Analisis Hubungan Sipil-Militer terhadap Perubahan Kebijakan Pertahanan Jepang di Tahun 2015

The change in defense policy that occurred during Shinzo Abe's reign in 2015 produced many pros and cons among the public. As a decision, it was not popular among civilians, either political elites or the public sphere because the administration made it in a hurry. Moreover, Japanese country was famous as a country with pacifism value after the Second World War. Therefore, the question arises as of why the decision was taken. This study uses the theory of Civil-Military Relations from Samuel Huntington to see whether there is a motive from the military to involve in the decision. Besides, this study also discusses military defense and professionalism of management in Japan to further illustrate the existence of military influence in the defense policy-making process and the political orientation of the Japanese military. The method used in this study is a qualitative research method. The author concludes that there was no interference by the Japanese army on the Japanese defense policy changes in 2015, but there was a scourge of civil-military relations in Japan which was initially a subjective civilian control into an objective civil­ian control.</p

TUGAS AKHIR PENYUSUNAN DAN PENELUSURAN KLIPING ELEKTRONIK TINDAK PIDANA KORUPSI DI INDONESIA (Dari koran periode September 2OO4 -Maret 2005)

Hadirnya kliping elektronik sebagai bentuk alih media koleksi perpustakaan membuktikan bahwa perpustakaanpun juga mengikuti perkembangan jaman dan kemajuan toknologi yang tidak kalah dengan lembaga penyaji informasi lainnya

ANALISIS KEPUASAN MAHASISWA TEKNIK MESIN UNESA TERHADAP PELAYANAN APLIKASI SIMME MENGGUNAKAN METODE RASCH MODEL

Abstract The Covid-19 pandemic has caused administrative processes in all agencies to be carried out under the Work From Home (WFH) system. As a result, administrative service processes are delayed, such as making supervisor assignment letters, thesis proposal seminars, and seminar results being very slow, which is clearly very detrimental to students. Based on these problems UNESA Mechanical Engineering offers a solution in the form of the "SiMME (Mechanical Engineering Management Information System)" application. This study aims to determine the response from students and the effectiveness of using the SiMME application. This study used the observation method with the rasch model technique. The Rasch model is a quantitative data analysis technique obtained from a respondent's questionnaire. The data obtained is ordinal data designed with a Likert rating (1-5 rating scale) and converted into proportional data. . The expected results of the research can determine the response of UNESA Mechanical Engineering students to the use of the SiMME application. In addition, researchers can find out the effectiveness of using SiMME for administrative services at the UNESA Department of Mechanical Engineering using the SiMME application which is expected to provide benefits in accordance with the intended use. From the results of a comparison of the questionnaire and data from the department, it can be seen that the SiMME application speeds up the administrative process to 2 times compared to before using the SiMME application. Keywords: SiMME Application, Rasch Model Technique, Student &nbsp;ResponseAbstrak Pandemi Covid-19 menyebabkan&nbsp;proses administrasi di seluruh instansi dilaksanakan dengan sistem&nbsp;Work From Home (WFH). Akibatnya, proses pelayanan&nbsp;administrasi&nbsp;menjadi&nbsp;tertunda&nbsp;seperti&nbsp;membuat surat tugas&nbsp;dosen pembimbing, seminar proposal skripsi, dan seminar hasil menjadi sangat lamban, yang jelas sangat merugikan mahasiswa.&nbsp;Berdasarkan permasalahan tersebut Teknik Mesin UNESA menawarkan solusi dalam bentuk aplikasi “SiMME (Sistem Informasi Manajemen Teknik Mesin)”. Penelitian ini bertujuan untuk mengetahui respon dari mahasiswa dan efektivitas dari penggunaan aplikasi SiMME. Penelitian ini menggunakan metode observasi dengan teknik rasch model. Rasch model adalah teknik analisis data kuantitatif diperoleh dari kuesioner responden. Data yang diperoleh merupakan data ordinal yang dirancang dengan rating Likert (skala rating 1-5) dan dikonversi menjadi data proporsional.&nbsp;. Hasil yang diharapkan dari penelitian bisa mengetahui respon mahasiswa Teknik Mesin UNESA terhadap penggunaan aplikasi SiMME. Selain itu peneliti dapat mengetahui efektifitas penggunaan SiMME terhadap pelayanan administrasi Jurusan Teknik Mesin UNESA penggunan aplikasi SiMME diharapkan memberikan manfaat yang sesuai dengan tujuan penggunaanya. Setelah melakukan penelitian ini, peneliti dapat mengetahui bahwa respon mahasiswa sangat positif terhadap aplikasi SiMME, ditinjau dari uji reliabilitas person reliability yang mencapai 0,86 yang termasuk kategori baik dan uji validitas yang angka MNSQ dan ZSTD masih di dalam batas standard. Dari hasil perbandingan kuisioner dan data dari jurusan dapat diketahui bahwa aplikasi SiMME mempercepat proses administrasi menjadi 2 kali lipat dari sebelum penggunaan aplikasi SiMME. Kata Kunci: Aplikasi SiMME, Teknik Rasch Model, Respon Mahasiswa

Lack of evidence does not justify neglect. how can we address unmet medical needs in calciphylaxis

Calcific uraemic arteriolopathy (CUA), or calciphylaxis, is a rare disease predominantly occurring in comorbidity with dialysis. Due to the very low frequency of CUA, prospective studies on its management are lacking and even anecdotal reports on treatment remain scarce. Therefore, calciphylaxis is still a challenging disease with dismal prognosis urgently requiring adequate strategies for diagnosis and treatment.In an attempt to fill some of the current gaps in evidence on various, highly debated and controversial aspects of dialysis-associated calciphylaxis, 13 international experts joined the 1st Consensus Conference on CUA, held in Leuven, Belgium on 21 September 2015. The conference was supported by the European Calciphylaxis Network (EuCalNet), which is a task force of the ERA-EDTA scientific working group on Chronic Kidney Disease-Mineral and Bone Disorders (CKD-MBD). After an intense discussion, a 9-point Likert scale questionnaire regarding 20 items on calciphylaxis was anonymously answered by each participant. These 20 items addressed unsolved issues in terms of diagnosis and management of calciphylaxis. On the one hand, the analysis of the expert opinions identified areas of general consensus, which might be a valuable aid for physicians treating such a disease with less experience in the field. On the other hand, some topics such as the pertinence of skin biopsy and administration of certain treatments revealed divergent opinions. The aim of the present summary report is to provide some guidance for clinicians who face patients with calciphylaxis in the current setting of absence of evidence-based medicin

TUGAS AKHIR LAPORAN PRAKTEK KERJA LAPANGAN DI PERPUSTAKAAN UNIVERSITAS Dr. SOETOMO Jalan Semolowaru No. 84 Surabaya

Berdasarkan laporan hasil praktek kerja lapangan pad. perpustakaan Universitas Dr.Soetomo Surabaya maka penulis dapat mengkaji dan rnemberi kesimpuian babwa secara umurn kondisi perpustakaan kurang ideal untuk menumbuhkan suasana belajar yang kondusif, sebeb dilihat dati ketersediaan ruang dan keterbatasan periengkapan seperti meja dan kUTSi baca, serta tak buku tidak memungldnkan pengguna untuk betah beriama-Iarna di perpustakaan, sehingga suasana belajar menjadi tidak menyenangkan, Jika dilihat dari teknologi yang digunakan dapat dikatakan cukup baik, terbukti dad penggunaan komputer pOOa masing~masing bagian yang ada di perpustakaan, adanya kata!og on-line (OPAC) serta penggunaan sistem automasi yang membantu penyeJesaian tugas-tugas perpustakaan

Predicting erythropoietin resistance in hemodialysis patients with type 2 diabetes

&lt;p&gt;Background: Resistance to ESAs (erythropoietin stimulating agents) is highly prevalent in hemodialysis patients with diabetes and associated with an increased mortality. The aim of this study was to identify predictors for ESA resistance and to develop a prediction model for the risk stratification in these patients.&lt;/p&gt; &lt;p&gt;Methods: A post-hoc analysis was conducted of the 4D study, including 1015 patients with type 2 diabetes undergoing hemodialysis. Determinants of ESA resistance were identified by univariate logistic regression analyses. Subsequently, multivariate models were performed with stepwise inclusion of significant predictors from clinical parameters, routine laboratory and specific biomarkers.&lt;/p&gt; &lt;p&gt;Results: In the model restricted to clinical parameters, male sex, shorter dialysis vintage, lower BMI, history of CHF, use of ACE-inhibitors and a higher heart rate were identified as independent predictors of ESA resistance. In regard to routine laboratory markers, lower albumin, lower iron saturation, higher creatinine and higher potassium levels were independently associated with ESA resistance. With respect to specific biomarkers, higher ADMA and CRP levels as well as lower Osteocalcin levels were predictors of ESA resistance.&lt;/p&gt; &lt;p&gt;Conclusions: Easily obtainable clinical parameters and routine laboratory parameters can predict ESA resistance in diabetic hemodialysis patients with good discrimination. Specific biomarkers did not meaningfully further improve the risk prediction of ESA resistance. Routinely assessed data can be used in clinical practice to stratify patients according to the risk of ESA resistance, which may help to assign appropriate treatment strategies.&lt;/p&gt

The Impact of Weak Marine Debris Governance on the Increased Environmental Insecurity in Southeast Asia

The Southeast Asian region is home to five countries that are included in the list of the top 10 countries that produce marine debris in the world. Although there are a lot of efforts to handle the situation through the creation of marine debris governance in the region such as the ASEAN Regional Action Plan, not much has changed. This article aims to determine what Is the cause of weak marine debris governance and how it is impacted the increasing environmental insecurity In Southeast Asia based on the concept of policy harmonization and environmental security according to John Barnett's thinking which divides its meaning into three forms, namely changes in the environment, threats to national security, human security, and triggers for conflict. The research method used is descriptive qualitative research. Researchers found that weak marine debris governance formed as the result of a lack of policy harmonization between countries in the region regarding marine debris pollution and that environmental degradation that ensued had implications for the scarcity of marine resources, which is one of the main economic driving sectors for countries in the region and the possibility to contribute to fisheries conflicts that often occur in the South China Sea, which poses a threat to the national security of the surrounding countries. In addition, this environmental issue also creates human insecurity in the form of economic losses for coastal communities as well as health hazards for the human body

Survival in dialysis patients is not different between patients with diabetes as primary renal disease and patients with diabetes as a co-morbid condition

On dialysis, survival among patients with diabetes mellitus is inferior to survival of non-diabetic patients. We hypothesized that patients with diabetes as primary renal disease have worse survival compared to patients with diabetes as a co-morbid condition and aimed to compare all-cause mortality between these patient groups. Data were collected from the Netherlands Cooperative Study on the Adequacy of Dialysis (NECOSAD), a multicenter, prospective cohort study in which new patients with end stage renal disease (ESRD) were monitored until transplantation or death. Patients with diabetes as primary cause of ESRD were compared with patients with diabetes as co-morbid condition and both of these patient groups were compared to patients without diabetes. Analysis was performed using Kaplan-Meier and Cox regression. Fifteen % of the patients had diabetic nephropathy as primary renal disease (N = 281); 6% had diabetes as co-morbid condition (N = 107) and 79% had no diabetes (N = 1465). During follow-up 42% of patients (N = 787) died. Compared to non-diabetic patients, mortality risk was increased for both patients with diabetes as primary renal disease HR: 1.9 (95% CI 1.6, 2.3) and for patients with diabetes as co-morbid condition HR: 1.7 (95% CI 1.3, 2.2). Mortality was not significantly higher in patients with diabetes as primary renal disease compared to patients with diabetes as co-morbid condition (HR 1.06; 95% CI 0.79, 1.43). This study in patients with ESRD showed no survival difference between patients with diabetes as primary renal disease and patients with diabetes as a co-morbid condition. Both conditions were associated with increased mortality risk compared to non-diabetic patient

Epidemiology of chronic kidney disease in children

In the past 30 years there have been major improvements in the care of children with chronic kidney disease (CKD). However, most of the available epidemiological data stem from end-stage renal disease (ESRD) registries and information on the earlier stages of pediatric CKD is still limited. The median reported incidence of renal replacement therapy (RRT) in children aged 0–19 years across the world in 2008 was 9 per million of the age-related population (4–18 years). The prevalence of RRT in 2008 ranged from 18 to 100 per million of the age-related population. Congenital disorders, including congenital anomalies of the kidney and urinary tract (CAKUT) and hereditary nephropathies, are responsible for about two thirds of all cases of CKD in developed countries, while acquired causes predominate in developing countries. Children with congenital disorders experience a slower progression of CKD than those with glomerulonephritis, resulting in a lower proportion of CAKUT in the ESRD population compared with less advanced stages of CKD. Most children with ESRD start on dialysis and then receive a transplant. While the survival rate of children with ERSD has improved, it remains about 30 times lower than that of healthy peers. Children now mainly die of cardiovascular causes and infection rather than from renal failure