PT. X was an industrial company that engaged in chicken slaughterhouse and meat processing and its derivatives, with a continuous production process that produce d a variety of waste ranging from Liquid, Solid, and others. Moreover, for the type of liquid waste produced by PT. X, was treated with a Wastewater Treatment Plant which was one of the facilities in PT. X. The second stage was to make a comparison between Sludge, chicken manure, and rice husk . Furthermore, there was a variation of the ratio: the first 1: 1: 1 and the second 2: 1: 1 where two were the number of sludge. Application of fertilizers was carried out on chili plants. From the test results, it showed that there was an increase in productivity between 30% -42.8% in chili plants. Therefore, the cost of fertilizing in one crop of chili with compost processed by Sludge IPAl of PT. X was equal to Rp. 1,500 per stem in a single planting period. As for the NPK Mutiara fe rtilizer, the cost incurred for fertilizing in a single chili planting period was Rp. 4,050, -per stem of chili plants. While the result of the questionnaire towards the attitudes of farmers showed sufficient value, hence, the fertilizer processed by IPAL sludge had a good chance to be accepted by the community, especially chili farmers.
Latar belakang: Displasia Mondini adalah kasus yang jarang ditemukan namun merupakan penyebab penting terjadinya meningitis berulang pada anak dan membutuhkan indeks kecurigaan klinisyang tinggi sehingga dapat dilakukan diagnosis sedini mungkin. Displasia Mondini adalah kelainankongenital berupa malformasi koklea yang terjadi akibat dari gangguan perkembangan embrio pada telingabagian dalam, di minggu ke tujuh. Anomali kongenital tulang temporal dapat menyebabkan fistulisasiantara telinga tengah dan ruang subarakhnoid. Tujuan: Mempresentasikan kasus displasia Mondini dengan komplikasi meningitis berulang. Kasus: Satu kasus displasia Mondini disertai hipertrofi adenoiddan meningitis berulang pada anak laki-laki usia enam tahun. Penatalaksanaan: Medikamentosa denganpemberian antibiotik dan adenoidektomi. Kesimpulan: Displasia Mondini dengan faktor predisposisihipertrofi adenoid disertai meningitis berulang yang dilakukan adenoidektomi memberikan hasil yangbaik dengan tidak didapatkan kembali meningitis berulang pada pasien setelah tiga tahun. Kata kunci : displasia Mondini, hipertrofi adenoid, adenoidektomi, meningitis berulang ABSTRACTBackground: Mondini dysplasia is a rare case but has an important role for recurrent pyogenic meningitis in children and requires a high index of clinical suspicion for early diagnosis. Mondinidysplasia is malformation of the cochlea due to impairment of the embryonic development of the innerear during the seventh week of fetal life. Congenital anomalies of temporal bone may cause fistulisation between the middle ear and subarachnoid space. Purpose: To present a case of Mondini dysplasia with recurrent meningitis complication. Case: A case of Mondini dysplasia accompanied by hypertrophyadenoid and recurrent meningitis in a six year old boy. Management: Medical treatment with antibioticand adenoidectomy. Conclusion: Adenoidectomy for management of Mondini dysplasia with recurrentmeningitis accompanied by adenoid hypertrophy, gave a good result with no recurrent meningitis afterthree years. Key words: Mondini dysplasia, adenoid hypertrophy, adenoidectomy, recurrent meningitis
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