A dawn to dusk electric field in the Jovian magnetosphere

It is shown that if Io-injected plasma is lost via a planetary wind-fixed Birkeland current system may result. This is due to the fact that the azimuthal centrifugal current flows across a density gradient produced by the loss of plasma through the planetary wind in the tail. The divergent centrifugal current is connected to field-aligned Birkeland currents which flow into the ionosphere at dawn and out of it at dusk. The closure currents in the ionosphere require a dawn to dusk electric field which at the orbit of Io is estimated to have a strength of 0.2 mV/m. However, the values of crucial parameters are not well known and the field at Io's orbit may well be significantly larger. Independent estimates derived from the local time asymmetry of the torus UV emission indicate a field of 1.5 mV/m

Factors Associated Mosquito Larvae Eradication and Early Management of Dengue Hemorrhagic Fever among Poor Community in Lokapaksa Village, Buleleng, Bali

BACKGROUND: Dengue haemorrhagic fever (DHF) remains a public health importance in the world. It causes hospitalization, death of patients, and high healthcare costs. This study aimed to describe factors associated mosquito larvae eradication and early management of DHF among poor community in Lokapaksa village, Buleleng, Bali. SUBJECT AND METHODS: This was a qualitative study carried out in poor community in Lokapaksa village, Buleleng, Bali. The study subjects included 30 household heads and village heads. The data were colected by focus group discussion, indepth interview, and direct observation. RESULTS: Outbreak of DHF occurred in Bali. In January 2016, 4 patients died from DHF. In 2015, according to the Provincial Health Office, there were 910 DHF cases, of which 262 cases occured in Buleleng, 245 cases occured in Gianyar districts. The response to new cases by clinics and community health centers was often late. Most of the villagers had low level of knowledge in mosquito larva eradication and early mana-gement of DHF. Mosquito larvae were found in about half of the houses surveyed. All of the household studied threw garbage in the backyard of houses. Health personnels had ever implemented fogging. CONCLUSIONS: The villagers had low level of knowledge and poor practice in mosquito larva eradication and early management of DHF. Environment sanitation was poor. Health care system had late response in the incidence of new cases. Keywords: Dengue Hemorrhagic Fever, mosquito larvae, larva eradication, early case managemen

Qualitative Study on Pet-Related Human Behaviour and Other Risk Factors of Rabies in Buleleng, Bali

BACKGROUND: Bali has been an endemic province since 2008. Rabies cause specific death was 8, 1, and 2, respectively, in 2012, 2013, and 2014. Number of dog or cat bites was 55836, 44690, and 46877, respectively, in 2012, 2013, and 2014. The study aimed to explore pet-related human behavior and other risk factors of rabies in Buleleng, Bali. SUBJECT AND METHODS: This was a qualitative study conducted in poor communities living in Bulian village, Kubutambahan sub-district, Buleleng district, Bali. Twenty households were purposively selected for this study. The key informants included household members, heads of hamlet, and head of village. The data were collected by in-depth interview, direct observation, and document review. RESULTS: House condition and sanitation were acceptable, despite low socio-economic position of community members. Dog population was high. Most of them lived wild, unattended, or did not have identity neck-lace. Ten out of 20 household interviewed reported that their members were bitten by dog over the past year. Most of the dogs had never been vaccinated. Most of the villagers had poor knowledge and practice on how to treat wounds. Villagers usually let the dogs that had bitten human to live free or killed them immediately. CONCLUSION: Uncontrolled of dog population, widespread unvacci-nated dogs, uncontrolled dog mobility, lack of proper knowledge and practice on wound treatment, were the main risk factors of rabies incidence. Keywords: rabies, dog bite, pet-related human behavior, risk facto

Azimuthal anisotropy of jet quenching at LHC

We analyze the azimuthal anisotropy of jet spectra due to energy loss of hard partons in quark-gluon plasma, created initially in nuclear overlap zone in collisions with non-zero impact parameter. The calculations are performed for semi-central Pb-Pb collisions at LHC energy.Comment: Talk given at Fourth International Conference "Physics and Astrophysics of Quark-Gluon Plasma", November 26-30, 2001; 4 pages including 4 eps-figure

Assessing 2 D-dimer age-adjustment strategies to optimize computed tomographic use in ED evaluation of pulmonary embolism

STUDY OBJECTIVE: Validate the sensitivity and specificity of 2 age adjustment strategies for d-dimer values in identifying patients at risk for pulmonary embolism (PE) compared with traditional D-dimer cutoff value (500 ng/mL) to decrease inappropriate computed tomography pulmonary angiography (CTPA) use. METHODS: This institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study included all adult emergency department patients evaluated for PE over a 32-month period (1/1/11-8/30/13). Only patients undergoing CTPA and D-dimer testing were included. We used a validated natural language processing algorithm to parse CTPA radiology reports and determine the presence of acute PE. Outcome measures were sensitivity and specificity of 2 age-adjusted D-dimer cutoffs compared with the traditional cutoff. We used chi2 tests with proportional analyses to assess differences in traditional and age-adjusted (agex10 ng/mL) D-dimer cutoffs, adjusting both by decade and by year. RESULTS: A total 3063 patients with suspected PE were evaluated by CTPA during the study period, and 1055 (34%) also received d-dimer testing. The specificity of age-adjusted D-dimer values was similar or higher for each age group studied compared with traditional cutoff, without significantly compromising sensitivity. Overall, had decade age-adjusted cutoffs been used, 37 CTPAs could have been avoided (19.6% of 189 patients aged \u3e60 years with Wells score50 years with Wells scor

Health-Related Sexual Behavior among Transgenders in Singaraja, Bali

BACKGROUND: The existence of persons with trans-genders orienta-tion (waria) is undeniable. Usually trans-genders are at risk for sexual transmitted diseases and HIV/AIDS do to their sexual behavior. This study aimed to describe health related sexual behavior among persons with trans-gender orientation in Singaraja, Bali. SUBJECT AND METHODS: This was a qualitative study conducted in Singaraja, Bali. The data was obtained from the trans-genders by in-depth interview and observation. RESULTS: The trans-genders participated actively in social event and campaign related to HIV/AIDS prevention and control. However, they had high-risk sexual behavior, such as doing oral sex, anal sex, and squeeze sex. Only 80% used condoms during sexual intercourse. The trans-genders rarely checked up for reproductive health provided by the District Health Office in Singaraja, Bali. They were reluctant to be examined by female doctors. CONCLUCION: The trans-genders in Singaraja, Bali, still have high-risk sexual behavior. The rarely use reproduction health services provided by the government, among others because they are not comfortable to be examine by female doctors. Keywords: waria, trans-genders, sexual behavior, reproduction healt

Pelatihan Lari Jingkat Melewati 10 Rintangan Jarak 1 Meter Setinggi 25 Cm Berbeban 500 Gram Di Pergelangan Kaki 10 Repetisi 4 Set Terhadap Peningkatan Daya Ledak Otot Tungkai Siswa Putra Kelas VIII SMP Negeri 2 Sukawati

Berdasarkan pengamatan di lapangan melalui penelitian pendahuluan yang dilakukan dengan mengukur 5 orang siswa yang diambil secara random diperoleh rata-rata daya ledak otot tungkai siswa SMP Negeri 2 Sukawati adalah 7,8 cm. Berkaitan dengan hal itu peneliti memberikan Pelatihan Lari Jingkat Melewati 10 Rintangan Jarak 1 Meter Setinggi 25 cm Berbeban 500 gram Di Pergelangan Kaki 10 Repetisi 4 Set yang dilakukan selama 6 minggu. Berdasarkan nilai analisis dengan menggunakan uji t-paired test seperti pada tabel 1 dapat disampaikan bahwa rerata pengukuran awal daya ledak otot tungkai pada kelompok 1 (perlakuan) = 9,07±1,73 cm. Rerata hasil pegukuran awal pada kelompok 2 (kontrol) = 8,79±2,50 cm. Rerata pengukuran akhir pada kelompok 1 (perlakuan) = 21.07±3,65 cm. Rerata pengukuran akhir pada kelompok 2 (kontrol) = 17,52±2,01 cm. hasil pengukuran daya ledak otot tungkai pada kelompok 1 (perlakuan) diperoleh beda rerata 12 cm dan kelompok 2 (kontrol) diperoleh beda rerata 8,73 cm dengan hasil tes daya ledak otot tungkai sebelum dan sesudah pelatihan antar kelompok diperoleh beda rerata 3,55 cm dengan nilai (p = 0,04), ini menunjukkan pelatihan daya ledak otot tungkai ada perbedaan yang bermakna (p < 0,05)

The use of decision support to measure documented adherence to a national imaging quality measure

RATIONALE AND OBJECTIVES: Present methods for measuring adherence to national imaging quality measures often require a resource-intensive chart review. Computerized decision support systems may allow for automated capture of these data. We sought to determine the feasibility of measuring adherence to a national quality measure (NQM) regarding computed tomography pulmonary angiograms (CTPAs) for pulmonary embolism using measure-targeted clinical decision support and whether the associated increased burden of data captured required by this system would affect the use and yield of CTs. MATERIALS AND METHODS: This institutional review board-approved prospective cohort study enrolled patients from September 1, 2009, through November 30, 2011, in the emergency department (ED) of a 776-bed quaternary-care adults-only academic medical center. Our intervention consisted of an NQM-targeted clinical decision support tool for CTPAs, which required mandatory input of the Wells criteria and serum D-dimer level. The primary outcome was the documented adherence to the quality measure prior and subsequent to the intervention, and the secondary outcomes were the use and yield of CTPAs. RESULTS: A total of 1209 patients with suspected PE (2.0% of 58,795 ED visits) were imaged by CTPA during the 12-month control period, and 1212 patients were imaged in the 12 months after the quarter during which the intervention was implemented (2.0% of 59,478 ED visits, P = .84). Documented baseline adherence to the NQM was 56.9% based on a structured review of the provider notes. After implementation, documented adherence increased to 75.6% (P \u3c .01). CTPA yield remained unchanged and was 10.4% during the control period and 10.1% after the intervention (P = .88). CONCLUSIONS: Implementation of a clinical decision support tool significantly improved documented adherence to an NQM, enabling automated measurement of provider adherence to evidence without the need for resource-intensive chart review. It did not adversely affect the use or yield of CTPAs

Supporting Self-management Among Young People With Acne Vulgaris Through a Web-Based Behavioral Intervention: Development and Feasibility Randomized Controlled Trial

Background: Acne is a common skin condition that is most prevalent in young people. It can have a substantial impact on the quality of life, which can be minimized with the appropriate use of topical treatments. Nonadherence to topical treatments for acne is common and often leads to treatment failure. Objective: The aim of this study is to develop a web-based behavioral intervention to support the self-management of acne and to assess the feasibility of recruitment, retention, and engagement of users with the intervention. Methods: The intervention was developed iteratively using the LifeGuide software and following the person-based approach for intervention development. The target behavior was appropriate use of topical treatments. Barriers and facilitators identified from the qualitative research and evidence from the wider literature were used to identify techniques to improve and promote their use. Young people with acne aged 14-25 years who had received treatment for acne in the past 6 months were invited to participate through mail-out from primary care practices in the South of England in a parallel, unblinded randomized trial. Participants were automatically randomized using a computer-generated algorithm to usual care or to usual care plus access to the web-based intervention. Usage data was collected, and a series of questionnaires, including the primary outcome measure for skin-specific quality of life (Skindex-16), were collected at baseline and at the 4- and 6-week follow-ups. Results: A total of 1193 participants were invited, and 53 young people with acne were randomized to usual care (27/53, 51%) or usual care plus intervention (26/53, 49%). The response rate for the primary outcome measure (Skindex-16) was 87% at 4 weeks, 6 weeks, and at both time points. The estimate of mean scores between groups (with 95% CI) using linear regression showed a trend in the direction of benefit for the web-based intervention group in the primary outcome measure (Skindex-16) and secondary measures (Patient Health Questionnaire-4 and the Problematic Experiences of Therapy Scale). Intervention usage data showed high uptake of the core module in the usual care plus web-based intervention group, with 88% (23/26) of participants completing the module. Uptake of the optional modules was low, with less than half visiting each (myth-busting quiz: 27%; living with spots or acne: 42%; oral antibiotics: 19%; what are spots or acne: 27%; other treatments: 27%; talking to your general practitioner: 12%). Conclusions: This study demonstrated the feasibility of delivering a trial of a web-based intervention to support self-management in young people with acne. Additional work is needed before a full definitive trial, including enhancing engagement with the intervention, recruitment, and follow-up rates

Pelatihan Daya Tahan Otot Berbeban ½ Kg 20 Repetisi 3 Set Meningkatkan Frekuensi Pukulan Pendeta Tangan Kiri dan Kanan pada Anggota Pencak Silat Perisai Diri Ranting Sesetan

Pencak silat adalah seni beladiri yang membutuhkan konsentrasi tinggi. Komponen biomotorik yang terpenting dikembangkan adalah kekuatan, daya tahan otot, kecepatan waktu reaksi dan koordinasi. Dalam penelitian ini peneliti menerapkan pelatihan daya tahan otot untuk meningkatkan frekuensi pukulan pendeta dengan dua tipe pelatihan yaitu, Kelompok 1 melakukan pelatihan daya tahan otot dengan beban dumbbell seberat ½ kg sebanyak 20 repetisi 3 set dan Kelompok 2 melakukan pelatihan daya tahan otot berbeban ½ sebanyak 15 repetisi 4 set. Secara keseluruhan penelitian ini bertujuan untuk meningkatkan frekuensi pukulan pendeta. Perbedaan rerata frekuensi pendeta sebelum pelatihan pada Kelompok 1 26,22 ± 1,21 x/30 detik dan sesudah pelatihan 32,28 ± 1,03 x/30 detik menunjukkan adanya perbedaan bermakna p = 0,000 (p<0,05). Rerata frekuensi pukulan pendetasebelum pelatihan pada Kelompok 2 adalah sebesar 26,22 ± 1,56x/30 detik dan sesudah pelatihan 29,56 ± 1,23x/30 detik (p<0,05). Perbedaan frekuensi pukulan sesudah pelatihan antara kedua kelompok juga menunjukkan perbedaan yang bermakna p = 0,000 (p<0,05). Disimpulkan bahwa pelatihan daya tahan otot berbeban ½ kg 20 repetisi 3 set lebih meningkatkan dibandingkan pelatihan daya tahan otot berbeban ½ kg 15 repetisi 4 set