Program Rehabilitasi dan Pelestarian Tanaman Cendana Dinas Kehutanan Kabupaten Belu Propinsi Nusa Tenggara Timur dalam Telaah Undang-undang Nomor 32 Tahun 2009

The research that included in normative legal research, discusses about Cendana's rehabilitation and conservation programm. Researcher uses the induction analyze-speculative method to analyze the effectivity of work by the Forest Departement programm. Beside of the first purpose as a tool to keep the living-space to save, that programm also give people the good life to living. Cendana (Santalum Album) is one of plants that grows naturally in East Lesser Sundas. Many people like this plant because there are many usefull that including by cendana. The risk also equallity. A big eksploitation that included illegal logging is a real fact that familiar to us. The missunderstanding to this problem will gives a ekstra effect to the Timor Island identity of cendana. This forest rehabilitation is also a next programm that explisit in law language on Indonesian Regulation Number 32/2009 about Protection and Management of Living-Space. The information in environmental law also give the same sentence that protection and conservation to environment is just not a governance homework, or make a proff by effectivity in Forest Department programm but this is our homework. It means that a lot people have a duty to keep and protect them

ANALISIS KEMAMPUAN PEMECAHAN MASALAH MATEMATIS MAHASISWA DALAM PENYELESAIAN METODE SIMPLEKS DITINJAU DARI GAYA KOGNITIF

Tujuan dari penelitian ini adalah untuk menganalisis kemampuan pemecahan masalah matematis mahasiswa dalam menyelesaikan Metode Simpleks ditinjau dari Gaya Kognitif Field Independent (FI) dan Field Dependent (FD).  Penelitian ini dilaksanakan di semester gasal TA 2023-2024 pada mahasiswa Pendidikan Matematika  Institut Keguruan dan Teknologi Larantuka yang tengah menempuh matakuliah Riset Operasi. Metode pengumpulan data yang digunakan dalam peelitian ini adalah menggunakan tes dan wawancara dan kemudian dianalisis menggunakan model analisis Miles dan Huberman. Berdasarkan penelitian yang telah dilakukan, diperoleh informasi bahwa mahasiswa dengan gaya kognitif yang berbeda memiliki kemampuan pemecahan masalah yang berbeda pula, sebagaimana dapat dijabarkan sebagai berikut: 1) subjek FI  dapat  menyebutkan informasi-informasi penting dalam soal, hal ini menunjukkan keduanya memiliki kemampuan memahami masalah yang baik, sedangkan subjek FD masing kurang memahami masalah, 2) Subjek FI dapat membuat rencana penyelesaian Metode Simpleks dengan baik, sedangkan Subjek FD masih bingung sehingga masih melakukan kesalahan dalam membuat rencana penyelesaian masalah, 3) Subjek FI mampu dalam melaksanakan rencana penyelesaian dengan baik sedangkan Subjek FD kurang mampu dalam melaksanakan rencana penyelesaian dengan baik. 4) Subjek FI dan FD tidak melakukan tahap pengecekan ulang karena penyelesaian yang dikerjakan tidak pernah sampai penarikan kesimpulan

PENERAPAN PEMBELAJARAN BERBASIS MASALAH PADA MATERI SPANNING TREE DENGAN BANTUAN APLIKASI GOOGLE MAPS

The objectives of this study were (1) to apply the spanning-tree material learning design in the Research Operations course through a problem-based learning approach using the help of the google maps application, (2) to find out the problem-solving abilities of students of Sanata Dharma University in class A Research Operations towards understanding the concept of spanning. tree. This research is a qualitative descriptive study. Data collection methods are obtained through documentation and giving tests through Student Worksheets (LKM). The data analysis technique used was data reduction, data presentation, and conclusion drawing. The results showed that (1) the learning design that was designed using a problem-based learning approach with the help of the google maps application was good and could be used to help students understand the spanning-tree concept (2) students problem-solving abilities measured using the NCTM indicator showed that 16 students can meet all indicators, 10 students only meet indicator 1, 2, and 4 but do not meet indicator 3.Keywords:  google maps; problem based learning; spanning treeDOI: http://dx.doi.org/10.23960/mtk/v9i2.pp127-139

Antiviral Prescriptions to U.S. Ambulatory Care Visits with a Diagnosis of Influenza before and after High Level of Adamantane Resistance 2005–06 Season

Rapid emergence of influenza A viruses resistance to anti-influenza drugs has been observed in the past five years. Our objective was to compare antiviral prescription patterns of ambulatory care providers to patients with a diagnosis of influenza before and after the 2005-2006 influenza season, which was temporally concordant with the emergence of adamantane resistance. We also determined providers' adherence to Centers for Disease Control and Prevention (CDC) 2006 interim treatment guidelines for influenza after the dissemination of guidelines.We conducted a multi-year cross-sectional analysis using 2002-2006 data from the national representative ambulatory care surveys, National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. Our main outcome measure was prescription of any anti-influenza pharmaceutical medication, including amantadine, rimantadine, oseltamivir, and zanamivir. Analyses were performed using procedures taking into account the multi-stage survey design and weighted sampling probabilities of the data source. Overall, there were 941 visits to U.S. ambulatory care providers for which the diagnosis of influenza was made, representing 12,140,727 visits nationally. Antiviral drugs were prescribed in 21.7% of visits. Even though prescription rates were not significantly different by influenza season (2001-02: 26.4%; 2002-03: 11.2%; 2003-04: 16.5%; 2004-05: 18.0%; 2005-06: 35.8%; 2006-07: 46.5%, p = 0.061), significantly higher prescription rates were observed in the high adamantane resistance period (18.7% versus 37.0%, p = 0.023), and after the announcement of the 2006 guidelines (18.5% versus 38.8%, p = 0.032). Use of adamantanes decreased over time, in that they were commonly used during influenza seasons 2001-03 (60.1%), but used much less frequently during seasons 2003-05 (31.9%), and used rarely after high adamantane resistance emerged (2.2%) (p<0.001). Adherence to 2006 guidelines was 97.7%. After March 2006, no prescriptions for adamantanes were given to patients with a diagnosis of influenza.In this nationally representative study of U.S. ambulatory care visits, we found a complete absence of the use of adamantanes in all ambulatory care settings after March 2006, closely corresponding to release of the 2006 CDC interim guidelines. Adherence to such practice is an essential element for control and prevention of influenza, especially during the era of emergence of resistance to anti-viral drugs

First Cryptosporidium outbreak in Hungary, linked to a treated recreational water venue in 2015

In June 2015, an outbreak of cryptosporidiosis with 35 cases (23 probable and 12 laboratory-confirmed) occurred among 191 attendees of a residential rehabilitation holiday for paediatric organ transplant patients (n = 49) and their families at a hotel in Somogy county, Hungary. The overall attack rate was 18%. Most of the cases were transplanted children who experienced severe acute disease and required adjustment to their tacrolimus immunosuppression. A retrospective case-control study suggested an association between recreational water exposures and illness: cases were seven times more likely than controls to have swum in the children's pool (odds ratio 7.17; 95% confidence interval 2.9-17.2; P < 0.0001) and five times more likely to have used the jetted whirlpool (odds ratio 5.25; 95% confidence interval 2.1-13.1; P < 0.0001). This was the first outbreak of cryptosporidiosis in Hungary and it is especially unfortunate that it affected vulnerable children who experienced severe symptoms. Cryptosporidium presents specific infection control difficulties in treated recreational water venues; the link to a whirlpool is unusual and highlights the importance of the age-appropriate use of these facilities and reminding users not to immerse their heads or swallow the water. Cryptosporidiosis is more commonly linked to children' pools where improved bather hygiene and promoting exclusion of diarrhoea cases could help to avoid similar outbreaks

Feasibility of community-based control of tsetse: A pilot project using Tiny Targets in the Democratic Republic of Congo

Gambianse Human African Trypanosomiasis (g-HAT) is a neglected tropical disease caused by trypanosomes transmitted by tsetse flies. 70%Most (>80%) of the cases in 2019 (604/863) occur in the Democratic Republic of Congo (DRC). and Thea national programme for g-HAT to eliminatione HAT in DRC includes athe large-scale deployment of Tiny Targets which attract and kill tsetse. This intervention is directed by vector-control specialists with small teams, moving in canoes, deploying Tiny Targets along riverbanks where tsetse concentrate. While the targets are deployed in communal areas, and the method is cheap and easy-to-use, local people have little involvement. This study aimed to evaluate if a community-led vector control programme was feasible in the context of DRC’s g-HAT elimination programme

Update to the Vitamin C, Thiamine and Steroids in Sepsis (VICTAS) protocol: statistical analysis plan for a prospective, multicenter, double-blind, adaptive sample size, randomized, placebo-controlled, clinical trial.

BACKGROUND: Observational research suggests that combined therapy with Vitamin C, thiamine and hydrocortisone may reduce mortality in patients with septic shock. METHODS AND DESIGN: The Vitamin C, Thiamine and Steroids in Sepsis (VICTAS) trial is a multicenter, double-blind, adaptive sample size, randomized, placebo-controlled trial designed to test the efficacy of combination therapy with vitamin C (1.5 g), thiamine (100 mg), and hydrocortisone (50 mg) given every 6 h for up to 16 doses in patients with respiratory or circulatory dysfunction (or both) resulting from sepsis. The primary outcome is ventilator- and vasopressor-free days with mortality as the key secondary outcome. Recruitment began in August 2018 and is ongoing; 501 participants have been enrolled to date, with a planned maximum sample size of 2000. The Data and Safety Monitoring Board reviewed interim results at N = 200, 300, 400 and 500, and has recommended continuing recruitment. The next interim analysis will occur when N = 1000. This update presents the statistical analysis plan. Specifically, we provide definitions for key treatment and outcome variables, and for intent-to-treat, per-protocol, and safety analysis datasets. We describe the planned descriptive analyses, the main analysis of the primary end point, our approach to secondary and exploratory analyses, and handling of missing data. Our goal is to provide enough detail that our approach could be replicated by an independent study group, thereby enhancing the transparency of the study. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03509350. Registered on 26 April 2018

Recuperação da audição após implante coclear: um relato de caso/Hearing recovery after coclear implant: a case report

Introdução: O Implante Coclear (IC) representa o mais importante avanço no tratamento de deficientes auditivos de grau severo e/ou profundo bilateral que não apresentam aproveitamento com o aparelho de amplificação sonora individual.  Objetivo: Descrever o caso de uma paciente surda que foi submetida ao IC e avaliar sua recuperação auditiva. Relato de Caso: J.L, sexo feminino, 23 anos. A paciente em questão foi diagnosticada com surdez profunda neurossensorial bilateral de causa idiopática aos 3 anos de idade. Com 21 anos a paciente foi submetida ao IC na orelha esquerda e um ano após foi submetida ao IC da orelha direita. Discussão: A audiometria da paciente antes do IC revelava um valor médio de 110DB, tanto na orelha esquerda (OE) quanto na orelha direita (OD), sendo esse valor classificado como perda auditiva profunda. Após o IC, a audiometria da OD revelou um valor médio de 25 DB (audição normal). Já a OE indicou um valor médio de 45 DB (perda auditiva moderada). Conclusão: Em consonância com outros estudos, observou-se que os resultados obtidos pela paciente do relato confirmaram as afirmações de que os surdos pós-linguais são melhores candidatos ao IC