A retrospective study of paradigm and outcome of acute poisoning cases in a tertiary care teaching hospital in Southern India

Background: Acute poisoning is a medical emergency. It is important to know the nature, outcome and severity of acute poisoning cases in order to make appropriate prevention and   treatment. This study is conducted to assess the paradigm and outcome of acute poisoning cases in a tertiary care hospital in Tamilnadu.Methods: This is a retrospective study conducted in a tertiary care hospital in Tamilnadu. The study included 169 cases and data regarding age, sex, time elapsed after intake, name of the poisons, chemical type; duration of hospital stay; outcome and severity were collected in the structured proforma.Results: Incidence was high among males (60.36%) compared to females (39.64%). Most of the cases of acute poisoning were in the age group 10 to 30 years (60.95%) followed by 30 to 50 years age group (30.77%). A majority of poisoning cases (27.2%) were due to organophosphorus (OPC) insecticide. Total mortality was found to be 5.32%. Mortality rate due to Paraquat, Abrus Pretorius seeds was significantly high compared with OPC because there is no specific antidote. Time lapse had a very significant role in the mortality in cases of poisoning.Conclusions: Poisoning is common with young males. The mortality is high, in cases of self-poisoning with parquet and abrus seeds. Despite the highest consumption rate, no mortality was observed with organophosphorus because of early medical intervention and specific antidote. Early medical care in a tertiary care hospital will help to reduce significant mortality in India.

Analisis Kinerja Keuangan Koperasi pada Koperasi Serba USAha (Ksu) Rejosari Kelurahan Rejosari Kecamatan Tenayan Raya Kota Pekanbaru

Abstrack: The research aims to identify and analyze the financial performance of Co-operative Serba Usaha (KSU) Rejosari Pekanbaru city views from its financial ratios 2011-2015. Where the research was conducted in the environment Co-operative Serba Usaha (KSU) Rejosari in Pekanbaru. Research of the month August 2016 to March 2017. The type of research is quantitative descriptive, which describes the results of research in the form of financial reporting data related to the financial performance of the co-operative. Source of research data is the data obtained from the Co-operative Serba Usaha (KSU) Rejosari Management Accountability Reports Pekanbaru City years from 2011-2015. The data collection techniques used is the method of documentation. The results showed that the financial performance of Pekanbaru City Cooperative of the years 2011-2015 showed good results. This is because the conditions Liquidity Ratio (Current Ratio), Solvency Ratio (Debt to Equity Ratio and Debt to Total Assets), Ratios Profitability (Return on Equity, Return on Assets and Net Profit Margin) and Activity Ratios (Asset Tours Over, Recaivable Turn Over and Co-operative Business Transactions with Members Cooperative). Most of the financial performance of cooperatives have a very good performance, and there are some ratio performance is quite good and not good. Thus it can be said that the Co-operative Serba Usaha (KSU) Rejosari of Pekanbaru included in the category of good

Pengaruh Pendapatan Orang Tua dan Ketersediaan Sarana Belajar terhadap Motivasi Belajar dan Dampaknya pada Hasil Belajar Mata Pelajaran Ekonomi Siswa Kelas XI IPS Sman 1 Koto Kampar Hulu

This research is conducted in SMAN 1 Koto Kampar Hulu with the aim to explain (1) the direct influence of parents\u27 income on learning motivation, (2) direct influence of the availability of learning facilitiesto learning motivation, (3) direct influence of learning motivation toward learning achievement, (4) ) The direct influence of the parents\u27 income on the learning achievement, (5) the direct influence of the availability of learning facilities on the learning achievement. Data were collected by questionnaire from 70 students, the technique of data analysis was done by path analysis. The result of research are: (1) there is direct influence of parent income to learning motivation equal of 0,019 (2) there is direct influence of availability of learning facilitiesto learning motivation equal to 0,028 (3) there is direct influence of learning motivation to learning achievementof 0.000 (4) Direct income of parents to learning achievementof 0.048 (5) there is a direct influence of the availability to learning facilities on learning achievementof 0.00

Treatment Response Monitoring of Chronic Hepatitis B Patients using Transient Elastography and Aspartate Aminotransferase-to-Platelet Ratio Index (APRI)

Background: Hepatitis B is endemic in Indonesia and treatment response need to be monitored during and after antiviral therapy. Liver stiffness measurement and alanine aminotransferase-to-platelet ratio index (APRI) are noninvasive method to detect liver fibrosis available in Indonesia. However, little is known about their ability to evaluate treatment response in chronic hepatitis B (CHB) patients in Indonesia. This study aimed to investigate liver stiffness changes by transient elastography (TE) and APRI before and after one-year oral antiviral treatment in CHB patients and the correlation between TE and APRI. Methods: this study was retrospective cohort on CHB patients in CiptoMangunkusumo Hospital, Jakarta who uderwent treatment between January 2012 and December 2014. Patients received oral antiviral treatment with newer nucleoside analogues (entecavir or telbivudine) for at least one year. TE and APRI were obtained before and after treatment. TE and APRI reductions were analyzed statistically with Spearman’s test. Results: a total of 41 patients were enrolled in this study. Median liver stiffness value was significantly reduced from 10.8 to 5.9 kPa after oral antiviral treatment (p<0.001, Wilcoxon’s test). Median APRI was also significantly reduced from 1.13 to 0.43 after treatment (p<0.001, Wilcoxon’s test). The correlation between liver stiffness and APRI before treatment was weak (r=0.40), but it was strong after treatment (r=0.73). Conclusion: the liver stiffness measured with transient elastography and APRI significantly decreased after one year of antiviral treatment in chronic HBV patients. There was a significant correlation between TE and APRI after one year of treatment

Pengaruh Kualitas Pelayanan dan Kemampuan Manajerial Pengurus terhadap Kepuasan Anggota Koperasi Pegawai Republik Indonesia (Kpri) Universitas Riau

The purpose of the research is to find out the influence of service quality and managerial ability of the administrator to the customer satisfaction of Koperasi Pegawai Republik Indonesia University of Riau. This research is a quantitative research, with amount of population is 1.949 members and amount sample is 94 members. The method that used to gathering data is quisioner. Analysis data method uses descriptive analysis, multiple linier regression and classical assumption test. The result of the research shows there is influence of service quality and managerial ability of the administator to the customer satisfaction with significance value of 0,001. Partially, service quality has influence to the customer satisfaction with significance value of 0,038 and managerial ability has influence to the customer satisfaction with significance of 0,003. With good service quality and good managerial ability, so that will increase customer satisfaction

Enkripsi Dan Dekripsi Dengan Algoritma Aes 256 Untuk Semua Jenis File

Kemajuan teknologi komputer dan telekomunikasi telah menjadi kebutuhan dansangat membantu dalam menyelesaikan banyak pekerjaan dengan cepat, akurat, danefisien. Namun seiring dengan kemajuan teknologi, terdapat dampak negatif berupapenyadapan data sehingga aspek keamanan dalam pertukaran informai dianggap penting.Dalam dunia informasi terdapat data-data penting dan bersifat rahasia yang tidak bolehdiketahui oleh umum.Kriptografi merupakan salah satu solusi atau metode pengamanan data yangtepat untuk menjaga kerahasiaan dan keaslian data, serta dapat meningkatkan aspekkeamanan suatu data atau informasi. Metode ini bertujuan agar informasi yang bersifatrahasia dan dikirim melalui suatu jaringan, seperti LAN atau Internet, tidak dapat diketahuiatau dimanfaatkan oleh orang atau pihak yang tidak berkepentingan. Kriptografimendukung kebutuhan dua aspek keamanan informasi, yaitu perlindungan terhadapkerahasiaan data informasi dan perlindungan terhadap pemalsuan dan pengubahaninformasi yang tidak diinginkan.Hasil penelitian menunjukkan bahwa algoritma AES dengan panjang kunci 256 bitdapat menyandikan isi suatu file sehingga dapat mengamankan file tersebut. Ukuran fileenkripsi akan bertambah 11 bytes dari file asli karena adanya proses penambahan headeryang berisi informasi ekstensi file. Dalam pengembangan sistem berikutnya diharapkansistem dapat mempunyai fasilitas untuk menyembunyikan folder yang digunakan untukmenyimpan file enkripsi maupun file dekripsi