ANALISIS PENGARUH MADDEN JULIAN OSCILLATION (MJO) TERHADAP CURAH HUJAN DI KOTA MAKASSAR

The Study with the analysis of Madden Julian Oscillation (MJO) effect to rainfall in Makassar had been done. This study was to determine how the relation between Madden Julian Oscillation (MJO) and intensity of rainfall in city of Makassar. This study using daily rainfall years 1990-2015 data were obtained from Pengelolaan Sumber Daya Air (PSDA) of Makassar and RMM index (real-time multivariate MJO) daily in 1990-2015 from BMRC (Bureau of Meteorology Research Centre). Based on the analysis using FFT method can be seen the power of the period MJO phenomenon is worth weak meaning MJO not weak affect rainfall in Makassar. So that Madden Julian Oscillation (MJO) less influence to word increasing and decreasing of rainfall in Makassar.Keywords: Madden Julian Oscillation (MJO), RMM-index, FFTTelah dilakukan penelitian tentang Analisis Pengaruh Madden Julian Oscillation (MJO) Terhadap Curah Hujan di Kota Makassar. Adapun tujuan dari penelitian ini yaitu untuk mengetahui hubungan Madden Julian Oscillation (MJO) dan intensitas curah hujan di Kota Makassar. Penelitian ini menggunakan data curah hujan harian tahun 1990-2015 yang diperoleh dari Kantor PU (Pekerja Umum) Sumber Daya Air Provinsi Sulawesi Selatan dan Indeks RMM (Real-time Multivariate MJO) harian tahun 1990-2015 dari BMRC (Bureau of Meteorologi Research Centre). Berdasarkan hasil analisis data dengan mengunakan metode Fast Fourier Transform (FFT) curah hujan, analisis fase MJO terhadap anomali curah hujan, dan analisis korelasi pearson anomali curah hujan dan amplitudo indeks RMM maka dapat diketahui bahwa hubungan Madden Julian Oscillation (MJO) dan curah hujan di Kota Makassar berada pada tingkatan yang lemah. Atau dengan kata lain Madden Julian Oscillation (MJO) berpengaruh kecil terhadap peningkatan dan penurunan curah hujan di Kota Makassar.Kata Kunci:  Madden Julian Oscillation (MJO), indeks RMM, FF

Efektivitas Pelayanan Publik Di Kantor Pertanahan Kota Manado

This research aims to analyze the effectiveness of public services at the Manado City Land Office. The analytical method used in this research is quantitative analysis with a descriptive approach. The results of Kantah Manado City's research get a "B" service quality with a "Good" performance category, which means that the effectiveness of community satisfaction from the results of public services from July to December 2021 is categorized as "Good". Even though the results of the community's assessment of public services in Kantah Manado City are good, strategies and efforts from service providers are still needed to improve the three service elements that get bad and bad scores and maintain or improve the service elements that are already good to be very good ideal assessments. The conclusion of Kantah Manado's research based on the Community Satisfaction Index using an assessment of 9 elements of public service getting a score of 77.61 with a good performance category and service quality "B" but still needs strategies and efforts from service providers to improve the three service elements that get bad and poor scores. good and maintain or improve the service elements that are already good into an ideal assessment of very good

Efektivitas Pelayanan Publik Di Kantor Pertanahan Kota Manado

This research aims to analyze the effectiveness of public services at the Manado City Land Office. The analytical method used in this research is quantitative analysis with a descriptive approach. The results of Kantah Manado City's research get a "B" service quality with a "Good" performance category, which means that the effectiveness of community satisfaction from the results of public services from July to December 2021 is categorized as "Good". Even though the results of the community's assessment of public services in Kantah Manado City are good, strategies and efforts from service providers are still needed to improve the three service elements that get bad and bad scores and maintain or improve the service elements that are already good to be very good ideal assessments. The conclusion of Kantah Manado's research based on the Community Satisfaction Index using an assessment of 9 elements of public service getting a score of 77.61 with a good performance category and service quality "B" but still needs strategies and efforts from service providers to improve the three service elements that get bad and poor scores. good and maintain or improve the service elements that are already good into an ideal assessment of very good

Comparison of diurnal variations, gestational age and gender related differences in fetal heart rate (FHR) parameters between appropriate-for-gestational-age (AGA) and small-for-gestational-age (SGA) fetuses in the home environment

Objective To assess the influence of gender, time of the day and gestational age on fetal heart rate (FHR) parameters between appropriate-for-gestational-age (AGA) and small-for-gestational age (SGA) fetuses using a portable fetal ECG monitor employed in the home setting. Methods We analysed and compared the antenatal FHR data collected in the home setting on 61 healthy pregnant women with singleton pregnancies from 24 weeks gestation. Of the 61 women, 31 had SGA fetuses (estimated fetal weight below the tenth gestational centile) and 30 were pregnant with AGA fetuses. FHR recordings were collected for up to 20 h. Two 90 min intervals were deliberately chosen retrospectively with respect to signal recording quality, one during day-time and one at night-time for comparison. Results Overall, success rate of the fetal abdominal ECG in the AGA fetuses was 75.7% compared to 48.6% in the SGA group. Based on randomly selected episodes of heart rate traces where recording quality exceeded 80% we were able to show a marginal difference between day and night-time recordings in AGA vs. SGA fetuses beyond 32 weeks of gestation. A selection bias in terms of covering different representation periods of fetal behavioural states cannot be excluded. In contrast to previous studies, we neither controlled maternal diet and activity nor measured maternal blood hormone and heart rate as all mothers were monitored in the home environment. Conclusion Based on clinically unremarkable, but statistically significant differences in the FHR parameters between the AGA and SGA group we suggest that further studies with large sample size are required to assess the clinical value of antenatal fetal ECG monitoring

Addressing challenges when applying GRADE to public health guidelines: a scoping review protocol and pilot analysis

This is a protocol for a scoping review that aims to determine how guideline authors using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach have addressed previously identified challenges related to public health. The Joanna Briggs Institute (JBI) methodology for scoping reviews will be followed. We will search and screen titles of guidelines for all languages published in 2013−2021 in: the GIN library, BIGG database, Epistemonikos GRADE guidelines repository, GRADEpro Database, MAGICapp, NICE and WHO websites. Two reviewers will independently screen full texts of the documents identified. The following information will be extracted: methods used for identifying different stakeholders and incorporating their perspectives; methods for identification and prioritization of non-health outcomes; methods for determining thresholds for decision-making; methods for incorporating and grading evidence from non-randomized studies; methods for addressing concerns with conditional recommendations in public health; methods for reaching consensus; additional methodological concerns; and any modifications made to GRADE. A combination of directed content analysis and descriptive statistics will be used for data analysis, and the findings presented narratively in a tabular and graphical form. In this protocol, we present the pilot results from 13 identified eligible guidelines issued between January and August 2021. We will publish the full review results when they become available

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030