Evaluasi Program Pengendalian Penyakit Kusta Di Wilayah Kerja Puskesmas Lompentodea Kecamatan Parigi Barat Kabupaten Parigi Moutong

Penyakit kusta merupakan salah satu penyakit menular yang menimbulkan masalah yang sangat kompleks. Dimana prevalensi penyakit kusta di Kabupaten Parigi Moutong pada tiga tahun terakhir mengalami peningkatan yaitu pada tahun 2012 sebesar 2,6%, pada tahun 2013 sebesar 4,8% , dan 5,7% pada tahun 2014. Salah satu penyebab tingginya angka penemuan penderita kusta karena tidak adanya pelaksanaan penyuluhan kelompok. Tujuan penelitian ini untuk mengetahui pelaksanaan Program Pengendalian Penyakit Kusta di Wilayah Kerja Puskesmas Lompentodea Kecamatan Parigi Barat Kabupaten Parigi Moutong. Penelitian ini menggunakan metode kualitatif. Jumlah informan keseluruhan adalah 6 informan yang terdiri 1 informan kunci (key informan), 1 Informan biasa, dan 4 Informan tambahan. Pengolahan data dalam penelitian ini menggunakan pendekatan analisa isi (content analisis) dengan teknik matriks. Hasil penelitian menunjukan bahwa dari aspek input yakni program bisa berjalan dengan baik meskipun adanya keterbatasan SDM, dana dan fasilitas, Process dalam pelaksanaan program sudah sesuai dengan SOP yang sudah di tentukan oleh Dinas Kesehatan, output pada monitoring dan evaluasi pelaksaan program sudah berjalan baik dengan pelaporan yang dilakukan tiga bulan sekali. Diharapkan Dinas Kesehatan terkait untuk memaksimalkan dana untuk pelaksanaan program kusta sehingga input, process yang belum maksimal bisa teratasi dengan efektif dan efesien

Investigation of graphene channel interaction with yeast cell for cell counting application

Graphene superior and unique properties make it a suitable material for biosensor. In this work, graphene interaction with yeast cell is investigated for development of graphenebased cell counter. The fabricated graphene channel was characterized by means of two-terminal and solution-gated three-terminal measurement setup. The correlation between graphene channel resistance and cell concentration was confirmed. The yeast cell was found to give n-type doping which modulate the conductivity of graphene channel

Design of Serial-Fed Bend-Array and Measured Results

For the next generation mobile system (5G), a cylindrical lens antenna is developed for mobile base station application. As for the feed radiator for this lens antenna, bendarray configuration that produces a bifurcated beam is also developed. The bend-array configuration consisting of four rectangular patch array elements with serial feed network. In previous work, achievement of the bifurcated beam by bendarray configuration was shown by electromagnetic simulations. In this paper, a practical bend-array composed of four numbers of patch elements is fabricated. To verify the radiation characteristics, measured results of antenna input characteristic and radiation pattern are compared with the designed results. Through good agreement of measured and designed results, achievement of practical antenna is ensured

THE EFFECT OF JOB SATISFACTION AND ORGANIZATIONAL COMMITMENT ON NURSES’ PERFORMANCE

The purpose: The purpose of this study was to find the impact of organizational commitment and Job satisfaction on nurses’ job performance. Methodology: The study conducted at the hospital of Ibn al-Athir and employed a quantitative method by structured questionnaires to collect the data. 200 questionnaires were distributed randomly and only 108 valid surveys likewise; the valid questionnaires have been analyzed by SPSS to exam the impact of organizational commitment and job satisfaction on job performance. Findings: the results indicated there is a positive and significant impact of Job satisfaction on nurses' performance. However, the three components of organizational commitment, Affective Commitment, Continuance Commitment, and Normative Commitment have a positive and significant impact on nurse's performance. The findings of this research indicate that employees ' job satisfaction and organizational commitment components play a critical role in nurses' performance. Implications: of this study to enrich the body of literature in the context of Iraq, which is suffering from a lack of studies related to nurses' performance. Novelty: the study provided useful and valuable recommendations to hospitals to increase nurse performance in the context of Iraq

Prevalence of needle stick injuries and compliance to infection control guidelines among health care workers in a teaching hospital, Malaysia

Introduction: Health care workers (HCW) are constantly exposed to blood-borne illnesses through needle stick injuries (NSI). Despite the increasing trend of NSI, evidence regarding the actual practice of universal precautions among these HCWs is lacking. This study assessed the practice of universal precautions towards prevention of NSI among HCWs in a teaching hospital setting. Methods: This cross-sectional survey involved a newly-designed self-completed questionnaire assessing demographic data, exposure to NSI and practice of universal precautions. Questionnaires were distributed to every ward and completed questionnaires were collected after a period of 7 days. Results: A total of 215 HCWs responded to the survey. 35.8% were exposed to bodily fluid, with 22.3% had NSI in the last 12 months. Blood taking was the commonest procedure associated with NSI. Of practices of universal precautions, recapping needle and removing needle from syringe were still wrongly practiced by the HCWs assessed. Conclusion: NSI among HCW are still common despite the introduction of universal precautions in our hospital. Incorrect practices in handling sharps should be looked into in order to reduce the incidence of blood-borne illnesses through NSI in the hospital

Concentrated photovoltaic thermal systems:A component-by-component view on the developments in the design, heat transfer medium and applications

The need of the hour in present world scenario is to reduce the emission of greenhouse gases and environmental pollution whilst satisfying the world energy demands. The most promising and readily available source of energy over the whole world is solar energy. One of the ways of taping this energy into useful energy is using Concentrated Photovoltaic Thermal systems. The paper presents the advanced comprehensive review on the design components of Concentrated Photovoltaic Thermal, heat transfer medium, recent application area such as Tissue Dyeing, domestic hot water, Organic Rankine Cycle, and the economic aspect of the Concentrated Photovoltaic Thermal system. Furthermore, the review paper simplifies the classification into two systems namely thermally coupled and thermally decoupled systems. Concentrated Photovoltaic Thermal shows potential to deliver better gains compared to Concentrated Photovoltaic, Photovoltaic and Photovoltaic Thermal. But matching the different components like the heat transfer component and the medium for specific use is an area that requires research. Therefore, this review concentrates more on the advantages and limitations of using different heat transfer components and heat transfer medium. The benefits of this paper would be the understanding of the components of the heat transport system like fins, microchannel, storage tank and underground heat exchangers and the fluid used in the Concentrated Photovoltaic Thermal integrated system like water, air, nanofluids, Phase Change Materials. It is found that the heat transfer device performance is limited due to its large area, thermal losses, mirror effect on the thermal and electrical efficiencies, and the temperature difference between the sink and device. Likewise, the performance of the heat transfer fluid is dependent on the mass flow rate, thermal mass, viscosity, density, time and the required temperature. Finally, for economic feasibility of the Concentrated Photovoltaic Thermal system requires the need for a grid connected system with properly sized system with feed-in-tariff and carbon incentives. Furthermore, the recommendation for heat transfer device, medium and economic aspect is also presented. However, more experimental research is required to further understand the compatibility of each components with Concentrating Photovoltaic Thermal System as presented in way forward

Effect of Chilled Air Coolant on Surface Roughness and Tool Wear When Machining 2205 Duplex Stainless Steel

Cutting fluid is important to enhance machinability. However, conventional cutting fluid is uneconomical and hazardous to environment and health. Thus, non conventional coolant method is studied in order to overcome these problems. In this study, the effect of chilled air coolant on surface roughness and tool wear when machining 2205 duplex stainless steel is investigated. The compressed air is chilled by using vortex tube. Cold air and hot air is produced by means of vortex tube from the source of compressed air. This study also investigated the comparison of machining performance between conventional flood coolant and chilled air coolant. The tests were conducted on a conventional turning machine with TiAlN coated carbide tools and the constant parameters were feed rate, cutting depth, and cutting speed. Surface roughness and tool wear were measured after each run and the results were analysed. The experiment results showed that chilled air coolant gave better surface finish compared to conventional flood coolant. However, tool life was better when using conventional flood coolant compared to chilled air coolant. For both coolant method, the result showed decreasing trend for surface roughness and tool wear values when the temperature of chilled air coolant decreased

Effect of vitamin B17 on experimentally induced colon cancer in adult male albino rat

Background: Colon cancer is considered to be the third most common cancer worldwide. At diagnosis of colon cancer, 3.7–11% developed bone metastasis. Diet based strategies are important for prevention and treatment of colon cancer. This study investigated the effect of vitamin B17 on a DMH induced rat model of colon cancer. Materials and methods: Eighty young adult male albino rats were divided into five groups: group I (control group), group II (vitamin B17), group III (colon cancer), group IV (protected) and group V (treated). Distal colon sections were prepared for light and scanning electron microscopic examination. Lumbar vertebrae specimens were prepared for light microscopic study. Morphometric and statistical analysis were done. Results: In comparison with the control, both colon cancer and treated groups showed invasion of the colonic tissue by pleomorphic branching colonic glands of variable shapes and sizes lined with dysplastic elongated hyperchromatic nuclei with frequent mitotic figures or stratified multi-layered crowded nuclei with an extremely significant (p < 0.0001) reduction of goblet cell number when compared to the control together with major pathological bone changes were observed in colon cancer and the treated groups. Conclusions: While the protected group showed impressive improvement of all previously mentioned diameters

Image analysis of non-aqueous phase liquid migration in aggregated kaolin

Double-porosity is an important feature in soil due to its influence on the migration of fluids within the soil. Conventional ways of measuring fluid saturation involves intrusive use of equipment that may disturb the original setting of the sample being measured. The use of image analysis has overcome this problem but has rarely been applied in research concerning double-porosity soil media. The study presented in this article applies image analysis to study the migration of non-aqueous phase liquid (NAPL) in soil with double-porosoity features. In this study, the laboratory experiments were conducted in a three-dimensional rectangular acrylic model and images were acquired using the photographic technique. Immiscible NAPL was chosen as the fluid applied as it is relatively less studied in double-porosity media compared to miscible contaminants. Aggregated kaolin was used as the double-porosity soil samples. Image analysis was utilized to observe the migration of the NAPL based on migration area coverage, the optical saturation of the NAPL as well as the intensity of the NAPL during migration. The experiments were performed over a range of different moisture content contained in the aggregated soil samples and the effect of different soil moisture content on the migration of NAPL in double-porosity soil was analyzed. The experimental results showed that the rate of NAPL migration will increase as the moisture content increases. In summary, image analysis was found to be a viable method in observing and visualizing the migration of NAPL based on optical saturation, intensity, and area invaded by NAPL in double-porosity soil

Elucidation of flux decline phenomenon in ultrafiltration of polydisperse silica solution

Ultrafiltration (UF) is widely used in water filtration process due to its ability to operate at low pressure with higher permeate flux. However, fouling is one of the constrains usually occurred in UF, especially when involving colloidal material. Colloidal silica widely used as a synthetic form of colloidal foulant to investigate membrane performance. It has a special characteristic which can change the charge around the molecules easily depending on the surrounding condition. This study was aimed to identify the most significant factor contribute to permeate reduction of UF membrane of polydisperse silica solution that could lead to the fouling issue of this membrane. The factors that have been studied were ionic strength, pH, transmembrane pressure, ratio of feed solution and types of membrane used (modified or unmodified). Fractional factorial design was used to investigate the effect of individual factors and also the interaction factors on the reduction of permeate flux by using Design Expert software. The finding from this study revealed that the factors of fouling was related to each other. In determining the rate of permeate flux, the ionic strength, pH and pressure should not be considered separately. The only independent factor affecting the permeate flux was ionic strength. However, the effect was not prominent compared to interaction factors. Also, surface-modified membrane by using Pebax 1657 has shown opposite trend in terms of pH and pressure effect on permeate flux