Pengaruh Reward dan Insentif Terhadap Semangat Kerja Karyawan Pada PT. Basin Sejahtera Maritime Palembang

ABSTRACT This study aims to determine the effect of remuneration and motivational strength on employee guarantees at PT. Palembang Sea Flourishing Bowl. The strategy used in this study is a quantitative technique with the number of tests considered is 32 workers. The information checking strategy used in this exploration is a basic direct recurrence examination, direct recurrence examination, connection coefficient examination, assurance coefficient examination, t test and f test using the SPSS 23 for windows program. From the results of the t-test research shows that there is a reward (X1) with a critical value of 0.000 < 0.05, implying that there is a rather large impact of remuneration on the resolve of the representative. While the driving variable (X2) with a large value of 0.000 <0.05 implies that it has a rather large effect on representative decisions. The consequence of the F test at the same time getting a critical value of 0.000 < 0.05, this is dismissed to imply that H0. Ha recognized. So it can be understood that there is a very large influence between remuneration and motivation on the fulfillment of representative jobs at PT. Maritime prosperity. Keywords: Reward, Incentives and Employee Morale.   ABSTRAK Penelitian ini bertujuan untuk mengetahui pengaruh reward dan insentif terhadap semangat kerja pada PT. Basin Sejahtera Maritime Palembang. Strategi yang digunakan dalam penelitian ini adalah teknik kuantitatif dengan jumlah tes yang diujikan sebanyak 32 orang perwakilan. Metode pemeriksaan informasi yang digunakan dalam penelitian ini adalah analisis regresi linier sederhana, analisis regresi linier berganda, pemeriksaan koefisien korelasi, pemeriksaan koefisien determinasi, uji t dan uji f dengan menggunakan program program SPSS 23 for windows. Dari hasil penelitian uji-t menunjukkan bahwa terdapat reward (X1) dengan nilai besar 0,000 < 0,05, menyiratkan bahwa ada pengaruh besar reward terhadap semangat pekerja. Sedangkan variabel insentif (X2) dengan nilai kritis 0,000 < 0,05 menunjukkan bahwa terdapat pengaruh dorongan yang cukup besar terhadap semangat kerja karyawan. Hasil pembahasan uji F sekaligus mendapat nilai kritis 0,000 < 0,05, hal ini diberhentikan untuk mengimplikasikan bahwa H0. Ha diakui. Sehingga cenderung dimaklumi adanya pengaruh yang luar biasa antara reward dan insenfif terhadap pemenuhan kebutuhan pekerja di PT. Basin Sejahtera Maritim. Kata Kunci: Reward, Insentif dan Semangat Kerja Karyawan

Modelagem de superfícies para análise de estabilização de recalques na perspectiva da interação solo estrutura

A tecnologia vem se tornando cada vez mais parte integrada da engenharia civil. Neste quesito, este trabalho faz uma análise da interação solo estrutura por meio de superfícies de deformação, onde todo o código necessário para esta análise foi feito para os fins deste trabalho. A metodologia consiste na aplicação do modelo clássico de dispersão dos dados junto com a interpolação espacial de uma malha triangular, a partir da qual foi feito uma comparação entre os monitoramentos de consecutivos monitoramentos realizados num edifício localizado em Ceilândia/DF. Por meio da variações verificadas entre os monitoramentos foi possível determinar os motivos da variação repentina de alguns pilares instrumentados após o término das etapas de construção da torre residencial. Durante a análise dos resultados as curvas de dispersão demonstraram-se inconclusivas devido a falta de dados prévios ao início do monitoramento, no entanto através das superfícies de deformações foi possível determinar que a torre atingiu o estado de adensamento secundário entre o sexto e sétimo monitoramento. Ao analisar os recalques relativos ainda foi possível observar a interação dos solo com a estrutura apontando qual pilar está apresentando a maior variação em função do recalque absoluto, demonstrando a eficiência do método em analisar a estabilidade de edifícios recalcando e monitoramento deste processo. Depois de concluído as análises verificou-se que os indicadores de desempenho mostraram-se satisfatórios

The Prevalence and Risk Factors of Hepatitis B Virus Infection Among Dwellers in A Peri-Urban District of Ghana: A Cross-Sectional Study

Hepatitis B virus (HBV) infection is a significant health issue affecting about 296 million people worldwide. The disease is of great public health concern in Ghana as the country is within the endemic region of HBV infection. This study sought to determine the prevalence of HBV infection and associated risk factors among dwellers in a peri-urban district of Ghana. This cross-sectional descriptive study was conducted in the Sunyani West District of the Bono Region of Ghana. Respondents aged ≥18 years were purposively recruited from the four major towns in the District with health centres. A questionnaire was used to collect data from participants, and a rapid diagnostic test for the sero-presence or otherwise of hepatitis B infection was conducted. A total of 992 respondents took part in the study, with the prevalence of HBV infection using HBsAg as a marker among all the study participants being 2.9% (male 4.0% (12/298), female 2.5% (17/694)). Females aged between 20-29 years had a comparatively higher prevalence of hepatitis B infection than their corresponding males. The intake of alcohol (RR=4.23; 95% CI:2.05-8.74, p <0.000), previously diagnosed of having a sexually transmitted disease (RR= 2.43; 95% CI: 1.03-5.71, p = .04) and having multiple sexual partners (RR= 2.27; 95% CI: 1.11-4.65, p = .02) were the significant risk factors for HBV infection among the study participants. The study showed a low prevalence of HBV infection in the Sunyani West District of Ghana using HBsAg as a serum marker to diagnose the infection. Keywords: Hepatitis, prevalence, risk factors, Sunyani Wes

Modelagem de Superfícies para Análise de Estabilização de Recalques na Perspectiva da Interação Solo Estrutura/ Surface Modeling for Discharge Stabilization Analysis from a Soil Interaction Perspective Structure

Este artigo tem como objetivo apresentar uma análise da interação solo-estrutura através da deformada de recalques. Para tanto, elaborou-se um código de programação para geração das deformadas, utilizando um modelo de dispersão de dados junto à interpolação espacial de malha triangular. Em seguida, realizou-se uma comparação entre consecutivas análises de monitoramento de recalques realizados em um edifício localizado em Ceilândia/DF. Por meio das análises determinaram-se as possíveis causas de variação de recalque repentina de determinados pilares, além de detectar o alcance do estado de adensamento secundário. Por meio do estudo foi possível verificar que os indicadores de desempenho mostraram-se satisfatórios

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Mapping on slope seepage problem using Electrical Resistivity Imaging (ERI)

The stability of slope may influenced by several factors such as its geomaterial properties, geometry and environmental factors. Problematic slope due to seepage phenomenon will influenced the slope strength thus promoting to its failure. In the past, slope seepage mapping suffer from several limitation due to cost, time and data coverage. Conventional engineering tools to detect or mapped the seepage on slope experienced those problems involving large and high elevation of slope design. As a result, this study introduced geophysical tools for slope seepage mapping based on electrical resistivity method. Two spread lines of electrical resistivity imaging were performed on the slope crest using ABEM SAS 4000 equipment. Data acquisition configuration was based on long and short arrangement, schlumberger array and 2.5 m of equal electrode spacing interval. Raw data obtained from data acquisition was analyzed using RES2DINV software. Both of the resistivity results show that the slope studied consists of three different anomalies representing top soil (200 – 1000 Ωm), perched water (10 – 100 Ωm) and hard/dry layer (> 200 Ωm). It was found that seepage problem on slope studied was derived from perched water zones with electrical resistivity value of 10 – 100 Ωm. Perched water zone has been detected at 6 m depth from the ground level with varying thickness at 5 m and over. Resistivity results have shown some good similarity output with reference to borehole data, geological map and site observation thus verified the resistivity results interpretation. Hence, this study has shown that the electrical resistivity imaging was applicable in slope seepage mapping which consider efficient in term of cost, time, data coverage and sustainability

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 economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially