13 research outputs found

    Persepsi Akademisi Mengenai Peranan Kehidupan Beragama di Indonesia dalam Perspektif Sosial Budaya (Studi pada Universitas Muria Kudus)

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    Fenomena yang ada saat ini menunjukkan bahwa masalah sosial dan kehidupan rolereligious cukup kental terasa . Penelitian ini bertujuan untuk mengetahui akar penyebab sosial keagamaan di Indonesia , mengetahui peran kehidupan beragama di Indonesia dalam menangani isu-isu sosial-keagamaan , melihat apakah nilai-nilai agama telah menjadi bagian dari agama , dan untuk menguji secara empiris adanya perbedaan persepsi antara dosen dan mahasiswa mengenai kehidupan rolereligious di Indonesia dalam perspektif sosial-budaya . Data diperoleh dengan menyebarkan kuesioner kepada dosen dan mahasiswa yang dipilih secara acak di Universitas Muria Kudus . Analisis deskriptif data kualitatif untuk menjelaskan secara deskriptif data yang diperoleh dari informasi akademik tentang: masalah sosial dan lingkungan di Indonesia , peran kehidupan beragama di Indonesia dalam menangani masalah sosial dan lingkungan , dan apakah nilai-nilai agama telah menjadi bagian dari budaya . Hasil analisis deskriptif akar masalah sosial- agama di Indonesia adalah sistem nilai miskin , alam dan pemahaman agama yang buruk . Faktor yang mendasari adalah pendidikan dan pengalaman dosen operasional spesifik . Rata-rata persepsi dosen adalah 2,2098 , yang berarti tidak setuju bahwa kehidupan beragama dalam perspektif sosial-budaya telah sangat baik di Indosesia . Sementara rata-rata persepsi siswa adalah 3,1581 , menunjukkan jawabannya cukup berperan

    MILIARY TUBERCULOSIS IN THE XXI CENTURY – A CASE REPORT

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    Introdução: Atualmente, a tuberculose ainda representa um sério problema de saúde pública. A idade precoce e a infeção VIH constituem importantes fatores de risco para doença grave ou disseminada. Caso clínico: Apresentamos o caso de uma menina de três anos de idade observada por febre prolongada sem foco infecioso evidente ao exame físico. O estudo analítico inicial foi sugestivo de infeção urinária, pelo que iniciou antibioticoterapia empírica. A urocultura confirmou esse diagnóstico, mas a febre persistiu. Na investigação complementar, a radiografia torácica revelou um infiltrado pulmonar com padrão miliar. O Mycobacterium tuberculosis foi isolado no aspirado gástrico, líquor e urina. Iniciou tratamento com antituberculosos e corticóide, com melhoria clínica significativa. Conclusões: Nesta era de tecnologia médica avançada, a tuberculose ainda é um desafio diagnóstico, especialmente quando a apresentação clínica é atípica e extrapulmonar. Um elevado índice de suspeição clínica é fundamental, pois a instituição precoce do tratamento é decisiva para o prognóstico

    Response of fabric insert injection overmolding pp based composites subjected to single and muti-impact

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    This paper presents the results of a current study on the development and impact response of composite plates manufactured by injection overmolding on the two sides of a single reinforcement fibre mat. The injection polymer is a talc-filled polypropylene, nowadays used for structural purposes. Three configurations with different insert fibre mats were used: Kevlar, biaxial and multiaxial glass fibre mats. The parameters studied were the fibre mat type and the impact energy. For single impact tests, it was concluded that the highest impact energy required to achieve impactor perforation is obtained with Kevlar insert, while the highest percentage of energy recovered is achieved with biaxial glass fibre netting. Kevlar insert also allows for the maximum impact stiffness. For the multi-impact tests, the recovered energy and the dynamic stiffness show the same tendencies of the single impact tests. On low energy impacts, the effect of the insert fibre and of the previous impact are quite reduced, while for impact energies above 6J, previous impacts reduce significantly the recovered energy and the impact energy for which the perforation was achieve

    Extending the SAFT-gamma Mie approach to model benzoic acid, diphenylamine, and mefenamic acid: Solubility prediction and experimental measurement

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    The prediction of the solubility of active pharmaceutical ingredients (APIs) is a significant challenge which is of importance in pharmaceutical applications and solvent selection. Here, we extend the table of group interactions (3 like interactions, 47 unlike interactions) of the SAFT-γ Mie group-contribution equation of state to model the phase behaviour and solubility of mefenamic acid, a nonsteroidal anti-inflammatory drug, in a range of solvents. In addition to mefenamic acid, we also consider its molecular synthons: benzoic acid and diphenylamine. New experimental solubility data are presented for the three molecules in a range of solvents, and three new SAFT-γ Mie functional groups are defined (aCCOOH, aCNHaC and CH3CO) and characterised, together with their interactions with solvent groups. Literature data for the vapour pressure, single-phase density, saturation density, vapourisation enthalpy, bubble temperature, dew temperature, and bubble pressure are used to characterise the new group interactions. Solubility data are used to characterise the new group-group interactions only if there are no other experimental data available. The transferability and predictive accuracy of the new models are assessed by comparing the theoretical predictions with the experimental solubility data. Our comparison includes alcohols, ketones, and esters as families of solvents and mixed-solvent solubility predictions

    Response of fabric insert injection overmolding PP based composites subjected to single and muti-impact

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    This paper presents the results of a current study on the development and impact response of composite plates manufactured by injection overmolding on the two sides of a single reinforcement fibre mat. The injection polymer is a talc-filled polypropylene, nowadays used for structural purposes. Three configurations with different insert fibre mats were used: Kevlar, biaxial and multiaxial glass fibre mats. The parameters studied were the fibre mat type and the impact energy. For single impact tests, it was concluded that the highest impact energy required to achieve impactor perforation is obtained with Kevlar insert, while the highest percentage of energy recovered is achieved with biaxial glass fibre netting. Kevlar insert also allows for the maximum impact stiffness. For the multi-impact tests, the recovered energy and the dynamic stiffness show the same tendencies of the single impact tests. On low energy impacts, the effect of the insert fibre and of the previous impact are quite reduced, while for impact energies above 6J, previous impacts reduce significantly the recovered energy and the impact energy for which the perforation was achieved

    Extending the SAFT-gamma Mie approach to model benzoic acid, diphenylamine, and mefenamic acid: Solubility prediction and experimental measurement

    Get PDF
    The prediction of the solubility of active pharmaceutical ingredients (APIs) is a significant challenge which is of importance in pharmaceutical applications and solvent selection. Here, we extend the table of group interactions (3 like interactions, 47 unlike interactions) of the SAFT-γ Mie group-contribution equation of state to model the phase behaviour and solubility of mefenamic acid, a nonsteroidal anti-inflammatory drug, in a range of solvents. In addition to mefenamic acid, we also consider its molecular synthons: benzoic acid and diphenylamine. New experimental solubility data are presented for the three molecules in a range of solvents, and three new SAFT-γ Mie functional groups are defined (aCCOOH, aCNHaC and CH3CO) and characterised, together with their interactions with solvent groups. Literature data for the vapour pressure, single-phase density, saturation density, vapourisation enthalpy, bubble temperature, dew temperature, and bubble pressure are used to characterise the new group interactions. Solubility data are used to characterise the new group-group interactions only if there are no other experimental data available. The transferability and predictive accuracy of the new models are assessed by comparing the theoretical predictions with the experimental solubility data. Our comparison includes alcohols, ketones, and esters as families of solvents and mixed-solvent solubility predictions

    SAFT-gamma Mie parameters and data: Haslam et al. JCED 2020

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    SAFT-γ Mie parameters, and calculated data relating to figures in Haslam et al. JCED 2020SAFT-γ Mie parameters, and calculated data relating to figures in Haslam et al. JCED 2020

    Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study

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    Item does not contain fulltextOBJECTIVES: To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection. DESIGN: A retrospective analysis of the Extended Prevalence of Infection in the ICU Study (EPIC II). Demographic, physiological, infection-related and therapeutic data were collected. Patients were grouped as having Candida, Gram-positive, Gram-negative, and combined Candida/bacterial bloodstream infection. Outcome data were assessed at intensive care unit and hospital discharge. SETTING: EPIC II included 1265 intensive care units in 76 countries. PATIENTS: Patients in participating intensive care units on study day. INTERVENTIONS: None. MEASUREMENT AND MAIN RESULTS: Of the 14,414 patients in EPIC II, 99 patients had Candida bloodstream infections for a prevalence of 6.9 per 1000 patients. Sixty-one patients had candidemia alone and 38 patients had combined bloodstream infections. Candida albicans (n = 70) was the predominant species. Primary therapy included monotherapy with fluconazole (n = 39), caspofungin (n = 16), and a polyene-based product (n = 12). Combination therapy was infrequently used (n = 10). Compared with patients with Gram-positive (n = 420) and Gram-negative (n = 264) bloodstream infections, patients with candidemia were more likely to have solid tumors (p < .05) and appeared to have been in an intensive care unit longer (14 days [range, 5-25 days], 8 days [range, 3-20 days], and 10 days [range, 2-23 days], respectively), but this difference was not statistically significant. Severity of illness and organ dysfunction scores were similar between groups. Patients with Candida bloodstream infections, compared with patients with Gram-positive and Gram-negative bloodstream infections, had the greatest crude intensive care unit mortality rates (42.6%, 25.3%, and 29.1%, respectively) and longer intensive care unit lengths of stay (median [interquartile range]) (33 days [18-44], 20 days [9-43], and 21 days [8-46], respectively); however, these differences were not statistically significant. CONCLUSION: Candidemia remains a significant problem in intensive care units patients. In the EPIC II population, Candida albicans was the most common organism and fluconazole remained the predominant antifungal agent used. Candida bloodstream infections are associated with high intensive care unit and hospital mortality rates and resource use

    Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study

    No full text
    To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection. DESIGN: A retrospective analysis of the Extended Prevalence of Infection in the ICU Study (EPIC II). Demographic, physiological, infection-related and therapeutic data were collected. Patients were grouped as having Candida, Gram-positive, Gram-negative, and combined Candida/bacterial bloodstream infection. Outcome data were assessed at intensive care unit and hospital discharge. SETTING: EPIC II included 1265 intensive care units in 76 countries. PATIENTS: Patients in participating intensive care units on study day. INTERVENTIONS: None. MEASUREMENT AND MAIN RESULTS: Of the 14,414 patients in EPIC II, 99 patients had Candida bloodstream infections for a prevalence of 6.9 per 1000 patients. Sixty-one patients had candidemia alone and 38 patients had combined bloodstream infections. Candida albicans (n = 70) was the predominant species. Primary therapy included monotherapy with fluconazole (n = 39), caspofungin (n = 16), and a polyene-based product (n = 12). Combination therapy was infrequently used (n = 10). Compared with patients with Gram-positive (n = 420) and Gram-negative (n = 264) bloodstream infections, patients with candidemia were more likely to have solid tumors (p < .05) and appeared to have been in an intensive care unit longer (14 days [range, 5-25 days], 8 days [range, 3-20 days], and 10 days [range, 2-23 days], respectively), but this difference was not statistically significant. Severity of illness and organ dysfunction scores were similar between groups. Patients with Candida bloodstream infections, compared with patients with Gram-positive and Gram-negative bloodstream infections, had the greatest crude intensive care unit mortality rates (42.6%, 25.3%, and 29.1%, respectively) and longer intensive care unit lengths of stay (median [interquartile range]) (33 days [18-44], 20 days [9-43], and 21 days [8-46], respectively); however, these differences were not statistically significant. CONCLUSION: Candidemia remains a significant problem in intensive care units patients. In the EPIC II population, Candida albicans was the most common organism and fluconazole remained the predominant antifungal agent used. Candida bloodstream infections are associated with high intensive care unit and hospital mortality rates and resource use

    Infections, antibiotic treatment and mortality in patients admitted to ICUs in countries considered to have high levels of antibiotic resistance compared to those with low levels

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    Background: Antimicrobial resistance is an increasing concern in ICUs worldwide. Infection with an antibiotic resistant (ABR) strain of an organism is associated with greater mortality than infection with the non-resistant strain, but there are few data assessing whether being admitted to an intensive care unit (ICU) with high levels of antimicrobial resistance is associated with a worse outcome than being admitted to an ICU with low rates of resistance. The aim of this study was, therefore, to compare the characteristics of infections and antibiotic treatments and patient outcomes in patients admitted to ICUs in countries considered as having high levels of antibiotic resistance and those admitted to ICUs in countries considered as having low levels of antibiotic resistance.Methods: Data from the large, international EPIC II one-day point prevalence study on infections in patients hospitalized in ICUs were used. For the current study, we compared the data obtained from patients from two groups of countries: countries with reported MRSA rates of ≥ 25% (highABR: Greece, Israel, Italy, Malta, Portugal, Spain, and Turkey) and countries with MRSA rates of &lt; 5% (lowABR: Denmark, Finland, Netherlands, Norway, and Sweden).Results: On the study day, 1187/2204 (53.9%) patients in the HighABR ICUs were infected and 255/558 (45.7%) in the LowABR ICUs (P &lt; 0.01). Patients in the HighABR ICUs were more severely ill than those in the LowABR ICUs, as reflected by a higher SAPS II score (35.6 vs 32.7, P &lt; 0.05) and had longer median ICU (12 days vs 5 days) and hospital (24 days vs 16 days) lengths of stay. They also had higher crude ICU (20.0% vs 15.4%) and hospital (27.0% vs 21.5%) mortality rates (both P &lt; 0.05). However, after multivariable adjustment and matched pair analysis there were no differences in ICU or hospital mortality rates between High or LowABR ICU patients overall or among those with infections.Conclusions: Being hospitalized in an ICU in a region with high levels of antimicrobial resistance is not associated per se with a worse outcome. © 2014 Hanberger et al.; licensee BioMed Central Ltd
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