Konsep Green Building pada Bangunan Kantor (Studi Kasus : Spasio Office,Surabaya)

Surabaya merupakan kota yang ditunjuk oleh pemerintah pusat sebagai kota percontohan dalam menggalakkan konsep kota hijau & telah mendapatkan penghargaan pada Indonesia Green Awards 2016. Salah satu bangunan bertingkat di Surabaya yang sedang menggalakkan konsep green building adalah Spazio. Spazio adalah bangunan dengan fungsi perkantoran, berlokasi di Jalan Mayjend Yono Soewoyo Kav. 3, Graha Famili Surabaya, Indonesia. Adanya evaluasi serta kajian berkaitan dengan penerapan konsep bangunan hijau, bertujuan agar tema green ini tidak hanya dijadikan sebagai label dari bangunan saja namun terdapat wujud nyata yang diterapkan. Selain itu diperlukan analisa penerapan green building yang telah sesuai dengan Green Building Council Indonesia (GBCI). Penelitian ini menggunakan metode analisis kualitatif dengan pendekatan metode deskriptif analisis dan evaluatif. Metode evaluatif digunakan untuk mengevaluasi kondisi eksisting pada Spazio dengan menganalisa penerapan konsep hijau pada Spazio Office, yang berpedoman pada greenship Existing Building versi 1.1, dari GBCI. Hasil penelitian menunjukkan bahwa objek studi tergolong dalam bangunan hijau dengan peringkat Silver, dengan perolehan poin sebesar 53 poin dari 117 poin. Setelah ditambahkan rekomendasi baik arsitektural dan non arsitektural pada Gedung Spazio, berhasil mendapatkan peringkat Platinum dengan total 82 poin

Kualitas Visum Et Repertum Perlukaan di RSUD Bangkinang Periode 1 Januari 2009 - 31 Desember 2013

In addition to treat patients , a doctor\u27s duty is also requested to make a written statement for justice importance that is called Visum et Repertum (VeR). VeR of injury for living victims is the most frequent form of assistance requested by investigating officers compared to other kinds of VeR. A good quality of VeR is required in view of its important role in litigation of a criminal offense. This study was aimed to understand the quality of VeR of injury in General Hospital of Bangkinang during 1st January 2009-31st December 2013. The research was an observational study using descriptive retrospective design. This study used Herkutanto\u27s scoring method towards 13 VeR substances. Samples of this study were all data of VeR of injury that had fulfilled inclusion criteria. The total of samples were 316 samples of VeR. This study suggested that the highest number of living victims of injury cases was 191 victims in age group 22-40 years old with the most frequent sex was male as many as 117 victims. The most frequent violence was blunt violence as many as 266 cases with the most frequent age group was 22-40 years old. The quality of VeR in preface was good quality, in body part was poor quality and in conclusion was medium quality. In general, quality of VeR of injury in General Hospital of Bangkinang during 1st january 2009-31st december 2013 was 50,93% that could be categorized as medium quality

Analisis Faktor-Faktor yang Berhubungan dengan Pelaksanaan Senam Hamil di Wilayah Puskesmas Purwokerto Barat Tahun 2013

Analysis of factors related to the implementation of pregnant gymnastics in purwokerto western region health center: During pregnancy, pregnant women would usually have complaints. Moderated exercise such as pregnancy exercise would make your feet and heels more comfortable. Percentage of antenatal care in health centers of West Navan especially for K1 and K4 already met the target of 95% . The purpose of this studied is analysis of factors associated with the implementation of the health center pregnancy exercise in Navan western region in 2013 . This researched used analytic studied with cross -sectional correlation . The population in this study were all pregnant women in the region checkups Navan West Health Center in 2012 as many as 871 pregnant women then took sample of 59 samples using accidental sampling methode . Analyzed used univariate and bivariate analysis with the chi square test . These results it could be concluded that most of the samples have a relatively good knowledge (67.8 %) ,good attitude (69.5 %) , not working (55.9 %) , support pregnant women during pregnancy (67.8 %) and doing pregnancy exercise (71.2 %). The chi-square statistical test found no relationship between knowledge , attitude and family support with the implementation of the pregnancy exercise with each value p = 0.005 , p = 0.001 and p = 0.005 then found that there was no relationship between job execution pregnancy exercise with p = 0.36

Estimasi Biaya Pembuatan Perangkat Lunak Sistem Informasi Akademik (Studi Kasus Solusi Sistem Informasi STIKOM Surabaya)

Pusat Kerja Sama Solusi Sistem Informasi (PKS-SSI) Stikom Surabaya didn't have calculation standard for making cost estimation, effort calculation and optimal work schedule in the making of SIPERTI AAK. Until now PKS-SSI making cost estimation based on past experience which made approximately 10% of the project going off-scheduleIn this research the calculation solution created to assist PKS-SSI in calculating SIPERTI AAK's development cost estimation is using Function Point Analysis (FPA) method. The FPA method can generate effort value and optimal work schedule for the development of SIPERTI AAK.After this research had been conducted it is found that the total function point is 524,52. The effort distribution found at 63,65% for software development, 14,97% for on going activity, and 21,38% for quality assurance. For best in class software organization the effort is 124,99 person-month with 15 month work schedule and Rp. 941.455.183 software development cost. For average software organization the effort is 182,37 person-month with 17,01 month work schedule and Rp. 723.801.655 software development cost. And last for worst in class software organization the effort is 321,45 person-month with 20,55 month work schedule and Rp. 458.754.054 software development cost

Penemuan Kasus Infeksi Kusta Subklinis pada Anak melalui Deteksi Kadar Antibodi (IgM) Anti PGL-1

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. Indonesia places the world's third major leprosy case contributor. Surabaya City is a leprosy-endemic area. This study aimed to early detect subclinical leprosy based on measurement of anti-PGL-1 antibody levels (IgM) and to determine factors related to subclinical leprosy among children in Surabaya City. This study was analitic using cross-sectional design. The study population was families having leprosy sufferers. Samples were selected by simple random sampling technique and 30 family heads were selected by rapid school and village survey on April – May 2015. Data was collected by interview using questionnaire. Specimen was taken from peripheral blood of fingertip using capillary tube and filter paper method. Serological test was conducted in Airlangga University Leprosy Laboratory of Institute of Tropical Diseases to determine leprosy-specific antibody levels using ELISA method. Seropositive result as cut off point determined ≥ 245 u/ml showed subclinical leprosy. Results of serological test showed eight respondents (26.7%) were positive suffering subclinical leprosy. Results of analysis using chi-square test showed contact record (p value = 0.034; RP = 4.500) and duration of contact (p value = 0.028; RP = 5.182) were factors related to subclinical leprosy infection among children. Serological test of anti-PGL-1 antibody levels (IgM) was used in subclinical leprosy-screening activity

Efek Aplikasi Topikal Gel Ekstrak Pandan Wangi terhadap Penyembuhan Luka Gingiva

The Effect of topical application pandan extract gel on gingival wound. Post-gingivectomy wound is usually covered by periodontal dressing, which generally contains some chemical compounds to protect the wound. However, it can provide allergic effect on some patients. Pandan leaves (Pandanus amaryllifolius Roxb.) contain a number of active substances that have anti-inflammatory, antioxidant and antibacterial effect and play a role in wound healing. This study aims to determine the effect of topical application of Pandan leaf extract gel on gingival wound healing. Gingivectomy model was carried out on mandibular incisive gingival using the 2.5-mm punch biopsy. Thirty-six rats were randomly divided into 3 groups of treatment: negative control (CMC-Na), positive control (Aloclair), and 50% of pandan extract gel. The gels on each group were applied (twice in a day) to the wound area after gingivectomy. The observation of the wound healing process was also carried out on day 1, 3, 7, and 14 by making the histological preparations of gingival wound area. The number of blood vessels was observed using microscope and data was analysed using Two- Way Anova and LSD. The result showed that number of blood vessel increased on day 3 and the peak was on day 7. Anova and LSD test showed several significant differences comparison the number blood vessel between treatment and control. In conclusion, topical application Pandan leaves extract gel could accelerate gingival wound healing

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

Predicting Academic Performance: A Systematic Literature Review

The ability to predict student performance in a course or program creates opportunities to improve educational outcomes. With effective performance prediction approaches, instructors can allocate resources and instruction more accurately. Research in this area seeks to identify features that can be used to make predictions, to identify algorithms that can improve predictions, and to quantify aspects of student performance. Moreover, research in predicting student performance seeks to determine interrelated features and to identify the underlying reasons why certain features work better than others. This working group report presents a systematic literature review of work in the area of predicting student performance. Our analysis shows a clearly increasing amount of research in this area, as well as an increasing variety of techniques used. At the same time, the review uncovered a number of issues with research quality that drives a need for the community to provide more detailed reporting of methods and results and to increase efforts to validate and replicate work.Peer reviewe

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