PERANCANGAN GEDUNG PERTUNJUKAN SENI DI BANDA ACEH

ABSTRAKPERANCANGAN GEDUNG PERTUNJUKAN SENIDI BANDA ACEHOleh:Deddy Handayani1004104010047Gedung Pertunjukan Seni di Banda Aceh merupakan suatu wadah bagi para seniman untuk menampilkan karyanya baik berupa seni musik dan tari sehingga dapat ditonton oleh penikmat seni atau masyarakat luas sebagai sarana hiburan dan rekreasi. Lokasi perencanaan terletak di kawasan Jalan Sultan Iskandar Muda, Ulee Lheue Kecamatan Meuraxa yang merupakan kawasan pengembangan rekreasi kota Banda Aceh.Tujuan utama perancangan Gedung Pertunjukan Seni ini diawali dengan pendekatan studi literatur dan studi banding kemudian dilanjutkan dengan tahap identifikasi masalah yang muncul dalam proses perancangan dan melakukan analisa-analisa untuk memberikan tanggapan desain yang sesuai dengan kondisi lingkungan dan fisik bangunan.Hasil pembahasan analisa dituangkan dalam bentuk konsep perancangan gedung dengan tema Arsitektur Neo Vernakuler yang selanjutnya menjadi acuan dalam perancangan bangunan.Kata kunci : Gedung Pertunjukan Seni di Banda Aceh, Arsitektur Neo VernakularABSTRACTPERFORMING ARTS BUILDING DESIGNIN BANDA ACEHBy:Deddy Handayani1004104010047Performing Arts Building in Banda Aceh is a facility for artists to perform their works like musics and dance, soit can be watched by public as entertainment and also recreation. Site plan of this design located in Jalan Sultan Iskandar Muda District, Ulee Lheue Kecamatan Meuraxa where is an area of recreational development of Banda Aceh City.The main purpose of this Performing Arts Building Design is started by aproaching literatue and comparative studies and then the step is followed by the identification problems in design proses and after that conduct analyzes to provide an apropriate response to the environmental and physical conditions of the building.The results of this discussion is made in set forth in the form of building design concept with the Architecture Neo Vernacular concept which became a reference in building designing.Keywords : Performing Arts Building in Banda Aceh, Architecture Neo VernacularBanda Ace

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity &gt; 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Servo-Assisted Position-Feedback MEMS Force Sensor with Tunable Sensitivity and Sub-Nanonewton Range

A Micro Electro-Mechanical System (MEMS) that allows to measure an external force applied to a probe tip exploiting an electrical servo-assisted mechanism based on position feedback is presented. The sensor architecture keeps the position of the probe tip fixed by driving a pair of variable-area electrostatic actuators in a feedback loop controlled by a variable-gap capacitive sensor. By adjusting specific loop parameters, the force sensitivity can be finely tuned electrically. Sub-nanonewton measurement range is achieved with high flexibility in setting the tip working point, making the system promising for measuring forces generated by living biological cells

Environmental effectiveness of GAEC cross-compliance standard 2.1 ‘Maintaining the level of soil organic matter through management of stubble and crop residues’ and economic evaluation of the competitiveness gap for farmers

Within the Project MO.NA.CO. the Environmental effectiveness of GAEC cross-compliance Standard 2.2 ‘Maintaining the level of soil organic matter through management of stubble and crop residues’ and economic evaluation of the competitiveness gap for farmers were evaluated. The monitoring was performed in eight experimental farms of the Council for agricultural research and economics (CREA), distributed throughout Italy and with different soil and climatic conditions. Yield parameters and several components of soil organic matter were evaluated in two contrasting treatments applied to one-year rotation of winter durum wheat and maize: i) incorporation into the soil of crop residues (Factual treatment) and ii) burning or removal of crop residues (Counterfactual treatment). The application of the standard ‘crop residue management’ has showed contrasting results with differences (for yield and soil) between the two treatments resulted almost always non significant. The analysis of economic competitiveness gap showed that the CR incorporation is more expensive than CR burning or removal, but the economic disadvantage can be considered rather small and thus easily compensated by Community aids. Therefore, the soil incorporation of crop residues can be considered a ‘good agricultural practice’ that does not penalize farmers in terms of production and cost and at the same time contributes to the maintenance of fertility and soil biodiversity. On the contrary, the removal and burning of residues result in a low or no-addition of organic matter into the soil. Moreover, burning can contribute to decrease the biodiversity and to increase the risk of air pollution, fires and road accidents