Evaluasi Fungsi Taman Kampus Edu Park Universitas Muhammadiyah Surakarta sebagai Open Space Kampus

Latar belakang penelitian ini adalah adanya fenomena disfungsi taman kampus Edu ParkUMS sebagai open space kampus yang fungsional. Penelitian ini bertujuan untukmengetahui hasil evaluasi fungsi taman kampus Edu Park Universitas MuhammadiyahSurakarta. Penelitian ini menggunakan metode pengamatan aktivitas pengguna tamandan metode jajak pendapat dengan melalui penyebaran kuesioner untuk 40 responden.Data yang diperoleh dalam penelitian ini disajikan dalam bentuk tabel, pemetaan,dokumentasi, dan diskripsi. Berdasarkan data pengamatan dan kuesioner terhadap aktivitas pengunjung yang ada, fungsi taman Edu Park sebagai open space sudah dimanfaatkan secara maksimal. Hasil perhitungan kuesioner terhadap 40 responden adalah layak dengan prosentase 35% aktivitas olahraga, 12,5 % aktivitas jalan-jalan dan bermain, 32,5% kegiatan foto-foto, 2,5% kegiatan piknik dan 5% aktivitas bersepeda. Berdasarkan data kuesioner terhadap elemen pendukung aktivitas yang terdapat pada open space tersebut, menunjukan bahwa taman Edu Park Universitas Muhammadiyah Surakarta sudah digunakan secara maksimal, dibuktikan dengan hasil perhitungan kuesioner terhadap 40 responden bahwa prosentasi yang diperoleh adalah 40% untuk kategori sangat layak, 55% untuk kategori layak dan 5% untuk kategori tidak layak

Commuting Accidents among Health Care Workers Working in Malaysia Government Hospitals

Commuting accidents are accidents occurring while travelling to and from work, and in the course of work. Studies have demonstrated that long working hours are associated with deprived sleeping time. Acute sleep deprivation may result in significant changes in cognitive functioning, alteration of mental status resembling depression or anxiety and difficulty with short-term memory. Some other studies have found that sleep deprivation significantly affects physician performance, alertness and patient safety. However, individual factors concerning workers’ behavior, family-related factors (parenting responsibility), work burden, workplace support as well as environmental factors such as bad weather and bad road conditions are also significant contributors of commuting accidents. The aim of this study is to investigate the relationship of long working hours or odd working hours and the risk exposure of the drivers during their work-commuting trips. The study was based on data collected from official notification forms. Sample size for this research was 554 based on 2014 to 2017 reported cases. Review of the statistics showed that most of the commuting accident causalitiesoccurred during travel to work (30.1%), compared to back from work after normal office hours (28.7%) and during odd hours (night shift and post-call) (12.5%). Nurses contributed significantly to these causalities (53%), followed by hospital attendants (17%), medical officer and assistant medical officer, respectively, 6 percent. Theincreasing number of commuting accidents among healthcare workers is alarming. As such, it is timely that proactive actions be taken by employers to educate their employees, their most valuable assets, on safe commuting management. Keywords: commuting accident, healthcare workers, road crashe

Life cycle assessment (LCA) of particleboard: investigation of the environmental parameters

Particleboard is not entirely a wood replacement but a particular material with its properties, making it more effective at different times than heavy or solid wood. The world's biggest concern is environmental problems with formaldehyde as a particulate board binder that can lead to human carcinogenic agents. A cradle-to-gate life cycle assessment (LCA) of particleboard production was performed using openLCA software. The impact assessment was carried out according to the software's features. This preliminary investigation aims to analyze the chemical composition of particleboard and identify its environmental impact. The Fourier-transform infrared spectroscopy (FTIR) system was used to track the functional group of aliphatic hydrocarbons, inorganic phosphates, and main aliphatic alcohols found in particleboards made in Malaysia. Based on the FTIR results, aliphatic groups were found in numerous aggravates that the spectroscopic infrared was likely to experience. The most important vibrational modes were C-H, at approximately 3000 cm(-1), and -CH deformations around 1460 cm(-1) and 1380 cm(-1). Eight effect groups demonstrated that 100% of the input and all analyses produced the same relative outcome. The life cycle of a product is determined by pollution of the air, water, and soil. Thus, particleboard has a minimal impact on the environment, except for global warming

Malaysian primary care doctors' views on men's health: an unresolved jigsaw puzzle

<p>Abstract</p> <p>Background</p> <p>Men have been noted to utilise health care services less readily then women. Primary care settings provide an opportunity to engage men in health care activities because of close proximity to the target group (men in the community). Understanding attitudes towards men's health among Malaysian primary care doctors is important for the effective delivery of health services to men. We aimed to explore the opinions and attitudes of primary care doctors (PCDs) relating to men's health and help-seeking behaviour.</p> <p>Methods</p> <p>A qualitative approach to explore the opinions of 52 PCDs was employed, using fourteen in-depth interviews and eight focus group discussions in public and private settings. Purposive sampling of PCDs was done to ensure maximum variation in the PCD sample. Interviews were recorded and transcribed verbatim for analysis. Open coding with thematic analysis was used to identify key issues raised in the interview.</p> <p>Results</p> <p>The understanding of the concept of men's health among PCDs was fragmented. Although many PCDs were already managing health conditions relevant and common to men, they were not viewed by PCDs as "men's health". Less attention was paid to men's help-seeking behaviour and their gender roles as a potential determinant of the poor health status of men. There were opposing views about whether men's health should focus on men's <it>overall </it>health or a more focused approach to sexual health. There was also disagreement about whether special attention was warranted for men's health services. Some doctors would prioritise more common conditions such as hypertension, diabetes and hypercholesterolaemia.</p> <p>Conclusions</p> <p>The concept of men's health was new to PCDs in Malaysia. There was wide variation in understanding and opposing attitudes towards men's health among primary care doctors. Creating awareness and having a systematic approach would facilitate PCDs in delivering health service to men.</p

Ethnic differences in body fat distribution among Asian pre-pubertal children: A cross-sectional multicenter study

Background Ethnic differences in body fat distribution contribute to ethnic differences in cardiovascular morbidities and diabetes. However few data are available on differences in fat distribution in Asian children from various backgrounds. Therefore, the current study aimed to explore ethnic differences in body fat distribution among Asian children from four countries. Methods A total of 758 children aged 8-10 y from China, Lebanon, Malaysia and Thailand were recruited using a non-random purposive sampling approach to enrol children encompassing a wide BMI range. Height, weight, waist circumference (WC), fat mass (FM, derived from total body water [TBW] estimation using the deuterium dilution technique) and skinfold thickness (SFT) at biceps, triceps, subscapular, supraspinale and medial calf were collected. Results After controlling for height and weight, Chinese and Thai children had a significantly higher WC than their Lebanese and Malay counterparts. Chinese and Thais tended to have higher trunk fat deposits than Lebanese and Malays reflected in trunk SFT, trunk/upper extremity ratio or supraspinale/upper extremity ratio after adjustment for age and total body fat. The subscapular/supraspinale skinfold ratio was lower in Chinese and Thais compared with Lebanese and Malays after correcting for trunk SFT. Conclusions Asian pre-pubertal children from different origins vary in body fat distribution. These results indicate the importance of population-specific WC cut-off points or other fat distribution indices to identify the population at risk of obesity-related health problems

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

Flattening effect of four wave mixing on multiwavelength Brillouin-erbium fiber laser.

A multiwavelength Brillouin-erbium fiber laser with enhanced output uniformity is demonstrated and its performance with and without the assistance of four wave mixing (FWM) is compared. The presence of FWM effect is proven by the generation of anti-Stokes wave and higher-order Stokes wave. This scheme is successful in flattening the multiwavelength output. At Brillouin pump wavelength of 1,550 nm, between the first and the last output channel, peak power differences of 4.59 and 8.32 dB are recorded for the scheme with and without the assistance of FWM, respectively. This represents 3.73 dB improvement in the multiwavelength output power uniformity

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially