Manajemen Strategi Badan Pengurus dalam Meningkatkan Kompetensi Guru Pelayanan Anak dan Remaja

Abstract: The purpose of this study was to analyze the strategic management carried out by the governing body in improving the competence of CAS teachers at Evangelical Christian Church in Timor (ECCT) Klasis East Kupang City. The method used in this research is a qualitative method with a descriptive approach. The subjects in this study were the chairs of the CAS as many as 10 people. Data collection techniques used are interviews and documentation. The data analysis technique used is Analysis Interactive which is divided into 4 parts, namely data collection, data reduction, data presentation and conclusion drawing. The results showed that the management of increasing the competence of CAS teachers in Klasis East Kupang City had been running according to the stages of implementing strategic management consist of observation, planning, implementation, evaluation and follow-up. This activity is carried out according to the conditions in each congregation. The efforts to increase the competence of CAS teachers in Klasis East Kupang City were carried out in the form of Bible Study (BS), training, CAS teacher exchange and comparative studies.Keywords: Strategic Management, Governing Body, Teachers’ Competence, Child and Adolescent Services Abstrak: Tujuan penelitian ini adalah untuk menganalisis manajemen strategi yang dilakukan badan pengurus dalam meningkatkan kompetensi guru Pelayanan Anak dan Remaja (PAR) di Gereja Masehi Injili di Timor (GMIT) Klasis Kota Kupang Timur. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan pendekatan deskriptif. Subyek dalam penelitian ini yaitu ketua PAR sebanyak 10 orang. Teknik pengumpulan data yang digunakan yaitu wawancara dan dokumentasi. Teknik analisis data yang digunakan yaitu Analysis Interactive yang terbagi menjadi 4 bagian yaitu pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa manajemen peningkatan  kompetensi guru PAR di Klasis Kota Kupang Timur sudah berjalan sesuai tahap-tahap pelaksanaan manajemen strategi, yaitu pengamatan, perencanaan, pelaksanaan, evaluasi dan tindak lanjut. Kegiatan ini dilaksanakan sesuai dengan kondisi di masing-masing  jemaat. Upaya peningkatan kompetensi guru PAR di Klasis Kota Kupang Timur dilaksanakan dalam bentuk Pendalaman Alkitab (PA), pelatihan, pertukaran guru PAR dan studi banding.Kata kunci: Manajemen strategi; Badan Pengurus; Kompetensi Guru; Pelayanan Anak dan Remaj

PENGARUH PEMBERIAN TOMAT (Solanum lycopersicum ), DAUN SALAM (Syzygium polyanthum) DAN BAWANG PUTIH (Allium sativum) TERHADAP KUALITAS DENDENG SAPI

Purpose of this experiment was to know effect of giving tomato, bay leaf and garlic on dendeng/ beef jerky quality.  This experiment followed completely randomized design (CRD) 5x3 with five treatments; D0: control, JT:  tomato juice 5%, DS: bay leaf  juice; DS: garlic juice; TSB:  mixed of the three kind of the juices. Parameters measured  were content of cholesterol,  fat, protein and also organoleptic aspects included colour, aroma, taste and terderness. Data of cholesterol,  fat and protein were analysed by using ANOVA followed by Duncan test to test difference between treatment.  Whihe  data of the colour, aroma, taste and terderness were analysed by using Kruskal – Wallis test followed by Mann Whitney test to test the different between treatment (SPSS 18).  Result showed that all treatments were significant effect cholesterol content (P<0,05),  higly significant (P<0,01) effect on protein color, aroma, taste and tenderness.  The result showed that all treatment reduce cholesterol, bay leaf  enhances  protein content. Garlic increases aroma and taste score. All treatmeant causes colour score of beef jerky decline (beef  jerky tends to become darker) and all beef jerky are more tender (tenderness score increase). To sum up adding of tomato juice, bay leaf  juice, garlic juice at the same time do not improve beef jerky quality compare to if the juice is added separately. ABSTRAK         Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pemberian beberapa jenis herbal terhadap kualitas dendeng sapi. Rancangan yang digunakan dalam penelitian ini adalah rancangan acak lengkap 5x3. Lima perlakuan yang diberikan adalah KO = kontrol, JT = dendeng diberi jus tomat, DS = dendeng diberi daun salam, BP = dendeng diberi bawang putih, TSB = dendeng diberi jus tomat + daun salam +  bawang putih. Parameter yang di ukur adalah protein, lemak, kolesterol, warna, aroma, rasa dan keempukan.. Data protein, lemak dan kolesterol, dianalisis menggunakan sidik ragam (ANOVA) dilanjut dengan uji Duncan untuk mengetahui perbedaan diantara perlakuan.  Sedangkan warna, aroma, rasa dan keempukan menggunakan Kruskall - Wallis dilanjut dengan uji Mann Whitney untuk mengetahui perbedaan diantara perlakuan.dengan SPSS 17.  Hasil penelitian menunjukkan bahwa perlakuan berpengaruh nyata ( P<0,05 ) pada kandungan kolesterol, sangat nyata ( P<0,01 ) pada kandungan protein aroma, warna, rasa dan keempukan, tapi tidak berpengaruh ( P>0,05) pada kandungan lemak. Hasil analisis statistik menunjukkan bahwa semua perlakuan dapat menurunkan kandungan kolesterol dendeng sapi, namun tidak mempengaruhi kandungan lemak dendeng.  Pemberian daun salam meningkatkan kandungan protein. Pemberian bawang putih mengakibatkan skor aroma dan skor citarasa tertinggi. Semua perlakuan menyebabkan skor warna menurun ( dendeng cenderung lebih coklat, sedangkan  skor keempukan meningkat (dendeng menjadi lebih empuk). Hasil penelitian ini menyimpulkan bahwa  penambahan jus tomat,  daun salam, bawang putih secara bersamaan tidak mengakibatkan kualitas dendeng meningkat dibanding jika diberikan sendiri -  sendiri.&nbsp

Blechnum Orientale Linn - a fern with potential as antioxidant, anticancer and antibacterial agent

<p>Abstract</p> <p>Background</p> <p><it>Blechnum orientale </it>Linn. (<it>Blechnaceae</it>) is used ethnomedicinally for the treatment of various skin diseases, stomach pain, urinary bladder complaints and sterilization of women. The aim of the study was to evaluate antioxidant, anticancer and antibacterial activity of five solvent fractions obtained from the methanol extract of the leaves of <it>Blechnum orientale </it>Linn.</p> <p>Methods</p> <p>Five solvent fractions were obtained from the methanol extract of <it>B. orientale</it> through successive partitioning with petroleum ether, chloroform, ethyl acetate, butanol and water. Total phenolic content was assessed using Folin-Ciocalteu's method. The antioxidant activity was determined by measuring the scavenging activity of DPPH radicals. Cytotoxic activity was tested against four cancer cell lines and a non-malignant cell using MTT assay. Antibacterial activity was assessed using the disc diffusion and broth microdilution assays. Standard phytochemical screening tests for saponins, tannins, terpenoids, flavonoids and alkaloids were also conducted.</p> <p>Results</p> <p>The ethyl acetate, butanol and water fractions possessed strong radical scavenging activity (IC₅₀8.6-13.0 μg/ml) and cytotoxic activity towards human colon cancer cell HT-29 (IC₅₀27.5-42.8 μg/ml). The three extracts were also effective against all Gram-positive bacteria tested: <it>Bacillus cereus, Micrococcus luteus</it>, methicillin-susceptible <it>Staphylococcus aureus </it>(MSSA), methicillin-resistant <it>Staphylococcus aureus </it>(MRSA) and <it>Stapylococcus epidermidis</it>(minimum inhibitory concentration MIC 15.6-250 μg/ml; minimum bactericidal concentration MBC 15.6-250 μg/ml). Phytochemical analysis revealed the presence of flavonoids, terpenoids and tannins. Ethyl acetate and butanol fractions showed highest total phenolic content (675-804 mg gallic acid equivalent/g).</p> <p>Conclusions</p> <p>The results indicate that this fern is a potential candidate to be used as an antioxidant agent, for colon cancer therapy and for treatment of MRSA infections and other MSSA/Gram-positive bacterial infectious diseases.</p

Sustainable supply chain management towards disruption and organizational ambidexterity:A data driven analysis

Balancing sustainability and disruption of supply chains requires organizational ambidexterity. Sustainable supply chains prioritize efficiency and economies of scale and may not have sufficient redundancy to withstand disruptive events. There is a developing body of literature that attempts to reconcile these two aspects. This study gives a data-driven literature review of sustainable supply chain management trends toward ambidexterity and disruption. The critical review reveals temporal trends and geographic distribution of literature. A hybrid of data-driven analysis approach based on content and bibliometric analyses, fuzzy Delphi method, entropy weight method, and fuzzy decision-making trial and evaluation laboratory is used on 273 keywords and 22 indicators obtained based on the experts’ evaluation. The most important indicators are identified as supply chain agility, supply chain coordination, supply chain finance, supply chain flexibility, supply chain resilience, and sustainability. The regions show different tendencies compared with others. Asia and Oceania, Latin America and the Caribbean, and Africa are the regions needs improvement, while Europe and North America show distinct apprehensions on supply chain network design. The main contribution of this review is the identification of the knowledge frontier, which then leads to a discussion of prospects for future studies and practical industry implementation

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Cranial Imaging Findings of Hypertension in Pregnancy

The aim of this study was to find out the cranial imaging findings of complicated hypertensive disorders of pregnancy. Forty two patients with preeclampsia, eclampsia and HELLP syndrome were admitted to the study at Obstetrics Division of Dicle University from January 2001 to December 2004. Computed Tomography was made to the forty two patients. The Computed Tomograpy findings of 20 (47.62%) patients were normal whereas computed Tomograpy findings of 22 (52.28%) patients were pathological. Eight patients (19%) had intracranial hemorrhage, 5 (11.9 %) patients had infarct, 9 (21.42%) patients had specific lesions. A wide imaging spectrum from ischemic area to intracranial hemorrhages can be detected in hypertensive disorders of pregnancy. Thus it is essential to make cranial imaging in patients with symptoms and neurological deficit

A HIERARCHICAL SUPER RESOLUTION BASED VIDEO INPAINTING TOOL

ABSTRACT This paper provides a framework for creating a video inpainting tool which is capable of removing unwanted objects in a video sequence. This tool is a unique tool to fill in the missing parts in the video. It is also capable of restoring a damaged image frame in a video sequence. Many video inpainting techniques have been proposed by researchers. This paper represents a video inpainting technique which is derived from an extended approach of image inpainting. This paper serves a technique of creating a complete packaged tool capable of performing video inpainting. This tool is basically a desktop application capable of running on different operating platforms. The input will be a video file. The given video sequence will be converted into series of frames based on number of frames per second. Now, the frames which are to be inpainted are selected. In this technique the video is inpainted on frame by frame basis. As a result of which this tool becomes capable of not only providing a flexible framework for video inpainting but also it makes removal of unwanted objects simultaneously in different time intervals. The video is then converted into frames and then inpainting of the image frame is performed accordingly. The frames in which inpainting is to performed are first converted into coarse versi on, then after that using exemplar based inpainting technique the coarse version of the image will be inpainted and then a hierarchical super resolution algorithm is used to restore the missing areas . It is always easier to inpaint the low resolutioned image as we have to deal with less number of pixels as a result of which we will gain advantage in terms of computational complexity. After inpainting the low resolutioned image by exemplar inpainting method we will then use a super resolution algorithm to enhance the resolution of the coarsed inpainted version of the frame so that we willgain advantage in terms of visual quality as well. The proposed technique improves the existing video inpainting techniques by proposing a framework which involves exemplar based inpainting followed by a super resolution algorithm to reduce the computational complexity and to enhance the visual quality of the inpainted video sequence.

Phytic acid content and starch properties of maize (Zea mays L.): Effects of irrigation process and nitrogen fertilizer

In the present study, the effects of different irrigation levels (I50: 50%; I75: 75%; and I100: 100% of depleted water from field capacity) and nitrogen fertilizer concentrations (N1:100, N2:200 and N3:300 kg ha(-1) N) on starch properties (total, resistant and nonresistant starch, amylose-amylopectin ratios) and phytic acid content of maize were investigated. The single and interaction effects of the treatments and also influence of harvesting year were evaluated. Total starch accumulation changed with the treatments and the highest values were obtained from I50 and N3 combination and the lowest levels were recorded for I100-N1 and I100-N2 treatments. Amylopectin increased with the effect of irrigation, while the amylose decreased with the irrigation treatment in parallel to amylopectin content. Besides, the lowest phytic acid level was also obtained from the treatments of I100 and N1. This study would provide some valuable information for agricultural and nutritional applications of maize

Hypertrophic Cardiomyopathy After a Single Dose of Dexamethasone in a Preterm Infant

Dexamethasone is widely used in preterm infants with severe pulmonary disease. Hypertrophic cardiomyopathy (HCM) is a transient side effect observed after multiple doses of dexamethasone. We report a preterm infant with myocardial hypertrophy after a single dose of dexamethasone (0.5 mg/kg) used to treat laryngeal edema secondary to prolonged intubation. A benign course was observed without left ventricular outflow tract obstruction and with recovery within 4 weeks. Myocardial effects of dexamethasone may be independent of dose and duration of treatment. The risk/benefit ratio must be carefully considered before using even a single dose of dexamethasone in preterm infants