IMPLEMENTASI PROGRAM KEAKSARAAN USAHA MANDIRI (UPAYA PENINGKATA KEBERDAYAAN WARGA BELAJAR KEAKSARAAN RAFLESIA DI DESA GAPLEK KECAMATAN PASIRIAN KABUPATEN LUMAJANG)

Program Keaksaraan Usaha Mandiri merupakan kegiatan peningkatan kemampuan keberaksaraan bagi warga belajar yang telah mengikuti dan atau mencapai kompetensi keaksaraan dasar, melalui pembelajaran keterampilan usaha (kewirausahaan) yang dapat meningkatkan produktivitas warga belajar, baik secara perorangan maupun kelompok sehinggga diharapkan dapat memiliki mata pencaharian dan penghasilan dalam rangka peningkatan taraf hidupnya. Rumusan masalah penelitian ini bagaimana implementasi program keaksaraan usaha mandiri (upaya peningkatan keberdayaan warga belajar keaksaraan raflesia di Desa Gaplek Kecamatan Pasirian Kabupaten Lumajang), tujuan dari penelitian ini  adalah untuk mengetahui seberapa besar Implementasi program Keaksaraan Usaha Mandiri terhadap peningkatan keberdayaan warga belajar keaksaraan rafleisia. Adapun teknik pengumpulan data melalui wawancara, observasi dan dokumentasi. Pengolahan data menggunakan perpanjang keikutsertaan, ketekunan pengamatan, dan trianggulasi. analisis data menggunakan pengumpulan data, reduksi, penyajian data dan verifikasi/ penarikan kesimpulan. Hasil dari penelitian ini menunjukkaan bahwa implementasi program keaksaraan usaha mandiri ini ditunjang oleh adanya kelembagan, tutor, dan dana, untuk memberdayakan warga belajar melalui peningkatan keterampilan, perbaikan taraf hidup sehingga warga belajar mampu mengatasi masalah dalam hidupnya, Implementasi Program Keakaraan Usaha ini ditemukan 19 Program Kekasaraan Usaha Mandiri yang dapat digali di Desa Gaplek Kecamatan Pasirian Kabupaten Lumajang, namun dari beberapa Program tersebut tidak semua digunakan untuk proses pemberdayaan warga belajar

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

Pasar Modern Lirung di Kabupaten Talaud. Arsitektur Kontemporer

Perkembangan pembangunan kabupaten Talaud semakin meningkat tiap tahunnya. Khususnya sektor industri perdagangan dan jasa, pembangunannya juga semakin maju, hal ini juga didukung oleh faktor letak geografis. Melihat peluang dan potensi yang dimiliki Kabupaten Talaud sangat besar maka hadirlah konsep perencanaan “Pasar Moderen Lirung di Kabupaten Talaud, yang mengacu dari kebutuhan akan barang dan jasa sebagai penunjang kebutuhan masyarakat sehari-hari. Berangkat dari tujuan perancangan objek ini maka tema yang digunakan adalah Arsitektur Kontemporer yang diharapkan dapat menciptakan sesuatu objek yang baru dan memberikan Kenyamanan bagi masyarakat dalam melakukan aktifitas di pasar modern. Dengan hadirnya perancangan pasar modern di talaud ini, dapat menunjang keperluan masyarakat akan barang dan jasa, serta menambah pendapatan daerah. Pasar modern ini mampu menampung masyarakat kabupaten talaud dalam mencari kebutuhan sehari-hari, karna pasar ini dirancang sesuai dengan standard kebutuhan di dalam pasar modern

Knowledge Management of Performance Analysis and Quality Service from Regional Public Health Pariaman

Abstract Competition increasingly competitive requires every company both manufacturing and services, including RSUD Pariaman to always consider the customer wants and needs and try to meet what they expect. The purpose of this research is to analyze how is the quality of service, a service attribute be the first priority, and recommendations can be given to improve the quality of services RSUD Pariaman. The results showed that 25 of the 26 attributes of service is worth the negative gap with the largest value of -1.21 for the attribute “The hospital has a waiting room, treatment rooms, beds, toilets and adequate sanitation” and “The hospital has enough medicines and adequate medical equipment (such as CT-Scan, MRI, USG, etc.)”. Based on analysis of IPA there are 11 attributes included in quadrant A and must be repaired. Recommendations based on the highest priority needs to be done and improved in advance is “Conducting training and employee empowerment” with the highest analytical value 0.170 or 17.02%. With this recommendation is expected to improve the quality of service in RSUD Pariaman.</jats:p

THE EFFECT OF AVASIN THERAPY ON COGNITIVE, EXECUTIVE, AND ATTENTION FUNCTIONS IN ADHD CHILDREN: A CASE SERIES

Attention Deficit Hyperactivity Disorder (ADHD) is a neurobehavioral disorder that most commonly occurs in children. The number of ADHD events is getting more increase. Its handling takes a long time so that the use of Complementary Alternative Medicine (CAM) is increasingly in demand. CAM is used by 60-65% of parents with ADHD children to improve symptoms and reduce side effect of conventional medication. Avasin therapy is one the complementary treatments that we used to treat ADHD children.We conducted avasin therapy to 3 children with ADHD. Before and after avasin therapy, the three children were examined by Children's Color Trail Test to access cognitive nd function, BRIEF 2 to access executive function, as well asTOVA and QEEG Brain Mapping to assess attention function.The changes in values on Children's Color Trail Test, nd BRIEF 2 , TOVA, and QEEG Brain Mapping were obtained after a series of avasin therapy.</jats:p

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe

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

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