Problematika Mutasi Pegawai Negeri Sipil di Kota Bima

Pemerintah Kota Bima melakukan perombakan Kabinet tanggal 15 Mei 2019. Jumlah Pegawai Negeri Sipil (PNS) yang dimutasi sebanyak 303 orang. Mutasi terbesar sepanjang sejarah Kota Bima, Tujuan penelitian ini untuk mengetahui pengaturan dan hambatan mutasi PNS di Kota Bima. Metode penelitian yang digunakan adalah penelitian hukum empiris, dengan pendekatan peraturan perundang-undangan, pendekatan konsep (conceptual approach) dan pendekatan sosiologis.Hasil penelitian ini menunjukan bahwa Bahwa Mutasi yang dilakukan oleh Pemerintah Kota Bima tidak sesuai dengan amanat Undang-Undang Nomor 5 Tahun 2014 yang menganut mutasi dengan system merit dan PP Nomor 11 Tahnu 2017 tentang Manajemen PNS. Penempatan pejabat tidak sesuai dengan keahliannya hal ini disebabkan kuat faktor politik untuk menempatkan pejabat sesuai dengan keingin kepala daerah bukan karena kebutuhannya. Sistim tidak berdaya akibat kuatnya intervensi kepala daerah pada saat mutasi. Ketiga adalah Pejabat Pembina kepegawaian melakukan demosi kepada ASN Kota Bima yang tidak memiliki kesalahan secara yuridis formald dalam pelaksaan tugasnya. Hal ini justru bertentangan dengan semangat reformasi birokrasi di Kota Bima

Factors Affecting Presbycusis on Audiogram Overview at H. Adam Malik General Hospital Medan

Background: Presbycusis incidence is thought to have a relationship with hereditary factors, metabolism, atherosclerosis, noise and lifestyle. The presbycusis classification consists of Sensory (outer hair-cell), neural (ganglion-cell), metabolic (strial atrophy), and conductive cochlea (stiffness of the basilar membrane). Factors that influence presbycusis include age, gender, genetics, hypertension, gout, diabetes mellitus, hypercholesterolemia, noise exposure, and smoking. This study aims to determine the factors that influence presbycusis on the audiogram image at H. Adam Malik Hospital Medan. Subjects and Method: This study was an analytical study with a cross sectional design in elderly patients at the polyclinic. The study was conducted in November to December 2019. The dependent variable was the incidence of presbycusis. The independent variables were uric acid levels, blood sugar levels, smoking habits, hypercholesterolemia, and hypertension. Data were analyzed by using chi square test. Results: The prevalence of presbycusis in the 45-59 years age group was 39 people (54.2%) and the 60-74 years age group was 33 people (45.8%). In this study, it shows that male respondents are more than female respondents, where the number of men is 58 people (80.6%) and women are 14 people (19.4%). Based on presbycusis type, there were 33 (45.9%) people (normal), 18 (25%) people (strrial type), 7 (7.9%) people (neural type), 7 (7.9%) people (sensory type), 7 (7.9%) people (cochlear type). High sugar content (OR= 3.33; 95% CI= 1.81 to 6.13; p <0.001), uric acid levels (OR= 2.36; 95% CI= 1.19 to 4.70; p= 0.005), total cholesterol levels (OR= 3.33; 95% CI= 1.81 to 6.13; p <0.001), and smoking (OR= 1.90; 95% CI = 1.21 to 2.97; p= 0.016) increased the risk of presbycusis. Conclusion: High sugar levels, uric acid levels, total cholesterol levels, and smoking habits increase the risk of presbycusis

Comparative effects of Alpha Tocopherol and Ascorbic Acid on Chronic Stress Induced Neuropeptide Y Derangements

Background: Chronic stress decreases resilience of the body mainly due to hormonal imbalance. Neuropeptide Y-ergic system is abnormally regulated in chronic stress due to reduction-oxidation imbalance. The antioxidants such as alpha-tocopherol and ascorbic acid reduce this imbalance with positive effect on neuropeptide Y synthesis and release. This study was aimed to compare the protective effects of alpha-tocopherol and ascorbic acid on plasma neuropeptide Y levels in chronic stress.Material and Methods: This quasi-experimental study was done at Al-Nafees Medical College in collaboration with National Institute of Health Islamabad from January 2015 to January 2016 after taking institutional approval. Sixty male Sprague Dawley rats were obtained and divided equally into four groups; group I (control), group II (restraint stress group - chronic restraint stress six hours daily for 28 days), group III (restraint stress + alpha-tocopherol 50mg/kg body weight /day), and group IV (restraint stress + ascorbic acid 100mg /kg body weight /day). Cardiac puncture was done to obtain blood for biochemical analysis.Results: A significant decrease in plasma neuropeptide Y levels was seen in group II compared to group I, group III and group IV. However, alpha-tocopherol administration in group III showed positive effects on maintenance of plasma neuropeptide Y concentration with better p trend than that of ascorbic acid supplementation in group IV.Conclusions: Alpha-tocopherol supplementation has more potent effect than that of ascorbic acid on chronic restraint stress induced derangements in neuropeptide Y levels. It leads to less imbalance in neuropeptide Y levels during chronic stress.Key words: Ascorbic Acid, Alpha-Tocopherol, Chronic Stress, Neuropeptide

Investigating the Post-Sintering Thermal and Mechanical Treatments on the Properties of Alumina Reinforced Aluminum Nanocomposites

Alumina nanoparticles in the loading fraction of 3 wt% were incorporated in pure aluminum matrix to prepare nanocomposites for improved mechanical performance. Powder metallurgy route was adopted wherein nanoparticles were mixed with aluminium powder using dry mixing technique involving milling process, which was followed by the densification of composite mixture by uniaxial cold pressing and pressureless sintering. In order to increase the densification of nanocomposites, a batch of sintered nanocomposites was twice sintered at the same sintering parameters while another batch of specimens was cold pressed after initial sintering. The consolidated nanocomposites together with reference pure aluminum specimens were characterized microstructurally and mechanically by optical and electron microscopy, hardness and compressive strength tests. It was found that the hardness and compressive strength of nanocomposites after sintering increased up to ~ 29% and ~ 144% in comparison to pure aluminium specimens, respectively. Although the densification of nanocomposites increased after twice sintering, the hardness and compressive strength values decreased. However, the rise in consolidification along with improved mechanical performance was noted after cold pressing the specimens as secondary treatment after sintering; hardness increased up to ~ 36% while compressive strength rose to ~ 64%. In comparison to twice sintering, cold pressing after initial sintering significantly increased the hardness and compressive strength of nanocomposites up to ~ 76% and ~ 301% with reference to pure aluminum, respectively. It was found that both the incorporation of alumina nanoparticles and cold pressing after initial sintering improved the mechanical properties of nanocomposites

Outcome of Topical Epidural Methylprednisolone Versus Control in Lumbar Disc Surgery Patients

Objective:  The use of topical intraoperative methylprednisolone in lumbar disc surgery leads to significant improvement in pain relief and early resumption of daily life activities. The study determined the outcome of topical epidural methylprednisolone. Materials & Methods:  60 patients included with diagnosed cases of the herniated lumbar disc with ASA Grade 2 and below. Group A was for patients who had to receive topical methylprednisolone while group B was the control group where no topical methylprednisolone had been used. The outcome was measured from OLBI and VAS scores. Results:  In Group A, the mean hospital stay was 2 days, mean OLBI score was 35%, mean VAS score was 3, mean time to resumption of ADL was 7 days, mean dose of paracetamol (per day) was 3 mg, mean dose of Ketorolac (per day) was 90 mg. Whereas Group B, mean hospital stay was 3 days, mean OLBI score was 45%, mean VAS score was 5, mean time to resumption of ADL was 10 days, mean dose of paracetamol (per day) was 4 mg, mean dose of Ketorolac (per day) was 100 mg. In Group A, 91% of patients had a favorable outcome and 9% of patients had an unfavorable outcome. Whereas in Group B, 83% of patients had a favorable outcome and 15%of patients had an unfavorable outcome. There existed insignificant results in outcomes concerning diabetic/non-diabetic, and hypertension/non-hypertension. Conclusion:  The use of topical intraoperative methylprednisolone in lumbar disc surgery leads to significant improvement in pain relief and early resumption of daily life activities as compared to without the use of topical methylprednisolone. Keywords:  Outcome, Epidural Methylprednisolone, Lumbar Disc Surgery, OLBI (Oldenburg Burnout Inventory), ADL (Activities Of Daily Life)

The Efficacy of Surgery for Supra-Tentorial Gliomas in Preventing Seizures

Objectives:  The study examined the surgical outcome of supratentorial gliomas in terms of improvement in seizures in patients who presented to a tertiary care institution. Material and Methods:  A descriptive case series was conducted in Neurosurgery Department at Northwest General Hospital & Research, Peshawar. Patients (n = 95) with supratentorial gliomas with seizures between 18 – 70 years were included. Supratentorial gliomas were diagnosed by neuroimaging as MRI brain with contrast, diffusion-weighted, Fluid-attenuated inversion recovery, and magnetic resonance spectroscopy. The patient was observed for seizures postoperatively. Data was stratified for age and gender. Results:  The majority of patients (36.8%) were in 41 – 50 years. 55.78% of patients were males whereas 44.21% of patients were females. 42 (44.21%) involved the frontal lobe, 16 (16.84%) involved the parietal lobe, 26 (27.36%) involved the temporal lobe, and 11 (11.57%) patients involved the occipital lobe. According to Engel’s classification, 53 patients were in class I, 16 in class II, 10 in class III, and 5 in class IV. 84 (88.42%) experienced post-op seizure reduction. An insignificant association was found with the seizure improvement (yes/no) with different age groups and gender. Conclusion:  The frontal lobe was the most prevalent location for supratentorial gliomas. After surgery, a large proportion of patients improved in terms of seizure management. Keywords:  Seizures, Supratentorial gliomas

Experimental Study On The Effect Of Intake Air Temperature On The Performance Of Spark Ignition Engine Fueled With Hydrogen Peroxide

The aim of this experiment is to investigate the effect of intake air temperature on the performance of gasoline engine fueled with alternative fuel.The alternative fuel that has been chosen is hydrogen peroxide and it will be blended with gasoline.Some of the characteristics of hydrogen peroxide are it portrays as a strong oxidizing agent however,it is a weak acid when immerse in water.The process of the mixture will be using a device called magnetic stirrer.The specimen used for the test is 5 vol% of hydrogen peroxide + 95 vol% gasoline and 10 vol% hydrogen peroxide + 90 vol% gasoline.Experiment was conducted by using generator engine Precision GX420 single cylinder with 4 strokes.The temperatures chosen for the whole test were 40 °C and 60 °C respectively.The temperatures were controlled by hot air gun where it will be attached at inlet of the engine.Pressure sensor and crank sensor have been installed on the engine to determine pressure,volume and crank angle.The data obtained was recorded and shown in DEWESOFT data acquisition system

RDSP: Rapidly Deployable Wireless Ad Hoc System for Post-Disaster Management

In post-disaster scenarios, such as after floods, earthquakes, and in war zones, the cellular communication infrastructure may be destroyed or seriously disrupted. In such emergency scenarios, it becomes very important for first aid responders to communicate with other rescue teams in order to provide feedback to both the central office and the disaster survivors. To address this issue, rapidly deployable systems are required to re-establish connectivity and assist users and first responders in the region of incident. In this work, we describe the design, implementation, and evaluation of a rapidly deployable system for first response applications in post-disaster situations, named RDSP. The proposed system helps early rescue responders and victims by sharing their location information to remotely located servers by utilizing a novel routing scheme. This novel routing scheme consists of the Dynamic ID Assignment (DIA) algorithm and the Minimum Maximum Neighbor (MMN) algorithm. The DIA algorithm is used by relay devices to dynamically select their IDs on the basis of all the available IDs of networks. Whereas, the MMN algorithm is used by the client and relay devices to dynamically select their next neighbor relays for the transmission of messages. The RDSP contains three devices; the client device sends the victim's location information to the server, the relay device relays information between client and server device, the server device receives messages from the client device to alert the rescue team. We deployed and evaluated our system in the outdoor environment of the university campus. The experimental results show that the RDSP system reduces the message delivery delay and improves the message delivery ratio with lower communication overhead.Comment: 23 pages, 12 figures, accepted for publication in Sensors 202