105 research outputs found

    Sistem Informasi Akademik Kurikulum 2013 pada SMA RK Swasta Delimurni Bandar Baru Berbasis Web

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    Kurikulum 2013 (K-13) adalah kurikulum yang berlaku dalam Sistem Pendidikan Indonesia. Kurikulum ini merupakan kurikulum tetap diterapkan oleh pemerintah untuk menggantikan Kurikulum-2006 (yang sering disebut sebagai Kurikulum Tingkat Satuan Pendidikan) yang telah berlaku selama kurang lebih 6 tahun. Kurikulum 2013 masuk dalam masa percobaanya pada tahun 2013 dengan menjadikan beberapa sekolah menjadi sekolah rintisan. SMA Swasta Deli Murni Bandar Baru Pada saat ini sekolah tersebut telah mengubah kurikulum pendidikannya dari KTSP menjadi Kurikulum 2013. Perubahan kurikulum dilakukan semenjak Tahun Ajaran 2013/2014. KTSP adalah Kurikulum Tingkat Satuan Pendidikan yang teknis penilaiannya akan menghasilkan satu nilai dari seluruh komponen penilaian yang terdiri dari penilaian sikap, pengetahuan, dan keterampilan. Kurikulum tersebut juga memberikan hak pada sekolah-sekolah untuk mengembangkan kurikulum yang telah ditentukan oleh pemerintah sesuai dengan kebutuhan sekolah itu sendiri. Sedangkan kurikulum 2013, teknis penilaiannya menghasilkan tiga jenis nilai yaitu nilai pengetahuan, nilai keterampilan, dan nilai sikap. Dengan adanya permasalahan tersebut maka diperlukan sebuah sistem informasi untuk menanganinya. Sistem informasi ini nantinya akan mengolah semua data guru, siswa, kehadiran, dan nilai di SMA Swasta RK Deli Murni Bandar Baru yang sebelumnya hanya dicatat secara manual. Selain itu sistem ini akan membuat rapot dan ledger setiap akhir semesternya

    The prospect for an australian-asian power grid: A critical appraisal

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    © 2018 MDPI AG. All rights reserved. Australia is an energy net self-sufficient country rich in energy resources, from fossil-based to renewable energy. Australia, a huge continent with low population density, has witnessed impressive reduction in energy consumption in various sectors of activity in recent years. Currently, coal and natural gas are two of Australia's major export earners, yet its abundant renewable energy resources such as solar, wind, and tidal, are still underutilized. The majority of Asian countries, on the other hand, are in the middle of economic expansion, with increasing energy consumption and lack of energy resources or lack of energy exploration capability becoming a serious challenge. Electricity interconnection linking two or more independent grids within a country or at cross-border or regional levels has found its way into electricity markets worldwide. This concept allows for electricity exchanges that lead to optimized use and sharing of electricity generated from different sources. The interconnection also enables the long distance exploitation of renewable energy which would otherwise be physically impossible. ASEAN (Association of Southeast Asian Nations) and other regional groupings in Asia have initiated a number of interconnections to gain economic benefits. Asian's hunger for energy for its economic development, climate change that has become a global and urgent issue to be solved, and Australia's abundant renewable energy resources have all prompted increasing interest in a super-grid interconnection linking Australia to Asian grids, the Australian-Asian (Power) Grid (AAG). This paper overviews the existing grid interconnections as well as current initiatives at domestic, sub-regional, and regional levels worldwide, with a particular focus on Asia. The paper concludes with a critical appraisal on the benefits, potential, challenges and issues to be encountered by the AAG initiative

    A Comprehensive Review of Promising Hybrid Sea Waves Energy Powered Desalination Techniques

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    Freshwater scarcity is a critical problem faced by many communities worldwide and utilizing renewable energy sources to power water treatment processes is becoming increasingly important. Also, our oceans is a potential source of power using the oscillations waves hitting our costal lines every second. So, this review paper examines the feasibility and potential of hybrid systems that use wave energy converters to generate power for freshwater water production. Various wave energy converter technologies, such as oscillating water columns, overtopping devices, and wave-activated bodies, are discussed to be integrated with desalination methods. The paper presents an overview of various hybrid systems, highlighting their design, operation, cost, environmental impacts, and performance. By comparing various hybrid systems, this review paper aims to provide valuable insights for researchers, engineers, and policymakers seeking to develop sustainable solutions to freshwater scarcity by clarifying the benefits and challenges and suggested considerations that needs to be taken in future studies

    Hubungan Penerapan Good Corporate Governance dan Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien Unit Rawat Inap di Rumah Sakit Umum Haji Medan

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    The community needs good health services to fulfill the rights of Indonesian citizens. As health services organizations, hospitals must be able to provide good services. The implementation of health services with integrity, transparency, accountability, and responsiveness requires a system that can integrate all of these components. Hospitals must provide quality health services at affordable prices to increase customer satisfaction and strive to evaluate and capture all opportunities and increase theirs. Competitiveness in an inpatient unit at the Medan Haji General Hospital (RSUHM) North Sumatra Province. The type of research used in this research is quantitative analytics with a cross-sectional design. The sample used in this study was an inpatient unit at the Medan Haji General Hospital (RSUHM) North Sumatra Province, amounting to 100 people. Data analysis using Spearman correlation test and multiple linear regression multivariate analysis. The results showed that there was a significant relationship between all dimensions of the principles of Good Corporate Governance and the quality of health services with patient satisfaction. Through multiple linear regression analysis, it is known that the Responsiveness variable is the most dominant variable in influencing patient satisfaction. Based on these conclusions, the researchers suggest that doctors, nurses, and other officers should improve their services to patients. In addition, researchers also suggest that the results of this study can be used as input for stakeholders in policy-making, especially in the health sector.Masyarakat memerlukan pelayanan kesehatan yang baik untuk memenuhi hak-hak warga negara Indonesia. Sebagai organisasi pelayanan kesehatan, rumah sakit harus mampu memberikan pelayanan yang baik. Penyelenggaraan pelayanan kesehatan yang berintegritas, transparan, akuntabel, dan responsif memerlukan sistem yang dapat mengintegrasikan seluruh komponen tersebut. Rumah sakit harus memberikan pelayanan kesehatan yang berkualitas dengan harga yang terjangkau untuk meningkatkan kepuasan pelanggan dan berusaha untuk mengevaluasi dan menangkap semua peluang serta meningkatkan daya saingnya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan penerapan prinsip Good Corporate Governances dan mutu pelayanan kesehatan dengan terhadap kepuasan pasien unit rawat inap di Rumah Sakit Umum Haji Medan (RSUHM) Provinsi Sumatera Utara. Jenis penelitian yang digunakan dalam penelitian ini adalah analitik kuantitatif dengan desain cross sectional. Sampel yang digunakan pada penelitian ini adalah pasien unit rawat inap di Rumah Sakit Umum Haji Medan (RSUHM) Provinsi Sumatera Utara yang berjumlah 100 orang. Analisa data menggunakan Uji korelasi Spearman dan analisis multivariat regresi linier berganda. Hasil penelitian menunjukkan bahwasannya terdapat hubungan yang signifikan antara seluruh dimensi prinsip Good Corporate Governances dan mutu pelayanan kesehatan dengan kepuasan pasien. Melalui uji analisis multivariat regresi linear berganda diketahui bahwasannya variabel Daya Tanggap (Responsiveness) merupakan variabel yang paling dominan dalam mempengaruhi kepuasan pasien. Berdasarkan kesimpulan tersebut, peneliti menyarankan agar para dokter, perawat dan petugas lainnya untuk meningkatkan pelayanannya terhadap pasien. Selain itu, peneliti juga menyarankan agar hasil penelitian ini dapat digunakan oleh sebagai masukan untuk para stakeholder dalam pengambilan kebijakan khususnya dalam bidang Kesehatan

    Seizures, CSF neurofilament light and tau in patients with subarachnoid haemorrhage

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    Objectives: Patients with severe subarachnoid haemorrhage (SAH) often suffer from complications with delayed cerebral ischaemia (DCI) due to vasospasm that is difficult to identify by clinical examination. The purpose of this study was to monitor seizures and to measure cerebrospinal fluid (CSF) concentrations of neurofilament light (NFL) and tau, and to see whether they could be used for predicting preclinical DCI. Methods: We prospectively studied 19 patients with aneurysmal SAH who underwent treatment with endovascular coiling. The patients were monitored with continuous EEG (cEEG) and received external ventricular drainage (EVD). CSF samples of neurofilament light (NLF) and total tau (T‐tau) protein were collected at day 4 and day 10. Cox regression analysis was applied to evaluate whether seizures and protein biomarkers were associated with DCI and poor outcome. Results: Seven patients developed DCI (37%), and 4 patients (21%) died within the first 2 months. Six patients (32%) had clinical seizures, and electrographic seizures were noted in one additional patient (4.5%). Increased tau ratio (proportion tau10/tau4) was significantly associated with DCI and hazard ratio [HR=1.33, 95% confidence interval (CI) 1.055‐1.680. P = .016]. Conclusion: Acute symptomatic seizures are common in SAH, but their presence is not predictive of DCI. High values of the tau ratio in the CSF may be associated with development of DCI

    Prevalence and characteristics of painful diabetic neuropathy in a large community-based diabetic population in the U.K.

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    OBJECTIVE - To assess, in the general diabetic population, 1) the prevalence of painful neuropathic symptoms; 2) the relationship between symptoms and clinical severity of neuropathy; and 3) the role of diabetes type, sex, and ethnicity in painful neuropathy. RESEARCH DESIGN AND METHODS - Observational study of a large cohort of diabetic patients receiving community-based health care in northwest England (n = 15,692). Painful diabetic neuropathy (PDN) was assessed using neuropathy symptom score (NSS) and neuropathy disability score (NDS). RESULTS - Prevalence of painful symptoms (NSS ≥5) and PDN (NSS ≥5 and NDS ≥3) was 34 and 21%, respectively. Painful symptoms occurred in 26% of patients without neuropathy (NDS ≤2) and 60% of patients with severe neuropathy (NDS >8). Adjusted risk of painful neuropathic symptoms in type 2 diabetes was double that of type 1 diabetes (odds ratio [OR] = 2.1 [95% CI 1.7-2.4], P < 0.001) and not affected by severity of neuropathy, insulin use, foot deformities, smoking, or alcohol. Women had 50% increased adjusted risk of painful symptoms compared with men (OR = 1.5 [1.4-1.6], P < 0.0001). Despite less neuropathy in South Asians (14%) than Europeans (22%) and African Caribbeans (21%) (P < 0.0001), painful symptoms were greater in South Asians (38 vs. 34 vs. 32%, P < 0.0001). South Asians without neuropathy maintained a 50% increased risk of painful neuropathy symptoms compared with other ethnic groups (P < 0.0001). CONCLUSIONS - One-third of all community-based diabetic patients have painful neuropathy symptoms, regardless of their neuropathic deficit. PDN was more prevalent in patients with type 2 diabetes, women, and people of South Asian origin. This highlights a significant morbidity due to painful neuropathy and identifies key groups who warrant screening for PDN. © 2011 by the American Diabetes Association

    Evaluating hospital websites in Kuwait to improve consumer engagement and access to health information:a cross-sectional analytical study

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    Abstract Background Current advances in information and communication technology have made accessing and obtaining health-related information easier than ever before. Today, many hospital websites use a patient-centric approach to promote engagement and encourage learning for better health-related decision making. However, little is known about the current state of hospital websites in the State of Kuwait. This study aims to evaluate hospital websites in Kuwait and offer recommendations to improve patient engagement and access to health information. Methods This study employs a cross-sectional analytical approach to evaluate hospital websites in Kuwait in 2017. The websites of hospitals that provide in-patient services were identified through a structured search. Only active websites that were available in either English or Arabic were considered. The evaluation of the websites involved a combination of automated and expert- based evaluation methods and was performed across four dimensions: Accessibility, Usability, Presence, and Content. Results Nine hospitals met the inclusion criteria. Most of the websites fell short in all four dimensions. None of the websites passed the accessibility guidelines. The usability of websites varied between hospitals. Overall, the majority of hospitals in Kuwait have rudimentary online presence and their websites require careful reassessment with respect to design, content, and user experience. The websites focus primarily on promoting services provided by the hospital rather than engaging and communicating with patients or providing evidence-based information. Conclusions Healthcare organization and website developers should follow best-practices to improve their websites taking into consideration the quality, readability, objectivity, coverage and currency of the information as well as the design of their websites. Hospitals should leverage social media to gain outreach and better engagement with consumers. The websites should be offered in additional languages commonly spoken by people living in Kuwait. Efforts should be made to ensure that health information on hospital websites are evidence-based and checked by healthcare professionals

    Sex- and age-related differences in the management and outcomes of chronic heart failure: an analysis of patients from the ESC HFA EORP Heart Failure Long-Term Registry

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    Aims: This study aimed to assess age- and sex-related differences in management and 1-year risk for all-cause mortality and hospitalization in chronic heart failure (HF) patients. Methods and results: Of 16 354 patients included in the European Society of Cardiology Heart Failure Long-Term Registry, 9428 chronic HF patients were analysed [median age: 66 years; 28.5% women; mean left ventricular ejection fraction (LVEF) 37%]. Rates of use of guideline-directed medical therapy (GDMT) were high (angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers and mineralocorticoid receptor antagonists: 85.7%, 88.7% and 58.8%, respectively). Crude GDMT utilization rates were lower in women than in men (all differences: P\ua0 64 0.001), and GDMT use became lower with ageing in both sexes, at baseline and at 1-year follow-up. Sex was not an independent predictor of GDMT prescription; however, age >75 years was a significant predictor of GDMT underutilization. Rates of all-cause mortality were lower in women than in men (7.1% vs. 8.7%; P\ua0=\ua00.015), as were rates of all-cause hospitalization (21.9% vs. 27.3%; P\ua075 years. Conclusions: There was a decline in GDMT use with advanced age in both sexes. Sex was not an independent predictor of GDMT or adverse outcomes. However, age >75 years independently predicted lower GDMT use and higher all-cause mortality in patients with LVEF 6445%

    Validation of a Novel Fluorescent Lateral Flow Assay for Rapid Qualitative and Quantitative Assessment of Total Anti-SARS-CoV-2 S-RBD Binding Antibody Units (BAU) from Plasma or Fingerstick Whole-Blood of COVID-19 Vaccinees

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    Background: Limited commercial LFA assays are available to provide a reliable quantitative measurement of the total binding antibody units (BAU/mL) against the receptor-binding domain of the SARS-CoV-2 spike protein (S-RBD). Aim: This study aimed to evaluate the performance of the fluorescence LFA FinecareTM 2019-nCoV S-RBD test along with its reader (Model No.: FS-113) against the following reference methods: (i) the FDA-approved GenScript surrogate virus-neutralizing assay (sVNT); and (ii) three highly performing automated immunoassays: BioMérieux VIDAS®3, Ortho VITROS®, and Mindray CL-900i®. Methods: Plasma from 488 vaccinees was tested by all aforementioned assays. Fingerstick whole-blood samples from 156 vaccinees were also tested by FinecareTM. Results and conclusions: FinecareTM showed 100% specificity, as none of the pre-pandemic samples tested positive. Equivalent FinecareTM results were observed among the samples taken from fingerstick or plasma (Pearson correlation r = 0.9, p < 0.0001), suggesting that fingerstick samples are sufficient to quantitate the S-RBD BAU/mL. A moderate correlation was observed between FinecareTM and sVNT (r = 0.5, p < 0.0001), indicating that FinecareTM can be used for rapid prediction of the neutralizing antibody (nAb) post-vaccination. FinecareTM BAU results showed strong correlation with VIDAS®3 (r = 0.6, p < 0.0001) and moderate correlation with VITROS® (r = 0.5, p < 0.0001) and CL-900i® (r = 0.4, p < 0.0001), suggesting that FinecareTM can be used as a surrogate for the advanced automated assays to measure S-RBD BAU/mL.This work was made possible by grant number UREP28-173-3-057 from the Qatar National Research Fund (a member of Qatar Foundation). The statements made herein are solely the responsibility of the authors
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