faith remains the foundation of the parties' commitment to achieve what they have agreed to. Subjects who act as users must comply with the terms of the agreement in entirety as the initial promisors, both on a practical level and in the \"delivery\" model, which is perilous for the subject who is the user","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89539692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natal Ria, Wayan Bikin Suryawan, I. Arimbawa, I. Made, Darma Yuda
The study aims to describe a case of precocious puberty caused by classic simple virilizing congenital adrenal hyperplasia. This is a case of 4 years-old boy who developed premature pubarche 5 month before consultation. Patient also has penis enlargement with prepubertal testes and facial acne since age of three. His voice also changed to be more like an adult male voice. Physical examination revealed an alert boy, with normal vital sign, body weight of 27 kilograms (>P95, CDC Growth Chart 2000) and height of 126 centimeter (>P95, CDC Growth Chart 2000), with advanced bone age of 14-years-old child. The Sexual Maturity Rating score was G1P3( tanner stage 3), and his height was more than his mid-parenteral height. Laboratory test was done revealed 17-OHP of 196.03 ng/ml (n: <= 0.90ng/ml), high level of testosterone at 270.1 ng/ml (n: <= 0.19ng/ml), level of B-HCG : <2.3mIU/ml, low level of LH : 0.1 mIU/ml (n: >0.6 mIU/ml), and low level of FSH: 0.1 mIU/ml (n: 0-5.0mIU/ml). Ultrasound of Kidney shows a picture of hyperplasia of left adrenal gland. All of these findings allowed diagnosing him with classic simple virilizing congenital adrenal hyperplasia. Based on this diagnosis, he was then started on hydrocortisone, and after 6 months of starting the treatment, he has a favourable clinical outcome, without any secondary sex characteristics or bone age progression. Peripheral precocious puberty due to classic simple virilizing congenital adrenal hyperplasia may be asymptomatic from birth to the preschool age, therefore early detection, immediate and appropriate managements are crucial and important to prevent late outcomes.
{"title":"Peripheral Precocious Puberty In A Four Years Old Boy With Classic Simple Virilizing Congenital Adrenal Hyperplasia","authors":"Natal Ria, Wayan Bikin Suryawan, I. Arimbawa, I. Made, Darma Yuda","doi":"10.59888/ajosh.v1i11.91","DOIUrl":"https://doi.org/10.59888/ajosh.v1i11.91","url":null,"abstract":"The study aims to describe a case of precocious puberty caused by classic simple virilizing congenital adrenal hyperplasia. This is a case of 4 years-old boy who developed premature pubarche 5 month before consultation. Patient also has penis enlargement with prepubertal testes and facial acne since age of three. His voice also changed to be more like an adult male voice. Physical examination revealed an alert boy, with normal vital sign, body weight of 27 kilograms (>P95, CDC Growth Chart 2000) and height of 126 centimeter (>P95, CDC Growth Chart 2000), with advanced bone age of 14-years-old child. The Sexual Maturity Rating score was G1P3( tanner stage 3), and his height was more than his mid-parenteral height. Laboratory test was done revealed 17-OHP of 196.03 ng/ml (n: <= 0.90ng/ml), high level of testosterone at 270.1 ng/ml (n: <= 0.19ng/ml), level of B-HCG : <2.3mIU/ml, low level of LH : 0.1 mIU/ml (n: >0.6 mIU/ml), and low level of FSH: 0.1 mIU/ml (n: 0-5.0mIU/ml). Ultrasound of Kidney shows a picture of hyperplasia of left adrenal gland. All of these findings allowed diagnosing him with classic simple virilizing congenital adrenal hyperplasia. Based on this diagnosis, he was then started on hydrocortisone, and after 6 months of starting the treatment, he has a favourable clinical outcome, without any secondary sex characteristics or bone age progression. Peripheral precocious puberty due to classic simple virilizing congenital adrenal hyperplasia may be asymptomatic from birth to the preschool age, therefore early detection, immediate and appropriate managements are crucial and important to prevent late outcomes.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77285186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose behind this study is to examine the factors contributing to the prevalence of large number of eunuchs worldwide, with specifically focus on Pakistan. The Eunuchs are marginalized subcultural groups that include those who identified as genderqueer women. Their unique begging techniques, such as slapping their hollow hands together, are one of their strategies to divert others attention towards them. Data for the paper was gathered from 12 semi-structured interviews with Eunuch and three semi-structured interviews with Guru in three Dera locations: Taxila, Wah, and Hasanabdal. Their live experiences were also recorded from childhood to old age across a wide range of settings, such as family, school, Guru, Dera colleagues, the workplace, and encounters with the public. The findings showed that, despite the fact that some of the eunuchs that come out in the market may look or behave in a manner that is often associated with eunuchs, most of them are male, and some of them were even married. They adopt it for economic reasons; however, adopting an artificial female role has caused role conflict in their lives. Traditionally, at household level, a male is supposed to take care of the home, such as finances, and appear masculine, but adopting an artificial female role for the male body increases the complications at social and family levels. The men by the name of Bread Winner have been facing exploitation, pushing them to adopt a character that is culturally and socially forbidden in the Pakistani community.
{"title":"Unraveling the Eunuch Myth: Men, Eunuchs, and the Multifaceted Nature of their Roles","authors":"S. Yasmeen, J. Sheikh, H. Farooq","doi":"10.52015/jrss.11i2.217","DOIUrl":"https://doi.org/10.52015/jrss.11i2.217","url":null,"abstract":"The purpose behind this study is to examine the factors contributing to the prevalence of large number of eunuchs worldwide, with specifically focus on Pakistan. The Eunuchs are marginalized subcultural groups that include those who identified as genderqueer women. Their unique begging techniques, such as slapping their hollow hands together, are one of their strategies to divert others attention towards them. Data for the paper was gathered from 12 semi-structured interviews with Eunuch and three semi-structured interviews with Guru in three Dera locations: Taxila, Wah, and Hasanabdal. Their live experiences were also recorded from childhood to old age across a wide range of settings, such as family, school, Guru, Dera colleagues, the workplace, and encounters with the public. The findings showed that, despite the fact that some of the eunuchs that come out in the market may look or behave in a manner that is often associated with eunuchs, most of them are male, and some of them were even married. They adopt it for economic reasons; however, adopting an artificial female role has caused role conflict in their lives. Traditionally, at household level, a male is supposed to take care of the home, such as finances, and appear masculine, but adopting an artificial female role for the male body increases the complications at social and family levels. The men by the name of Bread Winner have been facing exploitation, pushing them to adopt a character that is culturally and socially forbidden in the Pakistani community.","PeriodicalId":92175,"journal":{"name":"Asian journal of research in social sciences and humanities","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86384338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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