PARTISIPASI ANGGARAN DAN KINERJA MANAJERIAL : GAYA KEPEMIMPINAN FIEDLER SEBAGAI VARIABEL MODERASI

The study of the effect of budget participation on managerial performance has been much studied, one of which is Sumarno (2005). This study will improve Sumarnos research (2005) by using Fiedler's Leadership Style as a moderating variable. Fiedler Leadership style testified that leaders contribution to group performances effectivity depends on the way or the style of leadership (leadership style) and the suitability of the situation (the favourableness of the situation) that it faces. The sample in this study are the employees who participated in the preparation of the budget at hospitals in Semarang. The results showed that Fiedlers leadership style was unable to moderate the relationship between budgetary participation and managerial performance. The results of this analysis also obtained additional analysis which was stating that task-oriented leadership style may moderate the relationship between budgetary participation and managerial performanc

PERENCANAAN DISTRIBUSI PENERANGAN UNTUK RUANGAN DI ATAS KAPAL TB LIBERTY 217 GT MENGGUNAKAN METODE ZONAL CAVITY

Perencanaan kelistrikan kapal harus dilakukan secara cermat dan akurat karena akan berpengaruh terhadap besar daya generator yang akan digunakan. Generator kapal dirancang untuk mampu mendistribusikan listrik untuk kebutuhan power (pompa), Penerangan (Lightning), Komunikasi dan Navigasi untuk berbagai kondisi pelayaran.  Sama halnya dengan kapal lainnya, TB Liberty  juga memerlukan distribusi tenaga dari generator untuk suplai kebutuhan listrik di atas kapal khususnya untuk penerangan kapal. Tujuan dari penelitian ini adalah untuk mengetahui besaran daya listrik yang dibutuhkan untuk distribusi penerangan diatas kapal dengan menggunakan lampu Light-Emitting Diode (LED). Metode yang digunakan adalah metode zonal cavity dengan konsep dasar membagi setiap ruangan menjadi tiga bagian yaitu height ceiling cavity (hcc), height room cavity  (hrc), dan height floor cavity (hfc) serta penentuan nilai iluminasi sesuai dengan standar yang telah di tetapkan oleh American Bureau of Shipping (ABS). Hasil penelitian menunjukkan bahwa besar beban listrik untuk distribusi penerangan pada kapal TB Liberty dengan menggunakan lampu LED yaitu deck buttom plane sebesar 0.633 Kw, pada main deck sebesar 0.6625 Kw dan pada geladak navigasi didapatkan sebesar 0.238 Kw. Penelitian ini mampu menjadi rujukan dalam penentuan kelistrikan di atas kapal khususnya untuk instalasi penerangan kapal

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

PENINGKATAN KAPASITAS KADER DALAM UPAYA PENEMUAN DINI KASUS STUNTING PADA ANAK MELALUI DETEKSI DINI TUMBUH KEMBANG PADA ANAK DI RW 12 KELURAHAN KAPUK KECAMATAN CENGKARENG JAKARTA BARAT

Pertumbuhan dan perkembangan merupakan hal yang berbeda dan saling mempengaruhi satu yang lainnya yang perlu dipantau secara khusus dan berkala terutama pada lima tahun pertama. Pemantauan ini dapat dilakukan oleh orang tua ataupun oleh kader posyandu dan petugas kesehatan melalui upaya deteksi dini tumbuh kembang baik secara manual ataupun berbasis aplikasi. Penggunaan aplikasi tentunya akan memudahkan orang tua dan kader dalam hal pemantauan. Salah satu aplikasi yang direkomendasikan adalah PrimaKu yang dikeluarkan oleh Ikatan Dokter Anak Indonesia. Dalam kegiatan pengabdian kepada masyarakat ini, dilakukan pengukuran kemampuan kader terkait dengan pertumbuhan dan perkembangan anak sebelum dan sesudah kegiatan serta mentoring penggunaan aplikasi PrimaKu kepada kelompok sasaran kader posyandu sebanyak 42 kader. Hasil kegiatan didapatkan pengetahuan kader sudah cukup baik baik sebelum dan sesudah dilakukan mentoring. Selama mentoring penggunaan aplikasi PrimaKu, kader posyandu antusias dan mampu menggunakan aplikasi PrimaKu. Dengan pemahaman yang baik dan mampu menggunakan aplikasi PrimaKu tersebut, diharapkan para kader dapat mensosialisasikan penggunaan aplikasi PrimaKu pada orang tua sehingga orang tua dapat melalukan monitoring mandiri dirumah terkait dengan pertumbuhan dan perkembangan anak