DUKUNGAN SOSIAL PADA PENDERITA HIV/AIDS ATAU ODHA

Permasalahan sosial di Indonesia semakin hari semakain meningkat. Permasalahan sosial yang berhubungan dengan perilaku dan kesehatan seperti HIV dan AIDS menjadi suatu hal yang sebaiknya mendapatkan penanganan serius. AIDS merupakan singkatan dari Acquired Immune Deficiency Syndrome yaitu suatu kumpulan gejala yang ditimbulkan oleh virus kekebalan tubuh manusia. Virus tersebut dinamakan HIV (Human Immunodeficiency Virus). Perlu adanya dukungan sosial untuk meningkatkan rasa percaya diri dan untuk mengembangkan kualitas hidup Odha. Seperti yang didefinisikan oleh Sarafino bahwa ukungan sosial adalah kenyamanan, perhatian, penghargaan, maupun bantuan dalam bentuk lainnya yang diterimanya individu dari orang lain ataupun dari kelompok. Berdasarkan hasil observasi dan wawancara dengan salah satu subjek penderita Odha bahwa dukungan keluarga, teman sebaya, dan lingkungan sangat membatu kelancaran aktivitasnya sehari-hari. Adanya dukungan keluarga terutama yang membangkitkan kembali mental individu dalam menghadapi kehidupan, dukungan lingkungan yang memberikan tempat untuk bersosialisasi membuat individu bersemngat lagi. Kata Kunci: dukungan sosial, HIV, AIDS, ODH

Design of Finite-Length Irregular Protograph Codes with Low Error Floors over the Binary-Input AWGN Channel Using Cyclic Liftings

We propose a technique to design finite-length irregular low-density parity-check (LDPC) codes over the binary-input additive white Gaussian noise (AWGN) channel with good performance in both the waterfall and the error floor region. The design process starts from a protograph which embodies a desirable degree distribution. This protograph is then lifted cyclically to a certain block length of interest. The lift is designed carefully to satisfy a certain approximate cycle extrinsic message degree (ACE) spectrum. The target ACE spectrum is one with extremal properties, implying a good error floor performance for the designed code. The proposed construction results in quasi-cyclic codes which are attractive in practice due to simple encoder and decoder implementation. Simulation results are provided to demonstrate the effectiveness of the proposed construction in comparison with similar existing constructions.Comment: Submitted to IEEE Trans. Communication

Lowering the Error Floor of LDPC Codes Using Cyclic Liftings

Cyclic liftings are proposed to lower the error floor of low-density parity-check (LDPC) codes. The liftings are designed to eliminate dominant trapping sets of the base code by removing the short cycles which form the trapping sets. We derive a necessary and sufficient condition for the cyclic permutations assigned to the edges of a cycle $c$ of length $\ell(c)$ in the base graph such that the inverse image of $c$ in the lifted graph consists of only cycles of length strictly larger than $\ell(c)$. The proposed method is universal in the sense that it can be applied to any LDPC code over any channel and for any iterative decoding algorithm. It also preserves important properties of the base code such as degree distributions, encoder and decoder structure, and in some cases, the code rate. The proposed method is applied to both structured and random codes over the binary symmetric channel (BSC). The error floor improves consistently by increasing the lifting degree, and the results show significant improvements in the error floor compared to the base code, a random code of the same degree distribution and block length, and a random lifting of the same degree. Similar improvements are also observed when the codes designed for the BSC are applied to the additive white Gaussian noise (AWGN) channel

Improved Energy Detector for Wideband Spectrum Sensing in Cognitive Radio Networks

In this paper, an improved energy detector for a wideband spectrum sensing is proposed. For a better detection of the spectrum holes the overall band is divided into equal non-overlapping sub-bands. The main objective is to determine the detection thresholds for each of these subbands jointly. By defining the problem as an optimization problem, we aim to find the maximum aggregated opportunistic throughput of cognitive radio networks. Introducing practical constraints to this optimization problem will change the problem into a convex and solvable one. The results of this paper show that the proposed improved energy detector will increase the aggregated throughput considerably

Design and Testing Novel Wearable Instrumentation for Assessing Pelvic Floor Function and Exploring Continence Mechanisms

Urinary incontinence (UI) and fecal incontinence (FI) affect 20% of North Americans, with a higher prevalence in women and the elderly. The prevention and treatment of these conditions unfortunately leaves much to be desired, despite the $88B and$49B annual U.S. costs associated with managing UI and FI, respectively. Recent research suggests that the major problem lies with the sphincters themselves, rather than other structures. More needs to be learned about how age, injury and disease affect these sphincters. The literature is reviewed in Chapter 1, knowledge gaps are identified and testable hypotheses formulated. In Chapter 2, we describe the first subject-specific, 3-D, biomechanics model of the urethra capable of contracting the three individual muscle layers along their lines of action. This was developed to better understand how the different layers contribute to urethral closure during activities of daily living. Exploratory studies of the vascular plexus suggest a role in affecting functional urethral length. While this model helps one to understand which muscles contribute to continence, it could not provide insights into the amount of urine leaked which, after all, is what bothers women the most. In Chapter 3, we describe a novel approach for quantifying urine leakage both in and out of the clinic. While one can presently obtain micturition flowmetry in the seated posture in the clinic, this precludes the possibility of any information being gathered on leakage during activities of daily living (ADL). Instead, a patient must keep a leakage diary for several days, which unfortunately is prone to recall bias and other errors. Therefore, a novel wearable personal uroflowmeter (PUF) was invented and developed to attach over the urethral meatus in women to collect urine flow rate and leakage data during ADL leakage episodes. This was connected with a waist-mounted inertial measurement unit (IMU) to provide data on the pose and ADL associated with the volume of each leakage episode. Chapter 4 describes the first-in-human testing of the PUF in women in and outside the clinic, demonstrating the feasibility of wearable uroflowmetry. Moreover, theoretical studies of labia majora coaptation suggest that the labia can inadvertently form a potential reservoir for urine leakage during a sneeze or cough. This insight will help eliminate the confusion over the relationship between the ADL causing the passage of urine through the urethra (i.e., a cough) and that which later causes urine to leak from the labial reservoir (i.e., rising from a chair). A few incidents of this phenomenon were measured for the first time while testing the PUF in women. In terms of anorectal function, Chapter 5 reports the design and development of a disposable point-of-service instrumented anorectal manometry glove (“digital manometry”, DM) for testing anal sphincter and anorectal function at an order of magnitude lower cost than the standard high resolution anorectal manometry (HR-ARM). Chapter 6 reports first-in-human testing of the DM device in patients with and without FI and chronic constipation. Comparisons of the DM and HR-ARM results show reasonable agreement. In addition, the DM also provided myoelectric information useful for identifying paradoxical contraction of the anorectal muscle in patients with dyssynergic defecation. In summary, the dissertation provides novel and inexpensive approaches for a clinician or researcher to better document and understand incontinence.PHDMechanical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/163121/1/attari_1.pd

Mercury Removal from Aqueous Solution Using Natural, Synthetic, and Modified Zeolites

Mercury has been recognized as one of the most hazardous heavy metals. The discharge of effluents containing mercury in soil, sediments and water can inflict an irreversible harm to the environment and human health. In this work, zeolitized coal fly ash as well as gold and gold-iron modified zeolites were successfully employed for mercury removal from a typical industrial wastewater. X-ray diffraction (XRD), thermo-gravimetrical analyses (TGA), surface area measurement (BET), and scanning electron microscopy (SEM-EDX) were utilized to explore the characteristics of the raw and modified zeolites. A pseudo-second-order kinetic model was identified to best represent the kinetic data for mercury adsorption on all examined adsorbents. The adsorption mechanism of mercury on examined zeolite was found to be a multi steps process and the rate-limiting step was mainly surface adsorption.The isothermal adsorption data conformed to the Langmuir and the Freundlich models. Base on kinetic and isothermal results, both chemisorption and physisorption were effective during adsorption process