Evaluasi Kinerja Dosen Menggunakan Metode Extend Analysis pada Fuzzy Analytic Hierarchy Process (FAHP) (Studi kasus pada Politeknik Negeri Nusa Utara)

Dosen merupakan salah satu unsur penting dalam menunjang mutu pendidikan sebuah perguruan tinggi sehingga peningkatan kualitas kerja dosen secara langsung ataupun tidak langsung dapat mempengaruhi peningkatan kualitas lulusan. Karena pentingnya posisi dosen dalam suatu perguruan tinggi sehingga perlu adanya evaluasi untuk mempertahankan ataupun meningkatkan standar mutu dosen melalui suatu kajian evaluasi kinerja dari setiap dosen. Kinerja dosen seperti termuat dalam Tri Darma perguruan tinggi yang terdiri dari pendidikan dan pengajaran, penelitian, pengabdian pada masyarakat dan lainnya. Tujuan penelitian ini adalah untuk melakukan evaluasi kinerja dosen yang dititikberatkanpada kriteria pendidikan dan pengajaran dengan memfokuskan pada opini dari mahasiswa sebagai pelaku yang bersinggungan langsung dengan dosen. Kategori ini terdiri dari kriteria pedagogik, kepribadian, sosial dan profesional yang masing-masing memiliki sub-attribute sesuai dengan karakteristik masingmasing. Metode Extend Analysis digunakan pada Fuzzy-Analytical hierarchy process (F-AHP), dimana metode ini dapat menentukan tingkat kekaburan dari sebuah data secara akurat yang dapat memberikan proses perangkingan dengan tepat. Terdapat sepuluh partisipan (mahasiswa) yang melakukan pengisian data kuisioner secara serentak dan terdapat lima dosen yang memberikan opini menyangkut tingkat kepentingan untuk kriteria dan sub-attribute, serta lima dosen yang akan dievaluasi untuk mendapatkan perangkingan. Sistem dikembangkan menggunakan framework Qt/C++ dengan IDE QtCreator serta menggunakan teknik parallel programming dengan QThread untuk menjaga kestabilan thread utama dari sistem. Berdasarkan pengujian yang dilakukan hasil perangkingan secara berurutan adalah GL, ST, AT, CKdan AP dengan rata-rata nilai secara berurutan adalah 0.256373, 0.214040, 0.190877, 0.177651 dan 0.161058, dengan kecepatan waktu proses sebesar ± 33 detik 58 milisecond. Kesimpulannya, sistem yang telah dibuat dapat digunakan untuk mengevaluasi kinerja dosen dengan jumlah sub-attribute yang relatif banyak dengan waktu pemrosessan yang relatif cepat

Serum Metabolome and Lipidome Changes in Adult Patients with Primary Dengue Infection

10.1371/journal.pntd.0002373PLoS Neglected Tropical Diseases78

Epstein-Barr virus: clinical and epidemiological revisits and genetic basis of oncogenesis

Epstein-Barr virus (EBV) is classified as a member in the order herpesvirales, family herpesviridae, subfamily gammaherpesvirinae and the genus lymphocytovirus. The virus is an exclusively human pathogen and thus also termed as human herpesvirus 4 (HHV4). It was the first oncogenic virus recognized and has been incriminated in the causation of tumors of both lymphatic and epithelial nature. It was reported in some previous studies that 95% of the population worldwide are serologically positive to the virus. Clinically, EBV primary infection is almost silent, persisting as a life-long asymptomatic latent infection in B cells although it may be responsible for a transient clinical syndrome called infectious mononucleosis. Following reactivation of the virus from latency due to immunocompromised status, EBV was found to be associated with several tumors. EBV linked to oncogenesis as detected in lymphoid tumors such as Burkitt's lymphoma (BL), Hodgkin's disease (HD), post-transplant lymphoproliferative disorders (PTLD) and T-cell lymphomas (e.g. Peripheral T-cell lymphomas; PTCL and Anaplastic large cell lymphomas; ALCL). It is also linked to epithelial tumors such as nasopharyngeal carcinoma (NPC), gastric carcinomas and oral hairy leukoplakia (OHL). In vitro, EBV many studies have demonstrated its ability to transform B cells into lymphoblastoid cell lines (LCLs). Despite these malignancies showing different clinical and epidemiological patterns when studied, genetic studies have suggested that these EBV- associated transformations were characterized generally by low level of virus gene expression with only the latent virus proteins (LVPs) upregulated in both tumors and LCLs. In this review, we summarize some clinical and epidemiological features of EBV- associated tumors. We also discuss how EBV latent genes may lead to oncogenesis in the different clinical malignancie

Enhanced Recovery After Surgery (ERAS) Protocols In General Surgery: A Review Of Implementation And Outcomes

ERAS is a group of protocols that aim at affecting positively patients & surrounding lives. surgeons, nurses, physiotherapists, anesthetists, and even healthcare centers hospitals, labs, and pharmacies. Reducing the cost for both hospitals &patients, decreasing the duration of residency in hospitals, and improving patient compliance, developing performance & increasing teamwork between medical staff and patients all fall under the advantages of ERAS. Since it affects the 3 stages of any operation (preoperative-intraoperative-perioperative) it was necessary to implement a suitable protocol for each patient to achieve the best results mostly quitting smoking, fasting for a period before surgery, maintaining body temperature, pressure, and glucose level and the postoperative instructions , care & nutrition to guarantee success and avoidance to recurrence or complications

Effect of Periodontal Treatment on Glycemic Control of Diabetic Patients: A systematic review and meta-analysis

OBJECTIVE There is growing evidence that periodontitis may affect general health. This study was assigned to explore the robustness of observations that periodontal therapy leads to the improvement of glycemic control in diabetic patients. RESEARCH DESIGN AND METHODS A literature search (until March 2009) was carried out using two databases (MEDLINE and the Cochrane Library) with language restriction to English. Selection of publications was based on 1) original investigations, 2) controlled periodontal intervention studies where the diabetic control group received no periodontal treatment, and 3) study duration of ≥3 months. RESULTS Screening of the initial 639 identified studies and reference checking resulted in five suitable articles. A total of 371 patients were included in this analysis with periodontitis as predictor and the actual absolute change in A1C (ΔA1C) as the outcome. The duration of follow-up was 3-9 months. All studies described a research population of type 2 diabetic patients in whom glycemic control improved after periodontal therapy compared with the control group (range ΔA1C: Δ−1.17 up to Δ−0.05%). The studies in a meta-analysis demonstrated a weighted mean difference of ΔA1C before and after therapy of −0.40% (95% CI −0.77 to −0.04%, P = 0.03) favoring periodontal intervention in type 2 diabetic patients. Nevertheless, this improvement in %A1C must be interpreted with care due to limited robustness as evidenced by heterogeneity among studies (59.5%, P = 0.04). CONCLUSIONS The present meta-analysis suggests that periodontal treatment leads to an improvement of glycemic control in type 2 diabetic patients for at least 3 months

Multidecadal Analysis of Beach Loss at the Major Offshore Sea Turtle Nesting Islands in the Northern Arabian Gulf

Undocumented historical losses of sea turtle nesting beaches worldwide could overestimate the successes of conservation measures and misrepresent the actual status of the sea turtle population. In addition, the suitability of many sea turtle nesting sites continues to decline even without in-depth scientific studies of the extent of losses and impacts to the population. In this study, multidecadal changes in the outlines and area of Jana and Karan islands, major sea turtle nesting sites in the Arabian Gulf, were compared using available Kodak aerographic images, USGS EROS Declassified satellite imagery, and ESRI satellite images. A decrease of 5.1% and 1.7% of the area of Jana and Karan islands, respectively, were observed between 1965 and 2017. This translated to 14,146 m2 of beach loss at Jana Is. and 16,376 m2 of beach loss at Karan Is. There was an increase of island extent for Karan Is. from 1965 to 1968 by 9098 m2 but comparing 2017 with 1968, Karan Is. lost as much as 25,474 m2 or 2.6% of the island extent in 1968. The decrease in island aerial extent was attributed to loss of beach sand. The southern tips of the island lost the most significant amount of sand. There was also thinning of beach sand along the middle and northern sections that exposed the rock outcrops underneath the beach. The process of beach changes of both islands was tracked by the satellite imagery from Landsat 1,3,5,7 and Sentinel-2 during 1972 to 2020. Other factors including the distribution of beach slope, sea level changes, as well as wind & current from both northward and eastward components were analyzed to show its impact on the beach changes. The loss of beach sand could potentially impact the quality and availability of nesting beach for sea turtles utilizing the islands as main nesting grounds. Drivers of beach loss at the offshore islands are discussed in the context of sea level rise, dust storms, extreme wave heights and island desertification

The Importance of Preventive Medicine in Family Practice: A Review of Current Guidelines and Recommendations

Prevention is seen as a critical topic in family practice. Primordial prevention, primary prevention, secondary prevention, tertiary prevention, and quaternary prevention are all part of this strategy to disease prevention. To avoid the formation and development of risk factors, primary prevention focuses on addressing the fundamental causes and social determinants of disease. Primary prevention is the practice of preventing illnesses before they arise via the use of treatments such as immunizations and health education. Secondary prevention focuses on illness identification and intervention as early as possible to avoid disease development. Tertiary prevention addresses illness outcomes by restoring health and offering rehabilitation. Finally, quaternary prevention seeks to safeguard patients against needless medical treatments and the harm caused by over-medicating. Risks frequently rise in tandem with frailty and comorbidities. In contrast, advantages frequently drop as life expectancy increases. Preventive management strategies should consider the patient's viewpoint and be mutually agreed upon. Healthcare providers must prioritize the deployment of preventive care services, even when clinical treatments are required, in order to overcome preventive care hurdles. Healthcare practitioners may play a critical role in illness prevention and contribute to family well-being by investing in preventive care and executing these measures

The genetic architecture of Parkinson’s disease in the AfrAbia population: current state and future perspectives

Over 80% of genetic studies in the Parkinson’s disease (PD) field have been conducted on individuals of European descent. There is a social and scientific imperative to understand the genetic basis of PD across global populations for therapeutic development and deployment. PD etiology is impacted by genetic and environmental factors that are variable by ancestry and region, emphasising the need for worldwide programs to gather large numbers of patients to identify novel candidate genes and risk loci involved in disease. Only a handful of documented genetic assessments have investigated families with PD in AfrAbia, which comprises the member nations of the Arab League and the African Union, with very limited cohort and case-control studies reported. This review article summarises prior research on PD genetics in AfrAbia, highlighting gaps and challenges. We discuss the etiological risk spectrum in the context of historical interactions, highlighting allele frequencies, penetrance, and the clinical manifestations of known genetic variants in the AfrAbian PD patient community

Inhibition of TXNIP expression in vivo blocks early pathologies of diabetic retinopathy

Evidence is mounting that proinflammatory and proapoptotic thioredoxin-interacting protein (TXNIP) has a causative role in the development of diabetes. However, there are no studies investigating the role of TXNIP in diabetic retinopathy (DR). Here, we show that, in diabetic rats, TXNIP expression and hexosamine biosynthesis pathway (HBP) flux, which regulates TXNIP, are elevated in the retina and correlates well with the induction of inflammatory cyclooxygenase 2 (Cox-2) and sclerotic fibronectin (FN). We blocked the expression of TXNIP in diabetic rat retinas by: (i) inhibiting HBP flux; (ii) inducing post-transcriptional gene silencing (PTGS) for TXNIP mRNA; and (iii) performing an in vivo transcriptional gene silencing (TGS) approach for TXNIP knockdown by promoter-targeted small interfering RNAs and cell-penetrating peptides as RNA interference (RNAi) transducers. Each of these methods is efficient in downregulating TXNIP expression, resulting in blockade of its target genes, Cox-2 and FN, demonstrating that TXNIP has a causative role in aberrant gene induction in early DR. RNAi TGS of TXNIP abolishes diabetes-induced retinal gliosis and ganglion injury. Thus, TXNIP has a critical role in inflammation and retinal injury in early stages of DR. The successful employment of TXNIP TGS and amelioration of its pathological effects open the way for novel therapeutic strategies aimed to block disease onset and progression of DR

Survey of CT radiation doses and iodinated contrast medium administration: an international multicentric study

ObjectiveTo assess the relationship between intravenous iodinated contrast media (ICM) administration usage and radiation doses for contrast-enhanced (CE) CT of head, chest, and abdomen-pelvis (AP) in international, multicenter settings. MethodsOur international (n = 16 countries), multicenter (n = 43 sites), and cross-sectional (ConRad) study had two parts. Part 1: Redcap survey with questions on information related to CT and ICM manufacturer/brand and respective protocols. Part 2: Information on 3,258 patients (18-96 years; M:F 1654:1604) who underwent CECT for a routine head (n = 456), chest (n = 528), AP (n = 599), head CT angiography (n = 539), pulmonary embolism (n = 599), and liver CT examinations (n = 537) at 43 sites across five continents. The following information was recorded: hospital name, patient age, gender, body mass index [BMI], clinical indications, scan parameters (number of scan phases, kV), IV-contrast information (concentration, volume, flow rate, and delay), and dose indices (CTDIvol and DLP). ResultsMost routine chest (58.4%) and AP (68.7%) CECT exams were performed with 2-4 scan phases with fixed scan delay (chest 71.4%; AP 79.8%, liver CECT 50.7%) following ICM administration. Most sites did not change kV across different patients and scan phases; most CECT protocols were performed at 120-140 kV (83%, 1979/2685). There were no significant differences between radiation doses for non-contrast (CTDIvol 24 [16-30] mGy; DLP 633 [414-702] mGycm) and post-contrast phases (22 [19-27] mGy; 648 [392-694] mGycm) (p = 0.142). Sites that used bolus tracking for chest and AP CECT had lower CTDIvol than sites with fixed scan delays (p < 0.001). There was no correlation between BMI and CTDIvol (r2 <= - 0.1 to 0.1, p = 0.931). ConclusionOur study demonstrates up to ten-fold variability in ICM injection protocols and radiation doses across different CT protocols. The study emphasizes the need for optimizing CT scanning and contrast protocols to reduce unnecessary contrast and radiation exposure to patients. Clinical relevance statementThe wide variability and lack of standardization of ICM media and radiation doses in CT protocols suggest the need for education and optimization of contrast usage and scan factors for optimizing image quality in CECT