The Comparison of Survival, and Cost Effectiveness of Geriatric Patients Admitted in Dr. Cipto Mangunkusumo Hospital Before and During National Health Insurance Program Implementation

Comprehensive Geriatrics Assessment (CGA) has been proven to improve the overall outcome of geriatric patients care, and has been implemented in RSCM as the standard geriatric medical care. National Health Insurance Program (NHIP) was implemented in Indonesia in January 2014. It is unclear how NHI program will affect survival and cost effectiveness of geriatric patients receiving CGA. The aim of this study was to compare the survival and cost effectiveness between geriatric patients hospitalized during NHIP and before NHIP era in RSCM. This was a retrospective cohort study with historical control. The subjectswere geriatric inpatients aged ≥60 years old with one or more geriatric giants between July to December 2013 (non NHIP) and January to June 2014 (NHIP). A survival analysis and determination of incremental costeffectiveness ratio (ICER) was used to compare the survival and cost-effectiveness between the two groups. The clinical and demographic characteristics were relatively similar between the NHIP and non NHIP group. No difference in mortaliy rate during hospital care and 30 days survival rate between NHIP and non NHIP group (31.2% vs 28%, p=0.602; 65.2% vs 66.4%, p = 0.086, respectively).  No significant difference was found in the survival curve between the two groups. Calculation of ICER showed that NHIP was associated with an increased cost of 1.4 million rupiah and 1.2 % higher mortality rate. Further research is needed to evaluate this result when NHI Program has been implemented for a longer duration

Perancangan Dan Simulasi Ultrasonik Doppler Gelombang Kontinyu 4MHz Berbasis Mikrokontroler ATmega16

Dalam penelitian ini telah dirancang sebuah sistem ultrasonik yang akan digunakan untuk mengukur kecepatan aliran darah. Sistem yang dirancang ini menggunakan prinsip ultrasonik doppler gelombang kontinyu dengan frekuensi 4MHz. Prinsip kerja dari sistem ini adalah dengan memancarkan gelombang sinus yang memiliki frekuensi 4 MHz ke bagian pembuluh darah oleh tranduser pemancar, dan gelombang pantul yang dihasilkan dari reflektor sel darah merah akan diterima kembali oleh tranduser penerima. Gelombang pantul yang diterima oleh tranduser penerima ini akan memiliki frekuensi yang berbeda dari gelombang yang dipancarkan. Untuk mendapatkan perbedaan frekuensi ini, maka digunakan dua buah sumber generator gelombang sebagai bagian dari simulasi sistem. Rentang frekuensi yang digunakan untuk proses simulasi sistem adalah 4MHz – 4.007 MHz. Dari hasil pengujian dan simulasi, telah diperoleh nilai kecepatan aliran pada sudut <30° sebesar 50.74 cm/s dan nilai kecepatan aliran minimum pada sudut >80° memiliki kecepatan sebesar 1.3 cm/s dengan estimasi cepat rambat gelombang di dalam medium darah sebesar 1500m/s. Hasil pengujian dan simulasi untuk sudut doppler yang sesuai adalah untuk pengujian kecepatan aliran pada sudut <60°

Tropical fruit waste-derived mesoporous rock-like Fe2O3/Ccomposite fabricated with amphiphilic surfactant-templating approach showing massive potential for high-tech applications

Recently, the glycolipids biosurfactant materials have widely been utilized for many industrial applications due to their feasible surface activity, biodegradable as well as eco-friendly nature. Even though many of the earlier studies have been reported on such kind of surfactants, in this study we focused on porous rocks-like Fe2O3/C composites, which were magnificently synthesized from a novel tropical fruit biomass, using a glycolipid biosurfactant with high specific surface area of about 466.9 m2/g via a biofunctional single-step thermochemical method. They could be applied as an adsorbent to adsorb the pharmaceutical pollutants mainly, DCF from aqueous solution. Moreover, the highest adsorption capacity for DCF could be achieved, which is of about 77.51 mg/g. Furthermore, as-prepared glycolipid functionalized Fe2O3/C composites were used as electrode materials for high-performance supercapacitors. Galvanostatic charge-discharge results showed that the Fe2O3/C modified electrode possesses a specific capacitance of about 374 F/g with a current density of 0.2 A/g and it has retained 84% of capacitance, even after 3000 cycles. The remarkable performances are mainly due to the surface amendments of the Fe2O3/C composite, using biologically produced glycolipid surfactant, would have more favorable foreground towards the upcoming energy crises.publishedVersio

Sistem Informasi Geografis untuk Pemetaan Wifi.Id Corner dan Wifi Gratis di Kota Kupang Berbasis Web

WiFi is a well-known technology that utilizes electronic equipment to exchange data wirelessly (using radio waves) through a computer network, including high speed internet connections. In addition there are currently many internet services for the public provided by companies such as PT. Telkom which provides wifi.id corner and Diskominfo which provides free wifi for public to help people who need internet access for work purposes. In Kupang City Regency,have been many scattered public internet services such as wifi.id corner and free wifi spread, but will there are still many people who do not yet the location information of wifi.id corner and free wifi , so there is a sense of discomfort by people who really need these services. Therefore built a Geographic Information System (GIS) web-based for mapping wifi id corner locations and free wifi using the PHP programming language and MySQL database. This research uses the Waterfall Life Cycle Software Development (CLC) development method. The waterfall model has five stages, namely analysis, design, coding, testing and maintenance. The results of this study are Web-GIS applications that can provide information about Wifi Id Corner and Free Wifi in Kupang City as is of location maps, names, addresses, facilities and images wifi id corner locations and the selected free wifi locations

The Role of Angiotensin Antagonism in Coronary Plaque Regression: Insights from the Glagovian Model

The benefit of antagonizing the effect of the renin angiotensin aldosterone system (RAAS), notably by the use of angiotensin-converting enzyme inhibitor (ACEi) and angiotensin II type 1 receptor blocker (ARB) for coronary artery disease (CAD), has been demonstrated in multiple studies, which may be attributed to their ability to inhibit the deleterious effect of RAAS to the cardiovascular system. It is well known that angiotensin II (Ang II) plays a vital role in atheromatous plaque formation and progression through multiple pathways, including inflammatory and arterial remodeling aspects. Significant coronary atheromatous plaque regression has been previously demonstrated in various studies using statin agents. Similar results have been reported in different studies using angiotensin inhibitor agents, notably ARB agents. Analysis from various trials utilizing ARB showed a significant plaque regression using olmesartan and telmisartan as evaluated by IVUS studies. In contrary, the use of ACEi did not demonstrated significant plaque regression, which may be attributed to the heavy plaque calcification in respective studies. On this review, we aim to present the basic mechanism on the role of RAAS in plaque modulation and its arterial remodeling aspect, which is then integrated with the clinical evidence based on the available intravascular ultrasonography (IVUS) studies on coronary arteries

Enabling technologies for the 'always best connected' concept

'Always Best Connected' (ABC) is considered one of the main requirements for next generation networks. The ABC concept allows a person to have access to applications using the devices and network technologies that best suits his or her needs or profile at any time. Clearly, this requires the combination of a set of existing and new technologies, at all levels of the protocol stack, into one integrated system. In this paper, a considerable set of the technologies, that are expected to play a key role towards the ABC vision, are presented. Starting from a reference architecture, the paper describes the required enhancements at certain levels of a traditional protocol stack, as well as technologies for mobility and end-to-end Quality of Service (QoS) support. The paper concludes with a case study that reveals the advantages of the ABC concept. Copyright © 2004 John Wiley & Sons, Ltd