Peranan Kota Bogor, Depok, Tangerang, Bekasi, dan Cianjur (Bodetabekjur) dalam Menyokong Pembangunan Kota Jakarta

Kawasan Jakarta, Bogor, Depok, Tangerang, Bekasi, Puncak, Cianjur, yang selanjutnya disebut sebagai Kawasan Jabodetabekpunjur, adalah kawasan strategis nasional yang meliputi seluruh wilayah Provinsi Daerah Khusus Ibukota Jakarta, sebagian wilayah Provinsi Jawa Barat, dan sebagian wilayah Provinsi Banten (Perpres. No. 54 tahun 2008). Tujuan penelitian ini adalah (1) mengidentifikasi sektor unggulan perekonomian wilayah kabupaten/kota di Kawasan Jabodetabekjur serta; (2) mengidentifikasi peranan kabupaten/kota sekitar (Bogor, Depok, Tangerang, Bekasi, Puncak, Cianjur) terhadap pembangunan fisik infrastuktur Kota Jakarta. Penelitian ini menggunakan metode wawancara terhadap 3 responden yang merupakan penentu kebijakan pembangunan di Kota Jakarta. Teknik analisis yang digunakan adalah deskriptif kuantitatif dan kualitatif. Hasil penelitian menunjukkan bahwa setiap kota di Jabodetabekjur dan Kabupaten Cianjur memiliki sektor basis yang didominasi oleh sektor tersier. Kabupaten sisanya memiliki sektor unggulan pada sektor primer dan sektor sekunder. Peranan utama dari kabupaten/kota pada Bodetabekjur adalah pembangunan transportasi massal, peningkatan kapasitas jalan

Pemukiman sebagai kesatuan ekosistem daerah Sumatera Barat

Buku ini membahas tentang pemukiman sebagai kesatuan ekosistem daerah sumatera barat yang meliputi desa sebagai ekosistem dan gambaran umum pedesaanny

A review of the antimicrobial activity of thermodynamically stable microemulsions

Microemulsions are thermodynamically stable, transparent, isotropic mixtures of oil, water and surfactant (and sometimes a co-surfactant), which have shown potential for widespread application in disinfection and self-preservation. This is thought to be due to an innate antimicrobial effect. It is suggested that the antimicrobial nature of microemulsions is the result of a combination of their inherent kinetic energy and their containing surfactants, which are known to aid the disruption of bacterial membranes. This review examines the contemporary evidence in support of this theory.</p

Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia

Medication adherence remains a critical link between the prescribed ART regimen and treatment outcome. Several factors may influence adherence behavior. This cross-sectional study aimed to highlight socioeconomic predictors of adherence behavior among a cohort of 242 adult Malaysian patients receiving antiretroviral therapy in Hospital Sungai Buloh, Malaysia, where they were enrolled in a parent study (single-blinded randomized controlled trial) between January and December 2014. Statistical analysis of secondary data on adherence behavior and sociodemographic characteristics of the patients revealed mean age of 33.4 years and ranged from 18 to 64 years; 88.8% were males. A total of 224 (93%) patients who completed 6 months' adherence assessment were included in the model. Of these, 135 (60.3%) achieved optimal adherence. Multivariate binary logistic regression analysis revealed that patient's income and ethnicity were significant predictors of adherence behavior. This may be valuable for targeted programmatic interventions to further enhance successful treatment outcomes among the target population

Geografi budaya dalam wilayah pembangunan daerah Sumatera Barat

Sebagaimana diketahui, lingkungan alami mencakup tanah, iklim, sungai, dataran, pegunungan, flora, fauna, geologi, dan hidrologi dengan seluk beluknya. Selanjutnya, aspek sosial budaya antara lain mencakup agama/kepercayaan, teknologi, material, ekonomi, organisasi sosial, dan bahasa. lnformasi tentang unsur-unsur tersebut tidak dihimpun seluruhnya, tetapi terbatas pada unsur-unsur agama/kepercayaan, teknologi, ekonomi, peternakan, perikanan, pertam bangan, perindustrian, dan perdagangan. Daerah penelitian untuk menghimpun informasi tersebut di atas adalah setiap wilayah pembangunan yang ada di Propinsi Sumatera Barat, melalui wilayah sampelnya masing-masing

Enhanced Recovery After Surgery (ERAS) Protocols In General Surgery: A Review Of Implementation And Outcomes

ERAS is a group of protocols that aim at affecting positively patients &amp; surrounding lives. surgeons, nurses, physiotherapists, anesthetists, and even healthcare centers hospitals, labs, and pharmacies. Reducing the cost for both hospitals &amp;patients, decreasing the duration of residency in hospitals, and improving patient compliance, developing performance &amp; increasing teamwork between medical staff and patients all fall under the advantages of ERAS. Since it affects the 3 stages of any operation (preoperative-intraoperative-perioperative) it was necessary to implement a suitable protocol for each patient to achieve the best results mostly quitting smoking, fasting for a period before surgery, maintaining body temperature, pressure, and glucose level and the postoperative instructions , care &amp; nutrition to guarantee success and avoidance to recurrence or complications

Compressive and flexural strength of concrete containing palm oil biomass clinker and polypropylene fibres

This paper presents the effects of using palm oil biomass (POB) clinker with polypropylene (PP) fibres in concrete on its compressive and flexural strength performances. Due to infrastructural development works, the use of concrete in the construction industry has been increased. Simultaneously, it raises the demand natural sand, which causes depletion of natural resources. While considering the environmental and economic benefits, the utilization of industrial waste by-products in concrete will be the alternative solution of the problem. Among the waste products, one of such waste by-product is the palm oil biomass clinker, which is a waste product from burning processes of palm oil fibres. Therefore, it is important to utilize palm oil biomass clinker as partial replacement of fine aggregates in concrete. Considering the facts, an experimental study was conducted to find out the potential usage of palm oil fibres in concrete. In this study, total 48 number of specimens were cast to evaluate the compressive and flexural strength performances. Polypropylene fibre was added in concrete at the rate of 0.2%, 0.4% and 0.6%, and sand was replaced at a constant rate of 10% with palm oil biomass clinker. The flexural strength of concrete was noticed in the range of 2.25 MPa and 2.29 MPa, whereas, the higher value of flexural strength was recorded with 0.4% polypropylene fibre addition. Hence, these results show that the strength performances of concrete containing POB clinker could be improved with the addition of polypropylene fibre

Oral health status of 12-year-old school children in Khartoum state, the Sudan; a school-based survey

<p>Abstract</p> <p>Background</p> <p>Few studies have investigated the prevalence of dental caries among school children in the past decades in Sudan rendering it difficult to understand the status and pattern of oral health.</p> <p>Methods</p> <p>A school-based survey was conducted using stratified random cluster sampling in Khartoum state, Sudan. Data was collected through interviews and clinical examination by a single examiner. DMFT was measured according to WHO criteria. Gingival index (GI) of Loe & Silness and Plaque index (PI) of Silness & Loe were used.</p> <p>Results</p> <p>The mean DMFT for 12-year-olds was found to be 0.42 with a significant caries index (SiC) of 1.4. Private school attendees had significantly higher DMFT (0.57) when compared to public school attendees (0.4). The untreated caries prevalence was 30.5%. In multivariate analysis caries experience (DMFT > 0) was found to be significantly and directly associated with socioeconomic status. The mean GI for the six index teeth was found to be 1.05 (CI 1.03 – 1.07) and the mean PI was 1.30 (CI 1.22 – 1.38).</p> <p>Conclusion</p> <p>The prevalence of caries was found to be low. The school children with the higher socioeconomic status formed the high risk group.</p

Further evidence of psychological factors underlying choice of elective cesarean delivery (ECD) by primigravidae

Objective: Requests for elective cesarean delivery (ECD) have increased in Iran. While some sociodemographic and fear-related factors have been linked with this choice, psychological factors such as self-esteem, stress, and health beliefs are under-researched. Methods: A total of 342 primigravidae (mean age = 25 years) completed questionnaires covering psychological dimensions such as self-esteem, perceived stress, marital relationship quality, perceived social support, and relevant health-related beliefs. Results: Of the sample, 214 (62.6%) chose to undergo ECD rather than vaginal delivery (VD). This choice was associated with lower self-esteem, greater perceived stress, belief in higher susceptibility to problematic birth and barriers to an easy birth, along with lower perceived severity of ECD, fewer perceived benefits from VD, lower self-efficacy and a lower feeling of preparedness. No differences were found for marital relationship quality or perceived social support. Conclusions: The pattern suggests that various psychological factors such as self-esteem, self-efficacy, and perceived stress underpin the decision by primigravidae to have an ECD

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London