Effort to Increase Performance of Sub Directorate of State Revenue of Mineral and Coal in Optimizing Non Tax State Revenue General Mining

Non Tax State Revenue of Natural Resources of General Mining which managed by Sub Directorate of State Revenues of Mineral and Coal consist of Dues Remain and Royalty paid by Mining License Holder, consist of Contract of Work, Coal Mining Agreement and Mining Authority or Mining License. In managing Non Tax State Revenues divided two section with planning task, evaluation, verification and stipulation of result of Non Tax State Revenues task, with administration task as supporting. The bigger workload are evaluate and verify the Dues Remain and Royalty document. In line with demand increase of mining commodities the number of Business Permit of Mining especially Mining Authority (KP) and Mining License (IUP) had increased significantly, so workload of evaluating and verifying Dues Remain and Royalty also had increased. To know the needs of the number of employees first calculate the number of workload, or the number of Dues Remain and Royalty documents that will be sent by all Mining Authorities with quantitative method of regression analysis is supported by a survey to know employee productivity. Regression analysis showed that if the number of KP / IUP reaches 6951, the number of Dues Remain documents will reach 10535 and the sales transaction document (Royalties) 19539 units. Based on employee productivity in order to that the large number of documents of Dues Remain and Royalty of the Mining Authority or Mining License can be handled properly it is necessary addition 7 employees, for verification to the field required 14 employees and for the reconciliation in the framework production planning and the stipulation of Non Tax State Revenues required seven employees. Effectiveness of organization of Sub Directorate of State Revenues of Mineral and Coal, learned of whether the appear workload could be handled as well as whether every structure have done tasks in a focused and not mixed with other tasks. Based on that thing, in order to there is a separation of task well it is necessary addition become 4 organizational structure as level as section, that are the structure determination of the planning and realization of Non Tax State Revenues, the two structures recording, evaluation and verification of Non Tax State Revenues, as well as a structure administration

Clinicopathologic predictors of finding additional inguinal lymph node metastases in penile cancer patients following positive dynamic sentinel node biopsy:a European multicentre evaluation

OBJECTIVES: Following tumour positive sentinel lymph node biopsy (+DSNB), completion inguinal lymph node dissection (ILND) is negative in 84-89% of basins. Thus, ILND after +DSNB may be considered overtreatment resulting in substantial morbidity. This study aimed to develop a predictive model for additional inguinal lymph node metastases (LNM) at ILND following +DSNB using DSNB characteristics to identify a patient group in which ILND might be omitted. PATIENTS AND METHODS: A retrospective study of 407 inguinal basins with a +DSNB of penile cancer patients who underwent subsequent ILND from seven European centres. From the histopathology reports, the number of positive and negative lymph nodes, extranodal extension and size of the metastasis were recorded. Using bootstrapped logistic regression, variables were selected for the clinical prediction model based on the optimisation of Akaike's information criterion. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve was calculated for the resulting model. Decision curve analysis (DCA) was used to evaluate the clinical utility of the model. RESULTS: 64 (16%) of +DSNB harboured additional LNM at ILND. The number of positive nodes at +DSNB (odds ratio (OR) 2.19; 95% confidence interval (CI) 1.17-4.00; p=0.01) and the largest metastasis size in mm (OR 1.06; 95%CI 1.03-1.10; p=0.001) were selected for the clinical prediction model. The AUC was 0.67 (95%CI 0.60-0.74). The DCA showed no clinical benefit of using the clinical prediction model. CONCLUSION: A small but clinically important group of basins harbour additional LNM at completion ILND following +DSNB. While DSNB characteristics were associated with additional LNM, they did not improve the selection of basins in which ILND could be omitted. Thus, completion ILND remains necessary in all basins with a +DSNB

Affordances, constraints and information flows as ‘leverage points’ in design for sustainable behaviour

Copyright @ 2012 Social Science Electronic PublishingTwo of Donella Meadows' 'leverage points' for intervening in systems (1999) seem particularly pertinent to design for sustainable behaviour, in the sense that designers may have the scope to implement them in (re-)designing everyday products and services. The 'rules of the system' -- interpreted here to refer to affordances and constraints -- and the structure of information flows both offer a range of opportunities for design interventions to in fluence behaviour change, and in this paper, some of the implications and possibilities are discussed with reference to parallel concepts from within design, HCI and relevant areas of psychology

Game feature and expertise effects on experienced richness, control and engagement in game play

The extent to which game play is experienced as engaging is an important criterion for the playability of video games. This study investigates how video games can be designed towards increased levels of experienced engagement over time. For this purpose, two experiments were conducted in which a total of 35 participants repeatedly played a video game. Results indicate that experienced engagement is based on the extent to which the game provides rich experiences as well as by the extent to which the game provides a sense of control. In view of the influence of both game features and players’ expertise on the levels of experienced richness and control, it is concluded that game features should be modified over time to maintain optimal levels of engagement

Early wound complications after inguinal lymphadenectomy in penile cancer: a historical cohort study and risk-factor analysis

BackgroundComplication rates after inguinal lymph node dissection (ILND) are high. Risk factors for early wound complications after ILND in patients with penile carcinoma have not yet been studied.ObjectivesTo assess the frequency of early wound complications in a contemporary series and to identify clinical risk factors for early wound complications after ILND for penile carcinoma.Design, setting, and participantsWe evaluated 237 ILNDs in 163 patients with penile cancer treated between 2003 and 2012 at the Netherlands Cancer Institute.Outcome measurements and statistical analysisWe assessed the occurrence of wound infection, skin-flap problems, and seroma formation and graded complications using the modified Clavien system. Univariable and multivariable penalised mixed effects logistic regression was used to identify clinical risk factors for occurrence of any complication (grade ≥ 1) and of moderate to severe complications (grade ≥ 2).Results and limitationsOne complication or more occurred in 58% of the procedures, and 10% of those complications were severe. Wound infection occurred in 43%, seroma formation occurred in 24%, and skin-flap problems occurred in 16%. Palpable disease was the only factor associated with grade ≥ 1 complications in the univariable analysis (odds ratio [OR]: 0.43; p=0.02). In the multivariable model, after penalisation, no statistically significant risk factors remained. Univariable associations for grade ≥ 2 complications were present for body mass index (BMI; OR of 1.66 for a 5.8-point change in BMI; p=0.05) and sartorius muscle transposition (OR: 2.64; p=0.04). In the reduced multivariable model, the OR for sartorius muscle transposition was 2.12 (p=0.06) and for BMI was 1.76 (p=0.03). In addition, bilateral dissection approached significance in the multivariable model (OR: 2.17; p=0.06). This study is limited by its observational nature.ConclusionsWound complication rates after ILND are high in this cohort. BMI, sartorius muscle transposition, and bilateral dissection were the factors most strongly associated with the occurrence of grade ≥ 2 wound complications.Martijn M. Stuiver, Rosa S. Djajadiningrat, Niels M. Graafland, Andrew D. Vincent, Cees Lucas, Simon Horenbla