PENERAPAN PEMBANGKIT TENAGA SURYA PADA OBJEK WISATA KAMPUNG SAWAH GUNA MENGURANGI BIAYA PEMBELIAN ENERGI LISTRIK

This community service program aims to implement a Solar Power Plant (PLTS) to provide electrical energy in tourist areas called rice field tourism, in order to reduce the cost of purchasing electrical energy for managers. Besides, it is also a means of education for visitors to introduce green energy in the future. The design of PLTS is adjusted to the requirements of the load that will be served at the tourist attraction. Before carrying out development, the Team first conducted outreach to local residents to introduce technology in rural areas. After the rotating program for managing tourism objects, in this case BUMDes Johar Mandiri, was given training in the operation, maintenance / maintenance of the solar power generation system, so that after the program it was able to solve the troubleshooting that occurred both in the generation system, control and distribution system. The resulting capacity of the Solar Power Plant in this Sawah Tour is 3500 WP which is used to meet all lighting needs. With this program, managers can reduce costs by Rp. 3,000,000 / month for electricity needs

PENINGKATAN PRODUKTIVITAS UMKM DI DESA PEMATANG JOHAR MELALUI PENERAPAN TEKNOLOGI OTOMATIS

Desa Pematang Johar merupakan wilayah yang cukup berkembang di Kabupaten deli Serdang. Masyarakatnya yang majemuk menjadikan desa ini mampu mengembangkan potensi dari berbagai bidang, baik pertanian, industri kreatif serta UMKM yang bergerak dalam bidang makanan ringan berupa keripik singkong, keripik tempe dan bakery. Para pelaku UMKM tersebut mayoritas terkendala kurangnya alat pendukung produksi karena masih menggunkan yang manual. Berkaitan dengan hal tersebut maka fokus pelaksanaan program Pengembangan Desa Mitra (PPDM) pada tahun ke 3 ini adalah mengembangkan UMKM yang ada di Desa Pematang Johar. Guna meningkatkan produktivitas usaha, maka Tim bersama mahasiswa merancang kebutuhan peralatan produksi berupa mesin perajang singkong otomatis berikut renovasi tungku serta ruang produksi, perajang tempe otomatis, mixer otomatis kapasitas 35 Ltr serta oven otomatis berukuran 130 x 60 x70 cm dengan bahan bakar Gas. Berdasarkan informasi dari para pelaku UMKM pasca program dilaksanakan terjadi peningkatan produksi sebesar 250 % untuk setiap produk. Hal ini menunjukkan pendapatan para pelaku UMKM juga mengalami peningkatan secara signifikan.

Outcome of radiologically placed tunneled haemodialysis catheters

Objective: To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure.STUDY Design: Case series.PLACE AND DURATION OF STUDY: Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011.METHODOLOGY: All consecutive patients who were referred to the department of radiology by the nephrologists for double lumen tunneled haemodialysis catheter (Permacath) placement during the study period were included. Patients with septicemia, those for whom follow-up was not available, those coming for catheter exchange or who died due to a noncatheter related condition were excluded. A radio-opaque, soft silicone double lumen catheter was inserted through a subcutaneous tunnel created over the anterior chest wall. The catheter tip was placed in the right atrium via the internal jugular vein. Ultrasound guidance was used for initial venous puncture. The rest of the procedure was carried out under fluoroscopic guidance. Technical success, catheter related bacteremia rates, adequacy of dialysis, patency, and adverse events were analyzed.Results: Overall 88 tunneled haemodialysis catheters were placed in 87 patients. Patients were followed-up for duration of 1 - 307 days with mean follow-up period of 4 months. Immediate technical success was 100%. The procedural complication rate was 5.6% (5 catheters). Eight patients died during the study period, seven from causes unrelated to the procedure. One patient died due to septicemia secondary to catheter related infection. Of the remaining 69 patients, 50 (72.4%) predominantly had uneventful course during the study period. Twelve patients developed infection (17.3%); two were successfully treated conservatively while in 10 patients catheter had to be removed. Seven catheters (10.1%) failed due to mechanical problems. In 3 patients the internal jugular veins got partially thrombosed. One catheter was accidentally damaged in the ward and had to be removed.CONCLUSION: Radiological guided tunneled haemodialysis catheter placements are a safe and reasonable means of providing temporary vascular access for haemodialysis patients

Percutaneous management of biliary enteric anastomotic strictures: an institutional review

Purpose Stricture formation at the biliary enteric anastomotic site is a common complication due to fibrotic healing. Few therapeutic options are available for biliary-enteric anastomotic site stricture (BES) including new surgical reconstruction or percutaneous transhepatic biliary drainage followed by balloon dilation of BES or stent placement. The purpose of this study is to assess the technical success, complications and reintervention rate of percutaneous transhepatic balloon dilatation (PTBD) of BES after iatrogenic bile duct injuries (BDI). Methods A retrospective review of patients who underwent PTBD for benign resistant BES, previously treated for iatrogenic BDI, from December 2004 to January 2016 was performed. Diagnostic transhepatic cholangiogram was performed to assess the level of obstruction. BES was dilated using 8-12 mm diameter balloons followed by placement of eight to ten Fr internal-external drainage catheters, which were removed after three to six weeks post-PTBD cholangiogram. Follow-up by clinical assessment, liver function tests, and ultrasound was done. Fischer exact test was used to determine if there was a significant association between PTBD sessions and recurrent strictures. Results In total, 37 patients underwent 66 sessions of PTBD, including 10 (27%) males and 27 (73%) females. The mean age was 41.3 years (range 23-70 years). Out of these, 29 (78%) were treated with choledochojejunostomy and eight (22%) with hepaticojejunostomy. 100% technical success was achieved in all the PTBD sessions. Nineteen (51.3%) patients were treated with a single PTBD session. Mean follow-up time was 36 months (range 1-75 months). Eighteen (48.7%) patients needed reintervention, out of these, 11 (29.7%) were symptom-free after second session on three-year follow-up, three (8%) were symptom-free after the third session of PTBD. No significant difference was observed in risk of recurrent strictures after first and second PTBD sessions [18 (48%) vs. 7 (39%); p-value 0.495]. In four (11%) patients, the symptoms persisted and BES recurred even after third session and those were treated by placing metallic stent. In total, three (8.1%) patients got complicated with the stone formation; in two (5%) patients stone was successfully removed percutaneously and in one (3%) patient percutaneous attempt failed so it was followed by surgical removal. Conclusion PTBD is a safe and useful treatment option for benign BES for long-term symptom-free time-period. However, there is no significant difference in developing recurrent BES after PTBD sessions. Few patients with resistant strictures might require stent placement

PENDAMPINGAN DAN PENGEMBANGAN KERAJINAN ANYAM KHAS MELAYU PESISIR DI PANTAI CERMIN PROPINSI SUMATERA UTARA

Tujuan Program pengabdian ini adalah pengabdi membantu usaha kelompok pengerajin Anyaman dan Aksesoris Khas Melayu Pesisir Pantai cermin dalam meningkatkan Pengetahuan dan Keterampilan Kelompok dapat mengembangkan usaha dan dapt mensejahterakan anggota. Selain itu meningkatkan kualitas dan kuantitas produk serta variasi produk tanpa menghilangkan ke khasan produk budaya pesisir pantai cermin. Dan yang tidak kalah penting pemasaran yang sangat terbatas pada konsep tradisional tak banyak dapat mendongkrak penghasilan dan perkembangan usaha meraka. Kedua kelompok ini saling membahu dalam mengerjakan orderan yang ada pada masing-masing kelompoknya. Metode yang dilakukan dalam mewujudkan hal tersebut diatas tim menyusun program dalam bentuk transfer ilmu dan pendampingan yang berkelanjutan. target Pertama di targetkan dalam program yaitu: praktik, pelatihan dan pendampingan peningkatan kualitas mutu produk menjadi disertai sistem pembukuan dan penggunaan TTG nya. Sedangkan Kedua mulai didaftarkan merek serta pemasaran online dan pendampingan manajemen usaha. Selanjutnya di ke-Tiga mulai membangun kerjasama dengan pemerintah dan swasta untuk persiapan produk menjdi ikon unggulan daerah serta penguata pada bidang koperasi dan BUMDES. Kegiatan ini direncanakan dilakukan dengan pendekatan Metode Pelatihan, Pendampingan pendidikan, penyuluhan, pelatihan produksi, pelatihan manajemen usaha dan rancang bangun alat

PENINGKATAN EKOMONI MASYARAKAT DESA PEMATANG JOHAR MELALUI USAHA BATIK SAWAH

Salah satu daerah lumbung padi di Kabupaten Deli Serdang adalah Desa Pematang Johar. Desa  ini memiliki populasi penduduk 16000 jiwa/4000 KK yang tersebar pada 9 dusun, terletak ± 25 km di sisi timur  Kota Medan. Desa ini sangat strategis mengingat jaraknya yang cukup dekat dengan Ibu Kota Provinsi Sumatera Utara. Hasil wawancara dengan Kepala Desa Pematang Johar bapak Sudarman, S.Pd diketahui bahwa luas area persawahan di daerah ini ± 2500 Ha, sehingga mampu menyadiakan pemandangan hamparan sawah sejauh mata memandang. Potensi tersebut menjadi inspirasi dalam pengembangan batik sawah yang digagas oleh seorang wirausaha muda yang sudah menekuni batik selama 8 tahun, namu memiliki keterbatasan peralatan. Berdasarkan hal tersebut, pelaksanaan Program Pengembangan Desa Mitra ini di fokuskan pada pengembangann home industri batik pada 3 dusun di Pematang Johar. Ada 3 hal penting yang dilakukan: 1) melakukan pelatihan untuk pemuala sebanyak 20 orang dan nenengah 30 orang, 2) pemberian peralatan produksi, 3) pendampingan dalam manajemen. Dari hasil evaluasi yang dilakukan oleh tim bersama mitra terjadi peningkatan produksi sebesar 300 % setelah program dilaksanakan. Walaupun kondisi pandemi, sehingga mampu menambah pendapatan para pembatik dari 1,5 juta/bln menjadi 4-5 juta/bln

Trans-Arterial Chemoembolization for the Treatment of Hepatocellular Carcinoma: A Single Tertiary Care Institute Experience

Introduction: Trans-arterial chemoembolization (TACE) is a mainstay therapeutic option indicated in early-stage non- resectable hepatocellular carcinoma (HCC) and has been shown to be associated with survival improvements. This study aimed to evaluate the radiological and clinical response of those who underwent TACE. Aims & Objectives: We aimed to evaluate the radiological and clinical response in patients who underwent Trans- arterial chemoembolization. Place and Duration of Study: This study was conducted in the Vascular Interventional Radiology Department, Dow Institute of Radiology, Dow University of Health Sciences, Ojha Campus Karachi for a period of 18 months between January 2021 and June 2022. Material & Methods: HCC patients (n=181) who underwent TACE as their primary treatment at Dow Hospital Ojha Campus Karachi between January 1st, 2021, and June 30th, 2022 were included. Inclusion criteria followed the Barcelona Clinic Liver Cancer (BCLC) and Child-Pugh staging systems. Tumor response was evaluated using “modified Response Evaluation Criteria in Solid Tumors (mRECIST)”, and patients were categorized into complete response (CR) or partial response (PR) groups. The study compared background, clinico-laboratory, and radiological features between these groups, including HCC sizes and CT scan findings before and after TACE. The retrieved data was entered and analyzed using SPSS version.21. Results: Of the total 118 patients, 51.70% showed CR to the TACE, while PR was noted in 48.30%. Age, sex, viral hepatitis, and co-morbids showed no intergroup differences. However, Child-Pugh stage and BCLC were significantly associated with tumor response. Similarly, laboratory parameters revealed significant mean differences between the two groups (p<0.001), except international normalized ratio and alanine transaminase. Those who had achieved CR had a mean number of tumor less than that of PR. Similarly, tumor size significantly decreased post-TACE (p<0.0001). Moreover, arterial-phase enhancement and portal venous and delayed phases washout tumors before TACE were reported in 76.30%. Over half of the patients had no residual tumor tissue after TACE. Tumors with arterial-phase enhancement and portal venous and delayed phases washout were highly susceptible to TACE.Furthermore, Child-Pugh classA had a greater estimated mean survival than class B (p<0.001). Conclusion: Over half of the patients showed complete response to the TACE. BCLC staging (B), Child-Pugh (stage A), and small tumors had a favourable effect on the radiological and clinical response in the early-stages of HCC. Tumors with an arterial-phase enhancement and portal venous and delayed phases washout were more susceptible to TACE