Partisipasi Pemilih Pada Pemilihan Umum Di Kecamatan Tebing Tinggi Kabupaten Kepulauan Meranti Tahun 2010-2015

Election is a process by which voters choose people to fill certain political positions. Political positions vary from the President, representatives at various levels of government to the village head. The electoral system used in Indonesia is the principles of direct, public, free, confidential (overflow), as well as honest and fair. Election of the President, Legislative, and Regional Head directly for the purpose of choosing leaders directly and the people can determine the leaders they want more autonomy. The elections can not be separated from the participation of the community to participate in these elections. In Sub Tebing Tinggi voter participation rates in elections experiencing fluctuating numbers of voter participation in elections.This research was conducted in September and December 2016. The purpose of this study was to determine the cause of the rise and fall participation number of voters on Election in District Tebing Tinggi District maritime Meranti from 2010-2015. The method used in this research is descriptive qualitative method, which in this study researchers tried to explain the causes of voter turnout fluctuated in Tebing Tinggi District of Kepulauan Meranti Regency Year 2010-2015. Data collection techniques in this study using the technique of in-depth interviews and documentation relevant facts.From interviews to all informants and based on the data and information obtained by researchers when conducting research at the site, it can be concluded that the factors Cause Voter Participation in Tebing Tinggi District of Kepulauan Meranti Regency Year 2010-2015 seen from the following conditions are. First, Sociological conditions. This condition is associated sociological look at some aspects of the voters are divided into three parts, namely socio-economic factors, geographical factors, and ethnicity. Second, Psychological Condition. Instruments of this condition can be seen from the political beliefs of the candidates are divided into confidence and trust on the issue, as well as the political consciousness of the electorate is divided into autonomous participation and mobilization. Thirdly, options consisting Rational Choice Rational Fragmatis Idealists and options. Another factor that causes fluctuating voter participation is the difference the moment elections and election administrative and technical issues

Evaluating the In vivo Efficacy of Copper-Chitosan Nanocomposition for Treating Vascular Wilt Disease in Date Palm

Date palm, Phoenix dactylifera, as one of the most important fruit crops in Egypt and many other countries, can be affected by many fungal diseases, among which the vascular wilt disease, caused by the fungal pathogen Fusarium oxysporum, is considered the most deteriorating one. This study aims at evaluating the efficiency of Copper-Chitosan Nanopcomposition for treating the vascular wilt disease in date palm. The study relies mainly on beleaguering the disease via the double-role functionality of copper-chitosan nanocomposition, i.e. its potential antifungal effect on the fungal pathogen, besides its capability to enhance the immune responses of the infected plant. In this regard, chitosan nanoparticles were prepared according to the ionic gelation method, whereas copper nanoparticles were prepared according to the chemical reduction method. Physicochemical characterization of both chitosan and copper nanoparticles was performed using dynamic light scattering (DLS), transmission electron microscopy (TEM), fourier transform infrared spectroscopy (FTIR) and x-ray diffraction (XRD). Copper-chitosan nanocomposition could significantly reduce the vascular wilt disease severity; this means that the nanocomposition can be used in the future for developing new nano-fungicides to control such pathogens

Development and implementation of two-stage boost converter for single-phase inverter without transformer for PV systems

This paper offers a two-stage boost converter for a single-phase inverter without transformer for PV systems. Each stage of the converter is separately controlled by a pulse width modulated signal. A Simulink model of the converter using efficient voltage control topology is developed. The proposed circuit performance characteristics are explained and the obtained simulation results are confirmed through the applied experiments. Moreover, this paper has examined the control circuit of a single-phase inverter that delivers a pure sine wave with an output voltage that has the identical value and frequency as a grid voltage. A microcontroller supported an innovative technology is utilized to come up with a sine wave with fewer harmonics, much less price and an easier outline. A sinusoidal pulse width modulation (SPWM) technique is used by a microcontroller. The developed inverter integrated with the two-stage boost converter has improved the output waveform quality and controlled the dead time as it decreased to 63 µs compared to 180 µs in conventional methods. The system design is reproduced in Proteus and PSIM Software to analyze its operation principle that is confirmed practically

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

Integrating metabolomics for precision nutrition in poultry: optimizing growth, feed efficiency, and health

Nutrition is an important factor in poultry production. This review highlights how precision nutrition improves poultry performance through metabolomics, which is a multidisciplinary approach that integrates traditional nutrition with other fields, including biology, immunology, molecular biology, genetics, computer sciences, chemistry, biochemistry, mathematics, engineering, and technology sciences. For measuring the results of the body’s biochemical activities and figuring out Living systems’ dynamic, multi-parametric metabolic response to pathological stimuli, metabolomics can be a very useful instrument. Numerous metabolomics techniques exist, including emerging capillary electrophoresis (CE), gas chromatography mass spectrometry (GC–MS), nuclear magnetic resonance spectroscopy (NMR), liquid chromatography mass spectrometry (LC–MS), inductively coupled plasma mass spectrometry (ICP-MS), and some targeted HPLC-based assays. Metabolomics can help in understanding the metabolism of diets (protein, carbohydrate, and fat) and the pathways of precise nutrition. Metabolomics can revolutionize poultry nutrition strategies, optimizing health, growth performance, and metabolic efficiency by decoding biochemical interactions between diet, metabolism, and physiology. This review aims to highlight methodologies for integrating metabolomic data into precision feeding systems, ultimately enhancing sustainability, reducing production costs, and improving poultry welfare

A use case of ChatGPT: summary of an expert panel discussion on electronic health records and implementation science

ObjectiveArtificial intelligence (AI) is revolutionizing healthcare, but less is known about how it may facilitate methodological innovations in research settings. In this manuscript, we describe a novel use of AI in summarizing and reporting qualitative data generated from an expert panel discussion about the role of electronic health records (EHRs) in implementation science.Materials and methods15 implementation scientists participated in an hour-long expert panel discussion addressing how EHRs can support implementation strategies, measure implementation outcomes, and influence implementation science. Notes from the discussion were synthesized by ChatGPT (a large language model—LLM) to generate a manuscript summarizing the discussion, which was later revised by participants. We also surveyed participants on their experience with the process.ResultsPanelists identified implementation strategies and outcome measures that can be readily supported by EHRs and noted that implementation science will need to evolve to assess future EHR advancements. The ChatGPT-generated summary of the panel discussion was generally regarded as an efficient means to offer a high-level overview of the discussion, although participants felt it lacked nuance and context. Extensive editing was required to contextualize the LLM-generated text and situate it in relevant literature.Discussion and conclusionsOur qualitative findings highlight the central role EHRs can play in supporting implementation science, which may require additional informatics and implementation expertise and a different way to think about the combined fields. Our experience using ChatGPT as a research methods innovation was mixed and underscores the need for close supervision and attentive human involvement

What works with men? A systematic review of health promoting interventions targeting men

Peer reviewedPublisher PD

Using Intervention Mapping to develop a programme to prevent sexually transmittable infections, including HIV, among heterosexual migrant men

<p>Abstract</p> <p>Background</p> <p>There is little experience with carefully developed interventions in the HIV/STI prevention field aimed at adult heterosexual target groups in the Netherlands. The ability to apply intervention development protocols, like Intervention Mapping, in daily practice outside of academia, is a matter of concern. An urgent need also exists for interventions aimed at the prevention of STI in migrant populations in the Netherlands. This article describes the theory and evidence based development of HIV/STI prevention interventions by the Municipal Public Health Service Rotterdam Area (MPHS), the Netherlands, for heterosexual migrant men with Surinamese, Dutch-Caribbean, Cape Verdean, Turkish and Moroccan backgrounds.</p> <p>Methods</p> <p>First a needs assessment was carried out. Then, a literature review was done, key figures were interviewed and seven group discussions were held. Subsequently, the results were translated into specific objectives ("change objectives") and used in intervention development for two subgroups: men with an Afro-Caribbean background and unmarried men with a Turkish and Moroccan background. A matrix of change objectives was made for each subgroup and suitable theoretical methods and practical strategies were selected. Culturally-tailored interventions were designed and were pre-tested among the target groups.</p> <p>Results</p> <p>This development process resulted in two interventions for specific subgroups that were appreciated by both the target groups and the migrant prevention workers. The project took place in collaboration with a university center, which provided an opportunity to get expert advice at every step of the Intervention Mapping process. At relevant points of the development process, migrant health educators and target group members provided advice and feedback on the draft intervention materials.</p> <p>Conclusion</p> <p>This intervention development project indicates that careful well-informed intervention development using Intervention Mapping is feasible in the daily practice of the MPHS, provided that sufficient time and expertise on this approach is available. Further research should test the effectiveness of these interventions.</p

Surgical site infection after gastrointestinal surgery in children: An international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda. (Globalsurg Collaborative